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,
First Health List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at First Health. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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First Health Employees
Pharm-Assist Consulting LLC February 2003 - Present
Modern Medical May 2004 - January 2015
First Health April 2003 - May 2004
Progressive Medical, Inc. March 2002 - April 2003
Knox Community Hospital 1999 - 2002
Kroger 1999 - 2002
CVS Caremark Corporation 1998 - 1999
Vrable Healthcare 1996 - 1999
Rite Aid Pharmacy 1995 - 1996
Skills
Healthcare, Pharmacy Benefit..., Pharmacy, Managed Care, Hospitals, Medicaid, Clinical Research, Pharmacists, Healthcare Management, Pharmacy Automation, Workers Compensation, Clinical Pharmacology, Medicare, Disease Management, Medicare Part D, Medication Therapy..., Formulary, Process Improvement, Pain Management, Informatics, Utilization Management, Clinical Pharmacy, Pharmacoeconomics, Patient Safety, Data Analytics, Drug databases, SharePoint, Tableau, Microsoft Excel, PowerPoint, Product Development, Medical Education
Education
Ohio Northern University 1999 — 2002
Pharm.D., Pharmacy
The Ohio State University 1990 — 1995
BS Pharm, Pharmaceutical Science
Disney Interactive May 2013 - Present
Lucasfilm April 2007 - May 2013
SplitSeasonTickets March 2008 - June 2010
Lucasfilm December 2000 - April 2007
Intraware June 1999 - November 2000
First Health July 1997 - May 1999
Skills
Java, Software Development, Databases, SQL, Software Engineering, Perl, HTML, JavaScript, Unix, MySQL, Apache, Perforce, Subversion, Networking, Web Development, Web Applications, XML, JSON, Project Management, Resin, Application Servers, Web Servers, Object Oriented Software, Freemarker, JSP, Servlets, SEO, Programming, Linux, Leadership
Education
University of California, Davis 1995 — 1997
B.S. Psychology, minor Math
SUNY Albany
Sharp Statistical Sciences May 2015 - Present
Sabbatical April 2014 - April 2015
Coventry Workers' Comp Services, an Aetna Company November 2007 - March 2014
Coventry Health Care October 2005 - November 2007
Thomson Medstat July 2004 - October 2005
First Health January 1999 - June 2004
Office of AIDS, CA Dept of Health Services September 1996 - January 1999
Skills
Data Analysis, Statistics, Analytics, SAS, Managed Care, Healthcare, Data Mining, Health Insurance, SAS programming, Data Management, Leadership, Project Management, Data Warehousing, Medicaid, Medicare, Predictive Modeling, Data Science, R, Workers Compensation, Microsoft Office, Decision Support, Management, Healthcare Industry, Analysis, SQL, Biostatistics, Workers' Compensation..., Medical Billing, HIPAA, Epidemiology, Informatics, Healthcare Consulting, Communication, Presentations, Evidence-based Medicine, Clinical Outcomes, Insurance, Public Health, Business Intelligence, MS Excel Pivot Tables, Provider Networks
Education
University of California, Davis 1995 — 1998
MS, Statistics, Emphasis Biostatistics, 1997
Pitzer College 1991 — 1995
BA, Mathematics, Honors
Progress Residential LP April 2015 - Present
Atlas Industrial Supply, Inc April 2006 - June 2013
First Health July 2001 - April 2006
Northeast Medical Center Hospital November 1996 - July 2001
Skills
Microsoft Office, Accounts Payable, Account Reconciliation, Accounting, Microsoft Excel, Research, Public Relations, Email Marketing, Trade Shows, Account Management, Accounts Receivable, Financial Accounting, Budgets, Customer Service, Sales, Facebook, Social Networking, Social Media, Internal Communications, Team Leadership, Office Administration, Office Management
Education
University of Houston
Kingwood College
Champions School of Real Estate
Coventry Health Care April 2005 - Present
First Health August 2000 - Present
First Health February 1994 - August 2000
First Health February 1992 - February 1994
First Health June 1989 - February 1992
Skills
PM, Informatica Developer, SDLC, PL/SQL, SQL, Data Modeling, Oracle, Data Warehousing, Agile Methodologies, Business Analysis, Visio, Database Design, ETL, Requirements Gathering, SSIS, Enterprise Architecture, Requirements Analysis, Business Intelligence
Education
Robert Morris College
Roosevelt University
CGI November 2013 - Present
Employer Plan Services, Inc April 1998 - May 2013
First health 1996 - 1998
American Medical Adjusters May 1992 - August 1994
Insurance Benefit Services 1984 - 1993
Skills
Online Research, 10 Key, Claims Handling, Provider research, GBAS, Microsoft Excel, Microsoft Word, Provider licensing, Outlook, Medical collection, Data Entry, Typing 80 wpm, Motivated self-starter, Highly Dedicated, Medical Terminology, TIN verification, Dental claims, Supervisory Experience, Remote Desktop, Health Insurance, Third Party Claims, Stop Loss, Claim repricing, HCFA, UB04, UB92, HIPAA, Claims Auditing, UAT coordination
Education
Rock Valley College 1973 — 1974
Business/Commerce, General
Valley High School 1969 — 1973
Yes
Banner Health July 2015 - Present
Aetna April 2012 - July 2015
Coventry Health Care March 2007 - April 2012
Coventry Health Care September 2001 - March 2007
First Health July 1997 - September 2001
Health Care Compare April 1994 - July 1997
Health Care Compare November 1993 - April 1994
Skills
Health Insurance, Process Improvement, Managed Care, Training, Software Documentation, Claim, Healthcare, Workers Compensation, Leadership, Customer Service, Provider Relations, Business Analysis, Healthcare Management, Call Center, Account Management, Call Centers, Six Sigma, Green Belt Certificate, Documentation, Claims, Operations Management, Change Management, Microsoft Office, Vendor Management, Contract Management, Lean Six Sigma, Medical Coding, Medical Billing, Health Plan Operations, Federal Healthcare
Education
Villanova University 2012 — 2012
Lean Six Sigma Certificate
Villanova University 2011 — 2011
Six Sigma Green Belt Certificate
University of Phoenix 1998 — 2000
Master of Business Administration
Northern Illinois University 1989 — 1993
Bachelor of Arts, Psychology
O. Mustad & Son Americas, Inc. October 2013 - Present
Twin Tails Seafood Corporation May 2011 - March 2013
B&B Commercial Management October 2003 - February 2010
Ameritel Communications December 1996 - August 2000
First Health August 1993 - August 1996
Skills
Bookkeeping, Accounts Receivable, English, QuickBooks, Accounting, Accounts Payable, Bank Reconciliation, Spanish
Education
Universidad Central de Venezuela 1979 — 1984
Bachelor of Business Administration (B.B.A.)
La Concordia
La Concordia
Biofortis Clinical Research, Inc. 2008 - Present
Housecall Services of Greater Chicago 2002 - 2008
Housecall Services of Greater Chicago 2000 - 2002
DuPage Community Clinic 1989 - 2001
First Health 1998 - 2000
Research & Data Consulting, Inc 1992 - 1996
Glen Ellyn Clinic 1985 - 1993
Fermilab 1988 - 1988
AT&T Bell Laboratory 1986 - 1987
Glen Ellyn Clinic 1983 - 1985
Skills
American Board of..., Lipidology, Lipid Metabolism, Clinical Research, Clinical Nutrition, Nutraceuticals, Women's Health, Mens Health, Hypercholesterolemia, Sexual Dysfunction, Hypertension, Type 2 Diabetes, Gout, Dyslipidemia, Obesity, Cognition, Bioavailability, Exercise Physiology, Patient Safety, Clinical Monitoring, ICH-GCP, Clinical Trials, Pharmaceutical Industry, Clinical Development, CRO, GCP
Education
Rush Presbyterian - St. Luke's Medical Center 1980 — 1983
Internal Medicine Residency Program, M.D.
Rush Medical College of Rush University Medical Center 1976 — 1980
Doctor of Medicine (MD)
Clarke College 1969 — 1973
Bachelor of Arts (B.A.), Music
Mary Kay Cosmetics, Mary Kay, Inc May 2010 - Present
Broad-Path Solutions/Xerox January 2012 - January 2013
MethodistCare/Unicare January 1998 - January 2010
C.S.R.G June 1998 - November 1998
Insurance Overload Systems April 1997 - August 1997
First Health November 1994 - March 1997
City of Houston May 1992 - October 1994
Texas Children’s Hospital November 1988 - May 1992
Houston Intercontinental Airport June 1987 - July 1988
Skills
Data Entry, Medical Billing, Medical Terminology, Healthcare, Telephone Skills, Claim, CPT, Customer Service, ICD-9, Call Centers, HMO, PPO, Teamwork, Claim Investigation, Team Leadership, Research, Health Insurance, Insurance, Claims Handling, Employee Benefits, Microsoft Word
Education
Texas School of Business 1990 — 1991
Diploma, Legal Secretary
Texas Southern University 1983 — 1989
Criminal Justice
M.B. Smiley High School 1979 — 1983
diploma, Mathematics
State of Utah July 2012 - Present
ADP February 2009 - July 2012
Delta Health Systems November 2000 - January 2009
Wells Fargo June 2006 - October 2006
Coventry Health July 1999 - November 2000
Educators Mutual January 1999 - July 1999
First Health January 1997 - January 1999
Ken Garff Ford August 1994 - January 1997
Skills
Benefits Administration, ADP Payroll, HRIS, Employee Benefits, COBRA, FMLA, Medicaid, Medical Terminology, Stop Loss, Health Insurance, Manage Client..., Client Relations Skills, Customer Satisfaction, Customer Retention, Collections, Accounts Receivable, Insurance, Training, Call Centers, Medical Billing, Claim, Health Savings Accounts, Customer Service, HIPAA, Open Enrollment, Leadership, SPHR, CRM, Kronos, Background Checks, I-9 Compliance, Workers Compensation, New Hire Orientations, Employee Handbooks, Deferred Compensation, 401k, College Recruiting, Management, Microsoft Excel, Microsoft Office
Education
BFA Theater Education University of Utah 1991 — 1994
Bachelor of Fine Arts (BFA)
University of Utah 1991 — 1994
BFA
AA Salt Lake Community College 1989 — 1991
Associate of Arts (A.A.)
