Florida Healthcare Plus
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Florida Healthcare Plus Employees
Employee
Years
Job
Industry
James Anderson, MBA James Anderson, MBA's Florida Healthcare Plus Experience July 2011 - November 2013
Job Healthcare Aficionado
Industry Information Technology and Services
Experience
University of Miami, Miller School of Medicine January 2014 - Present
Penned Impression February 2013 - Present
Florida Healthcare Plus July 2011 - November 2013
TriZetto Corporation August 2008 - June 2011
The TriZetto Group June 2002 - August 2008
CIGNA January 2002 - March 2003
college studies January 1990 - January 2000
Skills
Healthcare Information..., HIPAA, SDLC, Healthcare, Business Analysis, Requirements Analysis, Integration, Visio, Microsoft SQL Server, SharePoint, Enterprise Software, QNXT, Business Intelligence, Informatics, Agile Methodologies, System Administration, Strategy, Healthcare Industry, Disaster Recovery, Cross-functional Team..., Software Documentation, Crystal Reports, Medicare, Cloud Computing, Systems Analysis, Quality Assurance, Databases, Business Requirements, Database Design, Analytics, Analysis, Software Project..., Process Improvement, Enterprise Architecture, Medicaid, Vendor Management, Software Implementation, IT Strategy, .NET, Access, Project Portfolio..., Data Warehousing, IT Management, Strategic Planning, Program Management, Management, Team Management, Requirements Gathering, Information Technology, PMP
Education
Grand Canyon University 1998 — 2002
MBA, Business Administration and Management, General
University of Nebraska Medical Center 1993 — 1995
Pharmacology
Grand Canyon University 1990 — 1994
BS, Human Biology
University of Miami, Miller School of Medicine January 2014 - Present
Penned Impression February 2013 - Present
Florida Healthcare Plus July 2011 - November 2013
TriZetto Corporation August 2008 - June 2011
The TriZetto Group June 2002 - August 2008
CIGNA January 2002 - March 2003
college studies January 1990 - January 2000
Skills
Healthcare Information..., HIPAA, SDLC, Healthcare, Business Analysis, Requirements Analysis, Integration, Visio, Microsoft SQL Server, SharePoint, Enterprise Software, QNXT, Business Intelligence, Informatics, Agile Methodologies, System Administration, Strategy, Healthcare Industry, Disaster Recovery, Cross-functional Team..., Software Documentation, Crystal Reports, Medicare, Cloud Computing, Systems Analysis, Quality Assurance, Databases, Business Requirements, Database Design, Analytics, Analysis, Software Project..., Process Improvement, Enterprise Architecture, Medicaid, Vendor Management, Software Implementation, IT Strategy, .NET, Access, Project Portfolio..., Data Warehousing, IT Management, Strategic Planning, Program Management, Management, Team Management, Requirements Gathering, Information Technology, PMP
Education
Grand Canyon University 1998 — 2002
MBA, Business Administration and Management, General
University of Nebraska Medical Center 1993 — 1995
Pharmacology
Grand Canyon University 1990 — 1994
BS, Human Biology
Mika Louidort Mika Louidort's Florida Healthcare Plus Experience August 2013 - Present
Job Customer Service Representative
Industry Consumer Services
Experience
Florida Healthcare Plus August 2013 - Present
Walgreens November 2010 - July 2013
The Walt Disney Company June 2008 - June 2010
Skills
Cashiering, Data Entry, Inventory Management, Retail, Loss Prevention, Customer Service, Merchandising, Inventory Control, Customer Satisfaction, Cash Register, Telephone Skills, Time Management, Phone Etiquette, Store Management, Cash Handling Experience, Customer Experience, Store Operations, Teamwork, Customer Retention, Employee Training, People Skills, Call Centers, Microsoft Word, Cash Handling, Microsoft Office
Education
University of Phoenix 2015 — 2017
Master of Business Administration (M.B.A.)
Miami Dade College 2013 — 2015
Bachelor of Applied Science (B.A.Sc.)
Miami Dade College 2013 — 2014
Certificate
Miami Dade College 2011 — 2013
College Credit Certificate
Miami Dade College 2010 — 2013
Associate of Arts (A.A.)
Florida Healthcare Plus August 2013 - Present
Walgreens November 2010 - July 2013
The Walt Disney Company June 2008 - June 2010
Skills
Cashiering, Data Entry, Inventory Management, Retail, Loss Prevention, Customer Service, Merchandising, Inventory Control, Customer Satisfaction, Cash Register, Telephone Skills, Time Management, Phone Etiquette, Store Management, Cash Handling Experience, Customer Experience, Store Operations, Teamwork, Customer Retention, Employee Training, People Skills, Call Centers, Microsoft Word, Cash Handling, Microsoft Office
Education
University of Phoenix 2015 — 2017
Master of Business Administration (M.B.A.)
Miami Dade College 2013 — 2015
Bachelor of Applied Science (B.A.Sc.)
Miami Dade College 2013 — 2014
Certificate
Miami Dade College 2011 — 2013
College Credit Certificate
Miami Dade College 2010 — 2013
Associate of Arts (A.A.)
Diana Sarmiento Diana Sarmiento's Florida Healthcare Plus Experience February 2013 - Present
Job at
Industry Hospital & Health Care
Experience
Florida Healthcare Plus February 2013 - Present
Managed Healthcare Partners, LLC September 2010 - February 2013
Skills
Event Planning, Editing, Digital Media, Health Insurance, Healthcare Management, Hospitals, Managed Care, Medicare, Mental Health, Multimedia, Office Management, Physician Relations, Psychology, Social Media, Strategic Planning, Administrative..., Case Management, Clinical Research, Customer Service, Data Entry, Employee Benefits, HIPAA, Health Policy, Healthcare, Insurance, Marketing Strategy, Marketing, Media Relations, Medicaid, Microsoft Office, Outlook, Sales Management, Spreadsheets, Team Building
Education
Florida International University 2010 — 2013
Bachelor's degree, Psychology
Florida Healthcare Plus February 2013 - Present
Managed Healthcare Partners, LLC September 2010 - February 2013
Skills
Event Planning, Editing, Digital Media, Health Insurance, Healthcare Management, Hospitals, Managed Care, Medicare, Mental Health, Multimedia, Office Management, Physician Relations, Psychology, Social Media, Strategic Planning, Administrative..., Case Management, Clinical Research, Customer Service, Data Entry, Employee Benefits, HIPAA, Health Policy, Healthcare, Insurance, Marketing Strategy, Marketing, Media Relations, Medicaid, Microsoft Office, Outlook, Sales Management, Spreadsheets, Team Building
Education
Florida International University 2010 — 2013
Bachelor's degree, Psychology
Natacha Dominguez Natacha Dominguez's Florida Healthcare Plus Experience August 2012 - April 2014
Job Humana Provider Relations Data Support Coordinator
Industry Insurance
Experience
Humana 2014 - Present
Florida Healthcare Plus August 2012 - April 2014
Medical Specialists of the Palm Beaches March 2012 - August 2012
American Care October 2009 - February 2012
Caridad Center January 1998 - May 2008
Skills
Health Services..., Credentialing, HIPAA, Health Insurance, Invoicing, Access, Provider Relations, Medicare, Medicaid, Health Policy, Healthcare Industry, Physician Relations, Healthcare Consulting, Medical Billing, Healthcare Management, Managed Care, Medical Records, Revenue Cycle, Network Development, Office Management, Practice Management, JCAHO, Medicine, HMO, Healthcare, Health Information..., Medical Compliance, CPT, Quality Improvement, Administrative..., Insurance, Medisoft, Healthcare Information..., HCPCS, Medical Terminology, ICD-9, Claim, Epic Systems, Employee Benefits, EMR, Physicians, Telephone Skills, IDX
Education
University of Phoenix 2011 — 2013
Health/Health Care Administration/Management
Forest Hill High School, West Palm Beach Florida 1993 — 1996
High School Diploma
Humana 2014 - Present
Florida Healthcare Plus August 2012 - April 2014
Medical Specialists of the Palm Beaches March 2012 - August 2012
American Care October 2009 - February 2012
Caridad Center January 1998 - May 2008
Skills
Health Services..., Credentialing, HIPAA, Health Insurance, Invoicing, Access, Provider Relations, Medicare, Medicaid, Health Policy, Healthcare Industry, Physician Relations, Healthcare Consulting, Medical Billing, Healthcare Management, Managed Care, Medical Records, Revenue Cycle, Network Development, Office Management, Practice Management, JCAHO, Medicine, HMO, Healthcare, Health Information..., Medical Compliance, CPT, Quality Improvement, Administrative..., Insurance, Medisoft, Healthcare Information..., HCPCS, Medical Terminology, ICD-9, Claim, Epic Systems, Employee Benefits, EMR, Physicians, Telephone Skills, IDX
Education
University of Phoenix 2011 — 2013
Health/Health Care Administration/Management
Forest Hill High School, West Palm Beach Florida 1993 — 1996
High School Diploma
Cesar Solis Cesar Solis's Florida Healthcare Plus Experience July 2012 - November 2014
Job SENIOR SALES REP MAPD PLANS MARKETING ADVISOR
Industry Insurance
Experience
Aetna November 2014 - Present
Florida Healthcare Plus July 2012 - November 2014
Medica healthcare plans August 2009 - June 2011
Coventry Health Care, an Aetna Company August 2007 - July 2009
Skills
Competitive Marketing..., Medicare Advantage..., HIPAA, Credentialing, Business Analysis, Claim, Customer Service, EMR, Medicare, Provider Relations, Health Insurance, HMO, Network Development, Physician Relations, B2B Marketing, Insurance, Medicaid, Healthcare, Healthcare Consulting, Leadership, Managed Care
Education
Florida International University 2013 — 2013
Healthcare Risk Management., certificate.
Aetna November 2014 - Present
Florida Healthcare Plus July 2012 - November 2014
Medica healthcare plans August 2009 - June 2011
Coventry Health Care, an Aetna Company August 2007 - July 2009
Skills
Competitive Marketing..., Medicare Advantage..., HIPAA, Credentialing, Business Analysis, Claim, Customer Service, EMR, Medicare, Provider Relations, Health Insurance, HMO, Network Development, Physician Relations, B2B Marketing, Insurance, Medicaid, Healthcare, Healthcare Consulting, Leadership, Managed Care
Education
Florida International University 2013 — 2013
Healthcare Risk Management., certificate.
Brigid Morrison's Florida Healthcare Plus Experience October 2012 - June 2013
Job Provider Relations
Industry Hospital & Health Care
Experience
Humana October 2014 - Present
American Eldercare November 2013 - October 2014
Florida Healthcare Plus October 2012 - June 2013
American Care Inc. August 2010 - March 2012
Steven I. Gordon cpa April 2010 - June 2010
Skills
Florida Notary, Cpr Certified, Data Entry, OSHA, HIPAA, Healthcare Management, Team Building, CLIA, Medical Terminology, Medicaid, Medicare, Vaccines for children..., Credentialing
Education
Florida Atlantic University 2005 — 2007
Bachelor of Arts, Health/Health Care Administration/Management
Indian River Community College 2001 — 2005
Associate of Arts (A.A.), General Studies
St Lucie West Centennial High School 1998 — 2002
High school diploma, General Studies
Humana October 2014 - Present
American Eldercare November 2013 - October 2014
Florida Healthcare Plus October 2012 - June 2013
American Care Inc. August 2010 - March 2012
Steven I. Gordon cpa April 2010 - June 2010
Skills
Florida Notary, Cpr Certified, Data Entry, OSHA, HIPAA, Healthcare Management, Team Building, CLIA, Medical Terminology, Medicaid, Medicare, Vaccines for children..., Credentialing
Education
Florida Atlantic University 2005 — 2007
Bachelor of Arts, Health/Health Care Administration/Management
Indian River Community College 2001 — 2005
Associate of Arts (A.A.), General Studies
St Lucie West Centennial High School 1998 — 2002
High school diploma, General Studies
Leuvis Matos Leuvis Matos's Florida Healthcare Plus Experience January 2013 - October 2013
Job Enrollment Director at Independent Living Systems, LLC
Industry Insurance
Experience
Independent Living Systems, LLC October 2013 - Present
Florida Healthcare Plus January 2013 - October 2013
Simply Health Care Plans May 2010 - August 2012
Total Health Care October 1997 - April 2010
PacifiCare Health Systems August 1993 - May 1997
Skills
Account Receivable..., Excellent interpersonal..., Corporate Accounting &..., Spreadsheets &..., Medicaid Enrollment and..., Team Building, Staff Supervision, Healthcare Systems (IKA..., Bilingual in both..., MS Office (Word, Excel,..., QuickBooks, Windows..., Medicaid, Accounts Receivable, Account Reconciliation, Training, Invoicing, Visio, Microsoft Excel, Health Insurance, Managed Care, Auditing, Medicare, Software Documentation, Healthcare, Management, Provider Relations, Insurance, Hospitals, Healthcare Information..., Physician Relations, HIPAA, Healthcare Management, Revenue Cycle, Healthcare Consulting, Healthcare Industry, Credentialing, Health Policy, Physicians, HMO, Process Improvement, Medical Billing, PPO, Disease Management, Claim, Access, Employee Benefits, ICD-9, CPT, Leadership, Quality Improvement
Education
Mercy College 1985 — 1989
Bachelor's degree, Accounting
Mercy College 1985 — 1989
Bachelor's degree, Accounting
Independent Living Systems, LLC October 2013 - Present
Florida Healthcare Plus January 2013 - October 2013
Simply Health Care Plans May 2010 - August 2012
Total Health Care October 1997 - April 2010
PacifiCare Health Systems August 1993 - May 1997
Skills
Account Receivable..., Excellent interpersonal..., Corporate Accounting &..., Spreadsheets &..., Medicaid Enrollment and..., Team Building, Staff Supervision, Healthcare Systems (IKA..., Bilingual in both..., MS Office (Word, Excel,..., QuickBooks, Windows..., Medicaid, Accounts Receivable, Account Reconciliation, Training, Invoicing, Visio, Microsoft Excel, Health Insurance, Managed Care, Auditing, Medicare, Software Documentation, Healthcare, Management, Provider Relations, Insurance, Hospitals, Healthcare Information..., Physician Relations, HIPAA, Healthcare Management, Revenue Cycle, Healthcare Consulting, Healthcare Industry, Credentialing, Health Policy, Physicians, HMO, Process Improvement, Medical Billing, PPO, Disease Management, Claim, Access, Employee Benefits, ICD-9, CPT, Leadership, Quality Improvement
Education
Mercy College 1985 — 1989
Bachelor's degree, Accounting
Mercy College 1985 — 1989
Bachelor's degree, Accounting
Elizabeth Lau Elizabeth Lau's Florida Healthcare Plus Experience March 2012 - December 2014
Job Health Benefits Consultant
Industry Insurance
Experience
Florida Healthcare Plus March 2012 - December 2014
AGE Paper & Aluminum Products April 1982 - February 2012
Skills
Managed Care, Health Insurance, HIPAA, Healthcare, Provider Relations, Medicare, Medicaid, Insurance, Medical Billing, Healthcare Information..., Healthcare Management, Medicare Part D, Healthcare Industry, Training, Employee Benefits, Claim, Healthcare Consulting, HMO, Long-term Care, Physicians, Health Policy, Analysis, Utilization Management, Practice Management, Credentialing, Home Care, EHR, Revenue Cycle, PPO, Network Development, Informatics, Quality Improvement, Medicine, Sales, Team Building, Program Management, Physician Relations, Workers Compensation, Hospitals, Disease Management, Clinical Research, Case Managment, EMR, Healthcare Reimbursement, Occupational Health, Leadership, Performance Improvement, Executive Management, Health, NCQA
Education
Florida Career College-Miami 2004 — 2005
Microsoft Office Specialist
Miami Dade College 1985 — 1987
Marketing
Florida Healthcare Plus March 2012 - December 2014
AGE Paper & Aluminum Products April 1982 - February 2012
Skills
Managed Care, Health Insurance, HIPAA, Healthcare, Provider Relations, Medicare, Medicaid, Insurance, Medical Billing, Healthcare Information..., Healthcare Management, Medicare Part D, Healthcare Industry, Training, Employee Benefits, Claim, Healthcare Consulting, HMO, Long-term Care, Physicians, Health Policy, Analysis, Utilization Management, Practice Management, Credentialing, Home Care, EHR, Revenue Cycle, PPO, Network Development, Informatics, Quality Improvement, Medicine, Sales, Team Building, Program Management, Physician Relations, Workers Compensation, Hospitals, Disease Management, Clinical Research, Case Managment, EMR, Healthcare Reimbursement, Occupational Health, Leadership, Performance Improvement, Executive Management, Health, NCQA
Education
Florida Career College-Miami 2004 — 2005
Microsoft Office Specialist
Miami Dade College 1985 — 1987
Marketing
Jose H. Rosado Jose H. Rosado's Florida Healthcare Plus Experience May 2011 - March 2013
Job Currently Seeking Employment
Industry
Experience
JRSVR & Associates, Inc. & Consulting Group October 2013 - Present
Florida Healthcare Plus May 2011 - March 2013
First Medical Health Plan March 2009 - May 2011
MD Medicare Choice / Partner Care Health Plan, Inc. February 2006 - October 2008
Quality Health Plans, Inc. January 2005 - December 2005
Universal Health Care June 2003 - November 2003
Well Care HMO, Inc. November 1999 - February 2002
Prudential Health Care September 1994 - November 1999
Humana Health Care Plans August 1991 - August 1994
American General Life Companies is now part of the AIG Family! July 1985 - July 1991
Skills
Tampa Association of..., Area Agency on Aging /..., Account Management, Budgets, Customer Service, Editing, English, HTML, Leadership, Microsoft Excel, Outlook, Microsoft Office, Photoshop, Microsoft Word, Research, PowerPoint, Public Speaking, Strategic Planning, Windows, Strategy, Teaching, Management, Sales Operations, Training, Health Insurance, Insurance
Education
Florida Life and Health Licensure
Universidad del Sagrado Corazón
Business/Corporate Communications
JRSVR & Associates, Inc. & Consulting Group October 2013 - Present
Florida Healthcare Plus May 2011 - March 2013
First Medical Health Plan March 2009 - May 2011
MD Medicare Choice / Partner Care Health Plan, Inc. February 2006 - October 2008
Quality Health Plans, Inc. January 2005 - December 2005
Universal Health Care June 2003 - November 2003
Well Care HMO, Inc. November 1999 - February 2002
Prudential Health Care September 1994 - November 1999
Humana Health Care Plans August 1991 - August 1994
American General Life Companies is now part of the AIG Family! July 1985 - July 1991
Skills
Tampa Association of..., Area Agency on Aging /..., Account Management, Budgets, Customer Service, Editing, English, HTML, Leadership, Microsoft Excel, Outlook, Microsoft Office, Photoshop, Microsoft Word, Research, PowerPoint, Public Speaking, Strategic Planning, Windows, Strategy, Teaching, Management, Sales Operations, Training, Health Insurance, Insurance
Education
Florida Life and Health Licensure
Universidad del Sagrado Corazón
Business/Corporate Communications
Jonathan Ovalle's Florida Healthcare Plus Experience January 2012 - August 2013
Job Freelance 3D Technical Artist/Generalist
Industry Animation
Experience
Self Employed September 2009 - Present
Trimention Global Communications March 2014 - June 2015
Zero Fractal July 2012 - August 2014
Florida Healthcare Plus January 2012 - August 2013
Miami Dade College August 2012 - May 2013
Archie M.D. January 2011 - November 2011
SapientNitro August 2010 - November 2010
Juelle Motors LLC. December 2009 - July 2010
Ruthless & Toothless February 2010 - May 2010
Ovahamon Inds. May 2006 - July 2009
Skills
Maya, Computer Animation, Animation, Texturing, 3D, MEL, Rigging, Character Rigging, Modeling, Premiere, Video Editing, 3D Studio Max, Visual Effects, Cinema 4D, Commercials, Graphics, Mental Ray, Video, UV mapping, Final Cut Pro, Photoshop, Realflow, Storyboarding, Compositing, After Effects, 3D animation, Asset Management, Game Development, Python, Unity3D, Pro Tools, Microsoft Office, Visio, MS Project, Project Management, Ticketing Systems, Ticketing Software, Cables, Computer Hardware, Hardware Diagnostics, Software Installation, Computer Diagnostics, Cabling, Computer Network..., Mobile Devices, Help Desk Support
Education
Miami International University of Art and Design 2006 — 2009
Computer Animation, B.F.A.
Southern Adventist University 2005 — 2006
Self Employed September 2009 - Present
Trimention Global Communications March 2014 - June 2015
Zero Fractal July 2012 - August 2014
Florida Healthcare Plus January 2012 - August 2013
Miami Dade College August 2012 - May 2013
Archie M.D. January 2011 - November 2011
SapientNitro August 2010 - November 2010
Juelle Motors LLC. December 2009 - July 2010
Ruthless & Toothless February 2010 - May 2010
Ovahamon Inds. May 2006 - July 2009
Skills
Maya, Computer Animation, Animation, Texturing, 3D, MEL, Rigging, Character Rigging, Modeling, Premiere, Video Editing, 3D Studio Max, Visual Effects, Cinema 4D, Commercials, Graphics, Mental Ray, Video, UV mapping, Final Cut Pro, Photoshop, Realflow, Storyboarding, Compositing, After Effects, 3D animation, Asset Management, Game Development, Python, Unity3D, Pro Tools, Microsoft Office, Visio, MS Project, Project Management, Ticketing Systems, Ticketing Software, Cables, Computer Hardware, Hardware Diagnostics, Software Installation, Computer Diagnostics, Cabling, Computer Network..., Mobile Devices, Help Desk Support
Education
Miami International University of Art and Design 2006 — 2009
Computer Animation, B.F.A.
Southern Adventist University 2005 — 2006
Maria M Rivera's Florida Healthcare Plus Experience July 2012 - October 2014
Job Provider Contracting Manager at Florida Hospital
Industry Insurance
Experience
Florida Hospital October 2014 - Present
Absolute Realty Group September 2012 - Present
Florida Healthcare Plus July 2012 - October 2014
CuraScript, Inc. An Express Scripts Co. December 2011 - June 2012
Blue Cross Blue Shield of Florida May 2011 - December 2011
Coventry Health Care November 2010 - May 2011
Amerigroup Corporation March 2010 - May 2010
United Healthcare March 1989 - March 2010
Skills
Medicaid, Healthcare, Claim, Hospitals, Managed Care, Health Insurance, Insurance, Customer Service, Contract Negotiation, Social Media, Mental Health, HIPAA, Social Media Marketing, Medicare Part D, Healthcare Industry, Provider Relations, Credentialing, Medical Billing, Health Policy, Pharmacy, HMO, Utilization Management, Healthcare Consulting, Workers Compensation, Physician Relations, PPO, Healthcare Management, Disease Management, CPT, Physicians, Medicaid Managed Care, Network Development, ICD-9, Pharmacy Benefit..., Revenue Cycle, EHR, Policy, Medical Compliance, HEDIS, Medical Coding, Practice Management, Quality Improvement, Healthcare Analytics, Healthcare Reimbursement, Medical Records, JCAHO, Revenue Cycle Management, Medicare/Medicaid..., Claims Resolution, NCQA
Education
Universidad del Turabo 1978 — 1981
NA, Psychology/Sociology
Florida Hospital October 2014 - Present
Absolute Realty Group September 2012 - Present
Florida Healthcare Plus July 2012 - October 2014
CuraScript, Inc. An Express Scripts Co. December 2011 - June 2012
Blue Cross Blue Shield of Florida May 2011 - December 2011
Coventry Health Care November 2010 - May 2011
Amerigroup Corporation March 2010 - May 2010
United Healthcare March 1989 - March 2010
Skills
