Coventry Workers Comp Services
Industry: Company
DescriptionFounded: 2007 Parent organizations: Coventry Health Care, Aetna Health Holdings, LLC Subsidiaries: FOCUS HEALTHCARE MANAGEMENT INC,
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Coventry Workers Comp Services Employees
Coventry Workers' Comp Services June 2011 - Present
Coventry Workers' Comp Services April 2009 - June 2011
Sunquest Information Systems March 2008 - January 2009
Sunquest Information Systems October 2007 - March 2008
Misys June 2001 - October 2007
Sunquest Information Systems May 1998 - June 2001
Sunquest Information Systems April 1995 - May 1998
St Mary's Hospital, West Palm Beach, FL April 1994 - March 1995
Mayo Clinic December 1989 - April 1994
Moses H Cone Memorial Hospital August 1978 - December 1989
Skills
Coaching, Customer Service, Leadership, Process Improvement, Change Management, Negotiation, Project Management, Training, Software Documentation, Strategy, Management, Employee Training, Quality Assurance, Business Process..., Technical Writing, Customer Satisfaction, E-Learning, Team Building, Program Management, Leadership Development, ADDIE, Performance Management, Vendor Management, Instructional Design
Education
University of Phoenix 1998 — 2000
MBA, Technology Management
University of North Carolina at Greensboro 1977 — 1978
BSMT, Medical Technology
University of North Carolina at Greensboro 1973 — 1977
BA, Biology
Coventry Workers' Comp Services January 2009 - Present
P2P Link January 2007 - January 2009
HealthLine Systems, Inc. 2002 - 2006
CCN, Inc. June 1989 - July 2002
Prudential Healthcare 1988 - 1989
Skills
Account Management, Managed Care, Strategic Planning, Healthcare, Insurance, Marketing, Healthcare Information..., Marketing Communications, Sales Operations, Program Management, Sales, Process Improvement, New Business Development, Sales Management, Business Analysis, Workers Compensation, Team Building, Product Management, Management, Health Insurance, Product Development, Business Development, Training, Project Management, Product Launch, Marketing Strategy
Education
San Diego State University-California State University 1983 — 1989
Master's degree, Public Health Administration
Coventry Workers' Comp Services July 2010 - Present
Coventry Health Care November 1997 - July 2010
Memorial Hospital Tampa 1986 - November 1997
Skills
Managed Care, Medicare
Education
Hillsborough Community College 1986 — 1988
ADN, Registered Nursing/Registered Nurse
D G Erwin Technical Center 1979 — 1980
Practical Nursing, Nursing
Coventry Workers' Comp Services October 2002 - Present
Commission for Children with Special Healthcare Needs 1995 - 2002
Kosair Children's Hospital 1991 - 1996
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets
Education
University of Kentucky
University of Louisville
Coventry Workers' Comp Services January 2015 - Present
Coventry Workers' Comp Services February 2013 - December 2014
Advocate Health Care September 2012 - February 2013
Advocate Health Care August 2011 - September 2012
Advocate Health Care June 2008 - August 2011
North Kansas City Hospital December 2007 - June 2008
Heartland Health Centers July 2007 - December 2007
Pierce County July 2002 - June 2004
State of Missouri 1997 - 2002
Skills
Nursing, Utilization Management, Hospitals, Healthcare, Nurses, Critical Care, ACLS, BLS, Medical Case Management, Cerner, Cpr Certified, Utilization Review, Managed Care, Case Managment, Medicare, ICU, Medicaid, Home Care, Inpatient, Disease Management, Telemetry, Acute Care, HIPAA, EHR, Patient Advocacy, Health Insurance, Orthopedic, Direct Patient Care, IV, Patient Education, CPOE, JCAHO, Patient Safety, Healthcare Management, Medical Compliance, Medication Therapy..., Palliative Care, Workers Compensation, Rehabilitation, Surgery, Health Education, Documentations, Ambulatory, Quality Patient Care, Cardiology, Medication..., Medical/Surgical, Physician Relations, Physicians, Case Management
Education
University of Phoenix 2010 — 2012
MSN, Nursing
Conemaugh Valley Memorial Hospital 2005 — 2007
Diploma, Nursing
Missouri Western State University 1988 — 1994
BS, Psychology
U.S. HealthWorks August 2014 - Present
U.S. HealthWorks October 2013 - July 2014
Coventry Workers' Comp Services September 2007 - July 2013
PreCheck August 2006 - June 2007
Skills
Sales, Workers Compensation, Insurance, Managed Care, Health Insurance, Account Management, Employee Benefits, Healthcare, Selling, Team Building, Leadership, Risk Management
Education
University of Houston-Downtown 2006 — 2010
Bachelor of Science (BS), Criminal Justice/Police Science
Coventry Workers' Comp Services 2014 - Present
Coventry Health Care 2010 - 2011
Coventry Health Care 2006 - 2010
Coventry Health Care 2004 - 2006
Coventry Health Care November 1999 - 2004
CIGNA Healthcare 1994 - 1999
Brandon Regional Hospital 1993 - 1994
Skills
Utilization Management, Quality Improvement, Nursing, Utilization Review, Health Insurance, EMR, Quality Assurance, Healthcare, Managed Care, Case Management, HIPAA, Workers Compensation
Education
Sheridan Technical Center 1984 — 1985
Practical Nursing, Practical Nursing, Vocational Nursing and Nursing Assistants
Minot State University
General Studies
ExamWorks Clinical Solutions October 2014 - Present
Coventry Workers' Comp Services March 1998 - October 2014
Skills
Workers Compensation, Managed Care, Claim, Health Insurance, Insurance, Claims Management, Medicare, Employee Benefits, Case Managment, Nursing, Healthcare, Team Building, Claim Investigation, Risk Management, Case Management, Process Improvement, Medicaid, Provider Relations, Long-term Care, Property & Casualty..., Disease Management, Customer Service, Liability, Commercial Insurance, Legal Liability, Medical Billing, Business Process..., Rehabilitation, Healthcare Management, Pharmacy Benefit..., Casualty, Disability Insurance, HIPAA, Healthcare Industry, PPO, Utilization Management, Vocational..., Leadership, Six Sigma
Education
Mississippi State University 1992 — 1993
Master's degree, Vocational Rehabilitation Counseling/Counselor, 3.9
University of Southern Mississippi 1990 — 1992
Bachelor's degree, Counseling Psychology
East Central Community College 1989 — 1990
General Studies
Coventry Workers' Comp Services June 2009 - Present
Sunquest Information Systems April 2004 - May 2009
Misys Healthcare Systems 2004 - 2006
United States Navy August 1983 - August 2003
USS John C Stennis 1999 - 2000
USS Antietam (CG-54) 1992 - 1997
Skills
Articulate Studio '09, Captivate v5, Train-the-trainer..., Articulate Studio, Captivate, ADDIE, Methodology, Live Meeting, Instructional Design, Adult Education, E-Learning, Program Management, Train the Trainer, Technical Writing, Software Documentation, Hands-on Training, Process Improvement, Training, Leadership, Project Management, Training Delivery, Needs Analysis, Learning Management..., Curriculum Development, Instructor-led Training, Technical Training, Business Analysis, Coaching, Curriculum Design, Requirements Analysis, Blended Learning, Learning Management, Training Needs Analysis, Change Management, Team Building, HIPAA, Visio, SharePoint, SDLC, Security, Onboarding, Human Resources, CRM, Leadership Development
Education