Salt Lake Community College 1989 — 1991
AA
Best Doctors April 2014 - Present
Purchasing Power June 2013 - April 2014
Humana 2009 - June 2013
Humana 2009 - 2012
Prime Therapeutics March 2007 - February 2009
NMHC August 2006 - March 2007
CIGNA April 2004 - August 2006
Medco Health Solutions January 1997 - April 2003
First Health January 1994 - April 1997
PROVIDER NETWORKS OF AMERICA, INC March 1992 - January 1994
Skills
Selling, Managed Care, Employee Benefits, Pharmacy Benefit..., New Business Development, Sales Operations, National Accounts, Insurance, Strategy, Business Development, Sales, Health Insurance, Leadership, Strategic Planning, Healthcare, Management, Training, Team Building
Education
Texas State University-San Marcos 1987 — 1991
Texas State University
Joliet Junior College July 2009 - Present
Moraine Valley Community College July 2000 - Present
Access Community Health Network January 2009 - August 2009
PReturn September 2008 - December 2008
The Healthcare Financial Management Association August 2006 - August 2008
University HealthSystem Consortium November 2005 - August 2006
First Health 2000 - 2005
American College of Surgeons 1999 - 2000
Palos Community Hospital 1993 - 1999
American Red Cross Cincinnati Chapter 1989 - 1991
Skills
Public Relations, Teaching, E-Learning, Online Advertising, Exercise Physiology, Biology, Kinesiology, First Aid, Health and Wellness, ACSM, Strategic Planning, Training, Academic Advising, Higher Education
Education
Western Illinois University 1975 — 1981
M.S., Exercise Physiology
University of Illinois at Chicago 1976 — 1980
BS, Physical Education
180 Medical November 2014 - Present
180 Medical July 2011 - November 2014
Oklahoma Health Care Authority October 2006 - May 2008
First Health January 2004 - September 2006
Skills
Employee Benefits, Training, Software Documentation, Program Management, Customer Service, Call Centers, HIPAA, Microsoft Excel, Insurance, PowerPoint, Policy, Invoicing, Medicaid, ICD-9, Healthcare
Education
University of Central Oklahoma 2008 — 2011
Bachelor of Fine Arts (B.F.A.), Fine and Studio Arts/Business Administration Minor/Art History Minor
Oklahoma City Community College 2004 — 2007
Associate of Arts (A.A.), General Studies
Aetna May 2012 - Present
Coventry Healthcare June 2007 - April 2012
First Health August 2002 - December 2006
Skills
Analysis, Databases, Account Management, Networking, HIPAA, Visio, Software Documentation, Access, Process Improvement, Business Analysis, Medicare, Data Analysis, Healthcare, Healthcare Information..., Managed Care, Troubleshooting, Call Centers, Health Insurance, Project Management, Healthcare Management
Education
University of Phoenix-Sacramento Valley Campus 2010 — 2011
Associate of Arts (A.A.), Health/Health Care Administration/Management
Sacramento City College
undergraduate, General Studies
Texas PRN April 2015 - Present
St. David's HealthCare July 2013 - Present
UNC Pembroke May 2011 - 2013
First Health December 2010 - August 2011
Department of Veterans Affairs March 2009 - June 2010
US Army June 2002 - January 2009
Skills
Healthcare Management, Healthcare, Hospitals, Cpr Certified, Medical Terminology, Mental Health, Data Entry, HIPAA, Clinical Research, Community Outreach, Teaching, Medical Records, Non-profits, Public Speaking, Research, Leadership, Customer Service, Strategic Planning, Leadership Development, Nursing Education, Surgery, BLS, ACLS, Quality Patient Care, Case Management, Medication..., Patient Advocacy, Infection Control, Public Health, Patient Education, EMR, Patient Safety, Medicine, Nursing, PowerPoint, Training, Healthcare Information..., Inpatient, Nursing Care, Critical Care
Education
The University of North Dakota 2015 — 2017
Master of Nursing, Advanced Public Health Nurse
University of North Carolina at Pembroke 2011 — 2013
BSN, Registered Nursing/Registered Nurse
Sandhills Community College 2010 — 2011
AS, General Education
Thomas Edison State College 2004 — 2008
BA, Natural Sciences
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
UnitedHealth Group July 2015 - Present
UnitedHealth Group March 2012 - Present
Fresenius Medical Care March 2007 - January 2012
Fresenius Medical Care June 2005 - March 2007
First Health, a Coventry Health Care company February 2003 - June 2005
First Health September 2001 - February 2003
First Heath August 1997 - September 2001
First Health August 1992 - August 1997
Skills
Strategy Development, Closing Skills, Futuristic, Healthcare, Strategy, Future Trends, Selling Skills, Managed Care, Negotiation, Business Development, Relationship Development, Exceeding Targets, Team-oriented, Management, Marketing, Program Management, Analysis, HIPAA, Healthcare Information..., Healthcare Management, Hospitals, Physician Relations, Revenue Cycle, Sales
Education
University of Illinois at Urbana-Champaign 1985 — 1989
Bachelor of Science in Health and Safety Study, Health Administration
Leucadia National Corporation January 2014 - Present
Leucadia National Corporation 2005 - Present
American Investment Bank 1999 - 2005
First Health 1995 - 1999
Skills
Financial Modeling, CPA, Asset Managment, IT Asset Management, Due Diligence, Mergers, Strategic Financial..., IT Strategy, Operations Management, IT Management, Project Management, Financial Analysis, Financial Reporting, Business Process Design, Business Process..., Solution Implementation, Hyperion HFM, MAS500, Great Plains Software, SQL, Oracle Discoverer, FRx Report Designer, Smartview, CYMA, QuickBooks, JD Edwards, AS400 system, Banking, Internal Controls, SOX 404, Cash Flow Forecasting, Financial Forecasting, US GAAP, Mergers & Acquisitions, Valuation, Corporate Finance, Sarbanes-Oxley Act, Venture Capital, Corporate Development, M&A experience, Managerial Finance, Executive Management, Investment Banking, Consolidation, Financial Accounting, Hyperion Enterprise, Emerging Markets, Finance, Start-ups, Management Consulting
Education
University of Utah - David Eccles School of Business 1998 — 2004
Master's degree, Accounting
Salt Lake Community College 1995 — 1998
Associate of Science (AS), Business Administration, Management and Operations
Catholic United Financial 2012 - Present
NARS/Pinnacle Financial Corporation 2011 - 2012
Opportunity Partners, Inc 2005 - 2010
JMJ Enterprises, Inc 2004 - 2005
RR Donnelley 2000 - 2004
Woodland Container Corporation 1999 - 2000
Risk Management Alternatives, Inc. 1997 - 1999
First Health 1995 - 1997
United Parcel Service 1983 - 1995
Skills
Strategic Planning, Budgets, Recruiting, Vendor Management, Information Technology, Process Improvement, Change Management, Outsourcing, Leadership, Team Building, Management, IT Management, Operations Management
Education
St. John's University
BS, Business Administration
Inter Mountain Health Care July 2015 - Present
VRx Pharmacy January 2014 - Present
CVS Caremark 2004 - November 2013
RxAmerica March 2004 - August 2009
RxAmerica March 2004 - August 2005
Community Health Care Center 1997 - 2002
First Health 1995 - 1997
Taco Time 1989 - 1990
Skills
Business Analysis, Systems Analysis, SQL, Software Implementation, Testing, Medicaid, Medicare Part D, HCPCS, CPT, Troubleshooting, Medicare, Software Development, SDLC, Documentation, Requirements Gathering, Software Project..., User Acceptance Testing, Quality Assurance, Managed Care, Analysis, Test Planning, PBM, Business Requirements, Test Cases, Test Automation, MySQL, Software Documentation, Pharmacy Benefit..., Visio, Agile Methodologies, Health Insurance, Healthcare Information..., Leadership, Management, HIPAA, Project Management
Education
Salt Lake Community College 1991 — 2004
AAS, BUSINESS MANAGEMENT
Salt Lake Community College 1991 — 1994
AAS, Business Management
Taylorsville High School 1986 — 1989
HIGH SCHOOL, HIGH SCHOOL GRADUATION
Bally's Total Fitness Corp October 2009 - May 2011
Bally’s Total Fitness Corp October 2009 - May 2011
Durham School April 2009 - July 2009
Durham School April 2009 - July 2009
Navigant Consultant Inc December 2006 - March 2008
Navigant Consultant Inc December 2006 - March 2008
First Health May 2002 - February 2006
First Health/Coventry May 2002 - February 2006
Coventry Health Care 2002 - 2006
Skills
Oracle SQL, PeopleSoft, Elite, Process Improvement, General Ledger, Access, Auditing, Financial Analysis, Accounts Payable, Budgets, ADP Payroll, Invoicing, Microsoft Office, Spreadsheets, Accounting, Fixed Assets, JD Edwards, Microsoft Excel, Payroll, Customer Service, Bank Reconciliation, Peachtree, Financial Reporting, Account Reconciliation, Outlook, Accruals, Journal Entries, Forecasting, QuickBooks, Accounts Receivable, Sarbanes-Oxley Act
Education
Robert Morris University - Illinois 1992 — 1995
Robert Morris University - Illinois
Associates Degree, Business Management
Robert Morris University - Illinois
Associates Degree, Business Management
Hillcrest high school 1990 — 1992
Corliss High school 1988 — 1992
Navistar Inc 1997 - Present
First Health 1993 - 1997
ZS Associates 1991 - 1993
Skills
Healthcare, Employee Benefits, Health Insurance, Benefits Administration, Managed Care, Strategic Planning, Management Consulting, Product Development, Communications Strategy, Public Speaking, Risk Management, Applied Math, Health Economics, Data Analysis, Statistical Modeling, Human Capital, Productivity, Team Building, Leadership, ERISA, Process Improvement, Executive Compensation..., Compensation & Benefits..., Global Compensation, Compensation Strategies, Employee Relations, Deferred Compensation, Program Management, Incentive Programs, Compensation & Benefit, Executive Pay, Benefits Design, Management, Workforce Planning, Employee Wellness, Benchmarking, FMLA, Labor Relations, HRIS, Succession Planning, Strategic Communications, Strategy, Consulting, Human Resources
Education
The University of Chicago - Booth School of Business 1999 — 2002
MBA, Finance, Strategy
Northwestern University 1990 — 1991
MA, Economics
Northwestern University 1987 — 1991
BA, Applied Math, Economics
ADDUCCI FINANCIAL LLC February 1998 - Present
Vision Rehab, Inc January 1997 - December 1997
First Health January 1996 - December 1996
Bausch + Lomb December 1977 - December 1995
Johnson & Johnson August 1976 - December 1977
Unisys August 1975 - August 1976
Education
Northern Illinois University - College of Business 1971 — 1975
Bachelor Of Science, Marketing
Fenger High School, Chicago, IL 1967 — 1971
Saint Nicholas, Roseland, Chicago, IL 1960 — 1967
Accenture May 2001 - Present
Montgomery Ward, LLC February 2000 - February 2001
First Health July 1996 - February 2000
Malloy & Kleinman PC November 1994 - May 1996
Skills
Contract Negotiation, Software Licensing, Licensing, IT law, Business Alliances, Intellectual Property, Strategy, Legal Advice, Corporate Law, Privacy Law, Corporate Governance, Outsourcing, Joint Ventures, Management Consulting, Legal Writing
Education
Northwestern University School of Law 1992 — 1995
JD, Business and Corporate Law Concentration
University of Illinois at Chicago
BSW and MSW, Administration, Policy, and Organization
Aetna April 2014 - Present
First Health 2003 - Present
WinterBrook HealthCare Management, LLC October 1996 - November 2003
UICI March 1993 - October 1996
Skills
Process Improvement, Software Documentation, Managed Care, Business Analysis, Business Process..., Cross-functional Team..., Change Management, Operations Management, Healthcare Industry, SDLC, Leadership, Healthcare, Medicare, Health Insurance, Insurance, Call Centers, Data Analysis, Team Building, Network Development, Project Management, Management, Integration, IT Management, Business Process, Access, Troubleshooting, Visio, IT Service Management, Requirements Gathering, Requirements Analysis, Healthcare Information..., Project Portfolio..., Analysis, PMO, Healthcare Management, COBOL, Oracle
Education
Academy for Healthcare Management 2012 — 2012
