Gold Coast Health Plan
Description
Address: 711 E Daily Dr #106, Camarillo, CA 93010 Hours: Closed ⋅ Opens 8AM Friday8AM–5PMSaturdayClosedSundayClosedMonday8AM–5PMTuesday8AM–5PMWednesday8AM–5PMThursday8AM–5PMSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (888) 301-1228: Category: Place name: : : : : Website: : Website: http://www.goldcoasthealthplan.org/ Category: Health insurance agency Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a question See all questions (11) Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of Gold Coast Health Plan Posting publicly on the Web Write a review Reviews 8 Google reviews
Gold Coast Health Plan List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Gold Coast Health Plan. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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40 Gold Coast Health Plan employees in database. Find out everything there's to know about Gold Coast Health Plan employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Gold Coast Health Plan Employees
Employee
Years
Job
Industry
Jasmine Wilson Jasmine Wilson's Gold Coast Health Plan Experience May 2011 - August 2011
Job Product Manager at eHarmony
Industry Computer Software
Experience
eHarmony May 2014 - Present
ConsumerTrack, Inc. April 2013 - May 2014
NeuStrategy, Inc. February 2012 - March 2013
Gold Coast Health Plan May 2011 - August 2011
Universal Music Group May 2010 - September 2010
Salinas Valley Memorial Healthcare System May 2009 - January 2010
Genefresh Technologies June 2008 - August 2008
Skills
Market Research, Project Management, Strategic Planning, Analytics, PowerPoint, Marketing, Microsoft Office, Healthcare Consulting, Microsoft Excel, Process Improvement, Outlook, Leadership, Hospitals, Digital Marketing, Business Strategy, Research, Sales, Microsoft Word, Microsoft Access, Software Documentation, Google Analytics, Strategic Consulting, Management, MS Project, Management Consulting, Photoshop, Business Analytics, Market Analysis, Quality Assurance, Data Analysis, Advertising, Financial Analysis, InDesign, Forecasting, Maptitude, CRM, Salesforce.com, WordPress, Redmine, Product Management, Microsoft Project, ICD-9, User Acceptance Testing, Scrum, Mobile Web
Education
University of Southern California 2008 — 2011
Bachelor of Science, Public Policy, Management, and Planning, Health Administration
eHarmony May 2014 - Present
ConsumerTrack, Inc. April 2013 - May 2014
NeuStrategy, Inc. February 2012 - March 2013
Gold Coast Health Plan May 2011 - August 2011
Universal Music Group May 2010 - September 2010
Salinas Valley Memorial Healthcare System May 2009 - January 2010
Genefresh Technologies June 2008 - August 2008
Skills
Market Research, Project Management, Strategic Planning, Analytics, PowerPoint, Marketing, Microsoft Office, Healthcare Consulting, Microsoft Excel, Process Improvement, Outlook, Leadership, Hospitals, Digital Marketing, Business Strategy, Research, Sales, Microsoft Word, Microsoft Access, Software Documentation, Google Analytics, Strategic Consulting, Management, MS Project, Management Consulting, Photoshop, Business Analytics, Market Analysis, Quality Assurance, Data Analysis, Advertising, Financial Analysis, InDesign, Forecasting, Maptitude, CRM, Salesforce.com, WordPress, Redmine, Product Management, Microsoft Project, ICD-9, User Acceptance Testing, Scrum, Mobile Web
Education
University of Southern California 2008 — 2011
Bachelor of Science, Public Policy, Management, and Planning, Health Administration
Alyssa Shauer's Gold Coast Health Plan Experience January 2014 - July 2014
Job JD Candidate at UCLA School of Law
Industry Law Practice
Experience
U.S. District Court, CACD August 2015 - Present
LAPD Office of the Inspector General May 2015 - July 2015
Gold Coast Health Plan January 2014 - July 2014
FAA June 2012 - May 2013
Skills
Quality Assurance, Editing, Microsoft Office, Customer Service, Technical Writing, Java, Research, Public Speaking
Education
University of California, Los Angeles - School of Law 2014 — 2017
Doctor of Law (JD)
Université libre de Bruxelles 2013 — 2013
European Union Studies, International Study Abroad
University of Washington 2010 — 2013
Bachelor of Arts, Political Science; Minor, Computer Science
U.S. District Court, CACD August 2015 - Present
LAPD Office of the Inspector General May 2015 - July 2015
Gold Coast Health Plan January 2014 - July 2014
FAA June 2012 - May 2013
Skills
Quality Assurance, Editing, Microsoft Office, Customer Service, Technical Writing, Java, Research, Public Speaking
Education
University of California, Los Angeles - School of Law 2014 — 2017
Doctor of Law (JD)
Université libre de Bruxelles 2013 — 2013
European Union Studies, International Study Abroad
University of Washington 2010 — 2013
Bachelor of Arts, Political Science; Minor, Computer Science
Dale Adrion Dale Adrion's Gold Coast Health Plan Experience Business ConsultantWellPoint Anthem Blue Cross2008 - 2014
Job Data Analyst at Gold Coast Health Plan
Industry Insurance
Experience
Gold Coast Health Plan Business ConsultantWellPoint Anthem Blue Cross2008 - 2014
WellPoint Anthem Blue Cross 1998 - 2008
WellPoint Anthem Blue Cross 1996 - 1998
Skills
Process Improvement, Business Analysis, Strategic Planning, Analysis, Problem Solving, Insurance, Medicaid, Human Resources, Managed Care, Risk Management, Vendor Management, Visio, Customer Service, Employee Benefits, Marketing Strategy, EDI, People Skills, Time Management, Underwriting, Project Management, Requirements Analysis, Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Access, User Acceptance Testing
Education
California Lutheran University
BA, Political Science
California Lutheran University
MBA Candidate, General MBA
Gold Coast Health Plan Business ConsultantWellPoint Anthem Blue Cross2008 - 2014
WellPoint Anthem Blue Cross 1998 - 2008
WellPoint Anthem Blue Cross 1996 - 1998
Skills
Process Improvement, Business Analysis, Strategic Planning, Analysis, Problem Solving, Insurance, Medicaid, Human Resources, Managed Care, Risk Management, Vendor Management, Visio, Customer Service, Employee Benefits, Marketing Strategy, EDI, People Skills, Time Management, Underwriting, Project Management, Requirements Analysis, Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Access, User Acceptance Testing
Education
California Lutheran University
BA, Political Science
California Lutheran University
MBA Candidate, General MBA
Lezli Stroh Lezli Stroh's Gold Coast Health Plan Experience January 2011 - May 2012
Job Logistics Manager at Gingerbread Shed Corporation
Industry Entertainment
Experience
Gingerbread Shed Corporation February 2014 - Present
Moulton Logistics Management May 2012 - January 2014
Gold Coast Health Plan January 2011 - May 2012
Mission Produce December 2007 - September 2010
Zero Gravity Corp. May 2003 - December 2007
Morton's of Chicago April 1999 - October 2001
State Farm Insurance Companies July 1991 - August 1996
Skills
Microsoft Office, Purchasing, Translation, Business Process..., Sales, Human Resources, Inventory, Inventory Management, Microsoft Excel, Microsoft Word, Strategic Planning, Process Improvement, Customer Service, Outlook, Forecasting, Budgets, Team Building, Marketing, PowerPoint, Management, Operations Management, Supply Chain Management, Logistics, Social Networking, Supply Chain, Warehousing
Education
Ashford University 2010 — 2012
Bachelor of Arts (B.A.), Communication Studies
California State University-Sacramento 1999 — 2000
International Business
Sacramento City College 1996 — 1999
A.S., Social Sciences
Gingerbread Shed Corporation February 2014 - Present
Moulton Logistics Management May 2012 - January 2014
Gold Coast Health Plan January 2011 - May 2012
Mission Produce December 2007 - September 2010
Zero Gravity Corp. May 2003 - December 2007
Morton's of Chicago April 1999 - October 2001
State Farm Insurance Companies July 1991 - August 1996
Skills
Microsoft Office, Purchasing, Translation, Business Process..., Sales, Human Resources, Inventory, Inventory Management, Microsoft Excel, Microsoft Word, Strategic Planning, Process Improvement, Customer Service, Outlook, Forecasting, Budgets, Team Building, Marketing, PowerPoint, Management, Operations Management, Supply Chain Management, Logistics, Social Networking, Supply Chain, Warehousing
Education
