Health Net
Industry: Health care company
DescriptionHealth Net, Inc., a Centene company, is an American health care insurance provider. HMO, POS, insured PPO and government contracts subsidiaries provide health benefits to approximately 5.9 million ... Headquarters: Woodland Hills, Los Angeles, California, United States CEO: Jay Gellert (Aug 1998–) Parent organization: Centene Corporation Number of employees: 9,300 Founded: 1979 Subsidiaries: Health Net Federal Services,
Health Net List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Health Net. You can filter them based on skills, years of employment, job, education, department, and prior employment.
Health Net Salaries. You can even request information on how much does Health Net pay if you want to. Learn about salaries, pros and cons of working for Health Net directly from the past employees.
Find People by Employers You can rekindle an old relationship, reconnect with a long-lost friend, former boss, business acquaintance who might be useful in your new line of work. With our employee database, the possibilities are endless. All you have to do is type in a couple of keywords and we'll bring you the exact information you wanted!
3,526 Health Net employees in database. Find out everything there's to know about Health Net employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Health Net Employees
Humana September 2014 - Present
Community Health Plan August 2013 - August 2014
MultiCare Health System December 2012 - July 2013
TriWest Healthcare Alliance April 2004 - December 2012
Health Net August 2002 - April 2004
West Seattle Highline Eye Clinic February 2001 - May 2002
Skills
ICD-9, CPT, Medical Coding, HIPAA, HCPCS, Healthcare Management, Medical Terminology, Healthcare Industry, Managed Care, Health Insurance, Training, Process Improvement, TRICARE, Data Entry, HMO, 10 Key, ICD-9-CM, ICD-10, Physician Coding, Behavioral Health, Team Leadership, Staff Supervision, Call Centers, Outlook, Human Anatomy, Office Management, E/M coding, NCQA, Quality Improvement, Medicare, Medicaid, Compliance, Revenue Cycle, Microsoft Office, Software Documentation, Medical Compliance, Medicaid Managed Care, Policy, Epic Systems, Fax, Quality Auditing, Performance Improvement, Health Policy, Insurance, Leadership, Claim, Provider Education, Team Building, Claims Resolution, Prior Authorization
Education
Eastern Washington University 2013 — 2015
Bachelor's degree, Health/Health Care Administration/Management
Tacoma Community College 2012 — 2013
Associate of Arts and Sciences (AAS), General Studies
South Puget Sound Community College 2007 — 2008
Certificate, Medical Insurance Specialist/Medical Biller
Health Net May 2015 - Present
CVS Health September 2014 - Present
McKesson 2000 - September 2014
Skills
Customer Service, Cross-functional Team..., Inventory Management, Leadership, Microsoft Office, Microsoft Word, Outlook, Process Improvement, SAP, Six Sigma, Software Documentation, Healthcare Information..., Healthcare, Budgets, Access
Education
Dallas Baptist University 2010 — 2012
Bachelor's degree, Business Administration and Management, General
Healthline Networks, Inc. 2010 - Present
ParkAllenHR 2008 - 2010
San Francisco Health Plan 2003 - 2009
Health Net 2000 - 2003
Marriott International 1999 - 2000
DoubleTree / Red Lion Hotels 1997 - 1999
Skills
Employee Relations, Internal Communications, Training and development, Coaching, Risk Management, Policy, Compensation, Onboarding, Strategic Planning, Change Management, Performance Management, Organizational..., Leadership Development, Team Building, Mentoring, Employee Engagement, Process Improvement, Succession Planning, Corporate Communications, Negotiation, HRIS, Crisis Communications, Employment Law, HR Strategy, Program Management, Budgeting, Benefits Administration, Team Leadership, HR Policies, Hiring, Strategic Communications, Budgets, Recruiting, Leadership, Conflict Resolution, Human Resources, Interviews, Management, Training, New Hire Orientations, Project Management, Employee Benefits, Temporary Placement, Project Planning, Analysis, College Recruiting, Deferred Compensation, Marketing, Nonprofits, Personnel Management
Education
Dominican University of California
MBA, Strategic Leadership
University of California, Davis
Bachelors of Arts, Psychology
Dignity Health May 2015 - Present
Dignity Health October 2012 - May 2015
Dell November 2009 - September 2012
Health Net November 2000 - March 2009
Robert Half Technology January 2000 - November 2000
Manpower Professional April 1999 - December 1999
Skills
Operating Systems:..., Service Level Management, Project Management, Microsoft Active..., Novell NDS User..., IT Asset Management, Laptops, Desktop Computers, Remote Access, IT Procurement, Mobile Devices, Cisco VoIP, Active Directory, BMC Remedy, Help Desk Support, Lotus Notes, Management, Networking, Servers, SharePoint, System Administration, System Deployment, Technical Support, Troubleshooting, VMware, Windows 7, Windows Server, Windows XP, XP
Education
University of Phoenix
Bachelor of Science (B.S.), Information Technology
Heald College
Associate of Science (A.S.), Computer Technology/Computer Systems Technology
Diablo Valley College
Cisco Networking Academy
Health Net October 2013 - Present
UCLA School of Medicine- Division of Geriatrics July 2007 - October 2013
Skills
Health Research, Data Analysis, Scientific Data..., Scientific Writing, Academic Writing, Healthy Aging, Program Evaluation, Quantitative Research, SAS programming, Data Collection, Report Writing, Presentations
Education
UCLA School of Public Health 1999 — 2007
MPH, PhD, Community Health Sciences
Duke University 1993 — 1997
Bachelor of Science (BS), Multidisciplinary Perspectives on Health & Illness
Health Net October 2013 - Present
Kelly Services October 2012 - October 2013
California Department of Health Care Services May 2007 - May 2011
California Department of Health Care Services May 2004 - May 2007
Skills
Health Information..., HIPAA Compliance, State Government, Health Informatics, Data Analysis, Utilization Management, Budget Analysis, Budget Development, Operating Budgets, Expenditure Control, Budget Reconciliation, Budget Forecasts, Program Analysis, ISO 9000, Personal Services, Reimbursement, Cost Accounting, Data Mining, Technical Documentation, Document Management, Data Management, Process Control, Procedure Development, Information Mapping, Forms Development, Program Implementation, Staffing Services, Healthcare Industry, Government Contracting, Contract Negotiation, Provider Relations, Contract Management, Business Travel, Eligibility, Standards Compliance, Medical Information..., Medical Coding, ICD-9, CPT, HCPCS, Word Processing, Microsoft Office, Microsoft Excel, Microsoft Word, Data Center, Employee Relations, Interviews, Resume Writing, Office Administration, Manufacturing Operations
Education
DeVry University 2014 — 2016
Associate of Science (A.S.)
Cosumnes River College 1998 — 1998
Los Angeles Valley College 1981 — 1983
Fusion After School February 2013 - June 2014
CNG Financial February 2012 - April 2014
Merced County Office of Education August 2011 - February 2012
Gilroy Gardens Family Theme Park August 2011 - December 2011
Internal Revenue Service February 2011 - April 2011
Labor Ready April 2007 - February 2009
Health Net August 2004 - February 2007
Skills
Human Resources, Troubleshooting, Retail, Temporary Placement, Staffing Services, Inventory Management, Marketing, Hiring, Applicant Tracking..., Windows, Process Improvement, Telephone Skills, Cold Calling, Account Management, Social Networking, Public Speaking, Employee Relations, Contract Recruitment, Permanent Placement, People Skills, Customer Satisfaction, Payroll, Interviews, Customer Retention, Team Leadership, Administration, Employee Training, Coaching, Employee Benefits, Inventory Control, Administrative..., Resume Writing, Job Fairs, Customer Service, Microsoft Office, Team Building, Project Management, Marketing Strategy, Microsoft Excel, Training, Leadership, Sales, Recruiting, Management, Event Planning, Strategic Planning, Microsoft Word, Outlook, PowerPoint, New Business Development
Education
DeVry University 2003 — 2005
Bachelors of Science, Business Information Systems
Keller Graduate School of Management of DeVry University 2003 — 2005
Bachelor's Degree, Business Information Systems, 3.8 GPA
Los Angeles Mission College 2003 — 2005
Los Angeles Pierce College 2003 — 2005
Merced College 1997 — 2002
Fox (Film, TV & Sports) February 2015 - Present
OMD WORLDWIDE January 2012 - January 2015
Dream Center July 2011 - January 2012
Santa Barbara County Sheriff's Department April 2011 - July 2011
Health Net November 2010 - March 2011
Teks R US March 2009 - November 2010
Keller Graduate School of Management 2009 - 2010
Sage Electrical Contracting 2003 - 2004
Skills
CRM, RFI, Submittals, Network Design, Network Architecture, Network Engineering, Cisco Technologies, Switches, TCP/IP, Visio, Network Administration, Cisco IOS, Networking, Troubleshooting, Leadership, Program Management, Project Management, XP, Windows 7, Databases, Management, Information Technology, Technical Support, Integration, Data Center, Windows XP, Cloud Computing, Mobile Devices, Citrix, Vendor Management, Analytics, Mac OS X Server, Mac OS, Google Analytics, System Administration, Online Advertising
Education
Keller Graduate School of Management 2009 — 2010
Masters of Business Administration (MBA), Project Management / Technical Business Management
DeVry University 2005 — 2007
Degree; Graduate Certificate; Bachelor of Science, Project Management; Technical Management; Business / Project Management
Taco Bell June 2014 - Present
Health Net November 2014 - Present
Burger King Corporation August 2014 - September 2014
Wal-Mart June 2012 - January 2014
Taco Bell March 2009 - December 2011
Skills
Customer Service, Retail, Merchandising, Cashiering, Sales, Customer Satisfaction, Store Management, Leadership, Microsoft Word, Data Entry, Loss Prevention
Education
Luther Burbank High School 2004 — 2009
Diploma, General Education, 9-12
Cosumnes River College
The Orthopaedic Group November 2013 - Present
CT Children's Medical Center 2008 - October 2013
Health Net 1900 - 1900
Skills
Healthcare, Hospitals, Nursing, BLS, EMR, Patient Safety, Healthcare Management, Medical Terminology, Cpr Certified, HIPAA, Patient Education, Phlebotomy, Vital Signs, Health Insurance, Medicare, Medicaid, Customer Service, Outlook
Education