Designation of Professional, Academy for Healthcare Management (PAHM), Health/Health Care Administration/Management
The University of Texas at Arlington 1986 — 2006
Bachelor of Applied Science (BASc), Management Information Systems, General
Southern Methodist University 2002 — 2003
Certificate of Completion UNIX System and Oracle8i Database Administrator
Tarrant County College 1978 — 1989
Associate's degree, Computer Science
First Health July 2013 - Present
Skills
Healthcare, Microsoft Office, Hospitals, Research, Cpr Certified, Customer Service, Microsoft Word, PowerPoint, Public Speaking, Teaching, Outlook, Critical Thinking, Team Building, Strategic Planning, Data Entry, Leadership, Teamwork, Windows, Nursing, HIPAA, Time Management, ACLS, PALS
Education
The University of Texas Health Science Center at San Antonio 2010 — 2013
Bachelor of Science (BS), Nursing
Outer Baks Patient Advocates June 2011 - Present
Outer Banks Home Care November 2011 - June 2012
Salt Watcher March 2003 - June 2011
Michler Consulting November 2001 - February 2003
First Health May 1985 - November 2001
Skills
Healthcare Management, Medicare, Nursing, Hospitals, Healthcare Information..., Medicaid, Managed Care, EMR, Healthcare Consulting, Health Insurance, Case Managment
Education
Penn State University 1980 — 1986
Bachelor of Science, Nursing
WESCO Distribution February 2012 - August 2012
Marnell Companies June 2006 - March 2011
First Health May 2003 - January 2006
Skills
Software Documentation, Strategic Planning, Purchasing, PowerPoint, Social Media, Construction, Microsoft Office, Hospitality, Benefits Administration, System Administration, Change Management, Budgets, Microsoft Word, Project Management, Windows, Human Resources, Customer Service, Vendor Management, Management, Recruiting, Microsoft Excel, Contract Management, Project Planning, Contract Negotiation, Sales, Team Leadership, Event Planning, Process Scheduler, Employee Relations, Account Management, Negotiation, LEED, Risk Management, Program Management, Operations Management, Troubleshooting, Team Building, Training, Inventory Management, Logistics, Procurement, Leadership, Supervisory Skills, Business Planning, Customer Satisfaction, Process Improvement, Business Development
Education
University of Advancing Technology
BELIEVE International 2008 - Present
BELIEVE Foundation Inc June 2006 - Present
Church Service Missionary August 2004 - July 2006
Intermountain Healthcare July 1994 - June 2004
First Health May 1980 - June 1994
University of Utah 1972 - 1980
Skills
Healthcare Information..., Hospitals, EHR, Leadership, Training, Healthcare Management, Process Improvement, Data Analysis, Non-profits, Nonprofits, Project Management, Coaching, Microsoft Excel, Strategic Planning, Microsoft Office, Strategy, Team Building, Public Speaking, PowerPoint, Teaching, Management, Change Management, Program Management, Policy, Leadership Development, Budgets, Start-ups, Entrepreneurship, Analysis, Organizational..., Fundraising, Healthcare, Executive Management, Business Strategy, Management Consulting, Business Development, Cross-functional Team..., Team Leadership, Public Relations, Marketing Strategy, Customer Service, Research, Business Planning
Education
University of Southern California 1964 — 1966
MS(EE), Electrical Engineering
University of Idaho 1957 — 1964
BS(EE), Electrical Engineering
Navitus Health Solutions March 2012 - Present
FPC Frick Pharmacy Consulting April 2010 - Present
BCBSA October 2008 - November 2009
Innoviant May 2005 - September 2008
Fiserv Health - Innoviant 2005 - 2008
First Health May 1999 - May 2005
Rush Prudential Health Plans 1997 - 1999
Skills
Managed Care, Healthcare, Health Economics, PBM, Employee Benefits, Clinical, Pharmacy Operations, Medication Therapy..., Healthcare Management, Pharmacists, Pharmacoeconomics, Health Policy, Pharmaceutical Industry, Healthcare Consulting, Pharmacy, Clinical Research, Pharmacy Benefit..., Medicare Part D
Education
Rush University 1994 — 1998
MS, Health Systems Management
University of Illinois at Chicago 1982 — 1985
BS Pharm, Pharmacy
UNiversity of Illinois Medical Center College of Pharmacy
Exchange EDI, LLC July 2009 - Present
Thelma-US, Inc. February 2008 - July 2009
ACS 2002 - 2008
MRx Online 1994 - 2002
First Health 1985 - 1994
Skills
Healthcare Information..., Revenue Cycle, Healthcare, HIPAA, Process Improvement, Strategic Planning, EHR, Executive Management, EMR, Medicaid, Practice Management, Business Strategy, Team Building, Business Analysis, Business Development, Strategic Partnerships, Management Consulting, Change Management, Program Management, New Business Development, Insurance, Management, Health Information..., Banking, Revenue Cycle Management, Healthcare Industry, Financial Services, Medical Billing, EDI, Physicians, Healthcare Consulting, Physician Relations, Medicare, Managed Care, Start-ups, Payments, Informatics, Healthcare Management, Performance Improvement, Health Policy
Education
Federal Aviation Administration
Commercial Pilot, Multi-engine, Instruments, Part 135 Air Charter Certifications
Southern Adventist University
Bachelor's Degree, Business Administration and Management
Zenith Insurance Company (United States) November 2009 - Present
Anthem Blue Cross 2006 - December 2009
Landmark Healthcare, Inc. February 2005 - May 2006
First Health June 2003 - February 2005
First Health 1999 - May 2003
Skills
Negotiation, Coaching, Training, Managed Care, Hospitals, Leadership, Management, Credentialing, Claim, Provider Relations, Health Insurance, Healthcare, Insurance, Workers Compensation, Network Development, Analysis, Process Improvement, Strategy, Contract Negotiation, PPO, Physicians, HIPAA, Recruiting, Utilization Management
Education
University of San Francisco 1991 — 1993
MPA, Public Admin, Health Services
University of California, Los Angeles 1976 — 1980
BA, Political Science
Other
HCA February 2001 - Present
Consultant 1989 - 2001
E R Fishcer 1995 - 2000
Unisys 1995 - 1997
First Health 1993 - 1995
Skills
HIPAA, COBOL, .NET, Consulting, Microsoft Office, Insurance, Team Building
Education
Tennessee State University 1992 — 1995
M.S., Math
University of Tennessee at Martin 1974 — 1978
B.S., HISTORY
Blue Shield of California April 2014 - Present
Blue Shield of California November 2011 - Present
Blue Shield of California November 2010 - November 2011
Blue Shield of California April 2008 - November 2010
Sutter Health January 2007 - April 2008
Sutter Roseville Medical Center 2003 - 2006
Vision Service Plan 1998 - 2003
First Health 1997 - 1998
Skills
Program Implementation, Project Execution, Healthcare, Strategic Planning, Managed Care, Contract Negotiation, Cross-functional Team..., Leadership, Process Improvement, Program Management, HIPAA, Health Insurance, Management, Medicare, Team Building, Insurance, Healthcare Information...
Education
University of Southern California 1998 — 2000
Masters
Smith College 1992 — 1997
BA
Los Alamos National Laboratory December 2013 - Present
Los Alamos National Laboratory May 2012 - December 2013
Los Alamos National Lab May 2012 - December 2013
Los Alamos National Laboratory 2012 - 2012
First Health December 2005 - May 2006
Pima Community College February 2005 - July 2005
Super K-Mart May 2004 - July 2004
Skills
Office Administration, Microsoft Office, Data Entry, QuickBooks, Customer Service, Records Management, Clerical Skills, Accounting Applications, Project Management..., Timekeeping, Travel Systems, Concur, Microsoft Applications, Office Management, Oracle Applications, Problem Solving, Research
Education
UNM-Los Alamos 2013 — 2015
Bachelor of Business Administration (BBA), Sophomore
Northern New Mexico College 2011 — 2013
AAS, Office Administration, 3.4
Northern New Mexico College 2011 — 2012
working on degree, Office Administration
Pima Community College 2003 — 2005
AAS, Pharmacy Technology Program
Santa Fe Indian School 1987 — 1991
High School Diploma
Xerox January 2014 - Present
Anthem May 2013 - January 2014
Ancillary Care Services June 2012 - February 2013
Impairment Resources LLC. 2011 - 2012
Fiserv Insurance - P2P Link August 2008 - January 2009
Fiserv Insurance - P2P Link February 2008 - August 2008
First Health June 2003 - April 2005
First Health May 2001 - June 2003
CCN December 2000 - May 2001
CCN June 1998 - December 2000
Skills
Account Management, Business Process..., Workers Compensation, CRM, Management, Strategy, Training, Recruiting, New Business Development, Project Management, Sales, Sales Management, Negotiation, Insurance, Forecasting, Health Insurance, Contract Management, Product Marketing, Product Development, Claim, Risk Management, Employee Benefits, Managed Care, Claims Management, Process Improvement
Education
San Diego State University-California State University 1992 — 1997
BS, Finance
Haztec of America, Incorporated February 1997 - Present
ARUP Laboratories April 2010 - May 2011
Wood Design Studio, L.L.C. September 2001 - August 2006
First Health January 1997 - February 1998
Wooded Creek Design 1996 - 1997
UPS 1994 - 1996
O.C. Tanner 1989 - 1993
Skills
Utah Certification: CP..., Utah Certification: UST..., Utah Certification: UST..., Wyoming Certification:..., Franklin Fueling..., NACE Certified..., Utah Class B UST System..., Corrosion, Technical Writing, Copywriting, Graphic Design, Corporate Communications, OS X, Layout, Editing, UST Testing, Vapor Recovery Testing, UST Maintenance, Contract Negotiation, UST Removal, Adobe Creative Suite, Web Content, Corporate Branding, Mac, Marketing, Training, Project Management, Creative Writing, Web Design, Customer Service, Leadership, Management, Public Speaking, Sales, Team Building, Microsoft Office, Strategic Planning
Education
Westminster College 2006 — 2008
BA, Philosophy, English
University of Utah 1996 — 1996
English, Philosophy
Salt Lake Community College 1994 — 1996
AS, General Studies
Taylorsville High School 1985 — 1988
High School Diploma, Graphic Design, English
WJ Alexander & Associates, P.C. June 2005 - Present
Congregation Beth Yeshurun 1974 - 2011
Prudential Financial 1999 - 2004
ASO North America 1997 - 1999
First Health 1996 - 1997
Mutual of Omaha 1992 - 1996
Skills
Excel, PowerPoint
Education
Texas A&M University 1986 — 1990
BBA, Management
Wharton School, University of Pennsylvania
CEBS, Insurance
EBIX HEALTH March 2010 - Present
EBIX HEALTH September 1996 - April 2010
First Health April 1996 - August 1996
Benefit Coordinators Corportation January 1988 - April 1996
U. S. Administrators, Inc. March 1984 - January 1988
CIGNA December 1982 - March 1984
The Equitable Life Assurance Society of America September 1977 - March 1982
Education
Robert Morris University 1973 — 1997
Bachelor of Science in Business Administration, Economics
Global AlertLink June 2008 - Present
Advanced Technical Solutions, LLC January 2005 - March 2008
West Virginia Medical Institute July 1995 - January 2005
State of West Virginia Health Care Cost Review Authority January 1994 - June 1995
First Health May 1984 - June 1993
Skills
Project Management, Process Improvement, VoIP, Troubleshooting, Security, Vendor Management, Integration, Telecommunications, Management, Strategic Planning, Business Analysis, Program Management, Project Planning, Team Building, Leadership, Microsoft Office, Windows, Microsoft Excel, New Business Development
Education
University of Charleston 1987 — 1994
AA, Military Management
National Institute of Technology 1982 — 1984
Business Computer Programming
OpenEdge August 2015 - Present
TestOut August 2000 - August 2015
Alorica January 1999 - August 2000
First Health December 1995 - January 1999
United States Army Reserve November 1992 - November 1998
Dollar Rent A Car November 1993 - December 1995
Education
Western Governors University 2012 — 2013
M.S., Information Security and Assurance
Western Governors University 2007 — 2008
B.S., Information Technology - Networks Design and Management
