Gorman Health Group
Industry: Company
DescriptionFounded: 1996 Parent organization: Convey Health SolutionsFeedbackDisclaimer Claim this knowledge panel Knowledge ResultSee outside Moved, closed, or was never hereReportGorman Health Group LLCWebsiteDirections Saved (0) Saved Save Health insurance agency in Washington, D.C. Located in: Chevy Chase PavilionAddress: 5151 Wisconsin Ave NW #350, Washington, DC 20016 Phone: (202) 364-8283: : Hours: Category: Website: Place name: : : : : Website: https://www.gormanhealthgroup.com/ 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. · Own this business?Add missing informationAdd business hours Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a questionBe the first to ask a question Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of Gorman Health Group LLC Posting publicly on the Web Write a review Reviews Be the first to review
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Gorman Health Group Employees
Gorman Health Group August 2014 - Present
Cigna-HealthSpring November 2008 - June 2014
Vanderbilt University Medical Center 2000 - 2008
KPMG 1994 - 2000
Education
Purdue University 1989 — 1994
BS, Accounting
Gorman Health Group April 2015 - Present
Peoples Health June 2012 - December 2013
HealthSpring, Inc. June 2008 - July 2010
XLHealth October 2006 - June 2008
Skills
Managed Care, Health Insurance, Medicaid, Insurance, Medicare
Education
Furman University 1980 — 1984
Bachelor's degree, Business Administration and Management, General
Gorman Health Group October 2014 - Present
Gorman Health Group December 2013 - Present
Gorman Health Group January 2011 - Present
Gorman Health Group June 2010 - January 2011
Skills
Medicare, Medicaid
Education
California State University Stanislaus 2009 — 2009
Double Credential, Elementary Education and Math
California State University Stanislaus 2006 — 2008
B.A., Liberal Studies
California Polytechnic State University-San Luis Obispo 2005 — 2006
Business
Transportation Research Board - National Academies of Sciences, Engineering, and Medicine June 2015 - Present
DC Department of Healthcare Finance (DC Medicaid) April 2014 - January 2015
Gorman Health Group June 2013 - October 2013
Sunflower Systems February 2011 - July 2012
Deloitte May 2009 - March 2011
Student Advocacy Network August 2007 - 2009
Ade Aderibigbe January 2008 - August 2008
FloridaWorks (Regional Workforce Development Organization) July 2005 - July 2008
Santa Fe College April 2006 - July 2006
Santa Fe College April 2004 - May 2006
Skills
Strategic Planning, Non-profits, New Business Development, Operations Management, Start-ups, Public Relations, Leadership, SPSS, Public Speaking, Nonprofits, Fundraising, Team Leadership, Project Planning, Business Planning, Strategy, Management Consulting, Community Development
Education
University of Florida 2006 — 2008
Bachelor's degree, Economics
Santa Fe College 2004 — 2006
Associates, Political Science
Private Tutoring February 2015 - Present
Myriad RBM, Inc. September 2013 - March 2014
Horizon Media July 2012 - June 2013
Andrew Harper March 2011 - July 2011
Gorman Health Group September 2010 - December 2010
Skills
Microsoft Excel, PowerPoint, Social Media, Marketing, Market Research, Marketing Strategy, Leadership, Analysis, Academic Tutoring, Peer Tutoring, Volunteer Training, Social Media Marketing, Facebook, Data Analysis, Microsoft Office, Research
Education
The University of Texas at Austin 2013 — 2014
Post-Baccalaureate Pre-Medical Program, Pre-Medicine, 3.9/4.0
Duke University - The Fuqua School of Business 2011 — 2012
Master of Management Studies, 3.7/4.0
University of Virginia 2008 — 2010
Bachelor of Arts (B.A.), with Distinction, Art History, 3.7/4.0
University of Pennsylvania 2007 — 2008
Transferred
edifecs June 2015 - Present
Healthx May 2014 - May 2015
TeleTech Services Corporation September 2013 - May 2014
Gorman Health Group February 2013 - August 2013
TriZetto Corporation January 2012 - February 2013
The TriZetto Group June 2010 - December 2012
TriZetto Corporation January 2010 - June 2011
The TriZetto Group June 2007 - December 2009
Infocrossing Healthcare Services Inc. December 2005 - June 2007
Continuum Performance Systems, LLC September 2003 - December 2005
Skills
Strategy, Enterprise Software, Healthcare Information..., Strategic Planning, Medicare, Healthcare, Managed Care, SaaS, Salesforce.com, Solution Selling, HIPAA, Process Improvement, Healthcare Industry, Product Development, Integration, Product Management, Business Development, CRM, Health Insurance, Medicaid, Insurance, Vendor Management, Business Process, Healthcare Consulting, Health Policy, Business Analysis, Cross-functional Team..., Leadership, Program Management, Sales, Account Management, Professional Services, Business Intelligence, Consulting, Strategic Partnerships, Outsourcing
Education
The University of Connecticut 1985 — 1989
BA, Communication Sciences
Gorman Health Group November 2012 - Present
The Regence Group, Regence Rx/Catalyst/Catamaran April 2007 - November 2012
Skills
Medicare Part D, Pharmacy Benefit..., Managed Care, Utilization Management, Medicare, Medicaid, Health Policy, Disease Management, Clinical Research, Healthcare Industry, Healthcare Information..., Healthcare Consulting, Pharmacy, Insurance, Health Insurance, HIPAA, Healthcare
Education
The George Washington University - School of Business
Pursuing MBA
University of Kansas
Bachelor of Science, Pharmacy
University of Kansas Graduate School
Showe and Associates LLC January 2015 - Present
Med-Exec Solutions February 2013 - January 2015
Managed Healthcare Consultant February 2008 - January 2015
ATTAC Consulting Group (ACG) March 2011 - April 2013
Visante® Inc. January 2009 - December 2010
Gorman Health Group November 2005 - December 2008
WellCare September 2004 - November 2005
Medicare y Mucho Mas (MMM) October 2002 - September 2004
The Showe Group September 1997 - October 2002
The Scheur Management Group, Inc. July 1995 - September 1997
Skills
Healthcare, Medicare, Managed Care, Medicaid, Program Management, Compliance, Healthcare Sales, Business Development, Medicare Advantage..., Marketing, Team Building, Training, Fraud, Waste and Abuse, Strategic Planning, Process Improvement, Executive Management, Product Development, Healthcare Information..., Sales, Hospitals, Disease Management, Healthcare Consulting, Health Policy, Healthcare Management, Medicare Part D, Strategy, Cross-functional Team..., Healthcare Industry, Management, Revenue Cycle, Employee Benefits, HIPAA, Leadership, Pharmacy Benefit..., Operations Management, Physician Relations, Network Development, Provider Relations, Health Insurance, Physicians, HMO, Utilization Management, Practice Management, Health Care Reform, Policy, EHR, Revenue Cycle Management, Quality Improvement, Long-term Care, Consulting
Education
University of Maryland College Park 1962 — 1964
Associate of Arts (A.A.)
Georgetown University 1966 — 1968
Bachelor of Arts (B.A.)
The George Washington University 1974 — 1977
Master of Business Administration (MBA)
Gorman Health Group December 2013 - Present
Gorman Health Group June 2013 - December 2013
Gorman Health Group January 2012 - June 2013
Gorman Health Group January 2006 - January 2012
SCAN Health Plan April 2005 - January 2006
SCAN Health Plan December 2003 - April 2005
SCAN Health Plan February 2003 - December 2003
American Honda 2000 - 2001
Skills
Medicare, Managed Care, Auditing, Public Speaking, Databases, Medicare Part D, Health Policy, Pharmacy Benefit..., Consulting, HIPAA, Health Insurance, Healthcare, Healthcare Management, Insurance, Program Management, Healthcare Consulting, Health Care Reform, Healthcare Industry, Healthcare Information...
Education
California State University-Long Beach 1998 — 2003
Bachelor of Arts, Music, Vocal Performance
HTMS, an Emdeon Company January 2015 - Present
Gorman Health Group September 2013 - December 2014
Beacon Healthcare Systems, Inc. June 2012 - April 2014
Continuum Performance Systems - MarketProminence November 2008 - June 2012
WINHealth Partners December 2006 - November 2008
Sterling Health Plans - Olympic Health Management Systems January 1996 - December 2006
Morse Hardware Company 1988 - 1996
Skills
Program Management, Business Process..., System Implementations, Strategic Planning, Start-ups, Process Improvement, Enrollment Management, Management, Medicare, Managed Care, Budgets, Strategy, Leadership, Training, HMO, Financial Analysis, CRM, Project Management, Integration, PPO, Health Insurance, Mergers & Acquisitions, Insurance, Finance, HIPAA
Education
Colorado State University 1970 — 1972
BS Finance, Business Finance
Gorman Health Group September 2015 - Present
Gorman Health Group June 2013 - Present
WellPoint 2009 - June 2013
Gorman Health Group August 2007 - December 2009
Health Choice of AZ January 2007 - April 2007
HealthTrio June 2005 - January 2007
Health Net, Inc 1988 - 2003
HealthNet December 1988 - October 2002
Intergroup of Arizona 1986 - 1986
Skills
Medicare, Managed Care, Health Insurance, Healthcare, HIPAA, Process Improvement, Medicare Part D, Insurance, Healthcare Management, Policy, Employee Benefits, Healthcare Consulting, Strategic Planning, Training, PPO, Program Management
Education
Pima Community College 1996 — 1998
The Carol Reen Team February 2012 - Present
Gorman Health Group February 2012 - June 2012
People With Disabilities Foundation April 2008 - December 2011
Skills
Microsoft Office, Research, Office Management, Writing, Organizing, Telephone Skills, General Office Duties, Training, Nonprofits, Community Outreach, Management, Administrative..., Public Speaking, Outlook, Social Networking, Grant Writing, Grace Under Pressure, Volunteer Management, Administrative...