California Coast University 2008 — 2009
BS, Management
Coastline Community College 2001 — 2003
AA, Management
Rincon High School 1979 — 1983
Arlington Associates, Inc. April 2009 - Present
Coventry Workers' Comp Services April 2008 - April 2009
CorVel Corporation March 1994 - April 2008
Skills
Risk Management, Strategic Planning, Insurance, Managed Care, Healthcare, Workers Compensation, New Business Development, Health Insurance, PPO, Casualty, Selling, Medicare, Claim, Program Management, Sales Management, Strategy, Business Development, HMO, Management Consulting, Healthcare Consulting, CRM, Sales, Sales Operations, Contract Negotiation
Education
American University - Kogod School of Business
Master of Science (MS), Health Management
Georgetown University
Bachelor of Arts (BA)
Coventry Health Care/ Aetna November 1997 - Present
Coventry Workers' Comp Services December 2005 - March 2013
Coventry Workers' Comp Services November 1997 - December 2005
GENEX Services, Inc. October 1988 - November 1997
Loretto Hospital 1988 - 1992
Leyden Community Hospital 1985 - 1988
St. Anne's Hospital West 1984 - 1985
DC General Hospital 1983 - 1984
Lakewood Hospital a Cleveland Clinic Hospital 1980 - 1982
Skills
Utilization Management, HEDIS, NCQA, Disease Management, Medicare, Utilization Review, Managed Care, Medicaid, HMO, Provider Relations, Certified Case Manager, Healthcare, Medical Case Management, Healthcare Management, Quality Improvement, Case Managment, Health Insurance, Software Documentation, Case Management
Education
The University of Akron 1978 — 1982
BSN, Nursing
Olmsted Falls High School 1974 — 1978
High Scholl Diploma, General Studies
Catholic Diocese of Richmond June 2015 - Present
Catholic Diocese of Richmond 2003 - 2014
St. Elias Maronite Church 2004 - 2011
Coventry Workers' Comp Services May 2001 - January 2010
Skills
PowerPoint, Microsoft Word, Customer Service, Microsoft Excel, Microsoft Office, Teamwork, Research, Photoshop, Time Management, English, Windows, Community Outreach, Public Speaking
Education
Sacred Heart Seminary and School of Theology 2012 — 2015
Master's Degree, Theology/Theological Studies
Stony Brook University 1980 — 1982
Bachelor's Degree, Registered Nursing/Registered Nurse
Coventry Health Care, an Aetna Company January 2014 - Present
Coventry Workers' Comp Services November 2006 - January 2014
First Health January 2003 - November 2006
First Health January 1997 - January 2003
Health Care COMPARE October 1994 - January 1997
Occupational Urgent Care Health September 1990 - October 1994
Affordable Health Care Concepts June 1987 - September 1990
Prudential Insurance Company March 1985 - June 1987
Skills
Data Analysis, Managed Care, Business Intelligence, Analytics, SAS, PPO, Medicare, Analysis, Data Warehousing, Data Mining, Healthcare Industry, Network Development, Informatics, Healthcare Consulting, Leadership, Workers Compensation
Education
Xavier University 1982 — 1984
Clinical Psychology
University of Cincinnati 1978 — 1982
Bachelor of Arts, Psychology Honors Program
Helios (formerly Progressive Medical & PMSI) October 2014 - Present
CliniComp, Intl. April 2014 - October 2014
ZeOmega March 2012 - August 2013
MJC Consulting 1997 - 2013
StrataCare, Inc. August 2007 - August 2009
Coventry Workers Comp Services 2003 - 2007
GENEX Services, Inc. 1999 - 2001
Carlson, Price and Associates 1996 - 1997
USC University Hospital 1993 - 1996
Skills
CRM, Management, Program Management, Sales, Account Management, Team Leadership, Healthcare, Leadership, Project Management, Team Building, Strategic Planning, Time Management, Operations Management, Training, Software Documentation, Forecasting
Education
Northeastern University 2013 — 2015
Master of Business Administration (MBA), Healthcare
University of Southern California 1990 — 1993
BSN, Nursing/ Business
Coventry Workers' Comp Services January 2015 - Present
Coventry Workers' Comp Services January 2008 - Present
Coventry Health Care, an Aetna Company January 2008 - Present
Intracorp 2001 - December 2006
Concentra Workers Comp Services September 1998 - 2000
GENEX Services, LLC September 1996 - September 1998
GENEX Services, LLC January 1991 - September 1996
Brooks Rehabilitation previously Memorial Regional Rehabilitation Hospital 1988 - December 1990
Skills
Workers Compensation, Claim, Claims Management, Insurance, Rehabilitation, Management
Education
University of Florida 1984 — 1987
Masters of Health Science, Rehabilitation Counseling
University of Florida 1984 — 1986
Bachelor's Degree, Rehabilitation Services
University of Maryland, Munich 1982 — 1984
Associate of Arts (AA)
JPMorgan Chase & Co. July 2012 - Present
JPMorgan Chase May 2011 - July 2012
JPMorgan Chase August 2009 - May 2011
Coventry Workers Comp Services September 2008 - July 2009
Fordham University August 2008 - June 2009
SUNY New Paltz 2004 - 2008
Skills
Business Management, Business Relationship..., Customer Relations, Customer Service, Management, Research, Banking, Market Research, Team Leadership, Teamwork, Financial Analysis, Recruiting, Microsoft Excel, Investments, Loans, Risk Management, Finance, Public Speaking, PowerPoint
Education
State University of New York at New Paltz 2004 — 2008
Bachelor of Science, Finance
Coventry Workers' Comp Services June 2012 - Present
Skills
Nursing, Healthcare, Medicaid, Hospitals, Rehabilitation, Medical Terminology, Home Care, Patient Advocacy, Team Building, HIPAA, Quality Improvement, Critical Care, Acute Care, Patient Education, Workers' Compensation..., Inpatient, Case Management
Education
East Carolina University
Bachelor's degree
Coventry Workers Comp Services November 2003 - Present
UTHSCSA - HIV family clinic 1991 - 2003
Christus Santa Rosa Children's Hospital San Antonio, TX 1989 - 1991
Skills
fluently bilingual..., CCM, chemotherapy, Healthcare, Nursing Education, ACLS, Healthcare Management, Pediatrics, Hospitals, Ambulatory, Patient Education, Utilization Management, Clinical Research, Home Care, HIPAA, Medicaid, Nursing, Managed Care, Medicare
Education
Long Beach City College 1978 — 1982
A.S degree, Nursing
Sedgwick June 2011 - Present
Xchanging May 2010 - May 2011
Coventry Workers' Comp Services November 2008 - May 2010
Specialty Risk Services January 1999 - October 2008
Sedgwick CMS January 1994 - January 1999
Zurich Financial Services 1988 - 1994
Skills
New Business Development, Management, Property & Casualty..., Strategy, Insurance, Legal Liability, Risk Management, Account Management, Workers Compensation, Sales, Enterprise Software, Business Development, Negotiation, Managed Care, Contract Negotiation, Healthcare, Underwriting, Claim, Claims Management, Training
Education
DePaul University - Charles H. Kellstadt Graduate School of Business 1994 — 1999
MBA, Marketing
Northern Illinois University 1985 — 1987
BS, Finance
Logix Health March 2015 - Present
Contract Logix, LLC February 2015 - March 2015
IntelliSoft Group October 2014 - February 2015
AdvantEdge Healthcare Solutions June 2013 - September 2014
Rivier University April 2013 - April 2013
CCSI thru Complete Staffing Solutions March 2013 - March 2013
Amergent September 2010 - December 2012
Coventry Workers’ Comp Services April 2007 - March 2010
Coventry Workers’ Comp Services December 1998 - April 2007
