HealthSpring Company
Industry: Company
DescriptionHeadquarters: Franklin, Tennessee, United States Founder: Herbert A Fritch Founded: 2000 Acquisition date: 24 October 2011 Parent organizations: Cigna, Connecticut General Corporation Subsidiaries: HealthSpring of Florida Inc, NewQuest, LLC,
HealthSpring List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at HealthSpring. You can filter them based on skills, years of employment, job, education, department, and prior employment.
HealthSpring Salaries. You can even request information on how much does HealthSpring pay if you want to. Learn about salaries, pros and cons of working for HealthSpring directly from the past employees.
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HealthSpring Employees
University Medical Center of El Paso February 2013 - Present
HealthSpring October 2006 - February 2013
Access Health Source, Inc August 2002 - October 2006
Skills
Sales&Marketing, Managed Care, Medicare Advantage, Hospital Contracting, Network Contracting, Credentialing, Microsoft Office, Physician Relations, Insurance Brokerage, Account Management, Health Insurance, Insurance, Customer Service, Healthcare, Public Speaking, Provider Relations, Physicians, Healthcare Information..., Health Policy, HMO, HIPAA, Medicare, Medicaid, Hospitals, Employee Benefits, Medicare Part D, Healthcare Industry, Healthcare Management, EMR, Healthcare Consulting, Network Development, Training, Revenue Cycle, PPO, Management, Life Insurance, Brokers, ICD-10, Utilization Management, ICD-9, CPT, Health Information..., Provider Network..., Medical Billing, Provider Education, Quality Improvement, Medicaid Managed Care, Physician Network..., NCQA, Medicare Prescription...
Education
Western Governors University 2012 — 2015
Master of Business Administration (MBA), Health/Health Care Administration/Management
The University of Texas at El Paso 2000 — 2007
Bachelor of Business Administration (BBA), Computer and Information Sciences, General
HealthSpring November 2000 - Present
Cigna-HealthSpring November 2000 - June 2014
Education
Texas A&M University 1991 — 1995
Bachelor's Degree, BBA
Traveling Medicare Misty June 2011 - Present
Blue Cross Blue Shield of TN November 2009 - June 2011
Humana February 2006 - November 2009
Secure Horizons/United Healthcare January 2008 - November 2008
HealthSpring February 2005 - February 2006
UnumProvident January 2000 - January 2004
Enterprise Rent-A-Car January 1998 - January 2000
Skills
Medicare, Medicare Supplements, Brokers, Retirement, Insurance, Health Insurance, Long Term Care, Agents, Employee Benefits, Account Management, Benefits, Healthcare, Team Building, Public Speaking, Customer Relations, Managed Care, Long-term Care, Leadership, New Business Development, Disability Insurance, Customer Service, Sales Management, Fundraising, Training, Term Life Insurance, Sales, Policy, Marketing, Benefits Administration, Process Improvement, Fixed Annuities, Sales Operations, Budgets, Management, Cold Calling, Customer Retention, Selling, Life Insurance, Marketing Strategy, Small Business, Health Savings Accounts, Lead Generation, Coaching, Social Networking, Event Planning, Strategic Planning, Social Media, Microsoft Office, Social Media Marketing
Education
Tennessee Health & Life Insurance 2000 — 2018
Bachelor of Science (BS), Psychology
City of Chattanooga Neighborhood Leadership Institute 2009 — 2010
B.S. in Science, Psychology
The University of Tennessee at Chattanooga 1993 — 1997
B.S, Psychology
NextGxDx November 2011 - Present
Pariveda Solutions July 2008 - October 2011
HealthSpring 2007 - 2007
Skills
JavaScript, HTML 5, ASP.NET, ASP.NET MVC, MVC, Software Consulting, Agile Project Management, Agile Methodologies, TDD, Backbone.js, NHibernate, Lucene, Amazon Web Services..., Server Administration
Education
Texas A&M University 2004 — 2008
Bachelors, Computer Engineering
SynerMed May 2015 - Present
SynerMed April 2012 - December 2014
HealthSpring April 2007 - August 2010
Humana Military Healthcare Services February 2000 - August 2006
Skills
Certified Professional..., HCC coding, CPC-Payer, Managed Care, MediCare Advantage Plans, Medicare, Provider Relations, Claim, Medical Billing, Network Development, Hospitals, Medicaid, Accountable Care, Administration, HIPAA, Training, Problem Solving, Building Relationships
Education
North Carolina State University
BS, Health Occupations Education
San Diego Mesa College
Associate's Degree, Medical Assisting
The University of Georgia
Master's, Adult Education
MEDHOST July 2015 - Present
Cigna-HealthSpring October 2014 - July 2015
HealthSpring August 2012 - September 2014
Bank of America Merrill Lynch Healthcare June 2008 - September 2012
Education
Southern Methodist University 2004 — 2008
B.S., Economics with Financial Applications
HealthSpring
Skills
Customer Service, Leadership, Healthcare, Strategic Planning, Team Building, PowerPoint, Process Improvement, Microsoft Word, Training, Microsoft Excel
Education
Southern University and Agricultural and Mechanical College at Baton Rouge 1998 — 2002
Bachelor of Science (B.S.)