Certified Careers Institute 1998 — 1998
Computer Network Service Engineer
Salt Lake Community College 1994 — 1998
General Education / Computer Science
Kearns High School
Nashville Care Managers July 2014 - Present
Beverly Headley, RN, CCM June 2011 - Present
Elder Options Care Consultants, LLC June 2011 - July 2014
Life-Links January 2002 - June 2010
First Health April 1999 - July 2003
Skills
Healthcare, Healthcare Management, Mental Health, Home Care, Medicaid, Hospitals, Disease Management, Management, Microsoft Office, Medicine, Team Building, Leadership, Managed Care, Medicare, Elder Care, Nursing, Healthcare Consulting, Public Speaking, Case Management, Long-term Care, HIPAA, Strategic Planning
Education
Trevecca Nazarene University 1980 — 1997
ADN, BA, Nursing, Human Relations, Care Management
First Health May 2009 - July 2012
Skills
Healthcare, Pediatrics, Patient Education, Cpr Certified
Education
University of Tennessee, Health Science Center 2001 — 2005
DDS, Dentistry
Palm Beach Community College 1998 — 2000
AS, Radiography
University of Tennessee, Knoxville 1991 — 1995
BS, Business Administration, Marketing
Hospice of the Valley June 2011 - Present
Hospice of the Valley September 2005 - Present
R&G Medical Legal Solutions, LLP April 2007 - December 2009
R&G Medical Consultants August 2005 - November 2006
Inpatient Physician's Network of Arizona March 2004 - September 2005
First Health August 2001 - March 2004
Hospice of the Valley January 2001 - August 2001
Access Health 1998 - 2001
Skills
Case Management, Case Managment, Healthcare Management, Home Care, Hospitals, Non-profits, Telephone Triage, Utilization Management, Utilization Review, Inpatient, Clinical Research, Critical Care, HIPAA, Healthcare Information..., Informatics, Medicare, Nonprofits, Nursing
Education
University of Evansville 1986 — 1994
BSN and MSN, Nursing
Crown Point High School 1984 — 1986
Moon Valley High School
Creating Agents 2010 - Present
Exit IH 10 Realty August 2009 - Present
Exit IH 10 Realty August 2009 - Present
exit realty 2004 - 2009
1% United Realty October 2004 - May 2006
First Health 1998 - 2004
coventry 1998 - 2004
first health 2000 - 2003
caremark 1994 - 2000
Caremark 1994 - 1998
Skills
Sellers, First Time Home Buyers, Real Estate, Investors, Investment Properties, Selling, Buyers, Marketing, Training, Short Sales, Relocation, Foreclosures, REO, Single Family Homes, Home, Real Estate Transactions, Residential Homes, Buyer Representation, Listings, New Home Sales
Education
San Antonio College 1991 — 1995
Associates, Business Management
Duval County Public Schools July 2013 - Present
Duval County Public Schools September 2006 - Present
First Health June 1995 - July 2005
Skills
Differentiated..., ESL, Educational Leadership, Literacy, ESOL Endorsement, Gifted Endorsement, Gifted Endorsement..., Student Driven Learning..., Certified K-6 Education, Curriculum Writing and..., ESOL Endorsement..., K-12, Curriculum Design
Education
Nova Southeastern University 2010 — 2012
Master of Education (MEd), Educational Administration and Management
Nova Southeastern University 2010 — 2012
Master’s Degree, Masters of Education, Specializing in Management and Administration
Vantage Oncology February 2014 - Present
Lovelace Health Plan December 2010 - August 2013
UnitedHealthcare March 2007 - April 2010
Concentra September 2001 - March 2007
Bell Canada Enterprises (United Payors & United Providers) August 1998 - September 2001
Independant Consultant October 1997 - December 1998
First Health September 1993 - October 1997
Skills
Executive Management, Business Strategy, Turnaround Experience, Growth Strategies, Culture Change, Organizational Culture, Microsoft Office, Insurance, Strategic Partnerships, Leadership, Medicare, PowerPoint, Strategy, Mergers & Acquisitions, Business Development, Outsourcing, Marketing, Budgets, Healthcare, Microsoft Excel, Management, Employee Benefits, Strategic Planning, Sales, Analysis, Health Policy, Physicians, Marketing Strategy, Microsoft Word, Managed Care, Medicaid, Customer Service
Education
University of Pennsylvania 1989 — 1993
Business, Management, Marketing, and Related Support Services
Purdue University 1985 — 1986
Certified Health Consultant, Health Care Finance and Management
Adler University October 2014 - Present
Heartland Alliance for Human Needs and Human Rights August 2012 - October 2014
Northern Illinois University November 2010 - July 2012
Aurora University October 2009 - November 2010
The Oprah Winfrey Foundations April 2002 - October 2009
RS Medical 1999 - 2001
First Health 1998 - 1999
Education
University of Illinois at Chicago 2004 — 2006
Master's Degree, Public Administration specializing in Public Finance
University of Illinois at Chicago 2005 — 2005
Study Abroad Summer in London through UIC's Great Cities Institute and IES Abroad, studying Comparative Government
University of Illinois at Chicago 1993 — 1997
Bachelor's Degree, Exercise Physiology
Dignity Health, formerly Catholic Healthcare West November 2011 - Present
SARTA October 2013 - Present
Sutter Neuroscience Institute January 2005 - November 2011
Sutter Neuroscience Institute February 2002 - January 2005
Sutter Health January 2001 - January 2002
First Health January 2000 - January 2001
Skills
Operations Management, Hospitals, Healthcare Management, Strategic Planning, Healthcare, Process Improvement, Budgeting, Leadership Development, Administration, Coaching, Team Building, Change Management, New Business Development, Budgets, Clinical Research, Physician Relations, Physicians, Revenue Cycle, EMR, Healthcare Consulting, System Administration, Managed Care, Leadership, Patient Safety, HIPAA, Medicine, Data Analysis, Strategy, Program Management, Healthcare Information..., Oncology, Management, Pediatrics, Surgery, Radiology, Orthopedic
Education
University of Southern California 1999 — 2002
Master, Health Administration
University of California, Davis 1995 — 1999
Bachelor of Science, Managerial Economics
Misfit Cyclops Films May 2014 - Present
Universal Life Church November 2012 - Present
Aristotle Inc. October 2003 - Present
Damgoode Pies December 2013 - March 2015
Market Street Cinema January 2007 - June 2007
First Health June 2002 - April 2003
Aon Risk Solutions March 2001 - March 2002
Skills
Social Networking, Creative Writing, Technical Writing, Proofreading, Written Communication, Customer Service, Blogging, Management, Facebook, Operations Management, Domain Names, Domain Management, DNS management, Microsoft Excel, Microsoft Word, Employee Relations, Domain Registration, Weddings, Google Docs, Printers, Communication Skills, Problem Solving, Humor, Sketch Comedy, Communication, Editing, Microsoft Office, Public Speaking, Social Media, Social Media Marketing, Writing
Education
University of Arkansas at Little Rock 2007 — 2014
Rhetoric and Composition/Writing Studies
Pulaski Technical College 2000 — 2003
Magellan Health May 2015 - Present
Magellan Health Services July 2011 - Present
Magellan Health Services May 2005 - July 2011
First Health October 2000 - May 2005
Ernst & Young July 1986 - February 1989
Skills
Mental Health Counseling, Healthcare, Program Development, Nonprofits, Behavioral Health, Mental Health, Account Management, Financial Analysis, Financial Accounting, Project Management, Proposal Writing, Finance, Training, Software Documentation, Process Improvement, HIPAA, Business Analysis, Team Building, Management, Case Managment, Analysis, Leadership, Case Management
Education
The Sage Colleges - Russell Sage College 1982 — 1986
Bachelor of Applied Science (B.A.Sc.), Accounting/Economics
Washington Suburban Sanitary Commission November 2013 - Present
Kaiser Permanente Mid- Atlantic May 2010 - November 2013
Self Employed March 2009 - May 2010
Sales- Principal Wellness Company December 2007 - March 2009
American Specialty Health, Inc October 2005 - December 2007
First Health September 1999 - October 2005
SPI Distribution, Inc. September 1997 - August 1999
First Health January 1997 - November 1997
First Health April 1996 - January 1997
General Systems Solutions November 1993 - April 1996
Skills
Account Management, Coaching, Sales, New Business Development, Marketing, Sales Management, Consulting, Proposal Writing, Networking, Market Planning, Benefits Administration, Leadership, Healthcare, Management, Business Development, Strategy, Program Management
Education
Plymouth State University 1979 — 1982
BS Business Administration, Marketing Concentration, Minor in Political Science
Avon Old Farms School 1975 — 1977
Aetna September 2013 - Present
Aetna April 2012 - Present
Aetna Medicaid March 2009 - March 2012
Schaller Anderson Healthcare/Aetna Behavioral Health December 2006 - March 2009
Schaller Anderson Behavioral Health March 2005 - December 2006
Washington Elementary School District May 2004 - March 2005
First Health June 2002 - May 2004
Skills
Healthcare, Utilization Management, Case Managment, Medicare, Managed Care, Medicaid, Program Management, Health Insurance, HIPAA, Process Improvement, Insurance, Health Policy, Healthcare Management, SDLC, Healthcare Information..., Behavioral Health, Social Services, Program Development, Mental Health, Project Management
Education
Arizona State University 1989 — 1991
Master's degree, Social Work
State University of New York College at Oswego 1984 — 1988
Bachelor of Arts (B.A.), Psychology
Holley High School
Aetna May 2013 - Present
First Health January 2005 - May 2013
CCN Managed Care June 1993 - January 2005
Ernst & Young 1986 - 1993
Pacific Southwest Airlines 1984 - 1986
Skills
Managed Care, Healthcare, Hospitals, Compliance, Insurance
Education
University of San Diego 1993 — 1996
MBA, Project Management
San Diego State University-California State University 1981 — 1986
Bachelor of Science (BS), Accounting
TBWA\Media Arts Lab September 2010 - June 2013
Own November 2009 - September 2010
Team One April 2006 - October 2009
Square Enix 2005 - 2006
First Health February 2004 - March 2005
Education
University of California, Irvine 1994 — 1998
Kidney International at Washington University St. Louis September 2009 - Present
KDHX Community Broadcast Media January 2009 - May 2009
Southern Living at HOME January 2001 - January 2006
First Health February 1997 - April 1998
R.R. Donnelley 1995 - 1997
American Red Cross 1993 - 1995
Education
Washington University in St. Louis 2011 — 2015
French Studies
Loyola University of Chicago - Graduate School of Business
MBA, Business Administration and Management, General
University of Illinois at Urbana-Champaign
B.S., Business Administration
Washington University in St. Louis
French Language and Literature
United Sates Postal Service March 2002 - Present
Mountain States Administration 1998 - 2002
First Health 1992 - 1998
Skills
Word, Excel, Supervisory Skills, ICD-9, HCPCS, Fax, Phones, Customer Service, Training & Development, Hiring/firing, PowerPoint, Outlook, time and attendance, cpt codes, FMLA, Union Contracts, Hiring, Data Entry, Administration, Access, Microsoft Office, Insurance
Education
Salt Lake Community College 2010 — 2012
currently attending, Business
Snow College 1990 — 1991
Business
Kroger June 2005 - Present
Belmont University - Gordon E. Inman College of Health Sciences & Nursing July 2012 - August 2015
First Health April 2005 - June 2007
First Health April 2005 - June 2007
Skills
APhA Immunization..., CPR Instructor, APhA Diabetes Educator, Immunization, Medicaid, Cpr Certified, Healthcare, Pharmacists, Medication Therapy..., Pharmacy, Managed Care, Healthcare Information..., HIPAA, Pharmacy Automation, Pharmaceutical Industry, Pharmacy Benefit..., Clinical Pharmacy, Ambulatory Care, Clinical Pharmacology, Clinical Research, Diabetes, Disease Management, Healthcare Management, Patient Education, Pharmacy Practice, Leadership, Utilization Management, Cross-functional Team...
