Experience
Medullan, Inc.   June 2013 - Present
OptumHealth  May 2009 - June 2013
CONEXIS  October 2004 - May 2009
Connecticut Hospital Association  May 2003 - October 2004
MedSpan Health Options  February 1999 - May 2003
Health Net   1995 - 1999

Skills
Healthcare, Start-ups, Leadership, Sales, Case Managment, Wellness, Customer Retention, Disease Management, Healthcare Industry, Account Management, Managed Care, Strategic Planning, Marketing, Medicare, Health Insurance, Employee Benefits, Insurance, Strategy

Education
University of Bridgeport   1972 — 1974
Bachelor of Applied Science (B.A.Sc.), Business Management and Industry Relations

State University of New York at Delhi   1970 — 1972
Associate's degree, Business Management

Experience
King's Way Church   January 2015 - Present
Encounter Assembly   April 2006 - December 2014
San Fernando Valley Section   January 2009 - January 2014
U40   August 2011 - November 2013
Dreier Stein Kahan Browne Woods George LLP  January 2007 - October 2008
Alschuler Grossman Stein & Kahan LLP  January 2005 - December 2006
Arleta Assembly of God   February 2002 - January 2005
Health Net   January 2003 - January 2004
Aetna US Healthcare  October 2000 - January 2003
Trinity Chapel  February 1996 - August 1998

Skills
Church Planting, Discipleship, Social Media, Mentoring, Public Speaking, Leadership Development, Networking, Community Outreach, Leadership, Preaching, Missions, Pastoral Care, Church Events, Theology, Youth Ministry, Volunteer Management, Fundraising, Social Networking, Spiritual Direction, Church Growth, Gospel, Evangelism, Religion, Teaching, Religious Studies, Non-profit..., Volunteer Training

Education
Southwestern Assemblies of God University   1998 — 2000
B.S., Church Ministries

Mt. San Jacinto College   1996 — 1998
A.S., Business Administration

Experience
JPMorgan Chase  June 2009 - Present
Health Net   May 2006 - July 2008
Syracuse University  August 2004 - May 2007
Syracuse University  September 2005 - May 2006

Skills
Photoshop, Interior Design, Research, Microsoft Office, AutoCAD, Rendering, Sketching, Training Facilitation, Virtual Facilitation, PowerPoint development, Captivate, Pathlore LMS, PowerPoint, Adobe Acrobat, Editing, Public Speaking, Training, Customer Service, Microsoft Excel, Leadership, Management, Social Media, Team Building

Education
Syracuse University   2004 — 2008
BS, Environmental Design (Interiors)

Experience
Arthur J. Gallagher & Co.   April 2015 - Present
Jet Aviation, A General Dynamics Company   January 2010 - April 2015
Gallagher Benefit Services, Inc.   January 2002 - January 2010
Health Net   September 2000 - December 2001

Skills
Benefits Administration, Insurance, Strategic Planning, Employee Benefits, Process Improvement, Customer Service, Team Building, Health Insurance, COBRA, Mergers, Change Management, Contract Negotiation, Negotiation, Microsoft Office, Operations Management, Performance Management, Management, Strategy, Brokers, Mergers & Acquisitions, Business Planning, Strategic Leadership, Recruiting, Health Savings Accounts

Education
The College of New Jersey   1984 — 1988
Bachelor of Arts, History

Experience
Novartis  2010 - Present
Novartis  2004 - 2010
GlaxoSmithKline  2001 - 2003
Health Net   2000 - 2001
Health Net   1999 - 2000
Health Net   1994 - 1999

Skills
Pharmaceutical Industry, Pharmaceutical Sales, Managed Care, Health Economics, Strategic Planning, Sales, Medicare, Hospitals, Contract Negotiation, Healthcare, Leadership, Marketing, Health Policy, Healthcare Management, Public Health, Health Education

Education
University of Colorado Denver   2006 — 2008
Master of Business Administration (M.B.A.), Health Care Administration and Pharmaceutical Management

Southern Illinois University, Carbondale   1991 — 1993
Master of Science (M.S.), Community Health

Southern Illinois University, Carbondale   1987 — 1991
Bachelor of Science (B.S.), Communication Studies - Public Relations

University of Arizona   2011 — 2011
Non-Degree, Health Outcomes and Pharmacoeconomic Research Training Program

Thunderbird School of Global Management   2003 — 2003
Non-Degree, Global Leadership Certificate Program

Experience
Health Net   July 2013 - Present
Kaiser Permanente  May 2012 - March 2013
Southern California Edison  February 2011 - December 2011
Nestle USA  June 2005 - August 2010
Nestle USA  May 2000 - August 2010
Nestle USA  May 2003 - June 2005
Nestle USA  January 2000 - January 2005

Skills
Management, Process Improvement, Change Management, Procurement, Integration, Purchasing, Manufacturing, Inventory Management, Business Process Mapping, SAP R/3, Process Management, Business Analysis, MS Office Suite, Lotus Notes, PowerPoint, Instructor-led Training, Instructional Design, Microsoft Excel, Microsoft Office, Excel, Training & Development, Learning Management, Technical Documentation, Instruction Manuals, Epic Systems, Process Implementation, Project Coordination, SAP SRM, Operations Management, Business Process..., Technical Training

Education
Southern New Hampshire University   2015 — 2017
Master of Business Administration (M.B.A.), Logistics, Materials, and Supply Chain Management, TBD

Independent   2013 — 2013
International Institute of Business Analyst Certificate, Business Administration, Management and Operations, In progress

University of Phoenix
Bachelors of Science, Business Management

Experience
WellPoint  February 2004 - Present
Health Net   October 2001 - June 2002
The Mobile Solution  October 2000 - October 2001

Skills
Data Analysis, Reporting & Analysis, Insurance Claims, Access, Excel, Outlook, Analysis, Problem Solving, Statistics, Business Objects, Insurance, Microsoft Office, Claims, Databases, SharePoint, Microsoft Excel, Healthcare, Software Documentation, Leadership

Education
Southern Connecticut State University   1996 — 2002
Bachelor of Science, Business Administration

Experience
Health Net   May 2015 - Present
Rooftop Mind   March 2011 - May 2015
Health Net   July 2008 - March 2011
Option One Mortgage  March 2006 - July 2008
Countrywide Financial  August 2004 - March 2006
CinePartners Entertainment   August 2003 - August 2004
Aquila  July 2000 - June 2002
Sprint PCS  June 1999 - July 2000

Skills
Financial Analysis, Analysis, Financial Modeling, Strategic Planning, Forecasting, Finance, Strategy, Leadership, Management, Mergers & Acquisitions, Essbase, Financial Reporting, Budgets, Business Analysis, Process Improvement, Project Management

Education
The University of Kansas   2001 — 2003
BA, English / Creative Writing

The University of Kansas   1995 — 1999
BS, Business Administration

Experience
Hope Mills Medical Home   May 2011 - Present
Health Net   2003 - June 2011
US Army  June 1999 - June 2003

Skills
Medicaid, Medicare, Family Medicine, Managed Care, Healthcare, Utilization Management, Health Insurance, Medicine, Nursing, Utilization Review, EMR, Leadership, Healthcare Management, Disease Management, Clinical Research, Health Policy, Quality Improvement, Physicians, HIPAA, Management, Process Improvement

Education
Uniformed Services University of the Health Sciences - F Edward Hebert SOM   1998 — 1999
MPH, Health Care Administration

The George Washington University School of Medicine and Health Sciences   1973 — 1977
M.D., Medicine

United States Military Academy at West Point   1969 — 1973
BS

Holy Trinity High School

Experience
Shelborne HOA   November 2012 - Present
Diller Tikkun Olam Teen Awards   2009 - Present
Mayers Intermountain Healthcare Foundation   2008 - Present
Semi-Retired  2008 - Present
University of California School of Medicine, San Francisco   July 1982 - July 2008
Health Net   November 1998 - 2008
Foundation Health, a California Health Plan   1994 - 1998
San Bruno Internist Group   July 1976 - July 1994
US Navy  July 1974 - July 1976

Skills
Healthcare, Managed Care, Medicare, Medicaid, HIPAA, Health Insurance, Healthcare Management, Healthcare Information..., Healthcare Consulting, Clinical Research, Hospitals, Insurance, Strategic Planning, Team Building, Medicine, Provider Relations, Health Policy, Quality Improvement, Process Improvement, Health Care Reform, Healthcare Industry, Informatics, Leadership, Disease Management, Management, Utilization Management, EHR, HMO, Physicians, EMR, Revenue Cycle, Network Development, Public Health, Credentialing, Health Education, NCQA, PPO, Internal Medicine, Pharmacy Benefit..., Long-term Care, Medicare Part D, Medicaid Managed Care, Home Care, Health Savings Accounts, Medical Compliance, Executive Management, Employee Wellness, Family Medicine, Accountable Care, HEDIS

Education
University of California, San Francisco - School of Medicine   1971 — 1974
Fellowship, Gastroenterology

Barnes-Jewish Hospital   1968 — 1971
Internship and Residency, Internal Medicine Residency Program

Washington University School of Medicine in St. Louis   1964 — 1968
MD, Medical School

Stanford University   1960 — 1964
A.B., Biology

Experience
Aon Hewitt  February 2014 - Present
Medullan  June 2013 - February 2014
OptumHealth Financial Services  May 2009 - June 2013
OptumHealth [ UnitedHealth Group ]   May 2009 - May 2013
CONEXIS  October 2004 - May 2009
Health Net   1996 - 1999

Skills
Employee Benefits, Account Management, Healthcare, Managed Care, Competitive Analysis, New Business Development, Health Insurance, Strategic Planning, Product Development, Sales Management, Team Building, Contract Negotiations, Business Planning, Business Strategy, P&L Management, Customer Relations, Vendor Relations, Compliance, Budgeting, Health Savings Accounts, Team Leadership, Strategy Development, Business Management, Problem Solving, Management, Human Resources, Contract Negotiation, Strategy, Disease Management, Insurance, Process Improvement, Sales, Business Development, HMO, Customer Service

Education
University of Bridgeport   1972 — 1974
Bachelors of Science, Business Management

State University of New York at Delhi   1970 — 1972
Associate of Science (AS), Business, Management, Marketing, and Related Support Services

Experience
Health Net   June 1996 - Present
Weekenders USA  September 2004 - June 2008
Health Net, Inc.   August 1994 - May 1996
various Law Firms  June 1981 - August 1994

Skills
Strategic Planning, Strategic Communications, Leadership, Crisis Communications, Investor Relations, Marketing Communications, Public Relations, Marketing, Strategy, Media Relations, Business Strategy, Competitive Analysis, Management, Financial Analysis, Customer Service, Human Resources, Corporate Communications, Mergers & Acquisitions, Process Improvement, Team Building, Program Management, Training, Mergers, Intranet Strategy, Corporate Website..., Public Speaking, Internal Communications

Education
Texas Tech University
Bachelor’s Degree, Business Administration

Experience
WellPoint, Inc.   July 2011 - Present
The TriZetto Group  April 2007 - July 2011
Health Net   2002 - 2006
Aetna  1989 - 1991

Skills
Managed Care, Medicaid, Health Insurance, Healthcare Management, Utilization Management, Clinical Research, Integration, HIPAA, Healthcare Information..., Medicare, Healthcare Consulting, Disease Management, Quality Improvement, Healthcare Industry, Provider Relations, Health Policy, Healthcare, EMR, Process Improvement, Vendor Management

Education
The University of Connecticut Health Center   2004 — 2007

Experience
Universal Music Group  March 2014 - Present
UCLA Health System  February 2011 - March 2014
The J. Paul Getty Trust  May 2005 - February 2011
Health Net   October 2000 - May 2005

Skills
Procurement, Contract Management, Process Management, Vendor Management, Technical Documentation, People Skills, SAP, Research and Analysis, Process Improvement, SAP R/3, SAP ERP, ERP, Visio, Contract Negotiation, Risk Management, Strategic Sourcing, Analysis, Budgets, Supply Chain Management, Project Management, Change Management, Leadership, PeopleSoft, Management, Proposal Writing, Negotiation, Team Building, Policy, Customer Service, Outlook, Government, Research, Microsoft Word, Business Analysis, Microsoft Office, Strategic Planning, Team Leadership, Training, Operations Management, Access, PowerPoint, Microsoft Excel, Business Process..., Cross-functional Team..., Organizational..., Program Management, System Administration, Project Planning, Public Speaking, Human Resources

Education
Texas Southern University   2010 — 2012
MBA, Business, 4.0

UCLA Extension
Contracting for Cloud Computing Services

University of California, Davis
Bachelor of Arts (BA), Sociology

Experience
Health Net   February 2006 - Present
St. Elizabeth Hospital  November 2005 - February 2006
Nellis AFB  August 1997 - June 2005

Skills
Health Insurance, Medicare, Managed Care, Medicaid, HIPAA, Provider Relations, Medicare Part D, Utilization Management, Healthcare, HMO, Network Development, Healthcare Management, PPO, Insurance, Health Policy, Medical Terminology

Education
Southwestern Illinois College

Experience
Health Net   July 2015 - Present
Vibra Healthcare  May 2014 - July 2015
PepsiCo - Frito Lay Inc.  June 2007 - June 2011
eStudySite  February 2006 - June 2007

Skills
Payroll, Human Resources, Interviews, New Hire Orientations, Team Building, Microsoft Excel, Microsoft Office, Office Management, Time Management, Employee Benefits, Organization, Self-driven, Multi Tasking, Creative Problem Solving, Highly personable, Learning Quickly, Employee Relations, PowerPoint, FMLA, Event Planning, Microsoft Word, Problem Solving, New Hire Training, Proactive self-starter, Highly detail oriented, Background Checks, Onboarding, Safety, Solutions Focused, W-2, Diversity & Inclusion, OSHA, OSHA Record Keeping, Employee Handbooks, Compensation, Confidentiality, Concur, Accounts Payable, SAP, E-Verify, I-9 Compliance, I-9 audits, HRIS, Taleo

Education
Southern New Hampshire University
Bachelor of Business Administration (B.B.A.), Human Resources

Experience
OptumRx (UnitedHealth Group)   March 2014 - Present
OptumRx (UnitedHealth Group)   October 2012 - February 2014
OptumRx (UnitedHealth Group)   May 2008 - October 2012
Keenan and Associates  April 2005 - May 2008
Health Net   March 2004 - April 2005

Skills
Pharmacy Benefit..., Managed Care, Employee Benefits, Health Insurance, Sales, Insurance, Account Management, Health Savings Accounts, Healthcare, Underwriting, Strategic Planning, Process Improvement, Benefits Administration, Cross-functional Team..., Salesforce.com, Team Building, Leadership, New Business Development, Business Development, Contract Negotiation, Customer Retention, Strategy

Education
University of Southern California - Marshall School of Business   2015 — 2017
Master of Business Administration (MBA)

The University of Kansas   1999 — 2003
BS, Accounting and Business Administration

Experience
Gwinnett Medical Center  July 2014 - Present
Gwinnett Medical Center  August 2013 - July 2014
Gwinnett Medical Center  May 2013 - August 2013
Express Employment Professionals  January 2013 - April 2013
Vesta Corporation  January 2011 - January 2013
Medieval Times  2011 - 2013
Health Net   December 2000 - August 2010

Skills
Recruiting, Call Centers, Employee Relations, Program Management, Call Center, Temporary Placement, Insurance, Team Building, Human Resources, Team Leadership, Talent Acquisition, Temporary Staffing, Cold Calling, Outlook, Staffing Services, Sales, Coaching, Medical Coding, Medical Billing, Taleo, National CPC, Train New Employees, Supervisory Management, Windows XP Pro, Avaya, ProVenue, Adobe Acrobat, Macess, Quality Management, Technical Recruiting, NextGen, Access, HIPAA, Microsoft Excel, Process Improvement, Customer Service, HR, Talent Agent, coding, ICD-9-CM, ICD-10, HCPCS, Auditing

Education
American Academy of Professional Coders   2015 — 2015
CCC- Certified Cardiology Coder, Cardiology

American Academy of Professional Coders   2006 — 2007
CPC, Professional Coding

Stone Academy-Hamden   1991 — 1993
Business Administration and Management, General

Jonathan Law High School   1985 — 1989
College Prep Courses

Experience
MagnaCare  May 2011 - Present
Health Net   November 2008 - March 2011
Select Medical Corporation  May 2007 - June 2008
Kessler Institute for Rehabilitation  December 2005 - June 2008
North Shore Health System  December 2000 - December 2005
HIP  September 1999 - November 2000

Skills
Network Development, Managed Care, Provider Relations, Healthcare Management, Medicare, Healthcare, Medicaid, HIPAA, Hospitals, Credentialing, HMO, Healthcare Consulting, PPO, Healthcare Information..., Health Insurance

Education
Baruch College/Mount Sinai School of Medicine   1996 — 1998
MBA, Health Care Administration

Stony Brook University   1989 — 1993
BA, Music, History, English

Experience
United Health Care  2008 - Present
Hewitt Associates  2004 - 2008
Health Net   2003 - 2008
Beyond Care   2000 - 2003
CIGNA Healthcare  1985 - 1992

Skills
Managed Care, Healthcare, Insurance, Strategic Planning

Education
The George Washington University
MHA

Wagner College
BSN

Experience
Mackoul & Associates, Inc.   May 2014 - Present
RSF Consulting Corp   April 2012 - March 2015
Rockville Benefit Advisors LLC.   January 2007 - March 2012
HIP Health Plan of New York  February 2004 - January 2007
Health Net   1998 - 2004

Skills
Employee Benefits, Disability Insurance, Account Management, Customer Retention, Health Insurance, Health Policy, Underwriting, Insurance, Health Savings Accounts, Brokers, Medicare, Claim, Workers Compensation, Managed Care, Commercial Insurance, Management, Term Life Insurance, Healthcare, Disease Management, HMO, Medicare Part D, Life Insurance, Healthcare Industry, PPO, Healthcare Consulting, Executive Management, Process Improvement, Long-term Care, Medicaid, Benefits Administration, Provider Relations, Professional Liability, Property & Casualty..., Accident, Health Care Reform, HIPAA, Network Development, Pharmacy Benefit..., ERISA, 401k, COBRA, Group Insurance, Fixed Annuities, Legal Liability

Education
State University of New York College at Oswego   1994 — 1998

Experience
Synoptek, LLC  August 2013 - Present
FusionStorm  May 2011 - Present
Expedia  August 2010 - May 2011
McKesson  October 2008 - March 2010
Health Net   March 2006 - September 2008
DST Output  August 2004 - March 2006
DST Output  September 2002 - July 2004
DST Output  April 1999 - September 2002
DST Output  December 1998 - April 1999
Flightsafety Services  December 1991 - November 1998

Skills
Data Center, System Administration, Incident Management, Change Management, ITIL Certified, ITIL v3 Foundations...

Education
University of Oklahoma   1996 — 2000
MBA

St. Cloud State University   1987 — 1990
B.S.

Experience
Health Net   January 2015 - Present
Generations at Agritopia   January 2014 - January 2015
Health Choice  November 2012 - January 2014
Hospice of the Southwest   August 2012 - November 2012
Affinity Hopsice   April 2012 - July 2012
Sun Valley Hospice  August 2011 - April 2012
Miner Southwest, LLC   January 2010 - August 2011
Ashley Plumbing, Inc   January 1999 - January 2011

Skills
Proficienct in..., CRM Experience, Familiarity with Mas 200, Sales Management, Medicare, Sales Operations, Leadership, CRM, Healthcare, Hospitals, Team Building, Managed Care, Contract Negotiation, Elder Care, Coaching, Customer Service, Forecasting, Healthcare Management, Management, Negotiation, Policy, Recruiting, Sales, Training

Education
Texas State University   1995 — 1997
Bachelor of Science (B.S.), Resoures and Environmental Studies

Texas State University
B. S, Geography & Planning-Chemistry Minor, Cum Laude

2005 Arizona School of Real Estate and Business

Experience
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas   September 2013 - Present
Health Management Associates, Inc.   February 2012 - September 2013
HCA  June 2002 - February 2012
Scottsdale PHO   March 2001 - October 2001
Health Net   June 2000 - March 2001
CIGNA Healthcare  October 1998 - June 2000
United Healthcare  May 1995 - October 1998
Private Healthcare Systems  March 1994 - May 1995
Prudential Healthcare  May 1991 - March 1994

Skills
Medicare, Managed Care, Physicians, Healthcare Management, Healthcare, Process Improvement, Hospitals, Project Management, Healthcare Consulting, Coaching, Executive Management, Provider Relations, Physician Relations, Leadership, Medicaid, Revenue Cycle, Data Analysis, Team Building, Strategy, Healthcare Information..., Strategic Planning, Health Policy, Network Development, Health Insurance, EHR, Healthcare Industry, HIPAA

Education
University of California, Berkeley   1989 — 1992
MPP, MPH, Health and Public Policy

The Johns Hopkins University   1985 — 1989
BA, Biology

Experience
3WG Marketing   2006 - Present
The Long Black Line.Org   2005 - June 2012
Lakes Area Hospice   August 2010 - November 2011
WellMed Medical Management  March 2009 - August 2009
HealthNet Inc  May 2003 - August 2005
Health Net   2003 - 2005
Amerigroup Corporation  May 1998 - May 2003
United Health Care  April 1995 - May 1998
Prudential  1994 - 1995
Prudential Healthcare  1986 - 1994

Skills
Medicaid, Strategic Planning, Health Insurance, Team Building, Marketing Strategy, Team Leadership, Management Consulting, Public Relations, Managed Care

Education
The University of Texas School of Law   1975 — 1978
JD, Law

Texas Christian University   1971 — 1975
Bachelor of Arts (BA), History

Experience
BCBSNC  March 2011 - Present
Blue Shield  January 2009 - Present
Health Net   2006 - Present
Healthnet Insurance  July 2005 - July 2007

Skills
Acute Care, Clinical Research, Cpr Certified, Customer Service, EHR, EMR, Health Education, Healthcare Information..., Healthcare Management, Home Care, Medicare, Mental Health, Nursing, Nutrition, Process Improvement, Software Documentation, Treatment, Wellness

Education
St. John Fisher College   1993 — 1997

Hamburg High School

Experience
Chronic Disease Solutions   May 2003 - Present
Pacific Life & Annuity  June 2001 - March 2003
Health Net   September 1991 - April 1999
World Savings  1989 - 1991

Skills
Disease Management, New Business Development, Customer Relations, Health Insurance, Wellness, Account Management, Leadership, CRM, Customer Service, Marketing, Management, Sales, Team Building, Employee Benefits, Healthcare, Business Development, Managed Care, Sales Presentations, Strategy, Insurance

Education
State University of New York College at Oswego   1974 — 1978

Experience
The Hartford  March 2008 - Present
Health Net   August 2006 - March 2008

Skills
Captivate, Blended Learning, E-learning, Dreamweaver, SharePoint, HTML, Flash, Application Development, Audacity, Photoshop, Training, Needs Analysis, ColdFusion, jQuery, SnagIt, Learning Management..., E-Learning, Learning Management, Instructional Design, Instructor-led Training, Software Development, Microsoft SQL Server

Education
The University of Kansas

Experience
Cooper University Health Care  June 2014 - Present
Navigant Consulting  January 2013 - June 2014
Edward C. Zeruld   February 2012 - April 2013
NHPN   June 2010 - February 2012
EZ Health Care Solutions   August 2009 - December 2011
Ingenix  2007 - 2009
United Health Group  2002 - 2007
Fidelity Insurance Group, Inc.   2001 - 2004
Health Net   1995 - 2001
US Healthcare  1989 - 1993

Education
Temple University   1985 — 1988

Experience
Cryptic Studios  June 2012 - Present
Health Net   October 2004 - July 2010

Skills
Computer Games, Game Design, Video Games, Game Development, Scripting, Unreal Editor, Unity3D, Photoshop, 3D Studio Max, Unreal Engine 3, Playtesting, Maya, Level Design, Console, Kismet, Havok, Gameplay

Education
Southern Methodist University   2010 — 2012
MIT, Game Development with a concentration in Level Design

University of California, Berkeley   1995 — 2000

Experience
Retired  July 2013 - Present
Starbucks Coffee Company  June 2010 - July 2013
Knowledge Learning Corporation  June 2009 - June 2010
MGM Resorts   March 2006 - March 2008
Health Net   May 2002 - March 2006
Kinko's  March 1998 - January 2002
Nike  November 1996 - March 1998
Alaska Air Group  February 1988 - November 1996
Horizon Air  1988 - 1994

Skills
Strategic Sourcing, Procurement, Cross-functional Team..., Vendor Management, Supply Management, Purchasing, Process Improvement, Contract Negotiation, Program Management, Leadership, Contract Management, Management, Sourcing, Supply Chain Management, Strategic Planning, Outsourcing, Materials Management, Strategy, Negotiation, Supply Chain, Pricing, Retail, Business Process, Inventory Management, Operations Management, Forecasting, Team Building, Business Process..., Global Sourcing, Logistics, Change Management, P&L Management

Education
University of Washington   1994 — 1996
B.A., Business

Stanford Graduate School of Business
Certification, Advanced Negotiations

Experience
Safeway  January 2012 - Present
Safeway  May 2011 - January 2012
Safeway  March 2010 - May 2011
Safeway  March 2006 - March 2010
Health Net   2003 - 2005

Skills
Cross-functional Team..., Pricing, Business Analysis, Competitive Analysis, Vendor Management

Education
Texas State University   1981 — 1985

Experience
Health Net   November 2002 - Present

Skills
Medicare, Medicaid, Litigation Management, Healthcare, Health Care Reform, Privacy Law, Managed Care, Health Insurance, HIPAA, Health Policy, Claim, Pharmacy Benefit..., Insurance, Legal Compliance, Licensing, Legal Writing, Corporate Law

Education
Southwestern University School of Law
Doctor of Law (JD)

Experience
Renaissance Food Group  May 2013 - Present
Kronick, Moskovitz, Tiedemann & Girard   February 2007 - May 2013
Grant Joint Union High School District  May 2000 - February 2007
Health Net   February 1998 - May 2000
Foundation Health  November 1996 - January 1998

Skills
Microsoft Exchange, Windows Server, SAN, VoIP, Watchguard, Cisco Technologies, Blackberry Enterprise..., VMware, Trend Micro, Microsoft Technologies, HP Server Hardware, HP Procurve, Barracuda Spam Firewall, Dell PowerEdge Servers, Xerox Printers, Kaspersky Antivirus, Stonegate, CommVault Galaxy, Veritas, Enterasys, NAS, Tape Libraries, Polycom Video..., EMC Storage, Kyocera, Liebert, APC UPS, Altiris, Sarbanes-Oxley (SOX)

Education
MTI   1995 — 1997
Associate of Arts and Sciences (AAS), Computer Sciences, 3.8

Texas Tech University   1993 — 1994
Certification, Emergency Medical Technology/Technician (EMT Paramedic), 3.6

British Fire Rescue Academy   1991 — 1991
Certification, Search & Rescue

US Air Force Academy   1988 — 1989
Fire Science/Fire-fighting

Experience
Xerox MMIS Government Healthcare Solutions   July 2015 - Present
UnitedHealth Group  July 2008 - July 2015
Health Net   January 2008 - June 2012
Primitive Logic  January 2006 - January 2008
Meridian Project Systems  January 2003 - January 2006
Hansen Information Technologies  January 2000 - January 2003
OCB & Associates   January 1995 - January 2000
BearingPoint Consulting  January 1992 - January 1995
Accenture  January 1988 - January 1992
IBM  June 1986 - January 1988

Skills
Business Process..., SDLC, Business Analysis, Finance, Program Management, Requirements Analysis, Cross-functional Team..., Process Improvement, Management, Project Management, CRM, Enterprise Software, Leadership, Consulting, Vendor Management, Software Project..., Integration, Business Intelligence, Visio, PMO, Agile Methodologies, Business Development, Quality Assurance, Professional Services, Strategic Planning, Strategy, Solution Architecture, Software Development, Change Management, IT Strategy, Requirements Gathering, Business Process..., Analysis, Business Process, SharePoint, Sales, Budgets, Project Portfolio..., PMP, Team Building, Product Management, Project Planning, Business Strategy, Training, Outsourcing, SQL, Databases, Testing, Project Delivery, IT Management

Education
Stanford University   2011 — 2014
SAPM, Advanced Project Management

University of California, Santa Barbara   1981 — 1986
BA, Business Administration

University of California, Santa Barbara   1981 — 1986
BS, Computer Science

Woodside

Experience
WellCare  June 2013 - December 2014
WellCare  March 2012 - June 2013
Health Net   April 2006 - May 2011
East River Medical Imaging   June 2001 - April 2006

Skills
Provider Relations, Network Development, Medicaid, HMO, Medicare, Managed Care, HIPAA, Health Insurance, Hospitals, PPO, Healthcare Industry, Process Improvement, Utilization Management, Health Policy, Credentialing

Education
The University of Connecticut School of Business   1997 — 2001
Bachelor of Science (BS), Health/Health Care Administration/Management

Experience
Anthem  April 2011 - Present
Health Net   March 2006 - December 2010
Health Net   March 2003 - March 2006
Health Net   May 2001 - March 2003

Education
Springfield College
Bachelors of Science, Health Services Administration

Experience
OptumHealth  January 2010 - Present
US Oncology  January 2008 - October 2009
Health Net   April 2003 - January 2008

Education
The Sage Colleges - Russell Sage College   1989 — 1992
MS

Maria College   1980 — 1982
AAS

University of the State of New York
BA

Experience
Kaiser Permanente  September 2010 - Present
Health Net   September 2005 - September 2010
Cerner Health Insights   July 2003 - September 2005
CIGNA Healthcare  November 1998 - June 2003
Health Net   August 1996 - November 1998
UCLA, Neuropsychiatirc Institutes & Hospital; UCLA Department of Psychology   July 1994 - July 1996
SMU  1984 - 1988

Skills
Managed Care, Healthcare, Disease Management, Medicare, Healthcare Management, Health Policy, Healthcare Consulting, Healthcare Industry

Education
Stony Brook University   1988 — 1993
Ph.D., M.A., Clinical Psychology

Southern Methodist University   1984 — 1988
B.A., Psychology

Experience
U.S. Customs and Border Protection   March 2010 - Present
QinetiQ North America  March 2009 - March 2010
Health Net   May 2007 - March 2009
Bowhead Technical and Professional Services   2005 - 2007
Sandler Travis & Rosenberg, P.A.   2001 - 2005
Staffing Alternatives  2000 - 2001
Texas Woman's University  1995 - 2000

Skills
Active Directory, Troubleshooting, Technical Support, Software Documentation, VPN, Access, Servers, Hardware, Software Installation, SharePoint, Microsoft Exchange, Security, Disaster Recovery, BMC Remedy, Citrix, Computer Hardware, Data Center, Database Administration, Databases, Windows, ITIL, Visio, IT Management, Windows 7, Microsoft SQL Server, Management, Printers, VMware, Windows Server, Networking, Laptops, Virtualization, Computer Security, Testing, Telecommunications, Switches, Leadership, Integration, Network Administration, Unix, Lotus Notes, Help Desk Support, XP, Vendor Management, Firewalls, System Administration, Security Clearance, Training

Education
Texas Woman's University   1993 — 1996

Experience
Health Net, Inc  December 2009 - April 2015
Health Net   April 2003 - December 2009
Latham & Watkins  October 1996 - April 2003

Skills
Managed Care, Privacy Law, HIPAA, Corporate Governance, Corporate Law, Mergers, Contract Negotiation, Securities, Legal Writing, Mergers & Acquisitions

Education
USC   1993 — 1996
Doctor of Law (J.D.)

Texas State University-San Marcos   1986 — 1990
Bachelor of Business Administration (B.B.A.)

Experience
Western Health Advantage  April 2006 - Present
CA Black Health Network   January 2002 - March 2006
Health Net of California  1998 - 2001
Health Net   1996 - 1998
Oklahoma Health Care Authority  1994 - 1996

Skills
Managed Care, Healthcare, Medical Compliance, Medicaid, Healthcare Information..., Health Policy, HMO, Medicare, Process Improvement, Provider Relations, Public Speaking, Analysis, Leadership, Policy, Benefits Administration, Health Insurance, HIPAA, Training, Healthcare Consulting, Hospitals, Insurance, Medicare Part D, Revenue Cycle, Medicaid Managed Care

Education
University of California, Los Angeles - The Anderson School of Management   1979 — 1982
MBA, Marketing

Stanford University   1975 — 1979
AB, Communication and Psychology

Southeast High School   1971 — 1975

Experience
Health Net   2003 - Present
Health Net   June 1998 - August 2003
Health Net   September 1992 - August 1998
Xerox  February 1989 - September 1992

Education
The University of Texas at Arlington   1982 — 1985
BSIS, Information Systems

Texas Tech University   1978 — 1981
Electrical Engineering

Experience
Long Realty Company, Inc.   Accounting ManagerPima County2001 - 2002
Health Net   1998 - 2001
Prudential Property & Casualty  1986 - 1998
Crompton & Knowles  1983 - 1986

Education
State University of New York-Utica Rome   1978 — 1982
BS, Business-Accounting major

State University of New York College of Agriculture and Technology at Cobleskill   1973 — 1975
AAS, ACCOUNTING

Bainbridge-Guilford H.S.   1970 — 1973
HS, College Preparatory

Experience
UnitedHealth Group  January 2012 - Present
OptumInsight  October 2010 - January 2012
OptumInsight  December 2008 - October 2010
OptumInsight  August 2005 - December 2008
Health Net   1993 - 2000

Skills
Requirements Gathering, Waterfall, User Acceptance Testing, Business Intelligence, Business Analysis, Software Project..., Systems Analysis, Visio

Education
St. Olaf College
Bachelor of Arts (B.A.), Sociology and English

Experience
Entertainment Partners  May 2015 - Present
Entertainment Partners  July 2012 - April 2015
Entertainment Partners  August 2009 - July 2012
Health Net   July 2007 - August 2009
Wellpoint Health Networks  January 2006 - June 2007

Skills
Testing, Web Services, Business Analysis, Quality Assurance, Requirements Analysis, Software Project..., Scrum, SQL, Software Development, Agile Methodologies, Regression Testing, SDLC, Management, Software Quality..., Microsoft SQL Server, User Acceptance Testing, Integration, Requirements Gathering, DB2, Visio, SOA, UAT Coordination, QA Engineering

Education
Sri Venkateswara University   1991 — 1995
B.S, Electrical and Electronics Engineering

Experience
Health Net of California  2003 - Present
Health Net   January 2000 - November 2003
Health Net   March 1997 - December 1999
Foundation Health (Now Healthnet)   1995 - 1997

Skills
HMO, Medicare, Utilization Management, Managed Care, Medicaid, Health Policy, Healthcare Management, Provider Relations, Quality Improvement, NCQA, Disease Management, Insurance, Health Insurance, HIPAA, Healthcare, Healthcare Consulting, Process Improvement, Medicare Part D, Healthcare Industry, Quality Management, Medical Compliance, Nursing, Credentialing, Medicaid Managed Care, HEDIS, JCAHO, Physician Relations, Pharmacy Benefit..., Healthcare Information..., Physicians, Informatics

Education
University of California, Berkeley, Haas School of Business   2006 — 2007
Executive Development Program

Texas Christian University   1975 — 1978
Bachelor's degree, Registered Nursing/Registered Nurse

Experience
Health Net   April 1995 - Present
Safeway  September 1985 - March 1995

Skills
Managed Care, Medicare Part D, Medicaid, HIPAA, Health Insurance, Claims, Utilization Management, Claim

Education
University of Minnesota-Twin Cities   1980 — 1983
B.S. Pharmacy, Pharmacy

St. Cloud State University   1977 — 1980
Pre-Pharmacy, Pre-Pharmacy

Experience
John M Glover Agency  2009 - Present
Health Net   June 1994 - 2008
Health Net   2000 - 2004
Health Net   2000 - 2001
Health Net   1997 - 2000
Physicians Health Services  1994 - 1997
Bank of Boston  March 1987 - June 1994

Skills
Account Management, Forecasting, New Business Development, Healthcare, Sales Force Development, Strategy, Employee Benefits, Insurance, Sales, Health Insurance, Sales Management, Strategic Planning, Management, Negotiation, Health Savings Accounts, Workers Compensation, Managed Care, Claim, Commercial Insurance, Property & Casualty..., Underwriting, HMO, Health Care Reform, Legal Liability, General Insurance, Life Insurance, Student/Athletic..., Student Accident..., Medicare Advantage, Disability Insurance, Medicare Supplement, Travel Insurance, Dental Insurance, Individual Health..., Employer Health Benefits, Medicare, Medicare Part D, Medicare Prescription..., Term Life Insurance, Whole Life, Employment Practices..., Group Insurance, PPO, D&O, Umbrella Insurance, Casualty, Liability, COBRA, Casualty Insurance, Brokers

Education
The Ohio State University   1983 — 1987
BS, Economic / Finance

Lauralton Hall
High School

Experience
Celtic Insurance Company  September 2015 - Present
OptumInsight  October 2011 - September 2015
Humana  October 2010 - September 2011
Health Net   October 2006 - June 2010

Skills
Actuarial Science, SAS, Health Insurance, VBA, Data Analysis, Actuaries, Medicare, Access, Pricing, Financial Analysis

Education
University of Connecticut   2004 — 2006
M.S., Math

Stony Brook University   1999 — 2003
B.S., Computer Science

Experience
Health Net   December 2011 - Present
WellPoint  September 2004 - July 2010
Tadiran Appliances   September 1999 - December 2003
Deloitte & Touche  December 1998 - September 1999
Mul-T-Lock   October 1996 - December 1998

Skills
Accounting, Budgets, Finance, Sarbanes-Oxley Act, Internal Controls, Auditing, Variance Analysis, Financial Analysis, Financial Modeling, Business Analysis, SAP, Business Process..., Internal Audit, Analysis, Management, Financial Reporting, Process Improvement, Managerial Finance, Financial Statements, Strategic Financial...

Education
Sivan College   1999 — 2000
•Information System Analyst and Project Management

Tel Aviv University   1990 — 1994
Bachelor, Math & Accounting Dual Major

Experience
Upstate Health Services - North Country Locations   2014 - Present
Upstate Health Services   2001 - Present
Health Net Federal Services  January 2010 - September 2014
Magellan Behavioral Health  January 2013 - July 2014
Health Net   2007 - 2013
Onondaga Pastoral Counseling Center  1997 - 2004
Community Action Planning Councel of Jefferson County   1996 - 1997
NY State Office of Mental Retartdation and Developmental Disabilites   1995 - 1996
Senior Services of Albany  1994 - 1995

Skills
Psychotherapy, Mental Health, Treatment, Family Therapy, Stress Management, Counseling Psychology, Mental Health Counseling, Adolescents, CBT, Crisis Intervention, Group Therapy, Stress, Life Transitions, Self-esteem, Mindfulness, Clinical Supervision, Behavioral Health, Social Services, Anger Management, Case Managment, Psychology, Grief Counseling, Motivational..., Therapists, Post Traumatic Stress, Personal Development, Clinical Research, Wellness, Addiction Recovery, Prevention, Google Groups, Chronic Illness, Program Development, Phobias, Interventions, Chemical Dependency, Public Speaking, Healthcare, Individual Counselling, Community Outreach, Nonprofits, Psychological Assessment, Coaching, Hypnotherapy, Health Education, Hypnosis, EMDR, Program Evaluation, Case Management, Grant Writing

Education
State University of New York College at Oswego   1994 — 1996
Social Work. Masters, Social Work, Psychotherapy, Behavioral Health, Crises Intervention, Private Practice, Management

State University of New York College at Oswego
Bachelor's degree, Psychology

State University of New York College at Brockport
Business Administration and Management, General

Central Square
Business

Experience
Medical Audit & Review Solutions, LLC   November 2011 - Present
EHR  2009 - November 2011
Kaiser Permanente  2007 - 2009
Health Net   2005 - 2007
Accenture  2004 - 2005
Concuity  2000 - 2004
Price Waterhouse Coopers  1997 - 2000
HCIA  1996 - 1997
Mercer  1984 - 1996

Skills
Medicare, Healthcare, Hospitals, EHR, Healthcare Consulting, Microsoft Excel, Business Process..., Clinical Research, Medicaid, Analysis, Managed Care, Informatics, Healthcare Industry

Education
Texas A&M University   2007 — 2010
Advanced Mathematics and Statistics Cources

University of Minnesota-Twin Cities   1979 — 1984
BS, Mathematics

Experience
Fletcher Allen Health Care  September 2014 - Present
Vermont Health CO-OP   February 2013 - September 2013
Vermont Managed Care  December 2009 - February 2013
Danbury Health Systems  January 2008 - June 2009
Legal Nurse Consulting of Connecticut, LLC   2007 - 2009
ConnectiCare  June 2004 - June 2007
Health Net   August 1998 - June 2004
Stamford Hospital  2000 - 2003
Stamford Hospital  1996 - 2003

Education
University of Phoenix   2012 — 2014
Master of Science (MS), Nursing and Health Care Administration

Western Connecticut State University   1993 — 1996
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse

Springfield College   1987 — 1991
Bachelor of Science (B.S.), Sports Biology

Experience
The ARC of Ocean County   May 2014 - Present
Horizon BCBS of NJ  2005 - 2014
Health Net   April 2003 - March 2005

Skills
Registered Nurses, Case Management Services, Disease Management, Prior Authorization, concurrent review, Referrals, helath department, Clinical Monitoring, HEDIS, records review, Training, Spanish, Medical Office, variety of settings, Computer Proficiency, Utilization Review, HHA education

Education
Southern New Hampshire University   2014 — 2017
Bachelor's Degree, Public Health Education and Promotion

Shelby County Community College   1983 — 1985
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse