Group Health Plan

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Group Health Plan Employees

Employee
Years
Job
Industry
Phil Moser Phil Moser Greater St. Louis Area Details
Phil Moser's Group Health Plan Experience March 1994 - March 2007
Job Director, MA Implementations at Lumeris
Industry Hospital & Health Care
Experience
Lumeris  March 2015 - Present
Essence Healthcare  March 2007 - March 2015
Lumeris  March 2007 - May 2013
Group Health Plan   March 1994 - March 2007
Coventry Health Care  1994 - 2007
Western Union Financial Services  1993 - 1994
CIGNA Healthplan of St. Louis   1991 - 1993
Metropolitan Life Insurance Company  1986 - 1991
KPMG Peat Marwick  1983 - 1986

Skills
Managed Care, Financial Analysis, Medicare, Healthcare, Data Analysis, Health Insurance, Competitive Analysis, Business Planning, Healthcare Management, Budgeting, Process Improvement, Analysis, Finance, Healthcare Information..., Business Development, Sales, Budgets, Insurance, Business Strategy, Management, Product Management, Business Intelligence, Vendor Management, Strategic Planning, Marketing, Contract Negotiation

Education
University of Missouri-Columbia   1979 — 1983
BS, Accountancy

Horton Watkins - Ladue   1977 — 1979

Barbara Witte Barbara Witte Greater St. Louis Area Details
Barbara Witte's Group Health Plan Experience 1999 - 2007
Job Managed Care Executive
Industry Insurance
Experience
WellCare Health Plans  April 2014 - Present
Self employed consultant  June 2013 - March 2014
Coventry Health Care  2012 - 2013
CoventryCares Kentucky   2011 - 2012
Coventry Health Care of NE   2007 - 2011
Group Health Plan   1999 - 2007

Skills
Managed Care, Medicaid, Medicare, Health Insurance, Insurance, Strategic Planning, Process Improvement, Health Policy, Healthcare Industry, Healthcare, Healthcare Management, Healthcare Consulting, HMO, Claim, HIPAA, Medicare Part D, Mergers & Acquisitions, Disease Management, Credentialing, Revenue Cycle, Pharmacy Benefit..., Integration, Physician Relations, Start-ups, Contract Negotiation, Claims, Compliance, Medicaid Managed Care, Utilization Management, Quality Improvement, Change Management, Correctional Healthcare, Contractual Agreements, Finance, Proposal Leadership, Proposal Generation, Proposal Management, Cost Savings, Operational Efficiency, Process Efficiency, Government Relations, Employee Benefits, Leadership

Education
Webster University   1992 — 1995
Master of Business Administration (MBA), Personnel Management

Truman State University   1979 — 1983
Bachelor of Science (B.S.), Accounting

Jennifer Condon Jennifer Condon Greater St. Louis Area Details
Jennifer Condon's Group Health Plan Experience September 1998 - 2000
Job Manager, Technical Communications | Passionate about Technology, DITA XML, Content Management, and Tech Writing
Industry Information Technology and Services
Experience
MasterCard  July 2014 - Present
MasterCard  August 2000 - July 2014
Group Health Plan   September 1998 - 2000

Skills
Technical Writing, Editing, Creative Writing, Training, Teaching, Software Documentation, Online Help, Content Management, Technical Documentation, Technical Communication, Content Development, Visio, Policies and procedures, DITA XML, DITA, Arbortext, Microsoft Office, Requirements Gathering, Project Management, SnagIt, Analysis, Adobe Acrobat, Manuals, RoboHelp, Process Improvement, Web Content, FrameMaker, Information Architecture, Single Sourcing, Publications, SharePoint, Corporate Communications, Content Strategy, Leadership

Education
Indiana State University   1994 — 1996
M.A., English

Indiana State University   1990 — 1994
B.S., Major: English; Minor: Communications

Hemmen, Wendy Hemmen, Wendy Greater St. Louis Area Details
Hemmen, Wendy's Group Health Plan Experience 1998 - 1999
Job
Industry Pharmaceuticals
Experience
McKesson  August 2012 - Present
Catholic Youth Council   September 2009 - August 2012
Medco Health Solutions  February 2007 - June 2009
Medco  2007 - June 2009
HavenHouse St. Louis  2006 - 2009
Express Scripts  February 2005 - September 2006
Express Scripts  April 2000 - February 2005
Ernst and Young  April 1999 - February 2000
Group Health Plan   1998 - 1999
BJC Health System  1994 - 1998

Skills
Microsoft Office, Visio, Visual Basic, Oracle, Hyperion, Anchor, Crystal Reports, Business Objects, Adobe Creative Suite, OneNote, InfoPath, SQL, Strategic Planning, Account Management, Financial Analysis, Contract Management, Contract Negotiations, sox, Capital Budgeting, Budgeting, Human Performance, Incentive Programs, Data Analysis, Sales Management, Sales Operations, Process Improvement, Contract Negotiation, Managed Care, Pricing, Siebel, Board Relations, Forecasting, Cross-functional Team..., Mentoring, Vendor Management, P&L Management, Team Leadership, Healthcare, Change Management, Access, Business Analysis, Business Strategy, Program Management, Compliance, Competitive Analysis, Outlook, Analysis, Management Consulting, Excel, Coaching

Education
Washington University in St. Louis   1991 — 1993
MHA

Indiana University Bloomington   1987 — 1991
B.S.

Parkway Central   1983 — 1987

Jim Touse Jim Touse Birmingham, Alabama Details
Jim Touse's Group Health Plan Experience 1993 - 1996
Job Vice President and Chief Risk Officer at DST Health Solutions
Industry Insurance
Experience
DST Health Solutions  August 2014 - Present
DST Health Solutions  April 2013 - Present
Windsor Health Group  March 2012 - October 2012
Life & Specialty Ventures   2007 - March 2012
American Dispute Resolution Services   2006 - 2007
BlueCross BlueShield of Tennessee  April 1996 - April 2006
Group Health Plan   1993 - 1996
Aetna  1990 - 1993
Partners National Health Plans  1988 - 1990
Equicor  1985 - 1988

Skills
Managed Care, Compliance, Dispute Resolution, Insurance, Contract Negotiation, Risk Management, Healthcare, Mergers, Corporate Governance, Health Insurance, Medicaid, Medicare, Vendor Management, Leadership, Policy, Corporate Law, Employee Benefits, HMO, Healthcare Industry, Due Diligence, Litigation Management, Legal Compliance, Insurance Law, Joint Ventures, Health Law, HIPAA, Employment Law, Executive Management, Strategic Planning, Arbitration, Mediation, Medicaid Managed Care, Health Care Reform, Health Policy, Business Transactions, Governance, Health Care Compliance, Legal Writing, Privacy Law, Mergers & Acquisitions, Licensing, Strategy, Medical Compliance, Commercial Litigation, Health Care Fraud, Alternative Dispute..., Legal Assistance, Fraud, Physicians, Securities Regulation

Education
Capital University Law School   1975 — 1978
Juris Doctorate

Grove City College
Bachelor of Arts (BA)

Victoria Scuzzo Victoria Scuzzo Greater St. Louis Area Details
Victoria Scuzzo's Group Health Plan Experience August 1983 - March 1989
Job Alterations Specialist at David's Bridal; Custom Designer/Seamstress
Industry Retail
Experience
David's Bridal  February 2012 - Present
Eclectic Threads/CoolPatchPants.com   August 2004 - February 2012
Da-Com Corporation  July 2002 - November 2004
Mommy's Little Helpers   June 1990 - December 2002
Datamax St. Louis  April 2000 - July 2002
Group Health Plan   August 1983 - March 1989

Skills
Retail, Purchasing, Event Planning, Public Speaking, Customer Service, seamstress, Custom Design

Education
Fontbonne University   1983 — 1989
Bachelor of Science (BS), Business/Marketing/Consumer Behavior