Education
North Central College 1995 — 1999
Bachelor of Arts (BA), Germanic Languages, Literatures, and Linguistics
High School 1991 — 1995
Jackson High School, Regular/General High School/Secondary Diploma Program
Ernst & Young June 2012 - Present
Aetna May 2011 - June 2012
Gorman Health Group January 2008 - May 2011
Staples January 2007 - February 2008
Starbucks Coffee Company May 2003 - February 2008
Mortgage Lenders Network April 2006 - July 2006
EB Games February 2005 - April 2006
EB Games November 2001 - February 2005
Skills
Process Improvement, Anti Money Laundering, Risk Management, Quality Assurance, Medicare, Program Management, Medicare Part D, Customer Service, Data Analysis, Managed Care, Insurance, HIPAA, Team Building, Business Analysis, Healthcare, Health Insurance, Software Documentation, Management, Analysis
Education
Bloomsburg University of Pennsylvania 1994 — 1998
BA - American Studies/History, History, Literature
Bloomsburg University of Pennsylvania 1994 — 1998
Bachelor of Arts (B.A.), American History (United States)
Blue Peak Advisors October 2014 - Present
Blue Peak Advisors October 2014 - Present
Gorman Health Group April 2014 - October 2014
Windsor Health Plan September 2013 - April 2014
Windsor Health Plan June 2012 - September 2013
Walgreens March 2003 - July 2013
Windsor Health Plan February 2012 - June 2012
Skills
Training, Regulations, Pharmacy, Prescription, CMS, Medicare Part D, Utilization Review, Pharmacy Technicians, Customer Service, Project Planning, Medication Therapy..., Pharmacy Automation, Pharmacy Benefit..., Medicaid, Pharmacists, Health Insurance, Medicare, Healthcare, HIPAA
Education
Austin Peay State University 1998 — 2003
Bachelor of Science (BS), Social Work
McGavock High School
MAZE Healthcare Communications May 2011 - Present
McCann Torre Lazur September 2009 - May 2011
Gorman Health Group December 2007 - December 2008
Touchstone Health January 2007 - December 2007
Navitus Health Solutions December 2004 - March 2006
Merck-Medco August 1996 - September 2003
Skills
Marketing, Management, Strategic Planning, Marketing Strategy, Leadership, Customer Service, Project Management, New Business Development, Managed Care, Medicare Part D, Pharmacy Benefit..., Specialty Pharmaceutical, College Recruiting, Recruiting, Technical Recruiting, Training, New Hire Processes, New Product..., Introducing New Products, Organizational..., Organizational Behavior, Advertising, Public Speaking, Public Relations, Public Policy, CMS, Cross-functional Team..., Cross-functional..., Cross Functional Team..., Cross-functional..., Healthcare Management, Medicaid, Pharmaceutical Industry, Medicare
Education
Rockville University 1993 — 1996
Master of Business Administration (M.B.A.), Business Administration and Management, General
Creighton University 1975 — 1980
Bachelor's Degree, Pharmacy
Strategic HealthCare Solutions 2004 - Present
Gorman Health Group 2006 - Present
Comprehensive Medical Imaging, division of Cardinal Health 2001 - 2004
NovaCare 1999 - 2001
Blue Cross Blue Shield of Arizona 1997 - 1999
Mercy Integrated Health 1996 - 1997
American Medical Security 1994 - 1996
Accountable Health Plans 1992 - 1994
Skills
PPO, Healthcare, Managed Care, Strategy, Medicaid, Health Policy, Marketing Strategy, Network Development, Contract Negotiation, Insurance, Team Building, Contract Management, Process Improvement, Credentialing, Claim, Marketing, Provider Relations, Leadership, EMR, Medicine, Healthcare Consulting, Healthcare Industry, Business Development, Healthcare Management, Hospitals, HIPAA, Home Care, Strategic Planning, EHR, Physicians, Quality Improvement, Healthcare Information..., Practice Management, Medical Billing, Medicare, Informatics, Health Insurance, Training, Revenue Cycle, Policy
Education
Arizona State University, W. P. Carey School of Business 2002 — 2004
MBA
Arizona State University 1987 — 1991
BA, Communication, General
Gorman Health Group May 2015 - Present
Forge Software May 2013 - May 2015
Sensaphone June 2012 - May 2013
Sposto Interactive August 2010 - June 2012
ClassicWines.com June 2006 - December 2009
Skills
Project Management, Leadership, Strategy, Information Security, Information Technology, Interdisciplinary..., Process Improvement, Open Source, Software Engineering, Client Relations, Web Applications, Databases, Security, Business Development, Mobile Applications, Cloud Computing, Networking, Analytics, IT Management, IT Operations, Interdisciplinary..., Client Development, Policy, SDLC
Education
Kutztown University of Pennsylvania 2006 — 2010
B.S., Computer Science
Gorman Health Group August 2014 - Present
Gorman Health Group May 2013 - August 2014
Gorman Health Group October 2011 - May 2013
Gorman Health Group October 2010 - October 2011
Gorman Health Group October 2008 - September 2010
Gorman Health Group January 2008 - September 2008
trg Marketing Works April 2007 - August 2007
Skills
Sales, Marketing, Managed Care, Leadership, Sales Operations, Marketing Strategy, Strategic Planning, Events Coordination, Program Management, Direct Marketing, Product Development, Social Media, Strategy, Cross-functional Team..., CRM, Email Marketing, Event Planning
Education
University of Pittsburgh 2003 — 2007
Bachelor of Arts (B.A.), Marketing
Gorman Health Group May 2014 - Present
US Department of Health and Human Services September 2012 - May 2014
White House Office of Management and Budget December 2010 - May 2012
US Army June 2002 - August 2009
Skills
Administrative Law, Community Outreach, Data Analysis, Government, Legal Research, Legal Writing, Policy, Policy Analysis, Public Policy, Research, Westlaw
Education
University of Maryland Francis King Carey School of Law 2009 — 2012
Doctor of Law (J.D.), Health Law
University of Michigan 1998 — 2002
Bachelor of Arts (B.A.), Political Science and History
Rhymeo LLC May 2014 - Present
Audi on demand November 2013 - Present
Honest Tea May 2013 - August 2013
Golf Quests, Inc. November 2012 - March 2013
AEG May 2012 - November 2012
American Media Corporation September 2010 - May 2011
Gorman Health Group 2010 - 2011
Honest Tea May 2010 - August 2010
The Coca-Cola Company March 2009 - May 2009
Skills
Social Media, Event Management, Guerrilla Marketing, Marketing, Sports Marketing, Sales, Public Speaking, Business Development, Strategic Planning, Account Management, New Business Development, Event Planning, Advertising, Team Building, Social Media Marketing, Research, Market Research, Microsoft Excel, Entrepreneurship, Social Networking, Customer Service, Public Relations, Leadership, Project Management, Time Management, Sponsorship, Facebook, Management, System Administration, Marketing Strategy, Marketing Communications, Budgets, Online Marketing, CRM, Salesforce.com, Recruiting, PowerPoint, Email Marketing, Project Planning
Education
University of Central Florida 2008 — 2012
Bachelor of Science (B.S.), Event Management
Gorman Health Group April 2011 - Present
Self Employed November 2010 - April 2011
March Vision Care October 2009 - October 2010
L.A. Care Health Plan January 2008 - October 2009
Citizens Choice Healthplan September 2005 - March 2007
CalOptima March 2005 - September 2005
CareMore January 2002 - March 2005
Molina Healthcare March 1999 - January 2002
Foundation Health Systems August 1995 - March 1999
FHP 1989 - 1995
Skills
Medicaid, Medicare, Healthcare, HIPAA, Managed Care
Education
Ocean View High School 1985 — 1989
Diploma
Golden West College
Self-Employed January 2011 - Present
RxAlly September 2012 - June 2013
Healthways May 2009 - December 2010
Gorman Health Group November 2005 - June 2008
Bimark Medical Communcations August 2003 - October 2005
Medco Health Solutions November 1997 - August 2003
Academy of Managed Care Pharmacy August 1995 - October 1997
Capitol Publications 1993 - 1995
Skills
Managed Care, Health Insurance, Medicare, Medicaid, Medical Education, Public Relations, Media Relations, B2B Marketing, Sales Support, Pharmaceuticals, Account Management, Editing, Medical Writing, Medicare Supplements, Healthcare, Strategic Planning, Marketing Strategy, Marketing Communications, Corporate Communications, Internal Communications, Strategic Communications, Healthcare Marketing, New Business Development, Market Planning, Market Research, Product Marketing, Strategy Development, Competitive Analysis, PBM, Marketing Research, Strategy, Pharmacy Benefit..., Pharmaceutical Industry, Marketing, Sales Operations, Pharmacy, Disease Management, Product Launch, Health Policy, Leadership, Oncology, Analysis, Cross-functional Team..., Analytics, Business Development, Lead Generation, Marketing Management, Program Management, Start-ups, Healthcare Industry
Education
Georgetown University
Bachelor of Arts (BA)
Loyola High School
University of Kent
CareMed Pharmaceutical Services January 2008 - Present
Gorman Health Group November 2007 - Present
AMCP 1988 - 2008
Touchstone Health January 2007 - November 2007
Euro RSCG 4D July 2006 - October 2006
Medco January 2000 - September 2003
Medco September 1998 - January 2000
Merck-Medco August 1996 - January 1998
Prudential Pharmacy Management January 1993 - May 1996
Education
Columbia University in the City of New York 1999 — 2005
PhD, Health Care Management
Columbia University - Columbia Business School 1994 — 1999
MBA, Business and Marketing
Creighton University 1977 — 1980
Nashville Entrepreneur Center May 2014 - June 2014
Gorman Health Group November 2012 - June 2013
Gorman Health Group May 2012 - November 2012
Gorman Health Group July 2010 - May 2012
Gorman Health Group February 2009 - July 2010
Skills
Marketing Communications, Marketing, Marketing Strategy, Public Speaking, Interpersonal...