Housatonic Community College 2010 — 2013
Nursing, healthcare
Porter and Chester Watertown CT 2006 — 2007
Certification, Medical/Clinical Assistant
Drexel University
Billing and Coding, Medical Insurance Coding Specialist/Coder
Magellan Behavioral Health October 2014 - Present
Mehry Lundquist Phd Private Practice July 1996 - Present
Magellan Behavioral Health October 2013 - July 2014
Health Net July 2008 - June 2010
Orange County Adult Outpatient Services January 1991 - June 1993
OC Mental Health Services, Outpatient Services September 1986 - September 1991
Orange County Emergency Triage Services April 1984 - January 1987
Orange County Correctional Medical Services January 1985 - March 1986
Royale Therapeutic Residential Center June 1981 - June 1983
Lawrence Psychological Services January 1982 - March 1983
Skills
Data Entry, Clinical Research, Customer Service, Healthcare, Marketing, Case Management, Hospitals, Teaching, Research, Sales, Public Speaking, Healthcare Management, Coaching, SPSS, Training, Treatment, Nonprofits, Community Outreach, Supervisory Skills
Education
u of m 1985 — 1988
phd, psychology
university of michigan 1984 — 1986
Doctor of Philosophy (PhD)
Eastern Michigan University 1978 — 1980
doctor of psychology, Psychology
CareOregon 2009 - 2012
Health Net January 2005 - April 2006
HealthNet Federal Services - TRICARE August 1998 - April 2004
Skills
Certified Nursing..., Elder Advocate, Customer Oriented, HIPAA, Managed Care, Health Insurance, Provider Relations, Process Improvement, Medicare Advantage, Claims processing, Problem Analysis, Problem Solving, Provider Education, Member Education, Outlook, Microsoft Office, Budgets, Health Fairs, SharePoint, Mac OS, Spreadsheets, Proactive self-starter, Databases, Events Coordination, Budget Setting, Travel Planning, Insurance
Education
Edmonds Community College 1980 — 1982
Coursework in Business and Health Administration
Trinity Technology Group, Inc. September 2014 - Present
EMF Broadcasting November 2005 - September 2014
Intel Corporation April 2005 - October 2005
Health Net May 1998 - April 2005
American Management Systems January 1996 - April 1998
Skills
HTML 5, CSS3, jQuery, jQuery Mobile, JavaScript, AngularJS, C#, LINQ, ASP.NET, Bootstrap, ASP.NET Web.API, RESTful WebServices, Google Maps API, ASP.NET MVC, VB.NET, Windows Azure, Database Design, Entity Framework, SQL Server, Object Oriented Design, User Interface Design, LESS, SQL, KnockoutJS, Web Analytics..., Visual Studio, SOAP, XML
Education
DeVry University-California 1993 — 1996
Bachelor's Degree, Computer Information Systems
Health Net April 2015 - Present
Skills
Windows, Financial Analysis, Call Centers, Auditing, Customer Service, SAP, Account Reconciliation, Sales, Troubleshooting, Account Management, Access, Microsoft Excel, Finance, Data Analysis, Software Documentation, Management, Process Improvement, Vendor Management, Microsoft Office
Education
De La Salle University 1994 — 1998
BS Computer Science
Macy's Merchandising Group November 2014 - Present
Macy's Merchandising Group November 2012 - November 2014
Macy's Merchandising Group February 2011 - November 2012
Orrefors Kosta Boda AB June 2008 - February 2011
Bed Bath & Beyond January 2007 - May 2008
Health Net November 2005 - December 2006
Rosicki Rosicki & Associates, PC June 2005 - November 2005
Skills
Merchandising, Visual Merchandising, Apparel, Retail, Assortment, Fashion, Trend Analysis, Inventory Management, Microsoft Excel, Customer Service, Microsoft Word, Trend, Product Development, Sales, Merchandise Planning, Private Label, Wholesale, Retail Sales, Analysis, Pricing, Brand Management, Department Stores, Brand Development, Luxury Goods, Trend Forecasting, Sales Management, PowerPoint, Marketing, Creative Direction, Management
Education
Fashion Institute of Technology 2005 — 2008
AA, Fashion Merchandising
State University of New York College at Oneonta 2001 — 2005
BS, Buinsess Economics
Atlantic Health May 2014 - Present
Atlantic Health February 2007 - May 2014
St. Barnabas Hospital January 1994 - January 2007
Health Net 1997 - 2005
St Clare's Hospital 1991 - 1993
St Clare's Hospital 1991 - 1993
St Clare's Hospital 1991 - 1993
Skills
Nursing, Hospitals, Healthcare, Healthcare Management, Patient Safety, ACLS, Critical Care, Patient Education, Nursing Education, EMR, Healthcare Information..., Medicine, Pediatrics, HIPAA
Education
College of St Elizaabeth 2012 — 2015
Bachelor's degree, Registered Nursing/Registered Nurse
County College of Morris 1991 — 1993
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse
Health Net September 2013 - Present
POMI Apparel May 2013 - Present
Sarguis.com January 2009 - Present
Avanquest Software July 2013 - September 2013
The Whisky A Go-Go February 2013 - May 2013
Cardone Training Technologies, Inc. July 2012 - December 2012
Aahs Signs and Graphics February 2012 - July 2012
Wai and Connor, LLP May 2009 - February 2012
Thousand Oaks Printing December 2005 - June 2008
Skills
Graphic Design, Marketing Strategy, Marketing design, Photoshop, Illustrator, Dreamweaver, Corel Draw, Laser Engraving, Signage, Banners, Flyers, Business Cards, Stationary Packages, Movie Posters, Printed Matter, Dye Sublimation, book layout, book cover, magazine design, book design, digital book design, Marketing, Book Design, SEO, Book Covers, Magazine Design, Posters, Advertising, Brochures, Typography, Corporate Identity, Layout, Direct Mail, Adobe Creative Suite, Graphics, Logo Design, Art Direction, Mac, Image Manipulation, Adobe Acrobat, Newsletters, Illustration, InDesign, Image Editing
Education
DeVry University 2009 — 2012
Associate's degree, Web Graphic Design
North Hollywood High School 1998 — 2001
High School Diploma, General Education
Health Net November 2012 - Present
Health Net 2005 - 2012
Health Net 1997 - 2005
Skills
Self-driven, Motivation, Building Relationships, Client Education, Helping Clients Succeed, Handle Multiple..., Computer Proficiency, Solution Orientated, Energetic team player, Communication Skills, Accountability, Team Building, Employee Benefits, Highly Detailed, Exceptionally well..., Adaptable to Changes, Medicare, Health Savings Accounts, Underwriting, Health Insurance, Managed Care, Brokers, PPO, Healthcare Industry, Insurance, Life Insurance, HMO, Selling, Sales, Sales Operations, Healthcare
Education
Diablo Valley College
Business and Administration
Life License, California Department of Insurance
Diablo Valley College, Business and Office Administration
Children's Hospitals and Clinics of Minnesota July 2013 - Present
HealthMarkets April 2007 - May 2012
Coventry Health Care July 2005 - April 2007
Ardent Health Services November 2003 - July 2005
Health Net October 1999 - November 2003
Kaiser Permanente March 1998 - October 1999
Education
University of Southern California 1996 — 1998
Master's degree, Health/Health Care Administration/Management
Creighton University 1988 — 1992
Bachelor of Arts (B.A.), History
Health Net March 2008 - Present
Health Net July 2007 - April 2008
Health Net March 2006 - July 2007
Xcel Energy November 2001 - March 2006
Xcel Energy October 1997 - November 2001
Skills
Workforce Planning, Employee Engagement, Talent Management, Deferred Compensation, Performance Management, Organizational..., Employee Relations, Leadership Development, Change Management, Succession Planning, Organizational..., HRIS, Talent Acquisition, Onboarding, Organizational Design, Human Resources, Recruiting, Sourcing, Strategy, Applicant Tracking..., Leadership, Consulting, Management
Education
University of Minnesota - Carlson School of Management 1993 — 1995
MAIR, Industrial Relations
Creighton University 1977 — 1981
BA, Social Work
Humana January 2013 - Present
Arcadian Health Plan June 2011 - January 2013
Monarch Healthcare IPA August 2006 - May 2011
Health Net September 2005 - August 2006
Skills
Strong analytical and..., Ability to handle..., Exceptional time..., Strong understanding..., Detail oriented with..., Proven ability to..., Excellent in..., Meet Deadlines, Problem Solving, Healthcare, Policy, Time Management, Credentialing, HEDIS, Health Insurance, Health Policy, JCAHO, Leadership, Managed Care, Medicaid, Medicare, NCQA, Quality Improvement, Team Building, HIPAA
Education
Delhi University 1996 — 1999
BA, 1999
IPS Corporation June 2014 - Present
Jenny Craig November 2013 - June 2014
Master Halco November 2008 - November 2013
Master Halco November 2008 - November 2013
Master Halco April 2007 - November 2013
Master Halco January 2008 - October 2013
Blue Shield of California October 2008 - November 2008
Disney Corporation May 2007 - October 2008
Master Halco November 2007 - March 2008
Health Net January 1998 - January 2008
Skills
Database Management, System Design, System Documentation, Flow Charts using Visio, ETL programs and SQL..., EDI Interface, RPG, ILE, Free Format..., Database Conversion, Visio, PowerPoint, SQL DB2, Crystal Reports, Database Design, FTP, File conversion to cvs,..., IBM ISeries email..., MessengerPlus 8.0
Education
Far Eastern University 1970 — 1979
BSBA, Journalism, Business, Accounting
Far Eastern University
Bachelor of Science, Business Administration (Management/Accounting)
McAdam Financially Advanced™ February 2015 - Present
WRB Communications, Inc. November 2012 - January 2015
Health Net December 2008 - March 2012
Skills
Microsoft Excel, Microsoft Word, Customer Service, Training, Microsoft Office, Public Speaking, Team Building, PowerPoint, Process Improvement, Outlook, Healthcare
Education
Strayer University (VA) 2006 — 2009
Master's in Public Health Admin., Health Services Administration
Elizabeth City State University 2002 — 2006
Bachelor's degree, Biology, General
Candescent Health January 2015 - Present
Radisphere May 2013 - January 2015
Radisphere October 2012 - April 2013
Radisphere National Radiology Group June 2009 - September 2012
Health Net October 2004 - May 2009
Health Net May 2000 - August 2004
Health Net October 1998 - May 2000
Health Net (formally Physicians Health Services) January 1993 - October 1998
Health Net (formally Physicians Health Services) May 1992 - January 1993
Health Net (formally Physcians Health Services) July 1991 - May 1992
Skills
Process Improvement, HIPAA, Healthcare Information..., Healthcare, Software Documentation, Business Analysis, Project Management, Vendor Management, Cross-functional Team..., SDLC, Training, Program Management, PACS, Software Testing, Software Testing Life..., Release Management, Client Relations, Client Liaison, Learning Management...
Education
Eastern Connecticut State University 1987 — 1991
Bachelor of Applied Science (BASc), Business Administration, Accounting Concentration
California Health & Wellness / Centene July 2015 - Present
WellPoint August 2013 - July 2015
St. John's Well Child & Family Center June 2012 - August 2013
CHOC Health Alliance / Aetna January 2010 - June 2012
Ability First November 2009 - July 2010
Health Net February 2007 - January 2010
American Academy of Pediatrics, Chap 4 February 2009 - October 2009
Providence Speach and Hearing Center March 2008 - September 2009
Inland Empire Health Plan 2005 - 2007
Santarus, Inc. October 2004 - October 2005
Skills
Managed Care, Medical Management, Utilization Management, Care Management, Quality Management, Health Plans, HMO, Health Insurance, Healthcare, Budgeting, Pharmaceuticals, Medical group management, Strategic Planning, Healthcare IT, Healthcare Management, Healthcare Information..., Healthcare Marketing, Health Policy, Pharmaceutical Industry, Network Development, Budgets, EMR, Hospitals, Medicaid, Physicians, Quality Improvement, Medicine, Credentialing, Clinical Research, Disease Management, Practice Management, NCQA, HEDIS, EHR, PPO, Provider Relations, Healthcare Consulting, Informatics, Medicare, Medical Education, Healthcare Industry, Revenue Cycle, Internal Medicine, Accountable Care, Family Medicine, Public Health, HIPAA, Pediatrics, Board Certified, Case Management
Education
University of California, Irvine - The Paul Merage School of Business 2001 — 2003
MBA, Healthcare
Des Moines University 1988 — 1992
DO, Medicine
Health Net April 2012 - Present
L-3 Communications January 2008 - April 2012
Skills
CISSP, Vulnerability Assessment, Information Security, Information Assurance, DoD, Intrusion Detection, NIST, Security, DIACAP, CISM, Information Security..., Vulnerability Management, Leadership, Penetration Testing, FISMA, IDS, Computer Security, Integration, Incident Response, Security+, Project Management, Internal Audit, Internal Investigations, Network Security, Security Policy, Computer Forensics, Internal & External..., CEH, Firewalls, PCI DSS, ISO 27001, Disaster Recovery, IPS, Business Continuity, Snort, CISA, CompTIA, ArcSight, Security Audits, Information Technology, Nessus, Security Awareness, Defense, Security Architecture..., IT Audit, Siteminder, Vulnerability Scanning, CompTIA Security+
Education
Embry-Riddle Aeronautical University 2004 — 2007
Masters, Science In Technical Management
DeVry University Phoenix 2001 — 2005
Bachelors, Science in Computer Information Systems
MKM Human Resources Strategies, LLC October 2014 - Present
eVariant August 2012 - October 2014
Waterbury Hospital 2006 - 2011
ConnectiCare 1999 - 2000
Physicians Health Services 1986 - 1998
Health Net 1986 - 1998
Skills
Performance Management, Human Resources, Employee Engagement, Recruiting, Organizational Design, Leadership Development, Change Management, Training, Leadership, Deferred Compensation, Strategy, Labor Relations, Employee Benefits, Talent Management, Organizational..., Policy, Coaching, Process Improvement, Management, Healthcare, Project Management, Employee Relations, Succession Planning
Education
Fairfield University
Sacred Heart University
University of Bridgeport
Wiley Rein LLP May 2015 - July 2015
Akin Gump Strauss Hauer & Feld LLP June 2012 - July 2014
Weil Gotshal and Manges LLP May 2011 - August 2011
Office of the Attorney General for the District of Columbia January 2011 - May 2011
Health Net June 2010 - August 2010
Dickinson College 2009 - 2010
American Liver Foundation July 2009 - August 2009
Skills
Legal Research, Nonprofits, Spanish, Westlaw, Intellectual Property, Research, Due Diligence, Legal Writing, Civil Litigation, Litigation, Trials, Courts, Commercial Litigation, Appeals
Education
Harvard Law School 2014 — 2017
Juris Doctor (J.D.)
Dickinson College 2008 — 2012
B.A. magna cum laude, Political Science
Bizmatics December 2014 - Present
Bizmatics Inc December 2012 - December 2014
GoPago February 2012 - December 2012
ClearPractice, EGHC April 2009 - February 2012
e-MDs October 2006 - April 2009
VersaSuite - Integrated Healthcare Solutions February 2005 - October 2006
DJO Global August 2004 - February 2005
QuadraMed September 2003 - August 2004
Health Net October 2002 - September 2003
EarthLink Business August 2001 - September 2002
Skills
EHR, EMR, Training, Healthcare Information..., Practice Management, Healthcare, Leadership, Software Documentation, Customer Service, Software Implementation, Healthcare Consulting, HIPAA, HL7, Start-ups, Management, Medical Billing, Business Analysis, SaaS, Microsoft Office, Presentations, Project Management, Troubleshooting, Testing, Technical Support, Salesforce.com, Process Improvement, Software Project..., Information Technology, Consulting
Education
Cosumnes River College 1997 — 1999
Management Information Systems, General
Galt Joint Union High School 1995 — 1999
Health Net 2014 - Present
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Research, Accounting, Outlook
Education
DeVry University 2006 — 2013
Evolent Health June 2013 - June 2014
Health Net June 2003 - March 2013
Health Net June 2002 - June 2003
Health Net January 2000 - June 2002
Health Net January 1995 - January 2000
Skills
Management, Program Management, Case Managment, Employee Wellness, Disease Management, Utilization Management, NCQA, Managed Care, Wellness, Healthcare Management, Population Health, Program Implementation, Integration, HMO, PPO, Medicare, Process Improvement, Health Education, Healthcare, Public Health, Medicaid, Physicians, Provider Relations, Clinical Research, Healthcare Industry, Healthcare Consulting, Health Policy, Quality Improvement, Case Management
Education
Creighton University School of Nursing 1983 — 1987
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
Creighton University 1982 — 1987
BSN, Nursing
Health Net June 2015 - Present
Xerox State Healthcare LLC December 2012 - June 2015
Xerox State Healthcare September 2011 - December 2012
Arcadian Health Plan October 2009 - January 2011
CMA Foundation 2000 - 2010
Blue Shield of California May 2009 - October 2009
BloodSource January 2007 - December 2008
Magellan Health Services November 2002 - July 2008
National Imaging Associates Inc 2002 - 2006
Blue Shield of California May 1995 - November 2002
Skills
Healthcare, Healthcare Management, Clinical Research, Utilization Management, Managed Care, Healthcare Information..., Health Policy, Disease Management, Hospitals, Cross-functional Team..., Medicaid, Medicare
Education
David Geffen School of Medicine at UCLA 1972 — 1976
MD, Medicine
Health Net March 2015 - Present
Conversio Health August 2013 - February 2015
Effective Compliance Solutions, LLC July 2013 - August 2013
CVIS Regulatory Compliance Solutions / CV Infosys March 2007 - June 2013
Blue Shield of California March 1999 - March 2007
Prudential Health Care July 1995 - February 1999
HealthNet March 1993 - July 1995
Southern California Edison November 1988 - March 1993
PacifiCare Health Systems August 1987 - November 1988
SelectCare Management Company 1986 - 1987
Skills
Healthcare, Compliance, Medicare, Process Improvement, Contract Negotiation, Managed Care, Employee Benefits, Claim, Network Development, Program Management, Health Policy, Provider Relations, Project Management, PPO, Hospitals, Policy, Healthcare Industry, Customer Service, System Administration, Data Analysis, HIPAA, Software Documentation, Healthcare Management, EHR, Analysis, Pharmacy Benefit..., Team Building, Budgets, Health Information..., Medicaid, Health Insurance, Management, Healthcare Information..., Informatics, Leadership, Strategic Planning, Executive Management, Privacy Law, Negotiation, Revenue Cycle, Healthcare Consulting, Training, Clinical Research, Administration, Insurance, Access, Physicians, Global Regulatory...
Education
Health Care Compliance Association 2007 — 2012
CHC, Certification in Helath Care Compliance
Landmark Education 2000 — 2003
Certificate, Management & Leadership
University of Southern California 1989 — 1989
Certificate, Health Care Management
University of California, Los Angeles 1979 — 1981
BA, German Literature
El Camino College 1974 — 1978
AA, German & Photography
Universitaet Innsbruck 1976 — 1976
Certificate, German
Privat Gymnasium 1973 — 1974
Certificate, German
Self-employed May 2004 - Present
Gila River Health Care December 2011 - October 2014
Health Net 2009 - December 2011
Fort McDowell Yavapai Nation October 2005 - March 2009
Education
University of Nevada-Reno 1997 — 1999
Master's degree, Social Work
Excelsior College 1992 — 1996
Bachelor of Applied Science (B.A.Sc.), Psychology
Overlake Hospital May 2014 - Present
Swedish Medical Center January 2014 - May 2014
MultiCare Health System May 2013 - December 2013
MultiCare Health System 2011 - May 2013
Comcast August 2009 - July 2010
Minor and James Medical May 2008 - February 2009
Health Net January 2007 - May 2008
Skills
Customer Service, Medical Billing, Medical Coding, Invoicing, Human Resources, Call Centers, Process Scheduler, Insurance, EHR, HIPAA, EMR, Healthcare, Healthcare Management, Medical Terminology, Teamwork, Revenue Cycle, Medicare, Hospitals, Healthcare Information..., Epic Systems, Appointment Scheduling
Education
Everest College-Tacoma 2005 — 2006
Medical Billing/Coding Certificate
University of Phoenix
Health/Health Care Administration/Management
Chase September 2014 - Present
Modis September 2013 - September 2014
Newt Global December 2012 - August 2013
Key Bank October 2005 - August 2012
KeyBank 2005 - August 2012
WorldCom July 1999 - December 2002
Health Net May 1996 - June 1999
Skills
Visio, Business Analysis, Analysis, Data Analysis, Mentoring, COBOL, Problem Solving, Team Leadership, Documentation, Microsoft Office, Windows, Word, Programming, Software Development, SharePoint, PowerPoint, Databases, SQL, SQL Server, DB2, System Maintenance, Systems Analysis, End User Training, Training Documentation, One-on-one Training, System Enhancements, Production Support, JCL, Microsoft Word, Software Documentation, Requirements Gathering, Microsoft SQL Server, Access, Data Warehousing, Oracle, Vendor Management, Business Intelligence, Disaster Recovery, Business Requirements, Requirements Analysis
Education
Cuyahoga Community College 2009 — 2016
General
Denver Technical College 1993 — 1995
AAS, CIS/Business
Pitney Bowes 2011 - Present
TransEngen, Inc March 2009 - January 2010
Health Net, Inc January 2007 - September 2008
Health Net August 1990 - September 2008
Process Improvement January 2005 - January 2007
Health Net, Inc July 1997 - January 2005
DH Andrews Group January 1997 - July 1997
Physician's Health Services January 1990 - January 1997
Physician's Health Services 1990 - 1992
Leask & Leask PC, CPA January 1987 - January 1990
Skills
Operations Management, Process Improvement, Project Management, Integration, Financial Reporting, Finance, Portfolio Management, Business Case, Risk Assessment, Staff Augmentation, Vendor Management, SDLC, Business Analysis, Insurance, Technical Liaison, Visio, Business Process..., Access, Lotus Notes, Cross-functional Team..., Data Warehousing, Change Management, Program Management, Budgets, Data Analysis, Project Planning, Healthcare, Software Documentation, CRM, Project Portfolio..., Strategy, Analysis, Management, Business Intelligence, Leadership, Training, ERP, Start-ups
Education
Fairfield University
certificate, Manigerial Finance
Post University
BA, Business Management; Computer Science
Post University
AS, Accounting Post; Accounting
Liberty Mutual Insurance September 2013 - Present
Citizens Bank October 2012 - September 2013
Citizens Bank June 2012 - September 2012
American Family Funding January 2003 - March 2011
Vast Solutions 1999 - 2001
Health Net 1998 - 1999
Enterprise Rent-A-Car 1994 - 1996
Warner Brothers Studios 1992 - 1992
Skills
Copywriting, Customer Relations, Healthcare, Marketing Communications, Writing, Market Research, Creative Writing, Social Media, Project Management, Web Project Management, Web Content, User Experience, RFP, Customer Service
Education
Northfield Mt. Hermon
University of New Hampshire
B.A., English
Emerson College
M.A., Marketing Communications
Salem State College
Creative Writing Class/Spring 2011
Southern New Hampshire University 2014 — 2018
Master of Business Administration (M.B.A.), Internet Marketing
The Zrnich Law Group, P.C. December 2011 - Present
Khuri & Zrnich, P.C. January 2009 - December 2011
Sanders and Associates December 2001 - July 2004
Konowiecki & Rank, P.C. October 1998 - October 2001
Health Net 1998 - 1998
Skills
Foreclosure Defense, Civil Litigation, Bankruptcy, Consumer Law, Litigation, Real Estate, Foreclosures, Group Leadership, Legal Research, Courts, Legal Writing, Legal Issues, Wills, Mediation, Trial Practice, Legal Advice, Corporate Law, Family Law, Appeals, Commercial Litigation, Trials, Trusts
Education
DePaul University College of Law 1992 — 1995
JD
University of Arizona 1987 — 1989
B.A., English
Wellpoint Anthem July 2012 - Present
Health Net January 2012 - July 2012
OptumHealth November 2010 - August 2011
National Resource Corporation June 2010 - December 2010
Silverlink Communications November 2006 - April 2010
Healthways September 2000 - October 2006
Fran Donovan Consulting January 1993 - September 2002
Scripps Health 1990 - 2002
Skills
Data Analysis, Program Management, Managed Care, Process Improvement, Strategy, Start-ups, Team Building, Management, Enterprise Software, Analysis, Healthcare, Medicare, Training, Hospitals, Sales, Business Development, Account Management, Healthcare Industry, Marketing, Disease Management, HIPAA, Clinical Research
Education
Northeastern University - Graduate School of Business Administration
MBA
Saint Anselm College
Bachelor of Science, Nursing
VSP Vision Care June 2015 - Present
Volt Workforce Solutions (VSP) March 2015 - June 2015
Health Net January 2014 - March 2015
Kelly Services (Health Net) September 2013 - January 2014
Health Net Pharmaceutical Services February 2012 - June 2013
Citrus Heights Regional Chamber of Commerce January 2010 - August 2012
5LINX Enterprises Inc. November 2010 - November 2011
Depot Park (Contract) June 2011 - October 2011
Health Net Pharmaceutical Services May 2010 - May 2011
American Family Life Assurance Company of Columbus (AFLAC) November 2009 - March 2010
Skills
Insurance, Microsoft Office, Accounting, Typing, Administrative Support, Healthcare, Property Management, Telecommunications, Database Management, Excel, Outlook, Word, Recruitment/Retention, PowerPoint, Lotus Notes, Internet, Writing, Volunteer Management, Payroll, Human Relations, Employee Benefits, Customer Service, Collections, Problem Solving, CSI, API, Clear Trans, MS400, Pharmaceutical Industry, Administrative..., Account Management, Microsoft Excel, Accounts Receivable, Marketing, Interviews, Office Management, Microsoft Word, Invoicing, Call Centers, Accounts Payable, Office Administration, Policy, Temporary Placement, Budgets, Training, Networking, Employee Relations, PeopleSoft, Leadership, Benefits Administration
Education
Eckerd College 2004 — 2005
Bachelor of Arts, Business Management
St. Petersburg College 1996 — 2003
Associate of Arts, Business
See Spot Run, LLC June 2015 - Present
City of Wilmington Department of Real Estate and Housing July 2014 - June 2015
Mayor's Office of Neighborhood Development September 2014 - May 2015
University of Delaware August 2013 - May 2014
Health Net August 2011 - March 2013
TIME Financial June 2009 - August 2011
India Urban Space Foundation August 2008 - February 2009
Dartmouth College Admissions Office June 2007 - June 2008
Skills
Project Management, Data Analysis, Policy, Research, Public Speaking, Writing, Proof-reading and..., Time Management, Microsoft Excel, Policy Analysis, Community Outreach, Analysis, Editing, Nonprofits
Education
University of Delaware 2013 — 2015
Dartmouth College 2004 — 2008
Bachelor of Arts, Geography
NurseWes, LLC December 2012 - Present
Health Net August 2015 - Present
Flex RN March 2011 - Present
Drexel University Family Nurse Practitioner Program September 2014 - September 2015
Plastic Surgery Associates, PC (Csaba Magassy, MD, FACS) May 2011 - May 2013
Georgetown University Hospital October 2010 - March 2011
Johns Hopkins Bayview Medical Center July 2008 - August 2010
Skills
Nursing Management, Perioperative Nursing, Botox Cosmetic, Juvederm, Radiesse, Obagi, Chemical Peels, Skin Care, Wellness, Wellness Coaching, IPL, Microdermabrasion, Fraxel, Laser Resurfacing, Healthcare Management, Plastic Surgery, Cosmetic Injectables, Dysport, Restylane, Belotero, Xeomin, Facial Aesthetics, Beauty, Aesthetic Surgery, Nutritional Counseling, Anti-aging, Operations Management, OSHA, Patient Safety, Registered Nurses, Critical Care, Surgery, Clinical Research, Aesthetics, Medicine, Healthcare, Nursing
Education
Drexel University 2015 — 2018
Doctor of Nursing Practice (DNP), Nursing Practice
Drexel University 2012 — 2015
Master of Science in Nursing, Family Practice Nurse/Nursing, 3.785
The Johns Hopkins University 2007 — 2008
Bachelor of Science, Nursing Science, 3.337
Milligan College 2003 — 2007
Bachelor of Arts, English Language and Literature, General, 3.78
University of Oxford 2006 — 2006
Visiting Student, Scholars Semester in Oxford, 4.0
Anthem Blue Cross October 2004 - Present
Dictaphone February 2004 - October 2004
Health Net February 2001 - February 2004
SBC (SNET) July 1999 - December 2000
Diagnostic Oncology CRO (DOCRO) March 1998 - June 1999
DIANON Systems, Inc. 1984 - 1998
Combustion Engineering, Inc. June 1976 - July 1984
Skills
Internal Controls, Sarbanes-Oxley Act, Auditing, Accounting, Internal Audit
Education
Fairfield University 1982 — 1994
BS, Finance
Andrew Warde High School 1971 — 1975
Dipolma
High School 1971 — 1975
Dipolma, Business
Maritime Services Ltd August 2011 - Present
Health Net May 2008 - August 2010
Cognizant Technology SolutionsUSA December 2006 - August 2010
Everest Business Solutions USA August 2005 - December 2006
Si Tanka University USA August 2003 - May 2005
Mercantile Traders Nepal April 1999 - March 2001
Skills
SDLC, Business Analysis, Web Applications, HTML, Subversion, Struts, Weblogic, Software Documentation, Systems Analysis, JDBC, Servlets, Ant, Programming, Maven, Microsoft Office, Project Management, Project Coordination, Microsoft Excel, Analysis, Requirements Analysis, Management, Financial Accounting, Software Development, Oracle, XML, Java
Education
Dakota State University 2001 — 2003
Master's degree, Information Systems, A
Kathmandu University 1994 — 1998
Bachelor's degree, Electrical Engineering
st. xaviers School 1982 — 1992
Safeway March 2013 - Present
BOYS PC&FM September 2012 - March 2013
Towers Watson October 2007 - January 2012
Health Net April 2006 - September 2007
LifeMasters Supported SelfCare January 2005 - April 2006
The Law Offices of Robert J. Beles January 2004 - January 2005
Skills
Data Analysis, Project Management, Business Analysis, Access, Microsoft Excel, Process Improvement, Management, Training, Analysis, PowerPoint, Visio, Customer Relations, Microsoft Word, Team Building, Vendor Management, Lotus Notes, Marketing, Account Management, Software Documentation, CRM, Troubleshooting, Business Intelligence, Leadership, MS Project, Administration, Database Administration, HRIS, System Administration, Change Management, Strategic Planning, Quality Assurance, Teamwork, Integration, Strategy, Marketing Strategy, Management Consulting, Employee Engagement, Analytics, Project Planning, Forecasting, Photoshop, Adobe Acrobat, Research, Online Marketing, Budgets, Program Management, Microsoft SQL Server, QlikView, SAS Programming
Education
DeVry University 2000 — 2003
Bachelor of Science, Telecommunications Management
The Worm Whisperer April 2013 - Present
Self-employed February 2014 - January 2015
Microsoft May 2013 - September 2013
Anani Institute March 2013 - May 2013
Health Net October 2010 - February 2011
Apple May 2008 - October 2008
Skills
Life Insurance, Term Life Insurance, Fixed Annuities, Insurance, Long-term Care, Retirement Planning, Retirement, Long Term Care Insurance, Strategic Financial..., Academic Tutoring, Tutoring
Education
Cosumnes River College 2015 — 2018
Associate's degree, Biology, General
West Hills Hospital and Medical Center December 2013 - Present
West Hills Hospital and Medical Center December 2013 - Present
Kaiser Permanente June 2010 - February 2011
Anthem Blue Cross SPMM May 2008 - June 2010
Health Net June 2007 - April 2008
Education
Walden University 2010 — 2012
MHA, Healthcare Administration
Kaplan University 2005 — 2007
BS, Business Management: Healthcare
Excelsior College 2000 — 2002
Associate's Degree, Registered Nursing/Registered Nurse
Faneuil Inc November 2014 - May 2015
Health Net March 2014 - October 2014
Kmart Corporation November 2013 - February 2014
K-Designers September 2013 - November 2013
Sears Holdings Corporation November 2012 - December 2012
Levy Restaurants December 2011 - April 2012
Walgreens July 2011 - August 2011
EDS Medical March 2006 - June 2009
Skills
Computers, Pharmacy, Data Entry, Cashiering, Clerical Work, Compounding, Pharmacy Automation, Customer Service, Administrative..., Clinical Pharmacology, Microsoft Office, Social Networking, Call Centers, Cash Register, Inventory Control, Pharmacists, Microsoft Excel, Administrative..., Social Media, Team Building
Education
Carrington College California 2010 — 2011
Associates of Science, Pharmacy Technology Program, 2.0
Cosumnes River College 2010 — 2010
none, general edcation
laguna creek high school 2001 — 2005
diploma, 2.0
Gina Gomez, Business Coach May 2012 - Present
FJL Contemporary Art July 2007 - Present
Health Net October 2003 - May 2008
PacifiCare 1990 - 2003
Skills
Account Management, Strategic Planning, Insurance, Healthcare, Health Insurance, Managed Care, Medicare, Marketing Strategy, Team Building, Marketing, New Business Development, Customer Service, Finance, Copywriting, Leadership Development, Access, Photography, Mergers, Business Analysis, Forecasting, Research, Organizational..., Team Management, Direct Sales, Human Resources, Management, Coaching, Leadership, Strategy, Business Development, CRM, Small Business, Entrepreneurship, Sales, Social Networking, Networking, Social Media Marketing, Training, Start-ups, Social Media, Advertising, Marketing Communications, Online Marketing, Public Speaking, Fundraising
Education
Pepperdine University, The George L. Graziadio School of Business and Management 2000 — 2003
Bachelor of Science, Business
Dominican University of California 1985 — 1988
Health Net March 2005 - Present
Skills
Claim, Legal Liability, Claims Management, Reinsurance, Litigation Management, Brokers, Workers Compensation, General Insurance, Property & Casualty..., Insurance, Claim Investigation, Health Insurance, Underwriting, Disability Insurance, Liability, Medicare, Commercial Insurance
Education
DeVry University-California 2013 — 2015
Bachelor’s Degree, Business Administration and Management, General, 3.89
Health Net March 1998 - Present
Culver City Ambulatory Care Center, Inc., Culver City, CA August 1996 - March 1998
Education
Delhi University 1974 — 1978
California Board of Accountancy
C P A
The institute of Chartered accountancy
Deloitte November 2014 - Present
POSSE September 2010 - Present
Health Net October 2010 - November 2014
UCLA Anderson Riordan MBA Fellows Program August 2012 - May 2013
Determined To Succeed September 2010 - August 2012
Health Net June 2010 - November 2010
Dickinson College August 2009 - May 2010
POSSE 2006 - 2010
Barlow Respiratory Hospital June 2008 - August 2008
Duke's Malibu May 2005 - August 2006
Skills
Data Analysis, Microsoft Excel, PowerPoint, Spanish, Training, Leadership, Accounts Payable, Microsoft Office, Outlook, Salesforce.com, Microsoft Word, Analysis, Research, Customer Service, Policy, Nonprofits, Community Outreach, Event Planning
Education
Dickinson College 2006 — 2010
BA, International Business & Management, French
Sciences Po Toulouse 2009 — 2009
Geography, European Institution
Université de Toulouse-le-Mirail (Toulouse II) 2009 — 2009
History of Woman
Sutter Health July 2015 - Present
Sutter Health August 2014 - Present
Sutter Health January 2014 - Present
Walmart January 2009 - Present
Health Net March 2012 - January 2014
Skills
Diagnostic Ultrasound, Ultrasound, Medical Ultrasound, Pharmacy, Medication Therapy..., Data Entry, Hospitals, Prescription, Pharmacy Automation, Community Pharmacy, Patient Counseling, Compounding, Pharmacy Practice, Cashiering, Pharmacy Benefit..., Pharmacy Technicians, Immunization, Cpr Certified, Clinical Pharmacy, Medicare Part D, Medicine, Pharmacueticals, Customer Service, Management, Microsoft Excel, Pharmaceutical Industry
Education
Cosumnes River College 2013 — 2015
Associate of Science (A.S.), Diagnostic Medical Sonography/Sonographer and Ultrasound Technician
University of the Pacific 2004 — 2009
Bachelor's degree, Chemistry Biology
CareCentrix January 2013 - Present
Health Net May 1992 - March 2012
Dunhill July 1986 - May 1992
Skills
Change Management, Succession Planning, Career Pathing, Focus Group Facilitation, Program Development, Training Facilitation, Team Building, Collaborative, Employment Law, Internal Investigations, Focus Groups, Organizational Design, Employee Relations, Organizational..., Human Resources, Leadership, Organizational..., Training, Strategy, Talent Management, Insurance, Employee Benefits, Leadership Development, Employee Engagement, Management, Process Improvement, Performance Management, Personnel Management, Vendor Management, Workforce Planning
Education
Dean College
Associates Degree, Business
Hopkins School
GE Global Research February 2014 - Present
AKQA January 2013 - December 2013
Qumu December 2011 - September 2012
MobiTV August 2010 - November 2011
Cochlear May 2010 - July 2010
Health Net July 2006 - January 2010
Countrywide February 2003 - June 2006
Skills
Hibernate, Tomcat, Java Enterprise Edition, REST, JBoss Application Server, Spring, Web Services, Scrum, Spring Framework, Servlets, Web Applications, Microsoft SQL Server, Agile Methodologies, Ant, Maven, Mobile Applications, AJAX, Test Driven Development, XML, JUnit, Design Patterns, Amazon Web Services..., Multithreading, SSL, Cucumber
Education
Far Eastern State University
MS, Computer Sience
Elderplan, Inc. July 2013 - Present
Preferred Health Partners July 2012 - June 2013
Boxwood LLC January 2012 - June 2012
Manhattan's Physician Group March 2010 - January 2012
Health Net, Inc. June 2003 - January 2010
Health Net 1998 - 2003
Kyto Meridian June 1999 - June 2000
Physicians Health Services June 1997 - January 1999
Skills
Provider Relations, Provider Contracting, Network Development, Credentialing, PPO, Managed Care, Medicare, Process Improvement, Leadership, Healthcare, HIPAA, Medicaid, Strategy, Healthcare Industry, Healthcare Management, HMO, Healthcare Consulting, Management, Access, Healthcare Information..., Hospitals, Health Insurance, Physicians, Operations Management, Revenue Cycle, Practice Management, Health Policy, EHR, Physician Relations, EMR, Policy, Informatics, Quality Improvement, Clinical Research, Performance Improvement, Revenue Cycle Management
Education
Fairleigh Dickinson University
Wake Forest University August 2014 - Present
Health Net 2007 - Present
Salem College September 2005 - Present
Madonna University August 1999 - Present
Skills
Public Speaking, Program Development, Non-profits, Editing, Teaching, Leadership Development, Career Counseling, Microsoft Office, Psychotherapy, Healthcare, Customer Service, Psychology, PowerPoint, Fundraising, Grant Writing, Event Planning, Community Outreach, Higher Education, Social Services, Nonprofits, Volunteer Management, Research, Staff Development, Mental Health, Student Development, Student Affairs, Curriculum Development, Counseling Psychology, Mental Health Counseling, Adolescents, Case Management
Education
Mississippi State University 1994 — 1999
Doctor of Philosophy (PhD), Counselor Education
Wake Forrest University 1982 — 1986
Master of Education (M.Ed.), Counseling
Elon University
Health Net June 2013 - Present
Health Net January 2012 - June 2013
Health Net, Inc May 2004 - June 2013
Health Net January 1999 - August 2004
Yates Petroleum 1989 - 1999
Skills
SDLC, ITIL, Enterprise Software, Visio, Management, Software Documentation, Requirements Analysis, Business Analysis, Vendor Management, Systems Analysis, Requirements Gathering, Process Improvement, Project Management, Disaster Recovery, Healthcare, HIPAA, SQL, Software Project..., Service Delivery, Databases, Business Intelligence, IT Management, Change Management, Access, Unix, Servers, Integration, Vendor Management..., Production Support, Enterprise Architecture, Data Warehousing, SharePoint, Software Development, IT Strategy
Education
Eastern New Mexico University 1987 — 1989
BS, Computer Science
New Mexico Junior College 1985 — 1987
AAS, Computer Science
ConnectiCare October 2010 - Present
Health Net December 1993 - April 2010
Health Net of the Northeast March 2000 - October 2005
M.D. Health Plan December 1993 - March 2000
University of CT Health Center July 1985 - December 1993
Skills
Managed Care, Insurance, Medicaid, Healthcare, Health Insurance, Policy, Legislative Relations, State Government, Government, Budgets, Legislation, Process Improvement, Management, Negotiation, Contract Negotiation, Lobbying, Health Policy, Public Policy
Education
The University of Connecticut Health Center 1996 — 2001
MPH, Public Health
Eastern Connecticut State University 1972 — 1976
BA, Biology
Aon Hewitt April 2014 - Present
Healthways February 2010 - April 2014
Towers Watson October 2009 - February 2010
Watson Wyatt Worldwide June 2004 - October 2009
Mercer November 2001 - June 2004
Health Net 1999 - 2001
Oxford Health Plans 1996 - 1999
Skills
Employee Benefits, Health Insurance, Benefits Administration, Business Development, Healthcare, Strategic Planning, Change Management, Leadership, Strategy, Insurance, Program Management, Data Analysis, Project Management, Managed Care, Management Consulting, Process Improvement, Organizational..., Mergers & Acquisitions, Account Management, Performance Management, Business Strategy
Education
Fairfield University 2000 — 2004
Masters of Business Administration, Finance
University of Connecticut 1989 — 1993
Bachelors of Science in Business Administration, Marketing
Blue Shield of California May 2013 - Present
Health Net June 2010 - April 2013
Blue Shield September 2008 - November 2009
Health Net November 2005 - September 2008
The Temple of Boom May 2004 - May 2007
Family Therapy April 2005 - October 2005
Skills
HIPAA, Process Improvement, Health Insurance, Management, Healthcare, Insurance, Training, Leadership, Visio
Education
Edge Hill College of Higher Education 1993 — 1996
Bachelor of Arts (B.A.), Urban Policy & Race Relations
Durham New College 1992 — 1993
Associates, Teaching/Sport Studies
Edge Hill College of Higher Education 1990 — 1992
Bachelor of Arts (B.A.), Urban Policy & Race Relations
Edge Hill University 1989 — 1991
2:2, Urban Policy and Race Relations
Emblem Health November 2014 - Present
Emblem Health August 2007 - November 2014
Health Net 2003 - 2007
Health Net of the Northeast 2003 - 2007
Blue Cross & Blue Shield of RI 2000 - 2003
Skills
Health Insurance
Education
Fairfield University 1996 — 2000
Yale New Haven Health System October 2010 - Present
Yale New Haven Health System February 2009 - October 2010
Aetna June 2007 - January 2009
Health Net December 2005 - June 2007
Bayer April 2000 - January 2004
Bayer March 1998 - March 2000
Virtual Office LLC July 1997 - March 1998
Travelers June 1990 - July 1997
Skills
Hospitals, Medical, Health, Epic, Customer Service, Customer Relations, PowerPoint, Word, Budgeting, Excel, VBA, Access, Accounting, Medicare, Microsoft Excel, Epic Systems, Software Documentation, Microsoft Word, Analysis, Budgets, EMR, Resolute Hospital..., Healthcare, Healthcare Information..., Process Improvement, HIPAA, Data Analysis, Management, EHR, Managed Care, Leadership, Healthcare Management, Strategy
Education
Quinnipiac University - School of Business 2000 — 2002
