Great Lakes Health Plan
Description
Address: 26957 Northwestern Hwy # 400, Southfield, MI 48033 Phone: (248) 559-5656: Hours: Website: : : : : Category: : Place name: Category: 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. Add website Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a question See all questions (1) Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of Great Lakes Health Plan Inc Posting publicly on the Web Write a review Reviews 2 Google reviews
Great Lakes Health Plan List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Great Lakes Health Plan. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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Great Lakes Health Plan Employees
Employee
Years
Job
Industry
Shonfonya Harrell, CPhT Shonfonya Harrell, CPhT's Great Lakes Health Plan Experience February 2002 - September 2006
Job BCN Certified Pharmacy Technician
Industry Pharmaceuticals
Experience
Arrow Strategies 2013 - Present
United Healthcare June 2012 - 2013
Health Plan of Michigan 2006 - 2010
Great Lakes Health Plan February 2002 - September 2006
CVS Pharmacy February 1998 - March 2002
Skills
Extraordinary oral and..., Familiar with..., Experienced in Office..., Tremendous Customer..., Experienced in..., Experienced Trainer, Exemplary Presenter, Familiar with all..., Experienced..., Experienced in fiscal..., Pharmacy, Customer Service, Healthcare, Data Entry, Employee Benefits, Health Insurance, Medicare, Training, HIPAA, Managed Care, Medicaid, Medicare Part D, Pharmacy Benefit..., Healthcare Management, Pharmacueticals
Education
Oakland Community College 2008 — 2009
Northwestern High School 1987 — 1990
Arrow Strategies 2013 - Present
United Healthcare June 2012 - 2013
Health Plan of Michigan 2006 - 2010
Great Lakes Health Plan February 2002 - September 2006
CVS Pharmacy February 1998 - March 2002
Skills
Extraordinary oral and..., Familiar with..., Experienced in Office..., Tremendous Customer..., Experienced in..., Experienced Trainer, Exemplary Presenter, Familiar with all..., Experienced..., Experienced in fiscal..., Pharmacy, Customer Service, Healthcare, Data Entry, Employee Benefits, Health Insurance, Medicare, Training, HIPAA, Managed Care, Medicaid, Medicare Part D, Pharmacy Benefit..., Healthcare Management, Pharmacueticals
Education
Oakland Community College 2008 — 2009
Northwestern High School 1987 — 1990
Frank Ligi Jr Frank Ligi Jr's Great Lakes Health Plan Experience May 1996 - August 1997
Job IT Specialist at Dept of Veterans Affairs
Industry Information Technology and Services
Experience
U.S. Department of Veterans Affairs November 2014 - Present
L-3 STRATIS June 2009 - February 2014
Lockheed Martin November 1999 - June 2009
Ciber August 1997 - March 1999
Great Lakes Health Plan May 1996 - August 1997
Information Decisions, Inc. March 1995 - December 1995
Computer Mail Services, Inc. May 1993 - March 1995
United States Marine Corps March 1989 - March 1993
Skills
Networking, Technical Support, Servers, Network Administration, Active Directory, Security, Software Installation, Virtualization, Windows Server, Computer Security, Network Security, Disaster Recovery, VMware, Operating Systems, Windows, WAN, Switches, Integration, DNS, LAN-WAN, Windows 7, Cisco Network Devices, Backup Exec, Microsoft Office, Troubleshooting, Remote User Support, VPN, Military, Government, Lotus Notes, System Administration, Software Documentation, IT Service Management
Education
University of Phoenix
U.S. Department of Veterans Affairs November 2014 - Present
L-3 STRATIS June 2009 - February 2014
Lockheed Martin November 1999 - June 2009
Ciber August 1997 - March 1999
Great Lakes Health Plan May 1996 - August 1997
Information Decisions, Inc. March 1995 - December 1995
Computer Mail Services, Inc. May 1993 - March 1995
United States Marine Corps March 1989 - March 1993
Skills
Networking, Technical Support, Servers, Network Administration, Active Directory, Security, Software Installation, Virtualization, Windows Server, Computer Security, Network Security, Disaster Recovery, VMware, Operating Systems, Windows, WAN, Switches, Integration, DNS, LAN-WAN, Windows 7, Cisco Network Devices, Backup Exec, Microsoft Office, Troubleshooting, Remote User Support, VPN, Military, Government, Lotus Notes, System Administration, Software Documentation, IT Service Management
Education
University of Phoenix
JoAnne Guttovz JoAnne Guttovz's Great Lakes Health Plan Experience January 1997 - January 1999
Job Manager Implementation Consulting DST Health Solutions
Industry Insurance
Experience
DST Health Solutions November 2013 - Present
Blue Cross Blue Shield of Michigan January 1999 - November 2013
Great Lakes Health Plan January 1997 - January 1999
CSC July 1993 - July 1998
Skills
SDLC, PMP, Healthcare, Program Management, Business Process, Process Improvement, Visio, Requirements Analysis, Healthcare Industry, Quality Assurance, Data Analysis, PMO, Testing, Project Portfolio..., Requirements Gathering, Management, Insurance, Business Analysis
Education
University of Michigan-Dearborn 1989 — 1993
Bachelor of Arts (B.A.), Computer and Information Sciences and Support Services, 3.5
DST Health Solutions November 2013 - Present
Blue Cross Blue Shield of Michigan January 1999 - November 2013
Great Lakes Health Plan January 1997 - January 1999
CSC July 1993 - July 1998
Skills
SDLC, PMP, Healthcare, Program Management, Business Process, Process Improvement, Visio, Requirements Analysis, Healthcare Industry, Quality Assurance, Data Analysis, PMO, Testing, Project Portfolio..., Requirements Gathering, Management, Insurance, Business Analysis
Education
University of Michigan-Dearborn 1989 — 1993
Bachelor of Arts (B.A.), Computer and Information Sciences and Support Services, 3.5
Todd Grant Todd Grant's Great Lakes Health Plan Experience 1996 - 1997
Job Senior Attorney at Cavanaugh & Quesada, PLC
Industry Law Practice
Experience
Richard E. Segal & Associates, P.C. March 2002 - June 2014
City of River Rouge 2000 - 2002
Great Lakes Health Plan 1996 - 1997
Law Firm of Todd W. Grant 1993 - 1996
Medical College of Ohio 1983 - 1988
Planned Parenthood of Mid-Michigan 1983 - 1983
University of Michigan Health System 1979 - 1983
St. Joseph Mercy Hospital 1978 - 1979
Skills
Commercial Litigation, Litigation, Civil Litigation, Mortgage Fraud, Landlord-Tenant, Construction Law, Appellate Practice, Employment Law, Real Estate Litigation, Contract Litigation, Collections, Consumer Law, Mediation, Contract Law, Legal Research, Appeals, Real Estate, Legal Issues, Legal Writing, Bankruptcy, Courts, Dispute Resolution
Education
University of Michigan Law School 1988 — 1991
Juris Doctor
University of Michigan, School of Public Health 1977 — 1979
M.H.S.A., Hospital Administration
Wesleyan University 1971 — 1974
Bachelor of Arts (B.A.), European history, cum laude, with high honors in history (honors thesis).