Lindenwood University   1982 — 1983
Music Education

Anne Marie Bayne Anne Marie Bayne Kansas City, Missouri Area Details
Anne Marie Bayne's Group Health Plan Experience August 1992 - March 1997
Job Independent Sales Representative/Territory Manager at Books Are Fun
Industry Consumer Goods
Experience
Integrity Benefit Consultants   August 2009 - Present
Books Are Fun  August 2003 - Present
Herrmann Benefit Consultants   January 2009 - August 2009
Brooke Insurance, Jim Crombie Agency   April 2008 - December 2008
Books Are Fun  July 2003 - April 2008
CIGNA Healthcare  August 1998 - June 2003
Conrad Consulting   August 1997 - August 1998
Mass Mutual Insurance  March 1997 - August 1997
Group Health Plan   August 1992 - March 1997
Unum  September 1987 - August 1992

Skills
Recruiting, Healthcare, Employee Benefits, Health Insurance, Insurance

Education
St. Louis Community College   1986 — 1987
Business

Parkway Central High School, Chesterfield, MO   1976 — 1980

Peg Palacios Peg Palacios Greater St. Louis Area Details
Peg Palacios's Group Health Plan Experience August 2003 - October 2008
Job Office Manager/Investment Assistant at Schreiber Wealth Management
Industry Insurance
Experience
Schreiber Wealth Management   August 2009 - Present
Self Employed  January 2009 - February 2011
The Oaks Agency, LLC   October 2008 - January 2009
Group Health Plan   August 2003 - October 2008
Ursuline Academy, St. Louis   July 1999 - May 2003

Skills
Office Management, Public Speaking, Healthcare, Microsoft Excel, Microsoft Office, Access, PowerPoint, Financial Analysis, Event Planning, Business Development, Fundraising, Event Management, Research, Insurance

Education
University of Missouri-Saint Louis   1998 — 2001
Bachelor of General Studies, Business, Not-for-Profit Management and Leadership Program

Tammy Fisher Tammy Fisher San Francisco Bay Area Details
Tammy Fisher's Group Health Plan Experience May 1996 - December 1998
Job Executive in Consumer Sales & Retention
Industry Insurance
Experience
Kaiser Permanente  June 2014 - Present
Kaiser Permanente (Kaiser Foundation Health Plan, Inc.)   September 2011 - March 2014
UnitedHealth Group  February 2007 - September 2011
UnitedHealthcare  February 2007 - September 2011
UnitedHealthcare  October 2002 - February 2007
CIGNA Behavioral Health  July 2000 - September 2002
Wells Fargo Insurance Services  January 1999 - July 2000
Group Health Plan   May 1996 - December 1998
Principal Financial Group  August 1994 - May 1996

Skills
Strategic Planning, Forecasting, Marketing Management, Acquisition Integration, Negotiation, Employee Benefits, Team Leadership, Sales Management, Account Management, Product Development, Rate Negotiation, Contract Negotiation, Risk Management, Organizational..., Project Planning, Project Coordination, Project Execution, Project Management, Health Care Reform, Talent Management, Talent Acquisition, Mentoring, Fundraising, Business Strategy, Retail Sales, Consumer Healthcare, Analytical Skills, Operational Efficiency, Staff Development, Management, Team Building, Cross-functional Team..., Process Improvement, Strategic Partnerships, Health Insurance, Training, Customer Retention, Managed Care, Leadership, Insurance, Healthcare, Strategy, Health Savings Accounts, Team Management, Health Policy, Sales, PPO, Program Management, Business Development, Medicare

Education
University of Missouri - St. Louis
Bachelors, Psychology

University of Missouri-Columbia
Bachelor of Arts, Psychology

Tim (Perez) Schwartz Tim (Perez) Schwartz Greater St. Louis Area Details
Tim (Perez) Schwartz's Group Health Plan Experience 1990 - 1991
Job Owner / Consultant at ProNet Solutions Group
Industry Information Technology and Services
Experience
ProNet Solutions Group   June 2011 - Present
Rose International  June 2010 - June 2011
Rose International  June 2007 - May 2010
ProNet Design Group, Inc.   October 1997 - June 2007
Ingenix  August 2006 - March 2007
Wellpoint / Healthlink   November 2003 - June 2006
UnitedHealthcare  December 1997 - May 2003
The Software Exchange   March 1994 - October 1997
Pick Professionals   January 1989 - March 1994
Group Health Plan   1990 - 1991

Skills
SDLC, Process Improvement, Vendor Management, Software Development, Cross-functional Team..., Management, Project Management, Analysis, Business Process..., Information Technology, SaaS, Leadership, IT Management, Disaster Recovery, Program Management, Integration, Team Leadership

Education
University of Missouri-Columbia   1986 — 1987
Electrical Engineering

St. Louis Community College   1983 — 1985
Computer Science

John Schaefering John Schaefering Greater St. Louis Area Details
John Schaefering's Group Health Plan Experience January 1991 - August 1996
Job Manager Corporate Accounts at Thermo Fisher Scientific
Industry Hospital & Health Care
Experience
Thermo Fisher Scientific  August 2015 - Present
Randox Quality Control   January 2014 - May 2015
Bio-Rad Laboratories  2001 - January 2014
Randox Quality Control   2014 - 2014
HealthSouth  1996 - 2001
Group Health Plan   January 1991 - August 1996
United Healthcare  1995 - 1996
Meridian Enterprises  1987 - 1990
Maritz, Inc.   1982 - 1987

Skills
Training, Hospitals, Process Improvement, Team Building, Budgets, Strategic Planning, Infectious Diseases, Biotechnology, CRM, Sales, Product Launch, Contract Negotiation, Account Management, Negotiation, Product Management, Sales Process, Competitive Analysis, Team Leadership, Healthcare, Marketing Strategy, Direct Sales, Cross-functional Team..., Sales Management, Management, Marketing, Forecasting, Business Strategy, New Business Development, Key Account Management, Capital Equipment, Medical Devices, Selling, Sales Operations, Customer Service, B2B, Product Marketing, Product Development, Strategy, Business Development, Molecular Diagnostics, Salesforce.com, Pharmaceutical Industry, Business Planning, Sales Presentations, Start-ups, Marketing Management, Market Planning, Market Analysis, Strategic Partnerships, Market Development

Education
Southern Illinois University, Edwardsville   1973 — 1977

Steve Waldman Steve Waldman Greater St. Louis Area Details
Steve Waldman's Group Health Plan Experience 1994 - 1997
Job Director of Orthopaedic Surgery at Saint Louis University School of Medicine
Industry Hospital & Health Care
Experience
Saint Louis University  February 1997 - Present
Group Health Plan   1994 - 1997

Skills
Orthopaedic Surgery, Psychiatry, Neurology, Ophthalmology and..., Healthcare, Healthcare Management, Clinical Research, Microsoft Excel, Medical Education, Healthcare Consulting, Hospitals, Statistics, Clinical, Administration, Ambulatory

Education
Saint Louis University
MA, MHA, Sociology, Health Administration

Saint Louis University
MA & MHA, Sociology 1975 / Health Administration 1998

Brad Beldner Brad Beldner Greater St. Louis Area Details
Brad Beldner's Group Health Plan Experience 2003 - 2004
Job Manager of Financial Services at Missouri Baptist Medical Center
Industry Hospital & Health Care
Experience
Missouri Baptist Medical Center  May 2004 - Present
Group Health Plan   2003 - 2004
CIGNA Healthcare  1996 - 2003
Express Scripts, Inc.   1995 - 1996

Skills
Healthcare Analytics, Business Strategy, Analysis, Analytics, Healthcare Industry, Process Improvement

Education
University of Missouri-Columbia   1987 — 1991

Webster University
MBA

Edward Jarka Edward Jarka Saint Peters, Missouri Details
Edward Jarka's Group Health Plan Experience August 1987 - February 1994
Job Assistant Professor/Researcher at University of Missouri St. Louis
Industry Higher Education
Experience
University of Missouri - St. Louis  January 2003 - Present
Danville Eye Clinic   April 1996 - December 2002
CIBA Vision  February 1994 - April 1996
Group Health Plan   August 1987 - February 1994
Fox Valley Vision Care   July 1984 - June 1987