Education
Shenandoah University 2001 — 2005
PharmD, MBA, Pharmacy, Business
Rockett Healthcare Strategies August 2014 - Present
Physicians Endoscopy August 2012 - August 2014
Validare October 2005 - August 2012
ComPsych Corporation 2004 - 2005
First Health November 1994 - April 2004
RIMS 1988 - 1994
Skills
Business Development, Healthcare, Healthcare Management, Strategic Planning, Health Policy, Managed Care, Healthcare Industry, Medicare, Account Management, Leadership, New Business Development, Healthcare Consulting, PPO, Healthcare Information..., Sales Management, Physician Relations, Medical Billing, Contract Negotiation, Insurance, Budgets, Health Insurance, Health Plans, Budgeting, Sales Operations, Accreditation, Management, Hospitals, Strategy, Physicians
Education
The University of Texas at Austin 1973 — 1979
PhD, Sociology
University of Oklahoma 1969 — 1973
Bachelor of Arts (BA), Sociology
Naulty, Scaricamazza & McDevitt, LLC July 2014 - Present
Solomon Associates March 2010 - July 2012
Sentinel Bill Negotiation Services January 2008 - March 2010
MedRisk 2009 - 2009
CSG 2007 - 2009
First Health 2004 - 2007
Seltzer & Associates 2002 - 2004
Intracorp 2000 - 2002
Crawford & Company 1982 - 2000
Intracorp 1978 - 1982
Skills
CRM, Insurance, Managed Care, Budgets, Workers Compensation, Claims Management, Property & Casualty..., Program Management, Claim, Leadership, Research, HTML, Account Management, Employee Benefits, Sales Operations, Sales, Health Insurance, Liability, Photoshop, Risk Management, Teaching, Proposal Writing, Sales Management, Legal Liability, Workers' Compensation..., Executive Management, Team Building, Medicare, Provider Relations, C++, Casualty, Healthcare, Commercial Insurance, PPO, Network Development, Professional Liability, Claim Investigation, Direct Sales, Salesforce.com, Customer Retention, Selling Skills, Sales Training, Customer Service, Customer Acquisition, Customer Satisfaction, Key Account Management, Customer Insight, Customer Experience, Customer Oriented, Casualty Insurance
Education
Temple University
MEd & BA
Cornell University August 2005 - Present
Eiden Systems September 2004 - September 2005
First Health September 2003 - September 2004
Industri-Matematik August 1997 - August 2003
Computer Sciences Corporation August 1991 - August 1997
Software ETC August 1989 - August 1991
Joyce Masonary June 1984 - June 1990
AMC Theatres August 1985 - August 1989
My Parents May 1978 - August 1985
Philadelphia Inquirer August 1982 - August 1984
Skills
Unix, Unix Shell Scripting, Databases, Oracle, SQL, Linux, Database Design, Shell Scripting, Software Development, Java, Microsoft SQL Server, XML, Database Administration, Apache, Requirements Analysis, Web Services, Integration, jQuery
Education
Rutgers University 1986 — 1990
BS, Computer Science
Coventry Health Care November 1988 - June 2008
First Health November 1988 - June 2008
First Health Group / Coventry 1989 - 2008
Skills
Strategic Planning, Managed Care, Workers Compensation, Medicare, Healthcare, Health Insurance, Insurance, Medicaid, Provider Relations, Process Improvement, Healthcare Consulting, Healthcare Information..., Team Building, Healthcare Management, Cross-functional Team..., Leadership, Vendor Management, Employee Benefits, Disability Insurance, Analysis
Education
University of Southern California 1989 — 1992
MHA, Health Administration
University of California, Davis 1984 — 1989
B.S., Management Economics
MDVIP July 2010 - Present
Cintrifuse October 2014 - March 2015
Prexus Health February 2010 - September 2010
Lindner Center of HOPE March 2009 - November 2009
National Speaking of Women's Health Foundation January 2001 - January 2008
First Health July 2000 - November 2001
Momentum Health Solutions - Medicare Managed Care Network dedicated to Long Term Care Communities January 1998 - December 1999
Episcopal Retirement Homes January 1997 - December 1997
Health Alliance of Greater Cincinnati, The Jewish Hospital October 1990 - December 1997
Skills
Primary Care Physicians, business development, Sales Management, Public Speaking, Project Management, Contract Negotiation, Cross-functional Team..., Marketing Communications, Web Development, Blogger, Web Editing, Healthcare, Strategic Planning, Marketing, Team Building, Business Development, Hospitals, Nonprofits, Medicare, Leadership, Marketing Strategy, Healthcare Management, Start-ups, Management, Program Management, Managed Care, Sales, New Business Development, Selling
Education
Xavier University 1988 — 1990
Master's degree, Master of Health Services Administration
The University of Akron 1980 — 1985
Bachelor of Art, Business and Organizational Communication
University Neuropsychiatric Institute August 2010 - Present
University Neuropsychiatric Institute April 2007 - August 2010
Educators Mutual Insurance March 2001 - April 2003
First Health January 1997 - May 1998
Education
University of Utah
Bachelor's degree, Psychology
Salt Lake Community College
Associate's degree, Registered Nursing/Registered Nurse
Experis, a ManpowerGroup Company September 2009 - June 2015
The Mergis Group, division of Randstat October 2003 - September 2009
First Health May 1998 - July 2003
PricewaterhouseCoopers 1985 - 1988
Skills
Recruiting, Auditing, Internal Controls, Temporary Placement, Business Development, Business Intelligence, Accounting, Internal Audit, CPA, Human Resources, Financial Reporting
Education
Certified Public Accountant
CPA
University of Delaware - Lerner College of Business and Economics
BS, Accounting, Cum Laude
Assurant Specialty Property February 2008 - Present
Star Trac May 2006 - January 2008
First Health 2000 - 2005
First Health 1999 - 2000
HealthCare COMPARE 1996 - 1998
HealthCare COMPARE 1992 - 1995
Affordable Health Care Concepts 1990 - 1992
DKD 1989 - 1990
TelWatch 1987 - 1988
Skills
Visio, SQL, Unix, SDLC, HTML, Microsoft SQL Server, Data Warehousing
Education
University of California, Davis
BS, Mathematics and Computer Science
Youth Organizations Umbrella, Inc. January 2012 - Present
The Hardball Times February 2005 - October 2014
First Health 1991 - 2005
Evangelical Health Services 1989 - 1991
Booz Allen Hamilton 1985 - 1989
Skills
Strategic Planning, Management, Budgets, Cross-functional Team..., Program Management, Insurance, Project Planning, Nonprofits, Process Improvement, Healthcare, Leadership, Team Building, Customer Service, Start-ups, Non-profits, Entrepreneurship
Education
Northwestern University - Kellogg School of Management 1983 — 1985
MM
Williams College 1973 — 1977
BA
Nature's Sunshine Products March 2013 - Present
Nature's Sunshine Products March 2012 - March 2013
Nature's Sunshine Products June 2001 - March 2012
DSI Technology May 1998 - June 2001
First Health May 1995 - April 1998
Cardinal Network May 1994 - March 1995
Silver State Disposal January 1984 - April 1994
Burroughs Corporation April 1979 - December 1983
Skills
Agile Methodologies, C#, Scrum, SQL, Visual Studio, LINC, COBOL, Microsoft SQL Server, Software Development, Databases, Networking, SharePoint, Requirements Analysis, Management, Operating Systems, XML, .NET, Visio, T-SQL, Web Services, Database Design, SDLC, Strategy
Education
University of Phoenix 1996 — 1998
MAOM, Mangement
Northern Arizona University-The W. A. Franke College of Business 1974 — 1979
BS in Accountancy, Business
Xerox State Healthcare, LLC March 2010 - Present
First Health 2003 - March 2010
First Health Services 2000 - 2009
First Health Services 2000 - 2009
Skills
PMP, Healthcare Information..., Project Management, PMO, Project Portfolio..., Business Analysis, Process Improvement, Integration, Visio, SDLC, Project Planning, Analysis, PMI, Program Management, Vendor Management, SharePoint, Training, Business Process, Leadership, Management, Budgets, Requirements Analysis, Software Project..., Change Management, Risk Management, Scrum, Requirements Gathering, Information Technology
Education
Old Dominion University 1978 — 1982
Bachelor of Science (BS), MIS
Floyd E. Kellam High School 1975 — 1978
Manufacturing Company in San Diego March 2011 - Present
Allergan September 2007 - May 2010
Fremont Investment & Loan 2005 - 2007
Washington Mutual 2003 - 2005
First Health 1996 - 2003
Petco 1994 - 1996
Skills
Access, Business Intelligence, Essbase, Financial Reporting, Forecasting, Hyperion Enterprise, Oracle Applications, SQL, SharePoint, Analysis, Budgets, Business Analysis, Databases, Financial Analysis, Hyperion, Management, Oracle, Process Improvement, Variance Analysis
Education
San Diego State University-California State University 2000 — 2001
Certificate, Client / Server Technology
San Diego State University-California State University 1991 — 1991
Bachelor of Science, Business Administration / Finance
University of Phoenix
Master, Information System, Graduated 2007
Coventry Health Care October 2012 - Present
Collabrus June 2011 - September 2011
Genex September 2008 - July 2009
CorVel Corporation 2006 - 2007
Pearsall & Associates 2004 - 2006
First Health November 2004 - June 2005
Intracorp 2001 - 2003
Skills
Healthcare, Nurses, Supervisory Skills, Medicare, Medical Records, Case Management, Nursing, ICD-9, Health Insurance, Healthcare Management, Care Management, Medicare Supplements, Discharge Planning, HIPAA, Health, Workers Compensation, Insurance, Hospitals
Education
Western Governors University 2009 — 2011
BSN, Nursing
Ohlone College
AS Nursing with Honors, Registered Nursing
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
First Health/Coventry Senior UNIX System AdminNavistar/International Truck & Engine Corp2008 - Present
First Health 1999 - Present
Coventry Health Care 1999 - Present
State of California, MRMIB 2010 - 2011
Skills
AIX, Unix, SAN, Operating Systems, Disaster Recovery, System Administration, Unix Shell Scripting, Troubleshooting, Data Center, High Availability, Shell Scripting
Education
Stanford University 1983 — 1986
Molina Healthcare December 2013 - Present
Coventry Health Care 2005 - 2013
First Health August 2001 - April 2005
CCN 1997 - 2001
HCA 1995 - 1997
Skills
Provider Relations, Managed Care, PPO, Medicaid, Healthcare, Hospitals, Medicare, Health Insurance, Healthcare Management, Physicians, Healthcare Industry, HMO, Account Management, Health Policy, Network Development, Contract Negotiation, Credentialing, Network Administration, HIPAA, Finance, Pay for Performance, Physician Relations
Education
Stanford University
Bachelor of arts, Psychology
Tulane University - A.B. Freeman School of Business
Master of Business Administration (MBA), Finance, Marketing
Superior Home Solutions KC, LLC January 2015 - Present
Horrocks Photography June 2007 - Present
Bound Tree medical 1998 - 2004
promedix 1998 - 2004
pmx medical 1998 - 2004
first health 1997 - 1998
crossland mortgage 1996 - 1997
Skills
Medical Devices, Strategic Planning, Customer Service, Microsoft Office, Microsoft Excel, Healthcare, Management, Microsoft Word, New Business Development, Sales, Sales Management, Sales Operations
Education
Salt Lake Community College 2005 — 2007
The Segal Company December 2006 - Present
First Health September 1999 - December 2005
Education
Roosevelt University 1984 — 1987
The Axis Partners, Inc September 2013 - Present
Atlantic Resource Group March 2013 - September 2013
Mid Atlantic Convenience Stores December 2011 - March 2013
SunTrust Mortgage May 2010 - December 2011
SunTrust Mortgage March 2007 - May 2010
SunTrust Mortgage October 2005 - March 2007
Office Depot May 2005 - October 2005
First Health April 2004 - May 2005
J. Sargeant Reynolds Community College August 2000 - May 2005
Circuit City April 2002 - April 2004
Skills
Credit Analysis, Credit Risk, Financial Analysis, Financial Risk, Risk Management, Mortgage Banking, Data Analysis, Analytics, Marketing Analytics, Business Analysis, Statistics, Mathematical Analysis, Statistical Data..., Project Management, Finance, Analysis, Management, Process Improvement, Strategic Planning, Strategy
Education
Virginia Commonwealth University 2006 — 2009
Master of Science (M.S.), Mathematics and Statistics
Virginia State University 1993 — 1996
Master of Education (M.Ed.), Educational Administration and Supervision
Old Dominion University 1989 — 1993
Bachelor of Science (B.S.), Business Administration and Management, General
Fair Isaac Vice PresidentFirst Health1993 - 2000
First Health 1993 - 2000
First Health group corp 1993 - 2000
Education
University of California, Santa Barbara 1984 — 1987
Sears Holdings Corporation 2000 - Present
First Health September 1998 - November 2000
Segal McCambridge Singer & Mahoney May 1996 - September 1998
Edelman Combs & Latturner August 1995 - May 1996
Kenneth B. Moll & Associates, Inc. August 1994 - September 1994
Skills
Westlaw, Litigation, Class Actions, Torts, Wordperfect, Civil Litigation, Trials, Legal Writing, Corporate Law, Pleadings, Litigation Management
Education
American Institute for Paralegal Studies, Inc.