Richard E. Segal & Associates, P.C. March 2002 - June 2014
City of River Rouge 2000 - 2002
Great Lakes Health Plan 1996 - 1997
Law Firm of Todd W. Grant 1993 - 1996
Medical College of Ohio 1983 - 1988
Planned Parenthood of Mid-Michigan 1983 - 1983
University of Michigan Health System 1979 - 1983
St. Joseph Mercy Hospital 1978 - 1979
Skills
Commercial Litigation, Litigation, Civil Litigation, Mortgage Fraud, Landlord-Tenant, Construction Law, Appellate Practice, Employment Law, Real Estate Litigation, Contract Litigation, Collections, Consumer Law, Mediation, Contract Law, Legal Research, Appeals, Real Estate, Legal Issues, Legal Writing, Bankruptcy, Courts, Dispute Resolution
Education
University of Michigan Law School 1988 — 1991
Juris Doctor
University of Michigan, School of Public Health 1977 — 1979
M.H.S.A., Hospital Administration
Wesleyan University 1971 — 1974
Bachelor of Arts (B.A.), European history, cum laude, with high honors in history (honors thesis).
Steven Watkeys, MSA Steven Watkeys, MSA's Great Lakes Health Plan Experience July 2000 - November 2002
Job Senior Healthcare Consultant at Optum
Industry Hospital & Health Care
Experience
Optum October 2010 - Present
Blue Cross Blue Shield of Michigan May 2005 - November 2010
Thomson Medstat March 2003 - May 2005
Great Lakes Health Plan July 2000 - November 2002
Computer Sciences Corporation September 1997 - July 2000
Skills
Business Intelligence, Decision Support, Healthcare Information..., Healthcare, Business Analysis, Process Improvement, Healthcare Consulting, Analytics, Data Analysis, Managed Care, Informatics, Healthcare Management, Program Management, Cross-functional Team..., Medicaid, Strategy, Change Management, CRM
Education
Central Michigan University 1987 — 1989
Masters, Business Admin/Human Resources
Central Michigan University 1979 — 1984
Bachelors, Psychology and Business Admin
Optum October 2010 - Present
Blue Cross Blue Shield of Michigan May 2005 - November 2010
Thomson Medstat March 2003 - May 2005
Great Lakes Health Plan July 2000 - November 2002
Computer Sciences Corporation September 1997 - July 2000
Skills
Business Intelligence, Decision Support, Healthcare Information..., Healthcare, Business Analysis, Process Improvement, Healthcare Consulting, Analytics, Data Analysis, Managed Care, Informatics, Healthcare Management, Program Management, Cross-functional Team..., Medicaid, Strategy, Change Management, CRM
Education
Central Michigan University 1987 — 1989
Masters, Business Admin/Human Resources
Central Michigan University 1979 — 1984
Bachelors, Psychology and Business Admin
Bryan Schefman Bryan Schefman's Great Lakes Health Plan Experience 1995 - 2003
Job President, Litigation Counsel at Schefman & Associates PC
Industry Law Practice
Experience
Schefman & Associates PC January 2015 - Present
Law Office of Bryan Schefman 1983 - Present
Schlussel & Schefman 2004 - 2005
Great Lakes Health Plan 1995 - 2003
Skills
General Litigation, Commercial Counsel, Crisis Management, Commercial Litigation, Litigation, Personal Injury, Insurance Law, Civil Litigation, Insurance, Torts, Medicaid, Leadership, Trial Practice, Alternative Dispute..., Courts, Trials, Appeals, Legal Research, Legal Writing, Mediation, Arbitration
Education
University of Detroit Mercy School of Law 1980 — 1983
JD
University of Michigan 1973 — 1977
BA, Education, History, Art History
Schefman & Associates PC January 2015 - Present
Law Office of Bryan Schefman 1983 - Present
Schlussel & Schefman 2004 - 2005
Great Lakes Health Plan 1995 - 2003
Skills
General Litigation, Commercial Counsel, Crisis Management, Commercial Litigation, Litigation, Personal Injury, Insurance Law, Civil Litigation, Insurance, Torts, Medicaid, Leadership, Trial Practice, Alternative Dispute..., Courts, Trials, Appeals, Legal Research, Legal Writing, Mediation, Arbitration
Education
University of Detroit Mercy School of Law 1980 — 1983
JD
University of Michigan 1973 — 1977
BA, Education, History, Art History
Vijaya Durga Ryali's Great Lakes Health Plan Experience November 2002 - December 2003
Job Seasonal Pharmacist at WalMart
Industry Pharmaceuticals
Experience
Wal-Mart June 2011 - Present
Wal-Mart October 2009 - April 2011
Novixus, LLC January 2009 - October 2009
CVS Caremark Corporation August 2001 - December 2008
Great Lakes Health Plan November 2002 - December 2003
Skills
Pharmacy Automation, Medication Therapy..., Pharmacy Benefit..., Pharmacy, Pharmacoeconomics, Pharmacists, Certified Immunizer, Clinical Pharmacy, Community Pharmacy, Compounding, Diabetes, Immunization, Medicare Part D, Patient Counseling, Pharmacy Practice
Education
Oklahoma State University 1998 — 1999
MS, Applied Sciences
Gulbarga University 1993 — 1998
B.S In Pharmacy, Pharmacy
Loyola Academy 1990 — 1992
Intermediate (+1, +2), Biology, Physics and Chemistry (B.P.C)
St.Theresa's Girls High School 1978 — 1990
KG To 10th Grade, High School
Wal-Mart June 2011 - Present
Wal-Mart October 2009 - April 2011
Novixus, LLC January 2009 - October 2009
