Health Direct Inc
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Health Direct Inc Employees
Sun Life Financial June 2015 - Present
Sun Life Financial December 2013 - June 2015
Sun Life Financial August 2012 - December 2013
Sun Life Financial August 2003 - August 2012
Kindred Healthcare 2003 - 2006
Health Direct Inc 1998 - 2003
Hartford Hospital 1995 - 2003
Skills
Long-term Care, Healthcare, Health Insurance, Insurance, Medicare, Case Management, Workers Compensation, Managed Care, Hospitals, Healthcare Management, Process Improvement, Healthcare Information..., Claim, Employee Benefits, EMR, Health Education, Customer Service, Coaching, Leadership, Risk Management, Disability Insurance, Home Care, Wellness, Mental Health, Claims Management, HIPAA, Utilization Management, Data Analysis, Team Building, Medicaid, Disability Management, Meditech, Strategic Planning, Benefits Administration, Disease Management, Leadership Development, Nursing, Health Promotion, Health Policy, EHR, Clinical Research, Management
Education
American International College
RN, BSN, Nursing
Castleton State College
Mercy 2004 - 2006
Macy's April 1999 - 2006
UnitedHealth Group May 2000 - 2002
Health Direct Inc March 1997 - 2000
Dillards 1998 - 1999
Neiman Marcus 1995 - 1998
Education
Saint Louis University 2013 — 2016
Bachelor’s Degree, Computer Programming, Specific Applications, 4.00
Saint Louis Community College-Forest Park 1993 — 2013
Associate’s Degree, General Studies, 3.8
Independent Contractor Eldercare Assistance April 2014 - Present
Amerigroup Corporation May 2012 - November 2013
Health Direct Inc July 2007 - March 2012
Chartis June 2007 - March 2012
ROME DEVELOPMENTAL INSTITUTION AND NYS GROUP HOMES August 1973 - 1996
Skills
LPN, Nursing, Medical Terminology, Medicine, Medicaid, Acute Care, Medication..., Healthcare Information..., Nursing Education, Inpatient, Health Insurance, Claim, Elder Care, Medical Coding, ICU, Wound Care, Health Education, CPT, ICD-9, Home Care, Hospitals
Education
State University of New York College of Agriculture and Technology at Morrisville 1986 — 1988
New York Medical College 1969 — 1971
Bach, LPN
Occupational Ins Co 2014 - Present
Volleyball Skills Trainer April 2010 - Present
Ambit Energy 2010 - Present
Cambridge Group June 2009 - September 2009
Perotsystems November 2007 - August 2008
AIG June 2005 - September 2007
AIG - WorldSource June 2005 - September 2007
Q-TEMPS June 2005 - September 2007
Health Direct, Inc June 2005 - December 2005
Medical Consultants Network Inc May 2004 - May 2005
Skills
Workers Compensation, Claim, Customer Service, Employee Engagement, Training, Employee Benefits, Insurance, Human Resources, Analysis, Coaching, Management, Marketing, Negotiation, Public Speaking, Strategic Planning, Team Building, Team Leadership, Process Improvement, Policy, Recruiting
Education
Amberton University 2004 — 2007
Bachelor of HR & Business Admin., HR & Business Admin
Amberton University 2003 — 2007
Bachelor of Science Degree, Human Relations/Business Administration
Collin County Community College 1990 — 1994
Associates Degree, Office Administration
Swedish Medical June 2013 - Present
Health Direct Inc October 2003 - January 2012
Univita Health Inc 2001 - 2003
Documedics 1998 - 1999
Seton Medical Center 1994 - 1998
San Mateo Medical Center 1992 - 1994
Health Service Solutions 1991 - 1992
Health Service Solutions 1991 - 1992
Skills
Managed Care, Case Managment, Healthcare, Nursing, Home Care, Disease Management, Clinical Research, Utilization Management, Medicine, Medicare, Workers Compensation, Hospitals, Case Management, Medical Records, HIPAA, Microsoft Office, Epic Systems, Online Research, Insurance, Mental Health, Health Insurance, ICD-9, Medicaid Managed Care, Medical Social Work, Nursing Documentation, Medical Review, CPT, Patient Advocacy, Medline, Documentation, Health, Clinical, Discharge Planning, DRG, Chart Analysis, Supervisory Experience, Clinical Trials, CPT codes, Auditing Standards, Motivational..., Chronic Disease Case..., Epic, Medical Home, Population Health
Education
Samuel Merritt College 1989 — 1990
BSN, Nursing
University of Wisconsin-Madison 1981 — 1982
MSW, Social Work
Adelphi University 1977 — 1981
BSW, Social Work
SUNY Potsdam September 2015 - Present