Ashford University 2010 — 2012
Bachelor of Arts (B.A.), Communication Studies
California State University-Sacramento 1999 — 2000
International Business
Sacramento City College 1996 — 1999
A.S., Social Sciences
Marisa Munoz Marisa Munoz's Gold Coast Health Plan Experience August 2014 - Present
Job Compliance Oversight Delegation Specialist
Industry Hospital & Health Care
Experience
Gold Coast Health Plan August 2014 - Present
CenCal Health May 2013 - August 2014
CenCal Health June 2010 - May 2013
Nordstrom July 2009 - March 2012
Heritage 1981 October 2008 - January 2009
KPS- PharMerica Pharmacy September 2007 - June 2008
Angl clothing store May 2007 - October 2007
Skills
Customer Service, Merchandising, Sales, Adjudication, Retail, Marketing, Microsoft Excel, Time Management, Microsoft Word, Forecasting, Selling, Marketing Strategy, Retail Sales, Trend, PowerPoint, Outlook, Telephone Skills, Fashion, Microsoft Office, Cashiering, Data Entry, Spreadsheets, Accounts Receivable, Office Administration, Employee Training
Education
FIDM/ The Fashion Institute of Design 2007 — 2009
Associate of Arts Degree, Merchandise Marketing Grad
Fashion Institute of Design & Merchandising 2007 — 2009
Associate's degree, Marketing
Gold Coast Health Plan August 2014 - Present
CenCal Health May 2013 - August 2014
CenCal Health June 2010 - May 2013
Nordstrom July 2009 - March 2012
Heritage 1981 October 2008 - January 2009
KPS- PharMerica Pharmacy September 2007 - June 2008
Angl clothing store May 2007 - October 2007
Skills
Customer Service, Merchandising, Sales, Adjudication, Retail, Marketing, Microsoft Excel, Time Management, Microsoft Word, Forecasting, Selling, Marketing Strategy, Retail Sales, Trend, PowerPoint, Outlook, Telephone Skills, Fashion, Microsoft Office, Cashiering, Data Entry, Spreadsheets, Accounts Receivable, Office Administration, Employee Training
Education
FIDM/ The Fashion Institute of Design 2007 — 2009
Associate of Arts Degree, Merchandise Marketing Grad
Fashion Institute of Design & Merchandising 2007 — 2009
Associate's degree, Marketing
Helene G. Smith Helene G. Smith's Gold Coast Health Plan Experience June 2015 - Present
Job Clinical Program Manager Disease Management at Gold Coast Health Plan
Industry Hospital & Health Care
Experience
Gold Coast Health Plan June 2015 - Present
Los Robles Hospital and Medical Center January 2013 - June 2015
David Geffen School of Medicine at UCLA 2011 - 2012
WellPoint, Inc 2005 - 2011
Cedars Sinai Medical Center 2004 - 2005
Skills
Gap Analysis, Project Management, SDLC, Program Management, Healthcare, Business Analysis, Management, Healthcare Consulting, Analysis, Strategy, Leadership, Data Analysis, Budgets, Change Management, Public Health, Software Documentation, Healthcare Information..., Healthcare Management, Health Policy, Research, PMO, Vendor Management, Clinical Research, Managed Care, Quality Improvement, Hospitals, Strategic Planning, Performance Improvement, HIPAA, Medicare, Healthcare Industry, Medicaid, Disease Management, Process Improvement, Health Insurance, Program Development
Education
University of California, Los Angeles - School of Public Health 2003 — 2005
MPH, Dept of Health Services, Health Care Management
University of California, Los Angeles
BA, Sociology
Gold Coast Health Plan June 2015 - Present
Los Robles Hospital and Medical Center January 2013 - June 2015
David Geffen School of Medicine at UCLA 2011 - 2012
WellPoint, Inc 2005 - 2011
Cedars Sinai Medical Center 2004 - 2005
Skills
Gap Analysis, Project Management, SDLC, Program Management, Healthcare, Business Analysis, Management, Healthcare Consulting, Analysis, Strategy, Leadership, Data Analysis, Budgets, Change Management, Public Health, Software Documentation, Healthcare Information..., Healthcare Management, Health Policy, Research, PMO, Vendor Management, Clinical Research, Managed Care, Quality Improvement, Hospitals, Strategic Planning, Performance Improvement, HIPAA, Medicare, Healthcare Industry, Medicaid, Disease Management, Process Improvement, Health Insurance, Program Development
Education
University of California, Los Angeles - School of Public Health 2003 — 2005
MPH, Dept of Health Services, Health Care Management
University of California, Los Angeles
BA, Sociology
Atul Maithel's Gold Coast Health Plan Experience December 2013 - Present
Job Controller at Gold Coast Health Plan Open for new opportunity
Industry Hospital & Health Care
Experience
Gold Coast Health Plan December 2013 - Present
Care 1st Health Plan May 2013 - December 2013
Dignity Health October 2011 - May 2013
Health Net Inc. March 1998 - May 2011
Culvercity Ambulatory Services 1997 - 1998
Murray J. Blank & Associates February 1993 - August 1996
Ernst & Young September 1988 - August 1992
Skills
Sarbanes-Oxley Act, Financial Reporting, Forecasting, Financial Analysis, Accounting, Variance Analysis, General Ledger, Managerial Finance, GAAP, Auditing, Hyperion Enterprise, Account Reconciliation, Process Improvement, Budgets, Accounts Receivable, Internal Audit, SAP, Cash Management, Corporate Finance, SEC filings, Finance, Accruals, Consolidation, Financial Statements, Analysis, Payroll, Mergers & Acquisitions, Cost Accounting, Management, Sarbanes-Oxley, Tax, Financial Forecasting, Internal Controls, Leadership, External Audit, Cash Flow, US GAAP, Cross-functional Team..., Strategic Financial..., Accounts Payable, Essbase, Fixed Assets, Financial Accounting, Financial Modeling, Financial Audits, Revenue Recognition, Strategy, Journal Entries, Business Process..., PeopleSoft
Education
California Board of Accountancy 1995 — 1995
C P A, Accounting and Finance
Delhi University 1976 — 1981
Master of Science in Accounting, English, Economics, Commerce, Accounting, Auditing
Gold Coast Health Plan December 2013 - Present
Care 1st Health Plan May 2013 - December 2013
Dignity Health October 2011 - May 2013
Health Net Inc. March 1998 - May 2011
Culvercity Ambulatory Services 1997 - 1998
Murray J. Blank & Associates February 1993 - August 1996
Ernst & Young September 1988 - August 1992
Skills
Sarbanes-Oxley Act, Financial Reporting, Forecasting, Financial Analysis, Accounting, Variance Analysis, General Ledger, Managerial Finance, GAAP, Auditing, Hyperion Enterprise, Account Reconciliation, Process Improvement, Budgets, Accounts Receivable, Internal Audit, SAP, Cash Management, Corporate Finance, SEC filings, Finance, Accruals, Consolidation, Financial Statements, Analysis, Payroll, Mergers & Acquisitions, Cost Accounting, Management, Sarbanes-Oxley, Tax, Financial Forecasting, Internal Controls, Leadership, External Audit, Cash Flow, US GAAP, Cross-functional Team..., Strategic Financial..., Accounts Payable, Essbase, Fixed Assets, Financial Accounting, Financial Modeling, Financial Audits, Revenue Recognition, Strategy, Journal Entries, Business Process..., PeopleSoft
Education
California Board of Accountancy 1995 — 1995
C P A, Accounting and Finance
Delhi University 1976 — 1981
Master of Science in Accounting, English, Economics, Commerce, Accounting, Auditing
Shar Montgomery's Gold Coast Health Plan Experience August 2012 - March 2013
Job Regional Training Coordinator at Eastern Kentucky University
Industry Government Administration
Experience
Eastern Kentucky University September 2014 - Present
CABINET FOR HEALTH AND FAMILY SERVICES/DEPT. COMMUNITY BASED SERVICES August 2013 - September 2014
Gold Coast Health Plan August 2012 - March 2013
Pacific Pulmonary Services June 2011 - July 2012
Xerox June 2006 - June 2011
Skills
Insurance, Medicare, Customer Service, HIPAA, Management, Microsoft Word, Access, Health Insurance, Leadership, Public Speaking, Social Media, Microsoft Excel, Training, Strategic Planning, State Government
Education
Eastern Kentucky University 2002 — 2007
B.S.W. (Social Work)
Eastern Kentucky University September 2014 - Present
CABINET FOR HEALTH AND FAMILY SERVICES/DEPT. COMMUNITY BASED SERVICES August 2013 - September 2014
Gold Coast Health Plan August 2012 - March 2013
Pacific Pulmonary Services June 2011 - July 2012
Xerox June 2006 - June 2011
Skills
Insurance, Medicare, Customer Service, HIPAA, Management, Microsoft Word, Access, Health Insurance, Leadership, Public Speaking, Social Media, Microsoft Excel, Training, Strategic Planning, State Government
Education
Eastern Kentucky University 2002 — 2007
B.S.W. (Social Work)
Paula Bernal's Gold Coast Health Plan Experience October 2014 - Present
Job Grievance & Appeals Specialist at Gold Coast Health Plan
Industry Government Administration
Experience
Gold Coast Health Plan October 2014 - Present
Gold Coast Health Plan June 2012 - September 2014
Anthem September 1997 - November 2011
Ventura County Medical Center 1993 - 1995
Skills
Claims Handling, Claims Resolution, Provider Relations, Dispute Resolution, Online Data Entry, Customer Service, Customer Service..., Customer Oriented, Medical Billing, Billing Process, Claim Investigation, Claim, Medicaid, Medicare, Health Insurance, Claims Management, ICD-9, CPT, Insurance, Managed Care, HIPAA, HMO, 10 Key, PPO, Medicare/Medicaid..., Medical Terminology, Call Centers, Healthcare Management, HCPCS, Claims Auditing, Healthcare, Healthcare Industry, ICD-10, Access, Claims Investigations, Microsoft Office, Microsoft Excel, Outlook, Microsoft Word
Education
Oxnard College 2012 — 2013
Associate of Science (A.S.), Business Administration, Management and Operations
Golden State College 1996 — 1997
Certificate, Computerized Office Procedures
Oxnard College 1993 — 1995
Associate of Arts (AA), Liberal Arts and Sciences/Liberal Studies
California State University Channel Islands
Bachelor of Business Administration (B.B.A.), Health/Health Care Administration/Management
Gold Coast Health Plan October 2014 - Present
Gold Coast Health Plan June 2012 - September 2014
Anthem September 1997 - November 2011
Ventura County Medical Center 1993 - 1995
Skills
Claims Handling, Claims Resolution, Provider Relations, Dispute Resolution, Online Data Entry, Customer Service, Customer Service..., Customer Oriented, Medical Billing, Billing Process, Claim Investigation, Claim, Medicaid, Medicare, Health Insurance, Claims Management, ICD-9, CPT, Insurance, Managed Care, HIPAA, HMO, 10 Key, PPO, Medicare/Medicaid..., Medical Terminology, Call Centers, Healthcare Management, HCPCS, Claims Auditing, Healthcare, Healthcare Industry, ICD-10, Access, Claims Investigations, Microsoft Office, Microsoft Excel, Outlook, Microsoft Word
Education
Oxnard College 2012 — 2013
Associate of Science (A.S.), Business Administration, Management and Operations
Golden State College 1996 — 1997
Certificate, Computerized Office Procedures
Oxnard College 1993 — 1995
Associate of Arts (AA), Liberal Arts and Sciences/Liberal Studies
California State University Channel Islands
Bachelor of Business Administration (B.B.A.), Health/Health Care Administration/Management
Heather J. Anderson's Gold Coast Health Plan Experience May 2014 - Present
Job Executive Assistant to Chief Operating Officer at Gold Coast Health Plan
Industry Insurance
Experience
Gold Coast Health Plan May 2014 - Present
Union Bank March 2012 - May 2014
Santa Barbara Bank and Trust December 2011 - March 2012
Holguin, Fahan & Associates February 2009 - June 2011
California Spine Institute Medical Center, Inc. January 2006 - February 2009
Priority Healthcare Corp August 2004 - January 2006
Skills
Training, Administrative..., Human Resources, Spreadsheets, Management, Insurance, Executive Management, Travel Arrangements, Leadership, Data Entry, Strategic Planning, Healthcare, Outlook, Marketing
Education
Los Angeles Pierce College 1992 — 1994
High School, Business Administration
Gold Coast Health Plan May 2014 - Present
Union Bank March 2012 - May 2014
Santa Barbara Bank and Trust December 2011 - March 2012
Holguin, Fahan & Associates February 2009 - June 2011
California Spine Institute Medical Center, Inc. January 2006 - February 2009
Priority Healthcare Corp August 2004 - January 2006
Skills
Training, Administrative..., Human Resources, Spreadsheets, Management, Insurance, Executive Management, Travel Arrangements, Leadership, Data Entry, Strategic Planning, Healthcare, Outlook, Marketing
Education
Los Angeles Pierce College 1992 — 1994
High School, Business Administration
Dale Villani Dale Villani's Gold Coast Health Plan Experience June 2015 - Present
Job Chief Executive Officer at Gold Coast Health Plan
Industry Hospital & Health Care
Experience
Gold Coast Health Plan June 2015 - Present
Arizona Priority Care Plus September 2013 - May 2015
Magellan Health Services May 2010 - September 2013
Aetna July 2007 - May 2010
Aetna July 2005 - April 2007
Aetna April 2004 - July 2005
Sun Health 2000 - 2004
United States Air Force 1980 - 2000
Skills
Strategic Planning, Team Building, Claim, Negotiation, Managed Care, Medicare, Healthcare, Medicaid, Healthcare Management, Provider Relations, Health Insurance, Healthcare Information..., Physician Relations, HIPAA, Healthcare Consulting, Process Improvement, Hospitals, Leadership, Insurance, Operations Management, Strategy, Management, Case Managment, Healthcare Industry, Program Management, Human Resources, Practice Management, Policy, Health Policy, Disease Management, Utilization Management, Network Development, Behavioral Health, HMO, Government, Physicians, Revenue Cycle, Quality Improvement, Medicare Part D, EHR, Credentialing, EMR, Medical Compliance, Pharmacy Benefit..., Informatics, Performance Improvement, Home Care, Executive Management, Revenue Cycle Management, Medical Billing
Education
Penn State University 1986 — 1988
MBA, Marketing
University of Nebraska Medical Center 1976 — 1980
BS, Health Services Administration
Gold Coast Health Plan June 2015 - Present
Arizona Priority Care Plus September 2013 - May 2015
Magellan Health Services May 2010 - September 2013
Aetna July 2007 - May 2010
Aetna July 2005 - April 2007
Aetna April 2004 - July 2005
Sun Health 2000 - 2004
United States Air Force 1980 - 2000
Skills
Strategic Planning, Team Building, Claim, Negotiation, Managed Care, Medicare, Healthcare, Medicaid, Healthcare Management, Provider Relations, Health Insurance, Healthcare Information..., Physician Relations, HIPAA, Healthcare Consulting, Process Improvement, Hospitals, Leadership, Insurance, Operations Management, Strategy, Management, Case Managment, Healthcare Industry, Program Management, Human Resources, Practice Management, Policy, Health Policy, Disease Management, Utilization Management, Network Development, Behavioral Health, HMO, Government, Physicians, Revenue Cycle, Quality Improvement, Medicare Part D, EHR, Credentialing, EMR, Medical Compliance, Pharmacy Benefit..., Informatics, Performance Improvement, Home Care, Executive Management, Revenue Cycle Management, Medical Billing
Education
Penn State University 1986 — 1988
MBA, Marketing
University of Nebraska Medical Center 1976 — 1980
BS, Health Services Administration
Candice Limousin Candice Limousin's Gold Coast Health Plan Experience August 2010 - March 2012
Job Experienced HR Executive, Consultant, domestic and international
Industry Human Resources
Experience
SAN Nutrition Corporation and Right Management Consulting July 2012 - Present
SAN Nutrition 2014 - 2015
SAN Nutrition 2014 - 2015
Gold Coast Health Plan August 2010 - March 2012
Tutor Perini Corporation August 2009 - September 2010
Spatz Laboratories 2007 - 2009
Health Net 2006 - 2007
Dako 2003 - 2006
AlleCure Corp. 2001 - 2003
Baxter Healthcare 1996 - 1999
Skills
Organizational..., Talent Acquisition, Executive Management, Employment Law, Talent Management, Employee Relations, Workforce Planning, Human Resources, Change Management, Deferred Compensation, Executive Coaching, Personnel Management, Leadership, Temporary Placement, HRIS, Strategy, Start-ups, Employee Engagement, Performance Management, Technical Recruiting, Onboarding, Succession Planning, Recruiting, Compensation & Benefit, Leadership Development, Executive Search, Payroll, Management, Organizational Design, Policy, Applicant Tracking..., Mergers & Acquisitions, Training, Organizational..., HR Policies, Employee Benefits, Career Counseling, HR Consulting, Human Capital, Employee Training, Benefits Administration, Sourcing
Education
University of Phoenix 1990 — 1992
Master’s Degree, Organization Management
Trenton High School
University of Arizona
Bachelor's Degree, Fine Arts
SAN Nutrition Corporation and Right Management Consulting July 2012 - Present
SAN Nutrition 2014 - 2015
SAN Nutrition 2014 - 2015
Gold Coast Health Plan August 2010 - March 2012
Tutor Perini Corporation August 2009 - September 2010
Spatz Laboratories 2007 - 2009
Health Net 2006 - 2007
Dako 2003 - 2006
AlleCure Corp. 2001 - 2003
Baxter Healthcare 1996 - 1999
Skills
Organizational..., Talent Acquisition, Executive Management, Employment Law, Talent Management, Employee Relations, Workforce Planning, Human Resources, Change Management, Deferred Compensation, Executive Coaching, Personnel Management, Leadership, Temporary Placement, HRIS, Strategy, Start-ups, Employee Engagement, Performance Management, Technical Recruiting, Onboarding, Succession Planning, Recruiting, Compensation & Benefit, Leadership Development, Executive Search, Payroll, Management, Organizational Design, Policy, Applicant Tracking..., Mergers & Acquisitions, Training, Organizational..., HR Policies, Employee Benefits, Career Counseling, HR Consulting, Human Capital, Employee Training, Benefits Administration, Sourcing
Education
University of Phoenix 1990 — 1992
Master’s Degree, Organization Management
Trenton High School
University of Arizona
Bachelor's Degree, Fine Arts
Michele Casey Michele Casey's Gold Coast Health Plan Experience June 2015 - Present
Job Healthcare Data Analyst at Gold Coast Health Plan
Industry Information Technology and Services
Experience
Gold Coast Health Plan June 2015 - Present
Education Abroad Program (EAP), University of California, Santa Barbara August 2012 - June 2015
Education Abroad Program (EAP), University of California, Santa Barbara January 2011 - July 2012
Advanced Hearing Specialists 2000 - January 2011
Friends Forever 2010 - 2010
Skills
International Relations, Community Outreach, Data Analysis, Social Media, Microsoft Office, Nonprofits, Mediation, Event Planning, Fundraising, Editing, Project Management, Public Speaking, Microsoft Excel, Policy Analysis, PowerPoint, Research
Education
Elon University
Bachelor’s Degree, International Studies/ Political Science
Jagiellonian University
Central and Eastern European Studies
University of Kent
Master’s Degree, International Conflict Analysis
Gold Coast Health Plan June 2015 - Present
Education Abroad Program (EAP), University of California, Santa Barbara August 2012 - June 2015
Education Abroad Program (EAP), University of California, Santa Barbara January 2011 - July 2012
Advanced Hearing Specialists 2000 - January 2011
Friends Forever 2010 - 2010
Skills
International Relations, Community Outreach, Data Analysis, Social Media, Microsoft Office, Nonprofits, Mediation, Event Planning, Fundraising, Editing, Project Management, Public Speaking, Microsoft Excel, Policy Analysis, PowerPoint, Research
Education
Elon University
Bachelor’s Degree, International Studies/ Political Science
Jagiellonian University
Central and Eastern European Studies
University of Kent
Master’s Degree, International Conflict Analysis
Danielle Heierbacher's Gold Coast Health Plan Experience December 2014 - Present
Job Textbook Coordinator at eCampus.com
Industry Consumer Goods
Experience
Gold Coast Health Plan December 2014 - Present
eCampus.com July 2013 - September 2014
Humana Medicare Division November 2010 - July 2013
Skills
Medicare
Education
Sullivan University 2013 — 2014
Certificate, Medical Billing and Coding, 3.8
Sullivan University 2003 — 2008
Associate of Administrative Office Management
Gold Coast Health Plan December 2014 - Present
eCampus.com July 2013 - September 2014
Humana Medicare Division November 2010 - July 2013
Skills
Medicare
Education
Sullivan University 2013 — 2014
Certificate, Medical Billing and Coding, 3.8
Sullivan University 2003 — 2008
Associate of Administrative Office Management
Stacy Luney Stacy Luney's Gold Coast Health Plan Experience June 2014 - Present
Job Grievance & Appeals Manager at Gold Coast Health Plan
Industry Insurance
Experience
Gold Coast Health Plan June 2014 - Present
United Healthcare November 2011 - June 2013
Schaller Anderson an Aetna Company December 2008 - December 2010
Schaller Anderson an Aetna Company May 2007 - December 2008
Schaller Anderson November 2001 - May 2007
Skills
Health Insurance, Visio, Training, Management, Health Policy, Claim, Medicare, Provider Relations, Cross-functional Team..., Software Documentation, Medicaid, Managed Care, Healthcare Industry, SharePoint
Education
Rio Salado College
Business Administration and Management, General
Gold Coast Health Plan June 2014 - Present
United Healthcare November 2011 - June 2013
Schaller Anderson an Aetna Company December 2008 - December 2010
Schaller Anderson an Aetna Company May 2007 - December 2008
Schaller Anderson November 2001 - May 2007
Skills
Health Insurance, Visio, Training, Management, Health Policy, Claim, Medicare, Provider Relations, Cross-functional Team..., Software Documentation, Medicaid, Managed Care, Healthcare Industry, SharePoint
Education
Rio Salado College
Business Administration and Management, General
Charles Lindsey, BSCE, MBA's Gold Coast Health Plan Experience April 2013 - April 2015
Job IT Project Manager
Industry Information Technology and Services
Experience
Gold Coast Health Plan April 2013 - April 2015
NDTI / U.S. Navy Program March 2006 - September 2012
New Directions Technologies Inc. December 2003 - March 2006
CTM Design July 2003 - September 2003
Agilent Technologies January 1997 - July 2003
US Navy January 1986 - December 1997
Skills
Software Project..., Written Skills, Project Management, Visio, Windows, Business Process, Web Applications, IIS, SQL, C#, ASP.NET, Database Design, Business Analysis, Security Clearance, Microsoft SQL Server, Databases, Project Planning, Requirements Analysis, Software Development, Agile Methodologies, Integration, System Administration, ITIL, Program Management, HTML, Linux, PMP, Oracle, PL/SQL, Security, SDLC, Unix, ASP, Access, Business Intelligence, MS Project, Troubleshooting, System Architecture, Information Assurance, Process Improvement, Change Management, Enterprise Architecture, Testing, Requirements Gathering, Servers, Systems Engineering, DoD, IT Management, Software Documentation, Information Technology
Education
California State University-Northridge 1996 — 1999
MBA, Business
Rutgers, The State University of New Jersey-New Brunswick 1981 — 1986
BSCE, Civil Engineering
Gold Coast Health Plan April 2013 - April 2015
NDTI / U.S. Navy Program March 2006 - September 2012
New Directions Technologies Inc. December 2003 - March 2006
CTM Design July 2003 - September 2003
Agilent Technologies January 1997 - July 2003
US Navy January 1986 - December 1997
Skills
Software Project..., Written Skills, Project Management, Visio, Windows, Business Process, Web Applications, IIS, SQL, C#, ASP.NET, Database Design, Business Analysis, Security Clearance, Microsoft SQL Server, Databases, Project Planning, Requirements Analysis, Software Development, Agile Methodologies, Integration, System Administration, ITIL, Program Management, HTML, Linux, PMP, Oracle, PL/SQL, Security, SDLC, Unix, ASP, Access, Business Intelligence, MS Project, Troubleshooting, System Architecture, Information Assurance, Process Improvement, Change Management, Enterprise Architecture, Testing, Requirements Gathering, Servers, Systems Engineering, DoD, IT Management, Software Documentation, Information Technology
Education
California State University-Northridge 1996 — 1999
MBA, Business
Rutgers, The State University of New Jersey-New Brunswick 1981 — 1986
BSCE, Civil Engineering
Vickie Lemmon Vickie Lemmon's Gold Coast Health Plan Experience March 2014 - Present
Job Director Medical Management at WellPoint
Industry Insurance
Experience
Gold Coast Health Plan March 2014 - Present
WellPoint 2005 - March 2014
County of Ventura Health Care Agency June 2004 - September 2005
County of Ventura Public Health June 2001 - June 2004
County of Ventura Public Health January 2000 - June 2001
St. John's Regional Medical Center 1991 - 2000
Community Memorial Hospital of San BuenaVentura 1977 - 1991
Skills
Administration, Education, Nursing, Managed Care, Healthcare, Medical Management, Program Development, Utilization Management, Supervisory Skills, Mentoring, Healthcare Management, Hospitals, Public Speaking, Clinical, Process Improvement, Budgeting, Nurses, Team Building, Problem Solving, Organizational..., Change Management, Clinical Research, Management, Budgets, HEDIS, Utilization Review, Provider Relations, NCQA, Healthcare Industry, Physician Relations, Quality Improvement, Network Development, PPO, Health Policy, HIPAA, Healthcare Consulting, Public Health, Health Insurance
Education
U.C.L.A. John E. Anderson Graduate School of Management 1994 — 1994
Certificate, UCLA Healthcare: Competitive Survival in Managed Care
Cal State Dominguez Hills 1989 — 1994
MSN, Nursing
University of Phoenix 1986 — 1988
BSN, Nursing
U.C.L.A. School of Public Health 1979 — 1981
Certificate, Management of Healthcare Facilities
Gold Coast Health Plan March 2014 - Present
WellPoint 2005 - March 2014
County of Ventura Health Care Agency June 2004 - September 2005
County of Ventura Public Health June 2001 - June 2004
County of Ventura Public Health January 2000 - June 2001
St. John's Regional Medical Center 1991 - 2000
Community Memorial Hospital of San BuenaVentura 1977 - 1991
Skills
Administration, Education, Nursing, Managed Care, Healthcare, Medical Management, Program Development, Utilization Management, Supervisory Skills, Mentoring, Healthcare Management, Hospitals, Public Speaking, Clinical, Process Improvement, Budgeting, Nurses, Team Building, Problem Solving, Organizational..., Change Management, Clinical Research, Management, Budgets, HEDIS, Utilization Review, Provider Relations, NCQA, Healthcare Industry, Physician Relations, Quality Improvement, Network Development, PPO, Health Policy, HIPAA, Healthcare Consulting, Public Health, Health Insurance
Education
U.C.L.A. John E. Anderson Graduate School of Management 1994 — 1994
Certificate, UCLA Healthcare: Competitive Survival in Managed Care
Cal State Dominguez Hills 1989 — 1994
MSN, Nursing
University of Phoenix 1986 — 1988
BSN, Nursing
U.C.L.A. School of Public Health 1979 — 1981
Certificate, Management of Healthcare Facilities
James Neathery's Gold Coast Health Plan Experience June 2014 - Present
Job Sr. Information Security Analyst at Gold Coast Health Plan
Industry Information Technology and Services
Experience
Gold Coast Health Plan June 2014 - Present
JTech IT Solutions January 2013 - Present
Ascension Benefits & Insurance Solutions April 2002 - November 2012
Performance Network June 2001 - April 2002
United States Naval Reserve July 1997 - July 2001
24x7 Tech, Inc. January 2001 - June 2001
Performance Network June 2000 - January 2001
Internet Solution Group April 2000 - June 2000
Logix Development Corporation July 1997 - March 2000
Skills
Information Security..., HIPAA, NIST, ISO, ITIL,..., Private, Public, Hybrid..., Security Risk Analysis, Security Audits and..., Security Risk..., Security Program..., Security Compliance, Cyber Security, Business Continuity and..., Firewalls and Intrusion..., SIEM, Ethical Hacker, Secure Remote Access, PKI and Encryption, Unified Threat..., Remote Monitoring and..., Information Security..., Nexpose, Retina, Qualys, Metasploit, Nessus, Wireshark, Server and Software..., Email Systems, Office Colocation, Network Infrastructure..., Special Projects and..., LAN/WAN/WLAN, Datacenter Best..., Juniper SSG and..., Server and Storage..., Juniper SA SSL VPN..., Cisco Routers, Cisco Switches, Dell Equallogic, ISCSI, VMware ESX, Storage Area Networks, Storage Virtualization, Windows Server, Wireless, DNS, Active Directory, IIS, Linux System..., Citrix XenApp, Citrix XenServer, VMware View VDI
Education
CSU Bakersfield 1995 — 1997
Bachelor's degree
Oxnard College 1993 — 1995
Associate's degree
Gold Coast Health Plan June 2014 - Present
JTech IT Solutions January 2013 - Present
Ascension Benefits & Insurance Solutions April 2002 - November 2012
Performance Network June 2001 - April 2002
United States Naval Reserve July 1997 - July 2001
24x7 Tech, Inc. January 2001 - June 2001
Performance Network June 2000 - January 2001
Internet Solution Group April 2000 - June 2000
Logix Development Corporation July 1997 - March 2000
Skills
Information Security..., HIPAA, NIST, ISO, ITIL,..., Private, Public, Hybrid..., Security Risk Analysis, Security Audits and..., Security Risk..., Security Program..., Security Compliance, Cyber Security, Business Continuity and..., Firewalls and Intrusion..., SIEM, Ethical Hacker, Secure Remote Access, PKI and Encryption, Unified Threat..., Remote Monitoring and..., Information Security..., Nexpose, Retina, Qualys, Metasploit, Nessus, Wireshark, Server and Software..., Email Systems, Office Colocation, Network Infrastructure..., Special Projects and..., LAN/WAN/WLAN, Datacenter Best..., Juniper SSG and..., Server and Storage..., Juniper SA SSL VPN..., Cisco Routers, Cisco Switches, Dell Equallogic, ISCSI, VMware ESX, Storage Area Networks, Storage Virtualization, Windows Server, Wireless, DNS, Active Directory, IIS, Linux System..., Citrix XenApp, Citrix XenServer, VMware View VDI
Education
CSU Bakersfield 1995 — 1997
Bachelor's degree
Oxnard College 1993 — 1995
Associate's degree
Melissa Scrymgeour's Gold Coast Health Plan Experience December 2013 - Present
Job CIO at Gold Coast Health Plan
Industry Information Technology and Services
Experience
Gold Coast Health Plan December 2013 - Present
Cooking.com August 2012 - November 2012
Harbor Freight Tools June 2010 - May 2012
Health Net March 2009 - May 2010
Health Net December 2002 - February 2009
Health Net March 2001 - December 2002
Health Net September 1998 - March 2001
Health Net October 1995 - September 1998
Skills
Management, Vendor Management, Knowledge Management, Strategic Planning, CRM, Leadership, Process Improvement, Customer Service, Project Portfolio..., Team Building, Project Management, Contract Negotiation, Business Intelligence, IT Management, Enterprise Architecture, Security, Enterprise Software, Business Strategy, IT Strategy, Analysis, Software Documentation, Strategy, ERP, Cross-functional Team..., Requirements Analysis, Integration, Software Project..., SDLC, Business Analysis, Software Development, Governance, Team Leadership, Project Planning, Requirements Gathering, E-commerce, Disaster Recovery, Program Management, PMP, Change Management, Databases, Outsourcing, Budgets, Information Technology, Product Management, Systems Analysis, Business Process, Data Warehousing, Visio, PMO, Business Process...
Education
Louisiana State University 1990 — 1994
Baker High School
Gold Coast Health Plan December 2013 - Present
Cooking.com August 2012 - November 2012
Harbor Freight Tools June 2010 - May 2012
Health Net March 2009 - May 2010
Health Net December 2002 - February 2009
Health Net March 2001 - December 2002
Health Net September 1998 - March 2001
Health Net October 1995 - September 1998
Skills
Management, Vendor Management, Knowledge Management, Strategic Planning, CRM, Leadership, Process Improvement, Customer Service, Project Portfolio..., Team Building, Project Management, Contract Negotiation, Business Intelligence, IT Management, Enterprise Architecture, Security, Enterprise Software, Business Strategy, IT Strategy, Analysis, Software Documentation, Strategy, ERP, Cross-functional Team..., Requirements Analysis, Integration, Software Project..., SDLC, Business Analysis, Software Development, Governance, Team Leadership, Project Planning, Requirements Gathering, E-commerce, Disaster Recovery, Program Management, PMP, Change Management, Databases, Outsourcing, Budgets, Information Technology, Product Management, Systems Analysis, Business Process, Data Warehousing, Visio, PMO, Business Process...
Education
Louisiana State University 1990 — 1994
Baker High School
Kris Schmidt's Gold Coast Health Plan Experience November 2013 - Present
Job Manager, Decision Support Services at Gold Coast Health Plan
Industry Hospital & Health Care
Experience
Gold Coast Health Plan November 2013 - Present
Partners for Our Children: University of Washington August 2011 - February 2013
IEHP May 2010 - July 2011
IEHP February 2006 - May 2010
IEHP November 2004 - February 2006
IEHP July 2004 - October 2004
RYGCA April 2002 - June 2004
RYGCA August 2001 - March 2002
Adventist Health Managed Care May 2000 - June 2001
Adventist Health Managed Care October 1995 - April 2000
Skills
Microsoft Office, Data Analysis, Healthcare Information..., Access, Healthcare, Project Management, Financial Analysis, Dashboard Metrics, Process Improvement, Visio, Strategic Planning, Crystal Reports, Software Documentation, HIPAA, Healthcare Management, Analysis, Microsoft SQL Server, Hospitals, Training, Cognos, Microsoft Project, Budget Forecasts, Graphic Design, Screen Printing, Databases, Management, Healthcare Reimbursement, T-SQL, T-SQL Stored Procedures, SQL, MS Project, Managed Care, Business Analysis, Microsoft Excel, Administration, Leadership, Information Technology, Business Intelligence, Budgets, Troubleshooting, Nonprofits, Public Speaking, Technical Support, Healthcare Industry, Organizational..., Program Development
Education
Loma Linda University 1999 — 2001
Master, Health Information Systems
La Sierra University 1980 — 1982
BS, Graphic Design
Pacific Union College 1977 — 1980
Education
Gold Coast Health Plan November 2013 - Present
Partners for Our Children: University of Washington August 2011 - February 2013
IEHP May 2010 - July 2011
IEHP February 2006 - May 2010
IEHP November 2004 - February 2006
IEHP July 2004 - October 2004
RYGCA April 2002 - June 2004
RYGCA August 2001 - March 2002
Adventist Health Managed Care May 2000 - June 2001
Adventist Health Managed Care October 1995 - April 2000
Skills
Microsoft Office, Data Analysis, Healthcare Information..., Access, Healthcare, Project Management, Financial Analysis, Dashboard Metrics, Process Improvement, Visio, Strategic Planning, Crystal Reports, Software Documentation, HIPAA, Healthcare Management, Analysis, Microsoft SQL Server, Hospitals, Training, Cognos, Microsoft Project, Budget Forecasts, Graphic Design, Screen Printing, Databases, Management, Healthcare Reimbursement, T-SQL, T-SQL Stored Procedures, SQL, MS Project, Managed Care, Business Analysis, Microsoft Excel, Administration, Leadership, Information Technology, Business Intelligence, Budgets, Troubleshooting, Nonprofits, Public Speaking, Technical Support, Healthcare Industry, Organizational..., Program Development
Education
Loma Linda University 1999 — 2001
Master, Health Information Systems
La Sierra University 1980 — 1982
BS, Graphic Design
Pacific Union College 1977 — 1980
Education
Steve Lalich's Gold Coast Health Plan Experience February 2011 - Present
Job Director of Communications at Gold Coast Health Plan
Industry Marketing and Advertising
Experience
Gold Coast Health Plan February 2011 - Present
SGL CONSULTING October 2004 - December 2010
BAXTER HEALTHCARE CORPORATION May 2002 - June 2004
Ogilvy Public Relations Worldwide March 1998 - May 2002
CHILDRENS HOSPITAL LOS ANGELES May 1989 - April 1998
Pfizer 1988 - 1989
North American Media 1979 - 1984
Skills
Media Relations, Press Releases, Publicity, Public Relations, Speech Writing, Copywriting, Marketing Copy, Corporate Communications, Case Studies, Newsletters, Presentation Development, Blogging, Strategic Counsel, Content Development, Social Media, Internal Communications, Marketing Communications, Corporate Branding, Strategy, Communications Planning, Leadership, Crisis Communications, Message Development, Editing, Reputation Management, Marketing, Spokesperson, Strategic Communications, Web Content, Market Research, Marketing Strategy, Strategic Planning, Brand Awareness, Communication Training
Education
Antioch University
Gold Coast Health Plan February 2011 - Present
SGL CONSULTING October 2004 - December 2010
BAXTER HEALTHCARE CORPORATION May 2002 - June 2004
Ogilvy Public Relations Worldwide March 1998 - May 2002
CHILDRENS HOSPITAL LOS ANGELES May 1989 - April 1998
Pfizer 1988 - 1989
North American Media 1979 - 1984
Skills
Media Relations, Press Releases, Publicity, Public Relations, Speech Writing, Copywriting, Marketing Copy, Corporate Communications, Case Studies, Newsletters, Presentation Development, Blogging, Strategic Counsel, Content Development, Social Media, Internal Communications, Marketing Communications, Corporate Branding, Strategy, Communications Planning, Leadership, Crisis Communications, Message Development, Editing, Reputation Management, Marketing, Spokesperson, Strategic Communications, Web Content, Market Research, Marketing Strategy, Strategic Planning, Brand Awareness, Communication Training
Education
Antioch University
Debbie Rieger's Gold Coast Health Plan Experience August 2012 - June 2013
Job Interim Chief Information Officer at Alameda Alliance for Health
Industry Hospital & Health Care
Experience
Alameda Alliance for Health August 2014 - Present
Tatum, a Randstad Company August 2012 - Present
Xerox October 2013 - July 2014
Navos August 2013 - October 2013
Gold Coast Health Plan August 2012 - June 2013
Los Angeles Network for Enhanced Services (LANES) September 2011 - July 2012
State of Arizona August 2011 - March 2012
WellStar Health System 2010 - 2011
CalRHIO October 2008 - May 2010
Catholic Health Initiatives 2001 - 2008
Skills
Leadership, HIPAA, Healthcare Information..., Integration, Management, EHR, Healthcare, HL7, EMR, Informatics, Process Improvement, Health Information..., Hospitals, Program Management, Vendor Management, Project Management, Software Implementation, Epic Systems, Strategic Planning, SDLC, Cerner, Project Planning, Meditech, Business Intelligence, Software Documentation, CRM, CPOE, PMP, Change Management, Enterprise Software, Visio, Healthcare Management, Information Technology, Revenue Cycle, Healthcare Consulting, Practice Management, Medicaid, Physicians, Healthcare Industry, Medicare, Physician Relations, Managed Care, Ambulatory, Revenue Cycle Management, Quality Improvement, Health Policy, Clinical Research, Consulting, Performance Improvement, Patient Safety
Education
University of Phoenix 1996 — 1998
MOM, Operational Management
South Dakota State University 1981 — 1985
BS, Medical Technology
Alameda Alliance for Health August 2014 - Present
Tatum, a Randstad Company August 2012 - Present
Xerox October 2013 - July 2014
Navos August 2013 - October 2013
Gold Coast Health Plan August 2012 - June 2013
Los Angeles Network for Enhanced Services (LANES) September 2011 - July 2012
State of Arizona August 2011 - March 2012
WellStar Health System 2010 - 2011
CalRHIO October 2008 - May 2010
Catholic Health Initiatives 2001 - 2008
Skills
Leadership, HIPAA, Healthcare Information..., Integration, Management, EHR, Healthcare, HL7, EMR, Informatics, Process Improvement, Health Information..., Hospitals, Program Management, Vendor Management, Project Management, Software Implementation, Epic Systems, Strategic Planning, SDLC, Cerner, Project Planning, Meditech, Business Intelligence, Software Documentation, CRM, CPOE, PMP, Change Management, Enterprise Software, Visio, Healthcare Management, Information Technology, Revenue Cycle, Healthcare Consulting, Practice Management, Medicaid, Physicians, Healthcare Industry, Medicare, Physician Relations, Managed Care, Ambulatory, Revenue Cycle Management, Quality Improvement, Health Policy, Clinical Research, Consulting, Performance Improvement, Patient Safety
Education
University of Phoenix 1996 — 1998
MOM, Operational Management
South Dakota State University 1981 — 1985
BS, Medical Technology
Ritchie Nojadera's Gold Coast Health Plan Experience March 2013 - Present
Job Senior Business Analyst
Industry Hospital & Health Care
Experience
Gold Coast Health Plan March 2013 - Present
MedPoint Management August 2011 - March 2013
L.A. Care Health Plan January 2011 - August 2011
Bakersfield Family Medical Center February 2008 - December 2010
Blue Cross and Blue Shield Association 2000 - 2004
Skills
Medicaid, Managed Care, Claim, Medicare, HIPAA, Medi-Cal, Analytics, Crystal Reports, Health Insurance, Access, Data Analysis, Strategic Planning, Healthcare Information..., Healthcare Management, Healthcare Industry, Health Policy, Insurance, Healthcare, Process Improvement, Revenue Cycle, Utilization Management, Medicare Part D, Network Development, Medical Terminology, Business Analysis
Education
DeVry University 2004 — 2005
BS, Healthcare Administration
California State University-Long Beach 1999 — 2003
Business
Gold Coast Health Plan March 2013 - Present
MedPoint Management August 2011 - March 2013
L.A. Care Health Plan January 2011 - August 2011
Bakersfield Family Medical Center February 2008 - December 2010
Blue Cross and Blue Shield Association 2000 - 2004
Skills
Medicaid, Managed Care, Claim, Medicare, HIPAA, Medi-Cal, Analytics, Crystal Reports, Health Insurance, Access, Data Analysis, Strategic Planning, Healthcare Information..., Healthcare Management, Healthcare Industry, Health Policy, Insurance, Healthcare, Process Improvement, Revenue Cycle, Utilization Management, Medicare Part D, Network Development, Medical Terminology, Business Analysis
Education
DeVry University 2004 — 2005
BS, Healthcare Administration
California State University-Long Beach 1999 — 2003
Business
Julie Booth's Gold Coast Health Plan Experience April 2012 - October 2014
Job National Quality Director for AHF
Industry Hospital & Health Care
Experience
AHF October 2014 - Present
Gold Coast Health Plan April 2012 - October 2014
Motion Picture & Televisiion Fund 2005 - July 2013
State of California Quality Improvement Organization (QIO) Lumetra 2001 - 2005
Sisters of Providence Health System 1995 - 2001
Skills
Team Building, Team Management, Team Leadership, Healthcare, Leadership Development, Quality Improvement, Leadership, Executive Coaching, Organizational..., Organizational Diagnosis, Organizational Needs..., High Performance..., Team Assessment, Public Health, Health Policy, Physicians, Managed Care, Healthcare Management, HIPAA, Medicare, JCAHO, Accreditation, Medicaid, Disease Management, Patient Safety, Hospitals, Performance Improvement, EHR, EMR, Utilization Management, Medicine, HEDIS, Epidemiology, Medicaid Managed Care, Health Information..., Infection Control, CPHQ, Patient Outcomes, Healthcare improvement, Quality Improvement..., Ambulatory, Healthcare Information..., Informatics
Education
University of Illinois at Urbana-Champaign 1979 — 1980
Masters, Public Health & Safety
University of Illinois at Chicago 1973 — 1977
BS, Physical Education, Health & Safety
AHF October 2014 - Present
Gold Coast Health Plan April 2012 - October 2014
Motion Picture & Televisiion Fund 2005 - July 2013
State of California Quality Improvement Organization (QIO) Lumetra 2001 - 2005
Sisters of Providence Health System 1995 - 2001
Skills
Team Building, Team Management, Team Leadership, Healthcare, Leadership Development, Quality Improvement, Leadership, Executive Coaching, Organizational..., Organizational Diagnosis, Organizational Needs..., High Performance..., Team Assessment, Public Health, Health Policy, Physicians, Managed Care, Healthcare Management, HIPAA, Medicare, JCAHO, Accreditation, Medicaid, Disease Management, Patient Safety, Hospitals, Performance Improvement, EHR, EMR, Utilization Management, Medicine, HEDIS, Epidemiology, Medicaid Managed Care, Health Information..., Infection Control, CPHQ, Patient Outcomes, Healthcare improvement, Quality Improvement..., Ambulatory, Healthcare Information..., Informatics
Education
University of Illinois at Urbana-Champaign 1979 — 1980
Masters, Public Health & Safety
University of Illinois at Chicago 1973 — 1977
BS, Physical Education, Health & Safety
Sonia (Goff) DeMarta CPA's Gold Coast Health Plan Experience November 2012 - Present
Job Controller at Clinicas del Camino Real, Inc. & AmericasHealth Plan
Industry Hospital & Health Care
Experience
Clinicas del Camino Real, Inc. & AmericasHealth Plan, Inc. October 2013 - Present
Gold Coast Health Plan November 2012 - Present
Gold Coast Health Plan March 2011 - November 2012
U.S. HealthWorks August 2009 - July 2012
Gold Coast Health Plan 2011 - 2011
NBC Universal January 1999 - April 2009
nbc Universal 1999 - 2009
Universal Studios Hollywood 1999 - 2009
Investor's Business Daily January 1995 - December 1998
Other Companies 1989 - 1995
Skills
Financial Reporting, Sarbanes-Oxley Act, Project Management, Accounting, Management, Financial Statements, Variance Analysis, Finance, Cash Flow Forecasting, Accounts Receivable, Auditing, GAAP, Cash Management, Budgets, Operations Management, Financial Analysis
Education
California State University-Los Angeles
B.S., Accounting
Clinicas del Camino Real, Inc. & AmericasHealth Plan, Inc. October 2013 - Present
Gold Coast Health Plan November 2012 - Present
Gold Coast Health Plan March 2011 - November 2012
U.S. HealthWorks August 2009 - July 2012
Gold Coast Health Plan 2011 - 2011
NBC Universal January 1999 - April 2009
nbc Universal 1999 - 2009
Universal Studios Hollywood 1999 - 2009
Investor's Business Daily January 1995 - December 1998
Other Companies 1989 - 1995
Skills
Financial Reporting, Sarbanes-Oxley Act, Project Management, Accounting, Management, Financial Statements, Variance Analysis, Finance, Cash Flow Forecasting, Accounts Receivable, Auditing, GAAP, Cash Management, Budgets, Operations Management, Financial Analysis
Education
California State University-Los Angeles
B.S., Accounting
Earl Greenia's Gold Coast Health Plan Experience November 2010 - March 2012
Job CEO at Gold Coast Health Plan
Industry Hospital & Health Care
Experience
Gold Coast Health Plan November 2010 - March 2012
Kona Community Hospital September 2006 - October 2010
University of Maryland 2005 - 2010
Civil Air Patrol 2001 - 2010
University of Southern California 1999 - 2010
Tenet Healthcare 2003 - 2006
Sharp HealthCare 1999 - 2003
Santa Monica-UCLA Medical Center 1994 - 1999
Childrens Hospital Los Angeles 1992 - 1993
Skills
Healthcare Management, Healthcare, Healthcare Information..., Program Development, Hospitals
Education
University of Southern California 1991 — 2004
MHA, PhD
Gold Coast Health Plan November 2010 - March 2012
Kona Community Hospital September 2006 - October 2010
University of Maryland 2005 - 2010
Civil Air Patrol 2001 - 2010
University of Southern California 1999 - 2010
Tenet Healthcare 2003 - 2006
Sharp HealthCare 1999 - 2003
Santa Monica-UCLA Medical Center 1994 - 1999
Childrens Hospital Los Angeles 1992 - 1993
Skills
Healthcare Management, Healthcare, Healthcare Information..., Program Development, Hospitals
Education
University of Southern California 1991 — 2004
MHA, PhD
Andre Galvan's Gold Coast Health Plan Experience
Job Member Services Director at Gold Coast Health Plan
Industry Hospital & Health Care
Experience
Gold Coast Health Plan
Skills
Human Resources, Team Building, Medicaid, Medicare, Access, Healthcare, Budgets, Customer Service, Data Analysis, HIPAA, Health Insurance, Healthcare Information..., Healthcare Management, Hospitals, Insurance, Leadership, Managed Care, Management, Outlook, Policy, Process Improvement, Program Management, Public Speaking, Strategic Planning
Education
University of Southern California
MHA, Health Administration
Gold Coast Health Plan
Skills
Human Resources, Team Building, Medicaid, Medicare, Access, Healthcare, Budgets, Customer Service, Data Analysis, HIPAA, Health Insurance, Healthcare Information..., Healthcare Management, Hospitals, Insurance, Leadership, Managed Care, Management, Outlook, Policy, Process Improvement, Program Management, Public Speaking, Strategic Planning
Education
University of Southern California
MHA, Health Administration
Darlane Johnsen's Gold Coast Health Plan Experience November 2010 - January 2012
Job Chief Financial Officer at Gold Coast Health Plan
Industry Hospital & Health Care
Experience
Self Employed August 2008 - August 2013
Gold Coast Health Plan November 2010 - January 2012
Health Net 2001 - July 2008
Health Net 1999 - 2001
Foundation Health 1996 - 1999
Foundation Health 1990 - 1996
Coopers & Lybrand 1986 - 1989
Skills
Managed Care, Cross-functional Team..., Health Insurance, Medicaid, Medicare, HMO, Leadership, Healthcare, Healthcare Industry, Healthcare Consulting, Employee Benefits, Provider Relations, Insurance, Claim, Revenue Cycle, HIPAA, Health Policy, Network Development, Executive Management, PPO, Healthcare Management
Education
California State University-Sacramento 1982 — 1986
BS, Accounting
State University of New York College at Cortland 1972 — 1977
BA, Liberal Arts
Self Employed August 2008 - August 2013
Gold Coast Health Plan November 2010 - January 2012
Health Net 2001 - July 2008
Health Net 1999 - 2001
Foundation Health 1996 - 1999
Foundation Health 1990 - 1996
Coopers & Lybrand 1986 - 1989
Skills
Managed Care, Cross-functional Team..., Health Insurance, Medicaid, Medicare, HMO, Leadership, Healthcare, Healthcare Industry, Healthcare Consulting, Employee Benefits, Provider Relations, Insurance, Claim, Revenue Cycle, HIPAA, Health Policy, Network Development, Executive Management, PPO, Healthcare Management
Education
California State University-Sacramento 1982 — 1986
BS, Accounting
State University of New York College at Cortland 1972 — 1977
BA, Liberal Arts
Heidi Nelson's Gold Coast Health Plan Experience March 2013 - August 2013
Job Sr Business Systems Analyst In Healthcare Insurance Industry.
Industry Insurance
Experience
Health Net August 2013 - May 2015
Gold Coast Health Plan March 2013 - August 2013
Health Net July 2009 - August 2012
Health Net June 2006 - July 2009
Health Net January 1999 - June 2006
Health Net January 1996 - January 1999
Skills
SDLC, Access, Business Analysis, Business Process..., Data Analysis, Process Improvement, Microsoft Office, Analysis, Business Process, Auditing, Databases, Account Reconciliation, Visio, Microsoft Excel, Systems Analysis, Training, Requirements Analysis, Testing, PDLC, Health Insurance, Lotus Notes, HIPAA, PowerPoint, Insurance, SQL
Education
California State University-Northridge
Health Net August 2013 - May 2015
Gold Coast Health Plan March 2013 - August 2013
Health Net July 2009 - August 2012
Health Net June 2006 - July 2009
Health Net January 1999 - June 2006
Health Net January 1996 - January 1999
Skills
SDLC, Access, Business Analysis, Business Process..., Data Analysis, Process Improvement, Microsoft Office, Analysis, Business Process, Auditing, Databases, Account Reconciliation, Visio, Microsoft Excel, Systems Analysis, Training, Requirements Analysis, Testing, PDLC, Health Insurance, Lotus Notes, HIPAA, PowerPoint, Insurance, SQL
Education
California State University-Northridge
Amber Lloyd, MPA's Gold Coast Health Plan Experience October 2013 - October 2014
Job Human Resources Generalist at Monsanto Company
Industry Farming
Experience
Monsanto Company October 2014 - Present
Gold Coast Health Plan October 2013 - October 2014
County of Santa Barbara June 2007 - October 2013
Interface Children and Family Services 2005 - 2007
Wells Fargo Bank 1999 - 2004
Skills
Recruiting, Human Resources, Performance Management, Public Speaking, Coaching, Community Outreach, Government, Applicant Tracking..., Training, Non-profits, Policy, Team Leadership, System Administration, Public Policy, Budgets, Leadership, Analysis, Fundraising, Nonprofits, Management, Organizational..., Interviews, Employee Relations, Leadership Development, Onboarding, Staff Development, Program Management, Conflict Resolution, Career Counseling
Education
California State University-Northridge 2006 — 2008
MPA, Public Administration
University of California, Los Angeles 2001 — 2003
BA, Sociology and Spanish
Ventura College 1999 — 2002
AA, General Education
Monsanto Company October 2014 - Present
Gold Coast Health Plan October 2013 - October 2014
County of Santa Barbara June 2007 - October 2013
Interface Children and Family Services 2005 - 2007
Wells Fargo Bank 1999 - 2004
Skills
Recruiting, Human Resources, Performance Management, Public Speaking, Coaching, Community Outreach, Government, Applicant Tracking..., Training, Non-profits, Policy, Team Leadership, System Administration, Public Policy, Budgets, Leadership, Analysis, Fundraising, Nonprofits, Management, Organizational..., Interviews, Employee Relations, Leadership Development, Onboarding, Staff Development, Program Management, Conflict Resolution, Career Counseling
Education
California State University-Northridge 2006 — 2008
MPA, Public Administration
University of California, Los Angeles 2001 — 2003
BA, Sociology and Spanish
Ventura College 1999 — 2002
AA, General Education
Sherri (Banta) Tarpchinoff Bennett's Gold Coast Health Plan Experience August 2012 - November 2014
Job Consultant; Managed Care, Provider Relations and Network Development
Industry Hospital & Health Care
Experience
Independent Consultant June 2014 - Present
Gold Coast Health Plan August 2012 - November 2014
Fora Care Inc. April 2010 - February 2011
Molina Healthcare June 2003 - November 2009
Passport Health Plan March 2001 - May 2003
Skills
Public Speaking, Contract Negotiation, Healthcare Management, Strategic Planning, Healthcare, Managed Care, Provider Relations, HMO, PPO, Medicare, Network Development, Hospitals, Medicaid, Health Policy, Disease Management, Insurance, Credentialing, HIPAA, Health Insurance
Education
Sullivan University
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Stautzenberger College-Maumee
Associate of Science (A.S.), Nuclear Medical Technology/Technologist
Career Care Institute 2010 — 2012
Licenced Vocational Nurse, Nursing Practice
Independent Consultant June 2014 - Present
Gold Coast Health Plan August 2012 - November 2014
Fora Care Inc. April 2010 - February 2011
Molina Healthcare June 2003 - November 2009
Passport Health Plan March 2001 - May 2003
Skills
Public Speaking, Contract Negotiation, Healthcare Management, Strategic Planning, Healthcare, Managed Care, Provider Relations, HMO, PPO, Medicare, Network Development, Hospitals, Medicaid, Health Policy, Disease Management, Insurance, Credentialing, HIPAA, Health Insurance
Education
Sullivan University
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Stautzenberger College-Maumee
Associate of Science (A.S.), Nuclear Medical Technology/Technologist
Career Care Institute 2010 — 2012
Licenced Vocational Nurse, Nursing Practice
Charlene Duan's Gold Coast Health Plan Experience July 2011 - June 2012
Job
Industry Computer Software
Experience
Citrix March 2014 - Present
LogicMonitor July 2012 - March 2014
Gold Coast Health Plan July 2011 - June 2012
CenCal Health 1999 - 2011
UC Santa Barbara 1997 - 1999
UC Santa Barbara 1990 - 1997
Skills
SalesForce, Zuora, ZenDesk, MySql, Oracle, Ruby, PHP, JAVA, Software Integration, Linux, Unix, ETL, HTML, XML, JavaScript, Database Design, Business Reporting, Integration, Data Modeling, MySQL
Education
Certified SalesForce Developer
University of Minnesota-Twin Cities
M.S., Computational Physics and Computer Science
Lanzhou University
B.S., Applied Mathematics and Physics
Citrix March 2014 - Present
LogicMonitor July 2012 - March 2014
Gold Coast Health Plan July 2011 - June 2012
CenCal Health 1999 - 2011
UC Santa Barbara 1997 - 1999
UC Santa Barbara 1990 - 1997
Skills
SalesForce, Zuora, ZenDesk, MySql, Oracle, Ruby, PHP, JAVA, Software Integration, Linux, Unix, ETL, HTML, XML, JavaScript, Database Design, Business Reporting, Integration, Data Modeling, MySQL
Education
Certified SalesForce Developer
University of Minnesota-Twin Cities
M.S., Computational Physics and Computer Science
Lanzhou University
B.S., Applied Mathematics and Physics
Lyndon Turner's Gold Coast Health Plan Experience October 2011 - Present
Job Financial Analysis Director at Gold Coast Health Plan
Industry Accounting
Experience
Gold Coast Health Plan October 2011 - Present
Skills
Accounting, Excel models, Budgets/Forecasting, Financial Accounting, Financial Reporting, GAAP, General Ledger, Account Reconciliation, Auditing, Tax Preparation, Tax Returns, Journal Entries
Education
California Lutheran University
Master of Business Administration (MBA), Finance
California State University-Northridge
Bachelor of Science (BS), Accounting
Gold Coast Health Plan October 2011 - Present
Skills
Accounting, Excel models, Budgets/Forecasting, Financial Accounting, Financial Reporting, GAAP, General Ledger, Account Reconciliation, Auditing, Tax Preparation, Tax Returns, Journal Entries
Education
California Lutheran University
Master of Business Administration (MBA), Finance
California State University-Northridge
Bachelor of Science (BS), Accounting
MEGHAL ZAVERI's Gold Coast Health Plan Experience September 2015 - Present
Job Claim Analyst 2 at Gold Coast Health Plan
Industry Hospital & Health Care
Experience
Gold Coast Health Plan September 2015 - Present
Gold Coast Health Plan April 2013 - September 2015
Orion-Rand Medical Billing August 2009 - April 2013
Northridge Hospital Medical Center October 2011 - December 2011
Professional Data systsms March 2009 - March 2010
Klotz Student Health Center, California State University of Northridge September 2008 - November 2008
Skills
Managed Care, Medi-Cal, Health Insurance, Medicare, Healthcare Management, Medical Billing, Hospitals, Healthcare, Claims Handling, Claims Resolution, CMS-1500, UB04, Provider Education, Appeals, Healthcare Information...
Education
California State University-Northridge 2010 — 2012
M.S., HEALTH ADMINISTRATION, 3.79
California State University-Northridge 2006 — 2008
B.S., BIOCHEMISTRY
Pierce College 2004 — 2006
Associate of Science (AS), Biochemistry
Gold Coast Health Plan September 2015 - Present
Gold Coast Health Plan April 2013 - September 2015
Orion-Rand Medical Billing August 2009 - April 2013
Northridge Hospital Medical Center October 2011 - December 2011
Professional Data systsms March 2009 - March 2010
Klotz Student Health Center, California State University of Northridge September 2008 - November 2008
Skills
Managed Care, Medi-Cal, Health Insurance, Medicare, Healthcare Management, Medical Billing, Hospitals, Healthcare, Claims Handling, Claims Resolution, CMS-1500, UB04, Provider Education, Appeals, Healthcare Information...
Education
California State University-Northridge 2010 — 2012
M.S., HEALTH ADMINISTRATION, 3.79
California State University-Northridge 2006 — 2008
B.S., BIOCHEMISTRY
Pierce College 2004 — 2006
Associate of Science (AS), Biochemistry
Dee Johnston's Gold Coast Health Plan Experience February 2013 - Present
Job Manager Care Management Services at Gold Coast Health Plan
Industry Government Administration
Experience
Gold Coast Health Plan February 2013 - Present
Gold Coast Health Plan June 2010 - February 2013
Anthem Blue Cross September 1998 - September 2009
Skills
Certified Case Manager, Certified Health Coach, Gourmet Cooking!, Case Managment, Healthcare Management, Healthcare, Nursing, Pediatrics, Medicaid, Medicare, Utilization Management, Managed Care, Disease Management, HIPAA, Health Insurance, Provider Relations, Health Policy, Inpatient, Medicaid Managed Care, Hospitals, Diabetes, Medical Case Management, Utilization Review, Nutrition Education, Acute Care, HMO, Disability Management, Quality Improvement, Health Education, Medical/Surgical, Patient Advocacy, Home Care
Education
Saddleback College
Associate Degree, Nursing
St. Mary's College of California
Bachelor's Degree, Health Services Administration
Gold Coast Health Plan February 2013 - Present
Gold Coast Health Plan June 2010 - February 2013
Anthem Blue Cross September 1998 - September 2009
Skills
Certified Case Manager, Certified Health Coach, Gourmet Cooking!, Case Managment, Healthcare Management, Healthcare, Nursing, Pediatrics, Medicaid, Medicare, Utilization Management, Managed Care, Disease Management, HIPAA, Health Insurance, Provider Relations, Health Policy, Inpatient, Medicaid Managed Care, Hospitals, Diabetes, Medical Case Management, Utilization Review, Nutrition Education, Acute Care, HMO, Disability Management, Quality Improvement, Health Education, Medical/Surgical, Patient Advocacy, Home Care
Education
Saddleback College
Associate Degree, Nursing
St. Mary's College of California
Bachelor's Degree, Health Services Administration