Education
Vanderbilt University - Owen Graduate School of Management 2013 — 2015
Master of Business Administration (M.B.A.), Strategy, Human Capital Management
Brigham Young University
BS, Business Administration, Marketing emphasis
Dexis Consulting Group January 2015 - Present
CGIAR Consortium October 2012 - December 2014
Johns Hopkins Bloomberg School of Public Health August 2011 - October 2012
Johns Hopkins Bloomberg School of Public Health March 2011 - August 2011
Management Sciences for Health September 2008 - March 2011
Gorman Health Group, LLC June 2007 - September 2008
Gorman Health Group December 2005 - June 2007
Development Alternatives, Inc. (DAI) April 2004 - November 2005
Innovation Network January 2003 - April 2004
BCG LLC August 2001 - January 2003
Skills
Strategic Planning, International..., Program Management, Technical Assistance, Capacity Building, Non-profits, Program Evaluation, Knowledge Management, Leadership, Economic Development, Global Health, Public Health, International Business..., Strategic Communications, ICT4D, SME development, Teaching, Writing, Public Speaking, International Project..., Donor Engagement, Mentoring, Nonprofits, Strategy, Strategic Partnerships, Entrepreneurship, Business Development, Management, CRM, Fundraising, Analysis, Proposal Writing, Community Outreach, Start-ups, Business Strategy, Team Leadership, Research, Government, Consulting, Process Improvement, Business Planning, International Relations, Qualitative Research
Education
Georgetown University - The McDonough School of Business 1999 — 2001
MBA, Strategy/International Business
McGill University 1988 — 1992
BA, Film & Communications
Edmund Burke 1985 — 1988
St. Albans 1979 — 1981
Annunciation
Gorman Health Group April 2015 - Present
Centers for Medicare & Medicaid Services June 2014 - July 2014
California Department of Insurance, Office of the Special Counsel January 2014 - May 2014
Barney & Barney August 2007 - July 2011
Skills
Employee Benefits, Health Insurance, Legal Research, Benefits Administration, Customer Service, Life Insurance, Legal Writing, Litigation, Microsoft Office, Administrative Law, Health Law, Insurance, Westlaw, Lexis, Health Policy, Legislative Research, Research, LexisNexis, Microsoft Excel, Public Speaking, PowerPoint, Employment Law, Policy, Analysis, Public Policy
Education
University of the Pacific - McGeorge School of Law 2011 — 2014
Juris Doctor (J.D.), Law
University of California, San Diego 2005 — 2007
Bachelor of Arts (B.A.), Political Science
The Advisory Board Company August 2014 - Present
Gorman Health Group January 2014 - January 2014
Gorman Health Group June 2013 - August 2013
Oberlin Research Group (ORG) February 2013 - May 2013
Applied Research Works January 2013 - January 2013
The Nueva School January 2012 - January 2012
Skills
Health Care Reform, Marketing, Policy Analysis, Sales, Health Care Marketing, Content Marketing
Education
Oberlin College 2010 — 2014
Bachelor of Arts (B.A.), Bachelor of Music (B.M.), Politics, Clarinet Performance
Medisolv, Inc. August 2013 - Present
Gorman Health Group September 2012 - Present
XLHealth August 2011 - May 2012
XLHealth June 2007 - July 2011
XLHealth November 2005 - June 2007
Johns Hopkins Healthcare 2001 - 2005
Skills
Medicare Advantage, Healthcare Management, Healthcare Information..., Clinical Development, Medicaid Managed Care, Disease Management, Healthcare, Leadership, Health Insurance, Nursing, Medicare, Health Policy, Healthcare Consulting, Healthcare Industry, HIPAA, Process Improvement, Clinical Research, Managed Care
Education
University of Maryland Baltimore 1987 — 1989
Bachelor's degree, Nursing
University of Maryland College Park 1981 — 1984
Bachelor's degree, Biology
Revenue Cycle Analysts and The Aspen Group 2000 - Present
Gorman Health Group 2008 - Present
Marketing RX 1980 - 1988
Skills
Healthcare Consulting, Medicare, Healthcare, Medicaid, Managed Care, HIPAA, Healthcare Management, Revenue Cycle, EMR, Hospitals, Network Development, Insurance, Practice Management, Physicians, EHR, Informatics, Healthcare Information..., Process Improvement
Education
The University of Texas Health Science Center at Houston 1973 — 1976
Bacheor of Science, Nursing Science
MAZE Healthcare Communications August 2011 - Present
AMCP 1988 - 2013
FMCP 1988 - 2013
Salutary Healthcare Consulting LLC May 2009 - April 2011
Torre Lazur McCann Managed Markets September 2009 - May 2010
CareMed Pharmaceutical Services August 2008 - September 2009
Gorman Health Group 2007 - 2008
Touchstone Health 2007 - 2007
Navitus Health Solutions, LLC December 2004 - March 2006
Merck-Medco January 2000 - September 2003
Skills
Oncology, Marketing Strategy, Managed Care, Health Plans, Medicare Supplements, Medicare Part D, PBM, Healthcare, Health, Health Economics, Disease Management, Utilization Management, Healthcare Management, Strategic Planning, Health Insurance, Medication Therapy..., Medicare, Cross-functional Team..., Pharmacy Operations, Strategy Development, New Business Development, Pharmacy Benefit..., Health Policy, Pharmacy, Strategy, Pharmacy Automation, HMO, Insurance, Pharmaceutical Industry, Program Management, Diabetes, Informatics, Pharmaceutical Sales, Medicaid, Healthcare Industry, Leadership, Clinical Research, Pharmacists, Cardiology, Employee Benefits, Medical Education, Hospitals, Infectious Diseases, Physicians, Business Development, Product Launch, Management, Start-ups, Healthcare Information..., HIPAA
Education
Rochville University 2006 — 2009
Masters in Pharmaceconomics
Rochville University 2003 — 2006
PhD
Rochville University 1993 — 1997
MBA
Creighton University 1977 — 1980
BSPh
Southwest Medical Consulting, LLC September 2008 - Present
ISS Hockey July 2015 - Present
California Health & Wellness February 2013 - June 2015
Gorman Health Group November 2009 - January 2015
Centene Corporation June 2010 - August 2014
CareMore Health Plan 2007 - 2009
Mega Health And Life Insurance Company 2003 - 2007
Midwest Surgical, Inc. 1991 - 2003
Skills
Healthcare Consulting, Contract Negotiation, Orthopedic, Network Development, Managed Care, Medicare, Healthcare, Medicaid, Healthcare Management, Hospitals, Health Insurance, Sports Medicine, Data Analysis, Provider Relations, Health Policy, Healthcare Industry, Training, HIPAA, Physicians, Process Improvement, Healthcare Information..., Clinical Research, EHR, Insurance, Revenue Cycle, EMR, Policy, Physician Relations, Disease Management, Medical Devices, Surgery, Executive Management, Practice Management, Management, Strategic Planning, Team Building, Leadership, Strategy, Consulting, Medicine, Program Management, Business Development, Medical Billing, Quality Improvement
Education
Uniformed Services University of the Health Sciences 1983 — 1988
Medical, Science
University of Maryland University College 1983 — 1987
BS, Science
East Leyden High School 1978 — 1982
Diploma, General
Gorman Health Group March 2015 - Present
PayPal November 2008 - July 2011
HSBC Card Services June 2006 - August 2008
Skills
Quality Assurance, Call Centers, Credit Cards, Business Analysis, Payments, Program Management, Vendor Management, Call Center, Product Management, Customer Experience, Risk Management, Accounts Payable, Financial Accounting, A/R Management, Leadership, Business Strategy
Education
Towson University 2008 — 2010
B.S, Business Management- Concentration in International Business Management
Rutgers University-New Brunswick
Wunderman Health June 2015 - Present
KBM Group: Health Services November 2010 - Present
HMS Federal October 2011 - Present
Healthbox Chicago September 2013 - Present
Gorman Health Group May 2009 - October 2010
Finelight September 2003 - May 2009
Healthmarket 2002 - 2004
Radix Health 1998 - 2001
DeHayes Consulting Group 1995 - 1997
Celtic Life Insurance Co August 1985 - June 1994
Skills
Medicare, Health Insurance, PPC, Global Marketing, Marketing, Competitive Intelligence, Customer Service..., Strategic Planning, Call Center, Disability Insurance, Strategy, Media Relations, Marketing Communications, Healthcare Management, Healthcare, Leadership, Advertising, Managed Care, Digital Marketing, Insurance, Mergers & Acquisitions, Management, Integrated Marketing, Marketing Strategy, Call Centers, Employee Benefits, Direct Marketing, Healthcare Industry, Customer Retention, Life Insurance, Lead Generation, Medicaid, Segmentation, Sales, B2B, Social Media, Analytics, Strategic Partnerships, Health Care Reform, Database Marketing, Social Networking, Marketing Management, Executive Management, Email Marketing, CRM, Product Marketing, B2B Marketing, Start-ups, Customer Acquisition, Online Marketing
Education
Washington University in St. Louis 1976 — 1978
MHA, Health Administration
Northeastern University 1971 — 1976
BS, Business Administration
Oceanside High School
Gorman Health Group August 2015 - Present
Rithriks Inc May 2012 - Present
Greater Minneapolis-St. Paul Area May 2012 - August 2015
Wellmark BCBS of Iowa/SD August 2006 - May 2012
Wellmark August 2006 - May 2012
Wellmark September 2003 - July 2006
Wellmark August 2001 - August 2003
Liberty Mutual Insurance October 1999 - August 2001
Merrill Lynch August 1998 - October 1999
Karvy Finapolis June 1994 - January 1998
Skills
Data Warehouse..., Data Modeling, ETL, Data Warehousing, Informatica, Enterprise Architecture, Solution Architecture, Data Governance, Full SDLC, Database Management, Datastage, Program Management, Agile Project Management, Business Intelligence, SDLC, Database Admin, Data Integration, Scrum, PowerDesigner, Teradata, Business Objects, DB2, SQL, Microsoft SQL Server, Requirements Analysis, Business Analysis, Database Design, Software Project..., Data Architecture, Performance Tuning, Databases, Requirements Gathering, Architecture, Sybase, Enterprise Software, SSIS, SOA, Master Data Management, Architectures
Education
Shadan College 1991 — 1994
BSC, Computer Science, Statistics
Vijay Nagar Junior College 1989 — 1991
Jr. College, MPC
Kendriya Vidyalaya 1987 — 1988
High School, Golconda No.1
UnitedHealthcare October 2014 - Present
Hamline University October 2013 - Present
Prime Therapeutics November 2013 - October 2014
UnitedHealthcare 2010 - 2013
UnitedHealthcare 2007 - 2010
Blue Cross and Blue Shield of Minnesota 2006 - 2007
Gorman Health Group 2005 - 2006
Minnesota House of Representatives 2000 - 2002
Skills
Health Care Compliance, Strategic Planning, Program Management, Account Management, Medicare Advantage, Medicare Prescription..., Medicaid Managed Care, Customer Service, Research, Public Speaking, Editing, Managed Care, Auditing, Training, Compliance Operations, Leadership, Medicare Part D
Education
Hamline University School of Law
Health Care Compliance Certification
Hamline University
Master of Arts (M.A.), Public Administration
Hamline University
Bachelor of Arts (B.A.), Psychology
Gorman Health Group February 2015 - Present
Cigna-HealthSpring December 2012 - February 2015
HealthSpring July 2010 - December 2012
HealthSpring November 2008 - July 2010
Dominion Virginia Power October 2007 - August 2008
Skills
Medicare, Microsoft Office, Health Insurance, Microsoft Excel, PowerPoint, HIPAA, Microsoft Word, Social Media, Healthcare Industry, Operations Management, Business Analysis, Financial Analysis, Onboarding, Managed Care, Team Building, Healthcare, Insurance, Data Analysis, Sales Management, Data Entry, Healthcare Management, Analysis, Teamwork, Access
Education
Trevecca Nazarene University 2000 — 2003
Bachelor of Arts (BA), English Language and Literature, General
BlueCross BlueShield Texas January 2012 - Present
UniCare Health Plans of Texas December 2010 - January 2012
Managed Care Consulting October 2009 - December 2010
Gorman Health Group October 2009 - February 2010
WellCare of Texas Inc. July 2008 - June 2009
Great-West Healthcare (Denver, CO) November 2005 - July 2008
CIGNA Healthcare September 2004 - November 2005
Unicare/Wellpoint 2003 - 2004
Unicare Insurance Co. (Wellpoint Health Plans) 1995 - 2003
Memorial Hermann Healthcare System 1984 - 1995
Skills
Compliance, Network Development, Medicaid, Provider Relations, Contract Negotiation, Managed Care, Health Insurance, Medicare, Healthcare Management, Healthcare, Health Policy, Healthcare Industry, Healthcare Consulting, Leadership, HIPAA, Program Management, Insurance, Revenue Cycle, PPO, Public Speaking, Employee Benefits, Performance Improvement, EMR, Claim, EHR, Practice Management, Management, Process Improvement, Physician Relations, Healthcare Information..., Credentialing, HMO, Disease Management, Strategic Planning, Pharmacy Benefit..., Case Managment, Physicians, Long-term Care, Hospitals, Utilization Management
Education
Alliant International University-Los Angeles 1978 — 1980
Masters, Psychology
University of California, Los Angeles 1973 — 1977
BA, Psychology
Gorman Health Group March 2015 - Present
Francisco Partners 2013 - December 2014
Florida Blue January 2005 - October 2012
Florida Blue September 2000 - January 2005
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, English, Windows, Research, Outlook, Public Speaking, Budgets, Editing, Strategic Planning, Negotiation, Healthcare, Strategy, Business Development
Education
University of North Florida 2004 — 2006
Bachelor's degree, Building Construction Management
Jacksonville University 1990 — 1994
Master of Business Administration (M.B.A.), Marketing/Marketing Management, General
Jacksonville University 1982 — 1984
Bachelor of Applied Science (BASc), Accounting
John Price Consulting, LLC January 2011 - Present
Armor Medicare Solutions July 2012 - Present
Centers for Medicare & Medicaid Services April 2012 - January 2013
Gorman Health Group April 2008 - January 2011
Aetna July 2006 - April 2008
Centers for Medicare & Medicaid Services March 1998 - July 2006
Independence Blue Cross April 1995 - February 1998
Skills
Medicare Advantage..., Internal Audit..., Auditing, External Audit, PDP, Medicare, Medicare Part D, Business Process..., Performance Management, Managed Care, Leadership, Medicare Advantage SME..., Part D SME..., Computer Program, Medicare Advantage, Operations Management, Compliance, Strategy, Program Management, Consulting, Executive Management, HIPAA, Medicaid, Healthcare Consulting, Healthcare Management, Health Insurance, Medicare Advantage..., CMS Annual Risk..., Part D Vendor Oversight..., Medicare Advantage..., Part D Vendor..., Medicare Advantage..., Medicare Advantage..., Part D Departmental..., Medicare Advantage Best..., Part D Best Practice..., Part D Operations, Part D Delegated Vendor..., Medicare Advantage..., Part D Auditing, Medicare Advantage..., Part D Compliance, Part D Interim..., Medicare Advantage..., Part D Operations..., Medicare Advantage..., Risk Management, Provider Relations, Management, Medical Compliance
Education
Penn State University
B.S., Health Policy and Administration
Gorman Health Group March 2015 - Present
Cigna-HealthSpring February 2010 - March 2015
Skills
Medicare, Health Insurance, Healthcare, HIPAA, Managed Care, Medicaid, Provider Relations, Healthcare Management, Software Documentation, Healthcare Information..., Process Improvement, Customer Service
Education
Florida State University 2001 — 2005
Bachelor of Arts (BA), English Language and Literature, General
Lehigh Hanson January 2013 - Present
Gorman Health Group August 2012 - November 2012
L-3 STRATIS December 2011 - August 2012
US Census Bureau April 2010 - June 2010
Jackson Hewitt January 2010 - April 2010
Texas Tech University Health Sciences Center October 2006 - May 2007
US Department of Health and Human Services June 2004 - December 2005
Methodist Health System September 2004 - March 2005
Skills
Data Analysis, Healthcare, Process Improvement, Team Building, Leadership, Customer Service, Project Management, Microsoft Office, Management, Microsoft Excel, Public Health, Microsoft Word
Education
Clark Atlanta University
Bachelor's degree, Community Health Education
Townview Magnet Center
HS Diploma, Health Professions
Gorman Health Group March 2015 - Present
Avalere Health July 2014 - February 2015
Gorman Health Group February 2014 - July 2014
Gorman Health Group May 2007 - June 2013
Good Results PR & Advertising 2007 - 2007
Northern Illinois University, Housing & Dining 2005 - 2006
Illinois State Board of Education 2002 - 2002
Education
American University
Master's Degree, Public Communication
Northern Illinois University
Bachelor's Degree, Corporate Communication and Journalism
United Township High School
Magellan Complete Care- Florida June 2014 - Present
Ross-Davis Medical Associates November 2013 - Present
Gorman Health Group March 2014 - June 2014
Optum North American Medical Management-Illinois June 2012 - November 2013
Health Care Service Corporation March 2008 - May 2012
Governor's Hemophilia Awareness Board 2008 - May 2012
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas January 2003 - 2012
National Medical Association August 2009 - July 2011
Illinois Department of Human Services January 1999 - March 2003
Skills
Healthcare Information..., Healthcare Management, Managed Care, Disease Management, Medicine, Utilization Management, Physicians, Clinical Research, Medicare, Medicaid, Health Policy, Healthcare Consulting, Revenue Cycle, Health Information..., Healthcare Industry, Quality Improvement, eRx, EHR, Hospitals, HIPAA, Informatics, Provider Relations, ICD-10, EMR, Public Health, Health Care Fraud, Case Managment, Healthcare improvement, Medical Education, Policy, Health Insurance, Health Care Reform, PPO, Credentialing, Internal Medicine, NCQA, Medicaid Managed Care, Health Education, Practice Management, Accountable Care..., Medicare Advantage, Accountable Care, Healthcare Improvement, Case Management
Education
Henry Ford Hospital 1981 — 1984
M.D.
Northwestern University 1977 — 1981
M.D.
The University of Chicago 1973 — 1977
Bachelor of Arts and Science
Boenning & Scattergood, Inc. December 2013 - November 2014
Aegis Media June 2012 - July 2013
SMART Insights Group, LLC January 2012 - April 2012
Gorman Health Group September 2011 - December 2011
Skills
Analysis, Competitive Analysis, Market Research, Microsoft Excel, Social Media, Research, PowerPoint, Data Analysis, Advertising, Event Planning, Social Networking, Social Media Marketing, Microsoft Office, Microsoft Word, Public Speaking, Event Management, Public Relations, Marketing Strategy, Marketing, Performance Management, Excel, Word, Team Leadership
Education
The Catholic University of America 2011 — 2012
Master of Science, Business Analysis, 4.0
University of Virginia 2008 — 2011
Bachelor of Arts, Sociology, 3.0
Burtanger & Assoc. March 2015 - Present
CenseoHealth August 2013 - March 2015
Burtanger & Assoc. March 2009 - July 2013
ATTAC Consulting Group August 2011 - December 2012
The AmeriHealth Mercy Family of Companies July 2010 - July 2011
Silverlink Communications July 2009 - July 2010
Ingenix Consulting March 2008 - March 2009
Gorman Health Group July 2005 - March 2008
WellCare 2003 - 2005
Harvard Medical School 2001 - 2003
Skills
Strategic Planning, Public Relations, Crisis Communications, Public Speaking, Market Research, Marketing, Business Development, Sales, Brand Management, Healthcare, Managed Care, Medicare
Education
The Ohio State University
Masters, Journalism
The Ohio State University
Bachelors, Communications
Heavenly Eats 'n Sweets May 2011 - Present
Gorman Health Group 2011 - 2012
Advance America July 2008 - May 2011
Huron Woods Nursing Center November 2006 - January 2007
Ghengis Khan MOngolian BBQ August 2006 - September 2006
Ghengis Khan Mongolian BBQ March 2005 - November 2005
Skills
Office 2010, Microsoft Applications, Office Management, Typing, Multi-line Phone, Cash-handling, Collections, Customer Service, Technical Support
Education
Delta College 2012 — 2013
Associate of Arts (AA), Medical Administrative/Executive Assistant and Medical Secretary
Northwood University 2004 — 2005
Bachelor's degree, Business Management
Delta College 2002 — 2004
Associate's degree, General Office Occupations and Clerical Services
Gorman Health Group October 2010 - February 2011
Chicago Park District January 2004 - August 2008
Best Buy January 2005 - February 2006
Education
University of Illinois at Urbana-Champaign 2006 — 2011
Bachelor's Degree, Sociology
Northside College Preparatory High School
City of Worcester June 2010 - Present
Cenpatico June 2013 - October 2014
Cenpatico November 2011 - June 2013
Kindred Healthcare December 2010 - November 2011
Gorman Health Group January 2010 - December 2010
Boston Medical Center HealthNet Plan August 2000 - August 2009
Boston Medical Center HealthNet Plan April 2006 - October 2007
Boston Medical Center HealthNet Plan October 2001 - April 2006
Boston Medical Center HealthNet Plan August 2000 - October 2001
Saint Vincent Hospital November 1997 - August 2000
Skills
Managed Care, Contract Negotiation, Provider Relations, Strategic Planning, Medicaid Managed Care, Strategy, Leadership, Management, Training, Health Policy, Medicare, Healthcare, Recruiting, Program Management, Medicaid, EMR, Healthcare Management, Team Building, Health Care Reform, Coaching, Change Management, HIPAA, Hospitals, Policy, Customer Service, Business Intelligence, Health Insurance, Healthcare Industry, Budgets, Marketing Strategy
Education
Suffolk University - Sawyer School of Management 1991 — 1995
MPA, Healthcare
Tufts University 1985 — 1987
MA, Counseling Psychology
Boston College 1979 — 1983
Bachelors in Arts, Psychology
Winthrop High School 1976 — 1979
High School, College
Running Specialty Group (RSG) August 2014 - Present
Elate Yoga July 2012 - August 2014
lululemon athletica June 2011 - March 2012
Gorman Health Group October 2010 - January 2011
Coca-Cola Enterprises March 2008 - September 2010
Sanford January 2007 - March 2008
CareerBuilder.com November 2005 - December 2006
Skills
Sales Operations, Marketing, Sales, Training, Cold Calling, Management
Education
John Carroll University 2001 — 2005
John Carroll University
B.S.B.A, Marketing
EMSI 2012 - March 2014
Leprechaun HCC Managment March 2010 - March 2014
Centers for Medicare & Medicaid Services January 2009 - March 2010
self employed January 2006 - January 2009
Gorman Health Group 2006 - 2007
AvMed Health Plans October 2005 - September 2006
Blue Cross Blue Shield of Minnesota October 2004 - October 2005
Novartis Medical Nutrition March 2003 - September 2004
United Health Networks April 1999 - July 2001