Macrochem Corporation July 1998 - December 1998
Skills
Business Intelligence, Business Analysis, Data Analysis, Access, Program Management, Microsoft SQL Server, Project Management, Databases, SQL, Analysis, Data Warehousing, Management, Oracle, SSRS, T-SQL, Customer Service, Strategic Planning, Microsoft Office, SDLC, Account Management, User Defined Functions, T-SQL Stored Procedures, Microsoft Reporting..., Report Design, Business Objects, Visio, PL/SQL, Requirements Gathering, Microsoft Excel, Team Building, Crystal Reports, Microsoft Word, PowerPoint, MS Project, Analytics, Forecasting, Healthcare, Postal Automation, SAS, CAMS, Track-It, Dreamweaver, CASS, SharePoint, CRM, Vendor Management, SSIS, ETL, Networking, Business Process
Education
ITT Technical Institute 2001 — 2004
Associates, Applied Sciences - Computers & Electronics
Westfield State College 1994 — 1995
Bachelors, History
Bunker Hill Community College 1989 — 1991
Associates, Liberal Arts
Managed Care Marketing 2013 - Present
Coventry Workers' Comp Services 2006 - 2014
Blue Cross Blue Shield of Illinois 2004 - 2006
Skills
Workers Compensation, Managed Care, Marketing Communications, Content Managed Websites, Advertising, Adobe Creative Suite, Six Sigma, Email Marketing, Corporate Branding, Analytics, Sales Management, Employee Benefits, Health Insurance, Marketing, Marketing Strategy, Medicare, Account Management, Insurance, Healthcare
Education
Northern Illinois University
Bachelor of Science, Corporate Communications
Saint Xavier University
M.B.A., Marketing Concentration
Waubonsie Valley
Berkley Medical Management Solutions 2014 - Present
Coventry Workers' Comp Services 2009 - 2014
Premera Blue Cross 2007 - 2009
Mercy Health Plan 2004 - 2007
Lifemarc 2001 - 2004
Ingenix 1998 - 2001
CorVel Corporation 1988 - 1998
Skills
Workers Compensation, Healthcare, Leadership, Account Management, Product Development, Budget, Staff Development, International Operations, International vendor..., BPO outsource, Budgets, Managed Care, Utilization Management, Team Building, Management, Operations Management, Strategic Planning, Insurance, Sales Operations, Outsourcing, Business Planning, Recruiting, Analysis, Project Management, Sales, Business Development, Sales Management, Employee Benefits, Marketing, Negotiation, P&L Management, Process Improvement, Provider Relations, Executive Management, Medicare, Training, Health Insurance, Medicaid, Network Development, Strategy, New Business Development, Vendor Management
Education
Kansas State University
Master's degree, Business Psychology
University of Missouri-Kansas City
Master's degree, Clinical Psychology
Coventry Workers' Comp Services 1995 - 2013
Continental Insurance Co. 1993 - 1995
American International Health and Rehabilitation Services, Inc. 1988 - 1993
National Rehabilitation Consultants May 1988 - December 1988
Skills
Utilization Management, Workers Compensation, Disease Management, Managed Care, Medicare, Utilization Review, Health Insurance, Claim, Medicaid, Claims Management, Provider Relations
Education
Spalding University 1982 — 1986
BSN, Registered Nursing/Registered Nurse
University of Kentucky 1979 — 1982
Biology, General
Coventry DMEplus June 2015 - Present
Coventry Workers' Comp Services April 2010 - June 2015
The Nicholas Group January 2008 - April 2010
Skills
Account Management, Sales Management, Workers Compensation, Strategic Planning, Healthcare, Claims Management, Claim, Managed Care, Property & Casualty..., Medicare, Insurance, Employee Benefits, Health Insurance, Legal Liability, Commercial Insurance, Liability
Education
Saint Leo University 2012 — 2017
Master of Business Administration (MBA), Business Administration and Management, General, 3.8
Eckerd College 2010 — 2012
Bachelor's Degree, Business Management, 3.72
Wells Fargo Insurance Services May 2015 - Present
Keller Williams Realty 2012 - Present
Blue Shield of CA, El Dorado Hills June 2014 - April 2015
Coventry Workers' Comp Services July 2002 - February 2012
CIGNA June 2000 - July 2002
Sitzmann Morris, and Lavis, Oakland, CA April 2000 - June 2000
Aerotek/NorthPoint Communication May 1999 - September 1999
UCSF STANFORD HEALTH CARE January 1991 - May 1999
Skills
Insurance, Health Insurance, Employee Benefits, Managed Care, Strategic Planning, Account Management, Group Insurance, Sales Management, New Business Development, Analysis, Management, Workers Compensation, Claim, Property & Casualty..., Commercial Insurance, Leadership, Medicare, Sales, Healthcare, Customer Service, Strategy, Real Estate, COBRA
Education
California State University-East Bay 1996 — 1998
BS, Health Science with a minor in Pre Med
City College of San Francisco 1993 — 1995
Associate of Arts Degree, Business Administration
Coventry Workers' Comp Services August 2013 - Present
Gould and Lamb September 2012 - August 2013
Black Diamond Services January 2011 - December 2011
Black Diamond Sevices 2010 - December 2011
Coventry Worker's Comp Services December 2006 - September 2010
Skills
Sales Management, Product Marketing, Customer Relations, Operations Management, Account Management, New Business Development, Strategic Planning, Sales, Insurance, Marketing Strategy, Workers Compensation, Team Building, Managed Care, Medicare, Leadership, Marketing, Legal Liability, Selling, Claims Management, Healthcare, Customer Retention
Education
Chaffey College
Bachelor, Marketing
Results Case Management LLC March 2015 - Present
Norfolk Southern Corporation February 2013 - March 2015
Restore Rehab 2011 - 2013
Coventry Workers' Comp Services August 2006 - September 2011
Natividad Medical Center (NMC) 2005 - 2006
Sentara Healthcare 2000 - 2004
US Navy 1990 - 2000
Skills
CCM-Certified Case..., RN_Registered Nurse, Healthcare Management, Case Management, Workers Compensation, Nursing, Managed Care, Hospitals, Insurance, Process Improvement, Customer Service, Clinical Research, Utilization Management, Claim, Team Building, DoD, Program Management, Leadership, Proposal Writing, Healthcare, Claim Investigation, Case Managment, Microsoft Office, Contract Management, Account Management, Military, Subrogation, Strategic Planning, Government, Acute Care
Education
Eastern Virginia Medical School 2014 — 2016
Masters in Public Health-Environmental Health, Occupational and Environmental Health Nursing
University of Delaware 1995 — 1999
Bachelor of Science in Nursing, Cum Laude
Law Office March 2012 - Present
Coventry Workers' Comp Services October 2007 - June 2009
Stansell Electric Company September 2006 - July 2007
Equitable Trust June 2005 - September 2006
Crowe Chizek and Company December 2004 - April 2005
Think Outsource September 2004 - October 2004
MailShip Technology September 2001 - October 2004
Baker, Sullivan & Hoover July 1998 - September 2001
Skills
Event Management, Sales, Marketing, Microsoft Excel, Project Management, Customer Service, Budgets, Microsoft Office, Project Planning, Event Planning, Accounts Payable, Strategic Planning, Management, Team Building, Outlook, Operations Management, Legal Research, Analysis, Contract Negotiation, Process Scheduler, Time Management, Public Speaking, Supervisory Skills, PowerPoint, Sales Management, Hiring, Contract Management, Microsoft Word, Organizational...