CVS Caremark Corporation August 2001 - December 2008
Great Lakes Health Plan November 2002 - December 2003
Skills
Pharmacy Automation, Medication Therapy..., Pharmacy Benefit..., Pharmacy, Pharmacoeconomics, Pharmacists, Certified Immunizer, Clinical Pharmacy, Community Pharmacy, Compounding, Diabetes, Immunization, Medicare Part D, Patient Counseling, Pharmacy Practice
Education
Oklahoma State University 1998 — 1999
MS, Applied Sciences
Gulbarga University 1993 — 1998
B.S In Pharmacy, Pharmacy
Loyola Academy 1990 — 1992
Intermediate (+1, +2), Biology, Physics and Chemistry (B.P.C)
St.Theresa's Girls High School 1978 — 1990
KG To 10th Grade, High School
Rebecca Kolinski's Great Lakes Health Plan Experience May 2000 - June 2003
Job
Industry Health, Wellness and Fitness
Experience
RK BLISS, LLC June 2015 - Present
Blue Cross Blue Shield of Michigan September 2011 - May 2015
Thomson Reuters May 2009 - August 2011
Health Plan of Michigan January 2005 - April 2009
MPRO August 2004 - December 2004
MPRO May 2003 - August 2004
Great Lakes Health Plan May 2000 - June 2003
Oakland County Community Mental Health Authority September 1996 - May 2000
Skills
HIPAA, Proposal Writing, HEDIS, Project Management, Data Analysis, Management, Analytics, Process Improvement, Program Development, Medicaid, Program Management, Healthcare Information..., Managed Care, Healthcare, Insurance
Education
University of Minnesota-Twin Cities 1992 — 1994
MHA
Wayne State University 1988 — 1992
BA
RK BLISS, LLC June 2015 - Present
Blue Cross Blue Shield of Michigan September 2011 - May 2015
Thomson Reuters May 2009 - August 2011
Health Plan of Michigan January 2005 - April 2009
MPRO August 2004 - December 2004
MPRO May 2003 - August 2004
Great Lakes Health Plan May 2000 - June 2003
Oakland County Community Mental Health Authority September 1996 - May 2000
Skills
HIPAA, Proposal Writing, HEDIS, Project Management, Data Analysis, Management, Analytics, Process Improvement, Program Development, Medicaid, Program Management, Healthcare Information..., Managed Care, Healthcare, Insurance
Education
University of Minnesota-Twin Cities 1992 — 1994
MHA
Wayne State University 1988 — 1992
BA
Joseph Lichty, MCP Joseph Lichty, MCP's Great Lakes Health Plan Experience September 1996 - January 1998
Job Experienced Network Engineer
Industry Information Technology and Services
Experience
Detroit Metro Convention and Visitors Bureau April 2005 - October 2010
Robert Half Technology (John Carlo, Inc) January 2005 - January 2005
Robert Half Technology (GKN Driveline) February 2004 - December 2004
Nisus Network Solutions March 2003 - September 2003
Meridian Advertising March 1999 - June 2002
Computer Networking Services September 1998 - March 1999
Bank, Inc January 1998 - June 1998
Great Lakes Health Plan September 1996 - January 1998
Education
Oakland Community College
A.S, Computer Information Systems
Detroit Metro Convention and Visitors Bureau April 2005 - October 2010
Robert Half Technology (John Carlo, Inc) January 2005 - January 2005
Robert Half Technology (GKN Driveline) February 2004 - December 2004
Nisus Network Solutions March 2003 - September 2003
Meridian Advertising March 1999 - June 2002
Computer Networking Services September 1998 - March 1999
Bank, Inc January 1998 - June 1998
Great Lakes Health Plan September 1996 - January 1998
Education
Oakland Community College
A.S, Computer Information Systems
Britta Berney Britta Berney's Great Lakes Health Plan Experience February 2002 - August 2004
Job Manager, Molina Encounter Reconciliation at CVS Caremark Corporation
Industry Pharmaceuticals
Experience
CVS Caremark Corporation December 2012 - Present
CVS Caremark Corporation June 2009 - June 2013
RxAmerica August 2004 - June 2009
Great Lakes Health Plan February 2002 - August 2004
Skills
Managed Care, Pharmacy Benefit..., Healthcare, Data Analysis, Medicaid, Medicare, Healthcare Management, Access, Software Documentation, Visio, Analysis, Quality Assurance, HIPAA, Health Policy, Healthcare Information..., SDLC
Education
Central Michigan University 1999 — 2001
PTCB
Certified Pharmacy Technician
CVS Caremark Corporation December 2012 - Present
CVS Caremark Corporation June 2009 - June 2013
RxAmerica August 2004 - June 2009
Great Lakes Health Plan February 2002 - August 2004
Skills
Managed Care, Pharmacy Benefit..., Healthcare, Data Analysis, Medicaid, Medicare, Healthcare Management, Access, Software Documentation, Visio, Analysis, Quality Assurance, HIPAA, Health Policy, Healthcare Information..., SDLC
Education
Central Michigan University 1999 — 2001
PTCB
Certified Pharmacy Technician
Kimberley Koivu RN Kimberley Koivu RN's Great Lakes Health Plan Experience April 2006 - April 2009
Job Registered Nurse at GI Medicine Associates
Industry Hospital & Health Care
Experience
GI Medicine Associates December 2011 - Present
21st Century Oncology June 2010 - January 2012
Care Guide September 2009 - December 2009
Great Lakes Health Plan April 2006 - April 2009
Fibromyalgia & Fatigue Center, Inc January 2005 - April 2006
