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.
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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
American Association for Physician Leadership April 2015 - Present
Anthem, Inc. November 2013 - Present
UCSD Medical Center 1992 - Present
OneHealth Solutions, Inc was acquired by Vivarae in Nov 2014 September 2011 - November 2013
Sharp Community Medical Group March 2011 - September 2011
OneHealth Solutions, Inc March 2011 - September 2011
Aetna January 2010 - March 2011
Health Net November 2005 - January 2010
Stanford University 2009 - 2010
Coronado Unified School Board 2002 - 2006
Skills
Disease Management, Managed Care, Healthcare Management, Medicare, Clinical Research, Quality Improvement, Strategic Planning, Medicaid, Healthcare Information..., Hospitals, Informatics, Healthcare Industry, Utilization Management, Health Policy, Leadership, Wellness, Physicians, Pediatrics, Accountable Care, Process Improvement, Physician Relations, Provider Relations, EHR, Public Health, Start-ups, Patient Safety, Internal Medicine, Business Development, Health Education, Business Strategy, Product Development, Population Health, Medical Education, Medical Home, Behavioral Health, Pay for Performance, Thought Leadership, Employee Wellness, Strategic Partnerships, Health Plan Operations, Change Management, Policy, Social Networking, Care Management, Wellness Programs, Medical Cost Analyis &..., ACO, Clinical Operations, Engagement strategy, EMR
Education
Uniformed Services University of the Health Sciences - F Edward Hebert SOM 1981 — 1985
MD, Medicine
Claremont Graduate University 1980 — 1985
MPPA, Health Economics
CORO Foundation Fellowship for Public Affairs 1980 — 1981
Community Health, Quality Improvement
Stanford University 1976 — 1980
BA, Human Biology
Granada HIlls High School
Health Net July 2014 - Present
Health Net, Inc. October 2007 - July 2014
Education
Colorado State University-Global Campus
Jenkins Insurance Group (A Leavitt Group Affiliate) May 2012 - July 2013
Kaiser Foundation Health Plan 1997 - 2012
FHP Health Care February 1995 - April 1997
Lifeguard Health Plan September 1993 - February 1995
Health Net March 1992 - September 1993
Skills
Consultative Selling, Public Presentations, Problem Resolution, Open Enrollment..., Follow-up Analysis, Contract Negotiation, Product and Plan..., Comprehensive Account..., Client Relationship..., Client Retention, Coordination of...
Education
Colgate University 1974 — 1978
Bachelor of Arts (B.A.), Social Sciences
Corning West
Word & Brown General Agency November 2011 - Present
Aetna October 2008 - February 2011
Health Net October 1999 - July 2008
Skills
Enrollment Management, Health Insurance, Insurance, Medicare, Employee Benefits, Health Savings Accounts, Disability Insurance, Brokers, Managed Care, Claim, Underwriting, Life Insurance, Term Life Insurance, Call Centers, HIPAA, Customer Service, Benefits Administration, Access, COBRA, Visio
Education
College of the Canyons 2002 — 2005
Sutter Health Plus May 2015 - Present
Sutter Health Plus June 2014 - May 2015
SUTTER CARE AT HOME May 2012 - June 2014
Health Net June 2010 - May 2012
Chartwell UC Davis August 2005 - May 2010
Afterhours Formalwear August 2002 - August 2005
Swissport Inc April 2001 - July 2002
Walgreens Pharmacy March 2000 - April 2001
Skills
Home Care, Patient Referrals, Insurance, Customer Service, Team Building, Prior Authorizations, Staff Supervision, Time Management, Accuracy, Healthcare, Medicare, Medical Records, Office Management, HIPAA, Medicaid, Healthcare Management, Health Insurance, Managed Care
Education
Kaplan University-Davenport Campus 2010 — 2012
Bachelor's degree, Business Administration and Management, General
College of San Mateo 1999 — 2002
General Studies
El Camino High School 1995 — 1999
Summa Consulting LLC April 2008 - Present
Health Net February 2002 - April 2008
Breakthrough Communication August 2000 - February 2002
Integra January 1999 - August 2000
U.S. House of Representatives January 1998 - January 1999
Skills
Spokesperson, Corporate Communications, Media Relations, Public Relations, Crisis Communications, Internal Communications, Leadership Development, Integrated Marketing, Strategic Communications, Business Strategy, Executive Coaching, Speech Writing, Social Media, Brand Developement, Public Speaking, Business Relationship..., Marketing Communications, Media Skills Training, Team Building, Writing, Research, Publications, Training, Brand Development, Leadership, Public Affairs, Thought Leadership, Fundraising, Program Management, Community Development, Interviews, Coaching, Newsletters, Press Releases, Management, Marketing, Event Planning, Nonprofits, Content Strategy, Social Networking, Strategic Planning, Editing, Blogging
Education
Seton Hall University 1999 — 2001
Masters, Leadership & Communications
Concordia University-Portland 1992 — 1994
BA, Business Management, Cum Laude
Blue Cross of Idaho November 2014 - Present
Health Net August 1990 - September 1993
Skills
Microsoft Office, Research, Teamwork, Microsoft Word, Photoshop, Microsoft Excel, Time Management
Education
College of Western Idaho 2011 — 2015
Merced College 2002 — 2004
Medical & General Office/Accounting
Health Net October 2013 - Present
Health Net July 2010 - October 2013
Health Net June 2010 - July 2010
Claremont McKenna College September 2009 - May 2010
Health Net June 2009 - August 2009
Claremont McKenna College October 2007 - December 2008
Health Net June 2008 - August 2008
Skills
Marketing, Marketing Communications, Public Relations, Data Analysis, Social Media, Event Planning, Strategic Communications, Project Management, Leadership, Editing, Blogging, Facebook, Advertising, Fundraising, Microsoft Office, Microsoft Excel, Press Releases, Market Research, PowerPoint, Event Management, Analysis, Social Media Marketing, Community Outreach, Access, Public Speaking, Leadership Development, Statistics, Teaching, Analytics, Salesforce.com, SPSS, Photoshop, Copywriting, Volunteer Management, Web Analytics, Research, Microsoft Word, Higher Education, Marketing Research, Resume Writing, Non-profits, Wordpress, Program Development, Outlook, Customer Service, Marketing Strategy, Online Advertising, Strategic Planning, Lotus Notes
Education
UCLA Anderson School of Management 2014 — 2015
Certificate, Riordan MBA Fellows Program
Claremont McKenna College 2006 — 2010
Bachelor of Arts (B.A.)
The Chinese University of Hong Kong 2009 — 2009
IASP, International Asian Studies Programme (Study Abroad)
Health Net August 2015 - Present
Keller Williams Realty, Inc. June 2014 - Present
Cognizant Technology Solutions June 2015 - August 2015
Contractor March 2012 - September 2014
Time Tamer Consulting March 2007 - March 2012
Oculex Pharmaceuticals October 2000 - February 2002
Oral B/The Gillette Company July 1997 - June 2000
Oral B Laboratories/The Gillette Company July 1990 - July 1997
Skills
Training, Training Delivery, Employee Training, Process Improvement, Relationship Building, Electronic Health..., Instructional Manuals, Instructional Design, Online Learning Design, Project Planning, Public Speaking, Team Building, Customer Relations, Time Management, Coaching, Cross-functional Team..., Start-ups, Instructional Skills, Small Business, Management, Social Media, Purchasing, RFP, Social Networking, Marketing, Leadership, Business Planning, Contract Negotiation, Procurement
Education
Real Estate License Training 2014 — 2014
Real Estate License
Fairleigh Dickinson University-Metropolitan Campus
Master of Business Administration (M.B.A.), Business
City University of New York-Hunter College
Bachelor's Degree, Liberal Arts and Sciences, General Studies and Humanities
Nina's World of Products September 1997 - Present
Alameda Hospital June 1998 - Present
A Better Way - Foster Care August 1996 - July 2003
Health Net October 1990 - November 1996
Private Offices - ENT, Allergy, Head & Neck Plastic Surgery December 1984 - June 1990
Skills
Healthcare, Hospitals, Healthcare Management, EMR, BLS, HIPAA, Meditech, EHR, Patient Safety
Education
Bryman San Francisco 1984 — 1984
Medical/Clinical Assistant
College of Alameda 1982 — 1984
Health Net June 2013 - Present
Express Scripts October 2008 - May 2012
Earthlink Wireless March 2008 - August 2008
Blockbuster On Line August 2006 - January 2007
Eos Airlines September 2005 - April 2006
FleetBoston Financial July 2001 - June 2004
Barnes & Noble.com June 1998 - February 2001
ShopLink January 1997 - March 1998
Citibank January 1995 - January 1997
Pepsi-Cola 1986 - 1994
Skills
CMO VP Marketing, Strategic Planning, Market Research, Customer Acquisition, Customer Loyalty, Sales Support, Public Relations, Corporate Branding, Corporate Communications, B2B eCommerce, Advertising, Social Media Marketing, B2C marketing, B2B Marketing, Promotions, E-commerce, Customer Experience, Retail, Marketing Strategy, Marketing Communications, Product Management, Integrated Marketing, Brand Management, Start-ups, Marketing, Business Planning, Market Analysis, Sales Operations, Competitive Analysis, Strategy, Analytics, B2B, Product Launch, Product Marketing, Segmentation, Team Leadership, Leadership, Digital Marketing, Entrepreneurship, Direct Mail, Customer Insight, Sales, Lead Generation, Market Planning, Marketing Management, Brand Development, Email Marketing, Online Marketing, Brand Loyalty, Direct Marketing
Education
Columbia Business School
MBA, Marketing
Eastern Middle school
St George's School
high school diploma
Williams College
BA, History
PayTech March 2015 - Present
ADP TotalSource July 2011 - March 2015
ADP November 2007 - July 2011
Laser Eye Center of Silicon Valley September 2003 - November 2007
Health Net September 2001 - September 2003
Skills
Project Management, ADP Payroll, Consulting, Employee Benefits, SAP, Manage Client..., MS Project, Solution Implementation, Project Implementation, Performance Management, Ipay and Ireports, ADP PCPW and PayeXpert, ADP TotalSource, Sales, Training, Microsoft Project, Employee Relations, Presentations, Leadership, Customer Satisfaction, Employee Training, Human Resources
Education
Colorado State University-Global Campus 2015 — 2016
Bachelor of Science (BS), Business Administration, Management and Operations
De Anza College 2012 — 2013
Project Management Practitioner- Certificate
De Anza College 2011 — 2013
AA, Business/Corporate Communications
UnitedHealth Group July 2013 - Present
UnitedHealthcare October 2012 - Present
Health Net November 2005 - April 2011
Skills
Medicare, Training & Development, Claims, Customer Service, Auditing, Quality, Medicaid, Operations Management, Claim, Insurance, Managed Care, Provider Relations, Employee Benefits, Process Improvement, HIPAA, HMO
Education
Central Connecticut State University
AS, Education
TYRA beauty April 2015 - Present
TYRA beauty December 2014 - Present
Porter and Chester Institute September 2012 - Present
Avon July 2013 - December 2014
mark. by Avon March 2010 - July 2013
mark.girl Felisa March 2010 - July 2013
Career Resources, Bridgeport CT September 2008 - July 2011
Health Net October 2002 - January 2008
Skills
Customer Service, Management, Beauty Industry, Social Services, Healthcare, Project Based, Coaching, Recruiting, Sales Management, Training, Public Speaking, Marketing, Social Networking, Sales, Career Counseling, Leadership, Employee Benefits, Social Media, Data Entry, Temporary Placement, Research
Education
Charter Oak State College 2014 — 2014
Certificate, Introduction to Natural Gas Distribution, Certificate
Naugatuck High School 1986 — 1990
General Studies
Hesser College
Associate in Business Science, Business Science
Growing Garden, Childcare February 2014 - Present
Afrumos, Mineral Makeup 2004 - Present
Earth Friendly Products February 2013 - September 2013
Health Net September 2001 - December 2008
Skills
Marketing, Graphic Design, Social Media Marketing, Editing, Event Management, Strategic Planning, Web Development, Web Design, Content Management, New Business Development, New Business Set-up, Strategic Marketing..., Grammar, Technical Writing, Proofreading, SEO, Child Development, Early Childhood..., Early Childhood Music..., Childcare, Experience Working with..., Infant Nutrition, Cpr Certified, First Aid, Food Safety, Day Care, Early Childhood..., Sales
Education
Clackamas Community College 2011 — 2012
Morgan Stanley June 2013 - Present
Cornell University January 2013 - May 2013
Cornell Consulting Group February 2011 - May 2013
Morgan Stanley June 2012 - August 2012
Cornell University September 2011 - December 2011
Ernst & Young July 2011 - August 2011
Health Net June 2009 - July 2009
Skills
Microsoft Office, PowerPoint, Microsoft Excel, Equity Research, Economics, Photoshop, Financial Analysis, Financial Modeling, Python, Valuation Modeling, Market Research, Consumer Internet, Online Advertising, Online Retail, Business Strategy, Competitive Analysis, TAM Sizing, Growth Investing, Due Diligence, Equities, Trend Analysis, Trend Forecasting, Data Analysis, CSS, Microsoft Word, Bridge, XHTML, Valuation, Value Investing
Education
Cornell University 2009 — 2013
BA, Sociology (Business, Networks, and Institutions), GPA: 3.94
University of Oxford 2012 — 2012
Visiting Student, Philosophy, Politics and Economics
Monta Vista High School 2006 — 2009
Lowell High School 2005 — 2006
Health Net March 2014 - Present
Veterans Bio Medical Research February 2012 - May 2013
Kitsap Mental Health Services September 2011 - December 2011
Juneau Alliance for Mental Health January 2011 - June 2011
Spectrum Health September 2009 - July 2010
Catholic Community Services July 2008 - September 2009
Suquamish Tribe Wellness Program October 2005 - June 2008
Skills
Licensed Mental Health..., Licensed Chemical..., Ability to interact..., Able to manage a..., Enthusiastic leadership..., Knowledge of various..., Crisis Intervention, Crisis Counselling, Difficult Situations, Crisis Management, Family Therapy, Mental Health Counseling, Social Services, Therapists, Treatment, Interventions, Mental Health, Post Traumatic Stress, Case Management, Behavioral Health, Psychotherapy
Education
Liberty University 2013 — 2015
Educational Leadership and Administration, General
Chapman University 2008 — 2010
Master's degree, Counseling Psychology- Marriage and Family Therapy
Health Net May 2011 - Present
Healthnet June 2006 - May 2011
We Care Hospice LLC September 2005 - May 2006
Wyngate Nursing Home LLC May 1998 - August 2005
Skills
Healthcare, Managed Care, Microsoft Office, Medicare, Utilization Management, HIPAA, Disease Management, Medical Terminology, Provider Relations, Healthcare Management, Nursing, HMO, Long-term Care, Healthcare Information..., Medical Coding, Medical Records, Utilization Review, Home Care, Hospitals, Medical Billing, Case Managment, ICD-9, CPT, Health Insurance, Process Improvement, Customer Service, Medicaid, EMR
Education
Los Angeles Mission College 2005 — 2005
Certification, ICD/CPT Coding and Computerized Billing
Concorde Career College-North Hollywood 2003 — 2004
Practical Nursing, Vocational Nursing and Nursing Assistants
University of Santo Tomas 1996 — 2001
Bachelor of Architecture (B.Arch.)
Central Arizona Project July 2001 - Present
Health Net February 2001 - July 2001
Health Net September 1998 - August 2000
Sierra Health Services January 1990 - June 1995
Skills
Records Management, Business Continuity, Enterprise Content..., Records, EDRMS, Livelink, Document Management, Microsoft Word, Microsoft Excel, Microsoft Office, Customer Service, Disaster Recovery, Governance, Leadership, PowerPoint, Relocation, Problem Solving, Open Text Livelink, Water Resources, Access, Performance Management, Maintenance & Repair, Leadership Development, Organizational..., Program Management, Training
Education
Columbia Southern University 2012 — 2014
Bachelor of Science, Business Administration
Phillips Jr. College 1990 — 1992
Associates, Medical Secretary
Yale New Haven Health System August 2011 - Present
Health Net July 2005 - April 2011
HIP Health Plan of New York 2001 - 2005
HIP Health Plan of New York 1998 - 2001
Oxford Health Plans August 1997 - March 1998
Oxford Health Plans June 1996 - August 1997
Skills
Medicare, Managed Care, Medicaid, HIPAA, Healthcare Management, HMO, Insurance, Healthcare Industry, Medical Compliance, Health Insurance, Health Policy, Healthcare Consulting, Hospitals, Leadership, Management, Healthcare, Claim, Data Analysis, Employee Training
Education
Richmond, The American International University in London 2005 — 2005
Colgate University 1992 — 1996
Bachelor of Arts, Psychology, English
Kaiser Permanente 2013 - Present
Kaiser Permanente November 2014 - May 2015
Blue Shield of California 2010 - 2013
Health Net 2007 - 2010
Health Net, Inc. 2006 - 2007
Stop and Shop Supermarkets 1997 - 2006
Skills
Vendor Management, Business Process..., Pharmacy Operations, Medicaid, Medicare, Health Insurance, PBM, Medicare Part D, Healthcare, Process Improvement, Compliance, Insurance, Pharmacy Benefit..., Customer Service, Regulatory Compliance, Quality Assurance, Audit Processes, Project Management, Data Analysis, Training, HIPAA, Pharmacy Automation, Visio, Managed Care, Management, Healthcare Information..., Access, Health Policy, Employee Benefits, Leadership, Pharmacy, Analysis, Utilization Management, Strategy, Provider Relations
Education
Charter Oak State College
BS, Honors, Health Care Administration
Trumbull High School
Dixieline ProBuild May 2014 - Present
Bank of America September 2013 - February 2014
Ventura Foods LLC May 2013 - September 2013
Bank of America September 2011 - May 2013
Williams-Sonoma, Inc San Francisco June 2011 - September 2011
Bank of America June 2009 - May 2011
Health Net March 2004 - March 2009
Health net 2004 - 2009
farmers insurance 1996 - 2004
Seabury & Smith 1989 - 1997
Skills
SDLC, IBM iSeries, DB2, RPG, COBOL, SQL, Analysis, SOA, Access, Business Intelligence, Systems Analysis, Visio, Data Warehousing, Visual Basic, Databases, Data Modeling, Database Design, Software Development, Requirements Analysis, Microsoft SQL Server, T-SQL, ASP.NET, Integration, Requirements Gathering, Software Documentation, Business Analysis, Agile Methodologies, XML, Web Applications, ETL, Software Project..., Testing, .NET, SharePoint, PL/SQL, Crystal Reports, Oracle, ASP, Business Objects, Web Services, Enterprise Architecture, Unix, User Acceptance Testing, Java Enterprise Edition, Websphere, Informatica, Solution Architecture, Scrum, IT Strategy, Disaster Recovery
Education
Brooklyn College 1987 — 1989
Master of Science (MS), Computer Science
college 1987 — 1989
MS, computer
Office of Early Childhood March 2015 - Present
Easton Community Center July 2014 - Present
ECC March 2008 - Present
North Stratfield School July 2007 - March 2008
Health Net August 2000 - May 2001
Skills
Program Management, Management, Human Resources, Community Outreach, Event Management, Start-ups, Training, Staff Development, Staff Management, Customer Service, Office Administration, Leadership, Communication, Highly detail oriented, Organized self-starter, Multi Tasking, Supply Ordering, Proposal Writing, Nonprofits, Budgets
Education
Queens College 1993 — 1996
Master of Science (MS), Elementary Education Specializing in Mathematics, A
City University of New York-Brooklyn College 1989 — 1993
Bachelor of Arts (BA), Early Childhood Education and Teaching
LifeWorks NW May 2014 - Present
Self-employed January 2014 - Present
Health Net September 2008 - Present
Skills
Group Therapy, Mental Health, Family Therapy, Social Services, Crisis Intervention, Psychotherapy, Mental Health Counseling, Adolescents, Case Management, CBT, Life Transitions, Behavioral Health, Self-esteem, Counseling Psychology, Therapists, Treatment, Clinical Research, Healthcare, Training, Child Development, Stress Management, Psychology
Education
Columbia University in the City of New York 1980 — 1982
Master's degree, Social Work
Home ConsultantBeautiControlSeptember 2012 - January 2013
eHealthInsurance April 2009 - April 2010
Health Net November 2006 - April 2009
Repp Gartner Financial October 2003 - October 2006
Autodesk, Inc 2001 - 2003
Autodesk, Inc 1995 - 2001
Skills
Team Building, Leadership, Health Insurance, Sales, Social Networking, Public Speaking, Fixed Annuities, Coaching, Customer Service, Blogging, Long-term Care, Strategic Planning, Training, Small Business, Insurance, Leadership Development
Education
America's Training Center 2008 — 2009
License, Life - Accident and Health
College of Marin 1987 — 1990
San Rafael High School 1983 — 1987
Diploma
Healthcare Access Maryland June 2012 - Present
Helping Hands, Inc January 2012 - Present
Healthcare Access Maryland April 2009 - Present
Healthcare Access Maryland April 2009 - June 2012
Receivable Outsourcing, Inc September 2007 - March 2009
Health Net April 2006 - April 2007
Education
University of Phoenix 2010 — 2012
Masters, Psychology
Coppin State University 2006 — 2009
BS, Criminal Justice and Social Work
Northern High School
High School Diploma
Coppin State University
B.S, Interdisciplinary Studies
Norfolk State University
General Studies
University of Phoenix
Master’s, Psychology
CBB February 2012 - Present
Independent Consultant October 2007 - February 2012
County of Orange, Health Care Agency April 2007 - October 2007
ACS State & Local Solutions November 2004 - April 2007
Compuwizards Staffing November 2003 - September 2004
Independent Consultant August 2002 - October 2003
Health Net November 2000 - August 2002
Southern California Assoc. of Governments August 1998 - October 2000
Third Wave Corporation March 1997 - August 1998
Sunkist Growers February 1996 - January 1997
Skills
VAX/VMS, DEC Alpha, DCL, Fortran, VAX Basic, VMS, Databases
Education
Mt. San Antonio College 2008 — 2009
CIS
Citrus College 1974 — 1975
AS, CIS
Health Net March 2012 - Present
Blue Shield of CA March 2009 - March 2012
Squaw Valley Ski Corp 2002 - 2011
Health Net February 2002 - March 2009
Health March 2001 - February 2003
CIGNA November 1998 - March 2001
St. Francis Hospital January 1996 - January 1998
Skills
Sales Support, Underwriting, Financial Analysis, Claims, Risk, Financial Reporting, Reinsurance, Financial Risk, Strategic Planning, Healthcare, Insurance, Claim, Management, Employee Benefits, Analysis, Medicare, Strategy, Cross-functional Team..., Brokers, Program Management, Data Analysis, Health Insurance, Sales, Managed Care
Education
University of Hartford 1998 — 2000
MBA-HC, Health Care
University of Hartford 1998 — 2000
MBA, Health Care
Central Connecticut State University 1994 — 1996
Health & Fitness, BS
CCSU
BS, Exercise Physiology and Sports Medicine
QVI Risk Solutions December 2013 - December 2014
Capitol Administrators, Inc. October 2010 - January 2012
EMQ FamiliesFirst January 2008 - October 2009
Health Net January 2006 - January 2008
Blue Shield May 2000 - May 2005
CalFarm Insurance Co. September 1999 - May 2000
Foundation Health June 1996 - September 1999
John Alden Life Ins Co. 1993 - 1996
Skills
Health Insurance, Medical Billing, Underwriting, Call Center, Insurance, Workers Compensation, Outlook, Microsoft Excel, Customer Service, Claim, Team Building, PowerPoint, HIPAA, Microsoft Word, Microsoft Office, Coaching, Call Centers, HRIS
Education
College of San Mateo 1982 — 1984
License, Arts/Business Administration
City College of San Francisco 1979 — 1980
Business Administration
LISI December 2009 - Present
Paychex April 2013 - July 2013
Downey Insurance Services December 2008 - May 2010
Health Net June 2007 - February 2009
Sekure Healthcare July 2006 - June 2007
United Concordia 2005 - 2006
Blue Shield of California 2003 - 2005
Skills
Employee Benefits, Insurance, Health Insurance, New Business Development, Strategy, Health Savings Accounts, Underwriting, Brokers, Sales, Group Insurance, Territory Development, Term Life Insurance, Disability Insurance, Long-term Care, Management, Sales Presentations, Program Management, Sales Operations, Life Insurance, Sales Effectiveness, COBRA, Health Care Reform
Education
Certified Employee Benefits Specialist 2014 — 2015
CETYS Universidad 1998 — 2002
BA, International Business
Dale Carnegie
San Diego State University-California State University
Vincent Memorial High School
Health Net June 2013 - Present
Health Net May 2010 - May 2013
MedicAlert Foundation April 2009 - May 2010
MedicAlert Foundation October 2006 - April 2009
California Department of General Services (DGS) March 2008 - July 2008
MedicAlert Foundation February 2006 - September 2006
LexisNexis Examen January 2002 - December 2005
Unify Corp. February 1997 - October 2000
Unify Corp. January 1995 - February 1997
Unify Corp. January 1992 - January 1995
Skills
Software Development, SaaS, Product Management, Executive Management, Business Intelligence, Project Management, Software Engineering, PMP, Enterprise Software, Integration, Quality Assurance, SQL, Management, Product Development, E-commerce, Project Planning, Cloud Computing, Security
Education
Cornell University
Bachelor of Science in Engineering, Industrial Engineering & Operations Research
University of Massachusetts at Amherst
Master of Science, Computer Science
ESP Pros October 2010 - Present
E.S.P. PROS January 2010 - Present
2010COMMAND CENTER, INC August 2009 - January 2010
Command Center 2009 - 2010
ProTrades Connection October 2007 - October 2008
PRO TRADES CONNECTION October 2007 - October 2008
Health Net August 1997 - June 2007
MHN - HEALTH NET OF CALIFORNIA August 1997 - June 2007
Landmark Calendars October 1988 - November 1994
Education
MHN - HEALTH NET OF CALIFORNIA
College of Marin 1988 — 1992
Administration of Criminal Justice
College of Marin
Administration, Justice
State Farm Agent July 2012 - Present
Cigna July 2004 - June 2009
MAMSI March 2004 - June 2004
Health Net August 1999 - May 2003
Oxford Health Plans September 1996 - August 1999
Skills
Insurance, Life Insurance, Sales, Health Insurance, Customer Service, Financial Services, Property & Casualty..., Project Management, Customer Retention, Strategic Planning, Management, Microsoft Office, Microsoft Excel, Leadership
Education
Concordia College-New York
Bachelor's Degree, Business Administration and Management, General
Health Net 2007 - 2011
Environmental Maintenance Services 2005 - 2007
Car Works 2003 - 2005
Clarke American 1987 - 2002
Skills
Accounting, Accounts Payable, Accounts Receivable, QuickBooks, Month End Close, SAP, Payroll, Inventory Control, Bank Reconciliation, Invoicing, PowerPoint, Tax Accounting
Education
Central Connecticut State University 2012 — 2014
Bachelor's degree, Accounting, 3.5 GPA
Housatonic Community College 2010 — 2012
Associate's degree, Accounting
Alcoa April 2012 - Present
US Foodservice June 2010 - October 2011
Bridgewater Associates, Inc August 2008 - April 2009
Macy's, Inc. (Home Store Division) November 2005 - August 2008
H. Muehlstein & Co. Inc October 2004 - October 2005
Health Net December 2002 - April 2004
Affinion Group April 1999 - September 2002
Skills
Employee Benefits, Human Resources, Performance Management, Process Improvement, Recruiting, Employee Relations, New Hire Orientations, Personnel Management, Team Building, Employment Law, Leadership, FMLA, Sourcing, Policy, Management
Education
American Management Association
Certificate, Human Resource Management
Cornell University
Certificate, Human Resource Studies
Mississippi State University
University of Bridgeport
BA, Psychology/Sociology
Benefit Resources, Inc. 2009 - Present
Health Net 2006 - 2008
UnitedHealth Group 2004 - 2006
Associated Third Party Administrators (ATPA) 2000 - 2004
Anesthesiologists Associated, Inc. 1998 - 2000
Hope Orthopedics of Oregon 1996 - 1998
RS Medical 1995 - 1996
Salem Radiology 1989 - 1995
Skills
Account Management, Insurance, Customer Service, Prior Authorization, Accounts Receivable, Accounts Payable, Contractual Agreements, Medical Billing, Appeals, Medical Coding, Internal Revenue Code, Cafeteria Plans, Flexible Spending..., Healthcare Reimbursement, HRA, FSA, Section 125 Plans, Claims Resolution, Internal Audit, General Office..., Microsoft Excel, Microsoft Word, Account Reconciliation, Workers Compensation, Microsoft Office, Outlook
Education
Corban University 1992 — 1994
Bachelor of Science (B.S.), Business, Human Resources
Portland Community College 2001 — 2003
Accounting
Chemeketa Community College 1990 — 1992
Associate of Arts (AA)
Western Oregon University 1986 — 1989
Human Biology
Sutter Physician Services October 2008 - Present
Health Net April 1997 - October 2008
Kaiser Permanente 1990 - 1997
Skills
Provider Relations, Managed Care, Medicare, Utilization Management, Disease Management, HIPAA, Healthcare Management, Healthcare Information..., Healthcare, PPO, Network Development, HMO, NCQA, Hospitals, Medicaid Managed Care, Health Policy, Health Care Reform, Medicare Part D, Acute Care, Case Managment, EMR, Healthcare Industry, Inpatient, Nursing, Physicians, Quality Improvement, Case Management
Education
San Francisco State University 1991 — 1993
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Contra Costa College 1986 — 1990
Associate of Science (AS), Registered Nursing/Registered Nurse
TechShop 2007 - Present
GL Services - BPO, ASP 2003 - 2007
Hatch Enterprises, Inc. 2000 - 2003
Health Net 2001 - 2001
Kinkos January 1999 - January 2000
Ants.com February 2000 - 2000
Avery Dennison 1991 - 1998
Skills
General management, Start-ups, Open Innovation, Mergers, Product Development, Budgeting, Product Management, Manufacturing, Budgets, Management, Acquisitions, Business Development, Mergers & Acquisitions, Marketing Strategy, Entrepreneurship, Social Media Marketing, Marketing, Strategic Planning, Social Media, Business Strategy, Leadership, Team Building, Brand Development, Sales, E-commerce, Program Management, Public Speaking, Business Planning, Small Business, Social Networking, Public Relations, Strategy, Change Management, B2B, Product Marketing, Executive Management, Retail, Competitive Analysis, New Business Development, Online Advertising, Cross-functional Team..., Nonprofits, SaaS, Email Marketing, Marketing Communications, Project Management, Digital Marketing, Advertising, Team Leadership, Go-to-market Strategy
Education
Claremont Graduate University - Peter F. Drucker and Masatoshi Ito Graduate School of Management 1992 — 1995
MBA, General Management
University of California, Irvine 1989 — 1991
BA, Economics
WoodRanch Technology January 2010 - Present
Voice Print International March 2008 - November 2009
Amgen 2006 - 2007
Health Net 2005 - 2006
Option One Mortgage (HR block) 2002 - 2003
PricewaterhouseCoopers (now IBM) January 1999 - May 2001
Analysts International Corporation (AIC) 1996 - 1998
Tata Consultancy Services 1991 - 1996
Skills
Big Data, Apache Spark, Scala, Data Science, Product Management, Cloud Computing, Machine Learning, Predictive Analytics, Business Intelligence, Apache Kafka, Hadoop, Spark MLlib, Data Warehousing, Data Mining, Python, SaaS, Analytics, SQL, Tableau, ETL, Product Development, Spark SQL, Program Management, Strategy, Product Launch, Strategic Planning, Business Analytics, Entrepreneurship, Competitive Analysis, Enterprise Software, Start-ups, Product Strategy, Cross-functional Team...
Education
Indian Institute of Technology (Banaras Hindu University), Varanasi
Bachelor of Technology (B.Tech.)
Cleveland State University
Master's degree, Computer Science
University of California, Berkeley, Haas School of Business 2012 — 2012
Executive Education, Product Management
Health Net November 2013 - Present
Health Net October 2012 - November 2013
FEYMESA S.L. May 2012 - August 2012
Skills
PowerPoint, Spanish, Microsoft Excel, Social Networking, Team Building, Facebook, Social Media, Social Media Marketing, Marketing Communications, Merchandising, Training, Event Planning, Medicare Advantage, Public Speaking, Public Health, Healthcare, Healthcare Management, International Marketing, International Relations, Healthcare Compliance, Salesforce.com, Medicaid, Affordable Care Act, Provider Relations, Provider Network..., Networking, Events Coordination, Team Leadership, Project Management, Positive Employee..., Awesomeness, World Traveler
Education
San Diego State University-California State University 2010 — 2012
Bachelor of Arts (B.A.), International Business
College of the Canyons 2008 — 2010
Associate's Degree, International Business
University of Virginia 2009 — 2009
Semester at Sea Study Abroad
Health Net Product ManagerNew Age Electronics a Division of SynnexJuly 2006 - June 2014
Stream Global Services November 1999 - July 2006
Mitchell Brothers Trucking November 1998 - November 1999
Skills
Photography, Training Delivery, Woodworking, Communication, Consumer Electronics, Product Management, Management, Marketing Strategy, Team Leadership, Operations Management, Negotiation, Product Marketing, Pricing, Business Planning, P&L Management, Forecasting, Vendor Management, Cross-functional Team..., Key Account Management, Account Management
Education
University of Portland 1994 — 1996
Portland Community College 1990 — 1994
Cerritos College
Blue Shield of California May 2013 - Present
Health Net January 2009 - May 2013
Stanford University November 2008 - January 2009
Franklin Templeton Investments July 2000 - November 2008
Skills
Resource Management, Requirements Gathering, Team Leadership, Product Development, Due Diligence, Technical Design, Project Management, Projects, Management, PMP, SDLC, PMO, Vendor Management, Software Project..., Project Portfolio..., Business Analysis, Program Management, Visio, Business Requirements, Process Improvement, Business Intelligence, Software Documentation, Requirements Analysis, IT Management, Integration, Business Process..., IT Strategy, MS Project, Microsoft Project
Education
Villanova University 2009 — 2009
Master Certificate, Project Management IS/IT For Professionals
City University of New York-Hunter College 1988 — 1993
Economics/Computer Science
Superior Vision March 2010 - Present
Health Net March 1996 - August 2009
Health Net March 1996 - August 2009
Skills
EDI, Healthcare, Programming, HIPAA, Application Development, Testing, Problem Solving, Word, Analysis, Excel, Business Analysis, Microsoft Excel, Microsoft Word, Software Development, Microsoft Office, Program Management, System Administration, Outlook, Process Improvement, Visio, Access, Software Documentation, Customer Service, Systems Analysis, Databases, SDLC, Troubleshooting, Quality Assurance, Requirements Analysis, Vendor Management, Team Leadership, Windows, Integration, Business Intelligence
Education
City College of San Francisco 1968 — 1971
AA Music, Music / Criminology
Hillcrest
Saint Ignatius
UnitedHealth Group August 2014 - Present
PwC Consulting May 2013 - August 2014
Navigant February 2012 - May 2013
HealthCare Strategic Management 2011 - 2012
Anthem 2005 - 2011
Merck-Medco 1998 - 2004
Health Net 1995 - 1998
Skills
Medicaid, Managed Care, Network Development, Health Insurance, Health Policy, Healthcare, Medicare, Strategy, Healthcare Industry, Program Management, Strategic Planning, Business Development, Health Care Reform, Finance, Healthcare Consulting, Healthcare Management, Long-term Care, Policy, Process Improvement, Operational Excellence
Education
Claremont Graduate University - Peter F. Drucker and Masatoshi Ito Graduate School of Management 1989 — 1992
MBA
Reed Exhibitions August 2011 - January 2012
Health Net June 2009 - July 2010
Health Net September 2007 - June 2009
Skills
Customer Service, Sales Management, New Business Development, Recruiting, Sales, Event Planning, Event Management, Account Management, Marketing, Budgets, Social Media Marketing, Email Marketing, Social Media, Lead Generation, Online Marketing, Salesforce.com, Customer Retention, Time Management, Employee Benefits
Education
Central Connecticut State University 2002 — 2007
Bachelor of Arts in Psychology, Minor in Biology
Sacred Heart University
Masters of Communications, Corporate Communication and Public Relations
Staples High School
Health Net September 2008 - Present
Skills
Health Insurance, Insurance
Education
Colorado State University 1977 — 1981
Bachelor of Science (BS)
Blue Shield of California March 2014 - June 2015
City of Hope October 2013 - March 2014
L.A. Care Health Plan November 2012 - July 2013
Health Net October 2009 - October 2012
Health Net December 2007 - October 2009
Countrywide Full Spectrum Lending June 2007 - December 2007
Countrywide Home Loans March 2003 - June 2007
Fidelity National Information Services March 1995 - March 2003
Heller Financial November 1991 - March 1995
Skills
Process Engineering, Program Management, Project Planning, Process Improvement, SDLC, Project Portfolio..., ITIL, IT Service Management, Team Management, Agile, Change Management, Agile Project Management, Release Management, Business Analysis, Project Management, Business Intelligence, Leadership, Cross-functional Team..., Management, PMO, Quality Assurance, IT Management, Testing, Analysis
Education
College of the Canyons 1984 — 2002
AA
Health Care Marketing Pros. LLC September 2011 - Present
University Imaging Center August 2004 - Present
California Health & Longevity Institute February 2010 - May 2011
Tower Imaging Valencia October 2005 - February 2010
Granada Hills MRI January 2001 - January 2002
Health Net 1995 - 2001
Health Net January 1998 - January 2000
Skills
Public Relations, Public Speaking, Social Media Marketing, Marketing, Emcee, Wedding DJ, Landscape Design, Sales, Marketing Communications, Marketing Strategy, Healthcare, Account Management, Sales Management, Advertising, New Business Development, Direct Marketing, Leadership, Event Management, Brand Development, Marketing Management, Management, Team Leadership, Start-ups, Customer Service, Business Development, Email Marketing, Social Media, Strategic Planning, Customer Retention, Facebook, Team Building, Event Planning, Fundraising, Business Strategy, Market Planning, Lead Generation, Medical Imaging, Brand Management, Radiology
Education
California State University
College of the Canyons
Associate of Science (A.S.), Marketing
UCLA Extension
Warner Upper Elementary August 2014 - Present
Health Net December 2013 - June 2014
Costco Wholesale November 2013 - February 2014
Health Net October 2013 - December 2013
Cesar Chavez Academy Middle School August 2012 - July 2013
Universal Learning Academy August 2011 - August 2012
Skills
Customer Service, Marketing, Communication, Training, Sales, Team Building, Leadership, Staff Development, Teaching, Public Speaking, Social Media Marketing, Event Planning, Microsoft Word, Microsoft Excel, Social Media, PowerPoint, Microsoft Office, Outlook, Research, Instructional Design, Advising People, Team Motivation, Motivational Speaking, Community Engagement, Social Networking, Community Outreach
Education
Central Michigan University 2007 — 2009
Bachelor of Education (B.Ed.), Education, English, K-8
Oakland University 2004 — 2007
Business Administration and Management, General
Health Net February 2011 - Present
TSI Staffing Inc March 2009 - February 2011
Covenant House Washington July 2008 - July 2009
Community Systems, Inc January 2008 - August 2008
Skills
Provider Relations, Medicare, Medicaid, HMO, Health Insurance, PPO, Credentialing, HIPAA, Health Policy, Community Outreach, Healthcare, Mental Health Counseling, Community Development, Youth Development, Youth Mentoring, Social Services, Social Skills, Research, Leadership, Data Entry, Microsoft Office, Case Managment, Crisis Intervention
Education
St. Joseph's College 2003 — 2006
Bachelor of Science (BS), Community Health and Human Services
Community College of Rhode Island 1997 — 1999
Social Sciences
Cigna September 2005 - May 2015
Kaiser Permanente 2003 - 2005
MHN Health Net 2000 - 2003
Blue Shield of California 1996 - 1999
Health Net 1992 - 1996
Skills
Strategy, Insurance, Business Development, Cross-functional Team..., Leadership, Management, Strategic Planning, Marketing, Sales, Product Development, Healthcare, Employee Benefits, Managed Care, Process Improvement, Team Building, Health Insurance
Education
Cornell University 1987 — 1991
BA
St. Mary's College of California
MBA
J.D. Power December 2014 - Present
Identity Management Institute 2008 - Present
Identity-Theft-Awareness.com 2006 - Present
Veros October 2010 - December 2014
United Commercial Bank (Acquired by East West Bank) 2009 - 2010
Health Net 2006 - 2008
Fox Entertainment Group 2000 - 2006
Skills
Information Security, Internal Audit, Identity Theft, Process Engineering, International Business..., Compliance, Blogger, Business Modeling, Published Author, Product Development, Training, Management, Data Privacy, Risk Management, Fraud, Process Improvement, Process Integration, Start-ups, Multilingual, GLBA, HIPAA, FACTA, FCRA, Sarbanes-Oxley Act, Red Flags Rule, Due Diligence, PCI DSS, Bank Secrecy Act, Anti Money Laundering, Security, Business Strategy, CISSP, Business Intelligence, Leadership, Strategy, Information Technology, IT Strategy, Risk Assessment, CISA, Program Management, Security Audits, Security Awareness, Identity Management, Computer Security, Privacy Law, Customer Identification..., Know Your Customer (KYC), Enterprise Risk..., Data Security, Enterprise Software
Education
University of Illinois at Chicago 1992 — 1993
BS
City Colleges of Chicago-Malcolm X College 1990 — 1991
Associate in General Studies
Elm City Wellness February 2014 - January 2015
Connecticut Center for Massage Therapy January 2014 - January 2015
Body and Soul Day Spa February 2014 - May 2014
Health Net March 2011 - December 2011
Health Net July 2007 - March 2011
DIVERSIFIED EMPLOYMENT SERVICES, INC April 2007 - July 2007
Stop & Shop June 2005 - April 2007
Stop & Shop September 2000 - June 2005
Skills
Organized Multi-tasker, Auditing, Swedish Massage, Therapeutic Massage, Deep Tissue Massage, Chair Massage, Sports Massage, Microsoft Office
Education
Bodymind Center for Thai Massage 2014 — 2014
Thai Massage
Connecticut Center for Massage Therapy-Newington 2012 — 2013
Housatonic Community College 2003 — 2005
Associate of Science (A.S.)
