First Health
Industry: Company
DescriptionHeadquarters: Illinois, United States Founded: 1982 Parent organizations: Coventry Health Care, Aetna Health Holdings, LLC Subsidiaries: First Health Life & Health Insurance Co,
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First Health Employees
Employed January 2014 - Present
Aetna October 2010 - December 2013
CIGNA Healthcare February 2010 - October 2010
In-Compass Health @ St. Joseph's Hospital April 2006 - August 2008
Gentiva Health Services April 2004 - April 2006
First Health December 2002 - March 2004
Women's Care Florida January 2001 - December 2002
Oxford Health Plans July 2000 - January 2001
Humana March 1995 - July 2000
Skills
PPO, Provider Relations, HMO, Medicare, Medicaid, Health Insurance, HIPAA, Claims Resolution, Managed Care, Medicare Part D, Claim, Insurance, Network Development, Healthcare, Healthcare Management, Data Entry, Employee Benefits, HCPCS, Call Center, Access, Medical Terminology, ICD-9, Credentialing, CPT, Physicians, Utilization Management, Invoicing, Healthcare Consulting, Hospitals, Healthcare Industry, Health Policy, Revenue Cycle, Disease Management, HEDIS, Medicare/Medicaid..., Medical Compliance, Call Centers
Education
Concorde Career Institute-Tampa 2002 — 2002
Certification, Medical Insurance Coding Specialist/Coder
Homer Law Firm May 2014 - Present
Self-employed October 2012 - September 2014
The Law Office of William C. North via Robert Half Legal June 2014 - July 2014
First Health November 2001 - November 2002
Dreyer Medical Clinic September 1991 - March 1995
Edward Hospital 1990 - 1991
Lisle Sun 1987 - 1989
Skills
Legal Writing, Legal Research, Legal Software, Calendaring, Drafting Correspondence, Client Liaison, Litigation Support, Personal Injury..., Real Estate Transactions, Family Law, Grammar/Proofreading, Copy Editing, Estate Administration, Marketing Communications, Newspapers, Magazines, Client Interviews, Asset Transfers, Probate, Database Management, Notary Public, Drafting Deeds, Case Management, Intermediate MS Excel, Intermediate MS Word, Intermediate MS Outlook, Advanced MS Office, Estate Planning, Seminar Presentations, Direct Mail Campaigns, Obtain estate tax IDs, Affidavits, Real Estate Transfers
Education
Elgin Community College 2013 — 2014
Paralegal Certificate, 4.0
Western Illinois University
Bachelor of Arts (BA), Mass Communication/Media Studies
Mediabistro 2012 — 2012
Copy Editing Certificate
Huron Consulting Group November 2012 - Present
Navigant Consulting March 2012 - November 2012
The Joint Commission March 2005 - March 2012
North American Medical Management 2001 - 2005
Liberty Mutual Insurance 1998 - 2001
First Health 1996 - 1998
Elmhurst Memorial Healthcare 1989 - 1996
Rush University Medical Center 1985 - 1989
Skills
Patient Safety, Quality Management, Six Sigma-DMAIC, Nursing, Change Management, Process Improvement, Consultancy, Lean Healthcare, Root Cause Analysis, FMEA, Value Stream Mapping, Thought Leadership, Policy/Procedure..., Healthcare, Healthcare Management, Quality Improvement, JCAHO, Healthcare Information..., Utilization Management, Hospitals, Clinical Research, Accreditation, Managed Care, Healthcare Consulting, Informatics, Six Sigma, Medicine, EHR, Physicians, Healthcare Industry, EMR, Health Policy
Education
Dominican University 1986 — 1989
MBA, Healthcare Administration
Rush University 1984 — 1986
BSN, Nursing
Cognizant Technology Solutions August 2013 - Present
Xerox State Healthcare, LLC August 2011 - July 2013
ACS Healthcare Solutions December 2010 - August 2011
ACS Healthcare Solutions December 2010 - January 2011
ACS Healthcare Solutions September 2010 - November 2010
ACS Healthcare Solutions March 2006 - July 2010
MS Division Of Medicaid 2003 - 2005
CIBER 1998 - 2004
EDS Group 1994 - 1999
First Health 1992 - 1994
Skills
PMP, SDLC, Healthcare IT, Project Portfolio..., Resource Management, Medicaid, Healthcare Information..., Requirements Analysis, Software Project..., Business Analysis, Project Management, Management, Visio, Requirements Gathering, Business Process, MS Project, PMO, Leadership, Vendor Management, IT Management, Integration, Business Process...
Education
Project Management Institute 2010 — 2016
PMP, Project Management
Mississippi Valley State University 1977 — 1981
B.S., Computer Science
Vision IT August 2011 - March 2012
FULCRUM CONSULTING ( March 2010 - October 2010
Siemens IT Solutions December 2004 - September 2009
First Health September 2003 - December 2004
Interland.com January 2000 - April 2003
Skills
HP, Netbackup, Windows NT, Windows, Operating Systems, Troubleshooting, HP Openview, FTP, Microsoft Office, Microsoft Excel, Customer Service
Education
DeVry University 2010 — 2014
Human Resource Management
Georgia State University 1998 — 1999
Groupon May 2015 - Present
Orbitz Worldwide July 2014 - May 2015
Orbitz Worldwide July 2012 - July 2014
Foodie Registry January 2009 - May 2014
PEAK6 Investments LP January 2005 - August 2010
First Health 2002 - 2004
Skills
Start-ups, Entrepreneurship, Options, E-commerce, Financial Modeling, Strategic Partnerships, Online Marketing, Strategy, Trading, Business Strategy, Product Development, Product Management, Marketing Strategy, Portfolio Management, Equities, Derivatives, Financial Analysis, New Business Development, Business Development, Investments, Financial Services, Proprietary Trading, Equity Trading, Equity Derivatives, Entrepreneurial..., Internet Entrepreneur, Entrepreneur, Volatility Arbitrage, Options Pricing, Consumer Internet, Python, Data Science, Predictive Analytics, Online Travel, Loyalty Programs
Education
The University of Chicago Booth School of Business 2008 — 2010
MBA, Finance, Entrepreneurship
Michigan State University 1997 — 2001
BA, Marketing
Scottsdale Insurance Company June 2007 - Present
Scottsdale Insurance Company 2007 - 2015
Scottsdale Insurance Company 2007 - 2015
Assist Technologies June 2003 - June 2007
First Health October 2002 - June 2003
AG Communications 1997 - 2000
Choice Hotels International 1995 - 1997
Choice Hotels International 1995 - 1997
Skills
User Acceptance Testing, Quality Center, System Testing, Test Planning, Testing, Quality Assurance, Test Strategy, Test Management, Software Quality..., Defect Tracking, Regression Testing, Test Cases, Requirements Gathering, Waterfall, Test Lead, Technical Training, SoapUI, Scrum, Business Requirements, SDLC, Waterfall SDLC, Manual Blackbox Testing, Requirements Analysis, Software Documentation, SoapUI PRO, Cucumber Automation..., Agile SDLC &..., Gherkin, Test Automation..., Test Automation, HP Quality Center
Education
Genesee Community College 1974 — 1977
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
Health Care Service Corporation November 2011 - Present
Various west suburban school districts August 2004 - 2011
First Health 1998 - 2001
First Health August 1992 - October 1998
Skills
Process Improvement, Call Centers, Change Management, Leadership, Team Building, Customer Service, Cross-functional Team..., Business Process..., Management, Strategic Planning, Program Management, Health Insurance, Project Management, Training, Performance Management
Education
Columbia Business School
MBA, Management of Organizations
National-Louis University
MAT, Masters of Teaching
Northwestern University
BS, Communication Studies
SunCoke Energy. April 2011 - Present
Moneris Solutions September 2010 - April 2011
Insurance Auto Auction April 2008 - June 2009
Electro Motive Diesel February 2008 - April 2008
First Health September 2005 - December 2007
Transamerica Distribution Finance January 2000 - January 2004
Skills
Accounts Payable, Payroll, Invoicing, Account Reconciliation, Access, Accounting, Budgets, Auditing, SAP, Accruals, Bank Reconciliation, Microsoft Excel, PeopleSoft, Accounts Receivable, General Ledger, Process Improvement
Education
DeVry University 2007 — 2010
B.S. Degree, Business Administration; Finance
University of Phoenix 2007 — 2007
Business Management
Triton College 2004 — 2007
Accounting
Steinmetz 1991 — 1995
Kaiser Permanente April 2014 - Present
Coventry Health Care July 2006 - March 2014
First Health February 2003 - July 2006
First Health July 1999 - February 2003
MetLife January 1995 - July 1999
Skills
Underwriting, Health Insurance, Group Benefits, Team Leadership, Strategic Planning, Insurance, Reinsurance, PPO, Healthcare Industry, Healthcare, Data Analysis, Microsoft Excel, Microsoft Word, Outlook, Self-funded, Group Insurance
Education
Illinois State University 1989 — 1994
BS, Mathematics
Achilles Shield 2008 - Present
Freeport McMoRan 2006 - 2008
Central Arizona Project 2004 - 2006
First Health 2002 - 2004
Motorola 1994 - 2002
Skills
Sarbanes-Oxley Act, Microsoft Technologies, Cisco Technologies, Team Leadership, Systems Management, Unix, Troubleshooting, Project Management, Citrix, Disaster Recovery, Process Improvement, Networking, Strategic Planning, Project Planning, Program Management, Change Management, MS Project, Servers, VPN, Integration, Network Security, Software Installation, Data Center, Microsoft Exchange, Wireless Networking, Business Analysis, Storage, Leadership, Windows Server, Analysis, Management, Technical Support, Software Documentation, Training, Call Centers, System Administration, IT Management, Customer Service, IT Strategy, Vendor Management, Operations Management, Security, Hardware, Budgets, Visio, Management Consulting, Windows, Business Process..., SharePoint, Linux
Education
The George Washington University 1999 — 2000
Masters Certification, Project Management
DePaul University 1980 — 1984
Bachelor of Science, Information Technology/Business Administration
Wentworth
Associated Financial Group 2014 - Present
Humana February 2010 - May 2014
CIGNA Healthcare September 2008 - February 2010
Humana May 2005 - September 2008
First Health 1997 - 2004
Skills
Health Insurance, Insurance, Healthcare, Benefits Administration, Medicare, Employee Benefits, Disability Insurance, HMO, Health Savings Accounts, Managed Care, Account Management, Term Life Insurance, Long-term Care, Brokers, Underwriting, Claim, Life Insurance
Education
Illinois Wesleyan University 1986 — 1990
CompuCom September 2014 - Present
Aetna December 2010 - April 2014
Coventry Health Care December 2005 - April 2014
Coventry Health Care 1998 - 2013
First Health June 2002 - December 2005
Skills
Computer Technology, Customer Service, Computer Hardware, Windows 7, Software Documentation, Technical Support, Windows, Active Directory, Field Support, Troubleshooting, XP, Software Installation, BMC Remedy, System Administration, Help Desk Support, Windows XP, Visio, SDLC, Servers, SharePoint
Education
DeVry University-Illinois 1997 — 1998