Skills
University Teaching, Research, Qualitative Research, College Teaching, Grant Writing, Ocular Disease, Ocular Surface Disease, Ocular Inflammation, Ocular Microbiology, Treatment, Pediatrics, Ophthalmology, Medical Devices, Healthcare, Medicine, Clinical Research, Hospitals

Education
Illinois College of Optometry   1980 — 1984
Doctor of Optometry, Dry Eye Disease

Western Illinois University   1975 — 1980
Bachelor of Science (BS); Masters of Science, Microbiology, General

Mike Tully Mike Tully Greater St. Louis Area Details
Mike Tully's Group Health Plan Experience June 1997 - January 1998
Job Experienced Information Technology and Vendor Management Executive
Industry Financial Services
Experience
Scottrade, Inc  December 2005 - June 2015
Scottrade  January 1998 - December 2005
Group Health Plan   June 1997 - January 1998
PC Quote, Inc   1995 - 1997
Bridge Information Systems  1988 - 1995

Skills
Vendor Management, FINRA, Market Data, Equity Trading, Electronic Trading, Options, Risk Management, Business Analysis, Data Center, Quality Assurance, Management, Securities, SDLC, Process Improvement, Equities, FX Options, Business Continuity, Analysis, Trading Systems, Salesforce.com, SaaS, Commodity, Fixed Income, Security, Leadership, Portfolio Management, Financial Markets, IT Strategy, Information Security, Financial Services, Enterprise Architecture, Cross-functional Team..., ETFs, Investments, Derivatives, Disaster Recovery, Bonds, Equity Derivatives, Trading, CRM, Outsourcing, Mutual Funds, Back Office, Series 24, Project Management, Stocks, Relationship Management, Bloomberg, PMO

Education
Southeast Missouri State University   1984 — 1986

Tim Hurley Tim Hurley Greater St. Louis Area Details
Tim Hurley's Group Health Plan Experience July 2002 - September 2006
Job Director, Financial Planning & Analysis at Express Scripts
Industry Hospital & Health Care
Experience
Express Scripts  May 2011 - Present
Express Scripts  April 2010 - May 2011
Express Scripts  March 2009 - April 2010
Saint Louis University  September 2006 - December 2009
Group Health Plan   July 2002 - September 2006
Accenture  January 2000 - July 2002

Skills
Financial Analysis, Access, Excel, Accounting, PowerPoint, Budgeting, Forecasting, Data Analysis, Analysis, Strategic Planning, Business Strategy, Microsoft Excel, Budgets

Education
Saint Louis University   2006 — 2009
MBA, Business Administration and Management, General

University of Dayton   1995 — 1999
BSBA, Accounting

Tom Griffey Tom Griffey Indianapolis, Indiana Area Details
Tom Griffey's Group Health Plan Experience June 1998 - July 1999
Job Corporate Controller at JMI
Industry Accounting
Experience
Just Marketing, Inc.   February 2015 - Present
Stanley Black & Decker, Inc.   December 2013 - February 2015
Angie's List  November 2008 - December 2013
Robert Half Finance & Accounting  July 2007 - November 2008
SAVVIS  May 2005 - July 2007
Build-A-Bear  July 2004 - April 2005
Growing Family  July 2001 - July 2004
Edward Jones  August 1999 - July 2001
Group Health Plan   June 1998 - July 1999
Clifton Gunderson LLP  June 1996 - June 1998

Skills
Accounting, Financial Reporting, Accounts Receivable, Financial Analysis, Accounts Payable, Payroll, Account Reconciliation, Cash Flow, General Ledger, CPA, GAAP, US GAAP, Variance Analysis, Cost Accounting, Sarbanes-Oxley Act

Education
Ball State University - College of Business   1992 — 1996
BS, Accounting

Terry Seifert Terry Seifert Greater St. Louis Area Details
Terry Seifert's Group Health Plan Experience 1990 - 1994
Job Architect at Lumeris
Industry Hospital & Health Care
Experience
Lumeris  April 2014 - Present
Lumeris  July 2012 - April 2014
Lumeris  June 2009 - July 2012
Essence Healthcare  November 2005 - June 2009
Esse Health  2005 - 2007
Great West Healthcare  1999 - 2005
General American  1999 - 2005
Coventry Healthcare  1994 - 1999
Group Health Plan   1990 - 1994
Century 21 of Missouri   1989 - 1990