Certificate of Completion
Northern Illinois University 1984 — 1986
Bachelor of Science (B.S.), Marketing
Amgen December 2009 - Present
ICON Development Solutions August 2008 - December 2009
ICON Development Solutions May 2007 - July 2008
ICON Development Solutions November 2005 - May 2007
ICON Development Solutions February 2004 - January 2006
First Health November 2002 - February 2004
Insmed May 2001 - September 2002
PPD Development January 2000 - May 2001
PPD Development July 1997 - January 2000
Skills
Clinical Trials, SAS, Clinical Research, Statistical Programming, CDISC, CRO, Data Management, Oncology, Clinical Data Management, Biostatistics, Validation, Biotechnology, Pharmaceuticals, Oracle Clinical, Data Analysis, Pharmaceutical Industry, GCP, CTMS, Clinical Development, EDC, Regulatory Submissions, 21 CFR Part 11, Protocol, FDA, SAS programming
Education
Virginia Commonwealth University - School of Business 1993 — 1995
Post Bacheloriate, Business Information Systems
Radford University 1985 — 1990
Bachelor of Science, Fine Art and Graphic Design
Ironworks Consulting January 2010 - Present
BCG Companies September 2006 - June 2010
Earth Tech November 2005 - September 2006
First Health November 2000 - November 2005
Watkins-Johnson 1999 - 2000
Education
Pennsylvania State University - University Park 1994 — 1997
Valence Health April 2013 - Present
North American Medical Management January 2012 - April 2013
North American Medical Management July 2011 - January 2012
Coventry Health Care December 2008 - May 2011
AXA Assistance, USA April 2008 - December 2008
Viant, Inc December 2006 - April 2008
Coventry Health Care April 2004 - December 2006
First Health July 2002 - April 2004
Skills
Managed Care, Health Insurance, Management, Workers Compensation, Process Improvement, Contract Negotiation, Network Development, Account Management, Provider Relations, Insurance, CRM, Employee Benefits, Healthcare, Medicaid, PPO
Education
St. Joseph's College (IN) 1998 — 2002
Bachelor of Science, Marketing / Business Management
ExxonMobil 2000 - Present
First Health 1994 - 1999
Education
University of Houston-Downtown
PCH Consulting August 2014 - Present
Educators Credit Union February 2011 - August 2014
Educators Credit Union November 2005 - February 2011
AIG July 2004 - November 2005
The TriZetto Group July 2001 - May 2004
First Health March 1999 - December 2000
First Health February 1998 - 1999
First Health May 1995 - February 1998
Skills
Non-profits, Leadership Development, Organizational..., Budgets, Strategic Planning, Employee Relations, Customer Service, Credit, Training, Leadership, Talent Acquisition, Banking, Staff Development, Team Building, Coaching, Recruiting, Human Resources, Change Management, Process Improvement, Employee Engagement, Management, Team Leadership, Interviews, Organizational..., Project Planning, Performance Management, Employee Training, Outlook, Customer Satisfaction, Nonprofits
Education
Southern Illinois University, Edwardsville
MS, Mass Communications
University of Missouri-Saint Louis
BA, Communications
Catamaran (formerly SXC Health Solutions) March 2012 - Present
SXC Health Solutions April 2011 - March 2012
SXC Health Solutions April 2008 - March 2011
MetLife December 2001 - April 2008
First Health February 1999 - December 2001
Thomson Course Technology March 1998 - February 1999
SRA Technology Training 1997 - 1998
McGraw-Hill 1996 - 1998
Skills
Proposal Writing, Healthcare, Pharmacy Benefit..., RFP, Process Improvement, Cross-functional Team..., Technical Writing, Account Management, Strategic Planning, Vendor Management, Project Management, Outlook, Leadership, Employee Benefits, Health Insurance, Managed Care, Management
Education
Northern Illinois University
BA, English, Technical Writing, Journalism
Pfizer May 2011 - Present
Schering-Plough July 2009 - March 2011
Alpharma July 2008 - April 2009
Tibotec April 2007 - May 2008
Ortho Biotech 2006 - 2007
Johnson & Johnson - Centocor Ortho Biotech Services LLC 2006 - 2007
First Health 2000 - 2006
Skills
Clinical Research, Clinical Trials, FDA, Medical Writing, Oncology, Pharmaceutical Industry, Pharmacovigilance, Sop, Biotechnology
Education
Shenandoah University 2008 — 2010
PharmD, Pharmacy
Temple University 1994 — 1999
pharmacy, pharmacy
Magellan Health Services January 2014 - Present
Capital One March 2013 - December 2013
Knowledge Facilitation Group, LLC July 2012 - February 2013
Dynamics Research Corporation October 2011 - June 2012
Teradata May 2009 - October 2011
Health Management Corporation August 2008 - April 2009
Misys Healthcare Systems April 2004 - July 2008
First Health September 2002 - December 2003
Capital One July 2001 - July 2002
IXL, Inc March 2000 - May 2001
Skills
Quality Assurance, Data Warehousing, Data Analysis, Testing, Requirements Analysis, Documentation, SDLC, SQL, Visio, Databases, Unix, Business Analysis, Windows, Analysis, Requirements Gathering, Business Requirements, Technical Writing, SharePoint, User Acceptance Testing, Microsoft Office, Certified Scrum Master..., Software Documentation, Access, Microsoft SQL Server, Software Development, Process Improvement, Integration, Systems Analysis, Database Design, SSIS, Change Management, Cross-functional Team..., Business Intelligence, Software Project..., Agile Methodologies, MS Project, Vendor Management, Business Process, Agile Project Management, Management, Quality Center, PMP, Business Process..., Program Management
Education
Certified Scrum Product Owner 2015 — 2015
Certified ScrumMaster 2013 — 2013
Radford University 1976 — 1980
Bachelor of Science, Communication, Journalism, and Related Programs
Towers Watson July 2013 - Present
Aon Hewitt November 2011 - July 2013
Cheryl Burke Dance July 2010 - August 2011
Jenny McCarthy Productions March 2010 - August 2011
Teach2Talk Academy September 2009 - February 2010
Certification Commission for Healthcare Information Technology February 2009 - August 2009
Nalco April 2007 - September 2008
Barrister Mortgage April 2006 - February 2007
Nalco April 2005 - April 2006
First Health September 2004 - April 2005
Skills
Administration, Outlook, Problem Solving, Customer Relations, Microsoft Office, System Administration, Customer Service, Event Planning, PowerPoint, Office Management, Microsoft Excel, Event Management, Administrative..., Microsoft Word, Social Networking, Data Entry, Administrative..., Sales, Management, Social Media
Education
Northern Illinois University 1992 — 1997
B.S., Communications
Marnell Corrao Associates Personnel AdministratorMarnell Companies2006 - 2010
Marnell Corrao Associates 2006 - 2009
First Health September 2003 - February 2006
ValueOptions 2001 - 2003
Education
University of Advancing Technology
Technology Commerce
None May 2012 - Present
Verizon Business January 2000 - July 2008
Logicon September 1998 - January 2000
International Billing Services May 1996 - October 1998
First Health September 1989 - April 1996
Unisys August 1985 - September 1990
Skills
SDLC, PMP, Visio, Requirements Analysis, Managed Services, Integration, Business Process, Business Analysis, Oracle, Telecommunications, Program Management, Analysis, Unix, Process Improvement, Troubleshooting, Teradata, SharePoint, Enterprise Architecture, ITIL, Project Management, Requirements Gathering, Vendor Management, Data Center, Solution Architecture, IT Service Management, Software Project..., IT Management, Data Warehousing, Security, Data Modeling, Business Intelligence, Databases, Business Process..., Professional Services, Disaster Recovery
Education
University of Denver 1983 — 1985
Post Graduate, Computer Science
Northwestern University 1971 — 1972
B. Sc, Medical Technology
Mt. Washington Preschool and Child Care Centers, Inc 2002 - Present
Medical Informatics at Molina Healthcare, Inc January 2007 - January 2015
LA Care 2015 - 2015
MEDecision/Protocare Sciences/Value Health Sciences January 1995 - May 2007
Montague & Associates January 1984 - January 1995
First Health 1993 - 1995
Skills
health care data..., including QNXT,..., SAS and SQL..., Healthcare IT, Team Leadership, Customer Relations, Requirements Analysis, Business Analysis, Healthcare, Healthcare Information..., Program Management, Strategy, Nonprofits, Leadership, Software Documentation, Data Analysis, Customer Service, Medical Coding, Entrepreneurship, Training, Change Management, Strategic Planning, Microsoft Excel, PowerPoint, QNXT, Team Building, Coaching, Public Speaking, SQL
Education
M.Phil. Textile Physics, Univ. of Leeds
B.A, Mathematics
The University of Göttingen
Math
University of California, Irvine
BA, Mathematics
Aviva USA 2009 - September 2012
JPMorgan Chase 2004 - 2007
First Health 1999 - 2003
Education
Nova Southeastern University
BS, Business
Hillsborough Community College
Associates, Liberal Arts
UnitedHealthcare May 2007 - Present
First Health October 2004 - May 2007
Albany Medical College November 2003 - October 2004
JLT Services Corporation November 2001 - November 2003
Skills
Customer Service, Outlook, PowerPoint, Microsoft Word, Project Planning, Call Centers, Microsoft Excel, Performance Management, Microsoft Office, Operations Management, Training, Insurance, Account Management, Project Management, Team Building, Access, Quality Assurance, Budgets, Business Analysis, Change Management, Cross-functional Team..., Health Insurance, Data Analysis, Leadership, Management, Process Improvement, Program Management, Strategic Planning, Healthcare
Education
Union Graduate College 2014 — 2017
Master of Science (M.S.), Healthcare Data Analytics
Union Graduate College 2014 — 2017
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
The Sage Colleges-Sage College of Albany 2006 — 2009
BS, Business Management
AMITA Health - Adventist Bolingbrook June 2015 - Present
Adventist Bolingbrook Hospital June 2014 - Present
Adventist Bolingbrook Hospital February 2012 - Present
Adventist Bolingbrook Hospital September 2008 - February 2012
Adventist LaGrange Memorial Hospital 2006 - 2008
Adventist Health System September 2005 - January 2006
First Health October 2000 - January 2005
Skills
Event Planning, Hospitals, Microsoft Office, Healthcare, Public Speaking, Clinical Research, Community Outreach, Healthcare Management, Nonprofits, Healthcare Information..., Informatics, HIPAA, EHR, Physician Relations, Strategic Planning, Medicine
Education
San Diego State University-California State University
University of Missouri-Columbia
BS, Education
Moore County Schools July 2010 - Present
First Health August 2008 - Present
Episcopal Day School August 2009 - June 2010
Trumbull Public Schools September 1998 - June 2007
Skills
Teaching, Public Speaking, Non-profits, E-Learning, Data Analysis
Education
Sacred Heart University
MA, teaching
University of Missouri-Saint Louis
BS, early childhood ed
Cigna October 2014 - Present
CIGNA Healthcare June 2005 - Present
First Health May 2004 - January 2005
Pilot Travel Centers August 2003 - May 2004
Educational and Institutional Insurance Administrators Inc. November 2001 - March 2003
Humana October 1999 - November 2001
Florsheim Group Inc. August 1997 - October 1999
Skills
Project Management, MS Office Suite, HIPAA, Six Sigma, Microsoft Office, Insurance, Health Insurance, Program Management, Account Management, Healthcare, Employee Benefits, Strategic Planning, Team Building, Process Improvement, Managed Care, Training
Education
Purdue University 1992 — 1996
BA, Military History
Purdue University 1992 — 1996
Bachelor of Arts (B.A.), Military History
John L. Wortham & Son Insurance Agency May 2012 - Present
Prime Source Business Service January 2011 - May 2012
SWBC July 2007 - August 2010
First Health 2005 - 2007
CAC 2000 - 2005
LifeRe Insurance Company 1996 - 2000
Skills
Employee Benefits, Claims Administration, Health Insurance, Insurance, Healthcare, Benefits Administration, Account Management, Health Savings Accounts, Call Center, Claim, Strategic Planning, Process Improvement, Disability Insurance, New Business Development, Key Account Development, Subrogation, Problem Solving, Leadership, Client Development, Risk Management, Claim Investigation, Key Account Management, Customer Service, Legal Liability, Managed Care, Team Building, Commercial Lines, Life Insurance, Self-funded, Term Life Insurance, HIPAA, Vendor Management, Call Centers, Commercial Insurance, Claims Management, Medicare, Brokers, Casualty, Health Care Reform, General Insurance, Long-term Care, COBRA, Professional Liability, Critical Illness, Flexible Spending..., Group Insurance, Group Medical, HMO
Education
San Antonio College 1987 — 1989
East Central High School 1982 — 1986
Infor October 2010 - Present
Ceridian August 2006 - September 2010
RxAmerica June 2003 - August 2006
CompHealth October 2001 - June 2003
Kforce Inc. March 1999 - October 2001
First Health August 1996 - March 1999
GE Capital March 1993 - August 1996
Skills
Account Management, Customer Service, Salesforce.com, Project Management, Employee Benefits, Business Development, Management, Sales Process, Cold Calling, Process Improvement, CRM, Sales, Human Resources, Solution Selling, Enterprise Software, Professional Services, SaaS, Lead Generation, Cloud Computing, Vendor Management, Selling, Sales Management, Direct Sales, Leadership, New Business Development, Sales Operations, Channel Partners, B2B
Education
Rowan University 1985 — 1990
Bachelor's Degree, Business Administration, Finance
Allison-Stubee Associates February 2007 - Present
HCA June 2005 - January 2007
Physician Hospital Organization, North Florida and Ocala Regional Medical Centers November 1999 - December 2005
First Health January 1998 - November 1999
Employee Benefits Plan and First Health January 1995 - December 1997
Physicians Healthcare Plan June 1994 - December 1994
AvMed Health Plans January 1990 - June 1994
Skills
Healthcare Management, Managed Care, Hospitals, Physician Relations, Healthcare, Provider Relations, Non-profits, Fundraising, Revenue Cycle, Healthcare Consulting, Medicare, Healthcare Information...
Education
University of Florida 2000 — 2002
MHA, Health Administration
University of Florida 1985 — 1987
Specialist of Education (Ed.S), Counselor Education
University of Florida 1985 — 1987
Master of Education (M.Ed.), Counselor Education
University of Florida 1983 — 1985
Bachelor of Science (B.S.), Psychology
Benefit Partners LLC, a member company of The Partners Group February 2013 - Present
Outsourcing Services, Inc. July 1996 - Present
First Health November 1991 - July 1996
Aetna September 1979 - October 1991
Skills
Underwriting, Customer Service, Strategic Planning, Risk Management, Claim, Team Building, Insurance, Negotiation, Process Improvement, New Business Development
Education
University of Pennsylvania - The Wharton School
CEBS, Employee Benefits
Portland State University 1976 — 1979
BA, English
First Health November 2007 - Present
First Health 2007 - Present
Daniel And Henry 2006 - 2007
Progressive Benefits Services 2004 - 2006
Benefit Administrative Systems, LLC February 2002 - April 2003
Spectrum Benefits March 2001 - March 2003
International Funding LTD February 1995 - June 2001
MedicaL Risk Intermediaries February 1992 - April 1995
Pension Associates April 1990 - March 1993
John Todd Organization April 1987 - April 1990
Skills
Underwriting, Insurance, Health Insurance, Employee Benefits, Managed Care, Medicare, Long-term Care, Health Savings Accounts, Team Building, Sales, Management, Workers Compensation, Disability Insurance, Brokers, Claim, PPO, Healthcare, Medicaid, Health Policy, Provider Relations, Network Development, Healthcare Industry, HIPAA, HMO, Medicare Part D, COBRA, Disease Management, Healthcare Consulting, Self-funded, Benefits Administration
Education
Lindenwood College 1972 — 1975
Business Psychology
University of Arkansas 1969 — 1971
Business Administration, Marketing, Advertising, Business Law
Xerox Recovery Services 2000 - Present
First Health 1990 - 2000
Skills
Sales Operations, Sales Process, New Business Development, Operations Management, Health Insurance, Microsoft Office, Microsoft Word, Healthcare, Managed Care, Medicare, Account Management, Insurance, HIPAA, Leadership, CRM, Sales, Business Analysis, Process Improvement, Management, Customer Service
Education
Northwestern University
Master of Business Administration (MBA), Hospital and Health Care Facilities Administration/Management
Self Employed March 2013 - Present
TriWest Healthcare Alliance June 2015 - August 2015
CVS Health June 2014 - October 2014
TriWest Healthcare Alliance June 2004 - March 2013
First Health 1999 - 2004
First Health/Coventry 1998 - 2004
Alamo Mental Health Group 1993 - 1998
Health Care Compare 1990 - 1993
Southwest Medical Group November 1985 - December 1990
Texas Research Institute of Mental Sciences 1976 - 1985
Skills
Managed Care, Healthcare Information..., Behavioral Health, HIPAA, Healthcare Management, Medicaid, Mental Health, Healthcare Consulting, Clinical Research, Healthcare Industry, Healthcare, Health Insurance, Medicare, EHR, Disease Management, EMR, Revenue Cycle, Visio, Quality Improvement, Hospitals, Process Improvement, Informatics, Health Policy, Credentialing, Accreditation, Physician Relations, Provider Relations, Utilization Management
Education
Our Lady of the Lake University 1996 — 2000
MBA, Healthcare
University of Missouri-Columbia 1968 — 1976
Ph.D, Psychology
Washington State University 1964 — 1968
BS, Psychology
Aetna August 2015 - Present
Aetna Better Health September 2013 - Present
Coventry Health Care January 2012 - August 2013
Coventry Health Care January 2005 - January 2012
First Health November 2003 - September 2005
WinterBrook HealthCare Management May 1995 - October 2003
Skills
Insurance, Health Insurance, Medicare, Workers Compensation, Medicaid, Strategic Planning, Long-term Care, Network Development, Financial Analysis, PPO, Health Policy, Mergers, Healthcare Management, Leadership, Executive Management
Education
Oklahoma State University 1981 — 1984
BS, Finance
Hewitt Coleman and Associates August 2011 - November 2013
Complete Benefits Solutions October 2009 - February 2011
Complete Benefits Solutions July 2001 - September 2009
Jefferson Pilot Financial January 1998 - January 2000
Transamerica Reinsurance January 1997 - January 1998
First Health January 1996 - January 1997
NEW YORK LIFE INSURANCE COMPANY/WELLPATH January 1991 - January 1996
PHYSICIANS HEALTH PLAN OF SOUTH CAROLINA January 1990 - January 1991
THE PRUDENTIAL INSURANCE COMPANY January 1985 - January 1990
North Carolina Rescue College January 1976 - January 1985
Education
The American College 1988 — 1990
CLU/ChFC, Insurance
University of North Carolina at Chapel Hill 1970 — 1974
Bachelor of Science, Medical Technology
Ralph L Fike
Ralph L Fike
Blue Cross Blue Shield of Illinois November 2012 - Present
Health Care Service Corporation February 2012 - November 2012
HealthSpring October 2005 - January 2012
First Health April 2004 - May 2005
MedMark Services, Inc. January 2003 - March 2004
Advocate Health Centers December 1998 - August 2001
Skills
Managed Care, Medicare, Medicaid, Healthcare, Healthcare Management
Education
The Ohio State University College of Medicine 1988 — 1992
MD, Medicine
Allstate August 2015 - Present
Mendota Insurance March 2012 - April 2015
Progressive Insurance March 1997 - January 2012
First Health February 1995 - October 1997
Allstate Insurance October 1990 - December 1993
Skills
Team Leadership, Negotiation, Customer Negotiations, Property & Casualty..., Claims Management, Claim, Insurance, Strategy, Leadership, Casualty, Property Damage, Subrogation, Liability Analysis, Claim Investigation, Liability, General Insurance, Commercial Insurance, Underwriting, Legal Liability, Workers Compensation, Professional Liability, Litigation Management, Process Improvement, Claims Resolution, Leadership Development, Cross-functional Team..., Casualty Insurance
Education
St. Catherine University 1994 — 1996
BA, Business Marketing and Management
University of North Texas 1991 — 1993
Business Marketing and Management
Winona State University 1988 — 1990
Business Marketing and Management
Kaplan Financial Education
Kaplan Financial Education
Pines of Sarasota April 2009 - Present
TideWell Hospice & Palliative Care April 2001 - January 2009
Tidewell Hospice 2001 - 2009
First Health 1995 - 2001
First Health 1995 - 2001
Skills
Human Resources, Organizational..., Employee Relations, Onboarding, Employee Handbooks, Healthcare, HRIS, Benefits Administration, Training, Deferred Compensation, Nonprofits, Workshop Facilitation, Coaching, Policy, Healthcare Management, Program Development, Case Managment, Strategic Planning, Performance Management, Team Building, Employee Benefits, FMLA, Succession Planning, Employee Engagement, Recruiting, Labor Relations, Talent Acquisition, Applicant Tracking..., Career Development, Job Descriptions, Personnel Management, HR Policies, Performance Appraisal, Talent Management, Leadership Development, Conflict Resolution, Hiring, HR Consulting, Payroll, Workers Compensation, Executive Coaching, Case Management, Performance Improvement, Employee Training, Workforce Planning, Temporary Staffing, Compensation & Benefit, New Hire Orientations, SPHR, Union Avoidance
Education
Purdue University
Bachelors, Management
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas 2015 - Present
Aetna 2008 - March 2015
Coventry Health Care, an Aetna Company October 2004 - January 2006
First Health August 2003 - October 2004
First Health August 2002 - August 2003
First Health September 2000 - August 2002
Skills
Systems Analysis, Requirements Gathering, Requirements Analysis, Business Requirements, Business Analysis, Visio, Software Documentation, Business Process, SDLC, SharePoint, Project Planning, Insurance, Health Insurance, Access
Education
Northern Illinois University
Bachelor's degree, Operations Management, Informations Services
Selective Insurance January 2015 - Present
Paladin Managed Care Services March 2005 - January 2015
First Health 2003 - 2005
Kemper Insurance 1986 - 2003
Skills
Insurance, Utilization Management, PPO, Provider Relations, Claim, Medicare, Claims Management, Managed Care, Litigation Management, Workers Compensation, HIPAA, Healthcare, Case Management, Health Insurance, Property & Casualty..., Network Development, Disease Management, Case Managment