Hallmark Cards October 2008 - December 2013
St. Joseph's Catholic Church August 2004 - August 2007
Ministry Formation, Diocese of St. Augustine, FL December 2006 - April 2007
First Health October 1998 - February 2005
HealthCare USA, Inc., May 1995 - January 1998
Education
Community College of Allegheny County
Associate of Science (AS), Business Management
Florida State College at Jacksonville
Education
Kindred Healthcare, Inc. March 2005 - Present
First Health April 1990 - February 1997
Blue Cross Blue Shield of Georgia February 1976 - April 1988
Skills
Managed Care, Medicare, Hospitals, Healthcare, Medicaid, Healthcare Management, Healthcare Information..., HIPAA, Revenue Cycle, Healthcare Consulting, EMR, Home Care, EHR, Medical Billing, Employee Benefits, Training, Long-term Care, Healthcare Industry, Health Insurance, Physician Relations, Provider Relations, Management, Insurance
Education
Strayer University 2012 — 2015
Master of Business Administration (M.B.A.), Health Services Administration, 3.75
Georgia State University 1999 — 2003
Bachelor of Arts (B.A.) Advanced Composition and Rhetoric, English
Georgia Perimeter College 1997 — 1999
Associate of Science (A.S.), Business Administration
CPS Energy August 2005 - Present
INFOnxx, Inc September 2004 - April 2005
First Health April 2001 - September 2004
Vindicator Technologies June 2000 - April 2001
United States Air Force June 1980 - June 2000
United States Air Force 1996 - 2000
Skills
Organizational..., Project Management, Process Improvement, Strategic Planning, Organizational Design, Training, Employee Relations, Government, Team Building, Performance Management, Change Management, Leadership Development, Management, Employee Engagement, Organizational..., Business Process..., Instructional Design, Talent Management, Security, Program Management, Budgets, Human Resources, Workforce Planning, Succession Planning, Technical Writing, Proposal Writing, Analysis, Management Consulting, Performance Improvement, Leadership, Recruiting, Sales Management, Workshop Facilitation
Education
Park University
B.S., Social Psychology
Community College of the Air Force
A.A.S, Instructor of Technology
Patient First February 2000 - Present
Va physicians January 1998 - February 2000
First Health February 1994 - January 1998
Circuit City March 1989 - January 1994
Skills
Microsoft Excel, Medical Terminology, Training, Healthcare, Customer Service, Data Entry, Microsoft Word, Medicare, Leadership, Leadership Development, Program Management, Team Building, Community Outreach, Marketing Strategy, Team Leadership, Hospitals
Education
J Sargeant Reynolds Community College 2000 — 2000
Real Estate Certificate, Real Estate
J Sargeant Reynolds Community College 1979 — 1981
Business administrative, Business Administration and Management, General
Williamson Medical Center October 2014 - Present
First Health December 2012 - September 2014
NHC Healthcare, Franklin September 2011 - November 2012
Wellmont Health System July 2010 - May 2011
Skills
Medical/Surgical, Neonatal Nursing, Healthcare, Nursing, BLS, NRP
Education
King College 2008 — 2011
Bachelor of Science, Nursing
ConnectYourCare September 2003 - Present
Hilb, Rogal & Hamilton January 2001 - September 2002
First Health 1994 - 1996
Paul Revere 1985 - 1993
Skills
Employee Benefits, Insurance, Healthcare, New Business Development, Account Management, Benefits Administration, Start-ups, Sales Management, Strategic Planning, Business Strategy, Team Building, Health Insurance, Selling, CRM, Vendor Management, Process Improvement, Mergers & Acquisitions, Strategy, Customer Service, Health Savings Accounts, Leadership, Management, Managed Care, Change Management, Business Development
Education
Nichols College 1990 — 1993
Master of Business Administration (MBA), Business Administration and Management, General
Framingham State College 1981 — 1985
Bachelor of Science (BS), Mathematics
Jim & Tim January 2010 - Present
With A Voice Like This November 2007 - Present
James Goodrich November 2005 - Present
Charity Chat July 2010 - September 2012
4-AM May 2008 - September 2012
Taste of TLT January 2011 - March 2012
First Health August 2005 - November 2005
First Health Group Corp February 2003 - August 2005
First Health June 2000 - February 2003
First Health May 1999 - June 2000
Skills
Production, Event Management, Non-profits, Music, Presenter, Volunteer Management, Recording, Social Media, Blogging, Creative Writing, Event Planning, Singing, Nonprofits, Public Speaking, Facebook, Social Networking, Editing, Entertainment, Music Industry, Music Production, Social Media Marketing, Video Production, Songwriting, Concerts, Management, Writing
Education
Northeastern Illinois University
Master of Arts
Northeastern Illinois University 1982 — 1985
Bachelor of Arts
Moody Bible Institute 1979 — 1982
Degree
First Health October 2013 - Present
WakeMed August 2012 - October 2013
National Rehabilitation hospital March 2012 - May 2012
Columbia University College of Physicians and Surgeons September 2009 - May 2012
Star Physical Therapy January 2012 - March 2012
University of North Carolina Memorial Hospital May 2011 - August 2011
Carolinas Rehabilitation October 2010 - December 2010
New York Presbyterian Hospital September 2010 - October 2010
Skills
Physical Therapy, Rehabilitation, Clinical Research, Healthcare, Treatment, Orthopedic, Cpr Certified, Exercise Prescription, Research, Wellness, Hospitals
Education
Columbia University College of Physicians and Surgeons 2009 — 2012
DPT, Neurorehabilitation Track
Elon University 2005 — 2009
BS, Exercise Sport Science
TowersWatson January 2014 - Present
LIFEPittsburgh May 2013 - December 2013
Group Health Benefits Management November 2012 - April 2013
Aetna Inc. May 2008 - October 2012
Aetna February 2003 - April 2008
First Health 1993 - 1995
Skills
Insurance, Health Insurance, Process Improvement, Customer Service, Claim, Strategic Planning, Leadership, Management, Program Management, Employee Benefits, Project Management, Change Management, Medicare, Team Building, Microsoft Office, Business Analysis, Team Leadership, Managed Care, Health Care Reform, Call Centers, Operations Management, Performance Management, Virtual Workforce..., Patient Protection and..., Group Medical, Individual Health..., High Deductible Health..., Health Savings Accounts, Voluntary Employee..., Quality Assurance, Customer Satisfaction, Healthcare, CRM, Account Management, HMO, Benefits Administration, HIPAA, Coaching, COBRA, Commercial Insurance, Claims Management, Cross-functional Team..., Business Process..., Employee Engagement, Workforce Management, Staff Development, Analysis, Customer Retention, Training, Health Policy
Education
Indiana University of Pennsylvania 1980 — 1989
Bachelor of Arts (B.A.), Journalism
U.S. Navy 1983 — 1987
Combat Information Center Supervisor, Navigation and Weapons systems, Operations Specialist 2nd Class
Lakeview High School 1975 — 1979
Graduate
MetLife December 2012 - Present
MetLife June 2008 - December 2012
MetLife August 2003 - June 2008
First Health November 1999 - August 2003
Equipment Dynamics Inc. January 1999 - November 1999
Air Liquide America August 1996 - January 1999
Distinctive Business Products June 1994 - June 1996
Skills
Customer Relations, Word, Process Improvement, Excel, PowerPoint, Microsoft Office, Product Management, Change Management, Team Building, Program Management, Budgeting, Insurance, Account Management, Planning, Product Development, Retail, MS Project, Outlook, Risk Management, Business Process..., Internal Communications, Problem Solving, Research, Analysis, Portfolio Management, Public Speaking, Mentoring, PeopleSoft, Vendor Management, Volunteering, Microsoft Excel, Project Planning, Training, Budgets, Customer Service, Cross-functional Team..., Marketing, Strategic Planning, Project Management, Leadership Development, Quality Assurance, Business Analysis, Sales, PMO, Sales Management, Business Strategy, Strategy, Employee Benefits
Education
Elmhurst College 1989 — 1993
B.S., Marketing
Downers Grove North 1985 — 1989
UT Southwestern Medical Center September 2013 - Present
UT Southwestern Medical Center at Dallas September 2011 - September 2013
UT Southwestern Medical Center at Dallas September 2008 - August 2011
UT Southwestern Medical Center at Dallas April 2006 - August 2008
Coventry Health Care October 2004 - January 2005
First Health August 1993 - October 2004
Midwestern University August 1984 - July 1993
Illinois Central College September 1978 - July 1984
Bergan High School - Peoria IL August 1976 - June 1977
Central Missouri State University August 1971 - July 1972
Skills
Community Outreach, Library Science, Marketing, Research, Teaching, Public Speaking, Microsoft Word, Customer Service, Microsoft Office, Outlook, Microsoft Excel, Editing, Library Management, PowerPoint, Information Retrieval, Library, Information Literacy, Grant Writing, Higher Education, Cataloging, Social Media, Event Planning, Blogging, Electronic Resources, Collection Development, Healthcare, Online Research, Library Instruction, Digital Libraries, Social Networking, Analysis, Leadership, Data Analysis, Training, Metadata, Library Research, Virtual Reference, Nonprofits, Staff Development, E-Learning, Archives
Education
Emporia State University 1969 — 1970
MLS, Library Science
Emporia State University 1967 — 1969
BSB, Business Administration
Saint Mary University - Leavenworth KS 1965 — 1967
Business Adminstration
Sense Diagnostics 2014 - Present
Queen City Angels 2009 - Present
Innov8 for Health, Inc. February 2012 - August 2012
Biostart September 2009 - January 2012
Taylor Kincaid, L.L.C. June 2008 - June 2010
First Health January 2006 - February 2007
Provider Synergies, LLC 1998 - 2005
Anthem Prescription Management February 1996 - June 1998
Skills
Pharmaceutical Industry, Management, Lifesciences, Executive Management, Finance, Entrepreneurship, Healthcare, Mergers, Biotechnology, Strategic Planning, Business Strategy, New Business Development, Business Development, Competitive Analysis, Marketing Strategy, Early-stage Startups, Angel Investing, Startup Development, Strategy, Data Analysis, Medicaid, Managed Care, Due Diligence, Mergers & Acquisitions, Leadership
Education
University of Louisville 1989 — 1992
J.D., Law
Indiana University Bloomington 1984 — 1988
B.A., Philosophy, Political Science
Staffing Options February 2015 - May 2015
Collegiate Housing Services January 2009 - March 2015
Atlanta Home Remodelers July 1996 - January 2009
First Health October 1994 - June 1996
Skills