Education
Nashville School of Law 2014 — 2018
Juris Doctor (J.D.)
Tennessee State University 1999 — 2004
Accounting
University of Tennessee at Martin 1994 — 1998
B.S., Biology, Psychology
Dresden High School 1991 — 1994
Heartland Payment Systems May 2011 - Present
Coventry Workers' Comp Services 2007 - 2009
Coventry Workers' Comp Services 2007 - 2009
Skills
Banking, Sales Management, Credit, Sales, New Business Development, Loans, Financial Analysis, Account Management, Small Business, Finance, Investments, Business Development, Risk Management, Customer Service, Marketing, Management, Team Building, Customer Retention, Insurance, Mortgage Lending, Credit Cards, Customer Satisfaction, Cold Calling, Strategic Planning, Selling, Financial Services, Executive Management, Credit Analysis, Electronic Payments, Payment Card Processing, Leadership, Direct Sales, Payments, Negotiation
Education
Alfred University
Warwick High School
Sanford Health Care Management Population Health December 2014 - Present
SANFORD HEALTH PLAN June 2010 - December 2014
Sanford UroGynecology June 2008 - June 2009
Coventry Workers' Comp Services May 2008 - December 2008
Southeastern Behavioral Health Care February 2003 - December 2008
Sioux Falls Specialty Hospital June 2000 - February 2003
Skills
case management, surgical nursing,..., Microsoft Word, verisk analytical tool
Education
South Dakota State University 1985 — 1989
Bachelor's Degree, Registered Nursing/Registered Nurse
Coventry Workers' Comp Services May 2014 - Present
Skills
Sales, Social Media, Staffing Services, Applicant Tracking..., Account Management, Contract Recruitment, Leadership, Customer Service, Technical Recruiting, Internet Recruiting, Microsoft Office, Temporary Placement, Salesforce.com, Team Leadership, CRM, Training, Management, New Business Development, Team Building
Education
Belmont Abbey College
Bachelor's degree, History
Sparta High School
Coventry Workers' Comp Services April 1996 - Present
Concentra 2004 - 2007
Concentra 1999 - 2000
Roberts Pharmaceutical Corporation 1994 - September 1995
USAF 1988 - 1993
Skills
Managed Care, Healthcare, Account Management, Insurance, Workers Compensation, Network Development, Health Insurance, Medicare, PPO, Team Building, Employee Benefits, Medical Billing, Sales, Pharmacy Benefit..., Claim, Disease Management, Leadership, Provider Relations, Healthcare Industry, Process Improvement, Healthcare Information..., Contract Negotiation, Case Managment, Strategic Planning, Sales Management, Case Management, Claims Management, Healthcare Management
Education
Excelsior College
BS, Liberal Studies - Psychology
University of Maryland College Park 1989 — 1993
AA
Nashville Rollergirls 2014 - 2015
Coventry Workers' Comp Services February 2007 - November 2011
Concentra February 2006 - February 2007
Concentra February 2003 - February 2006
Concentra May 2000 - February 2003
Concentra January 1998 - May 2000
Skills
Microsoft Office, Medical Terminology, Medical Coding, Mentoring, Business Management, Data Analysis, Insurance, Operations Management, Team Building, Team Management, Project Management, Health Care Informatics, Managed Care, Healthcare, Medicare, Healthcare Management, Management, Analysis, Informatics, Leadership
Education
Lipscomb University 2011 — 2012
MHCI, Healthcare Informatics, 4.0
University of Phoenix 2004 — 2006
B.S., Business Management
The Sullivan Group February 2013 - Present
PMSI January 2011 - January 2013
The Sullivan Group February 2010 - January 2011
WorkCompWire April 2010 - December 2010
Coventry Workers' Comp Services August 2008 - February 2010
The Sullivan Group June 2000 - August 2008
Novaeon, Inc. January 1998 - June 2000
Community Care Network (CCN) October 1986 - August 1997
Skills
Mergers, Workers Compensation, Insurance, Healthcare, Human Resources, Finance, Claim, Medicare, Claims Management, Risk Management, Health Insurance, Commercial Insurance, Product Development, Process Improvement, Account Management, Liability, Team Building, Negotiation, Program Management, Acquisitions, Business Development, Executive Management, Board of Director..., Mergers & Acquisitions, Leadership, Strategic Partnerships, Strategy, Board of Directors
Education
University of California, Riverside 1977 — 1979
Bachelor of Science, Political Science and Administrative Studies
University of Southern California 1980 — 1981
Systems Management
Coventry Workers' Comp Services March 1997 - Present
HealthPlan Services 1984 - 1997
Anacomp June 1982 - March 1984
Skills
Vendor Management, Insurance, Health Insurance, Managed Care, Network Development, Workers Compensation, Healthcare, Strategic Planning, Team Building, Medicare, Process Improvement, HIPAA, Claim, Software Development, Healthcare Industry, Business Analysis
Education
Anderson University 1978 — 1982
Bachelor of Science (B.S.), Computer Science, Marketing, Management
Coventry Workers' Comp Services March 2010 - May 2014
Coventry Health Care (formerly First Health) January 1991 - June 2009
Health Net (Formerly Foundation Health) April 1988 - December 1990
Sutter Roseville Medical Center (formerly Roseville Hospital) 1982 - 1985
Skills
PPO, HMO, Network Development, Provider Relations, Managed Care, Contract Negotiation, Workers Compensation, Healthcare, Health Insurance, Healthcare Industry, Hospitals, Insurance, Physicians, Health Policy, Claim
Education
California State University-Sacramento 1981 — 1986
Bachelor of Science (BS), Business Administration and Management, General
Coventry Workers' Comp Services June 2015 - Present
Yoh, A Day & Zimmermann Company April 2015 - June 2015
Glendale Adventist Medical Center January 2002 - March 2015
Southern California Orthopedic Institute September 1999 - January 2002
Skills
Occupational Medicine, Medicine, Healthcare, Workers Compensation, Nursing, Occupational Health, Healthcare Management, Public Health, Case Managment, Occupational Therapy, Hospitals, Utilization Management, Rehabilitation, Health Education, Healthcare Information..., Case Management, Managed Care, Nursing Education, Patient Safety, Home Care, Management
Education
Mount Saint Mary's University 1972 — 1976
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Mt. St. Mary's College 1972 — 1976