True Benefit June 2013 - Present
PFP Services February 2011 - June 2013
National Accounts Group January 2008 - August 2009
Health Net February 2005 - December 2007
UnitedHealthcare February 2004 - February 2005
Aetna November 2002 - January 2004
Mathog and Moniello February 2002 - October 2002
Anthem BCBS January 1997 - November 2001
Skills
Healthcare, Health Insurance, Insurance, Employee Benefits, Sales, Access, Management, Strategy, Sales Operations, New Business Development, Human Resources, Claim, Call Centers, Customer Retention, Leadership
Education
Central Connecticut State University
Psychology/Sociology
West Haven High School
Magellan Health June 2015 - Present
Health Net July 2012 - May 2015
Cross Creek Counseling January 2006 - July 2012
Family Intervention and Community Support December 2004 - December 2005
Cross Creek Counseling November 2000 - November 2004
AFTER Counseling Agency June 1996 - December 1999
AFTER Counseling Agency September 1994 - December 1999
Skills
Mental Health, Counseling, Supervisory Skills, Group Therapy, Family Therapy, Adolescents, Treatment, Clinical Supervision, Case Managment, Therapists, Stress, Chemical Dependency, Child Development, Training, Policy, Child Therapy, Psychotherapy, Behavioral Health, Grief Counseling, Psychological Assessment, CBT, Play Therapy, Mindfulness, Interventions, Mental Health Counseling, Counseling Psychology, Life Transitions, Self-esteem, Motivational..., Post Traumatic Stress, Anger Management, Psychodynamic..., Case Management
Education
The Professional School of Psychology 1992 — 1994
M.A., Clinical Psychology
Corban University 1980 — 1984
B.S., Pastoral Ministries
SCAN Health Plan March 2013 - Present
SCAN Health Plan October 2008 - March 2013
Health Net 2001 - 2008
Skills
Managed Care, Health Insurance, Medicare, Medicaid, Provider Relations, HMO, Utilization Management, Medicare Part D, Hospitals, Healthcare, EMR, Healthcare Information..., Informatics, HIPAA, Healthcare Consulting, Healthcare Industry, Revenue Cycle, Disease Management, Process Improvement, Access, Healthcare Management
Education
Chapman University
Bachelor of Science (BS), Health Services/Allied Health/Health Sciences, General
Kaiser Permanente April 2010 - Present
Health Net August 2009 - March 2010
Legler, Inc February 2003 - December 2009
Rush Creek Solutions 1999 - 2001
Skills
Medicare, Health Insurance, Managed Care, HIPAA, Employee Benefits, Insurance, Healthcare, Medicare Part D, Disability Insurance, Healthcare Information..., Healthcare Management, Process Improvement, Team Building, HMO, Strategic Planning, Software Documentation, Term Life Insurance, Data Analysis, Life Insurance, Account Management, Medicaid, Sales, Selling
Education
City University of Seattle 1996 — 1998
B.S,, Business Administration
St. Cloud State University
MedImpact Healthcare Systems, Inc. March 2014 - Present
DIRECTV June 2012 - April 2013
Health Net October 2009 - June 2012
Health Net August 1999 - October 2009
Royal Bank Financial Group January 1997 - August 1999
Royal Bank 1995 - 1997
Skills
Vendor Management, Integration, SDLC, Business Requirements, Systems Analysis, Cross-functional Team..., Visio, Business Process..., User Interface Design, Solution Implementation, Project Management, Business Analysis, Software Quality..., Management, Project Planning, Strategy
Education
McGill University 1991 — 1993
Diploma, Management
Concordia University 1987 — 1990
BSc, Health Sciences
TCS Space and Component Technology 2011 - Present
Crescendo Advisors 2010 - 2011
Research In Motion 2009 - 2010
TeleNav, Inc 2006 - 2009
Health Net 2004 - 2006
Ingenio 2000 - 2001
Airtouch (now Verizon Wireless) 1998 - 2000
Airtouch 1996 - 1997
Airtouch 1990 - 1996
Del Monte Foods 1984 - 1990
Skills
Cross-functional Team..., SaaS, Team Building, Subscription, Product Management, Start-ups, Strategic Partnerships, Product Marketing, Business Development, Strategic Planning, Mobile Devices, Product Development, Business Strategy, Competitive Analysis, Executive Management, Enterprise Software, Marketing Strategy, Mergers, New Business Development, Wireless
Education
Cornell University - S.C. Johnson Graduate School of Management
MBA
Whitman College
BA, Biology
Aspetuck Healthcare Management, LLC 2003 - Present
Home Physicians, LLC 2011 - 2012
LifeOptions, LLC 2007 - 2009
Aveta, Inc. 2005 - 2006
Health Net 2004 - 2005
Alliance HealthCard 2003 - 2004
CIGNA Healthcare 2002 - 2003
Intracorp 2002 - 2003
FitLinxx 1999 - 2002
OptiCare 1996 - 1999
Education
Massachusetts Institute of Technology 1984 — 1985
Masters in the Management of Technology, Management
Cornell University 1977 — 1980
AB, Chemistry
Health Net May 2007 - September 2013
Green Building Products November 2004 - March 2007
Solistone February 2002 - November 2004
Candle Corporation November 1996 - March 2001
Turner Pictures 1990 - 1995
MGM 1988 - 1990
Skills
Social Media Marketing, Marketing Strategy, Marketing, Strategy, Management, Strategic Planning, Business Development, Start-ups, New Business Development, Market Research
Education
City University of New York-Hunter College 1985 — 1988
Pitzer College 1967 — 1971
B.A.
Health Net July 2004 - February 2011
Health Net 2007 - 2008
Health Net Inc. February 2005 - September 2007
Health Net 2004 - 2007
Double U Enterprises January 1998 - February 2005
Norton Medical Industries January 2004 - May 2004
Healthcare Recoveries September 1999 - October 2003
Skills
Type 80wpm, 65K wpk,..., Employee Relations, Management, Vendor Management, Recruiting, Training, Human Resources, Numeric, Onboarding, Insurance, Temporary Placement, Project Management, Employee Benefits, Analysis, Personnel Management, Performance Management
Education
University of Phoenix 2007 — 2009
MBA, Business Administration
University of Phoenix 2004 — 2005
BS, Behavioral Science
Citrus College 1996 — 1997
LVN, Nursing
CIGNA July 2004 - Present
Health Net August 1999 - March 2003
Oxford Health Plans October 1996 - August 1999
Education
Concordia College 2001 — 2002
BS, Business
Health Net February 2011 - Present
Health Net January 2008 - May 2011
Agate Resources April 2006 - November 2007
SelectCare February 2003 - December 2006
Performance Health Technology June 2001 - February 2006
Sisters of Providence Health System January 1997 - May 2001
Mercer June 1990 - November 1992
Education
Colorado State University 1985 — 1989
BS, Mathematics
CRMS 1979 — 1981
Health Net October 2015 - Present
Skills
Direct Mail, B2B, Access, Business Objects, CSS, SQL, Insurance, Database Marketing, Direct Marketing, Catalogs, SAS, E-commerce, Email Marketing, Lead Generation, Analytics, CRM, Customer Segmentation..., Data Modeling, Data Analysis, Market Analysis, Microsoft Excel, Tableau, Stata, PowerPoint, Analysis, Segmentation, Strategy, Marketing, Marketing Strategy, Customer Acquisition, Market Research, Predictive Modeling, Customer Insight, Marketing Research, Multi-channel Marketing, Visio, Predictive Analytics, Campaign Management, Marketing Analytics, Quantitative Analytics, Market Planning, B2B Marketing
Education
Sonoma State University 2012 — 2014
Bachelor of Arts (B.A.), Economics
College of Marin
A.S., Business / Computer Programming
Health Net May 2014 - Present
Health Net October 2010 - April 2014
Health Net April 2004 - September 2010
Health Net March 2000 - March 2004
Bayview Hospital May 1999 - March 2000
Cherry Hospital August 1997 - April 1999
Skills
Healthcare, Project Management, Workshop Facilitation, Program Development, Visio, Medicare, Clinical Research, Instructional Design, Microsoft Excel, Credentialing, Hospitals, Customer Service, Managed Care, Policy, Change Management, Case Managment, Data Analysis, System Administration, Quality Assurance, Medicaid, Call Centers, Coaching, Healthcare Information..., Strategic Planning, Community Outreach, Leadership, Staff Development, Program Management, NCQA, Disease Management, Performance Improvement, Health Insurance, Provider Relations, TRICARE, Cross-functional Team..., Behavioral Health, HMO, Case Management, Utilization Management, Utilization Review, Quality Improvement, Accreditation, Training
Education
University of California, Irvine 2014 — 2016
Project Management certificate program, Project Management
University of California, Irvine 2012 — 2014
Lean Six Sigma Green Belt Certificate
Excelsior College 2007 — 2010
MBA, Global Business
Excelsior College 2005 — 2006
Bachelor's degree, Liberal Arts and Sciences/Liberal Studies
Community College of Allegheny County 1993 — 1996
Associate of Science (A.S.), Registered Nursing/Registered Nurse
MHN Government Services November 2010 - Present
MHN March 2006 - November 2010
Health Net June 2004 - March 2006
Health Net October 1999 - June 2004
Skills
Military, Contract Management, Program Management, Medicare, Health Policy, Training, Medicaid, Utilization Management, Operations Management, Management, Hospitals, Policy, DoD, Case Managment, Case Management
Education
Chapman University 1999 — 2001
Bachelor of Applied Science (B.A.Sc.), Health Systems, Cum Laude, Gray Key Award
Health Net April 2015 - Present
Amgen January 2013 - October 2014
Amgen 2009 - 2013
Amgen 2006 - 2009
Amgen 1999 - 2006
Amgen 1998 - 1999
California Clinical Trials 1995 - 1997
California Clinical Trials 1994 - 1996
Brotman Medical Center 1992 - 1994
Skills
Pharmaceutical Industry, GCP, Oncology, Lifesciences, Clinical Development, Biotechnology, Biopharmaceuticals, Clinical Trials, CTMS, FDA, Pharmacovigilance, Clinical Research, CRO, SOP, Regulatory Affairs, Drug Development
Education
Chamberlain College of Nursing
Bachelor's degree, Registered Nursing/Registered Nurse
Oxford School of Nursing
Associate's degree, Registered Nursing/Registered Nurse
Health Plan One January 2006 - Present
Health Net August 2003 - July 2005
HCA January 1999 - September 2001
Health Partners 1993 - 1997
KPMG Peat Marwick/Audit Dept 1986 - 1990
Skills
Brokers, Medicare, Strategic Partnerships, Process Improvement, Strategy, Health Policy, Marketing Strategy, Underwriting, Employee Benefits, Healthcare Industry, Leadership, Sales, SEM, Strategic Planning, Health Insurance, Healthcare, Team Building, Start-ups, Executive Management, Competitive Analysis, Marketing, New Business Development, Mergers & Acquisitions, Mergers, Insurance, Direct Marketing, Managed Care, Sales Management, Management, Business Development
Education
Harvard Business School 1990 — 1992
College of the Holy Cross 1982 — 1986
Economics/Accounting
Ramapo High School
River City Medical Group February 2014 - Present
River City Medical Group November 2011 - Present
Sutter Health November 2007 - November 2011
Sutter Health 2005 - October 2011
River City Medical Group July 2009 - December 2010
River City Medical Group March 2003 - May 2007
PPMSI March 2002 - December 2003
Kelly Homecare September 2001 - February 2002
Health Net July 1999 - September 2001
Skills
Utilization Management, HMO, PPO, Healthcare, Health, Case Management, Auditing, Healthcare Management, Process Improvement, Clinical, Hospitals, Nursing, Managed Care, Leadership Development, Change Management, Case Managment, Management, Clinical Research, Medical Coding, Disease Management, Healthcare Information..., EHR, Quality Improvement, HIPAA
Education
Chapman University 1997 — 1999
Bachelor's Degree, Healthcare Administration, Chapman University, Health/Health Care Administration/Management
Los Angeles School of Nursing 1969 — 1972
Diploma in Nursing, Registered Nursing/Registered Nurse
SeniorBridge December 2010 - Present
NYCLIX September 2008 - February 2010
EmblemHealth 2010 - 2010
Health Net 2006 - 2008
Horizon Blue Cross Blue Shield of New Jersey 2003 - 2006
PricewaterhouseCoopers 1991 - 2003
PwC 1991 - 2003
Empire Blue Cross Blue Shield 1986 - 1988
Skills
Healthcare, Managed Care, Healthcare Management, Process Improvement, Medicare, Medicaid, HIPAA
Education
Columbia University Mailman School of Public Health 1900 — 1900
MPH with Honors, HEALTH POLICY
Optum December 2014 - Present
Taunton Ridge Healthcare Consulting, LLC January 2013 - Present
Burgess Group, LLC January 2009 - July 2012
PricewaterhouseCoopers Advisory Practice January 2005 - March 2008
Health Net September 1999 - November 2004
Physicians Health Services March 1998 - September 1999
Physicians Health Services July 1992 - March 1998
Physicians Health Services July 1989 - July 1992
Physicians Health Services July 1988 - July 1989
Physicians Health Services December 1986 - July 1988
Skills
Healthcare, Medicaid, Account Management, Product Management, Product Development, Sales, Team Management, Project Management, Disaster Recovery, Insurance, Strategy, Six Sigma, Lean Six Sigma, Integration, Training, Enterprise Software, CRM, Project Portfolio..., Business Strategy, Project Planning, Analysis, Budgets, Business Planning, Contract Negotiation, Marketing Strategy, Start-ups, SaaS, Outsourcing, Strategic Partnerships, Forecasting, Software Documentation, Competitive Analysis, Professional Services, Recruiting, Executive Management, SDLC, Risk Management, Performance Improvement, Team Leadership, Healthcare Management, Process Improvement
Education
Villanova University 2013 — 2013
Certified Lean Six Sigma Sensei, Healthcare and IT
Villanova University 2012 — 2012
Certified Six Sigma Green Belt (CSSGB) - Healthcare and IT
New York Medical College 1985 — 1993
MPH, Health Policy and Management
AHIP Executive Leadership Program 1991 — 1992
Certified Managed Care Executive (CMCE)
Columbia University in the City of New York 1974 — 1981
BA, Biology
Hackley School 1970 — 1974
Tarrytown Public Schools 1960 — 1970
AHIP Executive Leadership Program
AHIP Executive Leadership Program
Infocrossing June 2010 - Present
Universal American December 2008 - June 2010
Citizens Choice Healthplan January 2008 - December 2008
Health Net March 2006 - January 2008
Blue Shield of California July 1997 - March 2006
Skills
Medicare Advantage, Health Insurance, HIPAA, Managed Care, Insurance, Medicare, Call Centers, Medicaid, Medicare Part D, HMO, Process Improvement, Sales, Team Building, PowerPoint, Health Policy, Business Development, Training, Provider Relations, Healthcare Industry, Administration, Strategic Planning, Healthcare Consulting, Business Analysis, System Administration
Education
College of the Canyons 1981 — 1984
Business
Pompous Cat Studios January 2012 - Present
Screen Engine, LLC 2014 - 2015
Screen Engine, LLC 2014 - 2015
Animated Storyboards August 2013 - November 2013
West Village Musical Theater Festival 2012 - 2012
Health Net April 2005 - August 2010
Candid Moment Productions January 2004 - June 2006
Los Angeles Unified School District September 2003 - May 2006
Ricochet Entertainment June 2003 - September 2003
Redondo Beach Unified School District September 2002 - September 2003
Skills
HMO, Health Insurance, Health Savings Accounts, Insurance, Brokers, Claim Resolution, Line Producing, Screenwriting, Script Supervision, Script Coverage, Video Editing, Film Editing, Theatrical Production, Final Draft, Feature Films, Theatre, Directing, Producing, Film Production, Short Films, Creative Writing
Education
Columbia College Chicago 2010 — 2014
Master of Fine Arts (MFA), Writing, Directing, Film Production
UCLA 1996 — 2000
BA, Theater, Film, and Television
Mira Costa High School 1994 — 1996
Empire Blue Cross Blue Shield 2008 - Present
Health Net January 2008 - August 2008
Health Net January 2005 - January 2008
Health Net May 1998 - December 2004
Skills
Managed Care, Disease Management, Utilization Management, Medicine, Provider Relations, Health Policy, Leadership, Healthcare Industry, Medicaid, EMR, Medicare, Healthcare Management, Healthcare Consulting, HIPAA, Physicians, Policy, HMO, Medicare Part D, Practice Management, Claim, Health Insurance, Quality Improvement, Health Care Reform, Healthcare Information..., Hospitals, Informatics, PPO, EHR, Healthcare, Public Health, Clinical Research, Analytics, Network Development, Revenue Cycle, NCQA
Education
Pace University - Lubin School of Business 1999 — 2003
MBA
Columbia University College of Physicians and Surgeons 1979 — 1983
MD
Yale University 1972 — 1976
B.A., Mathematics
Affinity Medical Solutions/Stanford Health Care August 2014 - Present
Health Plan of San Joaquin November 2013 - July 2014
Coram Healthcare July 2010 - November 2013
Health Net December 1998 - January 2010
Med Partners 1997 - 1998
CIGNA April 1992 - October 1997
PruCare of California 1987 - 1991
Skills
Provider Relations, HIPAA, Management, Healthcare, Disease Management, Leadership, Healthcare Industry, Managed Care, Networking, Network Development, Medicare, Insurance, Health Insurance, Employee Benefits, Hospitals, Medicaid, Operations Management, Pharmacy Benefit..., Healthcare Management, Utilization Management, Physicians, Strategic Planning, Claim, Healthcare Consulting, Physician Relations, Contract Negotiation, PPO, Healthcare Information..., HMO, Revenue Cycle, Health Policy
Education
Central Michigan University 1975 — 1979
Law Enforcement April 2010 - Present
CDI February 2009 - April 2010
Alldata 2010 - March 2010
Health Net February 2001 - February 2009
health net 2001 - 2008
United States Marine Corps 1996 - 2000
The Ritz Carlton, Kapalua, Maui, HI. October 1994 - August 1995
Education
University of Phoenix 2007 — 2009
BSBM, Business Management
Santa Rosa Junior College 1993 — 1994
Piner High School 1990 — 1993
Central Texas College
San Diego - Miramar Community College
San Diego Mesa College
Health Net January 1998 - Present
Omni Healthcare November 1997 - January 1998
Foundation Health Corporation January 1993 - October 1997
Science Applications International Corporation July 1991 - November 1992
U.S. Air Force October 1970 - June 1991
Skills
Medicare, Medicaid, Managed Care, Health Insurance, Financial Reporting, Insurance, Essbase, Financial Analysis, Accounting, HIPAA, Process Improvement, HMO, Access, Employee Benefits, Claim, Account Reconciliation, Healthcare Industry, Health Policy, Sarbanes-Oxley Act, Utilization Management, Lotus Notes
Education
Golden Gate University 1988 — 1994
BS & MBA, Management
Community College of the Air Force 1978 — 1989
Associate's Degree, Resource Management (1st Degree) & Resource Management (2nd Degree)
WellPoint March 2011 - Present
HealthNet 2005 - November 2010
Health Net 2000 - 2005
Women's Health Connecticut 1998 - 2000
Oxford Health Plans 1994 - 1998
Bristol Hospital 1993 - 1995
Skills
Health Insurance
Education
Central Connecticut State University
BSN, Nursing
Health Net October 2005 - Present
Blue Shield April 1990 - May 2005
Education
Chapman University 1997 — 2000
Masters, Health Administration
California Health and Wellness: Centene Corporation June 2013 - Present
Health Net 2005 - June 2013
Blue Shield of California 1990 - 2005
Skills
Business Process..., Healthcare, Healthcare Management, Medicare, Utilization Management, Medicaid, Leadership, Managed Care, Hospitals, Program Management, Health Policy, Budgets, Case Managment, Change Management, Clinical Research, Disease Management, HIPAA, Health Insurance, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Management, Nonprofits, Nursing, Physician Relations, Process Improvement, Provider Relations, Quality Improvement, Revenue Cycle, Strategic Planning
Education
Chapman University
Masters, Health Administration
Emerald Isle Immigration Center 2004 - Present
Columbia University September 2008 - Present
Clinical Social Worker in Private Practice June 1995 - Present
Health Net June 1999 - December 2004
Health Net June 1998 - April 1999
GHI June 1995 - June 1998
NYC Health and Hospitals Corporation October 1993 - June 1995
Skills
Social Services, Mental Health, Treatment, Counseling, Case Management, Crisis Intervention, Psychotherapy, Program Development, Case Managment, Behavioral Health, Group Therapy, Conflict Resolution, Career Counseling, Clinical Supervision, Healthcare, Inpatient, Interventions, Managed Care, Clinical Research, EAP, Therapists, Family Therapy, Mental Health Counseling, Adolescents, CBT, Motivational..., Nonprofits
Education
Columbia Univeristy 1991 — 1993
M.S., Social Work
Columbia University in the City of New York 1991 — 1993
Master of S, Clinical/Medical Social Work
State University of New York College at Cortland 1984 — 1989
Bachelor's Degree, Sociology
Sungard Availability Services April 2014 - Present
QTS (Quality Technology Services) December 2012 - November 2013
Herakles LLC November 2006 - December 2012
Health Net August 1996 - January 2006
Sharp HealthCare August 1991 - July 1996
Skills
Project Management, Program Management, Security, Disaster Recovery, Vendor Management, Process Improvement, Data Center, Visio, Budgets, Management, Troubleshooting, PMP, Construction, Project Planning, Facilities Management, Strategic Planning, Contract Negotiation
Education
Brook's Institute
BS, Industrial Photographic Science
Coleman College
AS, Computer Science
BCBSNC August 2012 - July 2013
iHealth Technologies December 2009 - May 2010
Health Net April 2005 - February 2009
ConnectiCare July 2004 - April 2005
Health Net August 2001 - June 2004
Health Net February 2001 - July 2002
Health Net February 2000 - February 2001
Health Net October 1990 - February 2000
St. Joseph's Manor January 1993 - June 1993
Skills
Process Improvement, Team Building, Staff Management, Managed Care, Compliance, Customer Service, Auditing, Medicare, Health Insurance, Call Center, Operations Management, Product Development, Vendor Management, Problem Solving, Data Analysis, Medicaid, Healthcare Management, Claims, Claim, Call Centers, Sales, Leadership, Business Process..., Cross-functional Team..., Analysis, Insurance, Healthcare, Budgets, Training, Software Documentation, Business Planning, Outsourcing, Management, Marketing Strategy, Program Management, Executive Management, Project Management, Quality Assurance, Business Development, Performance Management, Customer Satisfaction, Policy, Customer Retention, HIPAA, New Business Development, HMO, Employee Benefits, Provider Relations, Healthcare Industry, Disease Management
Education
Charter Oak State College
Associate Science
Bullard Havens Regional Vocational School
Licensed Practical Nursing
Health Net January 2008 - Present
Health Net 2002 - 2009
Health Net February 2002 - December 2007
CIGNA HealthCare June 1999 - February 2002
CIGNA 1991 - 2002
CIGNA HealthCare October 1996 - May 1999
CIGNA HealthCare April 1991 - October 1996
Skills
Managed Care, Medicare, Health Insurance, Insurance, Medicaid, HIPAA, Provider Relations, Healthcare, Employee Benefits, Health Policy, Claim, Underwriting, Business Analysis, HMO, Healthcare Industry, Healthcare Management, Brokers, Healthcare Consulting, Disease Management, PPO, Healthcare Information..., Long-term Care, Network Development
Education
College of San Mateo
Business
Golden Gate University
Managment
California Dental Network (Dental HMO) 2014 - 2015
MultiPlan (National Provider Managed Care Network) March 2011 - February 2012
Western Growers (Third Party Administrator) 2006 - 2009
Beech Street (Preferred Provider Organization) 2003 - 2005
Canfield and Associates (Hospital Revenue Cycle Management) 2002 - 2003
HCC Benefits 1996 - 2001
Health Net 1992 - 1996
Skills
Team Building, Provider Relations, Health Insurance, Higher Education, Adult Learning Theory, Client Service Skills, Claims Auditing, Provider Fee Negotiation, Claim Appeal Resolution, Hospital Collections, Claims Research, Medical Terminology
Education
Chapman University
Bachelor of Arts (B.A.), Organizational Leadership
Bay Path University
Master’s Degree, Higher Education Administration
AT&T 2009 - Present
Health Net June 1998 - Present
Sprint / eunetcom March 1996 - September 1998
Dun & Bradstreet March 1994 - March 1996
Data Switch Corp April 1983 - March 1994
Education
Charter Oak State College
Information Systems
Orange County Community College 1976 — 1978
IT
Newburgh Free Academy 1975 — 1976
Epiphany High Scool 1972 — 1975
MODA Health (Formerly ODS Companies) January 2011 - Present
Health Net June 2001 - December 2009
Education
City University of Seattle 1999 — 2002
Master of Business Administration (M.B.A.), Business Administration
Portland State University - School of Business 1994 — 1998
Bachelor of Arts (B.A.), Marketing/Marketing Management, General
Tarcisius
Healthfist, Inc. February 2009 - Present
Health Net August 2006 - February 2009
MetroPlus Health Plan February 2003 - May 2006
Skills
Medicaid, Medicare, EMR, Utilization Management, Healthcare Consulting, Healthcare Industry, HIPAA, EHR, Healthcare Information..., Healthcare, Hospitals, Health Insurance
Education
City University of New York-Brooklyn College 1989 — 1994
BA, Health Care Administration
City University of New York-Hunter College
MPH, HealthCare Administration
Yale New Haven Health System March 2013 - Present
Chase July 2011 - March 2013
HDF September 2009 - July 2011
Health Net January 1997 - March 2009
Skills
Requirements Gathering, User Acceptance Testing, SDLC, Requirements Analysis, Programming, Claim, Business Objects, DB2, Process Improvement, Risk Management, Project Management, Customer Service, Business Requirements, Portfolio Management, Microsoft Excel, Visio, Lotus Notes, Program Management, Business Process..., Management, Microsoft Office, Call Center, HIPAA, Software Documentation, Vendor Management, Business Process, Access, Analysis, Business Analysis, Healthcare, Integration, Medicare, Managed Care, SQL, Software Development, Databases
Education
Charter Oak State College
Bachelor of Science (B.S.), Health Information Management
PMR Group International, Inc. April 2012 - Present
Dlyte October 2014 - January 2015
Lead.net June 2006 - October 2014
Aaron Gross February 2003 - June 2006
Rheumatology Diagnostics Laboratory, Inc. April 1997 - February 2003
IdentityWEB March 1997 - April 1998
Tech Talk March 1997 - April 1998
News Digital Systems/News May 1996 - January 1997
Health Net August 1994 - May 1996
On Assignment November 1991 - August 1994
Skills
SEO, Web Development, E-commerce, Blogging, Web Design, Online Marketing, Copywriting, Social Media, Software Development, Google Analytics, WordPress, Online Advertising, Marketing, Social Networking, SEM, Website Development, Web Marketing, Lead Generation, Database Design, Graphic Design, Project Management, Microsoft Excel, Social Media Marketing, Facebook, Research, CMS, HTML, Strategic Planning, Digital Marketing, SEO copywriting, Online Reputation..., Web Project Management, Web Content Management, SQL, Organic Search, IT Management, Small Business, Non-profits, Business Strategy, Systems Analysis, Corel Draw, Boy Scouts, Headline Writing, Healthcare Information..., Temporary Staffing, Information Technology, Information Security, Cybercrime, Fraud Detection, Computer Forensics
Education
Columbia University in the City of New York 1980 — 1985
West Windsor-Plainsboro High School, Princeton Junction, NJ 1976 — 1980
HS Diploma
US Technical Services October 2011 - Present
Bank of America Home Loans October 2010 - October 2011
Independent Contractor November 2009 - July 2010
Health Net April 2005 - June 2009
Nishcorp Consulting 2004 - 2005
Blue Cross of California February 2000 - March 2003
Education
College of the Canyons 1981 — 1983
Technology
Masonite International November 2013 - Present
ACS, a Xerox Company February 2006 - May 2013
Health Net 2000 - 2005
First Health Group April 1999 - August 2000
Dow Chemical November 1995 - March 1999
Skills
ITIL, Disaster Recovery, IT Strategy, IT Service Management, Data Center, SDLC, Windows Server, Troubleshooting, Integration, PMP, Active Directory, Vendor Management, Service Delivery, System Deployment, IT Operations, Databases, Servers, Software Documentation, System Administration, VMware, IT Management
Education
Embry Riddle Aeronautical University-Worldwide 2010 — 2013
M.S. in Project Management, Project Management
Central Michigan University 1990 — 1995
B.S. in Business Administration, Management Information Systems
Tevis Insurance Solutions September 2013 - Present
Barclay West Employee Benefits June 2004 - September 2013
Health Net January 1994 - June 2004
Skills
Employee Benefits, Health Insurance, Health Savings Accounts, Cost Saving Initiatives, Employee Wellness..., Dental Insurance, Vision Insurance, Disability Insurance, Life Insurance
Education
Chabot College 1991 — 1994
Nursing
Lockton Companies March 2014 - Present
Health Net February 2013 - March 2014
Health Net November 2011 - February 2013
Health Net September 2009 - November 2011
Health Net June 2009 - September 2009
STATS LLC April 2009 - September 2009
Los Angeles Galaxy March 2009 - September 2009
CMS Athletics Department January 2009 - May 2009
Claremont McKenna College September 2008 - May 2009
Claremont McKenna College September 2007 - May 2009
Skills
Social Media, Digital Marketing, Marketing Communications, Fundraising, Customer Service, PowerPoint, Marketing, Management, Advertising, Research, Microsoft Excel, Public Speaking, Project Planning, Time Management, Event Planning, Data Analysis, Brand Management, Market Research
Education
Claremont McKenna College 2005 — 2009
Bachelors, Economics
CIGNA Healthcare February 2010 - Present
Rogers Benefit Group 2008 - 2009
Health Net July 2005 - April 2008
Health Net July 2002 - July 2005
Health Net September 1999 - July 2002
Health Net February 1995 - September 1999
Education
Central Connecticut State University 1987 — 1992
BS, Marketing
Health Net Federal Services June 2010 - Present
Health Net Federal Services March 2004 - Present
Health Net 1999 - Present
Health Net Federal Services July 2001 - March 2004
Health Net Federal Services August 1999 - July 2001
Skills
Regualtory Compliance, Clinical Quality, Quality Monitoring, Clinical Education, Compliance Monitoring, Change Leadership, URAC UM/CM/DM/Health..., Managed Care, Utilization Review, Healthcare, Quality Control, Change Management, Utilization Management, HIPAA, Quality Improvement, Training, Employee Training, Process Improvement, Program Management, Analysis, TRICARE, Staff Development, Healthcare Management, Policy, Leadership, Leadership Development, Performance Improvement, Case Managment, Nursing, Cross-functional Team..., Coaching, Clinical Research, Management, Healthcare Information..., Quality Management, Accreditation, Medicaid, JCAHO, Provider Relations, Healthcare Consulting, Medicare, Healthcare Industry, EHR, HMO, Credentialing, EMR, Health Insurance, Medical Compliance, Health Policy, Case Management
Education
Villanova University 2015 — 2015
Lean Six Sigma Black Belt (LSSBB) Certificate Program
Conestoga College 1990 — 1994
Registered Nursing/Registered Nurse
Health Net Federal Services 2004 - Present
Health Net July 1999 - January 2004
CHW Medical Foundation October 1991 - April 1996
KPMG August 1988 - October 1991
Skills
Process Improvement, Healthcare
Education
Colorado State University 1984 — 1988
Business, Accounting
Health Republic Insurance Company April 2014 - Present
Cover Oregon March 2013 - April 2014
Health Net June 2010 - March 2013
Health Net Health Plan of Oregon Professional September 2004 - June 2010
Membership Accounting May 2000 - September 2004
Regence Blue Cross Blue Shield August 1990 - May 2000
Skills
Operations Management, Problem Solving, Cross-functional Team..., Strategic Thinking, Management, Oral & Written..., Goal-oriented..., Subject Matter Experts, Root Cause Problem..., Agile Project Management, Open Minded, Sees the Big Picture, Can Do Approach, Supervisory Experience, Staff Management..., Flexibility, Change Management, Staff Management, Insurance, Health Insurance, Leadership, Medicare, Customer Service, Healthcare, Business Process, Strategy, Budgets, HMO, Strategic Planning, Managed Care, PPO, Health Care Reform, Medicare Part D, Provider Relations, Health Savings Accounts, Healthcare Industry, Software Documentation, Medicaid, Brokers, Health Policy, Executive Management, COBRA, Self-funded, HIPAA, Claims Resolution
Education
Chemeketa Community College 1983 — 1985
Emergency Medical Technician
Health Net October 2012 - Present
Pitney Bowes Management Services June 2005 - September 2012
Health Net January 2005 - June 2005
Safeguard Dental and Vision June 2003 - December 2004
Nickel Nickel October 2000 - July 2003
Skills
Customer Service, Scheduling, Shipping, Vendor Relations, Access, Customer Relations, Problem Solving, Team Building, Team Leadership, Mentoring, Excel, Call Center, Customer Satisfaction, Process Improvement, Administration, Data Entry, Operations Management, Outlook, Lotus Notes, Inventory Management, Word, Microsoft Office, PowerPoint, PeopleSoft
Education
New York Institute of Technology 2007 — 2008
Masters In Business Administration, Management of Technology
Colorado Technical University 2005 — 2007
Bachelor of Science in Business Administration, Information Technology
Cigna Global Health Benefits August 2010 - Present
Health Net August 2000 - July 2010
Health Net September 2005 - February 2007
Managed Health Network November 2000 - September 2005
Managed Health Network October 1999 - November 2000
Skills
Employee Benefits, Insurance, Underwriting, Medicare, Health Insurance, Health Savings Accounts, Brokers, Management, Managed Care, Sales, Customer Service, New Business Development, HMO, Healthcare
Education
City University of New York-John Jay College of Criminal Justice 1997 — 1999
Master of Arts, Forensic Psychology
University at Albany, SUNY 1994 — 1997
Bachelor of Arts, Psychology
MAXIMUS August 2005 - January 2007
Health Net June 2001 - August 2001
concert global services September 1999 - July 2000
CalPERS July 1998 - August 1999
Nations Bank November 1997 - June 1998
Cable and Wireless Communications June 1996 - October 1997
ITC Infotech September 1995 - May 1996
Lakshmi Investments and Finance July 1994 - July 1995
ELGI Polytex, India August 1992 - June 1994
Skills
Requirements Analysis, Oracle, Databases, Microsoft SQL Server, SQL, Business Analysis, Active Directory, Oracle Discoverer, Windows Server, SDLC
Education
Coimbatore Institute of Technology 1987 — 1990
Bsc, Applied Sciences
Stateline Senior Services, LLC September 2014 - Present
UnitedHealth Group August 2010 - August 2014
Health Net October 2003 - July 2010
Eli Lilly and Company March 1999 - September 2003
Skills
Strategic Planning, Health Insurance, Team Building, Public Speaking, Healthcare, Leadership, Negotiation, Insurance, Sales Operations, Sales, Customer Service, Training, Selling, Employee Benefits, Marketing, Management
Education
Central Connecticut State University 1997 — 2001
Master's, Organizational Management
University of Scranton 1991 — 1995
Bachelor's, Health Care Administration
Goodrich Aerostructures Office ManagerAll 4 Kids Pediatric Therapy Clinic2005 - 2006
Health Net 2002 - 2005
Education
San Diego State University-California State University 2011 — 2012
Certificate, Contract Management
University of Redlands 2007 — 2009
M.B.A., Global Business
Central Connecticut State University 1998 — 2002
B.S. Business, Management & Organization
Medical Staffing Network July 2015 - Present
Health Net July 2015 - Present
Health Alliance of the Hudson Valley August 2013 - Present
'Self-Employed' February 2013 - Present
Whittier Health Network March 2013 - August 2013
WellPoint September 2012 - March 2013
Health Quest May 2008 - February 2012
WILLCARE September 2010 - January 2011
Skills
Nursing, Case Managment, Utilization Management, Discharge Planning, Patient Advocacy, Medical Case Management, Healthcare, Health Education, Patient Education, Health Insurance, Medical/Surgical, Medication..., Inpatient, Customer Relations, Customer Service, Customer Satisfaction, Venipuncture, Hospitals, Concierge Medicine, Home Care, Registered Nurses, Nursing Care, Telemetry, Orthopedics, Customer Retention, Catheters, Diabetes, COPD, Heart Failure, Palliative Care, Primary Care, Cardiac, Skin Care, Fall Prevention, Medicaid, Medication Adherence, Utilization Review, Healthcare Management, Patient Safety, Medical Terminology, Health, Nursing Process, Wound Care, Event Planning, Acute Care
Education
Columbia-Greene Community College 2006 — 2008
Associate of Science (AS), Registered Nursing/Registered Nurse/ RN, 3.98
Junk my Car 2011 - 2012
Health Net July 2008 - March 2011
Health Net August 2005 - July 2008
Skills
Management, Customer Service, Process Scheduler, Salesforce.com, Microsoft Office, Project Management, PowerPoint, Microsoft Excel
Education
Central Connecticut State University 1999 — 2003
BFA, Theatre
Health Net November 2014 - Present
United States Air Force October 2013 - June 2015
McDonald's Corporation June 2012 - September 2014
United States Air Force October 2010 - June 2012
The Arc of Virginia Penisula October 2010 - October 2011
Lockheed Martin August 2009 - August 2010
APAC Customer Services August 2008 - April 2009
TeleTech January 2008 - June 2008
Golden Corral November 2006 - January 2008
United States Air Force May 2002 - October 2005
Skills
Training, Microsoft Office, Lotus Notes, Customer Service, Computer Hardware, Microsoft Word, PowerPoint, Troubleshooting, Process Scheduler, Leadership, Graphic Design, Adobe Acrobat, Software Installation, Time Management, Project Planning, Customer Satisfaction, Microsoft Excel, Logo Design, Dreamweaver, Desktop Computers, Sound Editing, Networking, Social Media, Testing, Photoshop, Adobe Creative Suite, Audacity, Ubuntu, Desktop Deployment
Education
Southern New Hampshire University 2015 — 2017
AA, Information Technology
Community College of the Air Force 2003 — 2005
Apprenticship, Maintenance Production Management
Providence Health & Services September 2012 - Present
Health Net January 1994 - August 2009
Aetna August 1988 - January 1994
Skills
Computer Knowledge of..., Written and oral..., Strong analytical and..., Detailed oriented,..., Team player, Experience in..., Training of coworkers, Knowledge of ICD-9,..., Associates Degree in...
Education
Clackamas Community College 2010 — 2012
Associate's Degree in Accounting, Accounting and Finance, 3.7 grade point average (A-)
Clackamas Community College 2009 — 2012
Associate's degree in Accounting, Accounting and Finance, A-
St Paul Vo-Tech School 1972 — 1974
Business
Burnsville High School 1968 — 1971
High School Diploma, Accounting and Finance