Apartments, Customer Service, Administrative..., Microsoft Word, Microsoft Office, Microsoft Excel, Public Speaking, Residence Life, Social Services, Campus, Outlook, Rentals, Student Affairs, Training, Community Outreach, Management, Time Management, Event Planning, Administrative..., Leadership Development, Property Management, Human Resources
Education
East Carolina University
Bachelor of Arts (BA), Psychology
United Therapies, LLC January 2015 - Present
Glenview Park District 2008 - Present
Budget Northshore 2000 - 2009
First Health 1992 - 1999
ULLICO 1994 - 1997
Skills
Account Management, Healthcare, Insurance, Management
Education
Illinois State University 1987 — 1991
Bachelor of Science, Political Science
Assurant Specialty Property April 2014 - Present
Assurant May 2013 - April 2014
Assurant Specialty Property April 2011 - May 2013
Universal American January 2007 - October 2011
First Health July 2002 - January 2006
BCBSTX October 2000 - July 2002
Skills
Certified Lift Operator, Customer Service
Education
Jack Welch Management Institute 2014 — 2018
Bachelor’s Degree, Project Management
Kaplan University
Medical Assitant
TRI-AD October 2014 - Present
Secova April 2013 - September 2014
UltraLink 2005 - 2013
Secova July 2003 - March 2005
Secova 2000 - June 2003
Ultralink 1993 - 2000
First Health 1987 - 1993
Skills
COBRA, Benefits Administration, Deferred Compensation, Employee Benefits, Human Resources, HRIS, Insurance, Outsourcing, Management, Health Insurance, Open Enrollment, Employee Relations, Customer Service, FMLA, Payroll, PeopleSoft, Managed Care, HIPAA, Onboarding, Account Management
Education
Gannon University
SABIC Innovative Plastics February 2007 - Present
First Health May 2005 - January 2007
Allstate Financial Services, LLC March 2001 - March 2002
Skills
Program Management, Change Management, XP, Microsoft Office, Troubleshooting, Inventory Management, Project Management, Pay Close Attention to..., Microsoft Excel, Strategic Planning, Organized self-starter, SAP, Process Improvement, Process Engineering, Logistics, Six Sigma, Operations Management, Manufacturing, Project Planning, Continuous Improvement, Lean Manufacturing, ERP, Leadership, Plastics, Windows XP
Education
Kaplan University-Davenport Campus 2014 — 2016
Applied Science in Information Technology, Information Technology
Siemens Healthcare May 2013 - November 2013
Merion Matters January 2012 - March 2013
hibu July 2010 - December 2011
Comcast April 2007 - April 2010
First Health January 2001 - March 2007
Colonial Penn Life Insurance August 1992 - December 2000
Skills
Quality Assurance, Performance Monitoring, Sales Support, Workforce Planning, Training & Development, Supervisory Skills, Coaching, Call Center, Outlook, Billing, Customer Relations, Customer Service, Mentoring, Excel, Microsoft Office, Word, Problem Solving, PowerPoint, Operations Management, Team Leadership, Documentation, Troubleshooting, Lotus Notes, Access, Telecommunications, Account Management, Employee Engagement, Customer Satisfaction, Teamwork, Business Analysis, Strategic Planning, Process Improvement, Negotiation, Team Building, Inventory Management, Employee Relations, Team Management, Analysis, Scheduling, Compliance, Windows, Contract Management, Time Management, Program Management, Research, Planning, Forecasting, Administration, SLA, Call Centers
Education
Community College of Philadelphia 1990 — 1992
Associates, Business Management
Jules Mastbaum AVT 1986 — 1990
Technical High School, Academics
One Call Care Management September 2005 - Present
First Health 1999 - 2005
Skills
Talent Acquisition, Employee Relations, Applicant Tracking..., Human Resources, Recruiting, Talent Management, Sourcing, Team Building, HR Policies, Technical Recruiting, Employee Benefits, Onboarding, Workforce Planning, HRIS, Deferred Compensation, Performance Management, Employee Engagement, Personnel Management, Benefits Administration
Education
Florida State College at Jacksonville
Symphony Post Acute Network February 2015 - Present
DeWitt Stern Group October 2013 - December 2014
ComPsych January 2013 - October 2013
Willis January 2008 - March 2012
First Health September 2006 - January 2008
Coventry Health Care August 1997 - September 2006
Combined Insurance August 1992 - August 1997
Skills
Employee Benefits, Benefits Administration, Workers Compensation, Health Insurance, Insurance, FMLA, HRIS, COBRA, Deferred Compensation, Underwriting, Employee Relations, PeopleSoft, Open Enrollment, Coaching, Human Resources, Health Savings Accounts, Leadership, Brokers, Disability Insurance, Onboarding, Managed Care, 401k, Life Insurance, Medicare, Claim, Employee Wellness, Customer Retention, Defined Benefit, ERISA, Health Care Reform, Management, Account Management, Employee Engagement, HIPAA, Performance Management, HR Policies, Benefits Negotiation, Consulting, Conflict Resolution, PPO, Interviews, Team Building, Healthcare, Claims Management, Healthcare Industry, Term Life Insurance, Recruiting, Talent Acquisition, Corporate Wellness, Employee Wellness...
Education
Keller Graduate School of Management of DeVry University 2012 — 2013
Master of Business Administration (M.B.A.) with Distinction, Business Administration and Management, General
Keller Graduate School of Management of DeVry University 2009 — 2011
Masters of Human Resource Management with Distinction, Human Resources Management
Roosevelt University 1984 — 1988
Bachelor Of Science, Business Adminstration
Julian High School
Meritain Health an Aetna Company August 2008 - Present
Express Scripts May 2006 - June 2008
CoreSource 2004 - 2006
Benefit Planners/Fiserv 2000 - 2004
Centra/Harrington Benefit Services 1998 - 2000
First Health 1980 - 1998
Skills
Employee Benefits, Self-funded, Health Insurance, Account Management, Reinsurance, Managed Care, Employee Wellness, Benefits Administration, TPA, Leadership, Customer Retention, Marketing Strategy, Strategic Planning, Pharmacy Benefit..., Sales Presentations, HIPAA, COBRA, Sales, CRM, Healthcare Industry, Insurance, Brokers, Health Savings Accounts
Education
North Central Texas College
Business Administration and Management, General
Coventry Health Care August 2001 - March 2010
First Health, CCN Managed Care, Inc. October 1998 - March 2010
CCN Healthcare PPO October 1990 - March 2010
First Health 1990 - 2009
CCN 1998 - 2003
CCN Managed Care, Inc/ First Health (Coventry Health) 1998 - 2003
Coventry Health Care November 1990 - October 1998
CCN Managed Care December 1992 - September 1997
Skills
Health Insurance, Managed Care, Healthcare, Medicare, Microsoft Word, Sales, Process Improvement, Administrative..., Customer Service, Customer Satisfaction, Marketing, Training, Employee Benefits, Insurance, Team Building, Leadership, Account Management
Education
University of Phoenix 2008 — 2011
BSB/A, Business Administration
University of Phoenix 2002 — 2004
Bachelor of Science, Business Administration, 3.70 GPA
Grossmont College 1967 — 1969
El Capitan High School 1963 — 1967
Retired September 2015 - Present
American Red Cross Arizona Blood Services Region July 2006 - Present
First Health 1994 - 2003
Skills
Healthcare, Medical Devices, Process Improvement
Education
Elmhurst College
Business Administration and Management, General
Alexian Brothers Health System May 2005 - Present
St. Alexius Medical Center October 2000 - May 2005
First Health October 1995 - October 2000
Elmhurst Memorial Home Health and Hospice October 1993 - September 1995
Elmhurst Memorial Healthcare September 1992 - September 1993
West Suburban Medical Center May 1992 - September 1992
Skills
Nursing, Hospitals, Healthcare Management, EMR, Home Care, Healthcare, EHR, Clinical Research, Pediatrics, Healthcare Information..., Critical Care, Patient Safety, Healthcare Consulting, Disease Management, Case Management, Registered Nurses
Education
Keller Graduate School of Management of DeVry University
MBA
Valparaiso University 1989 — 1992
BSN, Nursing
Purdue University 1987 — 1989
TTX Company June 2010 - Present
Coventry Health Care May 2005 - April 2010
Esh Telligence Inc July 2003 - May 2005
First Health February 1998 - May 2005
R Systems March 1996 - July 2003
Tata Infotech 1993 - 1996
Skills
Vendor Management, Systems Analysis, Integration, Visio, Oracle, .NET, Architecture, Unix, Microsoft SQL Server, PMP, Java, Databases, C#, Testing, MS Project, VB.NET, SOA, SDLC, Program Management, Data Modeling, Software Development, Agile Methodologies, Business Analysis, Enterprise Architecture, Requirements Gathering, Solution Architecture, Data Warehousing, Business Intelligence, IT Strategy, Requirements Analysis, Resource Management, Business Process, Web Development, Project Management, SharePoint, Software Project..., IT Management, ETL, ITIL, Software Design, SQL, ERP, Disaster Recovery, PMO, Scrum, Web Services, Architectures, Project Planning, Software Documentation, Data Migration
Education
Stanford University Graduate School of Business 2008 — 2010
Certification, Project/Program/Portfolio Management
Keller Graduate School of Management of DeVry University 1997 — 1999
MBA, Project Management
Shivaji University 1989 — 1993
Bachelor of Engineering (B.Eng.), Computer Engineering
Walchand Institute of Technology (WIT) 1989 — 1993
BE, Computer Science
Delhi University 1988 — 1991
Chemistry, Physics
Govt Model Sr Sec School Vivek Vihar Delhi 1985 — 1988
Green Fields Public School 1976 — 1988
Delhi University
Hewlett-Packard April 2014 - Present
Nationwide Insurance 2010 - March 2014
Humana 2005 - 2010
Humana May 1998 - 2005
First Health March 1998 - April 1998
Other IT 1994 - 1998
Skills
PMP, PMO, Project Management, SDLC, Requirements Analysis, Requirements Gathering, Software Project..., Waterfall, Business Analysis, Mainframe, Enterprise Architecture, Business Intelligence, DB2, Scrum, Resource Management, Vendor Management, Data Warehousing, IT Strategy, Agile Methodologies, Visio, SharePoint, Business Requirements, Program Management, Change Management, EDI, Release Management, CICS, IT Management, Business Process..., Project Portfolio..., Clarity, Process Management, ITIL Process, Scrum Master, Workbench, Certified Project..., Applications Software..., Quickr, HIPAA, COBOLII, Healthcare Management, Healthcare Information..., IT Infrastructure..., Agile Project Management
Education
Jawaharlal Nehru Technological University 1989 — 1993
B.Tech, Electronics & Communications
Health Net Federal Services October 2002 - Present
First Health July 2000 - July 2002
Nugget Market, Inc. August 1989 - July 2000
Skills
SAS programming, Microsoft Applications, Visual Basic, SQL, JavaScript, C++, SAS, Data Mining, Databases, Teamwork
Education
MTI College
Associate of Science (AS), Computer Programming, Specific Applications
Strayer University-Virginia
Bachelor of Science (BS), Computer Science