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Coventry Health Care October 1995 - Present
Coventry Workers' Comp Services 1995 - Present
United States Air Force May 1986 - May 1990
Skills
Managed Care, Workers Compensation, Claim, Health Insurance, Insurance, Medicare, Healthcare, PPO, Account Management, Strategic Planning, Medicaid, Healthcare Industry, Team Building, Process Improvement, Provider Relations, Utilization Management, Hospitals, Contract Negotiation, New Business Development, Disease Management, Network Development
Education
Northern Illinois University 1991 — 1995
BS, Health Administration and Community Health
Coventry Workers' Comp Services ParalegalHeckler & Frabizzio, PAMarch 2000 - August 2005
Education
University of Delaware 1994 — 1998
Coventry Workers Comp Services
Skills
Workers Compensation, Legal Liability, Claim, Managed Care, Claims Management, Property & Casualty..., Insurance, Workers' Compensation..., Liability, Claim Investigation, Commercial Insurance, Medicare, Health Insurance, Casualty, Subrogation, Liability Analysis, Claims Handling, Provider Relations, Litigation Management, CPCU, Claims Resolution, Professional Liability, Property Damage, Utilization Management, Employment Practices..., Casualty Insurance
Education
Fordham University
Coventry Workers' Comp Services May 2011 - Present
Intracorp August 2003 - May 2011
Intracorp January 2001 - August 2003
Intracorp March 1989 - January 2001
Skills
Managed Care, Product Strategy, Utilization Management, Case Management, Disability Management, Workers Compensation, Claims, Insurance, Health, Process Improvement, Case Managment, Medicare, Healthcare, Employee Benefits, Claim, Certified Case Manager, Disease Management, Product Management, Strategic Planning, Coaching, Team Building, Product Development, Health Insurance, Provider Relations, Long-term Care, Medicaid, Claims Management, Network Development, Healthcare Industry, Pharmacy Benefit..., Healthcare Management, Disability Insurance, PPO, Disabilities, HIPAA, Commercial Insurance, Rehabilitation..., Property & Casualty..., Legal Liability, Liability, Home Care, Nursing, Rehabilitation, Health Policy, Medical Billing, Hospitals, Healthcare Consulting, Medical Case Management, Claim Investigation, Casualty
Education
University of South Alabama 1985 — 1987
MS, Rehabilitation Counseling
Troy University 1981 — 1985
BS, Social Work
Coventry Workers' Comp Services April 2012 - Present
Coventry Workers Comp Services March 2009 - Present
Coventry Workers' Comp Services August 2005 - February 2009
Coventry Workers' Comp Services January 1998 - August 2005
Skills
Strategic Planning, Executive Management, Business Analysis, Data Analysis, Managed Care, Product Management, Workers Compensation, Healthcare Industry, Health Insurance, Strategic Partnerships, Strategic Planning and..., Healthcare, Provider Relations, Network Development, Network Contracting, Contract Negotiation, Medicare, Utilization Management, Claim, Vendor Management, Bill Review, Disease Management, Program Management, Medicaid, Strategy, Pharmacy Benefit..., Performance Metrics, Medical Billing, Sales Support, OON strategy and..., WC Network..., Bill Review Product..., Bill Review Software..., Sales Operations, Bill Review Services, Workers' Compensation..., Clinical and Coding...
Education
California State University-Sacramento 1975 — 1978
ExamWorks Clinical Solutions September 2013 - Present
Coventry Workers' Comp Services July 2010 - August 2013
New Home Sales January 2005 - July 2010
American Specialty Health October 2001 - January 2005
Southern California Physicans Managed Care Services August 1999 - September 2001
Therapy Specialists November 1995 - September 1997
Redhill Medical Management 1988 - 1995
Skills
Workers Compensation, Managed Care, Account Management, Health Insurance, Healthcare, Customer Service, Property & Casualty..., Medicare, Negotiation, Contract Negotiation, Team Building, Selling, New Business Development, Process Improvement
Education
San Diego State University-California State University
BA, Journalism/Public Relations
Coventry Workers' Comp Services June 2012 - Present
Coventry Health Care June 2007 - July 2012
First Health 2003 - 2007
Coventry Health Care May 1999 - June 2003
First Health 1991 - 1996
Eqicor/Cigna 1989 - 1991
Health Economics Corporation 1986 - 1989
Skills
Workers Compensation, Network Development, Provider Contracting, Managed Care, Case Management, Application Development, Program Implementation, Implementation Of..., Technology..., Certified Case Manager, Certified Workers Comp..., Case Managment, PPO, Medicare, Employee Benefits, Provider Relations, Health Insurance, HMO, HIPAA, Medicaid, Healthcare Industry, Disease Management, Health Policy, Healthcare Management, Healthcare Consulting, Utilization Management, Insurance, Pharmacy Benefit..., Healthcare Information...
Education
Harding University 1980 — 1982
BSN, Nursing, cum laude
Ohio Valley University 1978 — 1980
Associate of Science (A.S.), Pre-Nursing Studies, cum laude
SpringHouse Boston December 2014 - Present
Liberty Mutual Insurance April 2014 - Present
Tufts Health Plan June 2012 - November 2013
WorkersComp Analytics LLC November 2011 - June 2012
Coventry Worker's Comp Services September 2009 - April 2011
The Bostonian Group May 2007 - September 2008
Harvard Pilgrim Health Care 2004 - 2007
Eye Care Excellence 2000 - 2004
Blue Cross Blue Shield of Massachusetts April 1985 - July 1999
Skills
Account Management, Marketing Strategy, Healthcare, Employee Benefits, Product Management, Sales Management, Strategic Planning, Contract Management, Operations Management, Workers Compensation, Leadership, Business Development, Product Development, Business Strategy, Business Intelligence, Team Building, Insurance, Management, Sales, Strategy, Management Consulting, Analysis, Business Planning, Contract Negotiation, Consulting, Process Improvement, Analytics, Mergers & Acquisitions, Vendor Management, Health Insurance, Managed Care, Risk Management, PPO, Medicare, Provider Relations, Claim, Healthcare Industry, Health Care Reform, HMO, Utilization Management, Healthcare Consulting, Network Development, Medicaid, Pharmacy Benefit...