Skills
Healthcare Information..., Microsoft SQL Server, T-SQL, Data Warehousing, SQL, Business Intelligence, SSRS, ETL, Solution Architecture, Software Development, Vendor Management, Software Project..., Disaster Recovery, Enterprise Architecture, SDLC, .NET, Integration, SSIS, Databases, SharePoint, Database Design, Data Modeling, Data Warehouse..., Systems Analysis, Analysis Services

Education
University of Missouri-Columbia   1984 — 1988
BSBA, Finance And Banking

Barry Frandsen Barry Frandsen Greater New York City Area Details
Barry Frandsen's Group Health Plan Experience 1994 - 1996
Job Director, Underwriting at HIP of New York
Industry Insurance
Experience
Emblem Health, (formerly HIP of New York)   April 2001 - Present
Memorial Sisters of Charity Health Plan   1996 - 2000
Group Health Plan   1994 - 1996
Prudential Health Care  1988 - 1994
US Army  1985 - 1988

Skills
Managed Care, Health Insurance, HMO, Insurance, Medicare, HIPAA, Healthcare, Healthcare Consulting, PPO, Employee Benefits, Term Life Insurance, Healthcare Industry, Healthcare Management, Healthcare Information..., Underwriting, Provider Relations, Claims Management, Process Improvement, Health Care Reform, Health Savings Accounts, Network Development, Medicare Part D, Brokers, Disability Insurance, Claim, Long-term Care

Education
University of Nebraska at Kearney   1980 — 1984
ba, business

Jenny Biggs Jenny Biggs Greater St. Louis Area Details
Jenny Biggs's Group Health Plan Experience March 1995 - January 2000
Job Senior Consultant at Lumeris
Industry Information Technology and Services
Experience
Lumeris (formerly Purkinje/Wellinx)   October 2012 - Present
Lumeris (formerly Purkinje/Wellinx)   January 2008 - October 2012
Coventry Health Care  June 2000 - December 2007
Group Health Plan   March 1995 - January 2000
Prudential/PruCare   January 1989 - March 1995

Skills
Account Management, Business Analysis, E-commerce, Direct Marketing, Healthcare Information..., Process Improvement, SDLC, SaaS, Integrated Marketing, Strategic Planning, Vendor Management

Education
University of Missouri - Columbia   1983 — 1986
Bachelor of Journalism, Advertising

Herculaneum High School   1979 — 1983

Mary Dissett Mary Dissett Greater St. Louis Area Details
Mary Dissett's Group Health Plan Experience January 2002 - December 2006
Job Senior Project Lead at Aetna
Industry Insurance
Experience
Aetna  September 2014 - Present
Coventry Health Care  December 2010 - October 2014
Coventry Health Care  December 2006 - December 2010
Group Health Plan   January 2002 - December 2006

Skills
Health Policy, Insurance, Credentialing, Healthcare Industry, Healthcare Management, Healthcare, Vendor Management

Education
Southwestern Illinois College   1982 — 1986
RHIT, Health Information

Lindenwood University
BA Business, Business

Graefe, Beth Graefe, Beth Greater Denver Area Details
Graefe, Beth's Group Health Plan Experience 1995 - 1996
Job Senior Vice President, Innovation & Client Delivery
Industry Hospital & Health Care
Experience
MedAssets  April 2015 - Present
Denver Area Youth for Christ  June 2014 - Present
MedAssets  May 2003 - Present
United States Air Force Reserves  2010 - March 2015
Healthways  1999 - 2003
Troy University  1997 - 2003
Peninsula Healthcare - Blue Cross Blue Shield   1997 - 1998
Group Health Plan   1995 - 1996

Skills
Hospital Technology..., Clinical & Financial..., Change Management Expert, Exceptional..., Leadership, Project Management, Data Analysis, Team Leadership, Management, Analysis, Strategy, Project Planning, Consulting, Public Speaking, Executive Management, Healthcare Management, Hospitals, Supply Chain Management, Change Management, Performance Improvement, Clinical Research, Contract Management, Process Improvement, Healthcare, Healthcare Consulting, Healthcare Information..., Business Development, Managed Care, Contract Negotiation