Blue Cross Blue Shield of ND 1976 - 1997
Skills
Project Execution, Product Management, Data Analysis, Cross-functional Team..., Program Management, Competitive Analysis, Business Development, Strategic Planning, Management, Leadership, Change Management, Healthcare, Business Planning, Team Building, Product Development, Marketing, Training, Negotiation, Business Strategy, Account Management, Salesforce.com, Policy, Project Management, Strategy, CRM, Health Policy, Project Planning, Managed Care, Insurance, Sales, Employee Benefits, Enterprise Software, New Business Development, Budgets, Vendor Management, Healthcare Information..., Sales Operations, Analysis, Customer Service, Operations Management
Education
University of Minnesota - Carlson School of Management 1995 — 1997
MBA, Business
North Dakota State University 1971 — 1975
BS, Retailing
Carefree Business Solutions, LLC January 2004 - Present
Gorman Health Group May 2011 - April 2015
BrainSavers, LLC December 2008 - February 2011
SSB Solutions, LLC 2008 - 2010
Gorman Health Group 2004 - 2010
HealthAmerica 2000 - 2004
Columbia/HCA September 1997 - February 2000
Blue Cross Blue Shield of Arizona May 1994 - October 1997
Scottsdale Healthcare 1981 - 1986
Skills
Strategic Planning, Medicaid, Health Policy, Managed Care, Health Insurance, Hospitals, Healthcare, Leadership, Strategy, Organizational..., Healthcare Consulting, Network Development, Healthcare Industry, Strategic Partnerships, Medicare, Consulting, Business Development, HIPAA, Management, Healthcare Information..., Revenue Cycle, Healthcare Management
Education
Arizona State University
Comparative Politics
BluePeak Advisors January 2014 - Present
Edgar Consulting Group December 2012 - December 2013
CatalystRx April 2011 - December 2012
Edgar Consulting Group September 2010 - April 2011
Gorman Health Group February 2006 - September 2010
Centers for Medicare & Medicaid Services October 2004 - February 2006
Caremark April 2004 - October 2004
Caremark August 2000 - April 2004
Advance PCS August 1998 - August 2000
Advance Paradigm April 1995 - August 1998
Skills
Executive Management, Managed Care, Formulary, Pharmacy Benefit..., Benefits Design, Compliance, Clinical Data Management, Strategic Consulting, Strategy, Health Economics, Disease Management, Health Policy, Pharmacy, Pharmaceutical Industry, Healthcare Consulting, Pharmacy Automation, Utilization Management, Clinical Research, Diabetes, Health Care Reform, Health Insurance, Healthcare Industry, Market Access, Medicaid, Public Health, Clinical Trials, Healthcare Information..., Consulting, HIPAA, Informatics, Outcomes Research
Education
University of Phoenix 1999 — 2001
Master of Business Administration (MBA)
Duquesne University 1989 — 1991
Pharm.D., Pharmacy
Rutgers University-New Brunswick 1984 — 1989
BS Pharm, Pharmacy
ATTAC Consulting Group, LLC 2005 - Present
Gorman Health Group 2004 - 2005
MethodistCare (Health Plan) 2001 - 2002
FirstCare 1999 - 2000
The Pace Group, Inc. 1992 - 1999
Care Choices Health Plans 1989 - 1991
Skills
Medicaid, Managed Care, Medicare, Medicare Part D, Compliance Program..., Health Insurance..., Qualified Health Plans, Health Policy, Pharmacy Benefit..., Leadership, Executive Management, Utilization Management, Healthcare Industry
Education
Michigan State University 1977 — 1981
Gorman Health Group July 2006 - Present
University of Wyoming School of Pharmacy August 1992 - June 2006
ASHP 2002 - 2003
University of Colorado Hospital 1977 - 1989
Skills
Medicare Part D, Managed Care, Healthcare, Pharmacy Benefit..., Clinical Research, Pharmacy, Medicaid, Medicare, Utilization Management, Healthcare Consulting, Health Policy, Network Development, Healthcare Industry, Disease Management, HIPAA
Education
Regis University 1983 — 1986
MBA, Finance, Accounting
University of Colorado Anschutz Medical Campus 1971 — 1976
BS, Pharmacy
Gorman Health Group March 2015 - Present
NAMM-IL/Optum Collaborative Care June 2014 - February 2015
NAMM-IL/Optum Collaborative Care October 2012 - May 2014
Health Care Service Corporation/BCBSIL January 2007 - October 2012
Health Care Service Corporation/BCBSIL November 2004 - December 2006
Health Care Service Corporation/ BCBSIL January 2001 - November 2004
Anthem Alliance Health Ins. Co. April 2000 - January 2001
BlueCross BlueShield of Illinois June 1998 - April 2000
Skills
Healthcare Management, Provider Relations, Operations Management, Process Improvement, Quality Management, Medicare, Healthcare Consulting, Managed Care, Program Management, Project Management, Management, Disease Management, Hospitals, Network Development, Medicaid, Health Insurance, Healthcare, Strategy, Quality Improvement, Team Building, Utilization Management, Program Development, Business Process..., Accreditation, Training, Healthcare Industry, Physicians, HIPAA, HMO, Leadership, Case Managment, Health Policy, Appeals, Medicaid Managed Care, Case Management
Education
AHIP 2009 — 2010
Fellow, Management Development Program
Governors State University 1994 — 1999
Master, Health Administration
Governors State University 1992 — 1994
BA, Psychology
Colorado Foundation for Pubic Health and the Environment September 2015 - Present
Colorado Department of Health Care Policy and Financing January 2011 - September 2015
Colorado Department of Health Care Policy and Financing January 2008 - June 2011
Gorman Health Group June 2005 - March 2007
International Crisis Group 2004 - 2005
Skills
Strategic Planning, Foreign Policy, Policy Analysis, International Relations, Medicaid, Political Science, International..., Public Policy, Human Rights, Politics, Public Speaking, Research, Social Media, Diplomacy, Healthcare
Education
American University 2001 — 2003
Master of Arts, International Peace and Conflict Resolution
School for International Training 2000 — 2001
Independent Research
University of Colorado Boulder 1994 — 2000
Bachelor of Arts, International Affairs
Gorman Health Group March 2014 - Present
Universal American February 2006 - March 2014
Universal American 2005 - 2007
AutoNation January 1999 - June 2003
SAIC March 1992 - March 1993
SAIC January 1988 - March 1992
Skills
Develop and Facilitate..., Effective Presentations, Recruiting,..., Budgeting and..., Creating Best Practice..., Web Based Training..., Training, Team Building, Sales, Insurance, Customer Retention, Finance, Management, Life Insurance, Recruiting, Health Insurance, Marketing, Medicare, Disability Insurance, Sales Operations, Managed Care, Sales Management, Leadership, Fixed Annuities, E-Learning, Long-term Care, Forecasting, Budgets, Call Centers, Underwriting, Customer Service, Program Management, Account Management, Strategic Planning, New Business Development, Term Life Insurance, Process Improvement
Education
New Mexico State University 1990 — 1994
Pre-Medicine/Pre-Medical Studies
New Mexico State University 1989 — 1994
Florida College 1987 — 1988
Gorman Health Group January 2015 - Present
HealthNow New York Inc. July 2010 - January 2015
Independent Health August 2008 - June 2010
StraussGroup inc. November 2005 - July 2008
Horticultural Creations Inc. February 2004 - October 2005
Skills
Healthcare, Managed Care, Customer Service, Insurance, Team Building, Coaching, Marketing, Contract Negotiation, Data Analysis, New Business Development, Leadership Development, Leadership, Change Management, Strategic Planning, Medicare, Health Insurance, Recruiting, Health, Business Development, Strategy, Business Planning, Organizational...