SUNY Potsdam June 2009 - September 2015
New York State Division of the Budget May 2007 - June 2009
King County Metro September 2006 - December 2006
Health Direct Inc October 2003 - August 2006
AmeriCorps October 2001 - October 2003
Skills
Student Affairs, Student Development, Student Financial Aid, Higher Education, Research, Community Outreach, Public Speaking, Fundraising, Nonprofits, PowerPoint, Microsoft Office, Event Planning, Fitness, Training, Editing, Staff Development, Grant Writing, Program Development, Teaching
Education
Seattle University 2003 — 2006
Master of Public Administration (MPA), Non-Profit/Public/Organizational Management
State University of New York College at Potsdam 1996 — 2000
Bachelor of Arts (BA), Fine and Studio Arts
Novartis May 2015 - Present
Quintiles 2013 - 2015
Broadspire 2012 - 2013
Liberty Mutual 2009 - 2011
HealthForce Partners 2005 - 2009
Health Direct Inc 2004 - 2005
Skills
Nursing, Healthcare, Education, Wellness, Occupational Health, Workers Compensation, Ergonomics, Health, Training, Medicine, Healthcare Management, Pharmaceutical Industry, Hospitals, Managed Care, Nursing Education, Insurance, Case Management, Onboarding, Program Management, Utilization Management, Team Building, Performance Management
Education
Seattle University
Bachelor of Science (B.S.), Nursing Practice
Health Direct Inc December 2005 - Present
Hospice of Marion County December 2003 - April 2005
Experience Works January 2003 - December 2003
Munroe Regional Medical Center July 1997 - September 1999
Skills
Healthcare, Customer Satisfaction, Insurance, Customer Service, Team Leadership, Disease Management, Data Analysis, Customer Retention, Workers' Compensation..., Project Management, Public Speaking, Software Documentation, Workers Compensation, Managed Care, Process Improvement, Medicare, Management, Leadership, Training, Team Building, HIPAA
Education
College of Central Florida 1994 — 1997
Associate's degree, Registered Nursing/Registered Nurse
Florida Atlantic University 1988 — 1993
Communication, Journalism, and Related Programs
Health Direct Inc December 2012 - Present
Aetna Better Health July 2009 - December 2011
Community Health Network of Connecticut October 1998 - July 2009
Skills
Data Analysis, Policy Analysis, Customer Relations, Follow-up, Setting Priorities, Corrections, Auditing, Clinical Research, Complaint Handling, Decision Making Skills, Team Motivator, Staff Training, Listening Skills, Conflict Resolution, Customer Service, Excel, Call Center, Healthcare, Problem Solving, Research, Team Building, Billing, Critical Thinking, Negotiation, Team Leadership, Time Management, Word, Customer Satisfaction, Analysis, Teamwork, Planning, Telephone Skills, Hospitals, Multitasker, Meeting Deadlines, Health, Insurance, Documentation, Microsoft Excel, Medicaid, Health Insurance, Managed Care
Education
Middlesex Community College 1983 — 1985
HEALTH DIRECT, INC November 2010 - Present
AETNA, INC November 2008 - January 2010
Provider Data Services June 2008 - November 2008
Aetna, INC. October 2007 - June 2008
Aetna, INC. June 2007 - October 2007
Portofino's Restaurant January 2006 - August 2007
Gap Outlet August 2003 - January 2006
Education
University of Connecticut
BA, Industrial/Organizational Psychology
NorthBay Healthcare February 2015 - Present
UC Davis February 2015 - Present
Kaiser Permanente August 2013 - January 2015
Beth Israel Deaconess Medical Center March 2013 - July 2013
Occupational and Environmental Network (OEHN) July 2011 - July 2013
Raytheon July 2011 - July 2013
Analog Devices July 2011 - July 2013
Harvard Medical School June 2011 - July 2013
Health Direct Inc July 2011 - February 2013
Harvard School of Public Health July 2009 - July 2011
Skills
Case Managment, Aerospace Medicine, Healthcare, Public Health, Clinical Research, Medicine, Healthcare Management, Medical Education, Board Certified, Epidemiology
Education
Harvard School of Public Health 2009 — 2011
Board Certified in Occupational and Environmental Medicine
Harvard University School of Public Health 2009 — 2011
Master of Public Health (MPH), Occupational and Environmental Medicine
Loyola University Chicago Stritch School of Medicine 1996 — 2000
Doctor of Medicine (MD)
Boston University 1992 — 1996