Education
University of Illinois at Chicago
Arizona Pediatric Cardiology October 2013 - Present
Chandler Cardiology Associates February 2013 - September 2013
Advanced Cardiac Specialists July 2003 - January 2013
First Health July 2001 - May 2003
Popular Outdoor Outfitters May 1999 - August 2000
Skills
Microsoft Excel, Microsoft Word, Microsoft Office, Accounts Payable, Customer Service, Data Entry, EMR Training, EHR, Healthcare, Program Implementation, EMR, Healthcare Information..., Super User, Leadership, Management, HL7, Medical Records, Manage Multiple, Train Staff, Hospitals, HEDIS, Interviewing Skills, Project Management, Performance Reviews, Auditing, Cardiology, Process Improvement, Document Conversion, Process Analysis, Process Writing, Document Imaging, Research Projects, Screening Resumes, Meditech, Quality Management, Accounting, Strategy Implementation, Training, Invoicing, Administration, HIPAA, Healthcare Management
Education
Rio Salado College 2004 — 2005
Associate of Applied Science, Organizational Leadership, 3.6
Scottsdale Community College 2003 — 2003
Certificate of Completion, Bookkeeping, A
Paradise Valley Community College 1998 — 2002
transferred studies to another school, Accounting and Business/Management, 3.8
Quantix Consulting February 2011 - Present
QuadraMed Corporation June 2008 - February 2011
Edward Hospital August 2007 - May 2008
Picis, Inc February 2007 - August 2007
GE Healthcare Integrated ITSolutions, Business Solutions March 2001 - February 2007
First Health January 2000 - January 2001
OAO Healthcare Solutions January 1999 - January 2000
RIMS January 1997 - January 1999
RIMS January 1996 - January 1997
Education
University of Wisconsin
St. Francis University
St. Joseph Hospital School of Nursing
Bachelor of Science, Health Arts
University of Wisconsin, School of Business
PeaceHealth July 2013 - Present
Presbyterian Healthcare Services September 2001 - July 2013
Computer Sciences Corporation (CSC) – Healthcare Division October 2000 - August 2001
XCare.net May 1999 - October 2000
First Health May 1998 - April 1999
MPower Solutions December 1993 - April 1998
CVS Caremark Corporation (formerly PCS Health Systems) May 1991 - June 1993
Bell Atlantic Systems Leasing November 1987 - March 1991
University of New Mexico August 1986 - November 1987
Skills
Data Warehousing, Epic Systems, ETL, Data Modeling, PL/SQL, Systems Analysis, SQL, Oracle Warehouse Builder, Data Warehouse..., Dimensional Modeling, Healthcare Industry, Healthcare Information..., EMR, Crystal Reports, SDLC, Business Objects, Oracle SQL, Oracle ODI, Oracle PL/SQL..., Microsoft SQL Server, Informatica, DMExpress, Facets (Trizetto), Medipac, TSI, Medicare/Medicaid..., CMS, Project Management, EMPI, Epic Resolute..., DRG, Independent Contractors, Healthcare, Integration, Analysis, Software Project..., Business Analysis, Managed Care, Business Intelligence, Oracle
Education
The University of New Mexico - Robert O. Anderson School of Management 1982 — 1987
Bachelor of Business Administration, Business Information Systems (MIS), 3.8/4.0 Major
Marbles: The Brain Store June 2011 - Present
Discovery Toys Independent Consultant July 2004 - July 2013
First Health April 1992 - April 1997
Rehabilitation Institute of Chicago September 1990 - April 1992
Skills
Healthcare Management, Healthcare, Hospitals, Customer Service, Project Management, Volunteer Management, z
Education
University of Illinois at Urbana-Champaign 1986 — 1990
Bachelor's degree, Health Planning and Administration
First Health December 2002 - January 2013
Skills
Hospitals, Leadership, Nursing, Patient Safety, Healthcare, Customer Service, Disease Management, HIPAA, Microsoft Word, Microsoft Office, Healthcare Management, Data Entry, Medical/Surgical, Utilization Management, Cpr Certified, Inpatient, ACLS, BLS, Critical Care, Patient Education, Vital Signs, Phlebotomy, Medical Terminology, Home Care, Medical Records, Triage, Medical-Surgical, CPR Certified, Nursing Education
Education
Sandhills Community College 1990 — 1992
Associate's degree, Registered Nursing/Registered Nurse
American Community Mutual Insurance Company October 1998 - July 2010
ACMIC 1998 - 2010
First Health January 1995 - October 1998
Skills
Health Insurance
Education
Schoolcraft College 2011 — 2016
Associate's degree, Registered Nursing/Registered Nurse
Schoolcraft College
The TriZetto Group 2011 - Present
UHC March 2007 - 2011
RR Donnelley March 2006 - March 2007
US Biometrics February 2005 - March 2006
CSFB 2002 - 2005
First Health 2001 - 2002
Plural 1998 - 2001
Skills
Agile Methodologies, .NET, Microsoft SQL Server, Scrum, SDLC, C#, SQL, Web Services, Data Warehousing, Software Development, Requirements Analysis, Software Project..., SOA, Database Design, Business Analysis, Oracle, Enterprise Architecture, WCF, T-SQL, Data Modeling
Education
Punjab Engineering College 1992 — 1996
BE
JPMorgan Chase November 2012 - Present
JPMorgan Chase August 2011 - November 2012
JPMorgan Chase December 2010 - August 2011
Arizona Daily Star August 2005 - December 2010
Wells Fargo Bank June 2003 - September 2007
First Health February 2005 - September 2005
Skills
Research, Leadership, Training, Editing, Customer Service, Publishing, Social Media, Process Improvement, Blogging, Management, Newspaper, Banking, IT Operations, Project Management, Business Analysis, Newspapers, Testing, Time Management, Storytelling, Project Planning, HTML, Marketing
Education
University of Arizona 2003 — 2007
Bachelors, Journalism, Business
First Health December 2013 - Present
Catamaran June 2010 - December 2013
Catamaran January 2008 - June 2010
MCS June 2006 - January 2008
Pediatric Hospital, Medical Center of PR June 2005 - June 2006
Kmart Corporation November 2002 - December 2005
Skills
Clinical Trials, Pharmacy Benefit..., Clinical Research, Process Improvement, Disease Management, Program Management, Pharmacy, Strategy, Medicare Part D, Managed Care, Utilization Management, Medicare, Healthcare, Pharmacists, Healthcare Management, Medication Therapy..., Medicaid, HIPAA, Pharmaceutical Industry
Education
Nova Southeastern University
Doctor of Pharmacy (Pharm.D.), Pharmacy
School of Pharmacy, Medical Scince Campus
BS Pharmacy, Pharmacy
Express Scripts October 2014 - Present
Express Scripts September 2012 - October 2014
Perform Rx January 2012 - August 2012
Express Scripts May 2005 - January 2011
First Health September 2004 - May 2005
Medco September 1995 - August 2004
Rite Aid January 1992 - September 1995
Jamaica Hospital June 1989 - September 1991
Education
St. John's University 1986 — 1991
Bachelor of Science (BS), Pharmacy
EquiClaim an Emdeon Company February 2012 - Present
Claricon, LLC August 2005 - February 2012
Medical Network Systems May 2003 - August 2005
First Health 1998 - 1999
Education
Northern Illinois University 1983 — 1987
Bachelor of Science, Political Science
U.S. Cellular May 2007 - Present
U.S. Cellular May 2007 - November 2009
Coventry Health Care May 2005 - May 2007
First Health May 1998 - May 2005
University of Minnesota Medical Center, Fairview June 1996 - May 1998
Education
Point Park University 1987 — 1992
BSEET, Electrical and Electronics Engineering
Training Center September 2003 - Present
First Health January 1996 - October 1998
Magcorp March 1992 - December 1995
Education
Salt Lake Community College 1991 — 1991
Albert Lowry High School 1988 — 1991
Omnicare July 2010 - Present
Omnicare 2010 - 2012
RX America April 2008 - July 2010
America-Pharm. Tech April 2007 - January 2010
Rocky Mountain Power December 2007 - April 2008
First Health November 2006 - December 2007
Skills
A highly talented...
Education
Salt Lake Community College 2005 — 2006
National Pharmacy Technician Certification
Bingham High School 2003 — 2006
2003-2006Bingham High School
First Health March 2013 - Present
McDonald's Corporation July 2007 - March 2013
Springbrook kennels June 2002 - April 2007
Skills
Management, Leadership, Team Leadership, Medical Terminology, Event Planning, Cashiering, Access, Customer Satisfaction, Facebook, Photoshop, Filing, Computer Hardware, First Aid, Windows 7, Critical Thinking, Inventory Management, Vital Signs, Team-oriented, Training, Telephone Skills
Education
Sandhills Community College 2012 — 2014
Associate of Science (A.S.), Radiography
Student at Stevens henegar September 2012 - Present
Kindred Healthcare 2012 - 2012
Amedisys Home Health & Hospice September 2009 - April 2011
Agency float nurse January 1998 - December 2009
Johns Hopkins Healthcare Llc June 2007 - February 2009
Traveling RN ICU/CCU and Discharge Planner 2007 - 2009
Oneida County Hospital and High School August 1995 - June 1998
First Health March 1993 - April 1998
Education
State University of New York at Albany 1992 — 1992
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Westminister College 1981 — 1984
Prometric October 2014 - Present
Comfort Keepers December 2013 - October 2014
Liberty Mutual Insurance January 1998 - November 2009
First Health July 1996 - December 1997
Skills
Outlook, Teamwork, Sales, Management, Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft PowerPoint
Education
Robert Morris University 1974 — 1983
Associate's Degree, Business Administration and Management, General
Alliant Energy February 2015 - Present
INTECSEA January 2013 - March 2015
WorleyParsons October 2008 - January 2013
Aker Kvaerner April 2007 - September 2007
First Health January 2003 - April 2007
Paragon Engineering Services January 2001 - December 2002
DynetX January 1994 - January 2001
Skills
Six Sigma, Member of Mensa, Primavera P6, MS Project
Education
Oklahoma State University 1983 — 1988
Bachelor's degree, Sociology
Aetna December 2013 - Present
Aetna Healthcare January 2007 - December 2013
Coventry Health Care, an Aetna Company April 2002 - December 2006
First Health January 2000 - April 2002
Comminty Care Network March 1998 - December 2000
Community Care Network 1996 - 1998
Skills
Requirements Analysis, Business Analysis, Data Analysis, Project Management, Test Planning, Test Management, Research, Workers' Compensation..., Visio, PowerPoint, Microsoft Excel, Microsoft Word, MS Project, Outlook, Query Analyzer
Education
Palomar College 1985 — 1998
General Education
University of California, Santa Barbara 1988 — 1989
History
UPMC Health Plan November 2012 - Present
First Health September 1984 - May 1998
Skills
Operations Management, Auditing
Education
University of Pittsburgh 1981 — 1985
Bachelor's degree, Information Science/Studies
Robert Morris University
Master's degree, Internet Management Systems
Cross Psychological Care February 2009 - Present
Psychologist in Private Practice January 2009 - Present
First Health January 2007 - January 2008
Skills
Microsoft Office, Microsoft Word, Customer Service, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets
Education
Western American University 2015 — 2019
Doctorate in Psychology, Industrial and Organizational Psychology
University of Dayton
Bachelor's degree, Psychology