Ma'Dam HandBags Boutique April 2010 - Present
Vaco February 2013 - April 2013
HCA May 2008 - August 2010
HCA 2008 - 2010
First Health October 2006 - April 2008
Skills
Workers' Compensation..., Data Entry, Medical Billing, Office Administration, Administrative..., Secretarial Skills, Customer Service, Accounts Payable, Accounts Receivable, 10 Key, Numeric, Receptions, Clerks
Education
J Sargeant Reynolds Community College 2004 — 2005
Legal Assistant, Law, NA
Chicago Lashes, Inc. January 2010 - Present
GRM May 2004 - Present
GRM January 2003 - May 2004
First Health April 2002 - December 2002
NextiraOne June 2001 - April 2002
Crimesearch, Inc. March 1999 - May 2001
Education
Columbia Southern University 2008 — 2011
Bachelor, Business Administration concentration: Information Technology
DeVry University 2001 — 2003
Business Information Systems
Things Remembered September 2007 - July 2009
First Health September 2006 - July 2007
Pampered Chef November 2006 - March 2007
United Jewish Federation of Northeast New York April 2006 - June 2006
Law Office of Ana C. Moreira, Esq. July 2005 - March 2006
The Mountaineer January 2005 - May 2005
Green Mountain College 1999 - 2005
Griswold Library - Green Mountain College September 2000 - December 2004
Skills
PowerPoint, Customer Service, Microsoft Excel, Research, Social Media, Access, Microsoft Word, Data Entry, Microsoft Office, Editing, Event Planning, Troubleshooting, InDesign, HTML, Training, System Administration
Education
Green Mountain College 1999 — 2005
BFA, Writing
Boll Weevil Enterprises, Inc. November 2004 - Present
BE, LLC dba McDonalds May 2005 - August 2010
Regions Financial Corporation July 2002 - October 2004
Zions Management Services Company June 1998 - June 2002
First Security Information Technology, Inc March 1997 - June 1998
First Health February 1995 - December 1996
Bank of Kuwait and the Middle East August 1990 - February 1995
Cogensys March 1989 - June 1990
Home Federal Savings and Loan (HomeFed Bank) June 1987 - January 1989
First National Bank of Atlanta (Wachovia) November 1979 - May 1987
Skills
Leadership Development, Organizational..., Talent Management, Succession Planning, Mergers, Compliance, Employee Relations, Change Management, Process Improvement, Team Building, Vendor Management, Performance Management, Strategic Planning, Coaching, Strategy Development, Hiring, Conflict Resolution, Business Strategy, Employee Engagement, Mentoring, Management Consulting, Human Capital Management, Executive Coaching, Banking, Team Leadership, Organizational..., Contract Negotiations, P&L Management, Cross-functional Team..., Operations Management, Negotiation, Business Process..., Vendor Relations, Customer Satisfaction, Budgeting, Executive Management, Problem Solving, Interviewing, Customer Relations, Financial Analysis, Risk Management, Budgets
Education
Hamburger University 2007 — 2007
NON-DEGREE, Restaurant Operations Leadership
Harvard Business School
NON-DEGREE, Executive Education - Information Technology Management
Louisiana State University
NON-DEGREE, Banking
University of North Carolina at Chapel Hill - Kenan-Flagler Business School 1971 — 1973
MBA, Business Administration
Georgia Institute of Technology
Bachelor of Science, Aerospace Engineering with Co-op Option
84th Training Command January 2015 - Present
US Army May 2008 - Present
84th Training Command July 2014 - January 2015
US Army ARRTC 2011 - 2014
First Health 1996 - 2008
321st MMC, C4 CFLCC, US Army 2003 - 2005
Skills
Army, Military, Security Clearance, Military Operations, Command, Military Leadership, DoD, Force Protection, Tactics, Special Operations, Operational Planning, Defense, Information Operations, Military Experience, Counterterrorism, Logistics, Helicopters, Logistics Management, Physical Security, Organizational..., Interagency Coordination, Readiness, Operations Management, Program Management, Defense Acquisition, Security Operations, Government, Military Liaison
Education
Naval Postgraduate School 2012 — 2012
Certificate, Stability, Security and Development in Complex Operations SSDCO
Command and General Staff College 2011 — 2012
ILE
JFK Special Operations Warfare Center and School 2009 — 2009
PSYOP Officer, Psychological Operations
St. Mary's University 1987 — 1993
Bachelor's degree, Political Science
Public Schools of Robeson County October 2012 - Present
Robeson Community College May 2012 - October 2012
Robeson Health Care Corporation October 2000 - August 2003
First Health October 1994 - October 2000
McKesson Health IT September 1993 - September 1994
First Health September 1992 - August 1993
Verne E Gibbs Indian Health Center August 1990 - August 1992
Skills
Health Information..., Transcription, Teaching, Staff Development, Microsoft Word, Higher Education, Outlook, PowerPoint, Public Speaking, Microsoft Excel, Nonprofits, Microsoft Office, Research, Event Planning, Network Marketing, Community Outreach, Classroom, Curriculum Development
Education
East Carolina University 1987 — 1990
Bachelor of Science (BS), Health Information/Medical Records Administration/Administrator
Pembroke State University 1985 — 1987
Undergraduate Studies
West Robeson High School 1983 — 1985
Diploma
One Call Care Management August 2006 - Present
First Health 2002 - 2005
Claims Administration Corporation May 1987 - July 2002
Education
Frostburg State University 1971 — 1975
BS, Music
Bishop Law Office, P.C. December 2014 - Present
Snell & Wilmer November 2013 - August 2014
The Doyle Firm, P.C. August 2013 - October 2013
City of Phoenix Prosecutor's Office June 2012 - October 2013
Emory Orthopaedics & Spine Center 2010 - August 2011
Elkhart General Hospital 2008 - 2009
University of North Georgia 2006 - 2007
Lumpkin County School System 2002 - 2006
First Health 1998 - 2002
Unisys 1996 - 1998
Skills
Healthcare, Research, Customer Service, Data Entry, Process Improvement, Analysis, Event Planning, Medicaid, Microsoft Excel, Medical Records, Public Speaking, Fundraising, PowerPoint
Education
National Association of Legal Assistants
Certified Paralegal
Phoenix College
Paralegal Certificate, Legal Studies
Georgia Southwestern State University
Bachelor, Computer Information Systems
Arizona Health Care Cost Containment System (AHCCCS) October 1989 - Present
The Maxis Group January 2011 - February 2014
Data Computer Corporation of America (DCCA) August 2011 - December 2011
CSC December 2009 - January 2011
Molina Healthcare June 2009 - December 2009
ACS, a Xerox Company May 2008 - June 2009
Unisys July 2003 - January 2007
First Health April 1998 - May 1999
GTE Data Services June 1997 - April 1998
Intergroup Healthcare of Arizona April 1996 - June 1997
Skills
Medicaid, Requirements Analysis, Requirements Gathering, Business Analysis, Software Documentation, SDLC, Databases, Mainframe, COBOL, DB2, tso, jcl, Project Management, Program Management, Software Development, Testing, SQL, Quality Assurance, Database Design, Microsoft SQL Server, Visio, Access, HIPAA, SharePoint, Information Technology, Systems Analysis, CICS, Programming, Software Design, Analysis, Process Improvement
Education
New Mexico State University
Bachelor of Business Administration (BBA), Business Computer Systems, 4.0/4.0
Absolute Solutions, LLC December 2010 - Present
DiaTri January 2002 - December 2010
First Health November 1998 - December 2002
Skills
Claims Management, Health Insurance, Insurance, Strategic Planning, Claim, Workers Compensation, New Business Development, Account Management, Cross-functional Team..., Managed Care, Healthcare, Risk Management, Employee Benefits, Healthcare Industry, Executive Management
Education
Loras College 1994 — 1998
BA, Communications
GTCR Private Equity Firm - Wilton Dimensions EK Success December 2007 - Present
First Health 2005 - 2007
Sirva, Transguard October 2001 - November 2004
Education
Lewis University 1991 — 1994
Fin/Accy, 3.9/4.0
University of Illinois at Urbana-Champaign - College of Business 1990 — 1991
Navy Medical Center Portsmouth Market Survellience SpecialistFINRA2006 - 2009
First Health May 2003 - June 2006
PricewaterhouseCoopers 1998 - 2003
Skills
Clinical Trials, Data Analysis, Data Management, Regulatory Submissions, Research, Statistics, SAS, Data Mining, Analysis, SQL, SPSS, Business Analysis, Business Intelligence, Epidemiology, Biostatistics
Education
George Mason University
MS, Statistics
William & Mary
Higley Unified School District July 2011 - Present
ACE Home Services October 2010 - July 2011
First Health 2000 - July 2004
First Health February 1999 - August 2000
First Health October 1997 - February 1999
Skills
Employee Benefits, Customer Service, Human Resources, SaaS, FMLA, Training, Leave of Absence..., Public Speaking, Staff Development, Healthcare Information..., Microsoft Office, Coaching, Microsoft Excel, Employee Training, Leadership, Payroll, Team Building, Event Planning, PowerPoint
Education
Northern Arizona University 2012 — 2015
Bachelor of Business Administration (B.B.A.), Business, Management, Marketing, and Related Support Services
MetLife May 2015 - Present
MetLife March 2012 - May 2015
MetLife June 2004 - March 2012
First Health 2000 - 2004
Technology Center of DuPage August 1999 - June 2000
Skills
Account Management, Problem Solving, Change Management, Employee Benefits, Team Leadership, Coaching, Training Delivery, Project Management, Training, Leadership, Team Building, Performance Management, Leadership Development, Employee Relations
Education
Ferris State University 1990 — 1992
Bachelor of Science (B.S.), Marketing / Sales
Northwood University 1987 — 1989
AA, Hospitality Management
Self-employed January 2005 - Present
First Health June 1995 - March 2001
Senn-Delaney Management Consultants October 1987 - April 1992
Skills
Film Production, Budgets, Strategic Planning, Feature Films, Business Process..., Television, Project Management, Film, Theatre, Short Films, Creative Problem Solving, Customer Service, Commercials, Costume Design, Sewing, Microsoft Office
Education
Fashion Institute of Design & Merchandising 2004 — 2004
AA, Fashion Design
The University of Chicago Booth School of Business 1985 — 1987
MBA, Marketing
University of Notre Dame 1977 — 1981
BS, Chemical Engineering
Stanford University April 2006 - Present
The Picture People August 2004 - March 2006
Stanford University October 2003 - April 2004
Hewlett-Packard Company November 2000 - March 2003
First Health November 1998 - October 2000
Skills
Dreamweaver, Microsoft Office, PeopleSoft, Kronos, HRIS, Employee Benefits, Benefits Administration, COBRA, Personnel Management, Training, Human Resources, Management, Payroll, Program Management
Education
Mission College 1996 — 2000
East Los Angeles College
Associate of Arts (A.A.)
