Health First Health Plans
Address: 6450 US-1, Rockledge, FL 32955 Hours: Closes soon: 5PM ⋅ Opens 8AM Tue Martin Luther King Jr. Day might affect these hoursMonday(Martin Luther King Jr. Day)8AM–5PMHours might differTuesday8AM–5PMWednesday8AM–5PMThursday8AM–5PMFriday8AM–5PMSaturdayClosedSundayClosedSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (321) 434-4300Website: : : Place name: : : : : Category: Website: http://myhfhp.org/ Category: Corporate office Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a question See all questions (5) Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of Health First Health Plans Inc Posting publicly on the Web Write a review Reviews"Because its hospital and its helped me so much the service is amazing" "Tried calling customer service, went round in circles with voice mail." "There are often delays in getting reimbursed or getting approval for services." View all Google reviews
Health First Health Plans List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Health First Health Plans. You can filter them based on skills, years of employment, job, education, department, and prior employment.
Health First Health Plans Salaries. You can even request information on how much does Health First Health Plans pay if you want to. Learn about salaries, pros and cons of working for Health First Health Plans directly from the past employees.
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Health First Health Plans Employees
Waddell & Reed July 2013 - Present
Trias Consulting (formerly Wrealm Solutions) February 2005 - June 2013
Health First Health Plans May 2003 - January 2005
Lockton Companies February 2001 - November 2002
Elmwood Consulting Group January 1998 - January 2001
Towers Watson (formerly Towers Perrin) February 1995 - December 1997
NYLCare Health Plans (formerly Sanus/New York Life Health Plans) November 1991 - January 1995
Skills
Process Improvement, Project Management, Program Management, Risk Management, Strategic Planning, Solution Implementation, Applications..., Oracle PL/SQL..., MS SQL Development, Integration, Systems Analysis, Employee Benefits, Management, Strategy, Business Process
Education
Texas Tech University - Rawls College of Business 1986 — 1990
BBA, Accounting
Klein High School 1982 — 1986
High School Diploma
Health First Health Plans October 2014 - Present
Esystem Works March 2011 - September 2015
Health First March 2014 - October 2014
Matrix Home Health Care August 2009 - November 2010
Brevard Community College January 2009 - August 2009
J.K Distributors April 2004 - October 2006
Skills
Management, Microsoft Office, Data Analysis, Access, Leadership, HIPAA, Healthcare, Analysis, Data Management, Healthcare Management, Training, Teamwork, Time Management, Quality Assurance, Cpr Certified, Healthcare Information..., Customer Service, Project Management, Medical Terminology, Medical Billing, Consulting, Medical Coding, Compliance, Financial Analysis, Patient Safety, Team Leadership, Informatics, Employee Relations, Sales, Databases, Accounting, Healthcare Information..., Health Insurance, Lean Management, Lean Operations, Business Analysis, Visio, SQL, Health Information...
Education
Eastern Florida State College 2013 — 2015
Bachelor of Applied Science (BASc), Health/Health Care Administration/Management
Eastern Florida State College 2009 — 2011
Associate of Arts (A.A.), Hospital and Health Care Facilities Administration/Management
Rosary High School 2004 — 2006
High School Diploma, Commerce
Health First November 2013 - Present
Health First Inc August 2010 - 2013
Health First Health Plans February 2008 - August 2010
JMG Realty Inc September 2001 - September 2007
Towers Perrin March 1999 - July 2001
Mead PaperStamford, CT & NYC May 1996 - February 1999
Skills
Employee Benefits, Healthcare, Customer Service, Benefits Administration, Project Management, Budgets, Event Planning, Human Resources, Team Building, Sales, Contract Negotiation, Strategic Planning, Administrative..., Leadership, Hospitals, Training, Employee Relations, Marketing, Management, Fundraising, Project Planning, Recruiting, Coaching, Leadership Development, Process Improvement
Education
Stratford Business School
Austin Community College
Health First Health Plans Inc February 2015 - Present
Health First June 2014 - March 2015
Health First, Inc January 2012 - May 2014
Health First Health Plans July 2006 - December 2011
College of Education - University of Central Florida June 2006 - November 2006
1stinhealth, inc July 2000 - July 2003
Skills
Health Information..., Health Insurance, Healthcare IT, Software Project..., Clinical Analytics, Database Administration, Application Development, SQL Server, SSRS, SSIS, Systems Analysis, Analytics, HEDIS, Project Management, Healthcare Information..., Informatics, Software Documentation, Microsoft SQL Server, Data Analysis, HIPAA, Visio, Software Development, SharePoint, Databases, HL7, EHR, Business Process..., CPOE, Health Information..., EMR, Business Intelligence, Clinical Informatics, Statistical Reporting, Predictive Analytics, Project Coordination, Oracle, Training & Development, Vendor Relationships, Software Implementation, Business Analysis, Crystal Reports
Education
University of Florida 2007 — 2009
M.B.A., Business Administration
University of Central Florida 2003 — 2006
Ph.D., Education - Instructional Technology
New Jersey Institute of Technology 1999 — 2001
M.S., Computer Science
Pune University 1995 — 1998
B.S., Computer Science
SXHS 1983 — 1993
SXHS
CTG Health Solutions August 2014 - Present
Health First Health Plans August 2013 - August 2014
Health First Health Plans October 2011 - September 2013
Health First Health Plans July 2006 - November 2010
Health First Health Plans July 2005 - July 2006
Wuesthoff Health Systems July 1997 - July 2005
Skills
Healthcare Information..., HIPAA, Healthcare, Revenue Cycle, Hospitals, Data Analysis, Project Management, Business Analysis, Health Insurance, EDI, EHR, EMR, Medicare, Provider Relations, Healthcare Management, Healthcare Consulting, Healthcare Industry, Managed Care, Medical Billing, Physician Relations, Process Improvement, Customer Service
Education
Florida Metropolitan University 2002 — 2006
Bachelor of Science (BS), Health Care Administration
Health First Health Plans Inc June 2015 - Present
Synchrony Financial (GE Capital) August 2014 - June 2015
Health First December 2013 - July 2014
Health First Health Plans December 2012 - December 2013
Health First Health Plans May 2007 - December 2012
Health First Health Plans July 2006 - May 2007
Brevard Insurance and Marketing January 2005 - July 2006
Skills
Healthcare, Healthcare Information..., Hospitals, Healthcare Management, HIPAA, EMR, EHR, Nursing, Managed Care, Medical Terminology, Patient Safety, Software Documentation, Process Improvement, BLS, Customer Service, Clinical Research, Inpatient, Informatics, HL7, Employee Training, Leadership, Training, Medicaid, Employee Benefits, Insurance, Management, Medicare, Team Building, Health Insurance, Analysis
Education
University of Central Florida 2011 — 2015
B.S. Technical Education and Industry Training, Workforce Development and Training
Brevard Community College 2008 — 2010
Associate of Arts (A.A.), General
Black Diamond Performance Reporting, LLC (Advent Software) May 2012 - Present
Ally Financial January 2011 - May 2012
Health First Health Plans May 2011 - November 2011
Children's Miracle Network July 2010 - December 2010
Skills
Public Relations, Writing, Event Management, Press Releases, Newsletters, Microsoft Office, Event Planning, Social Media, Public Speaking, Facebook, Microsoft Excel, Blogging, PowerPoint, Outlook, Corporate Communications, Microsoft Word, Copywriting, Fundraising, Customer Service, Analysis, Social Networking, Strategic Communications, Time Management, Sponsorship, Marketing Communications, Marketing, Social Media Marketing, Media Relations, Leadership, Marketing Strategy, Research, Account Management, Strategic Planning, Crisis Communications, Nonprofits, Editing, Training
Education
University of North Florida 2006 — 2010
Bachelor of Science, Public Relations
Inovalon February 2015 - Present
George Washington Medical Faculty Assoc September 2013 - February 2015
George Washington Medical Faculty Assoc October 2011 - September 2013
Health First Health Plans October 2010 - August 2011
Health First Health Plans October 2008 - October 2010
Health First (Holmes Regional Medical Center & Palm Bay Hospital) June 2007 - October 2008
Skills
Healthcare, Healthcare Information..., Medical Records, EHR, EMR, HIPAA, Informatics, Certified ICD-10 Trainer, Project Management, Medicare, Medicaid, Healthcare Consulting, Systems Analysis, Medical Compliance, Auditing, Policy Development, Healthcare Reimbursement, Healthcare Management, Software Documentation, Health Information..., Policy, Hospitals
Education
The George Washington University 2011 — 2012
Grad Cert, Health Info Privacy & Security Specialist
University of Central Florida 2006 — 2008
BS, Health Information Management
Florida Hospital May 2013 - Present
University of Central Florida August 2012 - Present
Florida Hospital April 2012 - May 2013
Florida Hospital November 2011 - April 2012
Health First Health Plans February 2011 - August 2011
University of Central Florida August 2008 - January 2011
Skills
Research, Strategic Planning, Analysis, Leadership, Healthcare Management, Budget Process, Forecasting, Proformas, Physician Relations, Clinical Development, Teaching, Community Outreach, Dynamic Speaker, Outlook, Training, Policy, Strategy, Management, Healthcare Information..., Project Management, Clinical Research, Medicine, Recruiting, EMR, Healthcare, Business Development, Hospitals, Data Analysis, Budgets, Public Speaking, Program Development
Education
University of Central Florida 2008 — 2012
MS-HSA, Health Services Administration
Des Moines University 2003 — 2007
DPM, Podiatry
Truman State University 1998 — 2002
BS, Exercise Science Pre-Med
Millard South High School
Viera Builders March 2015 - Present
Economic Dev. Commission of Florida's Space Coast September 2014 - Present
South Brevard Society for Human Resource Management January 2014 - June 2015
Health First Health Plans November 2012 - March 2015
Lennar Homes June 2006 - 2009
Masline Enterprises, LLC January 2000 - June 2006
Marietta Corporation May 1995 - November 1999
Skills
Marketing Strategy, Advertising, Negotiation, Account Management, Sales Management, Business Planning, Business Management, New Business Development, Management, Strategic Planning, Sales, Leadership, Marketing, Insurance, Start-ups, Real Estate, Business Development, Contract Negotiation, Small Business, Selling, Team Building, Investment Properties, Direct Sales, Residential Homes, Training, Sales Process, Budgets, Social Media Marketing, Sales Presentations, Sales Operations
Education
University of North Carolina at Greensboro 1984 — 1988
B.S., Marketing/Management
Health First Health Plans August 2014 - Present
Indian River Medical Center January 2014 - March 2014
Nemours Children's Health Alliance July 2013 - August 2013
Grace Rehabilitation Center October 2012 - June 2013
Sebastian River Medical Center 2010 - 2012
ACS Care and Quality Solutions, a Xerox Company July 2009 - August 2010
Columbia St. Mary's 2008 - 2009
Medical College of Wisconsin 2007 - 2008
Children's Hospital of Wisconsin 2005 - 2007
Skills
ICU, Emergency Nursing, Case Managment, Nursing Management, Pediatric Nursing, Primary Health Care, MDS 3.0, Patient Advocacy, Case Management, Healthcare, Hospitals, Long-term Care, Patient Safety, Quality Patient Care, Registered Nurses, Healthcare Management, Nursing, Inpatient