Bridgewater Interiors May 2004 - October 2004
Beaumont Hospital February 2003 - May 2004
Ameritrial OTC October 2002 - February 2003
Community Cancer Care Specialists June 1998 - October 2002
Mount Clemens General Hospital June 1990 - June 1998
Skills
Customer Service, People Skills, Computer Literate, Healthcare, Oncology Nursing, Gastroenterology Nursing, Patient Education, Clinical Research, Oncology Clinical..., Holistic Medicine, Supplements, Utilization Review, Microsoft Office, Medical Case Management, Research, Protocol, Telephone Skills, Quality Control, Hospitals, Nursing, Inpatient
Education
Macomb Community College 1986 — 1990
Associate Degree, Nursing
L'Anse Creuse High School 1974 — 1978
Diploma, General
GI Medicine Associates December 2011 - Present
21st Century Oncology June 2010 - January 2012
Care Guide September 2009 - December 2009
Great Lakes Health Plan April 2006 - April 2009
Fibromyalgia & Fatigue Center, Inc January 2005 - April 2006
Bridgewater Interiors May 2004 - October 2004
Beaumont Hospital February 2003 - May 2004
Ameritrial OTC October 2002 - February 2003
Community Cancer Care Specialists June 1998 - October 2002
Mount Clemens General Hospital June 1990 - June 1998
Skills
Customer Service, People Skills, Computer Literate, Healthcare, Oncology Nursing, Gastroenterology Nursing, Patient Education, Clinical Research, Oncology Clinical..., Holistic Medicine, Supplements, Utilization Review, Microsoft Office, Medical Case Management, Research, Protocol, Telephone Skills, Quality Control, Hospitals, Nursing, Inpatient
Education
Macomb Community College 1986 — 1990
Associate Degree, Nursing
L'Anse Creuse High School 1974 — 1978
Diploma, General
Brent Norway Brent Norway's Great Lakes Health Plan Experience October 2003 - January 2006
Job Technical Support Specialist
Industry Information Technology and Services
Experience
PulteGroup July 2015 - Present
Creative Technical Solutions September 2014 - July 2015
Omnicell January 2011 - September 2014
Omnicell June 2007 - January 2011
Brook Furniture Rental August 2006 - June 2007
Hospira February 2006 - August 2006
Great Lakes Health Plan October 2003 - January 2006
Covansys February 2002 - January 2003
Accenture July 2000 - February 2002
US Navy November 1990 - May 1994
Skills
Help Desk Support, Active Directory, Citrix, Computer Hardware, VPN, Laptops, Antivirus, Digital Imaging, PC Anywhere, Firewalls, Networking, Windows, Troubleshooting, VMware, Servers, XP, Software Documentation, Windows 7, Technical Support, Windows Server, A+ Certified, Remote Desktop, Server Administration, System Deployment, Desktop Computers, Network Administration, System Administration, Terminal Services, Service Desk, SharePoint, Information Technology, Hardware, Windows XP
Education
Cleary University 1998 — 2000
Bachelors of IT Management, Information Technology
PulteGroup July 2015 - Present
Creative Technical Solutions September 2014 - July 2015
Omnicell January 2011 - September 2014
Omnicell June 2007 - January 2011
Brook Furniture Rental August 2006 - June 2007
Hospira February 2006 - August 2006
Great Lakes Health Plan October 2003 - January 2006
Covansys February 2002 - January 2003
Accenture July 2000 - February 2002
US Navy November 1990 - May 1994
Skills
Help Desk Support, Active Directory, Citrix, Computer Hardware, VPN, Laptops, Antivirus, Digital Imaging, PC Anywhere, Firewalls, Networking, Windows, Troubleshooting, VMware, Servers, XP, Software Documentation, Windows 7, Technical Support, Windows Server, A+ Certified, Remote Desktop, Server Administration, System Deployment, Desktop Computers, Network Administration, System Administration, Terminal Services, Service Desk, SharePoint, Information Technology, Hardware, Windows XP
Education
Cleary University 1998 — 2000
Bachelors of IT Management, Information Technology
David Beam's Great Lakes Health Plan Experience September 2000 - June 2003
Job Information Technology Specialist at MVI & IT Support and Lead Real Estate Appraiser Trainee at Southern Appraisal Group
Industry Research
Experience
Southern Appraisal Group October 2013 - Present
Missionary Ventures International April 2005 - Present
Walt Disney Parks and Resorts - Consumer Insight (Research) June 2013 - January 2014
Bell Performance April 2013 - June 2013
Buy Here Click Here January 2012 - September 2012
Mesaba Airlines November 2003 - March 2005
Great Lakes Health Plan September 2000 - June 2003
Skills
System Administration, Help Desk Support, TCP/IP, Hardware, Windows, Windows Server, Active Directory, Security, Network Administration, WordPress, Drupal, Troubleshooting, HTML, Project Management, Backup & Restore, Data Recovery, Firewalls, Telephony, Corporate Website..., Video Conferencing, Content Management, Spiceworks, VPN, Remote Desktop, Mac, PC, UltraVNC, IIS, Linux Desktop, Ubuntu, Windows Firewall, DNS, DHCP, WINS, LDAP, Routers, Router Configuration, Wireless Routers, Windows 2000, windows server 2003, windows server 2008, Adtran, DD-WRT, Audio Visual Support, Residential Real Estate...
Education
Anderson University 1997 — 2004
Bachelor's degree, Physical Education and Information Systems
Southern Appraisal Group October 2013 - Present
Missionary Ventures International April 2005 - Present
Walt Disney Parks and Resorts - Consumer Insight (Research) June 2013 - January 2014
Bell Performance April 2013 - June 2013
Buy Here Click Here January 2012 - September 2012
Mesaba Airlines November 2003 - March 2005
Great Lakes Health Plan September 2000 - June 2003
Skills
System Administration, Help Desk Support, TCP/IP, Hardware, Windows, Windows Server, Active Directory, Security, Network Administration, WordPress, Drupal, Troubleshooting, HTML, Project Management, Backup & Restore, Data Recovery, Firewalls, Telephony, Corporate Website..., Video Conferencing, Content Management, Spiceworks, VPN, Remote Desktop, Mac, PC, UltraVNC, IIS, Linux Desktop, Ubuntu, Windows Firewall, DNS, DHCP, WINS, LDAP, Routers, Router Configuration, Wireless Routers, Windows 2000, windows server 2003, windows server 2008, Adtran, DD-WRT, Audio Visual Support, Residential Real Estate...
Education
Anderson University 1997 — 2004
Bachelor's degree, Physical Education and Information Systems
Debbie Gase Debbie Gase's Great Lakes Health Plan Experience May 2003 - April 2004
Job Director, Specialized Clinical Programs at Blue Care Network
Industry Insurance
Experience
Blue Care Network June 2014 - Present
Coventry Health Care/Aetna November 2011 - June 2014
OmniCare Health Plan/Coventry Health Care April 2008 - November 2011
OmniCare Health Plan/Coventry Health Care August 2005 - April 2008
OmniCare Health Plan/ Coventry Health Care November 2004 - August 2005
Healthcare Services, Midwest Health Plan April 2004 - November 2004
Great Lakes Health Plan May 2003 - April 2004
OmniCare TPA, Inc May 2002 - May 2003
United American Healthcare Corporation January 1996 - May 2002
Skills
Managed Care, Health Insurance, Utilization Management, Case Management, Medicaid, Organizational..., Disease Management, Home Care, Case Managment, Medicaid Managed Care, Healthcare Industry, Healthcare Management, Healthcare, Quality Improvement, HMO, Provider Relations, NCQA, Clinical Research, HEDIS, Medicare, Health Policy, Network Development, PPO, HIPAA, Healthcare Consulting, Pharmacy Benefit..., Healthcare Information..., Physician Relations, Inpatient, Physicians
Education
Mercy College of Detroit 1983 — 1987
BSN, Nursing
University of Detroit Mercy
Health Systems Management
Blue Care Network June 2014 - Present
Coventry Health Care/Aetna November 2011 - June 2014
OmniCare Health Plan/Coventry Health Care April 2008 - November 2011
OmniCare Health Plan/Coventry Health Care August 2005 - April 2008
OmniCare Health Plan/ Coventry Health Care November 2004 - August 2005
Healthcare Services, Midwest Health Plan April 2004 - November 2004
Great Lakes Health Plan May 2003 - April 2004
OmniCare TPA, Inc May 2002 - May 2003
United American Healthcare Corporation January 1996 - May 2002
Skills
Managed Care, Health Insurance, Utilization Management, Case Management, Medicaid, Organizational..., Disease Management, Home Care, Case Managment, Medicaid Managed Care, Healthcare Industry, Healthcare Management, Healthcare, Quality Improvement, HMO, Provider Relations, NCQA, Clinical Research, HEDIS, Medicare, Health Policy, Network Development, PPO, HIPAA, Healthcare Consulting, Pharmacy Benefit..., Healthcare Information..., Physician Relations, Inpatient, Physicians
Education
Mercy College of Detroit 1983 — 1987
BSN, Nursing
University of Detroit Mercy
Health Systems Management
Claire Voorhies's Great Lakes Health Plan Experience March 1995 - March 1999
Job Clinical review nurse
Industry Hospital & Health Care
Experience
Molina Healthcare April 2011 - Present
Total Health Care March 1999 - March 2011
Great Lakes Health Plan March 1995 - March 1999
Skills
Highly skilled in..., Knowledgeable in..., knowledgeable in bed..., HIPAA, Health Insurance, Inpatient, Management, Healthcare, Medicaid, Medical Terminology, Medicare, Utilization Management, CPT, Managed Care, Home Care, Disease Management, Medical Records, HMO, Hospitals, Healthcare Management, Healthcare Information..., Healthcare Industry
Education
Oakland Community College 2001 — 2014
liberal arts, working toward RN
Clover Park Technical College 1992 — 1994
LPN, Practical Nursing, Vocational Nursing and Nursing Assistants
Molina Healthcare April 2011 - Present
Total Health Care March 1999 - March 2011
Great Lakes Health Plan March 1995 - March 1999
Skills
Highly skilled in..., Knowledgeable in..., knowledgeable in bed..., HIPAA, Health Insurance, Inpatient, Management, Healthcare, Medicaid, Medical Terminology, Medicare, Utilization Management, CPT, Managed Care, Home Care, Disease Management, Medical Records, HMO, Hospitals, Healthcare Management, Healthcare Information..., Healthcare Industry
Education
Oakland Community College 2001 — 2014
liberal arts, working toward RN
Clover Park Technical College 1992 — 1994
LPN, Practical Nursing, Vocational Nursing and Nursing Assistants
Judy Avallone Judy Avallone's Great Lakes Health Plan Experience 2006 - 2008
Job Part time Consultant at Moroni Fantin
Industry Insurance
Experience
Retired September 2014 - Present
Segal company February 2014 - August 2014
Moroni Fantin April 2011 - February 2014
Action Benefits August 2007 - March 2011
Great Lakes Health Plan 2006 - 2008
Blue Cross Blue Shield of Michigan 1998 - 2003
Skills
Employee Benefits, Process Improvement, Health Insurance, Customer Service, Insurance, Healthcare, HIPAA, Access, Data Analysis, Medicare, Strategic Planning, Business Analysis, Analysis, Software Documentation, Team Building, Employee Relations, Vendor Management, Managed Care, Leadership, Visio, Training, Call Centers, Performance Management, Business Process..., Budgets, Change Management
Education
Davenport University 2001 — 2002
MBA, Entreprenurial Management
Cleary University 1993 — 1995
Bachelor of Arts, Business
Retired September 2014 - Present
Segal company February 2014 - August 2014
Moroni Fantin April 2011 - February 2014
Action Benefits August 2007 - March 2011
Great Lakes Health Plan 2006 - 2008
Blue Cross Blue Shield of Michigan 1998 - 2003
Skills
Employee Benefits, Process Improvement, Health Insurance, Customer Service, Insurance, Healthcare, HIPAA, Access, Data Analysis, Medicare, Strategic Planning, Business Analysis, Analysis, Software Documentation, Team Building, Employee Relations, Vendor Management, Managed Care, Leadership, Visio, Training, Call Centers, Performance Management, Business Process..., Budgets, Change Management
Education
Davenport University 2001 — 2002
MBA, Entreprenurial Management
Cleary University 1993 — 1995
Bachelor of Arts, Business
Elissa Endreszl's Great Lakes Health Plan Experience April 2006 - July 2008
Job RN at Children's Hospital of Michigan
Industry Hospital & Health Care
Experience
Children's Hospital of Michigan September 2008 - Present
Great Lakes Health Plan April 2006 - July 2008
Education
Grand Valley State University 2005 — 2007
Children's Hospital of Michigan September 2008 - Present
Great Lakes Health Plan April 2006 - July 2008
Education
Grand Valley State University 2005 — 2007
Kristen Korzecke's Great Lakes Health Plan Experience September 2002 - February 2004
Job Facets Practice Lead
Industry Insurance
Experience
Genpact - Jawood Healthcare Solutions April 2014 - Present
The TriZetto Group August 2012 - March 2014
United Health Group October 2009 - August 2012
United Health Care- Americhoice- Great Lakes Health Plan February 2004 - September 2009
Great Lakes Health Plan September 2002 - February 2004
M-CARE August 2001 - September 2002
M-CARE May 1998 - August 2001
Blue Cross Blue Shield of Michigan October 1997 - May 1998
Blue Cross Blue Shield of Michigan February 1997 - October 1997
Skills
Medicare, Healthcare, Managed Care, Process Improvement, Project Management, Vendor Management, Visio, Program Management, Business Intelligence, Provider Relations, Business Analysis, SDLC, Requirements Analysis, Healthcare Information..., Business Process..., HIPAA, Management, Requirements Gathering, Software Documentation, Software Project...
Education
University of Michigan 1993 — 1996
MSE, Industrial and Operations Engineering
University of Michigan 1993 — 1996
MHSA, Health Service Administration
University of Michigan 1989 — 1993
BSE, Industrial and Operations Engineering
Genpact - Jawood Healthcare Solutions April 2014 - Present
The TriZetto Group August 2012 - March 2014
United Health Group October 2009 - August 2012
United Health Care- Americhoice- Great Lakes Health Plan February 2004 - September 2009
Great Lakes Health Plan September 2002 - February 2004
M-CARE August 2001 - September 2002
M-CARE May 1998 - August 2001
Blue Cross Blue Shield of Michigan October 1997 - May 1998
Blue Cross Blue Shield of Michigan February 1997 - October 1997
Skills
Medicare, Healthcare, Managed Care, Process Improvement, Project Management, Vendor Management, Visio, Program Management, Business Intelligence, Provider Relations, Business Analysis, SDLC, Requirements Analysis, Healthcare Information..., Business Process..., HIPAA, Management, Requirements Gathering, Software Documentation, Software Project...
Education
University of Michigan 1993 — 1996
MSE, Industrial and Operations Engineering
University of Michigan 1993 — 1996
MHSA, Health Service Administration
University of Michigan 1989 — 1993
BSE, Industrial and Operations Engineering
Steve Washburn's Great Lakes Health Plan Experience Mgr Facets Solutions GroupUnitedHealth GroupJune 2010 - Present
Job Mgr Facets Solutions Group
Industry Information Technology and Services
Experience
Great Lakes Health Plan Mgr Facets Solutions GroupUnitedHealth GroupJune 2010 - Present
United Healthcare 2002 - Present
Education
University of Michigan
BS, Computer and Information Science
Great Lakes Health Plan Mgr Facets Solutions GroupUnitedHealth GroupJune 2010 - Present
United Healthcare 2002 - Present
Education
University of Michigan
BS, Computer and Information Science
Paula Antio's Great Lakes Health Plan Experience January 1996 - December 1998
Job Director of Accounting at Proctor Financial, Inc
Industry Insurance
Experience
Proctor Financial, Inc September 2013 - April 2015
Ramco-Gershenson Properties Trust July 2006 - August 2013
Ramco-Gershenson Properties Trust May 2002 - June 2006
Ramco-Gershenson Properties Trust March 2000 - April 2002
Ramco Gershenson Properties Trust December 1998 - February 2000
Great Lakes Health Plan January 1996 - December 1998
Burgoyne Appraisal February 1993 - December 1995
Mortgage Corporation of America December 1991 - February 1993
Aeroquip Corporation January 1991 - December 1991
Skills
Finance, Strategic Financial..., Financial Reporting, Financial Modeling, Accounting, Financial Analysis, Real Estate, Commercial Real Estate, General Ledger, Asset Management, Acquisitions
Education
Walsh College 1997 — 1999
Master's Degree, Professional Accounting
Oakland University 1988 — 1991
BS Finance, Finance
Proctor Financial, Inc September 2013 - April 2015
Ramco-Gershenson Properties Trust July 2006 - August 2013
Ramco-Gershenson Properties Trust May 2002 - June 2006
Ramco-Gershenson Properties Trust March 2000 - April 2002
Ramco Gershenson Properties Trust December 1998 - February 2000
Great Lakes Health Plan January 1996 - December 1998
Burgoyne Appraisal February 1993 - December 1995
Mortgage Corporation of America December 1991 - February 1993
Aeroquip Corporation January 1991 - December 1991
Skills
Finance, Strategic Financial..., Financial Reporting, Financial Modeling, Accounting, Financial Analysis, Real Estate, Commercial Real Estate, General Ledger, Asset Management, Acquisitions
Education
Walsh College 1997 — 1999
Master's Degree, Professional Accounting
Oakland University 1988 — 1991
BS Finance, Finance
Beth Casady's Great Lakes Health Plan Experience 1998 - 2001
Job Health Care Compliance Professional
Industry Medical Devices
Experience
RTI Surgical July 2013 - September 2013
Pioneer Surgical Technology June 2012 - July 2013
Molina Healthcare Wisconsin February 2011 - June 2012
Upper Peninsula Health Plan January 2001 - February 2011
Great Lakes Health Plan 1998 - 2001
Skills
Healthcare Compliance, Medicare Compliance,..., Managed Care, Analytical Abilities, Writing Skills, Government Relations, Operations Management, Medicare, Medical Compliance, Lobbying, Health Policy, Analytical Skills, Orthopedic, Healthcare, Team Building, Negotiation, Policy, Process Improvement, Hospitals, Strategic Planning, Customer Service, Clinical Research, Training, Leadership Development, Business Strategy, Public Speaking, Medicaid, Analysis, Provider Relations, Credentialing, Healthcare Management, HIPAA, Healthcare Information..., Healthcare Consulting, Strategy, Physicians, Medicaid Managed Care, Healthcare Industry, Network Development, Health Insurance, Utilization Management, Revenue Cycle, Physician Relations, EHR, Medicare Part D
Education
Northern Michigan University
M.P.A., Health Care
Carroll College
BA, Communication Studies
Parkland College
AS, Dental Hygiene
University of Illinois at Urbana-Champaign
Studied 3 years, Fine and Studio Arts
RTI Surgical July 2013 - September 2013
Pioneer Surgical Technology June 2012 - July 2013
Molina Healthcare Wisconsin February 2011 - June 2012
Upper Peninsula Health Plan January 2001 - February 2011
Great Lakes Health Plan 1998 - 2001
Skills
Healthcare Compliance, Medicare Compliance,..., Managed Care, Analytical Abilities, Writing Skills, Government Relations, Operations Management, Medicare, Medical Compliance, Lobbying, Health Policy, Analytical Skills, Orthopedic, Healthcare, Team Building, Negotiation, Policy, Process Improvement, Hospitals, Strategic Planning, Customer Service, Clinical Research, Training, Leadership Development, Business Strategy, Public Speaking, Medicaid, Analysis, Provider Relations, Credentialing, Healthcare Management, HIPAA, Healthcare Information..., Healthcare Consulting, Strategy, Physicians, Medicaid Managed Care, Healthcare Industry, Network Development, Health Insurance, Utilization Management, Revenue Cycle, Physician Relations, EHR, Medicare Part D
Education
Northern Michigan University
M.P.A., Health Care
Carroll College
BA, Communication Studies
Parkland College
AS, Dental Hygiene
University of Illinois at Urbana-Champaign
Studied 3 years, Fine and Studio Arts
Sharie Palmer's Great Lakes Health Plan Experience 1997 - 2000
Job Accounting/HR Assistant
Industry Automotive
Experience
ABC Group February 2012 - Present
General Motors June 2010 - December 2011
The Oakland Press/INI August 2004 - June 2008
GlobalView Technologies 2001 - 2005
Great Lakes Health Plan 1997 - 2000
Great Lakes Health Plan 1997 - 2000
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Training, Event Management, Accounts Receivable, Accounts Payable, Account Reconciliation, Bookkeeping, Team Building, New Business Development, Business Planning, Small Business, Call Center, Cash Management, Marketing Management, Product Marketing, Employee Benefits, Customer Service, Database Administration, Events, Financial Reporting, General Ledger, General Insurance, Health Insurance, Benefits Administration, HR Policies, Journal Entries, PowerPoint, Strategic Planning, Public Speaking, Seminars, Vendor Management, Workers Compensation, Union Relations, Organization, Outlook, Office Management, Office Administration, Benefits Negotiation, Customer Satisfaction, Leadership, Process Improvement, Insurance, Budgets, Forecasting, Management, Account Management, Coaching, Invoicing
Education
University of Detroit Mercy 1997 — 2000
BS, Business Administration/Finance
ABC Group February 2012 - Present
General Motors June 2010 - December 2011
The Oakland Press/INI August 2004 - June 2008
GlobalView Technologies 2001 - 2005
Great Lakes Health Plan 1997 - 2000
Great Lakes Health Plan 1997 - 2000
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Training, Event Management, Accounts Receivable, Accounts Payable, Account Reconciliation, Bookkeeping, Team Building, New Business Development, Business Planning, Small Business, Call Center, Cash Management, Marketing Management, Product Marketing, Employee Benefits, Customer Service, Database Administration, Events, Financial Reporting, General Ledger, General Insurance, Health Insurance, Benefits Administration, HR Policies, Journal Entries, PowerPoint, Strategic Planning, Public Speaking, Seminars, Vendor Management, Workers Compensation, Union Relations, Organization, Outlook, Office Management, Office Administration, Benefits Negotiation, Customer Satisfaction, Leadership, Process Improvement, Insurance, Budgets, Forecasting, Management, Account Management, Coaching, Invoicing
Education
University of Detroit Mercy 1997 — 2000
BS, Business Administration/Finance
Trelisa Glazatov's Great Lakes Health Plan Experience 2001 - 2002
Job Instructional Technology Specialist at San Bernardino Community College District
Industry Higher Education
Experience
San Bernardino Community College District April 2013 - Present
Western University of Health Sciences 2008 - Present
Loyola Marymount University October 2011 - April 2013
San Bernardino Community College District March 2008 - October 2011
Western University of Health Sciences 2005 - 2008
Great Lakes Health Plan 2001 - 2002
Cap Gemini Ernst & Young 1998 - 2001
Skills
Teaching, Instructional Design, E-Learning, Instructional Technology, Curriculum Design, Higher Education, Research, Training, Staff Development, Program Development, Leadership Development, Distance Learning, Curriculum Development, Public Speaking
Education
Nova Southeastern University 2009 — 2015
PhD, Computing Technology in Education
Wayne State University 2006 — 2008
M.Ed., Instructional Technology
University of Michigan 1996 — 1998
MHSA, Health Management & Policy
University of Iowa - Henry B. Tippie College of Business 1992 — 1996
BBA, Finance
San Bernardino Community College District April 2013 - Present
Western University of Health Sciences 2008 - Present
Loyola Marymount University October 2011 - April 2013
San Bernardino Community College District March 2008 - October 2011
Western University of Health Sciences 2005 - 2008
Great Lakes Health Plan 2001 - 2002
Cap Gemini Ernst & Young 1998 - 2001
Skills
Teaching, Instructional Design, E-Learning, Instructional Technology, Curriculum Design, Higher Education, Research, Training, Staff Development, Program Development, Leadership Development, Distance Learning, Curriculum Development, Public Speaking
Education
Nova Southeastern University 2009 — 2015
PhD, Computing Technology in Education
Wayne State University 2006 — 2008
M.Ed., Instructional Technology
University of Michigan 1996 — 1998
MHSA, Health Management & Policy
University of Iowa - Henry B. Tippie College of Business 1992 — 1996
BBA, Finance
Priscilla Sandberg's Great Lakes Health Plan Experience 1997 - 2000
Job Senior Sales Executive
Industry Computer Software
Experience
MEDITECH 2001 - Present
Great Lakes Health Plan 1997 - 2000
Skills
Healthcare Information..., EHR, Healthcare, EMR, CPOE, Hospitals, Meditech, Solution Selling, Direct Sales, Sales, Account Management, Sales Process, Sales Management, Customer Service, Cold Calling, Enterprise Software, HIPAA, Informatics
Education
University of Michigan
MSW, Social Work Administration
University of Vermont
BA, Psychology
MEDITECH 2001 - Present
Great Lakes Health Plan 1997 - 2000
Skills
Healthcare Information..., EHR, Healthcare, EMR, CPOE, Hospitals, Meditech, Solution Selling, Direct Sales, Sales, Account Management, Sales Process, Sales Management, Customer Service, Cold Calling, Enterprise Software, HIPAA, Informatics
Education
University of Michigan
MSW, Social Work Administration
University of Vermont
BA, Psychology
Chris Verros's Great Lakes Health Plan Experience July 2001 - May 2002
Job Director of Business Development at HealProsDiabetic Retinopathy Screening
Industry Health, Wellness and Fitness
Experience
HealPros April 2015 - Present
Verros Health Care Consulting July 2011 - March 2015
United Health Care June 2010 - July 2011
Blue Cross Blue Shield of Michigan October 2007 - January 2009
Elliott Greenspan and Associates 2009 - 2009
Blue Care Network June 2006 - October 2007
Clarkston Public Schools August 2004 - June 2006
Health Alliance Plan August 2003 - May 2004
Metro Hospitalists, P.C. June 2002 - June 2003
Great Lakes Health Plan July 2001 - May 2002
Skills
Strategic Planning, Regulatory Compliance, Policy Development, Provider Network..., Contract Negotiations, Provider Relations, Pharmacy Benefits..., Cost Analysis, Project Management, Data Analysis and..., Data Analysis, Contract Negotiation, Analysis, Budgets, Business Process..., Cost Benefit, Credentialing, HIPAA, HMO, Health Insurance, Health Policy, Healthcare, Healthcare Analytics, Healthcare Consulting, Healthcare Industry, Healthcare Management, Hospitals, Insurance, Managed Care, Management, Medicaid, Medical Billing, Medicare, Medicare Part D, Network Development, Operations Management, Pharmacy Benefit..., Physicians, Policy, Process Improvement, Public Health, PPO
Education
Indiana University-Purdue University at Indianapolis 1982 — 1984
MHA, Health/Health Care Administration/Management
Michigan State University 1973 — 1979
B.A., Health Sciences
HealPros April 2015 - Present
Verros Health Care Consulting July 2011 - March 2015
United Health Care June 2010 - July 2011
Blue Cross Blue Shield of Michigan October 2007 - January 2009
Elliott Greenspan and Associates 2009 - 2009
Blue Care Network June 2006 - October 2007
Clarkston Public Schools August 2004 - June 2006
Health Alliance Plan August 2003 - May 2004
Metro Hospitalists, P.C. June 2002 - June 2003
Great Lakes Health Plan July 2001 - May 2002
Skills
Strategic Planning, Regulatory Compliance, Policy Development, Provider Network..., Contract Negotiations, Provider Relations, Pharmacy Benefits..., Cost Analysis, Project Management, Data Analysis and..., Data Analysis, Contract Negotiation, Analysis, Budgets, Business Process..., Cost Benefit, Credentialing, HIPAA, HMO, Health Insurance, Health Policy, Healthcare, Healthcare Analytics, Healthcare Consulting, Healthcare Industry, Healthcare Management, Hospitals, Insurance, Managed Care, Management, Medicaid, Medical Billing, Medicare, Medicare Part D, Network Development, Operations Management, Pharmacy Benefit..., Physicians, Policy, Process Improvement, Public Health, PPO
Education
Indiana University-Purdue University at Indianapolis 1982 — 1984
MHA, Health/Health Care Administration/Management
Michigan State University 1973 — 1979
B.A., Health Sciences