Education
University of North Carolina at Chapel Hill
BS, Health Education
Southern AZ Center Against Sexual Assault May 2011 - May 2015
Coventry Workers' Comp Services June 2009 - September 2013
Southern AZ Center Against Sexual Assault August 2010 - May 2011
Cactus Counseling Associates January 2010 - May 2010
In Balance Counseling July 2009 - December 2009
Canyon Ranch - Corporate 2007 - 2008
Canyon Ranch - Tucson 2006 - 2007
Canyon Ranch - Lenox January 2004 - July 2006
Employers Association of the Northeast June 1998 - January 2004
Springfield Area Council for Excellence January 1998 - June 1998
Skills
Onboarding, Leadership Development, Instructional Design, Employee Engagement, Coaching, Training, Change Management, Psychotherapy, Succession Planning, Public Speaking, Employee Relations, Training Delivery, Talent Management, Team Building, Workshop Facilitation, Executive Coaching, Organizational..., Personal Development, Leadership, Employee Training
Education
Prescott College 2009 — 2011
Master of Arts
University of Massachusetts, Amherst
Bachelor of Arts Cum Laude
Aetna 2013 - Present
Coventry Workers' Comp Services May 1998 - Present
Monsanto July 1995 - June 1997
Skills
Medicine, Healthcare Management, Managed Care, Utilization Management, Healthcare, Disease Management, Hospitals, Physicians, Medical Education, Clinical Research, Healthcare Information..., Public Health, Quality Improvement, Prevention, Medicare, Utilization Review, Disability Management, Case Managment, Guidelines, Workers Compensation, Claim, Credentialing, Insurance, Health Policy, Health Insurance, Provider Relations, Occupational Medicine, Medicaid, Medical Cost Containment, Healthcare Consulting, HMO, Network Development, PPO, Physician Relations, Preventive Medicine, Healthcare Industry, NCQA, Board Certified, Case Management, Medicaid Managed Care, HEDIS, Informatics, Family Medicine, Medical Case Management, HIPAA, Medical Compliance, EHR, Claims Management, EMR, Wellness
Education
Saint Louis University 1993 — 1995
Master of Public Health (MPH), Occupational Medicine Residency Program, 4.0
Washington University in St. Louis 1991 — 1993
Master of Business Administration (MBA), Business Administration and Management, General
Midwestern University 1975 — 1979
DO, Osteopathic Medicine/Osteopathy
University of Illinois at Urbana-Champaign 1971 — 1975
Bachelor of Science (BS), Biology
CVTY Vice President Account ManagementCoventry Health Care1983 - Present
Coventry Workers Comp Services 1983 - Present
Coventry Healthcare 1983 - 2009
Concentra 1983 - 2007
Concentra Managed Care, Inc. 1983 - 2007
Skills
Managed Care, Workers Compensation, Leadership, Health Insurance, Account Management, Medicaid, Medicare, Strategic Planning, Insurance, Employee Benefits, Utilization Management, Healthcare, Pharmacy Benefit..., Claim, Provider Relations, Claims Management, Team Building, Management, Sales, Disease Management, Operations Management, Program Management, Disability Insurance, Network Development, Customer Service, Case Managment
Education
Assumption College 1979 — 1981
MA, CAGS, Rehabilitation Counseling
Providence College 1975 — 1979
BA, Sociology
Coventry Worker's Comp Services April 2007 - Present
Concentra Managed Care January 2002 - April 2007
Novaeon June 1993 - January 2000
ReMed Recovery Care Centers 1992 - 1993
Intracorp 1990 - 1992
Skills
Managed Care, Healthcare, Workers Compensation, Leadership, Project Management, Utilization Management, Case Managment, Project Planning, Vendor Management, Business Process..., Operations Management, Health Insurance, Medical Billing, Case Management, Product Management, Account Management, Management, Provider Relations, Disease Management, Medicare
Education
Temple University 1976 — 1977
M.Ed, Rehabilitation Psychology
University of Pittsburgh 1969 — 1973
B.S., Psychology
AxisPoint Health April 2014 - Present
Coventry Worker's Comp Services November 2007 - January 2014
Jewish Guild for the Blind 2004 - 2007
Visiting Nurse and Hospice Care of Southwest CT. October 2002 - December 2005
Premier 2004 - 2005
Health and Homecare Resources 2002 - 2002
Mt. Sinai Home Home Health Agency 2000 - 2002
VNSW 1995 - 2000
The Stamford Hospital 1990 - 1994
Addiction Recovery Corporation 1989 - 1990
Skills
Healthcare, Case Managment, Home Care, Nursing, Healthcare Management, Utilization Management, Managed Care, Certified Case Manager, Disease Management, Telemetry, Hospitals, Program Development, Critical Care, Medicaid, Acute Care, EMR, Medical/Surgical, Case Management
Education
Pace University Lienhard School of Nursing Center for Continuing Education in Nursing and Healthcare 2000 — 2001
Legal Nurse Consultant, Legal Nurse Consultant, Completion of Requied 300 course contact hours
Pace University 1997 — 2000
BSN, Nursing
Westchester Community College 1983 — 1986
AAS, Nursing
FLHS
Coventry Workers Comp Services 2004 - 2009
State Compensation Insurance Fund 2002 - 2004
Farmers Insurance 1994 - 1996
Education
California State University-Northridge 1981 — 1986
Bachelor of Arts, Business Administration, Economics
Coventry Workers' Comp Services June 2015 - Present
Coventry Workers' Comp Services February 2012 - May 2015
Coventry Health Care, Inc January 2007 - January 2012
Coventry Health Care, Inc February 2004 - January 2007
Coventry Health Care, Inc February 2003 - February 2004
Hartford Insurance Group May 2002 - February 2003
Hartford Insurance Group May 2000 - May 2002
Skills
Health Insurance, Insurance, Managed Care, Account Management, Workers Compensation, Strategic Planning, Team Building, Sales, Customer Service, Budgets, Microsoft Office, Financial Analysis, Healthcare, Process Improvement, Healthcare Management, SharePoint, Medicare
Education
University of California, Davis 1996 — 1998
BA, History
Coventry Worker's Comp Services January 2011 - Present
Diakon Lutheran Social Ministries June 2009 - January 2011
L. Marki & Son, Inc. 1994 - 2009
Blue Cross of Northeastern Pennsylvania February 1998 - January 1999
Liz Claiborne Inc 1999 - 1999
Medical Review Corporation October 1992 - June 1994
Geisinger Medical Group Wilkes-Barre June 1992 - October 1992
Marworth Shawnee-Geisinger Affiliate April 1990 - April 1992
L. Marki & Son, Inc. June 1985 - March 1990
Home Health Services of Monroe County December 1984 - June 1985
Skills
Case Management
Education
DeSales University
B.S.N., Nursing
Wilkes University
Nursing
Coventry Workers' Comp Services February 2005 - Present
CoreSource October 2000 - February 2005
Macy's April 1999 - December 1999
ZCMI Department Stores August 1998 - March 1999
Target July 1993 - March 1995
O.C. Tanner Jewelry Manufacturer November 1991 - April 1993
Skills
Claims Management, Process Improvement, HIPAA, Healthcare, Medical Billing, Business Analysis, Healthcare Management, Call Centers, Team Building, Data Analysis, Business Process..., Customer Service, Property & Casualty..., Strategic Planning, Workers' Compensation..., Policy, Claims Resolution, Claim Investigation, Quality Assurance
Education
Pima Community College 1999 — 2001
Salt Lake Community College 1991 — 1993
Coventry Workers' Comp Services July 2012 - Present
Texas Pork Producers Association August 2007 - April 2012
ABC Studios (The Walt Disney Company May 2004 - January 2007
Virginkar and Associates May 2002 - October 2003
Rockwell Collins Passenger Systems August 2001 - October 2001
Disneyland Resort (The Walt Disney Company) January 1992 - June 2001
Skills
Microsoft Word, Excel,..., Access Level 1, Excel..., 10-Key by touch, Employee Benefits..., Microsoft Excel, Access, Seminars, Employee Benefits, Level 1, Administration
Education
Fullerton College 1972 — 1974
Business Administration
School name:
CompCare Health April 2014 - Present
VasoCare February 2013 - April 2014
Medi USA July 2012 - February 2013
Coventry Workers Comp Services July 2010 - July 2012
Skills
Claims Management, Liability, Workers Compensation, Account Management, Claim
Education
Louisiana State University
University of New Orleans
B.A., Political Science
Coventry Worker's Comp Services January 2006 - July 2012
COVENTRY WORKER'S COMPENSATION SERVICES January 2006 - July 2012
Blue Shield of California June 2004 - July 2005
DIABETES NETWORK OF HAWAII COUNTY January 2001 - January 2002
PAAUHAU COMMUNITY ASSOCIATION January 1998 - January 2001
HOME CARE OPTIONS January 1996 - January 1998
SUTTER VNA January 1992 - January 1994
CPC SIERRA VISTA HOSPITAL January 1991 - October 1991
ST. JOSEPH'S BEHAVIORAL HEALTH January 1981 - January 1983
SAN JOAQUIN COUNTY DRUG DEPENDENT WOMEN January 1979 - January 1981
Skills
Program Development, Disease..., WC Case Management, Nonprofits, Healthcare, Case Managment
Education
California Institute of Integral Studies 1996 — 1998
M.A, Philosophy/Religion
Bellevue School of Nursing, New York University
A.A, Nursing
St. Mary’s University, Twickenham
B. A, Health Services Administration
Coventry Workers' Comp Services August 2008 - Present
Kaercher Campbell & Associates 2004 - 2006
AAA Northern California, Nevada & Utah Insurance Exchange 2002 - 2004
Vocational Rehabilitation 1990 - 2001
Skills
Workers Compensation, Claims Management, Vocational..., Account Management, Managed Care, Marketing Communications, Marketing Strategy, Business Management, Direct Sales, Writing, Customer Service, Sales Growth, Sales Presentations, New Business Development, Key Account Management, Workers' Compensation..., Claim Investigation, Commercial Insurance, Sales Management, Claims Investigations, Claims Resolution, Management, Network Development, Team Building, Selling, PPO, Employee Benefits, Claims Handling, Sales, Risk Management, Property Damage, Consultative Selling..., Subrogation, Accident, Liability Analysis, Captives, Pharmacy Benefit..., Legal Liability, Disability Insurance, Indemnity, Insurance, Claim, Liability, Property & Casualty...
Education
University of Colorado at Boulder
Bacheror of Arts, Bio/Psyc/Comparitive Religions
UNLV Paralegal Certificate Progam
Insurance School of Nevada 2000 — 2000
CDMS - Certified Disability Management Specialist, Workers' Comp
Coventry Workers' Comp Services December 2005 - Present
Oakdale Heights April 2005 - December 2005
BAYADA Home Health Care August 2002 - March 2005
Wake Forest Baptist Health February 2000 - May 2003
Skills
Nursing, Healthcare, Case Management, Home Care, ICU, Healthcare Management, Hospitals, Critical Care, Inpatient, Medical/Surgical, Nursing Education, Patient Safety, Workers Compensation, Nursing Management, Field Work, Home Health Agencies, Managed Care, Case Managment, Utilization Management, Medicaid, Long-term Care, Patient Advocacy, Medical-Surgical
Education
Forsyth Technical Community College
BSN, Registered Nursing/Registered Nurse
Coventry Workers' Comp Services Marketing Resource SpecialistBancroftJanuary 2014 - February 2015
Weisman Children's Rehabilitation Hospital September 2012 - December 2013
Learning and Educational Advocacy Resources Network dba LEARN July 2010 - September 2012
Orchard Friends School 2010 - 2012
JAE Enterprises, Inc 2008 - 2009
Skills
Community Outreach, Fundraising, Learning Disabilities, Public Speaking, Non-profits, Sales Management, Business Development, Research, Event Management, Brain Injury, Negotiation, Customer Service, Strategic Planning, Student Affairs, Staff Development, Editing, Grant Writing, Budgets, Curriculum Development, Event Planning, Webinar Management, Autism Spectrum..., Sensory Integration, Neuro rehabilitation, Parenthood, Teaching, Healthcare, Marketing, Program Development, Training, Public Relations, Leadership, Nonprofits, Volunteer Management, Relationship Management, Networking, Team Building
Education
The University of Georgia
Bachelor of Arts in Journalism, Public Relations, Advertising, and Applied Communication
HealthEast December 2013 - Present
Gallagher Bassett June 2012 - November 2013
Gallagher Bassett 2012 - 2013
Coventry Workers' Comp Services July 2010 - March 2012
Aon Global Risk Consulting April 1995 - May 2010
Brandow, Howard, Kohler and Rosenblum January 1989 - April 1995
Skills
Strategic Planning, Product Development, Healthcare, Risk Management, Program Management, Managed Care, Claim, Workers Compensation, Business, Insurance, Process Improvement, Team Building, Leadership, New Business Development, Change Management, Healthcare Management, Liability, Brokers, Claims Management, Casualty, Property & Casualty..., Management, Medicare, Health Insurance, Legal Liability, Professional Liability, Commercial Insurance, Employee Benefits, Commercial Lines, Strategy, Reinsurance, Excess, Underwriting, Employment Practices..., General Insurance, D&O
Education
Boston University
Bachelor's of Science, Registered Nursing/Registered Nurse, Summa Cum Laude
Columbia University College of Physicians and Surgeons
MSN, Nursing
Ronald E. Henderson Consulting, LLC January 2014 - Present
Coventry Workers Comp Services May 2010 - December 2013
United States Postal Service January 2000 - February 2010
Skills
Healthcare, Microsoft Office, Microsoft Excel, Hospitals, Microsoft Word, PowerPoint, Customer Service, Project Management, Clinical Research, Healthcare Management, Nursing, Leadership Development, Organizational..., Conflict Resolution, Human Resources, Labor Relations, Process Improvement, Training, Employment Law, Government, Change Management, Performance Management, Deferred Compensation, Policy, Leadership, Employee Benefits, Coaching, Team Building, Insurance, Workers Compensation, Managed Care, Claim, Medicare, Analysis, Program Management, Contract Negotiation, Medicaid, Employee Relations, Management, Public Speaking, FMLA, Data Analysis, Budgets, Operations Management, Collective Bargaining, Workforce Planning, Account Management, Property & Casualty..., Benefits Administration, Recruiting
Education
Boston College - Carroll School of Management 1992 — 1995
Master of Business Administration (MBA), Strategic Planning and Human Resource Management, 3.6
Keene State College 1976 — 1980
Bachelor of Arts (B.A.), History, 3.6
Coventry Workers Comp Services Manager Field Case ManagementCoventry Workers' Comp ServicesJuly 1984 - Present
Skills
Healthcare, Health Insurance, Managed Care, Workers Compensation, Insurance, Claim
Education
Edinboro University of Pennsylvania 1979 — 1984
Master of Arts (M.A.), Rehabilitation Counseling
Penn State University 1975 — 1979
Bachelor of Arts (B.A.), Social Welfare
Coventry Workers' Comp Services July 2004 - Present
Bank of America June 1975 - July 2004
Skills