Education
Milwaukee Area Technical College 1987 — 1990
Associate's degree, Registered Nursing/Registered Nurse
Brookdale Senior Living July 2015 - Present
Grand Villa of Melbourne August 2013 - June 2015
Health First Health Plans February 2007 - August 2012
Asset Protection Concepts January 1990 - 2007
Skills
Health Insurance, Medicare, Managed Care, Insurance, Customer Service, Employee Benefits, Sales, Account Management, Public Speaking, Team Building, New Business Development, Marketing, Fundraising, Public Relations, Project Management, Business Development, Program Development, Leadership, Program Management, Recruiting, Training, Business Strategy, Process Improvement, Event Planning, Management, Leadership Development, Budgets, Nonprofits, Contract Negotiation, Team Leadership, Event Management, Organizational..., Advertising, Marketing Strategy, Social Media, Analysis, Small Business, Proposal Writing, HIPAA, Strategy, Sales Management, Social Media Marketing, Negotiation, Employee Relations, Entrepreneurship, Business Planning
Education
Syracuse University 1979 — 1983
Bachelor's degree, Drama/Theatre Arts and Stagecraft
Syracuse University 1979 — 1982
BS, Drama
Classical Conversations September 2012 - Present
State Farm October 2011 - Present
WLT Consulting and Management Inc. February 2006 - Present
Health First Health Plans January 2007 - December 2010
Health First Health Plans October 2005 - December 2006
State Farm Insurance 1997 - 2004
State Farm Insurance 1994 - 1997
Electronic Data Systems 1990 - 1994
Skills
Insurance, Health Insurance, Sales, Employee Benefits, Training, Small Business, Negotiation, Employee Relations, Medicare, Budgets, Management, Marketing, Strategic Planning, Claim, Managed Care, Human Resources, Leadership Development, Strategy, Customer Service, Customer Retention, Team Building, Liability, Leadership, Process Improvement, Sales Operations, Healthcare, Account Management, Commercial Insurance, Employee Engagement, Workers Compensation, Risk Management, Fixed Annuities, Contract Negotiation, Administration, Social Media, Brokers, Life Insurance, Property & Casualty..., Underwriting
Education
University of Florida - Warrington College of Business Administration 1985 — 1989
BSBA, Finance
Waters Realty of Brevard, LLC February 2014 - Present
Serving Brevard Realty September 2012 - February 2014
Century 21 November 2003 - September 2012
Health First Health Plans October 1998 - November 2003
Pediatrics of Brevard October 1996 - October 1998
U.S. Navy June 1976 - May 1995
Skills
Blogging, Negotiation, Marketing Strategy, Selling, Customer Service, Residential Homes, Short Sales, Real Estate, Business Development, Sellers, Investment Properties, Marketing, Strategic Planning, Small Business, Single Family Homes, Real Estate Transactions, Retail, Investors, Healthcare, Sales, Event Planning, Social Media, Fundraising, Relocation, Condos, First Time Home Buyers, Team Building, Public Speaking, Foreclosures, Budgets, Social Media Marketing, Microsoft Office, Leadership, Event Management, Microsoft Word, Contract Negotiation, Training, Advertising, Social Networking, Buyer Representation, Real Property, New Home Sales, Referrals, REO, Buyers, Listings
Education
Troy State University 1990 — 1992
M.P.A., Public Administration
The George Washington University School of Medicine and Health Sciences 1982 — 1987
B.S., Health Sciences
HealthSouth April 2013 - Present
Health First Health Plans May 2012 - May 2013
Wuesthoff Health Systems January 2007 - May 2012
Wuesthoff Health Systems May 2004 - January 2007
Skills
Medicare, Healthcare Information..., Healthcare Management, Hospitals, Revenue Cycle, Physician Relations, Healthcare, Managed Care, HIPAA, Health Policy, JCAHO, Physicians, Acute Care, Health Insurance, Home Care
Education
University of Central Florida 2011 — 2013
MSHA, Executive Masters Degree Healthcare Administration
University of Central Florida 2003 — 2007
Bachelor's Degree, Organizational Leadership
University of Miami 2006 — 2006
Florida Cancer Registry Statistical Certification
University of Central Florida 2005 — 2006
Licensed Healthcare Risk Manager
Mayo Clinic School of Nursing
MH Consulting, LLC 2013 - Present
Health First Health Plans January 2010 - February 2013
Health First, Inc. 2010 - 2013
Health First 2007 - 2010
Health First Health Plans August 2005 - June 2007
Health First Health Plans, Inc. 2003 - 2005
Health First Health Plans, Inc. 1997 - 2003
Health First Health Plans, Inc. 1995 - 1997
Holmes Regional Medical Center 1994 - 1995
Holmes Regional Medical Center 1993 - 1994
Skills
Healthcare, Healthcare Management, Process Improvement, HIPAA, Medicare, Strategic Planning, Healthcare Information..., Customer Service, Managed Care, Team Building, Hospitals, Health Insurance, Healthcare Consulting, Physician Relations, EHR
Education
University of Florida 1977 — 1981
Bachelor of Science (BS), Business Administration
Optum 2012 - 2015
Health First Health Plans June 2011 - November 2011
Kaplan University/Washington Post 2009 - 2011
SelecSource June 2007 - February 2008
Coventry Healthcare 2008 - 2008
Blue Cross Blue Shield of Florida September 1998 - May 2007
Blue Cross and Blue Shield of Louisiana 2001 - 2005
Advantage Healthcare Inc. February 1996 - September 1998
Skills
Team Building, Leadership, Sales, New Business Development, Business Development, Consultative Selling, Strategic Planning, Management, Strategy, Insurance, Marketing Strategy, Health Insurance, Healthcare, Managed Care, Program Management, Marketing, Account Management, Customer Service, Customer Retention, Employee Benefits, Medicare, Public Speaking, Negotiation, Sales Management, Cross-functional Team..., Contract Negotiation, Product Development, Staff Development, Customer Relations, Change Management, Organizational...