Education
Saint Louis University   1993 — 1996
Masters of Health Administration; Masters of Business Administration, Healthcare and Business

The University of New Mexico - Robert O. Anderson School of Management   1989 — 1993
Bachelors of Business Administration, Human Resources

Denny Bonderer Denny Bonderer Greater St. Louis Area Details
Denny Bonderer's Group Health Plan Experience July 1995 - April 1997
Job Manager Compensation at Smurfit Stone Container Corporation
Industry Packaging and Containers
Experience
Smurfit Stone Container Corporation  Sr Compensation SpecialistBJC HealthCareApril 1997 - October 1999
Group Health Plan   July 1995 - April 1997
Aerojet  November 1990 - January 1993
McDonnell Douglas Aircraft  November 1978 - August 1990

Education
Webster University   1976 — 1978
MA, Business

University of Missouri-Columbia   1969 — 1971
BS, Education

Jan Owings Jan Owings Greater St. Louis Area Details
Jan Owings's Group Health Plan Experience August 1993 - September 1994
Job Provider Network Account Manager at Essence Healthcare
Industry Hospital & Health Care
Experience
Essence Healthcare  November 2009 - Present
Bethesda Health Group  January 2009 - August 2009
Centene Corporation  March 2007 - January 2009
BJC HealthCare  February 2005 - March 2007
HealthSCOPE Benefits  April 2004 - February 2005
SSM Health Care  September 1997 - April 2004
General American  October 1994 - September 1997
Group Health Plan   August 1993 - September 1994
Gencare Health Plan   August 1988 - September 1993

Skills
Customer Service, Managed Care, Networking, HIPAA, Healthcare Industry, Healthcare, Health Insurance, Healthcare Management, Medicare

Education
Missouri State University
BS

Carrie Klopcic Carrie Klopcic Greater St. Louis Area Details
Carrie Klopcic's Group Health Plan Experience June 1992 - April 1999
Job Human Resource Manager with Group Health Plan
Industry Human Resources
Experience
Group Health Plan, Inc.   March 2010 - Present
Ameriwood Industries  April 1999 - November 1999
Group Health Plan   June 1992 - April 1999

Education
Lindenwood University   2001 — 2007
Masters, Business/Human Resources

Truman State University   1988 — 1992
Bacherlor's, English

Lynder Scott, MBA Lynder Scott, MBA Greater St. Louis Area Details
Lynder Scott, MBA's Group Health Plan Experience June 2000 - July 2007
Job Medical Claims, Reimbursement Analyst
Industry Hospital & Health Care
Experience
The Outsource Group  January 2013 - Present
HealthSouth  June 2012 - December 2012
Community Health Systems  September 2009 - July 2011
Communit Health Services   September 2009 - July 2011
Barnes Jewish Hospital  April 2008 - July 2009
Barnes Jewish Hospital  November 2007 - April 2008
Group Health Plan   June 2000 - July 2007
Group Health Plan   April 1998 - July 2007
St. Louis Medical Clinic  June 1997 - May 1998
BJC Health Systems   August 1985 - June 1997

Skills
•Managerial Skills, Healthcare Management, ICD-9, Process Improvement, Medical Billing, Customer Service, Troubleshooting, HIPAA, Medicaid, Medicare, Managed Care, Hospitals

Education
Colorado Technical University-Online   2010 — 2012
MBA, Healthcare Adminstration, 3.66

Colorado Technical University   2009 — 2012
Bachelor of Science, Business Administration; Business, Management and Administration

Colorado Technical University   2007 — 2009
Associate, Medical Billing/Coding

Tim Kleffner Tim Kleffner Greater St. Louis Area Details
Tim Kleffner's Group Health Plan Experience April 2010 - October 2010
Job Client Accountant at Cassidy Turley
Industry Accounting
Experience
DTZ (formerly Cassidy Turley)   December 2010 - Present
Group Health Plan   April 2010 - October 2010
Lincoln Industrial  January 2010 - April 2010
Medicine Shoppe International  February 2007 - December 2009
Fleishman-Hillard  September 2001 - February 2007
Stone Carlie  January 1999 - September 2001
Westerheide & Company   1998 - 1999