Information Concepts, LLC May 2010 - Present
IBM November 1995 - April 2009
First Health February 1993 - June 1995
Skills
Vendor Management, IT Strategy, Program Management, Data Center, Integration, Managed Services, Project Management, Business Analysis, Telecommunications, Service Delivery, Strategy, Business Development, Team Leadership, Account Management, Cross-functional Team..., Change Management, Contract Management
Education
DePaul University 1989 — 1991
Master of Science (M.S.), Telecommunications Management
The TriZetto Group February 2006 - Present
First Consulting Group February 2005 - February 2006
Blue Cross Blue Shield of Arizona November 2001 - February 2005
First Health May 2001 - November 2001
eLoyalty May 2000 - May 2001
PCS Health Systems August 1994 - May 2000
Skills
Software Project..., Requirements Analysis, PMO, Business Analysis, Program Management, Project Management, Project Portfolio..., Integration, Vendor Management, Visio
Education
Indiana University Bloomington 1985 — 1989
Bachelor of Arts (B.A.), Criminal Justice/Police Science
Indiana University Bloomington 1984 — 1989
B.A., Criminal Justice / Sociology
Beachbody June 2014 - Present
Edward Hospital December 2013 - Present
Edward Hospital March 2007 - Present
Edward Hospital November 2011 - December 2013
Clinical Leader April 2003 - March 2007
First Health October 2000 - October 2001
Alexian Brothers May 1995 - October 1999
Skills
Nursing, Healthcare Management, Provider Relations, Hospitals, Managed Care, Home Care, Patient Safety, Case Management, Patient Advocacy, Physician Relations, Medicaid, Medicare, Inpatient, Healthcare Information..., Healthcare, HIPAA, Caregiving, Elder Care, Geriatrics, Long-term Care, Networking, Senior Services, Transitional Care
Education
Elmhurst College 1996 — 1998
Kroger September 2007 - Present
Kroger November 2005 - September 2007
First Health September 2004 - June 2005
First Health February 2002 - September 2004
First Health January 2001 - February 2002
Education
University of Phoenix 2008 — 2009
MIS, Information Systems
University of Phoenix 2005 — 2008
MBA/TM, Technology Management
University of Phoenix 2003 — 2005
BSB/ACC, Accounting
Kean University 1996 — 1999
Meteorology
UDig July 2015 - Present
ICF International May 2010 - July 2015
Perrin Quarles Associates October 2009 - January 2010
Fahrenheit Technology 2009 - 2010
First Health April 2006 - June 2009
Cadmus Communications February 2003 - April 2006
Whitlock eBusiness Solutions 2001 - 2003
Xperts, Inc. February 2000 - November 2000
Time Life 1997 - 1999
Virginia ABC 1997 - 1997
Skills
Spring MVC, Ja, Cucumber, JSON, JUnit, Spring Integration, JavaScript, JSP, XML, Agile Methodologies, Databases, Oracle, SQL, Java, Software Development, Web Applications, Microsoft SQL Server, PL/SQL, Linux, XSLT, JDBC, Object Oriented Design, Node.js, Java Enterprise Edition, Groovy
Education
Farmingdale State College
Looking for a new career challenge August 2015 - Present
Overture Promotions January 2013 - August 2015
US Cellular October 2007 - January 2013
US Cellular June 2005 - September 2007
First Health Group Corp June 2001 - June 2005
First Health October 1998 - May 2001
ComEd March 1996 - September 1998
Teng & Associates 1992 - March 1996
Skills
Advanced Excel skills,..., Account Reconciliation, Forecasting, General Ledger, Accounting, Internal Controls, Variance Analysis, Financial Modeling, Process Improvement, Analysis, Financial Statements, Accruals, Invoicing, Cross-functional Team..., Journal Entries, Bank Reconciliation, Software Documentation, Management, Financial Audits, Sarbanes-Oxley Act, GAAP, Financial Analysis, Revenue Recognition, Finance, SAP, Financial Reporting, Auditing, Budgets, Microsoft Excel, Accounts Payable, Financial Accounting
Education
Keller Graduate School 2006 — 2008
Masters of Business Administration, Finance
DeVry University 1996 — 1998
Bachelor of Science, Accounting
South Bay Family Health Care March 2008 - Present
Kaiser Permanente 2006 - 2008
Kaiser Permanente 1999 - 2006
Kaiser Permanente 1993 - 1999
First Health 1988 - 1993
Skills
Public Relations, Marketing Communications, Public Affairs, Media Relations, Issues Management, Marketing Strategy, Corporate Communications, Spokesperson, Community Relations, Executive Communications, Internal Communications, Healthcare..., Newsletters, Copywriting, Community Development, Marketing Copy, Integrated Marketing, Press Releases, Strategic Communications, Message Development
Education
Kent State University
B.A., English
The Ohio State University
English/Creative Writing
Fleishman Benefit Consultants August 2013 - Present
Aetna January 2011 - July 2013
CUNA Mutual November 2007 - September 2010
CIGNA Healthcare January 2006 - September 2007
UnitedHealthcare January 2004 - January 2006
CIGNA Healthcare May 2000 - January 2004
First Health February 1995 - May 2000
Skills
New Business Development, Insurance, Employee Benefits, Sales Management, Sales Process, Sales, Sales Operations, Healthcare, Disability Insurance, Underwriting, Health Savings Accounts, Health Insurance, Leadership, Management, Managed Care, Executive Management, Self-funded
Education
East Carolina University
BS, Industrial Technology; Technical Sales and Services
QSSI July 2009 - Present
L&T Infotech September 1995 - June 2009
RMS 2008 - 2008
Marsh 2007 - 2007
First Health 2000 - 2007
First Health 2000 - 2007
UNIDO 1995 - 1998
Bajaj Auto Ltd 1991 - 1994
Education
Doctor Babasaheb Ambedkar Marathwada University
HCA November 2008 - Present
MIS AUDIT April 2007 - Present
Watkins Associated Industries January 1996 - March 2007
First Health 1984 - 1995
Skills
HIPAA, Healthcare, Healthcare Information..., Healthcare Management, Claim, Managed Care, Revenue Cycle, EMR, Medicare, Hospitals, EHR, Medicaid, Medical Billing, Medical Coding, Medical Terminology, Healthcare Consulting, Health Insurance, CPT, Provider Relations, Healthcare Industry, ICD-9, Healthcare Reimbursement, Meditech, Health Information..., HMO, Disease Management, Health Policy, Home Care, Medicine, Physicians, Epic Systems, Medicare Part D, Physician Relations, Informatics, Medical Records, PPO, Nursing, Insurance
Education
Georgia Perimeter College 1991 — 1991
MultiPlan June 2009 - Present
Viant October 2006 - May 2009
Sage Technologies 1999 - 2006
Healthcare Consultants, Inc. 1997 - 1999
First Health January 1995 - May 1997
First Health January 1992 - December 1994
Skills
SQL, Analysis, Mentoring, SDLC, Visio, Application Development, Software Development, Insurance, Healthcare, Process Improvement, Problem Solving, Microsoft Office, Business Process..., Business Analysis, MS Project, Requirements Gathering, Lotus Notes, Requirements Analysis, Data Management, Business Process, Access, SQL Server, Databases, Systems Analysis, Documentation, Software Documentation, Agile Application..., Scrum, Provider Network..., Credentialing, EDI, Data Analysis, SSRS, Business Process Design, Microsoft SQL Server, SharePoint, HIPAA, Management, Data Warehousing, Data Modeling, Healthcare Information..., Database Design, Software Project..., User Acceptance Testing, Waterfall, Vendor Management, Agile Project Management, Business Requirements, Integration, Agile Methodologies
Education
Lewis University
Master of Business Administration (MBA), Health/Health Care Administration/Management
Adventist Midwest Health May 2012 - Present
Loyola University Medical Center August 2010 - May 2012
Adventist Midwest Health January 2009 - August 2010
Adventist Bolingbrook Hospital October 2007 - May 2009
First Health 2001 - 2007
Skills
Utilization Management, Case Management, Healthcare, Disease Management, Managed Care, Hospitals, Care Management, Medicare, Compliance, Insurance, Team Building, Medicaid, EMR, Healthcare Information..., EHR, Revenue Cycle, Inpatient, Physician Relations, Health Insurance, Utilization Review, JCAHO, Cerner, Epic Systems, Case Managment, Healthcare Consulting, Healthcare Management, Leadership, Nursing, Quality Improvement, Physicians, Acute Care, PPO
Education
Loyola University Chicago 1984 — 1988
Bachelor's degree, Registered Nursing/Registered Nurse
CMSA
Certified Case Manager- CCM, Case management
Molina Healthcare August 2012 - Present
Molina Healthcare September 2011 - August 2012
ACS, a Xerox Company January 2011 - September 2011
Affiliated Computer Services May 2009 - January 2011
ACS February 2008 - May 2009
ACS Healthcare Solutions August 2005 - February 2008
First Health Services (FHS) 1991 - 2005
First Health 1991 - 2005
First Health Services 1991 - 2004
Skills
Medicaid, Customer Relations, Physician Relations, Process Improvement, Business Analysis, Program Management, Vendor Management, Healthcare Information..., Management, Healthcare, Business Process..., Software Documentation, Requirements Analysis
Education
Mississippi State University 1971 — 1973
BA, Computer Science, Zoology
Nuance Communications February 2014 - Present
QuadraMed June 2008 - February 2014
QuadraMed October 2005 - June 2008
Private Healthcare Systems June 2004 - September 2005
First Health August 1995 - March 2000
CCN 1995 - 2000
Skills
Managed Care, Project Management, Healthcare Information..., Healthcare, Process Improvement, SDLC, Revenue Cycle, Healthcare Management, Software Implementation, Software Project..., Program Management, Informatics, Healthcare Consulting, HIPAA, Strategic Planning, Hospitals, Medicaid, IT Management, Cross-functional Team..., Project Portfolio..., Agile Methodologies, PMP, Health Insurance, Medicare, Visio, SharePoint, Contract Management, Leadership, Business Analysis, Management, Agile Project Management, Healthcare Industry, Enterprise Software, PMO, Business Process, IT Strategy, Software Documentation, Health Information..., CRM, Software Development
Education
North Central College 1984 — 1988
Bachelor of Arts (BA), Communication
Clinical Revenue Management Services February 2012 - Present
Foundations Recovery Network February 1999 - May 2009
First Health January 1994 - February 1999
Skills
Treatment, Team Building, Strategic Planning, Sales, Public Speaking, Mental Health Counseling, Mental Health, Management, Marketing, Leadership
Education
Middle Tennessee State University 1992 — 1995
Master of Education (M.Ed.), Counseling Psychology
University of Tennessee-Knoxville 1984 — 1988
Bachelor's degree
El Milagro, Inc. October 2014 - Present
Private Business February 2010 - October 2014
McDonald's August 2005 - June 2009
First Health February 2002 - August 2005
Skills
Microsoft Office, Human Resources, Leadership
Education
Marquette University
Allianz Global Assistance 2006 - Present
First Health June 2002 - August 2006
Education
James Madison University 1998 — 2002
LDP Management Inc March 2003 - Present
First Health May 1990 - November 2002
Skills
Insurance, Budgets, Customer Service, Hospitals, Marketing Strategy, Volunteer Management, Operations Management, Conflict Resolution, Program Management, Change Management, Business Analysis, Leadership Development, Lease Administration, Organizational..., Office Management, Cross-functional Team...
Education
Northeastern Illinois University 1969 — 1972
Bachelor of Arts (BA), Secondary Education and Teaching
Northeastern Illinois University 1969 — 1972
Bachelor of Arts (BA), Secondary Education and Teaching
MetLife November 2011 - Present
MetLife October 2005 - November 2011
Kelly Services 2004 - 2005
First Health 2003 - 2004
MetLife 1999 - 2003
CNA Insurance 1993 - 1999
Skills
Insurance, Financial Analysis, Business Analysis, Risk Management, Financial Services, Process Improvement, Business Process..., Portfolio Management, Vendor Management, Management Consulting, Financial Reporting, Management, Strategy, Strategic Planning, Forecasting
Education
North Central College
BA, Management
Villa Julie College 1988 — 1990
Associate of Arts (AA), Business Administration and Management, General
Cognizant Technology Solutions August 2013 - Present
ACS a Xerox Company January 2007 - July 2013
Xerox January 2007 - July 2013
Affiliated Computer Services 2008 - March 2012
ACS January 2007 - March 2012
ACS-inc 2007 - 2008
First Health 2004 - 2006
Coventry Health Care 2004 - 2006
Skills
Healthcare Information..., Software Project..., PMP, HIPAA, Vendor Management, Integration, Business Analysis, Requirements Analysis, SharePoint, Process Improvement, Systems Analysis, Business Process..., Requirements Gathering, Enterprise Architecture, SDLC
Education
Kansas State University 1971 — 1975
BS, Biology
Kansas State University 1971 — 1975
Bachelor of Science (BS)
Aetna May 2013 - Present
Coventry Health Care May 2004 - Present
First Health 2004 - 2005
Trustmark Insurance May 1997 - April 2004
Education
Elmhurst College 1992 — 1996
BA, Communications
First Health July 2013 - Present
Academy of Moore County November 2007 - 2010
Beaverton School District October 2004 - June 2007
Skills
Curriculum Design, Curriculum Development, Lesson Planning, Classroom, Educational Leadership, Classroom Management, Teaching, Tutoring, Educational Technology, Teacher Training, Differentiated..., Elementary Education
Education
Sandhills Community College 2010 — 2013
ADN, Registered Nursing/Registered Nurse
Concordia University-Portland 1995 — 1998
Bachelor of Arts (BA), Elementary Education and Teaching
Intel Corporation May 2014 - Present
Intel Corporation April 2012 - May 2014
Intel Corporation April 2006 - April 2012
Wells Fargo Bank April 2001 - April 2006
First Health January 2000 - September 2000
Intel Corporation July 1997 - August 1999
Skills
Financial Modeling, SAP, Financial Analysis, Forecasting, Cross-functional Team..., Financial Reporting, Corporate Finance, Process Improvement, Strategic Financial..., Data Analysis, Financial Forecasting, Analysis, Management, Finance, Program Management, Managerial Finance, Budgets, Financial Planning
Education
Indiana University - Kelley School of Business 2007 — 2009
MBA, Finance, General
Scripps College 1993 — 1997
BA, Accounting, History
Allianz Life 2002 - Present
Halen's Hankies of Hope nonprofit November 2013 - Present
Outsource One April 2001 - November 2002
Benesight January 1998 - April 2001
First Health 1988 - 1997
Skills
E-learning, Instructional Design, PowerPoint, Word, Captivate, Needs Analysis, Adult Education, Training, Software Documentation, E-Learning, Blended Learning, Articulate Studio, Leadership Development, Microsoft Word, Performance Consulting, Instructor-led Training, Technical Writing, Leadership, Insurance, SharePoint, Employee Training, Training Delivery, Articulate Suite
Education
Concordia College 1980 — 1984
Bachelor of Arts, Psychology, English
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
JHC Triathlon Coaching 2005 - Present
First Health 1993 - 1999
First Health Group 1993 - 1999
Skills
Triathlon, Sports, Cycling, Strength Training, Endurance, Fitness, Athletics, Corporations, Personal Training, Sports Marketing, Sports Nutrition, Operant Conditioning, Swimming, Long Distance Running, Fitness Training, Marketing, Functional Training, Coaching, Athletic Training, Weight Training, Injury Prevention, Strength & Conditioning, Sports Coaching, Wellness Coaching, Management, Sports Management
Education
Illinois State University 1989 — 1993
BA in English, English, Business and Communications
James B. Conant High School 1986 — 1989
HS
Miriam's World March 2014 - Present
US Federal Government August 2010 - March 2014
Chicago Public Schools 2009 - 2009
General Growth Properties 1999 - 2008
Near North National Group 1998 - 1999
First Health 1991 - 1998
Skills
Contract Negotiation, Leadership, Contract Management, Management, Program Management, Strategy, Negotiation, Analysis, Real Estate, Policy, Business Planning, Strategic Planning
Education
DePaul University 2003 — 2004
Project Management
University of Stuttgart 1977 — 1979
BA
Université de Caen Normandie 1975 — 1977
English
Heriot-Watt University
MBA Programme
AmeriChoice May 2005 - Present
First Health September 2002 - May 2005
Education
Concordia College 1998 — 2002
BA, Business
DeVry University March 2014 - Present
MetLife May 2007 - January 2014
MetLife 2002 - 2007
First Health 2000 - 2002
First Health November 1999 - December 2000
Skills
Graphic Design, Marketing, Newsletters, Strategic Communications, Internal Communications, Microsoft Office, Photoshop, Editing, Social Media, Proposal Writing, Web Design, Illustrator, Dreamweaver, JavaScript, Project Management, Flash, Employee Benefits, CSS, HTML 5, SEO, WordPress, Report Writing, Writing For The Web, Writing For Print
Education
DePaul University 2011 — 2014
Master's degree, New Media Studies, 3.9
Robert Morris University - Illinois 2006 — 2008
Bachelors, Business Management
Emdeon-Asheville, NC September 2012 - Present
STG International, Inc. March 2011 - August 2012
MEDIKO June 2009 - January 2011
ACS February 2007 - April 2009
Payerpath, A Misys Company 2004 - 2007
First Health May 2000 - March 2003
ProVantage 1997 - 2000
Skills
Account Management, HIPAA, New Business Development, Healthcare, EDI, Business Analysis, Marketing, Project Management, Strategic Planning, Process Improvement, Account Planning, Negotiation, Business Development, Program Management, Call Center, Vendor Management, Solution Selling
Education
Northern Arizona University 1982 — 1986
Bachelor's Degree, Marketing
Walmart June 2010 - Present
Wal-Mart September 2007 - June 2010
InSight Imaging September 2005 - January 2009
First Health 2004 - 2005
Coventry 2003 - 2005
Education
Glendale Community College 2005 — 2007
Pima Community College 2001 — 2005
GDSX, Ltd. January 2009 - Present
Liberty Computer Services LLC January 2007 - November 2008
First Health 2003 - 2005
Education
DeVry University
Bachelor, Computer Information Systems
D&B Marketing March 2007 - August 2008
Neumann Homes November 2005 - March 2007
First Health November 1999 - November 2005
Education
Illinois State University 1994 — 1999
BS, Art
Advisor Exchange July 2006 - Present
Accenture Technology Solutions January 2000 - October 2005
Compaq January 1998 - December 1999
First Health August 1997 - October 1998
MetLife June 1994 - August 1997
Skills
SQL, Agile Methodologies, Business Analysis, Requirements Analysis, Business Intelligence, Microsoft SQL Server, JavaScript, Business Development, Strategic Financial...
Education
North Central College 1990 — 1994
BS, Mathematics and Finance
Premier, Inc August 2012 - Present
Siemens September 1997 - August 2012
First Health May 1995 - September 1997
Park City Group April 1993 - May 1995
Skills
Software Documentation, Technical Writing, User Interface Design, Usability, Web Applications, Software Design, Usability Testing, Testing, Software Development, Healthcare Information..., Software Quality..., Editing, Requirements Analysis, User Stories, Functional Verification, Software Validation
Education
Utah State University 1998 — 1999
MS, English - Technical Writing
Eastern Washington University 1992 — 1993
Technical Writing
University of Utah 1990 — 1992
BA, English
Nextwave Logistics February 2008 - Present
First Health 2000 - 2008
Coventry Health Care September 1999 - February 2007
Skills
Web Services, SDLC, XML, Java, Java Enterprise Edition, Vendor Management, SQL, Business Analysis, Requirements Analysis, Microsoft SQL Server, Agile Methodologies, Software Development, Ant, Spring, Visio, Spring Framework
Education
DePaul University
Bachelor of Arts (B.A.), Criminalistics and Criminal Science
DePaul University
Bachelor's degree, Criminal Justice/Police Science
Gail D. Premer Insurance January 2009 - Present
First Health March 2008 - 2009
Health & Retirement Services of Illinois - Independent Brokerage Agency with focus on Senior Market August 2006 - March 2008
Education
Edgewood College 1968 — 1971
Sociology
UnitedHealthcare Global September 2014 - Present
Humana March 2006 - July 2014
United Healthcare 2003 - 2006
First Health July 2001 - May 2003
Skills
Health Savings Accounts, Insurance, Employee Relations, Health Insurance, Brokers, Employee Benefits, Benefits Administration, Self-funded, Microsoft Office, Event Planning, Medicare
Education
Roosevelt University 1992 — 1995
Master of Public Administration (M.P.A.), Public Administration
Fisk University 1988 — 1992
Bachelor of Arts (B.A.), Political Science and Government
Health Care Services Corporation 2006 - Present
First Health April 2002 - February 2005
CNA Insurance November 1986 - April 2002
Skills
Requirements Analysis, Vendor Management, Business Analysis, SDLC, Data Warehousing, IT Strategy, Enterprise Architecture, Project Management, Process Improvement, ITIL, SharePoint, Project Portfolio..., COBOL, PMO, Software Project..., Program Management, Requirements Gathering, PMP, Visio, Management Consulting
Education
National American University 1976 — 1978
BS CompSci, Computer science, business
West Suburban Bank January 2007 - October 2008
Caremark August 2006 - December 2006
State Farm Insurance May 2005 - May 2006
Household International March 2002 - March 2004
First Health July 1996 - August 2001
Sears, Roebuck and Co. August 1987 - June 1997
Cooledge Glass Co, Inc May 1993 - June 1995
Education
Dominican University 1995 — 1999
B.S., Businiess Administration
Suburban Bank and Trust August 2005 - Present
First Health 1991 - 2005
Skills
Employee Benefits, Deferred Compensation, FMLA, Human Resources, Employee Relations, Benefits Administration, HRIS, Onboarding, Recruiting, Succession Planning, Workforce Planning, Applicant Tracking..., Talent Management, Talent Acquisition, Employee Engagement, Performance Management, Labor Relations, HR Policies
Education
Mundelein College (merged with Loyola University)
BA, Industrial Psych./Org. Behavior
Coventry Health Care May 2014 - Present
Coventry Health Care January 2010 - Present
First Health April 2000 - February 2006
prudential healthcare 1985 - 2001
prudential 1988 - 2000
Jackson Long & Assoc 1979 - 1982
Skills
Medicare, Account Management, Health Policy, Health Insurance, Managed Care, Employee Benefits, Insurance, Healthcare, Claim, Benefits Administration, Healthcare Industry, HMO, Health Savings Accounts, Brokers, Medicare Part D, Disability Insurance, Medicaid
Education
DePaul University
BA, BUSINESS
First Health October 2004 - Present
Affiliated Computer Services October 2002 - January 2004
First Medical Network January 2000 - October 2002
Skills
Medicaid, Medicare, Health Insurance, Managed Care, Insurance, Provider Relations, Healthcare, Process Improvement, Change Management, Team Building, Account Management, Strategic Planning, New Business Development, Business Analysis, Healthcare Management
Education
Keller Graduate School of Management of DeVry University 2002 — 2006
MBA, MPM, Business, Project Managment
Georgia Southern University 1990 — 1994
BBA, Business
Sentinel Technologies September 2003 - Present
First Health December 2001 - September 2003
Micros Systems April 1998 - June 2000
Skills
Project Management, Program Management, Cisco Technologies, Process Improvement, Customer Service, Management, Cross-functional Team..., PMP, CRM, MS Project, Budgets, CCNA, LAN-WAN, Telecommunications, Visio, VoIP, Enterprise Software, SharePoint, Data Center, Software Project..., Unified Communications, Vendor Management, ITIL, IT Strategy, IT Management, Integration
Education
Elmhurst College
B.A.