Bachelor of Arts (BA), Biochemistry and Molecular Biology, Magna Cum Laude
The Loomis Chaffee School 1990 — 1992
Windsor, CT
Cisco Systems December 2011 - Present
Extreme Networks October 2008 - April 2012
Extreme Networks June 2006 - October 2008
Extreme Networks July 2005 - June 2006
Health Direct Inc February 2004 - October 2004
Uniprise September 2001 - February 2004
Log On America May 2000 - May 2001
Skills
Customer Service, Customer Relations, Troubleshooting, Switches
Education
Eastern Connecticut State University
BS, Biology
Zenith Insurance Company (United States) August 2000 - Present
Health Direct Inc April 1999 - August 2000
Crawford & Company November 1996 - March 1999
Healthsouth Sea Pines Rehabilitation Hospital October 1989 - November 1996
Skills
Leadership, Healthcare, Training, Team Building, Microsoft Office, Microsoft Excel, Certified..., Certified Case Manager, Certified Legal Nurse..., Medical Case Management
Education
City University of New York City College
Bachelor of Science (BS), Registered Nursing/Registered Nurse
HSBC October 2007 - Present
HSBC April 2005 - October 2007
HSBC December 2000 - April 2005
HSBC October 1999 - December 2000
First Card March 1997 - October 1999
First Card March 1995 - March 1997
Health Direct Inc March 1992 - March 1995
NCI Research January 1988 - March 1992
Education
Lake Forest Graduate School of Management 2002 — 2006
Morningstar Inc. February 2005 - Present
Tata Consultancy Services America August 2001 - January 2005
Ibbotson Associates 2005 - 2005
Health Direct Inc. 2001 - 2005
Tata Consultancy Services August 1998 - August 2001
Skills
Microsoft SQL Server, SSIS, Software Project..., Data Modeling, Database Design, Data Warehousing, SDLC, T-SQL, Databases, Agile Methodologies, ETL, SQL, Morningstar Direct
Education
Sagi Ramakrishnam Raju Engineering College (Andhra University), Bhimavaram, Andhra Pradesh 1993 — 1997
B.E, Mechanical Engineering
Indian Institute of Technology, Kharagpur
M.Tech, Mechanical, Metallurgical Engineering
Health Direct Inc June 2012 - Present
Kemper Services Group February 2007 - May 2012
TIG Specialty June 2003 - December 2006
Skills
Claims Management, Cost Containment, Disability Management, CCM, Managed Care, Case Management, Workers Compensation, Medical Management, Insurance, Utilization Management, Nursing, Workers' Compensation..., Case Managment, Claim
Education
University of Mary-Hardin Baylor 1974 — 1978
BSN, Nursing
HSBC October 2007 - January 2011
HSBC April 2005 - October 2007
HSBC December 2000 - April 2005
HSBC October 1999 - December 2000
First Card March 1997 - October 1999
First Card March 1995 - March 1997
Health Direct Inc March 1992 - March 1995
NCI Research January 1988 - March 1992
Education
Lake Forest Graduate School of Management 2002 — 2006
MBA
Yale University 1983 — 1987
B.S., Applied Math/Econ
Children's Medical Center February 2009 - Present
Children's Medical Center September 2007 - February 2009
HCC Life Insurance Company 2006 - 2007
HEALTH DIRECT, INC 2005 - 2006
AETNA, INC January 1994 - January 2005
COWLES & THOMPSON January 1992 - January 1994
AETNA, INC January 1989 - January 1992
East Texas Medical Center January 1981 - January 1989
Education
University of Texas at Tyler
Certificate, Paralegal
South University
Nursing (BSN)
TEXARKANA COMMUNITY COLLEGE, Texarkana Texas
Associate Degree of Applied Science, Nursing
PRORehab February 2010 - Present
Manager, CompManagement from HealthLink September 2001 - December 2009
Health Direct Inc 1999 - 2001
Skills
Rehabilitation, Workers Compensation, Customer Service, Healthcare, Workers' Compensation..., Client Services, Medical Provider Liaison, 14 years Clinical..., Healthcare Management, Managed Care, Orthopedic, Hospitals, Case Management, Revenue Cycle, Injury, Disability Management, Medicare, Case Managment, Cpr Certified, Elder Care, Claims Management, Sports Medicine, Nursing, Physical Therapy, Medicine, Clinical Research, EMR, Patient Safety, Program Development, Physician Relations, Workers' Compensation..., Home Care, Medical Billing, Orthopedics
Education
Maryville University of Saint Louis 1998 — 2012
BA in Business Adminnistration - ongoing, Business
St. Mary's College, O'Fallon MO
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse