Florida Healthcare Plus, Inc
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Florida Healthcare Plus, Inc Employees
Magellan Health August 2015 - Present
My Home Doctor, LLC August 2005 - Present
Univita Health Inc January 2015 - July 2015
Florida Healthcare Plus, Inc August 2014 - December 2014
Simply Healthcare Plans, Better Health Plans of Florida and Clear Health Alliance June 2012 - July 2014
Ormond Medical Arts November 2010 - May 2012
Leon Medical Centers Health Plans by Health Spring-Cigna February 2009 - November 2010
Leon Medical Centers June 2004 - February 2009
Ormond Medical Arts July 2002 - June 2004
Skills
Clinical Research, Hospitals, Primary Care, Wound Care, HEDIS, Allergy, Healthcare Management, Healthcare, Family Medicine, Board Certified, Medical Education, Medicine, Internal Medicine, Pediatrics, Emergency Medicine, Insurance, Medicaid, Clinical Trials, Nursing, Case Managment, Healthcare Information...
Education
Halifax Medical Center and University of South Florida 1999 — 2002
Family Medicine and Sports Medicine Residency Program
Ponce School of Medicine 1995 — 1999
Doctorate in Medicine, Medical Doctorate
University of Minnesota-Twin Cities 1993 — 1995
Bachelor in Science -, Biology Major, Magna Cum Laude Graduate
Florida Healthcare Plus, Inc March 2014 - December 2014
Simply Healthcare Plans 2012 - 2014
The Arc of South Florida 2001 - 2012
Miami Behavioral Health Center 2000 - 2001
Department of Health, Children's Medical Services 1995 - 2000
Education
Florida International University
Bachelor's Degree, Social Work
J&L Healthcare Consulting Group LLC January 2015 - Present
Florida Healthcare Plus, Inc July 2012 - Present
WellCare Health Plans February 2007 - September 2010
CarePlus Health Plan April 2001 - January 2005
Skills
Management, Health Insurance, Customer Service, Microsoft Office, Claim, Strategic Planning, Leadership, Employee Benefits, Healthcare, Healthcare Industry, Healthcare Information..., Insurance, HIPAA, Medicare, Medicaid, Managed Care, Process Improvement
Education
Concorde Career Institute-Tampa 2010 — 2011
Certified Coder, Health/Health Care Administration
WellCare Health Plans May 2015 - Present
Florida Healthcare Plus, Inc June 2013 - December 2014
Humana March 2013 - May 2013
Neuro Network Partners July 2012 - November 2012
Skills
QNXT Production..., Athena..., Medisoft Billing, Cernerworks Powerchart, EMR/ EHR systems, MS (Word, Excel, Power..., eClinicalWorks, Practice Fusion, Medgen EHR, Care360, MediConnect Global, Provade, AmazingCharts, MD Office 2000, Data Entry (75 WPM), SharePoint, Customer Service, Front to Back Office, Follow-through Skills, Prioritize Workload, Health Insurance, Detail-oriented, Team player, At Multitasking, Organization Skills, Accuracy in examining..., Great interpersonal and..., Critical thinking..., Work independently,..., Patients and Practice’s..., Tenacious Work Ethic, Professionalism, Medical Records, Appointment Scheduling, Vital Signs, Therapists, Healthcare, Communication, Nursing, Wellness, Inpatient, Healthcare Management, Managed Care, Training, HIPAA, Healthcare Information..., Hospitals, Leadership
Education
Universidad del Turabo 2013 — 2016
Bachelor in Sciences of Nursing, Registered Nursing/Registered Nurse
Florida College of Natural Health 2012 — 2012
Skin Care Specialist / Facial Specialist, Aesthetician/Esthetician and Skin Care Specialist
Laboratoire Suisse 2012 — 2012
Cavitation Training Methode Physiodermie
M’lis Body Contour Certification Program 2012 — 2012
Certified Body Contour Specialist, Aesthetician/Esthetician and Skin Care Specialist
SlimSpa Institute 2012 — 2012
Cavitation & Radiofrequency Specialist, Massage Therapy/Therapeutic Massage
International Academy of NeuroMuscular Therapies 2011 — 2011
Certified NeuroMuscular Therapist, Massage Therapy/Therapeutic Massage
The Manual Lymph Drainage Institute 2011 — 2011
Certified Holistic Manual Lymph Drainage Therapist, Massage Therapy/Therapeutic Massage
The Praxis Institute 2010 — 2011
Advanced Therapeutic, Sports and Clinical Massage Program; Sport Massage; Deep Tissue, Massage Therapy/Therapeutic Massage, National Certification Board for Therapeutic Massage and Bodywork
Public Notary Association 2009 — 2009
Commissioned Public Notary
International Training Careers 2006 — 2007