ChannelIQ February 2011 - Present
Active Technologies Group 2001 - Present
Channel Velocity January 2010 - January 2011
The Warranty Group September 2008 - December 2009
Coventry Health Care 2005 - 2008
First Health 1999 - 2005
Sargent & Lundy, LLC 1994 - 1999
Skills
Integration, Data Management, Microsoft SQL Server, SSIS, Software Development, T-SQL, Business Analysis, Business Intelligence, Databases, Agile Methodologies, Database Design, Data Modeling, Solution Architecture, Data Warehousing, SDLC, SQL, Relational Databases, Requirements Analysis, ETL, Agile Project Management
Education
DePaul University
Information Technology
University of Notre Dame 1987 — 1991
BSEE, Electrical Engineering/Computer Science
Archbishop Stepinac 1983 — 1987
Community Counseling Services, Inc. June 2014 - Present
CCS Inc. July 2011 - June 2014
Allen Academy November 2012 - June 2013
Blinn College August 2012 - December 2012
Lone Star College February 2010 - April 2011
First Health August 2007 - April 2009
Community Counseling Services February 2001 - July 2007
Skills
Psychotherapy, Mental Health, Group Therapy, Training, Nonprofits, Treatment, Teaching, Higher Education, Human Resources, Interviews, EMR, Quality Assurance, Auditing, Medicaid, Research, Community Outreach, Public Speaking, Conflict Resolution, Case Management, Data Analysis, Psychology, Crisis Intervention, Mental Health Counseling, Customer Service
Education
University of North Texas 1984 — 1987
MS, Clinical Psychology
Louisiana Tech University 1981 — 1983
Bachelor of Science, Psychology
ELSEVIER INC June 2002 - June 2009
R.W. INC January 2001 - January 2002
Q-2 PUBLISHING INC January 1999 - January 2000
MACVALVES, INC January 1995 - January 1999
First Health January 1990 - January 1994
Skills
Invoicing, Account Reconciliation, Accounts Receivable, Accounts Payable, Accounting
Education
Cuyahoga Community College
Associates, Accounting
CVS Health July 2015 - Present
Catamaran January 2015 - April 2015
Catamaran May 2013 - January 2015
Catamaran February 2007 - May 2013
First Health January 2006 - February 2007
Risk Placement Services, Inc. August 2003 - November 2005
Independent June 1998 - August 2003
NDC Health Information Services October 1997 - June 1998
UPS Logistics/SonicAir August 1990 - October 1997
Skills
SDLC, Business Analysis, IT Strategy, Visio, Management, Process Improvement, Business Requirements, Requirements Gathering, Vendor Management, Pharmacy Benefit..., Healthcare Information..., Requirements Analysis, Software Implementation..., pharmacy claims..., IT Solutions, Solution Implementation, Technology Integration, Client Liaison, IT Project & Program..., Project Management, Manage Client..., Medicare Part D, Product Management, Product Development, Desktop Support..., Desktop Application..., Unix Shell Scripting, Unix Operating Systems, FilePro, Lotus Notes, Microsoft Office, Microsoft Exchange, Microsoft Technologies, Personnel Management, Personnel Supervision, Budget Forecasts, Technology Management, Technology Change..., Fax Server, Document Imaging
Education
DeVry University Phoenix 1994 — 1997
Bachelor of Science (BS), Computer Information Systems
NitcheAnchor Systems Inc May 2010 - Present
Telarix June 2006 - March 2010
Media-Track Inc. August 2000 - June 2006
Scientific Games August 1998 - September 1999
Radiant Systems Inc. April 1997 - August 1998
IT Manager September 1991 - September 1993
Mercharnt Banking Corporation September 1989 - September 1991
Citibank November 1987 - September 1989
First Health June 1984 - November 1985
Skills
.NET, Agile Methodologies, SOA, Software Development, SQL, C#, Web Services, XML, Solution Architecture, Microsoft SQL Server, SDLC, Databases, Oracle, Disaster Recovery, Integration
Education
Howard University 1982 — 1984
MS, Computer Science
Tandem HR June 2015 - Present
MedHQ March 2015 - June 2015
Center for Disability Services (United Cerebral Palsy of Illinois Prairieland) November 2011 - March 2015
HCR ManorCare March 2011 - May 2012
Trinity Services September 2006 - March 2011
Total Nurses Network June 2006 - June 2007
First Health August 2001 - March 2006
JCPenney 1994 - 2003
TDC Filter, Inc 1998 - 2001
Skills
Employee Relations, Human Resources, Benefits Administration, Recruiting, Workers Compensation, Employee Benefits, HRIS, HR Policies, Payroll, Leadership, Management, Organizational..., Sourcing, FMLA, Personnel Management, Deferred Compensation, Internet Recruiting, New Hire Orientations, Interviews, Onboarding, Talent Management, Talent Acquisition, Applicant Tracking..., Performance Management, Labor Relations, Workforce Planning, Succession Planning, Employee Training, Compensation & Benefit, Employee Engagement, SPHR, Job Descriptions, Employment Law, Career Development, College Recruiting, EEO, Employee Handbooks
Education
Lewis University 2006 — 2009
Master Degree, Organizational Leadership
Governors State University 2003 — 2006
Human Resources, Bachelor Degree
Northwestern Business College 1996 — 1999
Associates Degree, Business Administration
Morton West High School
Newmark Grubb Knight Frank November 2013 - Present
Coventry Health Care January 2012 - Present
Coventry Health Care Inc January 2012 - Present
Magellan Health Services August 2009 - December 2011
Coventry Health Care August 2009 - December 2011
Coventry Health Care Inc October 2003 - August 2009
Coventry Health Care March 2005 - July 2009
First Health 2003 - 2005
VIRGINIA BUSINESS INTERIORS September 2001 - January 2003
Skills
Microsoft Office, Outlook, Vendor Management
Education
J Sargeant Reynolds Community College
Chamberlayne Jr
MA
Hartford State Technical College
Medical Facilities of America September 2014 - Present
Samsung Telecommunications America May 2012 - August 2014
Research In Motion June 2011 - May 2012
JPMorgan Chase November 2010 - June 2011
Sprint Nextel September 2004 - December 2009
First Health February 2002 - September 2004
Skills
Relationship Marketing, Referral Generation, Value-based Selling, New Business Development, Strategic Planning, CRM, Market Analysis, Sales Management, Account Management, Sales, Competitive Analysis, Direct Sales, Salesforce.com, Team Building, Marketing Strategy, Business Development, Marketing, B2B, Negotiation, Product Marketing, Solution Selling, Team Leadership, Cold Calling, Sales Presentations, Customer Satisfaction, Customer Experience, Management, Strategic Partnerships
Education
Liberty University 2012 — 2014
Master of Business Administration (MBA), Health/Health Care Administration/Management
Liberty University
Bachelors of Science, Business; Marketing Specialization
Majoris Consultancy Services (P) Ltd February 2010 - Present
Guardian Life Insurance November 2008 - January 2010
Chrysler January 2008 - October 2008
Aon April 2007 - December 2007
Charles Schwab February 2006 - March 2007
American Express May 2005 - January 2006
First Health December 2004 - May 2005
CNA Insurance August 2004 - November 2004
GTE June 2001 - July 2004
Skills
Pre-sales, Resource Management, Vendor Management, System Architecture, Software Project..., SDLC
Education
Eastern Washington University
Master of computer Science
Coventry Health Care November 2009 - Present
Coventry Healthcare February 2001 - November 2009
Coventry Healthcare February 2005 - November 2006
First Health October 2003 - February 2005
First Health May 1996 - February 2001
Skills
Managed Care, Health Insurance, Claim, Vendor Management, Team Building, Organization, Business Decision Making, Business Process...
Education
Florida State University - College of Business 1985 — 1989
B.S., Finance
CIGNA October 2011 - Present
CIGNA October 2010 - October 2011
Health Dialog April 2010 - September 2010
Health Dialog January 2009 - April 2010
Health Dialog March 2008 - January 2009
Health Dialog October 2006 - March 2008
Health Dialog June 2005 - October 2006
Southwood Hospital October 2004 - September 2005
First Health July 1987 - August 1994
Medical Center of Beaver County May 1983 - July 1987
Skills
Managed Care, Utilization Review, Healthcare Management, Disease Management, Clinical Research, Healthcare, Nursing, Home Care, Case Managment, Medicare, Health Education, Utilization Management, Hospitals, Health Management, Wellness Coaching, Public Health, Six Sigma, Case Management, Health Policy, Health Promotion, Training, Patient Advocacy, Acute Care
Education
Pennsylvania University-Monroeville 1988 — 1994
ME, Health Education
Franciscan University of Steubenville 1979 — 1983
BSN, Nursing
Ericsson June 2015 - Present
Verizon September 2001 - June 2015
Screen Actors Guild July 1999 - August 2001
First Health October 1999 - July 2001
Resources Inc September 1985 - June 1999
Skills
Unix, Telecommunications, SDLC, Unified Communications, SQL, Visio, Software Project..., Video Conferencing, Oracle, Requirements Analysis, Vendor Management, Solution Architecture, Integration, Agile Methodologies, Enterprise Architecture, Business Analysis
Education
DePaul University 1981 — 1984
Master's degree, Computer Science
University of Illinois at Chicago 1973 — 1977
Bachelor's degree, Accounting
BLM November 2013 - Present
Catie Bucher, math tutor 2013 - 2013
Fidelity Investments 1996 - 1997
First Health 1993 - 1995
G2 1989 - 1992
Varied Companies 1980 - 1987
Utex Oil Company 1985 - 1986
Skills
Petroelum Engineering, Software Test Engineer
Education
Utah College of Massage Therapy 1994 — 1994
Massage Therapy
Montana Tech of the University of Montana 1972 — 1980
Bachelor's degree, Petroluem Engineering
Montana State University-Bozeman 1974 — 1976
Bachelor's degree, Business/Accounting Option
AUM June 2011 - Present
Aflac June 2010 - December 2010
Viant March 2004 - May 2010
PBA Inc. 1999 - 2004
Gallagher Benefit Services 1998 - 1999
First Health 1995 - 1998
Skills
Account Management, CRM
Education
Concordia University Chicago
First Health February 2004 - Present
Self Employed September 2003 - February 2004
CompHealth 2002 - 2003
Kelly Services December 2000 - November 2002
Top Talent In Travel, Inc. 1982 - 2000
Skills
Account Management, Customer Service, Health Insurance, Employee Benefits, Healthcare, Insurance, Managed Care, New Business Development, Strategic Planning, Sales
Education
Blackburn University
Liberal Arts and Sciences, General Studies and Humanities
Elgin Community College
Liberal Arts and Sciences, General Studies and Humanities
Independence Blue Cross February 2014 - Present
UPMC Health Plan November 2004 - January 2014
Highmark Blue Cross Blue Shield July 1995 - May 2004
First Health November 1987 - July 1995
Skills
Health Insurance, Medicare, Business Analysis, Product Development, Medicare Part D, HMO, Group Health, Managed Care, Health Plans, PPO, Insurance, Group Benefits, Health
Education
Geneva College
Human Resources
Maclyn March 2011 - Present
Simantel October 2010 - March 2011
Rhea + Kaiser July 2000 - June 2010
First Health 1992 - June 2000
John Brown E&C 1989 - 1992
Skills
Art Direction, Creative Direction, Direct Mail, Brochures, InDesign, Marketing Communications, Advertising, Creative Strategy, Graphic Design, Corporate Identity, Logo Design, Typography, Corporate Branding, Web Design, Visual Communication, Art, Branding & Identity
Education
Illinois State University 1985 — 1989
B.S., Public Relations
Automated Benefit Services, Inc. September 2011 - Present
American Community Mutual Insurance Company June 1994 - November 2010
Automated Benefit Services January 1993 - January 1994
First Health January 1990 - January 1993
Travelers Insurance Company January 1978 - January 1989
Skills
Health Insurance
Education
Henry Ford Community College 2000 — 2006
Associates, Business
Greater Milwaukee Area, Wisconsin July 2012 - Present
Milwaukee Public Schools 2001 - 2012
Claim Services Resource Group 1998 - 2001
First Health 1989 - 1998
Skills
Educational Leadership, Curriculum Development, Differentiated..., Classroom, Tutoring, Teaching, Staff Development, Training, Staff Supervision, Qualitative Research, Analyze Information, Communication, Customer Service, Organizational..., Creativity, Instructional Design
Education
Marian University 2005 — 2006
M.A., Urban Education
University of Wisconsin-Milwaukee
Bachelor of Science, Elementary Education and Teaching
Sinai Health System July 2001 - Present
Sinai Health System July 2001 - Present
Sinai Health System July 2001 - Present
First Health November 1997 - June 2001
Novem January 1997 - June 2001
PBA April 1996 - November 1997
First Allmerica Financial June 1995 - April 1996
Great West Life Annuity and Assurance Company September 1989 - July 1995
Skills
Access, Accounts Receivable, Employee Benefits, Healthcare, Hospitals, Leadership, Invoicing, Managed Care, Management, Medical Billing, Medical Coding
Education
Illinois State University 1986 — 1988
NO, EDUCATION
Truman College, Illinois State University
LUHS 1972 - 2012
The Chicagolan Compliance Association 2007 - 2008
First Health 1996 - 2001
Dominican University 1995 - 1999
Dominican University 1995 - 1999
Office for Civil Rights 1995 - 1999
Divine Providence Parish 1978 - 1985
Skills
Strategic Planning, Public Speaking, Non-profits, Customer Service, Nonprofits, Fundraising, Community Outreach, Recruiting, Event Planning, Microsoft Office, Social Media, Contract Negotiation, Volunteer Management, Leadership Development, Policy, Teaching, Team Leadership, Coaching, Banking, Marketing Strategy, Process Improvement, Staff Development, Organizational..., Employee Relations, Data Entry, Leadership, PowerPoint, Management, Higher Education, Team Building, Training, Research, Program Development, Microsoft Word, Sales, Budgets, Conflict Resolution, Marketing, Social Networking
Education
Dominican University 1995 — 1999
Bachelor of Science (B.S.), Business Administration/Gerontology
Moraine Valley Community College
Optum June 2013 - Present
OptumHealth June 2013 - 2013
OptumHealth March 2006 - October 2008
First Health June 2000 - March 2006
Skills
Superior Computer Skills, Certified Case Nurse..., Healthcare, Nursing, Transplant, Case Managment, Managed Care, Hospitals, Cardiology, Medicine, Health Insurance, Disease Management, Provider Relations, Clinical Research, Healthcare Industry, Utilization Management, Home Care, Medicare
Education
Joliet Junior College 1990 — 1991
RN, Nursing
University of St. Francis
Started, General Ed.
Humana April 2008 - August 2010
JPM Chase Bank 2007 - 2008
ACS 2005 - 2006
First Health 1999 - 2004
Skills
MS Office Suite, Customer Relations, Customer Service, Call Center, Health Insurance, Lotus Notes, Medicare, Outlook, Customer Satisfaction, HIPAA, Telephone Skills, Documentation, Benefits Administration, Employee Benefits, Process Improvement, Problem Solving, Benefits, Managed Care, Client Retention, Fax, Word, Customer Experience, Team Building, Mentoring, Microsoft Office
Education
Mesa Community College 2003 — 2004
Management
St Louis Comm College 1992 — 1995
2 year, Business
Aetna (formerly Coventry Health Care/First Health) August 1998 - Present
Coventry Health Care 1998 - Present
First Health 1998 - 2006
Morton Salt September 1996 - September 1998
Northern Indiana Public Service Co. March 1991 - September 1996
Skills
Microsoft Excel, Microsoft Word, Sales Compensation, Compensation Structure..., Certified Compensation..., Journalism, PowerPoint, Writing, Compensation Structures, Executive Pay, Deferred Compensation
Education
DePaul University
Master of Business Administration (MBA), Business
Northern Illinois University
Bachelor of Arts (B.A.), Journalism
University of Chicago June 2015 - Present
DeVry University July 2012 - Present
University of Chicago May 2011 - July 2012
McDonald's Corporation June 2005 - April 2010
First Health November 1995 - June 2005
Skills
Employee/Labor Relations, Employee Relations, Compensation, Affirmative Action, Job Design, Talent Acquisition, Talent Management, Succession Planning, Development of Training..., Large Group Facilitation, Retreat Facilitation, Project Facilitation, Strategic Planning..., Management, Retreats, Training, Recruiting, College Recruiting, Performance Management, Leadership, Workshop Facilitation, Applicant Tracking..., Project Management, Industrial Relations, Strategic Planning, Employee Engagement, Career Development, Leadership Development, Organizational Design, Change Management, Deferred Compensation, Organizational..., HRIS, Labor Relations, Onboarding, Interviews, Workforce Planning, Human Resources, Resume Writing, Program Management, Employee Benefits, New Hire Orientations, Organizational..., Personnel Management, Temporary Placement, Benefits Administration, FMLA, Job Descriptions, Hiring, Behavioral Interviewing
Education
Elmhurst College
Bachelor of Arts (B.A.), English and Communications
Elmhurst College
Bachelor of Arts, English
Elmhurst College
Bachelor of Arts, English and
Womack Army Medical Center January 2012 - Present
First Health November 2008 - Present
Selma EMS March 2005 - Present
Johnston Ambulance Service January 2002 - Present
Medical Education Technologies Incorporated February 2001 - August 2008
Skills
Healthcare, Hospitals, Cpr Certified, Public Speaking, Team Building, Management, Project Planning, Healthcare Information..., Emergency Medicine, ACLS, Clinical Research, Critical Care, Healthcare Management, Paramedic, Training
Education
Fayetteville Technical Community College 1988 — 1989
CNA April 2001 - Present
Mesa Lutheran Hospital September 2000 - March 2001
First Health March 1998 - September 2000
St. Francis Hospital May 1975 - December 1997
Education
Lewis University
BSN, Nursing Science
St. Joseph Hospital School of Nursing, Joliet IL
Diploma, Registered Nurse
University of St.Francis
Master of Science (MS), Nursing Administration
Health First Physicians November 2012 - Present
Health First August 2008 - November 2012
First Health April 1997 - July 2008
Skills
Healthcare Information..., Patient Safety, Managed Care, HIPAA, Medicare, Clinical Research, Medicaid, EHR, Informatics, Pharmacists, Provider Relations, Medication Therapy...
Education
Brevard Community College 1989 — 1991
Palm Bay HIgh School 1986 — 1989
Sioux Falls School District August 2007 - Present
Marriage and Family Clinic August 2004 - February 2007
Self Employed May 1997 - June 2005
First Health February 1992 - July 1996
Automated Systems Inc. October 1989 - February 1992
Skills
Tutoring, Lesson Planning, Educational Technology, Classroom Management, Curriculum Design, Teaching, Classroom, Training, Benefit Administration
Education
Sioux Falls Seminary 2004 — 2007
Master's degree, Marriage and Family Therapy/Counseling
National American University
Bachelor's degree, Business Administration and Management, General emphasis in Accounting
Anthem Blue Cross June 2011 - Present
KePRO May 2005 - June 2011
First Health July 2002 - May 2005
Skills
Utilization Management, Utilization Review, Managed Care, HMO, Medicaid, Health Insurance, Medicaid Managed Care, Psychotherapy, clinical social work, Case Management Services, Clinical Supervision
Education
Temple University 1979 — 1981
Master of Social Work (MSW), Social Work
North Carolina Agricultural and Technical State University 1975 — 1979
Bachelor of Science (B.S.), Social Work
Magellan Health Services December 2014 - Present
Riteway Inc. July 2012 - December 2014
Henrico County Public Schools March 2012 - May 2014
Magellan Health Services 2006 - 2011
Sports Supply Group (OTS, Dixie, Salkheld, Kessler) March 2004 - February 2006
Long & Foster Companies 2002 - 2003
First Health January 1992 - April 2001
Skills
Problem Solving, Microsoft Excel, Access, Accounts Receivable, Requirements Analysis, Teamwork, Testing, COBOL, Coaching, Microsoft Word, Mathematics, Research, SAS, Bookkeeping, Databases, Data Entry, Database Administration, Invoicing, PowerPoint, QuickBooks, Quality Assurance
Education
J Sargeant Reynolds Community College 1989 — 1990
Computer/Information Technology Administration and Management
HM Insurance Group December 2007 - Present
Diversified Group Administrators September 1997 - December 2007
First Health June 1987 - September 1996
Education
Indiana University of Pennsylvania
Bachelor of Science (B.S.), Consumer Services
Lincare Holdings, Inc October 2012 - Present
The Chamberlain Group, Inc. January 2006 - February 2011
First Health May 2002 - December 2005
Skills
Office Administration, Administrative..., Microsoft Office, Creativity, Reliability, Self-starter, Adaptability, 10 Key, Lotus Notes
Education
Kaplan University 2011 — 2012
Firstsource Solutions Limited June 2014 - Present
INETICO, Inc. August 2012 - May 2013
EthiCare Advisors, Inc. January 2012 - December 2012
Viant June 2006 - December 2010
Trustmark Companies February 2005 - June 2006
First Health June 2004 - February 2005
HealthPlan Services February 1998 - June 2004
Skills
Account Management, Sales, Insurance, Health Insurance, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Salesforce.com, Program Management, Managed Care, PPO, Leadership, Sales Process, Process Improvement, Team Building, Employee Benefits, Management, Strategic Planning, Healthcare, Medicare, HIPAA, Training, Claim, Vendor Management
Education
Hennepin Technical College 1986 — 1988
Associate's degree, Business Administration and Management, General
Herzog University
First Health/Coventry Health Care/Aetna/Xerox Business Services December 2002 - Present
Xerox Business Services April 2014 - Present
Coventry Health Care, an Aetna Company December 2013 - March 2014
Coventry Health Care, an Aetna Company April 2006 - December 2013
First Health December 2002 - March 2006
Innovative Systems, Inc. January 1998 - January 2002
Innovative Systems, Inc. January 1993 - January 1998
Dr. B. C. Roy Engineering College January 1990 - January 1992
Skills
Windows, Troubleshooting, Outlook, Customer Service, Citrix, Microsoft Office, HP Service Center, BMC Remedy Ticketing..., Computer Hardware..., Computer Hardware..., Software Troubleshooting, RTS
Education
Pittsburgh Technical Institute
Microsoft Network Professional Program
Community College of Allegheny County 2000 — 2001
Networking Certificate Program
Triangle Tech
Associate Degree, Specialized TechnologyArchitectural Drafting; Computer-Aided Drafting & Design
Exxon Chemical Business Intelligence AnalystExxon ChemicalDecember 2012 - Present
Koda Distribution Group February 2010 - September 2012
Sprint March 2009 - January 2010
First Health March 2006 - February 2009
Skills
SDLC, Oracle, Databases
Education
Jawaharlal Nehru Technological University 2002 — 2006
Bachelor of Technology (B.Tech.)
Nichols School 2014 - Present
First Health 2011 - 2014
Education
D'Youville College 2007 — 2011
Bachelor's Degree, Registered Nursing/Registered Nurse