Education
Florida State University
Bachelor of Science (B.S.)
Hialeah- Miami Lakes Sr. High School
JLS Data Services, Inc August 2013 - May 2015
Access MediQuip July 2012 - July 2013
Health First Health Plans March 2011 - July 2012
ESC - Environmental Systems Corporation 2007 - February 2011
Covenant Health / Humana 2008 - 2008
Mutual Service Corporation 2004 - 2006
Carnival Cruise Lines 2003 - 2004
First Data Merchant Services 2001 - 2003
BarPoint November 2000 - October 2001
Goodrich Landing Gear 1995 - 2000
Skills
Databases, Microsoft SQL Server, Business Intelligence, SQL, SSRS, T-SQL, Database Administration, SSIS, Database Design, Data Warehousing, Crystal Reports, Data Analysis, Project Management, MDX, ETL, SharePoint, Data Migration, SQL Tuning, SQL Server, Stored Procedures, Analysis Services, Visio, Software Development, VB.NET, Performance Tuning, DTS, Data Modeling, .NET, Database Admin, Relational Databases, Oracle, Log Shipping, Plan Execution, Oracle SQL, Visual Studio, IIS, SQL*Plus, SSAS 2008, OLAP, Healthcare, Healthcare Information..., SharePoint..., SQL Report Writing, Replication, Management
Education
Walden University 2011 — 2013
MISM, Master of Info Systems Mgmt - Healthcare Informatics
St. Thomas University 1999 — 2002
BA, Computer Information Systems
PMI Space Coast February 2015 - Present
DeNardis Consulting, LLC June 2012 - Present
SLAIT Consulting November 2014 - March 2015
Apex Systems August 2013 - May 2014
Health First January 2012 - August 2013
Health First Health Plans January 2011 - December 2011
The Travel Guru October 2009 - December 2010
Self May 2009 - October 2009
IBM Global Services June 2002 - April 2009
IBM Global Services June 1999 - June 2002
Skills
Project Management, Business Analysis, COBOL, DB2, Health Insurance, Healthcare Information..., Amisys, Health Information..., ICD-10, Strategic Planning, Program Management, Training Delivery, Project Planning, MS Project, PMP, Rational, Process Improvement, Vendor Management, Training, SDLC, Business Process, Business Intelligence, Requirements Analysis, Consulting, Software Project..., Integration, Visio, Management, CRM, Quality Assurance, Analysis, Strategy, Testing, Change Management
Education
Union County College 1980 — 1982
AAS, Business Administration
Chubb Institute 1992 — 1993
Certificate, COBOL II / DB2 Application Programming
Health First April 2015 - Present
Health First July 2013 - March 2015
Health First July 2012 - July 2013
Health First Health Plans August 2011 - June 2012
Disney Vacation Club May 2010 - August 2011
Harvard Pilgrim Health Care April 1995 - March 2010
Skills
Sales, Management, Leadership, Strategic Planning, Insurance, Individual and Family..., Public Speaking, Employee Benefits, Customer Satisfaction, Healthcare, Training, Team Building, Medicare, PowerPoint, Marketing, Coaching, Account Management, Process Improvement, Commercial Group Health..., Affordable Care Act
Education
Northeastern University 2007 — 2009
BS, Leadership
Marshfield High School
Pick one
Pick one
Health First Health Plans June 2015 - Present
HEALTH FIRST HEALTH PLANS October 2014 - June 2015
MEDICOMP INC August 2013 - October 2014
MEDICOMP INC April 2011 - August 2013
Skills
Financial Analysis, Strategic Financial..., Finance, Accounting, Financial Modeling, Financial Reporting, Sales Operations, Client Education, Health Insurance, Commercial Insurance, Brokers, COBRA, Customer Engagement, Relationship Building, At Multitasking, Insurance Claims, Customer Service, Sales, Management, Problem Solving
Education
University of Central Florida 2008 — 2010
Bachelors, Finance
Eastern Florida State College
Associate in Arts Degree, 2008; Finance
Palm Bay High School
High School Diploma
MedeAnalytics Inc December 2014 - Present
CTG Health Solutions December 2013 - December 2014
Health First September 2012 - April 2014
Health First Health Plans January 2012 - August 2013
Health First Health Plans August 2010 - January 2012
Health First Health Plans March 2009 - August 2010
Skills
Quality Assurance, Management, Medicare, Pharmacy, Employee Benefits, Employee Training, Technical Support, Utilization Management, Claim, Healthcare
Education
Keiser University-Ft Lauderdale 2004 — 2005
Eastern Florida State College
Baylor College of Medicine- Dept. of OB/Gyn September 2013 - July 2015
Centex Studies, Inc. June 2013 - September 2013
ClinForce February 2013 - April 2013
St. Luke’s Episcopal Hospital June 2011 - November 2012
Health First Health Plans June 2009 - May 2011
Health First- Holmes Regional Medical Center February 2008 - June 2009
MIMA Century Research March 2003 - June 2007
MIMA (Melbourne Internal Medicine Associates) November 2001 - March 2003
Skills
Clinical Research, Clinical Trials, ICH-GCP, Healthcare Management, Quality Assurance, HIPAA, EMR, Hospitals, Leadership, Clinical Data Management, Pharma, Biotech,..., Feasibility, Data Coordinator, ACRP certification, Clinical/Medical..., Quality Control, Management, Health Plan/ Physician..., Clinical Trial..., Healthcare, GCP, Protocol, Pharmaceutical Industry, SOP, Clinical Development, Regulatory Affairs
Education
University of Phoenix 2009 — 2012
B.S., Management
Keiser University 1997 — 1999
A.S., Medical Asssiting
Keiser University
A.A., Health Services Administration
Health First Health Plans June 2011 - Present
Health First Health Plans December 2008 - Present
Health First Health Plans June 2006 - Present
Skills
Medicaid, Data Analysis, Medicare, Healthcare, Healthcare Management, Management, Analysis, Healthcare Information..., HIPAA, Managed Care, Accreditation, Quality Management, Case Management, Hospitals, Process Improvement, EMR, Health Insurance
Education
University of Central Florida 1987 — 1991
Bachelor of Science (BS), Education
Lemmon Lines September 2015 - Present
Health First Health Plans July 2014 - July 2015
WellCare Health Plans June 2014 - July 2014
Health First Health Plans February 2011 - May 2014
Health First Health Plans February 2011 - August 2012
Global TPA March 2009 - March 2011
Brevard Physicians Network November 2007 - February 2009
Margaret C. Rank, M.D., F.A.C.P. May 2007 - November 2007
Delta Air Lines, Inc. January 1991 - March 2006
Skills
Public Relations, Customer Service, Contract Negotiation, Contract Management, Medicare, Health Insurance, Physician Relations, Physician Liason, Physician Network..., Claims Resolution, Medicare Advantage, Managed Care, Provider Relations, Credentialing, Medicaid, Network Development, Health Policy, Medical Coding, Claim, Healthcare Consulting, Healthcare, Insurance, Healthcare Industry, Healthcare Management, HIPAA, Physicians, HMO, Invoicing
Education
Florida State University 1984 — 1990
Bachelor of Science, Art History
Florida State University
Bachelor's degree, Art History
Nova Southeastern University August 2013 - Present
Judeo Christian Health Clinic 2013 - Present
Health First Health Plans May 2011 - May 2012
University of Central Florida January 2008 - June 2010
Tumbleweeds Gymnastics 2005 - 2010
Skills
Physical Therapy, Rehabilitation, Customer Service, Microsoft Office, Microsoft Word, Insurance, Microsoft Excel, Student Affairs, Public Speaking, Event Planning, HIPAA, Time Management, Community Outreach, PowerPoint, Data Analysis, Leadership, CPR Certified
Education
Nova Southeastern University 2012 — 2016
Hybrid Entry Level Doctor of Physical Therapy (DPT)
University of Central Florida 2007 — 2011
Bachelor of Science (BS), Health Sciences Pre-Clincal
Humana at home May 2015 - Present
Health first health plans January 2009 - May 2015
Tyndal Air Force Base July 2008 - January 2009
Health First October 2005 - July 2008
Avatar Workers Compensation Managed Care Company 2002 - 2005
Skills
Public Speaking, Microsoft Office, Healthcare, Management, Customer Service, Research, Insurance, Medicare, Case Management, Hospitals, Strategic Planning, Transplant Case..., Complex Case Management, NCQA, Reinsurance coordination, Training skills, Health Insurance, Workers Compensation, Contract Negotiation, Health Edge, Software Development, Software knowledge:..., Milliman Guidelines, Hayes Guidelines, Managed Care, Nursing
Education
Valparaiso University 1983 — 1985
Bachelors of Nursing, Registered Nursing/Registered Nurse
Ball State University 1977 — 1983
Bachelors of Science, Psychology
Health First Health Plans October 2014 - Present
EviCore Healthcare (formerly MedSolutions) April 2011 - October 2014
Wuesthoff Health Systems August 2010 - December 2010
PSA Healthcare July 2009 - September 2010
Brevard County Health Department May 2008 - August 2008
Taronga Technology (formerly Observision, UltraWaves, & Adelante) May 2000 - May 2008
City of Melbourne April 1998 - December 1999
State of Florida August 1997 - April 1998
Florida Institute of Technology December 1996 - August 1997
UMUC Europe May 1994 - May 1996
Skills
MSN, MSN Ed, RN, Nursing Education, Nurse, Office Manager, Bookkeeping, Accounting, Nursing
Education
University of Central Florida 2008 — 2010
MSN Ed, Nurse Education, 4.0
University of Central Florida 2007 — 2008
BSN, Nursing, 4.0
Eastern Florida State College 2005 — 2006
ADN/RN, Nursing
Eastern Florida State College 2003 — 2003
LPN, Nursing
University of Maryland European Division 1994 — 1996
Bachelor of Science (BS), Management Studies, 4.0
New Palestine High School 1974 — 1978
Health First September 2014 - Present
Health First Health Plans March 2011 - Present
Skills
Insurance, Fixed Annuities, Healthcare, Health Insurance, Employee Benefits, Medicare, Sales, Management, HIPAA, Marketing, Healthcare Management
Education
Lincoln University
UnitedHealth Group October 2015 - Present
UnitedHealth Group March 2015 - September 2015
UnitedHealth Group July 2012 - February 2015
Health First October 2006 - October 2011
Health First November 2006 - November 2009
Health First Health Plans May 2006 - November 2006
Health First Health Plans November 2005 - May 2006
Health First Health Plans December 2004 - November 2005
Stein Mart March 2001 - November 2004
Skills
Health Insurance, Healthcare, Employee Benefits, Medicare, Managed Care, FL Health Insurance..., Pharmacy, Medicare Part D, Insurance, HIPAA, Benefits Administration, Claim, Clinical Research, Customer Service, Data Analysis, EMR, HMO, Health Policy, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Healthcare Management, Home Care, Hospitals, Human Resources, Informatics, Management, Medicaid, Medical Terminology, Network Development, PPO, Physician Relations, Physicians, Process Improvement, Provider Relations, Revenue Cycle, Sales, Team Building, Time Management
Education
University of Central Florida
Masters of Science, Health Care Administration
University of Central Florida 2001 — 2003
Bachelor of Arts, Psychology
Eastern Florida State College
Associate of Arts Degree, General
SXC Health Solutions August 2008 - Present
Health First September 2001 - August 2008
sxc 2005 - 2008
Health First Health Plans 2001 - 2008
Health First September 2001 - April 2005
Cigna 1994 - 2001
Skills
Medicare, Healthcare, Clinical Research, HIPAA, Networking, Medicaid, Pharmacy, Health Insurance, Medicare Part D, Employee Benefits, Customer Service, Customer Satisfaction, Software Documentation, Managed Care, Pharmacy Benefit..., Healthcare Management, Process Improvement
Education
Eastern Florida State College 2006 — 2009
Franklin University 1987 — 1989
Suncoast Solutions July 2013 - Present
Health First Health Plans October 2010 - November 2011
Humana May 2000 - April 2010
Kentucky Board of Nursing 1997 - 2000
Kentucky Transportation Cabinet 1990 - 1995
Skills
Visio, Management, Project Management, Vendor Management, SDLC, Process Improvement, Leadership, Information Technology, Healthcare Information..., Program Management, Software Documentation, SharePoint
Education
United States Military Academy at West Point 1975 — 1979
Bachelor of Science (B.S.), Management and Engineering
Cypress Lake Senior High 1971 — 1975
Centene Corporation August 2014 - Present
CoOportunity Health April 2014 - July 2014
Healthcare Creative Solutions July 2012 - December 2013
Health First Health Plans April 2010 - July 2012
Healthcare Creative Solutions June 2007 - April 2010
Vista Healthplan, d/b/a Coventry Health Care February 2001 - August 2007
HIP Health Plan of Florida, d/b/a Coventry Health Care August 1998 - February 2001
SIRS Publishing, Inc. d/b/a ProQuest November 1997 - August 1998
Prudential Healthcare June 1995 - November 1997
Skills
Advertising, Copywriting, Mergers, Graphic Design, Offset Printing, Corporate Communications, Newsletters, Strategic Planning, Public Relations, Healthcare, Marketing Strategy, Marketing Communications, Event Planning, Strategic Communications, Product Development, Integrated Marketing, Research, Brand Development, Direct Mail, Internal Communications, Community Relations, Team Building, Editing, Budgeting, Social Media Marketing, Customer Relations, Microsoft Office, Customer Service, Health Insurance, Market Research, Marketing, Project Management, Employee Benefits, Medicare, Process Improvement, Managed Care, Email Marketing, Web Design, Direct Marketing, Strategy, Healthcare Industry, Medicaid, Crisis Communications, Online Marketing, Management
Education
Austin Peay State University 2007 — 2012
Master of Arts, Corporate Communications, Final GPA: 3.625
Indiana University-Purdue University at Indianapolis 1989 — 1994
Bachelor of Fine Arts, Visual Communication
MedeAnalytics Inc December 2014 - Present
CTG Health Solutions May 2014 - December 2014
Health First Health Plans November 2010 - May 2014
Health First Health Plans October 2008 - November 2010
Health First Health Plans December 2006 - October 2008
Health First Health Plans December 2004 - December 2006
Provider Service Network January 2000 - September 2003
The Boston Spine Group February 1999 - January 2000
Skills
Healthcare, Analysis, Medicaid, Managed Care, Medicare, Health Insurance, Healthcare Management, Hospitals, Health Information..., Healthcare Information..., HIPAA, HMO, Process Improvement, Informatics, Software Documentation, Healthcare Industry, Access, Medicare Part D, Insurance, Claim, Training, Healthcare Analytics, Systems Analysis
Education
Boston University 1992 — 1997
BS, Sociology
Snowden Int'l High 1988 — 1992
Diploma, High School Curricula
Health First Health Plans October 2014 - Present
Brevard Alzheimer's Foundation October 2012 - April 2014
East Central Florida Memory Disorder Clinic May 2011 - October 2012
Denver Options May 2005 - June 2010
Denver University/San Diego State University September 1996 - May 2009
Skills
Case Managment, Professional Counseling, Lifestyle Counseling, Dementia, Friendly Personality, Supportive Counseling, Teach Others, Training, Teaching, Case Management, Program Development, Developmental..., Coaching, Mental Health, Mental Health Counseling, Social Services, Adolescents, Therapists, Crisis Intervention, Healthcare, Program Management, Counseling Psychology, Community Outreach, Family Therapy, Psychotherapy, Group Therapy
Education
State University of New York at Albany 1988 — 1990
Master, Social Work (MSW)
University at Albany, SUNY 1988 — 1990
State University of New York at Stony Brook 1985 — 1988
Bachelor of Arts
Health First 2004 - Present
Health First Health Plans September 2004 - August 2005
Blue Cross and Blue Shield February 1999 - April 2004
Aon May 1997 - February 1999
Skills
Medicaid, Managed Care, Health Insurance, Healthcare, Healthcare Management, Medicare Advantage, Individual Health..., Claim, Medicare, Medicare Part D, EHR, EMR, Healthcare Industry, Insurance, Revenue Cycle, Policy, Provider Relations, Credentialing, Health Policy
Education
Marquette University 1992 — 1996
Bachelor of Science, Marketing and Accounting
Health First Health Plans July 2010 - Present
Maronda Homes April 2010 - July 2010
Pulte Homes April 2004 - September 2008
Skills
New Home Sales, Residential Homes, Real Estate, Single Family Homes, Selling, First Time Home Buyers, Contract Negotiation, Sellers, Short Sales, Referrals, Homebuilding
Education
University of North Florida - College of Business Administration 2000 — 2004
Bachelor of Science (BS), Management and Marketing
Health First January 2014 - May 2015
Health First Health Plans April 2012 - January 2014
Health First Health Plans April 2011 - July 2012
Health First Health Plans April 2007 - August 2011
Health First Health Plans July 2006 - April 2007
HealthNet of Central Florida 1998 - 2006
Skills
HIPAA, Managed Care, Health Insurance, Medicaid, Medicare, Hospitals, Healthcare, Healthcare Management, Healthcare Information..., Healthcare Consulting, EMR, Credentialing, Medical Billing, Software Documentation, Revenue Cycle, Medical Records, JCAHO, Nursing, Insurance, Health Information..., ICD-9, HMO, Physician Relations, Provider Relations, Healthcare Industry, Medical Coding, Claim, Employee Benefits, Process Improvement, EHR, Health Policy, Clinical Research, Medical Compliance, Medicare Part D, Physicians
Education
University of Central Florida 2010 — 2013
Health Service Administration, Health Services Administration
Brevard Community College
AA, Associate of Arts
Catamaran March 2014 - Present
Catamaran December 2011 - March 2014
ICORE Healthcare February 2010 - December 2011
Health First Health Plans March 2007 - February 2010
Skills
Managed Care, Pharmacy Benefit..., Medicaid, Pharmaceutical Industry, Pharmaceutical Sales, Health Insurance, Medicare Part D, Pharmacy, Account Management, Healthcare Management, Strategic Planning, Contract Negotiation, HMO, Utilization Management, Healthcare Industry, Medicare, Health Policy, Provider Relations, Disease Management, Healthcare
Education
Florida Institute of Technology 2003 — 2005
Masters, Business Administration
Florida Institute of Technology 2001 — 2003
Bachelor, Psychology
Health First Health Plans March 2006 - Present
Skills
Access Database, Business Analysis, Financial Analysis, Financial Reporting, AAPC Certified Coder, Microsoft Office, Professional Healthcare..., Medicare Advantage, Financial Risk, HIPAA, EMRs, Project Management, Risk Adjustment, Experienced Business..., Data Analysis, Access, Medicare, Microsoft SQL Server
Education
University of Central Florida
Accounting
Health First Health Plans April 2006 - Present
Humana Military Healthcare Services July 2002 - July 2004
Education
Minot State University 1991 — 1997
BSN, Nursing
LaGrave Designs April 2010 - Present
Adaptis December 2008 - March 2010
FlexTech 2008 - 2008
First Consulting Group 2003 - 2008
Health First Health Plans 2001 - 2003
The CBORD Group, Inc. 1996 - 1998
Education
Cornell University 1990 — 1994
BS, Nutrition
MedHOK Healthcare Solutions June 2013 - Present
Health First Health Plans July 2009 - June 2013
UPMC Health Plan March 2005 - July 2009
Skills
Customer Service, Health Insurance, Healthcare, Management, Customer Experience, Project Management, Managed Care, Healthcare Information..., Analysis, Process Improvement, Leadership, Medicare, Insurance, HIPAA, Healthcare Management, Team Building, Call Centers, Software Documentation, Training, Employee Benefits, Medicaid, Vendor Management, Healthcare Industry, Cross-functional Team..., HMO, Performance Improvement, Coaching, Policy, Strategy, Business Process..., Team Leadership, Medicare Part D, Healthcare Consulting, Strategic Planning, Consulting, Account Management, Data Analysis
Education
Point Park University 1985 — 1989
B.S., Human Resources Management
Health First Health Plans March 2011 - Present
health first health plans July 2008 - March 2011
Health First Health Plans March 2008 - July 2008
Health First Health Plans September 2006 - March 2008
Health First Palm Bay Hospital August 2002 - September 2006
Health First Inc 2002 - 2006
PT, Health First Holmes Regional Medical Center June 1996 - August 2002
Holmes Regional Medical Center 1994 - 2002
Skills
Healthcare, Healthcare Consulting, Nursing, Process Improvement, Inpatient, Physician Relations, Case Managment, Medicare, Home Care, Managed Care, EMR
Education
University of Florida 1990 — 1992
BS, Physical Therapy
University of Florida
BS, Physical Therapy
North Carolina State University 1983 — 1987
BS, BA, Biochemistry, Chemistry
Carolina State University
BS, Biochemistry
Carolina State University
BA, Chemistry
melbourne central catholic
Christian Care Ministry April 2015 - Present
Christian Care Ministry June 2014 - April 2015
Health First Health Plans October 2012 - May 2014
Health First Health Plans February 2010 - October 2012
Percepta April 2007 - February 2010
TeleTech 2003 - 2006
Skills
Workforce Management, Customer Experience, Customer Satisfaction, Business Analysis, Business Strategy, Reports, Report Writing, Microsoft Excel, Forecasting, Verint WFM, NICE IEX Workforce..., Cisco CUIC, Analysis, Leadership, Process Improvement, Management, Integration, Access, Call Centers, Avaya, Data Analysis, Contact Centers, Customer Service, Business Process...
Education
Warner University (Lake Wales, FL) 1995 — 1997
Bachelor of Science, Organizational Management
University of Florida 1989 — 1991
Associate of Arts (A.A.), General Studies
Health First Health Plans August 2014 - Present
Health First Health Plans July 2011 - Present
Health First Health Plans October 2008 - July 2011
Health First Health Plans December 2007 - October 2008
Skills
Medicare, Healthcare, HIPAA, Managed Care, Customer Service, Budgets, Healthcare Management, EMR, Healthcare Information..., Health Insurance, Software Documentation, Hospitals, EHR, Insurance, Management, Physician Relations, Healthcare Industry, Process Improvement
Education
University of Central Florida 2000 — 2002
BS, Health Administration
Health First Health Plans Inc June 2015 - Present
Health First Health Plans January 2011 - June 2015
Health First January 2009 - January 2011
Health First Health Plans October 2005 - December 2008
Health First Health Plans April 2001 - September 2005
Skills
Requirements Gathering, Insurance, Requirements Analysis, Business Requirements, Process Improvement, User Acceptance Testing, Project Management, Change Management, Analysis, SQL, Business Analysis, EDI, Healthcare Information..., HIPAA, Visio, Healthcare
Education
Barry University 2005 — 2008
BS, Business and IT
Self-Employed November 2013 - Present
Health First Health Plans August 2013 - January 2014
One Call Care Management Healthcare February 2012 - July 2013
American Airlines September 1989 - February 2011
Organon Teknika November 1988 - July 1992
Skills
Customer Service, Software Documentation, Data Entry, Negotiation, Sales, Call Centers, Insurance, Program Management, Customer Retention
Education
University of North Carolina at Chapel Hill
Bachelor of Science, Business Administration
Health First Health Plans March 2011 - Present
Colonial Bank August 2002 - August 2008
SunTrust Bank October 1995 - July 2002
Education
University of Central Florida 2008 — 2010
MS, Health Care Administration
University of Florida 1990 — 1994
BS, Finance
EverythingBrevard.com July 2013 - Present
Health First Health Plans February 2012 - April 2013
Start Up Quest 2013 - 2013
Big Brothers Big Sisters of Central Florida May 2010 - November 2010
International Society for Performance Improvement 2008 - 2010
MIMA September 2006 - September 2008
Wuesthoff Health Systems November 2002 - July 2005
Keiser University July 2003 - October 2004
Skills
Management Consulting, Change Management, Training Delivery, Technical Training, Instructional Design, Entrepreneurship, Team Leadership, Health Insurance, Healthcare, Coaching, Time Management, Marketing, Team Building, Public Speaking, Customer Service, Social Media Marketing, Public Relations, Program Management, Editing, Newsletters, Social Networking, Strategic Planning, Training, Social Media, Leadership, Blogging, Nonprofits, Graphic Design
Education
University of West Florida 2007 — 2009
Master of Science (M.S.), Administration, Human Performance Technology
Keiser University-Ft Lauderdale 2004 — 2006
Bachelor of Arts (BA), Business Administration and Management, General
Keiser University-Ft Lauderdale 2003 — 2003
Associate of Arts (AA), Health Services Administration
Keiser University-Ft Lauderdale 2001 — 2002
Associate of Science (AS), Allied Health and Medical Assisting Services
Start up quest
Health First Health Plans January 2006 - January 2015
Health First, Inc August 2013 - 2013
Vance, Lotane & Bookhardt, P.A. January 2004 - January 2006
Skills
Time Management, Legal Research, Lexis, Microsoft Office, Westlaw, Lexis Nexis, Groupwise Operating..., PeopleSoft, Remedy, CaseMap, Notary Public, Interviewing Skills, Close Attention to..., Oral & Written..., Organizational Skills, Type 70 WPM, Legal Writing, Mac OS, Ability to work well..., Proofreading
Education
The George Washington University 2012 — 2013
Masters of Professional Studies, Paralegal Studies
University of Central Florida 2008 — 2010
Bachelor of Science, Legal Studies
Brevard Community College 2006 — 2008
Associate of Science (AS), Paralegal Studies
Health First Health Plans March 2005 - November 2013
Humana Military Healthcare Services December 1994 - September 2004
Skills
Medicare/Medicaid..., Amisys, Claim, Healthcare Industry, Managed Care, Application..., QNXT, Healthcare Information..., Provider Relations, Healthcare
Education
University of Central Florida - College of Business Administration 1981 — 1984
Business Administration