MBA, Information Systems
Fairfield University 1986 — 1990
BS, Economics
Health Net October 2004 - Present
Health Net October 2004 - January 2006
Sikorsky Aircraft June 1982 - March 2004
Skills
Medicare, Managed Care, Medicaid, Healthcare Management, Contract Management, Strategic Planning, Management, Health Insurance, Analysis, Human Resources, Policy, Project Planning
Education
Fairfield University 1991 — 1998
UnitedHealthcare February 2013 - Present
Western Connecticut Health Network August 2011 - February 2013
Western Connecticut Health Network April 2011 - August 2011
Health Net March 2005 - April 2011
Western Connecticut Health Network August 2000 - March 2005
Children's Healthcare of Atlanta October 1996 - August 2000
Skills
Pricing, Healthcare, Market Analysis, Strategic Planning, Managed Care, Analysis, Financial Analysis, Process Improvement, Contract Management, Data Analysis, Financial Modeling, Customer Service, Accounts Payable, Leadership, Healthcare Information..., Healthcare Management, Finance, Project Management, Training, Medicaid, Health Insurance, Analytics, Microsoft Excel, Competitive Analysis, Vendor Management, Decision Support, Physicians, Medicare, Health Economics, Team Building, Provider Relations, Business Process..., Auditing, Revenue Cycle Management, Strategic Financial..., Statistics, Internal Audit, Employee Benefits, Clinical Research, Management, Medical Coding, Change Management, Revenue Cycle, Hospitals, Access, Healthcare Consulting, EHR, Databases, Contract Negotiation, Negotiation
Education
Emory University - Goizueta Business School 1994 — 1996
MBA
University of Connecticut 1986 — 1990
BA, English
Health Net November 2005 - Present
MovieBeam February 2005 - October 2005
Elkay Plastics, Inc October 2000 - January 2005
ASCAR Business Systems September 1997 - September 2000
First Investigative Consultants July 1995 - September 1997
Skills
Enterprise Architecture, SDLC, Enterprise Software, SOA, Requirements Analysis, Agile Project Management, Java Enterprise Edition, Integration, Requirements Gathering, Project Portfolio..., Business Analysis, Agile Methodologies, Software Project..., IT Strategy, Business Intelligence, Scrum, Software Development, Systems Analysis, Solution Architecture, Visio, PMP, Business Process, Data Modeling, ITIL, Business Process Design, DB2, Databases, Vendor Management, Data Warehousing, IT Management, Business Requirements, PMO, Oracle, SharePoint, UML, SQL, Architectures, Web Services, Sarbanes-Oxley Act, HIPAA, PCI DSS, RUP Methodologies, Archimate, Design Patterns, Hadoop, Sqoop, Hive, HBase, JavaScript, Big Data
Education
Dhaka Bishwabidyalaya 1988 — 1991
Bachelor of Science (B.Sc.), Physics, Chemisty, Math
Notre Dame College (Dhaka) 1986 — 1988
HSSC (Higher Secondary School Certificate), Physics, Chemistry, Math, Statistics
St. Joseph's High School 1979 — 1985
SSC (Secondary School Certificate)
North Shore-LIJ Health System July 2012 - Present
Leidos May 2012 - Present
US Department of Health and Human Services April 2010 - Present
Nassau County, NY - Emergency Management, Medical Reserve Corps (MRC) March 2009 - Present
NYC Dept of Health and Mental Hygiene’s (DOHMH) Medical Reserve Corps (MRC) April 2008 - December 2014
The Brooklyn Hospital Center August 2010 - July 2012
New Hyde Park Fire Department April 2010 - May 2011
Murray Hill Medical Group May 2008 - July 2010
Health Net 2006 - 2008
Health Net 2004 - 2006
Skills
Healthcare, Healthcare Management, Hospitals, Insurance, Health Insurance, EMR, Emergency Management, Emergency Medicine, Emergency Services, Emergency Room, Emergency Operations, Hospital Operations, Disaster Response, Public Health Emergency..., Managed Care, HIPAA, Financial Analysis, Clinical Research, Public Health, Paramedic, Incident Command, Critical Care, ACLS, Training, Leadership, Policy, Program Management, Process Improvement, Medicine, Software Documentation, Pediatrics, EHR, Healthcare Information..., Informatics, Patient Safety, Quality Improvement, BLS, Healthcare Consulting, EMS, Cpr Certified, Medicare, Surgery, Medicaid, Epic Systems, Performance Improvement, Physicians, Healthcare Industry, Physician Relations, Medical Education, Revenue Cycle
Education
US Department of Homeland Security, FEMA - Center for Domestic Preparedness 2011 — 2011
NYC Department of Health 2010 — 2011
US Department of Homeland Security, FEMA 2009 — 2011
Juran Institute
Six Sigma Champion, Six Sigma
Southern Connecticut State University
MBA, Business Administration
Southern Connecticut State University 1994 — 1997
MPH, Public Health
Yale Sponsor Hospital Paramedic Program 1993 — 1994
Paramedicine, Paramedicine
Fairfield University
BS, Biology, General
MCFA March 2008 - Present
Healthnet of CA September 2004 - April 2008
Health Net April 2004 - April 2008
SCI 2001 - 2004
Skills
IBM iSeries, RPG, SharePoint, Programming, Visual Basic, DB2, SDLC, SQL, Microsoft SQL Server, Process Improvement, COBOL, Access, Software Documentation, Business Analysis, Integration, Software Project...
Education
Feati University 1976 — 1982
Hewlett-Packard June 2013 - Present
Havuk Fit to Fight Training Center March 2012 - Present
Health Net November 2012 - June 2013
Health Net July 2012 - November 2012
AgreeYa Solutions / HP Enterprises March 2011 - May 2012
Affiliated Computer Services September 2010 - March 2011
AGC of California September 2009 - September 2010
EDS / HP Enterprise Services August 2006 - September 2009
EDS / HP Enterprise Services June 2000 - July 2007
Dragon Star Karate January 2002 - January 2004
Skills
Gap Analysis, Visio, Business Analysis, Business Objects, Documentation, Requirements Management, Testing, Test Cases, Use Case Analysis, Office Administration, Software Documentation, Requirements Gathering, Requirements Analysis, PMP, User Acceptance Testing, Systems Analysis, Business Process, IT Service Management, SharePoint, Software Project..., PMO, SDLC, Agile Methodologies, MS Project, Business Process..., Integration, ITIL, Resource Management, Project Portfolio..., Project Delivery, Business Intelligence, IT Strategy, IT Management, Microsoft Project
Education
Cosumnes River College 2009 — 2011
Health Net 2003 - Present
Homelink 2002 - 2003
Hyperion Solutions 2000 - 2002
IMP 1999 - 2000
Education
Fairfield University 1997 — 2000
Environmental Data Resources January 2013 - Present
Health Net June 2008 - November 2011
Health Net August 2006 - July 2008
Health Net October 1999 - August 2006
Health Net February 1996 - October 1999
City of Bridgeport November 1993 - February 1996
Skills
Microsoft Word, Microsoft Excel, Outlook, Microsoft Office, Microsoft Access, Lotus Notes, Groupwise, AS400 system, Macess, Windows 7, Leadership, Customer Satisfaction, Management, Time Management, Training, HIPAA
Education
Fairfield University
Associate of Arts (AA)
Katharine Gibbs School
Information Processing Certificate
Health Net April 2015 - Present
Cathay Bank January 2011 - Present
FIS June 2009 - December 2010
FIS February 2008 - December 2010
Metavante October 2006 - February 2008
Wachovia 2002 - 2005
Skills
Project Management, Microsoft Office, MS Project, PowerPoint, Internal and external..., Cross-functional team..., Requirements Gathering, Business Analysis, Project Planning, Outstanding..., Conflict Resolution, Customer Satisfaction, Needs Analysis, Problem Solving, Skilled Communicator, Integration, AML, Risk Analysis, FATCA, Cross-functional Team..., Change Management
Education
DeVry University 2006 — 2007
Bachelor of Science Management, Project Management
American Casino & Entertainment Properties February 2014 - Present
Link Technologies - MGM Resorts International October 2013 - January 2014
LVH Las Vegas Hotel & Casino May 2011 - October 2013
Sahara Hotel and Casino February 2009 - May 2011
Ahern Rentals October 2007 - June 2008
Health Net September 2004 - September 2007
Skills
SQLRPGLE, RPG Free, SQL, JavaScript, SQL, HTML, SDLC, IBM iSeries, RPG, Web Applications, Programming, Customer Service, DB2, Management, Business Analysis, Systems Analysis, RPG III, RPG Free
Education
Cypress College 2002 — 2004
Computer Science
RWS Music Company January 2015 - Present
Health Net October 2014 - Present
C.L. Barnhouse January 2007 - Present
The Music Room March 2006 - Present
Skills
Music Education, Band, Music, Piano, Bands, Music Theory, Teaching, Classroom Instruction, Flute, Music Technology, Ensemble, Music History, Orchestration, Recording, Bass, Film Scoring, Composition, POP, Classical, Trombone, Choral, Sound, Trumpet, Percussion, Blues, Keyboards, Contemporary Music, Pianist, Funk, Orchestral Music, Musical Theatre, MIDI, Songs, Saxophone, Guitar, Brass, Classroom, Vocal, Songwriting, Audio Editing, Original Music, Finale, Drums
Education
Drexel University College of Nursing & Health Professions Division of Undergraduate Nursing 2013 — 2014
Certificate, Medical Billing and Coding ICD-9 & ICD-10, 4.0
Edinboro University of Pennsylvania 1987 — 1991
BA, Music Education
Sensitive Care Cosmetic & Family Dentistry September 2012 - Present
RE/MAX RIGHT CHOICE October 2011 - February 2014
Ellison Homes January 2012 - April 2012
Health Net of the Northeast February 2008 - June 2008
Health Net September 2005 - February 2008
BIC September 1997 - August 2004
Bindley Western June 1993 - June 1997
Skills
Excel, Word, Outlook, Gmail, Lotus Notes, PowerPoint, Microsoft Office, Access, Business Objects, JD Edwards, AC400, ACL, Answering Phones, Multitasker, Attention To Detail, Corporate Finance, Business Analysis, Customer Service, Database Administration, Data Entry, Data Analysis, ICD-9, CPT, Legal Compliance, Legal Support, Real Estate, Personality, Eaglesoft, Microsoft Word, Microsoft Excel, Software Documentation, Facebook, Administrative..., Auditing, Invoicing, Accounts Receivable, Office Management, HIPAA, Fax, Visio, Medicare, Health Insurance, Databases, Employee Benefits, Operations Management, Legal Assistance, Telephone Skills
Education
Fairfield University 1997 — 2003
BS, Finance, 3.46 Cumulative GPA
The University of Connecticut 1988 — 1989
Business Administration and Management, General
Boehringer Ingelheim October 2012 - Present
Boehringer Ingelheim August 2009 - October 2012
Health Net January 2008 - August 2009
Kindred Pharmacy Services September 2004 - October 2007
Eli Lilly and Company May 2001 - October 2004
Eli Lilly and Company March 2000 - May 2001
Eli Lilly and Company July 1999 - April 2000
Eli Lilly and Company October 1997 - July 1999
Eli Lilly and Company October 1995 - October 1997
Riverside General Hospital/University Medical Center June 1993 - October 1995
Skills
Managed Care, Medicare Part D, Pharmaceutical Industry, Clinical Research, Pharmacy Benefit..., Pharmacy, Managed Markets, Pharmaceutical Sales, Cardiology, Hospitals, Clinical Development, Diabetes, Urology, Hospital Sales, Sales Effectiveness, Neurology, Infectious Diseases, Endocrinology, Biotechnology, Oncology, Product Launch
Education
University of Iowa - Henry B. Tippie College of Business 1990 — 1992
MBA, Business
Drake University 1982 — 1987
BS, Pharmacy
Sumitomo Life Insurance Agency- California August 2010 - April 2014
OptumHealth November 2008 - August 2010
UnitedHealthcare 2007 - 2008
PacifiCare/UnitedHealthcare 2007 - 2008
Anthem- Lumenos September 2005 - June 2007
Lumenos/WellPoint, Inc. 2005 - 2007
Health Net January 2004 - September 2005
Health Net 1996 - 2003
Allied Signal 1996 - 1998
August Internationa 1986 - 1990
Skills
Internal Communications, Account Management, Business Development, Health Insurance, Managed Care, Employee Benefits, Health Savings Accounts, Strategy, Leadership, Marketing, Health Policy, Brokers, COBRA, Claim, Disability Insurance, Consulting, Executive Management, Disease Management, HMO, HIPAA, Health Care Reform, Healthcare, Healthcare Consulting, Healthcare Industry, Long-term Care, Insurance, Management, Medicaid, Medicare, Medicare Part D, Negotiation, PPO, Network Development, Pharmacy Benefit..., Pricing, Process Improvement, Provider Relations, Public Speaking, Sales, Strategic Planning, Team Building, Time Management, Underwriting
Education
University of Pennsylvania - The Wharton School 1978 — 1980
MBA, Marketing & Strategic Planning
Davidson College 1972 — 1974
BA, Economics
LISI April 2014 - Present
Anthem Blue Cross February 2011 - June 2013
Premera Blue Cross Blue Shield of Alaska March 2007 - June 2009
Health Net Dental and Vision May 2001 - June 2006
Mutual of Omaha February 1994 - May 2001
Health Net February 1991 - February 1994
Skills
Health Insurance, Health Savings Accounts, Insurance, Employee Benefits, Disability Insurance, Managed Care, Underwriting, Brokers, HMO, Account Management, Medicare, COBRA, Self-funded, Sales, Life Insurance, Term Life Insurance, Group Medical, PPO, Group Insurance, Health Care Reform
Education
Diablo Valley College
Blue Cross Blue Shield of Tennessee May 2010 - Present
Emblem Health May 2009 - May 2010
Health Net February 2001 - March 2009
QualMed Plans February 1999 - January 2001
PharmaKinetics October 1997 - February 1999
American Red Cross October 1993 - October 1997
Florida Blood Services October 1987 - October 1993
Skills
Managed Care, Medicare, Utilization Management, Disease Management, Healthcare, Medicaid, Healthcare Management, Health Insurance, Provider Relations, HIPAA, Healthcare Information..., Nursing, Case Managment, Hospitals, NCQA, Process Improvement, EMR, HMO, Home Care, Healthcare Consulting, Healthcare Industry, Clinical Research, Health Policy, HEDIS, Revenue Cycle, PPO, Informatics, Quality Improvement, Network Development, JCAHO, Physicians, Pharmacy, Inpatient, Medicine, Physician Relations, EHR, Credentialing, Policy, Medical Billing
Education
Tampa College 1989 — 1991
MBA, Business
Notre Dame of Maryland University 1978 — 1983
BSN, Nursing
Essex Community College 1973 — 1976
AA, Nursing
Health Net August 1995 - Present
Education
Duke University 1993 — 1995
MA, Mathematics
University of California, Davis 1989 — 1993
BS, Mathematics
Allgress, Inc. February 2015 - Present
Allgress, Inc. January 2012 - Present
Health Net October 2010 - January 2012
Delta Dental June 2007 - October 2010
Naval Sea Systems Command 2006 - 2007
Data Control Corporation 2004 - 2006
Charles Schwab 2000 - 2002
Skills
DIACAP, Information Assurance, NIST, Project Planning, Security, PCI DSS, HIPAA, HITECH, SOX, Application Security, Risk Management, Compliance, FISMA, Security Management, Disaster Recovery, Vulnerability Assessment, Incident Response, Information Security..., Network Security, Information Security, CISSP, Information Technology, Security Policy, Computer Security, Sarbanes-Oxley Act, Vulnerability Management, ISO 27001, IDS, CISA, Security Architecture..., Business Continuity, Intrusion Detection, Computer Forensics, Penetration Testing, CEH, Security Audits, CISM, IT Audit, Security Awareness, Identity Management, IPS, Data Security, Security+, Encryption, Cloud Security, Firewalls, Vulnerability Scanning, PKI, DLP, Cryptography
Education
Diablo Valley College 1993 — 1995
Nursing Major, Computer Science Minor
EC-Council
CEH, Ethical Hacking Techniques
(ISC)2
CISSP, Information Systems Security Professional
Learn IT
Class Only, Cisco Network Associates
Learn IT
MCSE, Microsoft Certified Systems Engineer
Yale University September 2011 - Present
Yale University December 2010 - September 2011
Health Net September 2005 - January 2011
Aon Hewitt October 2000 - September 2005
Skills
Analysis, Cross-functional Team..., Analytics, Training, Strategy, Integration, Databases, Employee Benefits, Finance, Testing, Data Analysis, Account Reconciliation, Management, Software Documentation, Process Improvement
Education
Fairfield University 2010 — 2011
Post-baccalaureate Certificate, Accounting
Fordham University 1999 — 2000
M.A., Economics
Fairfield University 1995 — 1999
B.S., Economics, Mathematics, Environmental Studies
Monarch HealthCare July 2007 - Present
Monarch HealthCare July 2008 - September 2009
Fair Isaac Corporation (FICO) 2006 - 2007
Fair Isaac 2002 - 2007
Fair Isaac Corp 2002 - 2007
HNC Software 2002 - 2002
Health Net 1990 - 2002
HealthNet 1989 - 2002
EOS Group 1989 - 2002
St. Jude Hospital 1987 - 1994
Skills
Software Documentation, Business Analysis, Healthcare, Healthcare Information..., Visio, Process Improvement, SQL, Project Management, Windows, HIPAA, EHR, EMR, SharePoint, HL7, Informatics
Education
Indiana State University 2010 — 2014
BSN, Nursing
Sonoma State University 2010 — 2014
RN, Nursing
Cypress College 1977 — 1979
Nursing/Medicine
Vocational Nursing School of California 1977 — 1978
LVN, Nursing
SCAN Health Plan November 2014 - Present
Blue Shield of California August 2012 - October 2014
SCAN Health Plan January 2010 - August 2012
Health Net June 2007 - January 2010
Skills
Disease Management, Utilization Management, Case Managment, Healthcare, Medicare, Clinical Research, Managed Care, Healthcare Management, Health Policy, Medicaid, HIPAA, Acute Care, Hospitals, Healthcare Information..., Healthcare Industry, Quality Improvement, Healthcare Consulting, EHR, Informatics, Physicians, Physician Relations, Health Insurance, Case Management
Education
Creighton University
Bachelor of Science, Nursing
Fairfield University November 2011 - Present
Health Net 1998 - June 2011
PHS 1992 - 1998
Education
Fairfield University 1992 — 1997
Education
Fairfield University 1986 — 1990
Fine Arts, English, Theatre
Retired and enjoying Life. May 2014 - Present
Health Net March 2010 - April 2014
Health Net of CA 2005 - 2009
MAXIMUS 2003 - 2004
OAO Technology Solutions 2002 - 2003
Blue Cross of California 1998 - 2002
Transamerica Insurance February 1989 - 1992
Allstate Insurance 1980 - 1989
Skills
Business Intelligence, Project Management, Leadership, Team Building, Business Process, Management
Education
Eastern Illinois University 1973 — 1977
BS
The SCAN Foundation May 2008 - Present
Los Angeles County Department of Health Services December 2004 - May 2008
Health Net 1997 - 2004
Education
David Geffen School of Medicine at UCLA 1984 — 1988
MD
Harvard University 1980 — 1984
Bachelor of Arts (B.A.), Biology, General
Health Net June 2009 - Present
Talent Tree 2008 - 2010
Chicago Title Insurance Company November 2004 - November 2007
Skills
Applicant Tracking..., Property Management, Outlook, Temporary Placement, Customer Service, Technical Recruiting, Training, Talent Acquisition, Microsoft Office, Administrative..., Data Entry, Office Management, File Management, Spreadsheets, Notary Public
Education
Dekalb Community College
UConn School of Business February 2012 - Present
UConn School of Business September 2011 - Present
University of Connecticut School of Business August 2010 - August 2011
UConn School of Business January 2009 - August 2010
TriHealix 2008 - 2008
Health Net 2002 - 2003
Barnum Festival 1993 - 1994
Skills
Social Media, Public Speaking, Entrepreneurship, Research, Team Building, Leadership, Marketing, Higher Education, Advertising, Event Planning, Data Analysis, PowerPoint, Microsoft Office, Management, Customer Service, Microsoft Excel, Market Research, Nonprofits, Microsoft Word
Education
Fairfield University 1982 — 1986
Master's, Communication
Georgetown University 1972 — 1976
Bachelor of Arts, English, Business, French
University of Connecticut Neag Graduate School of Education
Coursework toward Ph.D., Educational Leadership
United Healthcare July 2010 - Present
Health Net May 2001 - June 2010
Horizon Blue Cross Blue Shield of New Jersey July 1996 - May 2001
Skills
Negotiation, Account Management
Education
East Carolina University - College of Business 1984 — 1989
Bachelors, Business Administration, Marketing
Health Net April 2004 - Present
TRICARE Management Activity 2004 - 2011
Riverside Health System July 2001 - April 2004
University of Virginia Health System 2003 - 2004
Vendell Healthcare December 1994 - November 1996
Education
Rensselaer Polytechnic Institute - The Lally School of Management and Technology 1991 — 1993
MS, Business Management
Eastern Mennonite University 1977 — 1981
BSN, Nursing and Psychology
Health Net Adjunct Faculty Member, MathematicsLos Angeles Pierce Community College2002 - Present
Education
Reed College
Bachelor's degree, Philosophy
Die Ludwig-Maximilians-Universität (LMU) München
Philosophie, Politik, Deutsch
Eastern Washington University
Master of Science (MS), Mathematics
University of Southern California
Master of Science (MS), Statistics
Moda September 2015 - Present
The Regence Group August 2012 - September 2015
Health Net December 2008 - August 2012
The Regence Group May 2007 - November 2008
The Regence Group June 2006 - May 2007
The Regence Group April 2005 - May 2006
The Regence Group February 2003 - April 2005
The Regence Group August 1997 - February 2003
The Regence Group January 1995 - July 1997
Healthdyne September 1991 - November 1995
Skills
Medicare, HMO, Healthcare, HIPAA, Provider Relations, Medicaid, Utilization Management, Disease Management, Managed Care, Health Insurance, Healthcare Management, Insurance, Healthcare Industry, NCQA, Leadership, ICD-9, CPT, Medical Terminology, Nursing, Claim, EMR, Employee Benefits, Inpatient, Process Improvement, Utilization Review, Quality Improvement, Hospitals, Health Policy, Medical Billing, Case Managment, Network Development, Healthcare Consulting, Medicare Part D, Credentialing, Healthcare Information..., Pharmacy Benefit..., Home Care, Informatics, Long-term Care, PPO, Case Management
Education
Saint Leo University 2006 — 2008
MBA, Business
Eastern Washington University 1983 — 1989
BSN, Nursing
Health Net November 2007 - Present
Cedars-Sinai Medical Center December 2000 - August 2009
Education
Cypress College 1996 — 1998
N/A, Mortuary Science
Health Net March 2000 - July 2013
Alvarado Hospital September 1997 - March 2000
UnitedHealthcare March 1987 - September 1997
N/A October 1951 - October 1951
Skills
Nursing, Healthcare, Hospitals, Home Care, Inpatient, Case Managment, Patient Safety, Acute Care, Critical Care, Medicare, HIPAA, Utilization Management, Disease Management
Education
Cuyamaca College
Associate's degree, Business Administration and Management, General
School name:
Diploma in nursing, The Finley Hospital School of Nursing
Independent October 2012 - Present
J4 Systems April 2014 - May 2014
Immunoconcepts LLC. June 2012 - October 2012
Abbaszadeh Professional Dental Corp. / Access Dental November 2011 - June 2012
Abbaszadeh Professional Dental Corp. / Premier Access Dental and Vision October 2008 - October 2011
Symco Scotts Incorporated December 2007 - July 2008
English Manufacturing October 2004 - October 2006
Health Net February 2002 - February 2004
Skills
Marketing Strategy, Customer Service, Management, Microsoft Office, Microsoft Excel, Sales, PowerPoint, Strategic Planning, Microsoft Word, Team Leadership, Team Building, Research, Health Insurance, Analysis, Insurance, Salesforce.com, Time Management, Term Life Insurance, Data Analysis, Business Strategy, Access, Sales Management, Employee Benefits, Product Development, Budgets, Project Management, Online Advertising, Healthcare, Recruiting, Health Savings Accounts, Account Management, Outlook, COBRA, Marketing, Program Management, Disability Insurance, Negotiation, Benefits Administration, Leadership, Training, Process Improvement, Medicare
Education
Cosumnes River College 2006 — 2011
Associate of Arts (A.A.), Social & Behavioral Science
UnitedHealthcare April 2011 - Present
Health Net January 2005 - March 2011
Health Net January 1995 - December 2004
Health Net June 1992 - December 1994
Health Net March 1990 - May 1992
Health Net January 1989 - February 1990
Skills
Auditing, Leadership, Managed Care, Internal Audit, Health Insurance, Time Management, Process Improvement
Education
Fairfield University 1981 — 1985
B.S., Accounting
UnitedHealthcare June 2010 - Present
Health Net 2007 - July 2010
Elizabeth Arden 2005 - 2006
Elizabeth Arden 2003 - 2005
Diageo 2002 - 2003
Diageo 1998 - 2002
Diageo 1994 - 1998
Skills
Finance, Health Insurance, Managed Care, Forecasting, Insurance, Medicare, Financial Analysis, Access
Education
Fairfield University 1996 — 2000
MBA, Finance
Western Connecticut State University 1989 — 1993
BBA, Accounting
Health Net March 2008 - October 2010
Education
Eastern Connecticut State University 2011 — 2011
Medical Billing & Coding Specialist w/ Medical Admin. Specialist
Rezolve Group November 2012 - Present
Health Net October 2005 - July 2009
The Foredeck dba Catalina Direct November 2004 - August 2005
Drummac Inc. January 2003 - October 2003
Skills
Health Insurance, Customer Service, Call Center, Student Financial Aid, Up-selling, FAFSA, Insurance, Employee Benefits, Claim, Process Improvement, Account Management, HIPAA, Lotus Notes, Microsoft Excel, Access, Healthcare, Team Building, Coaching, Customer Retention, Management, Leadership, Microsoft Office, Outlook, Leadership Development, Data Entry, Call Centers, Training
Education
Rocky Mountain College of Art and Design 1989 — 1991
Commercial and Advertising Art
Emily Griffith Technical College
G.E.D., General Studies
Health Net
Skills
Requirements Gathering
Education
De La Salle University
Bachelor of Arts, Psychology and Mathematics
Connecticut Children's Medical Center November 2014 - Present
directDME, an AIG subsidiary May 2013 - October 2014
Waste Management October 2012 - April 2013
Health Net (1996-2011, 14 yrs, 8 mos) 2008 - August 2011
Health Net 2006 - 2008
Health Net 2003 - 2006
Health Net 2002 - 2003
Health Net 2001 - 2002
Health Net 2000 - 2001
Health Net 1996 - 2000
Skills
Microsoft Office, PeopleSoft, MC400, Call Center, Claims, Medicare, Medicaid, Health Insurance, Customer Service, Grievances, Lotus Notes, Managed Care, Vendor Management, Call Centers, Insurance
Education
Curry College 1987 — 1991
B.A., Major: Communications, Minor: Psychology
Creative Artists Agency October 2013 - Present
Creative Artists Agency June 2013 - August 2013
Dickinson College August 2012 - May 2013
Dickinson College May 2012 - May 2013
Dickinson College August 2010 - May 2013
Health Net June 2012 - August 2012
Dickinson College January 2011 - May 2012
Project GRAD Los Angeles June 2011 - July 2011
Skills
Public Speaking, Event Planning, Student Affairs, Higher Education, Student Development, Athletic Training, Sports Medicine, Cpr Certified, First Aid, Microsoft Office, Photoshop, Critical Thinking, Social Justice, Social Media, Fundraising
Education
Dickinson College 2009 — 2013
Bachelor of Arts (B.A.), Sociology
Gila River Health Care February 2013 - Present
Health Net August 2007 - February 2013
Skills
Healthcare, Healthcare Management, Managed Care, Medicaid, HIPAA, Hospitals, Medicare, Health Insurance, EMR, Healthcare Information..., Process Improvement, Healthcare Consulting, Clinical Research, Nursing, Customer Service, ACLS, Patient Safety, Healthcare Industry
Education
Keller Graduate School of Management of DeVry University
Master of Business Administration (M.B.A.), Health Services Administration
DeVry University Phoenix, AZ
Bachelor’s Degree, Business Administration, Management and Operations
Unilever (under contract to Manpower, Inc.) September 2014 - January 2015
Prudential Financial (under contract to Adecco Creative and Marketing) February 2014 - May 2014
Yale University (under contract to The Monroe Group) October 2011 - July 2012
Housatonic Community College September 2010 - June 2011
Fairfield University March 2006 - June 2009
Fairfield University March 2006 - June 2009
Health Net March 2002 - June 2004
Skills
Data Analysis, Business Intelligence, Access, SAS, Higher Education, Microsoft Excel, Analytics, Market Research, Statistics, Microsoft Office, Microsoft SQL Server, Analysis, Oracle, FileMaker Pro, MS SharePoint, SPSS, Business Objects, MicroStrategy, Crystal Reports, SQL, HTML, OLAP, Sungard BANNER/Ellucian, Educational Assessment, Learning Outcomes, Epiphany CRM, Blackbaud Enterprise CRM, Visual Basic, VBA (Visual Basic for..., Technical/Functional..., Project Management, Relational Data Modeling, RDBMS, Manual Testing, User Acceptance Testing
Education
Fairfield University
BS, Economics
Anthem Blue Cross and Blue Shield November 2013 - Present
Beacon Retiree Benefits Group, Inc. July 2011 - November 2013
Health Net October 2008 - October 2010
Health Net May 2007 - October 2008
Health Net February 2006 - May 2007
Skills
Health Insurance, Call Centers, Customer Service, Brokers, Medicare, Insurance, Managed Care, Underwriting, Employee Benefits, Medicaid, Claim, Health Savings Accounts, Healthcare, Life Insurance, Data Entry, Lotus Notes
Education
Eastern Connecticut State University 2000 — 2004
B.S, Social Work
HealthyCT August 2013 - Present
The Farmington Company 2007 - August 2013
UnitedHealthcare 2004 - 2007
Health Net 2003 - 2004
Anthem Blue Cross 2002 - 2002
Lindab 2001 - 2001
Greenfield Online 1999 - 2000
Nitsuko America Corporation 1996 - 1999
Skills
Employee Benefits, Marketing Communications, Press Releases, Media Relations, Newsletters, Disability Insurance, Marketing, Editing, Advertising, Web Content, Health Insurance, Email Marketing, Insurance, Long-term Care, Medicare, Public Relations
Education
Fairfield University 1992 — 1996
BA, Communication
Community Health Network of Connecticut November 2011 - Present
Health Net January 1995 - January 2012
Arden House Skilled Nursing Facility June 1994 - March 1995
St.Vincent's Medical Center January 1992 - May 1994
Education
Excelsior College 2007 — 2009
Associate of Science, Nursing
Bullard-Havens RVTS 1990 — 1992
LPN, Nursing
Sacred Heart Academy 1976 — 1980
High School Diploma, College Prep
Blue Cross Blue Shield of Arizona March 2007 - Present
Health Net August 2004 - March 2007
GHI August 2002 - August 2004
Shym Technology October 2000 - November 2001
Winterthur June 1997 - May 1999
Skills
Rating Engines, Model Building, Disability Insurance, Actuarial Science, Managed Care, Medicare, Insurance, Health Insurance, Brokers
Education
Society of Actuaries
ASA
University of Debrecen, Hungary 1992 — 1997
MS, Mathematics
University of Debrecen, Hungary 1992 — 1997
MS, Information and Library Science
Desert Dragon Kenpo Karate
Health Net October 2011 - Present
Home Depot (P/T) January 2001 - Present
Herbalife July 1994 - April 2011
Herbalife International of America, Inc January 1998 - January 2009
Herbalife July 1994 - October 1998
Tranamerica 1993 - 1994
Skills
Troubleshooting, Databases, Help Desk Support, Security, Active Directory, Customer Service
Education
Los Angeles Valley College 1989 — 1991
Computer Science
Cypress College 1985 — 1987
Flight Attendance Program/ Certificate
Los Angeles Valley College
Health Net October 2009 - Present
Health Net January 2007 - January 2008
Education
El Camino College
Health Net September 2004 - Present
Health Net July 1997 - September 2004
Foundation Health August 1991 - July 1997
Skills
Strong Computer skills, Fluent in English and..., Strong Communication...
Education
Diablo Valley College
No Degree, Business Administration
Holy Names High School
High School Diploma, Business courses
Los Medanos College
No Degree, Business Administration
Health Net
Skills
SDLC, HIPPA, Healthcare Information..., Health Insurance, Insurance, Process Improvement, Management, Healthcare, Training, Project Management, Business Analysis, Medicare, HIPAA
Education
Cosumnes River College 1995 — 2000
Associate's degree / RHIT, Health Information/Medical Records Technology/Technician, 4.0
Health Net May 2015 - Present
Kaiser Permanente June 2009 - December 2014
WATG and Wimberly Interiors September 2006 - August 2008
U.S. Investment Club December 2002 - February 2006
Federal Reserve Bank of Chicago June 1982 - September 1995
Skills
Data Analysis, Databases, Data Entry, Project Management, Program Management, Problem Solving, Customer Service, Customer Satisfaction, Customer Relations, Events Organisation, Organization Skills, Office Administration, Administrative..., Market Research, Marketing, Research, Real Estate Transactions, Business Analysis, Training, Change Management, Vendor Management, Management, Business Process..., Leadership, Process Improvement, Healthcare
Education
Edgewood College 1997 — 1998
DePaul University 1987 — 1990
Health Net February 2011 - Present
Education
Cypress College