Medicaid, Healthcare, Claim, Hospitals, Managed Care, Health Insurance, Insurance, Customer Service, Contract Negotiation, Social Media, Mental Health, HIPAA, Social Media Marketing, Medicare Part D, Healthcare Industry, Provider Relations, Credentialing, Medical Billing, Health Policy, Pharmacy, HMO, Utilization Management, Healthcare Consulting, Workers Compensation, Physician Relations, PPO, Healthcare Management, Disease Management, CPT, Physicians, Medicaid Managed Care, Network Development, ICD-9, Pharmacy Benefit..., Revenue Cycle, EHR, Policy, Medical Compliance, HEDIS, Medical Coding, Practice Management, Quality Improvement, Healthcare Analytics, Healthcare Reimbursement, Medical Records, JCAHO, Revenue Cycle Management, Medicare/Medicaid..., Claims Resolution, NCQA
Education
Universidad del Turabo 1978 — 1981
NA, Psychology/Sociology
Charlene Giles, CCEP, CHC's Florida Healthcare Plus Experience September 2012 - September 2013
Job Legal and RegulatoryMedicaid
Industry Hospital & Health Care
Experience
WellCare Health Plans December 2014 - Present
FirstCare Health Plans September 2013 - December 2014
Florida Healthcare Plus September 2012 - September 2013
WellCare June 2006 - September 2012
UnitedHealthcare 2001 - 2003
Skills
Medicare, Medicaid, HIPAA, Health Policy, Managed Care, Provider Relations, HMO, Healthcare, Healthcare Industry, Credentialing, Medical Compliance, Physicians, Utilization Management, Medicare Part D, Medicaid Managed Care, Disease Management, Health Insurance, Healthcare Management, PPO, Network Development, HEDIS, Health Law, NCQA, Medical Staff..., AAAHC, EMTALA, Anti-Kickback Statute, OIG, Health Care Regulation, Contract Management, Regulatory Affairs, Regulatory Guidelines, Legal Compliance, Medicare Prescription..., Claim, Claims Resolution, Health Care Reform, Healthcare Information..., JCAHO, Medical Billing, Medical Coding, Medicare/Medicaid..., Pharmacy Benefit..., Physician Relations, Policy, Stark, Medicare Advantage, Risk Assessment, Privacy Law, Privacy Regulations
Education
Northwestern California University NWCU
Juris Doctor, Law
Carlow University
Master's Degree, Financial Forensics and Fraud Investigation
Hodges University
Bachelors Science, Business Management
Pasco-Hernando State College
Associate's Degree
Seton Hall University School of Law
Advanced Graduate Certificate Health and Hospital Law, Healthcare Law
The George Washington University
Graduate Certificate, Corporate Healthcare Compliance
WellCare Health Plans December 2014 - Present
FirstCare Health Plans September 2013 - December 2014
Florida Healthcare Plus September 2012 - September 2013
WellCare June 2006 - September 2012
UnitedHealthcare 2001 - 2003
Skills
Medicare, Medicaid, HIPAA, Health Policy, Managed Care, Provider Relations, HMO, Healthcare, Healthcare Industry, Credentialing, Medical Compliance, Physicians, Utilization Management, Medicare Part D, Medicaid Managed Care, Disease Management, Health Insurance, Healthcare Management, PPO, Network Development, HEDIS, Health Law, NCQA, Medical Staff..., AAAHC, EMTALA, Anti-Kickback Statute, OIG, Health Care Regulation, Contract Management, Regulatory Affairs, Regulatory Guidelines, Legal Compliance, Medicare Prescription..., Claim, Claims Resolution, Health Care Reform, Healthcare Information..., JCAHO, Medical Billing, Medical Coding, Medicare/Medicaid..., Pharmacy Benefit..., Physician Relations, Policy, Stark, Medicare Advantage, Risk Assessment, Privacy Law, Privacy Regulations
Education
Northwestern California University NWCU
Juris Doctor, Law
Carlow University
Master's Degree, Financial Forensics and Fraud Investigation
Hodges University
Bachelors Science, Business Management
Pasco-Hernando State College
Associate's Degree
Seton Hall University School of Law
Advanced Graduate Certificate Health and Hospital Law, Healthcare Law
The George Washington University
Graduate Certificate, Corporate Healthcare Compliance
Sandra Dee Brown Sandra Dee Brown's Florida Healthcare Plus Experience October 2011 - May 2014
Job Dee Brown & Dee Brown Corp
Industry Management Consulting
Experience
Dee Brown & Dee Brown Corp December 2014 - Present
Dee Brown Consulting July 1991 - Present
Florida Healthcare Plus October 2011 - May 2014
Skills
Engaging Public Speaker, Multilingual, Business Development, Entrepreneurship, Marketing Research, New Business Development, Strategic Planning, Healthcare Consulting, Healthcare Management, Business Analysis, Medicare, Healthcare, Medicaid, HIPAA, Provider Relations, Health Insurance, Customer Service, Employee Benefits, Credentialing, EMR, HEDIS, Provider Network..., Managed Care, Hospitals, Physician Relations, NCQA, Quality Improvement, Clinical Research, Executive Management, PPO, Medicaid Managed Care, Health Policy, Network Development, Medicare Part D, Medical Compliance, Healthcare Industry, Revenue Cycle, EHR, Healthcare Information..., Insurance, Physicians, Process Improvement, Utilization Management, Disease Management, Claim, HMO, Revenue Cycle Management, Medicine, Performance Improvement, Utilization Review
Education
University of Puerto Rico 2006 — 2009
Bachelor's degree Health Care Administration, Health/Health Care Administration/Management
Interamerican University 1994 — 1997
Bachelor of Science, Pre-Medicine/Pre-Medical Studies
Pontificia Universidad Católica de Puerto Rico 1982 — 1986
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
Dee Brown & Dee Brown Corp December 2014 - Present
Dee Brown Consulting July 1991 - Present
Florida Healthcare Plus October 2011 - May 2014
Skills
Engaging Public Speaker, Multilingual, Business Development, Entrepreneurship, Marketing Research, New Business Development, Strategic Planning, Healthcare Consulting, Healthcare Management, Business Analysis, Medicare, Healthcare, Medicaid, HIPAA, Provider Relations, Health Insurance, Customer Service, Employee Benefits, Credentialing, EMR, HEDIS, Provider Network..., Managed Care, Hospitals, Physician Relations, NCQA, Quality Improvement, Clinical Research, Executive Management, PPO, Medicaid Managed Care, Health Policy, Network Development, Medicare Part D, Medical Compliance, Healthcare Industry, Revenue Cycle, EHR, Healthcare Information..., Insurance, Physicians, Process Improvement, Utilization Management, Disease Management, Claim, HMO, Revenue Cycle Management, Medicine, Performance Improvement, Utilization Review
Education
University of Puerto Rico 2006 — 2009
Bachelor's degree Health Care Administration, Health/Health Care Administration/Management
Interamerican University 1994 — 1997
Bachelor of Science, Pre-Medicine/Pre-Medical Studies
Pontificia Universidad Católica de Puerto Rico 1982 — 1986
Bachelor of Business Administration (B.B.A.), Business Administration, Management and Operations
Alex Alvarez Alex Alvarez's Florida Healthcare Plus Experience October 2012 - April 2014
Job Sales Manager @ HealthSun Health Plans
Industry Insurance
Experience
HealthSun Health Plans, Inc May 2014 - Present
Florida Healthcare Plus October 2012 - April 2014
CarePlus Health Plans September 2011 - October 2012
Blue Cross Blue Shield of Florida February 2011 - June 2011
Molina Healthcare December 2009 - October 2010
Insurance Service Alliance, Inc. 2007 - 2009
Prudential Carolinas Reality 2006 - 2007
Denticare Plus, Inc. 1999 - 2005
Foundation Health 2000 - 2004
CAC Ramsey/United Healthcare Health Plans 1989 - 1997
Skills
Life & Health Insurance..., Property & Casualty..., Microsoft Office, Medicaid, Medicare Part D, Medicare Advantage, Medicare Supplements, Microsoft Excel, Microsoft Word, PowerPoint, Teamwork, Team Leadership, Team Building, Team Management, Healthcare Management, Business Strategy, Business Analysis, New Business Development, Sales, Sales Management, Salesforce.com, Direct Sales, Customer Service, Marketing Research, Office Management, Insurance Agency..., Public Speaking, Public Relations, Healthcare Information..., Hospitals, Employee Benefits, Marketing, Home Care, Health Policy, Credentialing, HIPAA, Medicare/Medicaid..., Provider Relations, Health Care Reform, Life Insurance, Training, Disease Management, Practice Management, Network Development, Leadership, HMO, EHR, Revenue Cycle, Physician Relations, Revenue Cycle Management
Education
Miami Dade College
Finance, General
HealthSun Health Plans, Inc May 2014 - Present
Florida Healthcare Plus October 2012 - April 2014
CarePlus Health Plans September 2011 - October 2012
Blue Cross Blue Shield of Florida February 2011 - June 2011
Molina Healthcare December 2009 - October 2010
Insurance Service Alliance, Inc. 2007 - 2009
Prudential Carolinas Reality 2006 - 2007
Denticare Plus, Inc. 1999 - 2005
Foundation Health 2000 - 2004
CAC Ramsey/United Healthcare Health Plans 1989 - 1997
Skills
Life & Health Insurance..., Property & Casualty..., Microsoft Office, Medicaid, Medicare Part D, Medicare Advantage, Medicare Supplements, Microsoft Excel, Microsoft Word, PowerPoint, Teamwork, Team Leadership, Team Building, Team Management, Healthcare Management, Business Strategy, Business Analysis, New Business Development, Sales, Sales Management, Salesforce.com, Direct Sales, Customer Service, Marketing Research, Office Management, Insurance Agency..., Public Speaking, Public Relations, Healthcare Information..., Hospitals, Employee Benefits, Marketing, Home Care, Health Policy, Credentialing, HIPAA, Medicare/Medicaid..., Provider Relations, Health Care Reform, Life Insurance, Training, Disease Management, Practice Management, Network Development, Leadership, HMO, EHR, Revenue Cycle, Physician Relations, Revenue Cycle Management
Education
Miami Dade College
Finance, General
Fausto Franco's Florida Healthcare Plus Experience October 2013 - January 2015
Job Senior .NET Developer at MDFlow Systems
Industry Computer Software
Experience
MDFlow Systems January 2015 - September 2015
Florida Healthcare Plus October 2013 - January 2015
Simply Healthcare Plans July 2011 - October 2013
Medica Healthcare Plans, Inc September 2009 - July 2011
InsurePro Technologies April 2008 - September 2009
HealthSun Health Plans, Inc September 2006 - April 2008
Global Medical Management January 2006 - September 2006
Bunch & Associates June 2005 - December 2005
The Gainsco Companies September 1998 - September 2005
Skills
MS Visual Studio 2010,..., .Net Framework, C#,..., HTML, CSS, JavaScript,..., Microsoft SQL Server, Reporting Services, Healthcare Information..., QNXT & EAM, Medicare, SDLC, SharePoint, .NET, Business Intelligence, C#, HIPAA, Health Insurance, ASP.NET, SQL, SSRS, Software Development, XML, Access, Business Analysis, Healthcare, Integration, Software Documentation, Visio
Education
Broward College 2010 — 2011
Implementation Manager, Health Information/Medical Records Technology/Technician
Universidad Nacional Pedro Henríquez Ureña 1983 — 1988
Computer Science Degree, Computer Science
MDFlow Systems January 2015 - September 2015
Florida Healthcare Plus October 2013 - January 2015
Simply Healthcare Plans July 2011 - October 2013
Medica Healthcare Plans, Inc September 2009 - July 2011
InsurePro Technologies April 2008 - September 2009
HealthSun Health Plans, Inc September 2006 - April 2008
Global Medical Management January 2006 - September 2006
Bunch & Associates June 2005 - December 2005
The Gainsco Companies September 1998 - September 2005
Skills
MS Visual Studio 2010,..., .Net Framework, C#,..., HTML, CSS, JavaScript,..., Microsoft SQL Server, Reporting Services, Healthcare Information..., QNXT & EAM, Medicare, SDLC, SharePoint, .NET, Business Intelligence, C#, HIPAA, Health Insurance, ASP.NET, SQL, SSRS, Software Development, XML, Access, Business Analysis, Healthcare, Integration, Software Documentation, Visio
Education
Broward College 2010 — 2011
Implementation Manager, Health Information/Medical Records Technology/Technician
Universidad Nacional Pedro Henríquez Ureña 1983 — 1988
Computer Science Degree, Computer Science
John Parrott's Florida Healthcare Plus Experience July 2012 - January 2014
Job Sales & Marketing Manager, Epoch Financial Group
Industry Insurance
Experience
Epoch Financial Group January 1991 - Present
Florida Healthcare Plus July 2012 - January 2014
MetLife July 1988 - January 1990
Skills
Insurance, Employee Benefits, Health Insurance, Sales, CRM, New Business Development, Account Management, Disability Insurance, Customer Service, Sales Management, Fixed Annuities, Business Development, Term Life Insurance, Management, Marketing, Medicare, Cold Calling, Customer Retention, Leadership, Team Building, Training, Managed Care, Healthcare, Small Business, Sales Presentations, Direct Sales, Brokers
Education
University of Massachusetts Boston
Master of Science (MS)
University of Massachusetts Boston 2008 — 2010
Bachelor's Degree, Community Studies
Fern Creek High School 1974 — 1980
Diploma, General Education
Epoch Financial Group January 1991 - Present
Florida Healthcare Plus July 2012 - January 2014
MetLife July 1988 - January 1990
Skills
Insurance, Employee Benefits, Health Insurance, Sales, CRM, New Business Development, Account Management, Disability Insurance, Customer Service, Sales Management, Fixed Annuities, Business Development, Term Life Insurance, Management, Marketing, Medicare, Cold Calling, Customer Retention, Leadership, Team Building, Training, Managed Care, Healthcare, Small Business, Sales Presentations, Direct Sales, Brokers
Education
University of Massachusetts Boston
Master of Science (MS)
University of Massachusetts Boston 2008 — 2010
Bachelor's Degree, Community Studies
Fern Creek High School 1974 — 1980
Diploma, General Education
Bruce Bershad's Florida Healthcare Plus Experience September 2011 - November 2013
Job District Sales Manager at WellCare, West Florida 1099 Broker Channel
Industry Insurance
Experience
WellCare Health Plans November 2013 - Present
Florida Realty January 2006 - Present
Florida Healthcare Plus September 2011 - November 2013
HealthPlan Services September 2009 - September 2011
MD Medicare Choice March 2007 - September 2008
Independent Broker January 2000 - March 2007
Prudential Financial September 1997 - January 2000
Independent Broker June 1995 - October 1996
Humana April 1992 - June 1995
Skills
Medicare, Medicaid, HMO, Provider Relations, Health Policy, Medicare Part D, PPO, Credentialing, Health Insurance, Managed Care, Insurance, HIPAA, Healthcare, Marketing, Healthcare Industry, Sales, Customer Service, Training, Organizational..., Medical Coding, Disability Insurance, Human Resources, Professional Ethics, Thought Leadership, Seniors, Medical Billing, Contract Negotiation, Brokers, CPT, Strategic Vision, Health Care Reform, Healthcare Information..., Hospitals, Leadership Development, Home Care, Physicians, Selling, Workers Compensation, Sales Management, Physician Relations, Vision Creation, Marketing Strategy, Utilization Management, Technical Leadership, Claim, Strategic Leadership, Medicine, Medical Ethics, Customer Retention, Sales Operations
Education
Faith Theological Seminary & Christian College 2012 — 2014
Bachelor of Theology, Christian Theology
Bob Hogue School of Real Estate 2006 — 2006
Licensed Real Estate Agent - Florida, Real Estate
Central Insurance School 1992 — 1992
Licensed Life, Health and Variable Annuities Agent
Hillsborough Community College
Mangement / Marketing
Community College of the US Air Force 1975 — 1976
Aircraft Maintance Technician, Galaxy C-5A, Honnor Graduate
Brandon Sr High 1973 — 1975
Graduate, General Studies
WellCare Health Plans November 2013 - Present
Florida Realty January 2006 - Present
Florida Healthcare Plus September 2011 - November 2013
HealthPlan Services September 2009 - September 2011
MD Medicare Choice March 2007 - September 2008
Independent Broker January 2000 - March 2007
Prudential Financial September 1997 - January 2000
Independent Broker June 1995 - October 1996
Humana April 1992 - June 1995
Skills
Medicare, Medicaid, HMO, Provider Relations, Health Policy, Medicare Part D, PPO, Credentialing, Health Insurance, Managed Care, Insurance, HIPAA, Healthcare, Marketing, Healthcare Industry, Sales, Customer Service, Training, Organizational..., Medical Coding, Disability Insurance, Human Resources, Professional Ethics, Thought Leadership, Seniors, Medical Billing, Contract Negotiation, Brokers, CPT, Strategic Vision, Health Care Reform, Healthcare Information..., Hospitals, Leadership Development, Home Care, Physicians, Selling, Workers Compensation, Sales Management, Physician Relations, Vision Creation, Marketing Strategy, Utilization Management, Technical Leadership, Claim, Strategic Leadership, Medicine, Medical Ethics, Customer Retention, Sales Operations
Education
Faith Theological Seminary & Christian College 2012 — 2014
Bachelor of Theology, Christian Theology
Bob Hogue School of Real Estate 2006 — 2006
Licensed Real Estate Agent - Florida, Real Estate
Central Insurance School 1992 — 1992
Licensed Life, Health and Variable Annuities Agent
Hillsborough Community College
Mangement / Marketing
Community College of the US Air Force 1975 — 1976
Aircraft Maintance Technician, Galaxy C-5A, Honnor Graduate
Brandon Sr High 1973 — 1975
Graduate, General Studies
Lourdes M. Hernandez's Florida Healthcare Plus Experience February 2012 - February 2014
Job City of Miami Beach
Industry Government Relations
Experience
City of Miami Beach 2015 - Present
Independent Living Systems, LLC February 2014 - June 2015
Florida Healthcare Plus February 2012 - February 2014
Miami-Dade CountyCourts June 1994 - August 2011
Skills
Public Speaking, Westlaw, Courts, Strategic Planning, Civil Litigation, Corporate Law, Appeals, Policy, Litigation, Criminal Law, Customer Service, Legal Research, Commercial Litigation, Contract Negotiation, SharePoint, SAS programming, Mainframe, Torts, Insurance Law, Motions, Outlook, Access, Licensing
Education
Miami Dade College
AA in Information Technology, Information Technology
City of Miami Beach 2015 - Present
Independent Living Systems, LLC February 2014 - June 2015
Florida Healthcare Plus February 2012 - February 2014
Miami-Dade CountyCourts June 1994 - August 2011
Skills
Public Speaking, Westlaw, Courts, Strategic Planning, Civil Litigation, Corporate Law, Appeals, Policy, Litigation, Criminal Law, Customer Service, Legal Research, Commercial Litigation, Contract Negotiation, SharePoint, SAS programming, Mainframe, Torts, Insurance Law, Motions, Outlook, Access, Licensing
Education
Miami Dade College
AA in Information Technology, Information Technology
Tania Barriere-Perez's Florida Healthcare Plus Experience June 2013 - January 2015
Job VP Health Services at Magellan Health
Industry Hospital & Health Care
Experience
Magellan Health February 2015 - Present
Florida Healthcare Plus June 2013 - January 2015