Certified Nursing Assistant/HHA/ Phlebotomy Technician / Certified Electrocardiograph Aide, Pre-Nursing Studies, Patient Care Technician
Cognizant May 2015 - Present
Florida Healthcare Plus, Inc April 2014 - January 2015
TriZetto, A Cognizant Company April 2013 - April 2014
Florida Healthcare Plus, Inc October 2011 - August 2012
Molina Healthcare December 2009 - October 2011
Skills
Medicaid, Healthcare Management, Managed Care, Medicare, Healthcare Information..., HIPAA, Healthcare, Revenue Cycle, Hospitals, EMR, EHR, Medical Billing, Health Insurance, HEDIS, Healthcare Industry, Healthcare Consulting, CPT, Analysis, Team Building, Physician Relations, Leadership, Business Analysis, Medical Terminology, Employee Benefits, Insurance, Physicians
Education
Florida International University 2012 — 2013
MSHIMS, HEALTH INFORMATIC & MANAGMENT SYSTEMS
University of Phoenix 2007 — 2011
BSHA, Health Administration
Turner Tech 1996 — 1999
High School Diploma, TV Production
Pride Health July 2015 - Present
Optima Medical Center March 2015 - May 2015
Florida Healthcare Plus, Inc January 2012 - December 2014
Inktel Contact Center Solutions August 2011 - January 2012
7-Eleven May 2011 - September 2011
Skills
Physician Liason, Compliance Management, Research, Claim Investigation, Leadership, Microsoft Excel, PowerPoint, Microsoft Office, Microsoft Word, Sales, Management, Training, Photoshop, Provider Relations, Clerical Skills, Transportation..., Executive...
Education
Florida National University
Bachelor of Applied Science (BASc), Registered Nursing/Registered Nurse
Westland Hialeah
Westland Hialeah
Westland Hialeah
Amerigroup Corporation November 2011 - March 2012
Tre Metis Corporation 2008 - December 2011
Foundational Health Centers July 2011 - September 2011
Florida Healthcare Plus, Inc June 2011 - August 2011
Citrus Health Care 2008 - 2010
Physicians United Plan November 2005 - June 2008
RECC Holdings 2007 - 2008
CareOne Health Plans 2005 - 2005
WellCare 1998 - 2005
WellCare 1998 - 2005
Skills
Regulatory Affairs, Medicare, Managed Care, Physician Network..., Medicaid, Contract Negotiation, IPAs, Ancillary Services, Provider Relations, Microsoft Word, Microsoft Excel, Outlook, Provider Network..., PowerPoint, MSOs, Long-term Care, PPO, HMO, Privacy Law, Training, Healthcare Industry, Management, Insurance, HIPAA, Leadership, Network Development, Healthcare, Healthcare Consulting, Healthcare Management, Health Insurance, Executive Management, Physicians, Healthcare Information..., Hospitals, Revenue Cycle, Policy, Employee Benefits, Health Policy, Provider Contracting, Compliance, Long Term Care, Privacy, Notary Public, Government Liaison, Utilization Management, Claim, Program Management, Medicare Part D, Disease Management, Physician Relations
Education
Troy University
Hillsborough Community College
Associate of Arts (A.A.)
AvMed March 2015 - Present
Lifetime Home Healthcare March 2013 - Present
Senior Nannies Home Healthcare February 2013 - Present
Florida Healthcare Plus, Inc December 2013 - December 2014
State of Florida January 2006 - June 2011
Skills
Mental Health, Courts, Medicaid, Case Managment, Social Services, Cpr Certified, Nursing, BLS, Medication..., Home Care, Elder Care, Patient Education, Healthcare, ACLS, Psychology, HIPAA, Patient Safety, Acute Care, Case Management, Inpatient
Education
City College Ft. Lauderdale 2010 — 2012
Associate of Science (A.S.), Registered Nursing/Registered Nurse
University of South Florida 2001 — 2005
BA, Psychology
Western Governors University
Master of Science (M.S.), Clinical Nurse Leader
Beacon Heath Options, LLC November 2014 - Present
Florida Healthcare Plus, Inc April 2014 - Present
Zirlin & Rounsaville Property Tax Advisors February 2011 - April 2012
United Retail - Avenue May 2007 - April 2012
Gap Inc./Old Navy May 2008 - February 2009
Skills
Customer Service, Customer Satisfaction, Organizational..., Office Administration, Filing, Sales, Sales Management, Always Punctual, Highly personable, Cashiering, Communication, Inventory Management, Leadership, Training, Merchandising, Time Management, Outlook, Administrative..., Employee Benefits, Microsoft Word, Management, Spreadsheets
Education
Florida International University 2005 — 2007
Not yet achieved, Biology, General, 3.0
Southwest Miami Sr. High School 2001 — 2005
High school Diploma