Customer Service, Customer Relations, Team Building
Education
University of South Florida 1977 — 1981
Accounting/Criminal Justice
King High School, Tampa 1971 — 1974
TriZetto, A Cognizant Company August 2007 - Present
TriZetto January 2007 - Present
Coventry Workers’ Comp Services January 2003 - January 2007
ADP Context January 2000 - January 2003
First Health Group Corp January 1994 - January 2000
Vancom Management Services, Inc January 1992 - January 1994
TPI January 1991 - January 1992
DDB Needham Worldwide, Inc January 1986 - January 1991
Skills
Process Improvement, Accounts Receivable, Sales, Management, Human Resources, Customer Service, CRM, Account Management, Relationship Management, Employee Benefits
Education
CALUMET COLLEGE
B.A, Economics
Calumet College of Saint Joseph
BA Economics, Economics
Coventry Workers Comp Services May 2012 - Present
CorVel Corporation December 2005 - May 2012
CNA Insurance May 1999 - August 2005
Rehabilitation Professionals 1990 - 1999
Various Rehabilitation Companies 1988 - 1999
Skills
Case Managment, Workers Compensation, Treatment, Utilization Management, CDMS certified, Case Management, Healthcare, Medicaid, Managed Care, Disease Management, Health Insurance
Education
Morehead State University 1972 — 1974
Associate's degree, Applied Sciences
Coventry Workers Comp Services June 2010 - Present
Barnes Jewish St. Peters Hospital January 1996 - June 2010
Barnes Jewish Hospital St. Peters 1996 - May 2010
Barnes Jewish Hospital October 2008 - March 2009
Skills
Healthcare Management, Insurance, Case Managment, Medical/Surgical, Health Insurance, Customer Service, Utilization Review, BLS, ACLS, Critical Care, Microsoft Office, Leadership
Education
Armstrong State College 1989 — 1991
BSN Short 12 hours, Nursing
Lincoln Land Community College 1976 — 1979
Associate's degree, Registered Nursing/Registered Nurse
Integrated Care Management August 2012 - Present
Coventry Workers' Comp Services May 1999 - August 2012
Professional Dynamics, Inc January 1997 - May 1999
Skills
Certified Case Manager, Medical Case Management, Workers Compensation, Rehabilitation, Patient Advocacy, Acute Care, Medical/Surgical, Utilization Management, Orthopedic, Claims Management, Inpatient, Long-term Care, Disability Management, Medical-Surgical, Health Insurance, ACLS
Education
University of Northern Colorado
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Contract Assignments 2012 - Present
NonPublic Educational Services Inc August 2008 - July 2012
Coventry Workers Comp Services May 2007 - August 2008
PHC-INC January 2000 - January 2007
Hog Salvage January 1996 - January 2000
Skills
Accounts Receivable, Auditing, Accounts Payable, General Ledger, Journal Entries, Microsoft Excel, Invoicing, Customer Service, Financial Statements, Bank Reconciliation, QuickBooks, PeopleSoft
Education
North Shore Community College
Associates Degree, Accounting
Noland Health Services December 2014 - Present
Hilton Head Hospital October 2011 - December 2014
Coventry Workers' Comp Services 2009 - 2011
St. Joseph's/Candler 2006 - 2009
Skills
Customer Service, Management, Microsoft Excel, Strategic Planning, Leadership, Healthcare, Project Management, Public Speaking, Microsoft Word, Research
Education
Western Governors University 2014 — 2016
MSN, Registered Nursing/Registered Nurse
Central Michigan University
MHA, Health/Health Care Administration/Management
Coventry Workers' Comp Services May 2012 - Present
Education
University of Idaho 1981 — 1985
Bachelor's degree
Baylor Scott & White Health January 2015 - Present
Coventry Workers' Comp Services November 2013 - January 2015
Coventry Workers' Comp Services November 2013 - January 2015
Mount San Antonio College or Mt. SAC August 2010 - June 2011
Systor Systems Inc. December 2006 - February 2008
American Medical Response November 2002 - November 2007
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Customer Service, Social Media, Teamwork, Public Speaking
Education
Western University of Health Sciences 2011 — 2014
Master's Degree, Registered Nursing/Registered Nurse, 3.7
California State University-Fullerton 2004 — 2006
Bachelor of Arts (B.A.), History
Coventry Workers' Comp Services March 2011 - Present
Coventry Health Care, an Aetna Company March 2011 - Present
Hawthorn Group June 2001 - August 2011
Washington University School of Medicine October 1988 - September 1999
Skills
Insurance, Quality Assurance, Analysis, Medicare, Managed Care, Healthcare, Disease Management, Utilization Management, Health Insurance, Medicaid, Utilization Review, Medical Coding, Healthcare Industry, Provider Relations, Pharmacy Benefit..., PPO, HMO, HEDIS, Health Policy, Software Documentation, HIPAA, Healthcare Information...
Education
Saint Anthony High School 1974 — 1977
Saint Louis Community College-Forest Park
Coventry Workers' Comp Services
Skills
Health Insurance, Workers Compensation, Insurance, Property & Casualty..., Claim, Claims Management, Managed Care
Education
Syracuse University
Master's degree, Rehabilitation Counseling
Coventry Workers' Comp Services April 2006 - Present
Tufts Health Plan August 1999 - April 2006
Partners HealthCare 1989 - August 1998
Skills
Health Insurance, Managed Care, Insurance, Claim, Workers Compensation, Process Improvement, Business Analysis, Healthcare, Data Analysis, SDLC, Analysis, Business Process, Business Process..., Software Documentation
Education
Simmons College 1994 — 1998
Master's degree, Health/Health Care Administration/Management
Southern New Hampshire University 1989 — 1994
Bachelor's degree, Business Administration, Management and Operations
Coventry Workers' Comp Services 2012 - Present
Havenwyck Hospital 2011 - Present
GENEX Services, Inc. 2010 - 2012
Gentiva Health Services 2010 - 2010
Skills
Case Managment, Social Services, Community Outreach, Nonprofits, Mental Health, Public Speaking, Medicare, Crisis Intervention, Insurance, Utilization Management, Customer Service, Program Development, Healthcare, Workers Compensation, Fundraising
Education
Concordia 1985 — 1989
Registered Nursing/Registered Nurse
University of Detroit Mercy 1981 — 1985
Registered Nursing/Registered Nurse
Coventry Health Care of Florida October 2011 - Present
Coventry Workers' Comp Services March 2001 - Present
Skills
Health Insurance, Workers Compensation, Insurance, Banking, Secretarial Skills, Provider Relations, Healthcare, Healthcare Information..., HIPAA, Healthcare Consulting, Medicaid
Education
Miami Dade College 1986 — 1989
Coventry Workers' Comp Service January 2008 - Present
Coventry Workers' Comp Services April 2005 - January 2008
Coventry Workers' Comp Services August 2004 - April 2005
Coventry Workers' Comp Services November 2001 - August 2004
Coventry Workers' Comp Services May 1997 - November 2001
Coventry Workers' Comp Services May 1997 - November 2001
Skills
Management, Microsoft Office, Microsoft Excel, Microsoft Word, Outlook, Case Management, Coaching, Healthcare, PowerPoint, Training, Workers Compensation, Analysis, Quality Assurance, Sales, Treatment, Health Insurance, Insurance
Education
Fort Valley State University 1993 — 1995
Master's degree, Vocational Rehabilitation Counseling/Counselor
Coker College 1989 — 1993
Bachelor of Arts (B.A.), Psychology with a concentration in Counseling