Simply Health Care Plans May 2011 - July 2013
Jackson Health System July 2002 - May 2011
Florida International University June 1998 - December 2001
Skills
Group Therapy, Public Speaking, Management, Mental Health, Hospitals, Healthcare, Managed Care, Family Therapy, Medicare, Medicaid, Clinical Research, Training, Social Services, Leadership, Process Improvement, Physician Relations, HIPAA, Healthcare Industry, Healthcare Management, Case Managment, Policy, Customer Service, Program Development, Coaching, Health Insurance, Teaching, Disease Management, Utilization Management, Case Management, Credentialing, EHR, EMR, HEDIS, Health Policy, Healthcare Consulting, HMO, Healthcare Information..., Home Care, Long-term Care, Medical Billing, Medicine, NCQA, PPO, Physicians, Provider Relations, Public Health, Quality Improvement
Education
Florida International University 1982 — 1988
BSW/MSW, Social Work
Magellan Health February 2015 - Present
Florida Healthcare Plus June 2013 - January 2015
Simply Health Care Plans May 2011 - July 2013
Jackson Health System July 2002 - May 2011
Florida International University June 1998 - December 2001
Skills
Group Therapy, Public Speaking, Management, Mental Health, Hospitals, Healthcare, Managed Care, Family Therapy, Medicare, Medicaid, Clinical Research, Training, Social Services, Leadership, Process Improvement, Physician Relations, HIPAA, Healthcare Industry, Healthcare Management, Case Managment, Policy, Customer Service, Program Development, Coaching, Health Insurance, Teaching, Disease Management, Utilization Management, Case Management, Credentialing, EHR, EMR, HEDIS, Health Policy, Healthcare Consulting, HMO, Healthcare Information..., Home Care, Long-term Care, Medical Billing, Medicine, NCQA, PPO, Physicians, Provider Relations, Public Health, Quality Improvement
Education
Florida International University 1982 — 1988
BSW/MSW, Social Work
Everton DeLeon's Florida Healthcare Plus Experience August 2011 - September 2013
Job Career Agent at Transamerica Agency Network
Industry Insurance
Experience
Transamerica Agency Network June 2014 - Present
Self Employed September 2013 - June 2014
Florida Healthcare Plus August 2011 - September 2013
Self Employed May 2009 - August 2011
Humana Inc. April 2001 - May 2009
Skills
Term Life Insurance, Disability Insurance, Life Insurance, Insurance, Employee Benefits, Retirement, Whole Life, Universal Life, Fixed Annuities, Long-term Care, Long Term Care Insurance, Critical Illness, Medicare, Permanent Life Insurance, Individual Health..., Managed Care, Claim, Medicare Part D, Brokers, Health Policy, Provider Relations, Workers Compensation, IRAs, PPO, Medicaid, Health Savings Accounts, Underwriting, HMO, Retirement Planning, Liability, Group Insurance, COBRA, Health Care Reform, Casualty, Healthcare Industry, Benefits Administration, HIPAA, General Insurance, Network Development, Sales, Healthcare Consulting, Utilization Management, Insurance Brokerage, Variable Annuities, Medical Billing, Disease Management, 401k, Open Enrollment, Cafeteria Plans, Credentialing
Education
Miami Dade College 1995 — 1998
Psychology, 3.9
Munro 1971 — 1978
General Certificate of Education (GCE), Secondary Education, Sucessfully completed " O'Levels and A'Levels "
Transamerica Agency Network June 2014 - Present
Self Employed September 2013 - June 2014
Florida Healthcare Plus August 2011 - September 2013
Self Employed May 2009 - August 2011
Humana Inc. April 2001 - May 2009
Skills
Term Life Insurance, Disability Insurance, Life Insurance, Insurance, Employee Benefits, Retirement, Whole Life, Universal Life, Fixed Annuities, Long-term Care, Long Term Care Insurance, Critical Illness, Medicare, Permanent Life Insurance, Individual Health..., Managed Care, Claim, Medicare Part D, Brokers, Health Policy, Provider Relations, Workers Compensation, IRAs, PPO, Medicaid, Health Savings Accounts, Underwriting, HMO, Retirement Planning, Liability, Group Insurance, COBRA, Health Care Reform, Casualty, Healthcare Industry, Benefits Administration, HIPAA, General Insurance, Network Development, Sales, Healthcare Consulting, Utilization Management, Insurance Brokerage, Variable Annuities, Medical Billing, Disease Management, 401k, Open Enrollment, Cafeteria Plans, Credentialing
Education
Miami Dade College 1995 — 1998
Psychology, 3.9
Munro 1971 — 1978
General Certificate of Education (GCE), Secondary Education, Sucessfully completed " O'Levels and A'Levels "
Jammal McCray's Florida Healthcare Plus Experience May 2012 - December 2013
Job Report Developer at Independent Living Systems, LLC
Industry Information Technology and Services
Experience
Independent Living Systems, LLC January 2014 - August 2015
Florida Healthcare Plus May 2012 - December 2013
WellCare April 2011 - May 2012
WellCare Health Plans Inc January 2009 - April 2011
WellCare Health Plans Inc December 2006 - January 2009
Palms of Pasadena Hospital January 2001 - December 2006
Skills
Access, Software Documentation, Visio, Insurance, Medicare, Data Analysis, Healthcare, SharePoint, Microsoft Excel, Healthcare Information..., Custom Reporting, Reporting Analysis, Outlook, Microsoft Office, PowerPoint, HIPAA, Health Insurance, Healthcare Management, Medicaid, Managed Care, Healthcare Industry
Education
St. Petersburg College
Bachelors, Technology Management
St. Petersburg College
A.S, Network Support Specialist
Independent Living Systems, LLC January 2014 - August 2015
Florida Healthcare Plus May 2012 - December 2013
WellCare April 2011 - May 2012
WellCare Health Plans Inc January 2009 - April 2011
WellCare Health Plans Inc December 2006 - January 2009
Palms of Pasadena Hospital January 2001 - December 2006
Skills
Access, Software Documentation, Visio, Insurance, Medicare, Data Analysis, Healthcare, SharePoint, Microsoft Excel, Healthcare Information..., Custom Reporting, Reporting Analysis, Outlook, Microsoft Office, PowerPoint, HIPAA, Health Insurance, Healthcare Management, Medicaid, Managed Care, Healthcare Industry
Education
St. Petersburg College
Bachelors, Technology Management
St. Petersburg College
A.S, Network Support Specialist