Education
Canisius College 2010 — 2013
MBA
Aspiring Executives, RV Rhodes and Judi Spear 2012 — 2012
Certificate, Leadership Training
The French Culinary Institute 2003 — 2003
Trade School, Restaurant Management
Clarkson University 2000 — 2003
B.A., Liberal Arts
Choate Rosemary Hall 1996 — 1999
High School
Gorman Health Group January 2013 - Present
Universal Health Care Group, Inc. January 2004 - December 2012
Skills
Medicaid, Medicare, HMO, HIPAA, Managed Care, Health Insurance, Professional Network, CPT, Call Centers, Claim
Education
Loyola University of Chicago 2012 — 2014
Master of Jurisprudence, Health Law
University of South Florida 1997 — 1999
Master of Public Health (M.P.H.), Health care Administration
Cigna-HealthSpring, Inc. February 2011 - Present
Gorman Health Group June 2010 - February 2011
WellCare Health Plans, Inc. February 2008 - October 2010
WellCare Health Plans, Inc. November 2006 - February 2008
DoctorCare, Inc October 2005 - November 2006
Mercy Hospital, an HCA Hospital March 2004 - October 2005
UnitedHealth Group February 1997 - February 2004
Skills
Medicare, Healthcare Compliance, Strategic Planning, Managed Care, Medicaid, Hospitals, Government Relations, Compliance Audits, Corporate Governance, Negotiation, CMS, Medicare Part D, Quality Auditing, Healthcare, Network Development, Policy, Revenue Cycle, Medical Compliance, Healthcare Industry, Insurance, Training, Health Policy, PPO, HIPAA, Leadership, Medicaid Managed Care, Employee Benefits, Process Improvement, Provider Relations, Health Insurance, Healthcare Management, HMO, Claim, Utilization Management, Physicians, Disease Management, Healthcare Consulting
Education
Saint Leo University 2013 — 2015
Master of Business Administration (M.B.A.), Health Care Management
Barry University
B.S, Legal Studies
Gorman Health Group June 2008 - Present
Harte-Hanks September 2002 - April 2008
Harte-Hanks Direct 1984 - 2008
Hollie Account Services January 2001 - September 2001
The Credo Group July 1999 - January 2001
DiMark now Harte Hanks 1985 - 1999
Education
Shippensburg University of Pennsylvania 1978 — 1982
Business/Marketing
Caplan Consulting June 2015 - Present
DeltaDental/Dentaquest July 2013 - March 2015
Boston Medical Center Health Plan January 2013 - June 2013
ikaSystems May 2012 - December 2012
Gorman Health Group August 2006 - May 2012
Skills
Change Management, Business Process, Business Intelligence, Insurance, Business Process..., Strategy, Business Analysis, Microsoft Excel, Strategic Planning, Management Consulting, Process Improvement, Team Building, HIPAA, Sales Management, Managed Care, Healthcare, Microsoft Word, Program Management, Customer Service, Public Speaking, Vendor Management, Business Development, Employee Benefits, Project Management, Medicaid, Health Policy, Quality Assurance, Medicare, Management, Health Insurance, Leadership, Training, Consulting, Software Documentation, Healthcare Information..., Analysis, Visio, Microsoft Office, SDLC, Cross-functional Team..., Healthcare Management, Requirements Analysis, Healthcare Consulting, Healthcare Industry, Team Leadership, Policy
Education
University of Maryland Baltimore County 1979 — 1983
Bachelor of Arts, Health Administration and Policy
University of Maryland Baltimore County
Bachelor of Arts (B.A.), HealthCare Administration and Policy
Health Net March 2015 - Present
Gorman Health Group March 2014 - March 2015
Health Net March 2008 - February 2014
Health Net 1999 - 2008
Health Net 1995 - 1999
Dole Food Company 1987 - 1995
Skills
Insurance, Medicaid, Healthcare, Medicare, Health Insurance, Managed Care, HIPAA, HMO, Provider Relations, Claim, Healthcare Consulting, Program Management, Healthcare Industry, Health Policy, Process Improvement, Strategic Planning, Disease Management, Management
Education
California State University, Fresno
MBA, Finance
Fairleigh Dickinson University-Metropolitan Campus
Business
University of Tulsa
BS, Accounting
Gorman Health Group 2015 - Present
CalOptima 2014 - 2015
WellCare Health Plans, Inc. 2011 - 2014
WellCare Health Plans, Inc. d/b/a 'Ohana Health Plan 2009 - 2011
WellCare Health Plans, Inc. 2005 - 2009
Skills
Process Improvement, Healthcare, Insurance, Program Management, Software Documentation, Risk Management, Management, Policy, Analysis, Medicaid, Auditing, Medicare, Health Policy, Strategy, Managed Care, HIPAA, Healthcare Industry, Health Insurance, Healthcare Management, Training, Healthcare Consulting
Education
University of South Florida 2002 — 2008
MPH
University of South Florida 1996 — 2000
B.S. Biology and Chemistry
Gorman Health Group March 2013 - Present
Integra ServiceConnect, LLC July 2013 - August 2014
Magellan Health Services October 2009 - December 2012
XLHealth October 2005 - April 2009
APS Healthcare March 2002 - May 2003
Aon September 2000 - March 2002
Centris Group June 1996 - September 2000
American Biodyne / Merit Behavioral 1989 - 1995
Skills
Managed Care, Healthcare Information..., Process Improvement, HIPAA, Medicaid, Health Insurance, Medicare, Healthcare Industry, Strategic Planning, Healthcare Management, Healthcare
Education
Indiana University Bloomington 1979 — 1984
Bachelor of Science (Business Administration) & MBA, Finance, Marketing
Gorman Health Group 2011 - 2013
Citrus Health Care March 2009 - 2011
Skills
Healthcare Consulting, Business Process, Consulting, Healthcare Management, Auditing, Business Analysis, Healthcare Industry
Education
Xavier University 1982 — 1984
Masters of Health Care Administration
Washington University in St. Louis 1977 — 1978
Master of Science (M.S.), Counseling Psychology
University of Illinois at Urbana-Champaign 1970 — 1975
B.S., English & Psychology
Cloudburst Consulting Group September 2014 - Present
2U December 2012 - April 2014
Maslow Media Group, Inc. December 2011 - June 2012
Gorman Health Group February 2011 - June 2011
International Spy Museum March 2010 - February 2011
Education
University of Maryland University College 2009 — 2013
Master of Science in Management (MSM), Human Resources
Frostburg State University 2003 — 2007
BA, Human Resources
Gorman Health Group February 2015 - Present
Martin's Point Health Care July 2011 - October 2014
Blue Cross and Blue Shield of RI April 1999 - July 2011
US Navy August 1996 - April 1999
Skills
Analysis, Health Insurance, Data Analysis, Insurance, Healthcare IT, Medicare Part D, Health Plans, Health Policy, Healthcare Information..., Team Leadership, Process Improvement, HIPAA, Leadership, Management, Healthcare Industry, Business Analysis, Team Building, Claim, Provider Relations, Medicare, Medicaid, Healthcare, Managed Care, Employee Benefits, Utilization Management, Disease Management, Healthcare Management, Informatics, Healthcare Consulting, Quality Improvement, EHR, Network Development, Pharmacy Benefit..., Medical Billing, Credentialing, Health Care Reform, Medical Coding, Physicians, Revenue Cycle, Healthcare Analytics, Hospitals, Program Management, Strategic Planning, Software Documentation, Consulting, Training, Vendor Management, Business Process...
Education
Edinboro University of Pennsylvania 1992 — 1996
BS/AS, Economics / Biomedical Equipment Repair
Edinboro University of Pennsylvania
ArroHealth (formerly MedSave USA) September 2014 - Present
Gorman Health Group March 2013 - September 2014
CenseoHealth (at the time Gorman Health Group - Sister Company) March 2011 - March 2013
Optum (formerly Ingenix) August 2009 - March 2011
Touchstone Healthcare March 2003 - March 2011
Leprechaun HCC Management (at the time Gorman - Sister Company) January 2006 - January 2008
Gorman Health Group March 2003 - July 2006
Health Net 2001 - 2003
Scottsdale PHO May 1998 - August 2001
BlueCross BlueShield of Arizona 1996 - 1998
Skills
Strategic Planning, Contract Negotiation, Team Building, Medicaid, Medicare, Provider Relations, New Business Development, Business Strategy, Competitive Analysis, Healthcare, Business Planning, Vendor Management, Data Analysis, @Risk, Health Insurance, Insurance, Contract Management, HIPAA, Healthcare Consulting, Business Development, Disease Management, Health Policy, Process Improvement, Marketing, Product Management, Leadership, Management Consulting, Healthcare Management, Network Development, Healthcare Information..., Strategy, HMO, Product Development, Account Management, Medicaid Managed Care, Physicians, Project Management, Program Management, Change Management, Business Analysis, Healthcare Industry, Cross-functional Team..., Team Leadership, Health Information..., Hospitals, Managed Care, Management, Executive Management, Start-ups, Consulting
Education
Florida State University
MS
University of Minnesota-Twin Cities
BS
Catamaran August 2011 - Present
Gorman Health Group October 2009 - August 2011
Bravo Health January 2007 - October 2009
UnitedHealth Group June 1999 - March 2006
Mid Atlantic Medical Services, Inc. (acquired by UnitedHealth Group) September 1988 - June 1999
Deloitte AG September 1983 - September 1988
Skills
Financial Reporting, SEC filings, Business Process, Public Speaking, Technology Integration, Strategic Alliances, Medicare, Managed Care, Health Insurance, Healthcare, Process Improvement, Insurance, Strategic Planning, Auditing, HIPAA, HMO, Strategy, Leadership, Executive Management, Data Analysis, Contract Negotiation, Analysis, Business Analysis, Management, Team Building, Cross-functional Team..., Claim, Business Process..., Consulting, Budgets, Accounting, Finance, Human Resources, Change Management, Medicare Part D, Healthcare Industry, Health Policy, Employee Benefits, Policy, CRM, Operations Management, Mergers & Acquisitions, Healthcare Consulting, SEC Filings
Education
Georgetown University - The McDonough School of Business 1979 — 1983
BSBA, Accounting
UnitedHealthcare June 2011 - Present
UnitedHealthcare Community & State June 2011 - Present
AmeriChoice September 2009 - June 2011
United Health Group - Ovations 2007 - September 2009
Ernst & Young February 2006 - April 2007
Gorman Health Group June 2004 - January 2006
UnitedHealth Group 2002 - 2004
UnitedHealth Group 1997 - 2002
Skills
Healthcare, Managed Care, Compliance, Program Management, Problem Solving, Analysis, Vendor Relations, Cross-functional Team..., Team Building, Healthcare Industry, Account Management, Team Leadership, Auditing, Strategic Planning, Change Management, Policy, Health Policy
Education
University of Minnesota-Twin Cities 1990 — 1993
BS, Human Resource Development, Speech Communications
Gorman Health Group November 2012 - Present
Celebrations Catering & Events May 2010 - December 2011
KAUST June 2009 - October 2009
Make-A-Wish Foundation October 2007 - June 2009
Delta Air Lines January 2001 - March 2008
Marriott International June 2004 - November 2006
Intermountain Healthcare June 1997 - November 2006
Care 4 Kids World Wide 2005 - 2006
The Walt Disney Company January 2004 - June 2004
Sports Illustrated January 2002 - March 2002
Skills
Fundraising, Volunteer Management, Sponsorship, Microsoft Office, Fundraisers, Volunteer Recruiting, Social Media, Non-profits, Event Planning, Parties, Events, Corporate Events, Coordinating Events, Event Management, Events Coordination, Coordinating Special..., RSVP, Catering, International Relations, Embassies, Gala Dinners, Special Event, Special Event..., Special Events..., Events Organizer, Social Networking, Banquets, Training, Wedding Planning
Education
Arizona State University 2002 — 2003
Utah State University 1996 — 2000
Bachelor's Degree
ArroHealth January 2015 - Present
Gorman Health Group November 2013 - January 2015
Optum October 2007 - November 2013
Oracle July 2004 - September 2007
McKesson August 1996 - July 2004
Johnson & Johnson July 1993 - July 1996
Skills
Healthcare, Strategic Planning, Healthcare Information..., Process Improvement, Enterprise Software, Executive Management, Hospitals, Managed Care, Consulting, Strategy, Account Management, Sales, Sales Operations, Cross-functional Team..., Leadership, Sales Management, Program Management, Management
Education
University of Massachusetts, Amherst 1988 — 1990
BS, Biology
University of Mount Union 1986 — 1988
Biology
Gorman Health Group April 2015 - Present
Florida Blue 2012 - 2015
Florida Blue 2007 - 2012
Florida Blue 2004 - 2007
Florida Blue 1997 - 2004
United Health Care 1993 - 1997
Skills
Medicare, Quality Improvement, Managed Care, Microsoft Excel, Process Improvement, Healthcare Information..., Healthcare, Healthcare Management, HIPAA, Policy, Medicaid, Healthcare Consulting
Education
Florida International University
Bachelor's degree
Dade Medical College-Miami
Associate of Science (AS)
United Healthcare January 2014 - Present
United Healthcare May 2009 - January 2014
CIGNA Healthcare January 2007 - February 2009
Great-West Healthcare 2006 - 2008
Gorman Health Group 2005 - 2007
United Healthcare 2000 - 2005
UnitedHealthcare January 1998 - May 2000
UnitedHealthcare January 1996 - January 1998
FHP 1984 - 1996
Skills
Dental, Medicare, Benefits, Medicaid, Medicare Supplements, Sales Operations, Strategic Planning, Managed Care, Consultative Selling, Healthcare, Employee Benefits, Account Management, Sales Management, Contract Negotiation, Insurance, Health, Analysis, Disability Insurance, Dentistry, Business Development, Sales, Selling
Education
Saint Mary's College of California 1992 — 1993
Executive MBA, Healthcare
Westminster College 1986 — 1989
MBA, Marketing
University of Utah 1977 — 1983
BS, Healthcare Administration/Education
CP Allen Consulting, LLC September 2013 - Present
Gorman Health Group September 2013 - September 2015
WellPoint, Inc. October 2011 - September 2013
Colorado Access July 2008 - October 2011
Blue Sky Practice Solutions, LLC October 2005 - May 2009
Foley & Lardner LLP July 1998 - September 2005
Skills
Managed Care, HIPAA, Medicaid, Healthcare, Medicare, Health Policy, Nutrition, Policy
Education
Regis University 2004 — 2009
Master of Business Administration (M.B.A.), Health Care Management
Texas Tech University 1994 — 1996
MS, - Interdisciplinary
Columbia College 1992 — 1994
BS, Psychology
Independant Health Care Consultant October 2011 - Present
Gorman Health Group April 2014 - April 2014
Elderplan February 2014 - February 2014
WellCare October 2013 - January 2014
Trillium Community Health Plan August 2013 - November 2013
AvMed Health Plans March 2013 - November 2013
Paramount Health Care April 2013 - June 2013
naviHealth, Inc. August 2012 - December 2012
Windsor Health Plan October 2011 - April 2012
WellCare August 2010 - May 2011
Skills
Medicaid, Provider Relations, Managed Care, Healthcare, Medicare, Health Policy, NCQA, HIPAA, Process Improvement, Performance Improvement, Accreditation, Quality Improvement, HEDIS, HMO, Case Managment, Leadership, Health Insurance, Utilization Management, Nursing, Healthcare Management, Healthcare Consulting, Healthcare Industry, Case Management, Disease Management, Revenue Cycle, Healthcare Information...
Education
Saint Joseph's College 2007 — 2009
MBA, Quality, Leadership, Economics
Otterbein University 1992 — 1994
Bachelor's Degree, Nursing Science
West Virginia University at Parkersburg 1977 — 1979
Associate's Degree, Nursing Science
Gorman Health Group September 2003 - Present
The Pace Group 2007 - 2009
Education
Golden Gate University 1975 — 1977
MBA, Healthcare Management
Green Healthcare Consulting Solutions, LLC February 2010 - Present
Gorman Health Group 2010 - Present
Physicians Health Choice May 2005 - February 2010
Education
St. Mary's University School of Law 1999 — 2002
JD, Law
The University of Texas Health Science Center at San Antonio 1995 — 1996
BSN, Nursing
Molina Healthcare February 2008 - Present
Gorman Health Group March 2007 - February 2008
Arcadian Health Plan September 2005 - September 2006
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, HTML, Strategic Planning, Budgets, Healthcare, Access, Data Analysis, Analysis, Healthcare Management
Education
California State Polytechnic University-Pomona 1996 — 1998
Master of Business Administration (MBA), Finance
Gorman Health Group October 2014 - Present
Gorman Health Group July 2011 - October 2014
Blue Cross and Blue Shield of RI June 2010 - June 2011
Governors Hill Condominium Association 2007 - June 2011
Blue Cross and Blue Shield of RI 2005 - June 2010
Blue Cross and Blue Shield of RI 2000 - 2005
Blue Cross and Blue Shield of RI 1997 - 2000
Blue Cross and Blue Shield of Rhode Island January 1988 - January 1997
Geoffrey Distributing Company January 1984 - January 1988
Cranston City Hall April 1985 - January 1986
Skills
Medicare, Health Insurance, Managed Care, Insurance, Health Policy, Healthcare, Process Improvement, HIPAA, Medicaid, Strategic Planning, Healthcare Information..., Healthcare Management, Medicare Part D, Team Building, Business Analysis, Healthcare Consulting, Software Documentation, Business Process..., Training, Leadership, Employee Training, Call Centers, Policy, Management, Cross-functional Team..., Visio, Hospitals, Revenue Cycle, Vendor Management, Business Process, Healthcare Industry
Education
Johnson & Wales University
Gorman Health Group May 2011 - Present
Jackson Memorial Health Plan March 2008 - May 2010
Miami-Dade County Fire Rescue February 2006 - March 2008
Florida Blue June 1995 - January 2006
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, HTML, HIPAA, Healthcare, Training, Data Analysis, Leadership
Education
Barry University
Bachelor of Science Degree, Professional Administration
Tuskegee University
Gorman Health Group 2009 - Present
Skills
Healthcare Management, Healthcare, Hospitals, Strategic Planning, New Business Development, HIPAA, Health Policy, Process Improvement, Business Development, Business Analysis, Data Analysis, Team Building, Health Insurance, Contract Management, Credentialing, Healthcare Industry, Healthcare Information..., Healthcare Consulting, Medicare
Education
Indiana University of Pennsylvania 1990 — 1992
Penn State University 1988 — 1990
Kelly Services May 2013 - Present
Kelly Servies at Dow AgroSciences November 2012 - May 2013
Gorman Health Group July 2012 - November 2012
Foster Family Pork Farms July 2011 - June 2012
Lone Oak Hog Farms September 2010 - May 2011
Moss Farms July 2010 - September 2010
Farbest Foods, Inc June 2009 - May 2010
Skills
Pharmaceutical Industry, Vaccines, Food Microbiology, Biopharmaceuticals, Food Safety, Food Science
Education
Purdue University 2005 — 2009
BS, Animal Science
Gorman Health Group April 2010 - January 2013
YSL Hapmudo Studios May 2012 - August 2012
Person to Person Catering April 2008 - August 2009
Skills
Work Ethic, Peer Tutoring, Academic Tutoring, Communication Skills, Social Skills, Energetic Leader, Energetic team player, Organization, Judgment, Open Minded, Black Belt, Listening to customers, Improvisation, Typing, Microsoft Office, MacBook Pro, Chemical Research, Blackboard, Leadership
Education
University of Maryland Baltimore County 2012 — 2016
Bachelor of Arts (B.A.), Chemistry, Freshman
Oxon Hill High School 2008 — 2012
High School Diploma, Science and Technology, Graduated with Honors
Prince George's Community College 2010 — 2011
Bowie State University 2008 — 2011