Skills
Sarbanes-Oxley, GAAP, Accounting, Financial Accounting, Financial Analysis, Forecasting, JD Edwards, Hyperion Enterprise, Corporate Finance, PeopleSoft, Budgets, Finance

Education
University of Missouri-Saint Louis   1997 — 1999
Bachelor of Science, Accounting

St. Louis Community College at Meramec   1995 — 1997
Accounting

Eureka Senior High School   1992 — 1995

Julie Ashcroft Julie Ashcroft Greater St. Louis Area Details
Julie Ashcroft's Group Health Plan Experience February 2002 - May 2006
Job Home Physical Therapist at RehabCare
Industry Health, Wellness and Fitness
Experience
RehabCare  October 2011 - Present
ShowMe Aquatics & Fitness   October 2007 - October 2011
Rehabiliation Professionals Incoporated   June 2006 - October 2007
Group Health Plan   February 2002 - May 2006
Care Partners  May 2001 - December 2001
SSM Rehab  September 2000 - April 2001

Skills
Physical Therapy

Education
Washington University St. Louis   1997 — 1999
Master of Physical Therapy, Physical Therapy/Therapist

Northern Arizona University   1993 — 1996
Bachelor of Science, Exercise Science

Rosanna Kassner Rosanna Kassner Dallas/Fort Worth Area Details
Rosanna Kassner's Group Health Plan Experience March 2009 - November 2012
Job RN, BSN, CCM
Industry Health, Wellness and Fitness
Experience
workers' compensation industry   December 2012 - Present
group health plan   March 2009 - November 2012
U.S. Postal Service   2006 - 2008
U.S. Dept of Labor - Office of Workers' Compensation Programs   2002 - 2006

Skills
Healthcare, Claim, Treatment, Medicine, Managed Care, Hospitals, Cardiology, Workers Compensation, Wellness Coaching, Utilization Management, Nursing, Rehabilitation, Medical/Surgical, BLS, Medical Terminology, Telemetry, HIPAA, Medicare, Case Management, Home Care, Medical-Surgical

Education
The University of Texas at Arlington
Bachelor's of Science, Nursing

Larry Reagan Larry Reagan Greater St. Louis Area Details
Larry Reagan's Group Health Plan Experience January 2003 - January 2008
Job Sr/Lead Informatics Analyst at Aetna
Industry Hospital & Health Care
Experience
Aetna Better Health of Missouri   October 2011 - Present
HealthCare USA  January 2011 - Present
Molina Healthcare of Missouri  January 2009 - January 2011
GROUP HEALTH PLAN   January 2003 - January 2008
Healthlink  January 2001 - January 2003
BARNES-JEWISH CORPORATION HEALTH SYSTEM   January 1999 - January 2001
BARNES-JEWISH COMPANY HEALTH SYSTEM   January 1997 - January 1999

Skills
HEDIS, IDX, Medicaid, Medicare, Managed Care, Disease Management, Healthcare, Healthcare Industry, Employee Benefits, Healthcare Management, HIPAA, Healthcare Information..., Health Policy, Health Insurance, Utilization Management, Healthcare Consulting, Provider Relations, Process Improvement, Quality Improvement, 20

Education
Lindenwood University   1999 — 2001
Master of Business Administration, Master of Business Administration

Indiana State University   1980 — 1984
Bachelor of Science, Criminology

Teresa Schiff Teresa Schiff Saint Louis, Missouri Details
Teresa Schiff's Group Health Plan Experience July 1984 - December 1997
Job physician at SLU MED
Industry Medical Practice
Experience
SLU MED   February 2001 - Present
Unity Medical Group   January 1998 - December 2000
Group Health Plan   July 1984 - December 1997

Education
Autonomous University of Guadalajara   1975 — 1979
Doctor of Medicine (MD), Medicine

Bradley University   1969 — 1973
Bachelor of Science (BS), Biology, General