VIVA Health October 2011 - Present
HealthSpring 2009 - 2011
Self Nursing Home and Rehab. 2005 - 2009
Growing up Pediatrics 2005 - 2007
Skills
Healthcare, Medicare, EMR, Clinical Research, Patient Safety, HIPAA, Critical Care, Health Insurance, Medicaid, Disease Management, EHR, Medical/Surgical, Pediatrics, Cpr Certified, Microsoft Office, Microsoft Word, Public Speaking, Microsoft Excel, PowerPoint, Quality Improvement, Nursing Education, Medication..., Physician Relations, Meditech, Patient Education, Medical Terminology, Medical Records, IV, HEDIS, Family Medicine, Health Education, ICD-9, HMO, Vital Signs, Cerner
Education
Snead State Community College 2013 — 2014
RN
Bessemer State Technical College 2003 — 2004
LPN, Nursing
Southeast Kentucky Community and Technical College 2002 — 2003
Basics
UnitedHealthcare July 2003 - Present
HealthSpring September 2002 - July 2003
INGRe Underwriters September 1997 - October 2001
Skills
Data Entry, Administrative..., Pricing, Microsoft Word, Strategy
Education
Tennessee Technology Center at Nashville 1996 — 1998
Diploma, Business Systems Technology Program
Independent Freelance Consulting June 2015 - Present
c3/consulting January 2011 - May 2015
HealthSpring November 2006 - December 2010
AIM Healthcare (currently named OptumInsight) May 2005 - November 2006
Ingram Book Company 1999 - May 2005
Focus On Therapeutic Outcomes, Inc. 1995 - 1999
Union Planters 1988 - 1992
Comcast General 1985 - 1988
Holiday Inn 1982 - 1985
Skills
Business Intelligence, Management Consulting, Strategy, Leadership, Databases, Recruiting, Team Management, SDLC, PMO, Healthcare Information..., SharePoint, Budgets, Quality Assurance, Program Management, Software Documentation, Business Process, Change Management, Enterprise Architecture, Human Resources, Data Integration, Software Implementation, Crystal Reports, Training, Governance, Operations Management, Enterprise Software, Consulting, Strategic Planning, PMP, ERP, Microsoft Office, Data Warehousing, Cross-functional Team..., Healthcare, Software Project..., Disaster Recovery, Business Process..., Requirements Analysis, Information Technology, HIPAA, IT Strategy, SSIS, Project Management
Education
University of Tennessee-Knoxville 1998 — 1998
Exec Development Certificate, Executive Development
The University of Memphis 1992 — 1993
M.S., Instructional Design - Computer Based
The University of Memphis 1982 — 1991
B.B.A, Information Technology
Parallon Business Solutions July 2014 - Present
HealthSpring October 2010 - November 2013
Pyramid Real-estate Services April 2009 - February 2010
Asurion June 2007 - December 2008
Skills
Self Starter, Health Insurance, Creative Problem Solving, Medicare Part D, Training Skills, Open Enrollment, Customer Retention, Annual Reports, Customer Relations, Medicare, Customer Service, Medicaid, Training, Marketing, Leadership, Data Entry, Troubleshooting, Access, Microsoft Excel, PowerPoint, Healthcare, HIPAA, Healthcare Information..., Data Analysis, Process Improvement, Outlook, Call Centers, Insurance, Public Speaking, Management
Education
University of Phoenix 2013 — 2017
Bachelor of Science (BS), Health/Health Care Administration/Management
ITT Technical Institute 2005 — 2007
Information Security Systems
Oakwood College 2003 — 2005
Computer Science
Hendersonville High School 1999 — 2003
Cigna-HealthSpring August 2013 - Present
OptumInsight (through Aerotek) January 2013 - March 2013
HealthSpring August 2012 - December 2012
Zander Insurance November 2008 - July 2012
Kroger January 2008 - July 2008
Vanderbilt Temporary Services January 2006 - January 2008
Skills
Microsoft Office, Data Entry, Team-oriented, Customer Service, Microsoft Excel, Quality Assurance, SharePoint, Computer Proficiency, Creativity, Highly Dedicated, Reliable, Highly detail oriented, Writing, Administrative..., Learning Quickly, Self-driven, Always Punctual, Adaptable to Changes, Proficient Typing Skills, Works well in a team, Works well individually, Invoice Processing, Employee Benefits, Process Improvement, HRIS, Access, HIPAA, Office Administration
Education
The University of Memphis 1999 — 2000
University of Tennessee 1998 — 1999
Cigna-HealthSpring March 2014 - Present
HealthSpring May 2012 - July 2012
HealthSpring May 2011 - July 2011
Skills
Computer Network..., SharePoint, Visio, QNXT, PeopleSoft, Microsoft Excel, PowerPoint, Microsoft Word, Customer Service, Leadership, Event Planning, Data Analysis, Social Media, Social Networking, Time Management
Education
Texas A&M University 2009 — 2013
Bachelor of Business Administration (BBA), Marketing
Texas A&M University
Bachelor's degree, Marketing
Trusted Senior Specialists, LLC January 2002 - Present
Co-Workers In Success 2002 - Present
Cigna-HealthSpring 2005 - Present
HealthSpring 2000 - Present
WellCare 2002 - Present
Other Medicare Insurance Carriers 2002 - Present
Bravo Health 2005 - May 2013
The College Fund December 1998 - December 2002
Skills
Medicare Supplements, Medicare, Long-term Care, Health Insurance, Insurance, Fixed Annuities, Life Insurance, Disability Insurance, Whole Life, Health Savings Accounts, Term Life Insurance, General Insurance, Critical Illness, Brokers, Accident, Small Business, Retirement, IRAs, Marketing, Employee Benefits, Retirement Planning, Financial Planners, Long Term Care Insurance, Property & Casualty..., Managed Care, Commercial Insurance, Universal Life, Underwriting, Umbrella Insurance, Legal Liability, 401k, Dentistry, Claim, Variable Annuities, Leadership, COBRA, Health Care Reform, Insurance Brokerage, Professional Liability, Workers Compensation, Buy-sell Agreements, Commercial Lines, Liability, 401k Rollovers, Estate Planning, Wealth, Series 6, Casualty, Agents, Group Insurance
Education
Missouri Western State University 1972 — 1974
In Results, Marketing
Kennedy Krieger Institute July 2015 - Present
Kelly Services/ Benefitmall August 2014 - Present
HealthSpring July 2012 - June 2014
Ultimate Staffing September 2011 - July 2012
Skills
Managed Care, Medicare, Healthcare Information..., HIPAA, Health Insurance, Customer Service, Microsoft Office, Microsoft Excel, Team Building, Data Analysis, Insurance, Leadership, Account Management, EHR, PowerPoint, Microsoft Word, Clinical Research
Education
The Community College of Baltimore County 2012 — 2014
N/A, Registered Nursing/Registered Nurse
Baltimore Allied Health Training Center 2011 — 2011
Licentiate degree, Phlebotomy Technician/Phlebotomist
Universal American April 2011 - Present
HealthSpring October 2006 - April 2011
TMG Health April 2005 - October 2006
Skills
Medicare, Managed Care, Insurance, Health Insurance, Medicaid, SDLC, Provider Relations, Healthcare, HIPAA, Medicare Part D, Medical Billing, Healthcare Management, Health Policy
Education
Oklahoma City University School of Law 1990 — 1993
Doctor of Law (JD), Law
Texas A&M University 1986 — 1990
Bachelor of Arts (BA), English Language and Literature/Letters
University of Louisville January 2010 - Present
HealthSpring July 2007 - Present
Cigna-HealthSpring July 2007 - Present
Skills
Training, Data Analysis, Management, Instructional Design, EMR, E-Learning, Integration, Strategy, Leadership Development, Organizational..., Captivate, Adult Education, Public Speaking, Human Resources, Team Building, Staff Development, Leadership, Instructor-led Training, Employee Training, Training Delivery, Needs Analysis
Education
University of Illinois at Urbana-Champaign 2004 — 2009
Doctor of Philosophy (PhD), Human Resource Education
Texas A&M University 2001 — 2003
Master of Science (M.S.), Educational Human Resource Development
The University of Texas at El Paso 1991 — 1999
Bachelor of Science (BS), Psychology/Biology
Division of Elderly Health Programs Group February 2013 - Present
HealthSpring July 2012 - February 2013
APS Healthcare April 2011 - June 2012
Bravo Health, Inc June 2008 - May 2011
Delmarva Foundation for Medical Care 2003 - 2008
Magellan Behavioral Health January 1994 - 2003
Skills
Seasoned QI Professional, LCSW-C, Medicaid, Behavioral Health, Program Development and..., Utilization Management, Medicare Advantage, NCQA Accreditation, Healthcare, Program Development, Managed Care, Clinical Research, Health Insurance, Health Policy, Healthcare Management, Quality Improvement, HIPAA, Disease Management, Data Analysis, Medicare
Education
University of Maryland Baltimore
MSW, Social Work
University of Maryland
Masters, Social Work
Mount Saint Mary's College
Bachelors of Arts, Psychology
Centers for Children and Families June 2014 - Present
CASA of the Permian Basin Area July 2012 - January 2014
Children's Connections March 2012 - June 2012
HealthSpring May 2011 - March 2012
SAFE Project September 2009 - March 2011
Texas Department of Family and Protective Services July 2001 - September 2009
Travis County August 2000 - May 2001
LifeWorks January 2000 - May 2000
Family and Protective Services December 1992 - December 1997
Skills
Social Services, Healthcare, Case Managment, Mental Health, Program Development, Program Evaluation, Crisis Intervention, Group Therapy, Adolescents, Volunteer Management, Family Therapy, Non-profits, Family Law, Adoption, Child Welfare, Child Advocacy, Organization, State Government, Legal, Children's Rights, Community Outreach, Social Justice, Public Speaking
Education
The University of Texas at Austin 1999 — 2001
MSSW, Social Work
Texas Tech University 1987 — 1990
Bachelor of Arts, Psychology
Nashville, TN 2010 - Present
Nashville, Tennessee January 2008 - Present
HealthSpring January 2009 - 2011
Skills
Copy Editing, Editing, Spanish, Publications, Publishing, Proofreading
Education
The University of Tennessee at Chattanooga 2004 — 2008
B.A., Anthropology, Spanish
nSuite Consulting January 1997 - Present
Genuine Parts Company August 2013 - Present
Theravance 2013 - 2014
UCSF May 2012 - December 2012
Drivestream February 2012 - April 2012
HealthSpring September 2011 - February 2012
Heartland IT Consulting September 2011 - February 2012
NTT America February 2011 - January 2012
XL Global Services 2007 - January 2012
tw telecom, inc. June 2011 - September 2011
Skills
nVision, VBA, PeopleSoft, BI Publisher, Excel, Crystal Reports, ERP, Business Intelligence, SQL, General Ledger, Financial Reporting, Accounting, PL/SQL, Process Improvement, Visio, SharePoint, PeopleTools, Query, Multi-currency, XML Publisher, Visual Basic, Query Writing, Microsoft Excel, Access, Business Process, Requirements Gathering, Software Documentation, Business Analysis, Business Process..., SDLC, Requirements Analysis, Data Warehousing, Oracle E-Business Suite, Software Implementation, Oracle Applications, Integration, Oracle, Systems Analysis, Data Modeling, Business Process Design, Business Process...
Education
Seattle University 1989 — 1992
BA, Accounting
Western Washington University 1983 — 1986
Accounting
Cameron May 2012 - Present
HealthSpring September 2011 - May 2012
Texas A&M Athletic Department- Sports Marketing August 2009 - May 2011
Texas A&M Athletic Department- Business Operations August 2008 - May 2009
Skills
Sponsorship, Event Planning, Advertising, Leadership, Sports, Social Media, Management, Microsoft Office, Marketing, Sports Marketing, Marketing Strategy, Editing, Project Planning
Education
Texas A&M University - Mays Business School 2007 — 2011
Bachelors, Marketing
Texas A&M University 2007 — 2011
Bachelor of Science (B.S.), Business, Management, Marketing, and Related Support Services
Catamaran October 2012 - Present
HealthSpring May 2009 - December 2011
Skills
Pharmacy, Managed Care, Medicare Part D, Pharmacy Benefit..., Formulary, Utilization Management, Disease Management, Patient Safety, Pharmacoeconomics, Healthcare, Pharmacists, Clinical Pharmacy, Medicare, Clinical Research, Prior Authorization
Education
Shenandoah University 2005 — 2009
PharmD/MBA, Pharmacy and Business
Shippensburg University of Pennsylvania 2001 — 2005
BS, Biology
HealthSpring August 2012 - Present
Churches Everywhere September 1988 - Present
Aerotek November 2010 - December 2011
Vanderbilt University Medical Center January 2006 - October 2006
Skills
Receptionist Duties, Medical Records, Medicare Advantage, Medicare Part D, Mail Order Pharmacy, Healthcare, HIPAA, Pharmacy Benefit..., Hospitals, Medical Terminology, Data Entry, Medicaid, Customer Service, Microsoft Office, Microsoft Excel, Outlook, Microsoft Word, PowerPoint, Quality Assurance, Health Insurance
Education
Tennessee Technology Center at Memphis 2009 — 2010
Glencliff High School 1997 — 2001
Diploma
HealthSpring June 2012 - Present
Clear Lake Regional Medical Center October 2010 - June 2012
Sweeny Hospital District October 2009 - September 2010
Brazosport Regional Health System September 2007 - September 2009
Methodist Healthcare System April 2006 - October 2007
NEISD 2004 - 2006
Skills
Proposal Writing, Business Intelligence, Marketing Strategy, Strategy Development, Business Analysis, Market Research, Marketing Communications, Health Education, Physician Relations, Medical Informatics, Presentation Development, Press Releases, Community Outreach, Nursing, Nursing Education, Clinical Data Management, Website Development, Social Media Marketing
Education
The University of Texas Medical Branch at Galveston 2007 — 2009
BSN, Nursing
San Antonio College 2005 — 2006
ADN, Nursing
The University of Texas at San Antonio 2001 — 2002
MA, Education
The University of Texas at San Antonio 1995 — 2000
BS, Biology
Cigna-HealthSpring 2012 - Present
HealthSpring May 2004 - 2012
A. O. Smith Corporation February 1998 - May 2004
Poulan Weed Eater February 1992 - January 1998
General Electric May 1989 - February 1992
Skills
Onboarding, Employee Relations, Deferred Compensation, Talent Acquisition, Employee Benefits, Workforce Planning, HRIS, Benefits Administration, Succession Planning, Recruiting, Performance Management, Human Resources, Organizational..., Employee Engagement, Leadership Development, HR Policies, Conflict Resolution, Benefits Negotiation, Executive Coaching, Change Management, Coaching, Employee Training, Staff Development, Career Development, FMLA, Organizational..., Team Building, Strategic Planning, Leadership, Applicant Tracking..., Personnel Management, Talent Management, Training, Organizational Design
Education
Northwestern State University 1985 — 1989
Bachelor of Science, Business Administraton
HealthSpring December 2012 - Present
PMI 2006 - Present
Community Health Systems (CHS) via Insight Global January 2012 - November 2012
HCA June 2005 - January 2012
CCA October 2003 - June 2005
Flextronics International April 2002 - September 2003
Aerostructures/Vought Corporation February 2001 - November 2001
Education
Tennessee Technological University - College of Business Administration 1997 — 2000
First Niagara Bank October 2013 - Present
Zombie Data April 2009 - Present
HealthSpring April 2013 - October 2013
First Niagara Bank October 2012 - April 2013
First Niagara Bank January 2011 - June 2012
American Cancer Society June 2011 - April 2012
PNC Bank August 2009 - December 2010
One Point Solutions April 2008 - March 2009
National City Bank November 2004 - April 2008
Fifth Third Bank November 2003 - November 2004
Skills
Informix DBA, Informix 4GL, Solution Design, Disaster Recovery, Informix, Business Continuity, Databases, Program Management, ITIL, Vendor Management, Change Management, COBIT, Incident Management, Virtualization, IT Management, Service Management, IT Strategy, Integration, Service Delivery, Outsourcing, IT Operations, Product Development, Process Engineering, Team Building, Risk Assessment, Risk Management, Process Improvement, Risk Mitigation, High Availability, Business Strategy, Oracle, Unix, Business Intelligence, Database Design, SDLC, Business Analysis, Data Warehousing, Solution Architecture, Requirements Analysis, Data Center, CRM, IT Service Management, Project Management, Strategy, Management, PMO, Enterprise Architecture, Leadership, Testing, Microsoft SQL Server
Education
Midwest Culinary Institute 2009 — 2012
Culinary Arts Certificate, Culinary Arts, 4.0
University of Cincinnati College of Business 1981 — 1984
BS, Information Technology
The Ohio State University 1979 — 1981
Computer Engineering
Moeller High School 1975 — 1979
HealthSpring IT managerHealthSpring2010 - 2010
HealthSpring 2007 - 2007
Education
South University 2010 — 2010
Bachelor Degree, Health Science
Premise Health - Onsite Health Programs October 2014 - Present
Cigna-HealthSpring January 2012 - September 2014
HealthSpring November 2010 - January 2012
HealthSpring July 2007 - October 2010
HealthSpring November 2005 - May 2007
HealthSpring August 2004 - October 2005
HealthSpring August 2003 - August 2004
AIM Healthcare January 2001 - August 2003
TEK Systems June 2000 - December 2001
Skills
Onboarding, Employee Relations, Talent Acquisition, HRIS, Deferred Compensation, Benefits Administration, Performance Management, Employee Engagement, Organizational..., Training, Succession Planning, Organizational..., Organizational Design, Strategic Leadership, Leading Organizational..., Business Strategy, Building Relationships, Communication, agile learner, Personnel Management, Leadership, Workforce Planning, Management, HR Policies, Human Resources, Employee Benefits, New Hire Orientations, Change Management, FMLA, Applicant Tracking...
Education
State University of New York College at Brockport 1996 — 2000
Bachelor of Science (BS), Communicatons/Business Administration
IntegraNet December 2014 - Present
Kelsey-Seybold Clinic August 2013 - December 2014
HealthSpring September 2012 - September 2013
Christus Provider Network March 2010 - August 2012
eXcel Sports 2009 - March 2010
business owner January 1994 - January 2009
Skills
Medicare Advantage, Physician Coding, ICD-10, ICD-9-CM, Medical Compliance, Medicare, Healthcare, HEDIS, Medical Coding, EMR, Revenue Cycle, HCPCS, Epic Systems, Healthcare Reimbursement, Healthcare Management, Medicare/Medicaid..., Medical Terminology, Managed Care, Medical Billing, Healthcare Information..., EHR, CPT, Practice Management, Accounts Receivable, Medicaid, HIPAA, Insurance, Physician Relations, Microsoft Excel, Microsoft Word, Health Insurance, Hospitals, Team Building, Outlook, Provider Relations, Meditech, ICD-9, Medical Records, Healthcare Industry, PowerPoint
Education
University of Houston-Clear Lake 2013 — 2016
Healthcare Administration
Florida Career College--Riverview 1989 — 1989
Billing and Coding
San Jacinto Junior College 1986 — 2014
Associate of Arts (AA)
Stephen F. Austin State University
Lasco Enterprises March 2015 - Present
Vallone Restaurant Group August 2014 - January 2015
Landry's Restaurants March 2010 - June 2014
MMJ Properties December 2009 - May 2013
HealthSpring November 2007 - October 2009
Skills
Event Planning, Community Outreach, Special Events, Restaurants, Customer Service, Event Management, Social Media, Social Media Marketing, Social Networking, Menu Development, Team Building, Hospitality, Public Relations, Sales, Facebook, Trade Shows, Advertising, Marketing Communications, Marketing, Food & Beverage, Training, Hospitality Industry, Customer Satisfaction, Fundraising, Inventory Management, Marketing Strategy, Budgets, Hotels, Catering, Leadership, Management, Meeting Planning, Hospitality Management, Time Management, Contract Negotiation, Corporate Events, Retail, Account Management, Email Marketing, Online Marketing, Community Development, Market Planning, Coordinating Events, Sales Management, Sales Operations, Sponsorship
Education
The University of Southern Mississippi
University of Southern Mississippi 2003
Public Relations
The Realty Association April 2015 - Present
The Providence Group December 2011 - Present
Worksite Communications Inc. September 2010 - Present
VSP June 2010 - Present
HealthSpring February 2010 - Present
Benefit Communications Inc. 2010 - Present
Unum September 2009 - Present
Colonial Life 2013 - Present
LTC Financial Partners May 2013 - August 2014
Skills
Health Insurance, Disability Insurance, Accident, Employee Benefits, Medicare, Long Term Care Insurance, Life Insurance, Voluntary Employee..., Group Insurance, Medicare Advantage, Individual Health..., Benefits Administration, Insurance, Term Life Insurance, Fixed Annuities, Long-term Care, Critical Illness, Underwriting, Health Savings Accounts, Dentistry, Open Enrollment
Education
Tennessee State University
W3 Information Services October 2008 - Present
Carestream Health January 2011 - February 2012
Franklin American Mortgage Company October 2010 - December 2010
HCA June 2007 - March 2010
HealthSpring 2010 - 2010
Agfa Healthcare 2006 - 2007
IRMH 2003 - 2006
PSSI 1999 - 2003
HTE 1998 - 1999
Dirextions 1996 - 1998
Skills
Unix, Oracle, Microsoft SQL Server, PostgreSQL, Linux, C#, Perl, MySQL, Visual Basic, Windows, Java, Bash, DB2, PHP, Operating Systems, Mac, Csh, BSD, DBs, PL/SQL, Requirements Analysis, VBScript, Programming, SQL, High Availability, C++, Scrum, Integration, IIS, Agile Methodologies
Education
Seminole State College of Florida 1993 — 1999
HealthSpring May 2012 - Present
Geographic Solutions, Inc December 2011 - April 2012
SAIC March 2011 - December 2011
Twin Lakes Telephone Cooperative August 2006 - April 2011
Niesen Bainbridge March 2005 - October 2006
Skills
ASP.NET, ASP, C#, VB.NET, jQuery, ADO.NET, SQL Server, MySQL, WCF, CSLA, HTML + CSS, System Administration, OOP, Web Services, TDD, Microsoft SQL Server, Visual Studio, .NET, T-SQL, TFS, SDLC, HTML
Education
Tennessee Technological University 2001 — 2005
Bachelor of Science, Business Administration; Management Information Systems
HealthSpring February 2007 - Present
Pediatric Nursing Certification Board, Inc. January 2002 - May 2006
Education
Montgomery College 2004 — 2006
AFA, Graphic Design
Montgomery College 1999 — 2003
non-degree seeking, visual arts
Liberty University Online July 2014 - Present
WyzAnt Tutoring January 2010 - January 2015
Liberty University August 2013 - July 2014
HealthSpring 2010 - December 2011
Brandeis University October 2008 - August 2010
Brandeis University 1998 - 2002
Family and Children's Policy Center, Brandeis University July 1997 - May 1998
Policy Resource Center, Inc September 1993 - June 1996
Blue Cross and Blue Shield of Michigan May 1993 - August 1993
University of Michigan School of Public Health September 1992 - August 1993
Skills
Computer Literate, Multivariate Statistics, Research Methodology, Mixed Methods Research, Policy Analysis, Writing Skills, Presentation Development, Survey Research, Program Evaluation, Public Health, Research, Data Analysis, Statistics, Microsoft Office, SPSS, Policy, Qualitative Research, Editing, Writing, Excel, PowerPoint, Word, Data Collection, Health Disparities, Public Health Policy, Health Economics, Health, Mental Health, Non-profits, Public Policy, Proposal Writing, Report Writing, Literature Reviews, Fundraising, Analysis, Quantitative Analysis, Epidemiology, Problem Solving, Data Management, Quantitative Research, Outlook, Database Management, Volunteer Management, Health Policy, Community Health, Program Management, Behavioral Health, Nonprofits, Microsoft Excel
Education
Brandeis University, Heller - The Heller School for Social Policy and Management 1996 — 2010
PhD, Mental Health Policy
University of Michigan 1991 — 1993
M.P.H., Public Health Policy and Administration
Mount Holyoke College 1986 — 1990
B.A., Biological Sciences
Sagin Healthcare Consulting January 2010 - Present
LifeGuard Program of the Pennsylvania Medical Society January 2009 - Present
Community Volunteers in Medicine September 2008 - Present
HG Healthcare Consultants, LLC 2008 - Present
The Greeley Company January 2000 - September 2007
Temple University Health System September 1995 - September 1997
HealthSpring 1995 - 1996
Skills
Family Medicine, Geriatrics, Health Policy, Credentialing, Healthcare Management, Hospitals, Medical Management, peer review, fair hearing officer, health care mediation, Healthcare, Healthcare Consulting, Medicine, Managed Care, Healthcare Information..., Peer Reviews, Physician Relations, Accreditation, Physicians, EMR
Education
Temple University - James E. Beasley School of Law 1984 — 1987
JD, Law
University of Pittsburgh School of Medicine 1974 — 1978
MD, Medicine
University of Rochester 1970 — 1974
BA, Psychology
HealthSpring 2011 - Present
HealthSpring 2008 - 2011
HealthSpring 2006 - 2008
Qualifacts 2006 - 2006
Emdeon 2002 - 2006
Emdeon 2000 - 2002
Skills
•Project Management, •Change Management, •Technical Consulting, •Technical Training..., •Business Process..., •EDI Transactions..., •Microsoft Transact..., •Extensive experience..., Access, Change Management, Cross-functional Team..., IT Strategy, Integration, Leadership, Managed Care, Management, Process Improvement, Program Management, Project Management, Quality Assurance, Requirements Analysis, SharePoint, Databases
Education
University of Phoenix 2004 — 2005
Master of Business Administration (MBA)
Southern Illinois University, Carbondale 1993 — 1995
Bachelors of Science, Major in Health Care Management
HealthSpring August 2004 - Present
Twelve Oaks Medical Center 2002 - 2004
Skills
Case Management, Utilization Management, Nursing, Medicare
Education
Montana State University-Northern 1983 — 1986
Associate's degree, Registered Nursing/Registered Nurse
eviCore healthcare August 2014 - Present
HealthSpring June 2013 - August 2014
OHL August 2012 - June 2013
Asurion March 2008 - August 2012
AIM Healthcare 2007 - 2008
Kerzner International 2006 - 2007
Royal Caribbean International 1998 - 2006
Asociacion La Nacional de Ahorros y Prestamos 1997 - 1998
Pasteurizadora RICA, DR 1995 - 1997
Skills
Microsoft SQL Server, Agile Methodologies, .NET, SQL, Web Services, C#, ASP.NET, Software Development, WCF, T-SQL, Design Patterns, Oracle PL/SQL..., ASP.NET MVC
Education
ISJB
Pontificia Universidad Católica Madre y Maestra
Cigna-HealthSpring April 2009 - Present
The Caprock Financial Group January 2010 - Present
The Cavender Financial Group, Inc. November 2007 - March 2009
HealthSpring June 2005 - October 2007
Skills
Financial Reporting, General Ledger, Financial Analysis, Forecasting, Budgeting, Analysis, Budgets, Variance Analysis, Management, Financial Statements, Medicare, Finance, Management Consulting, Health Insurance, Business Strategy, Process Improvement
Education
Texas Tech University
BBA, Accounting (Summa Cum Laude)
Cigna-HealthSpring July 2012 - November 2013
HealthSpring May 2011 - July 2012
Centers for Medicare & Medicaid Services August 2010 - May 2011
District of Columbia Department of Health Care Finance February 2009 - August 2010
Executive Office of the Mayor December 2007 - February 2009
Skills
Medicaid, Medicare, Health Insurance, Legislative Relations, Managed Care, Healthcare, Health Policy, Policy, Medical Compliance, Program Management, Corporate Governance, Research
Education
Saint Louis University School of Law 2004 — 2007
JD, Health Law Certificate
University of Missouri-Columbia 2000 — 2003
BA, Biology
UnitedHealth Group June 2013 - Present
HealthSpring June 2011 - June 2013
Bravo Health December 2007 - June 2011
AIM Healthcare 2004 - December 2007
ATX Communications 1999 - 2004
Skills
Managed Care, HIPAA, Healthcare, Workshop Facilitation, Medicaid, Medicare, Healthcare Management
Education
Towson University
Experian Healthcare December 2012 - Present
HealthSpring October 2009 - December 2012
UL/PureSafety, Franklin, TN May 2011 - August 2012
Passport Health Communications January 2006 - October 2009
Passport Health Communications March 2004 - January 2006
digiChart October 2002 - March 2004
G. A. Sullivan October 1999 - October 2002
Skills
T-SQL, SSRS, Microsoft SQL Server, SSIS, SQL, Database Design, C#, .NET, Agile Methodologies, SDLC, VB.NET, Stored Procedures, Software Development, Data Warehousing, SQL Tuning, Databases, ETL, WCF, Visual Studio, XML, Visual Basic, JavaScript, PL/SQL, Web Services, ASP, Database Administration, SharePoint, Data Modeling, Enterprise Architecture, Business Intelligence, Performance Tuning, Web Applications, Integration, MySQL, TFS
Education
Troy University in Montgomery 1993 — 1995
M.S., Computer and Information Sciences
Troy University 1987 — 1991
B.S., Computer and Information Science / Math
Oracle January 2015 - Present
Oracle October 2013 - January 2015
UC Davis Health System March 2013 - October 2013
HealthSpring July 2012 - November 2012
Equimaniacs Riding School April 2009 - November 2012
Farouk Systems August 2011 - July 2012
Farouk Systems November 2009 - August 2011
ALS Laboratory Group July 2009 - November 2009
Skills
Marketing, PowerPoint, Time Management, Microsoft Office, Microsoft Excel, Microsoft Word, Sales, Analysis, Customer Service, Marketing Strategy, Negotiation, Event Planning, Editing, SharePoint, Project Management, Process Improvement, SX.enterprise, Business Analysis, Leadership, Training, Organization, MS Project, Communication, Data Analysis, HTML, Project Planning, Writing, SharePoint Site..., Microsoft Project, Dreamweaver
Education
San Diego State University-California State University 2004 — 2008
Bachelor of Arts (B.A.), International Business
Ponderosa High School 2001 — 2004
High School Diploma, N/A
Sayva Solutions, Inc. April 2014 - Present
Vaco January 2011 - September 2013
Vaco October 2009 - January 2011
HealthSpring May 2008 - September 2009
Horton, Lee, and Burnett PC 2007 - 2008
Ernst & Young 2007 - 2007
Skills
Accounting, Recruiting, Financial Reporting, Auditing, Internal Controls, Financial Analysis, Financial Accounting, PeopleSoft, SEC filings, QuickBooks, Finance
Education
University of Alabama at Birmingham 2005 — 2006
Masters, Accounting
Spring Hill College 2000 — 2004
BS, Business Administration with a Concentration in Finance & Economics
Cigna and Cigna HealthSpring February 2012 - Present
HealthSpring October 2009 - December 2012
HealthSpring 2007 - 2009
Gaylord Entertainment November 2002 - April 2007
Outback Steakhouse 1991 - 2002
Skills
Leadership Development, Organizational..., Performance Management, Instructional Design, Employee Relations, Employee Engagement, Onboarding, Succession Planning, Employee Training, Training Delivery, Training, Team Building, Coaching, Human Resources, Organizational..., Talent Management, Process Improvement, Career Development, Workshop Facilitation, Leadership, Blended Learning, Learning Management, Executive Coaching, Organizational Design, Performance Improvement, Organizational Learning, Needs Analysis, Workforce Planning, Learning Management..., Instructor-led Training, Conflict Resolution, MBTI, Performance Consulting, New Hire Orientations, 360 Feedback, E-Learning, Captivate, Management, Strategic Planning, Change Management, Training & Development, Customer Service
Education
Trevecca Nazarene University 2010 — 2011
BA, Management and Human Relations
Tennessee Technological University 1989 — 1994
Political Science and Government
NASHVILLE TV SHOW August 2013 - Present
Vanderbilt University Medical Center 2012 - Present
HealthSpring 2012 - December 2012
Medical Center at Bowling Green June 1996 - October 1997
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, English, Windows, Research, Outlook, Photoshop, Teaching, HTML, Nursing, Health..., Hospitals, Healthcare, Healthcare Management
Education
St. Lawrence College 1990 — 1994
Nursing, RN, 4.0
Gorman Health Group February 2015 - Present
Cigna-HealthSpring December 2012 - February 2015
HealthSpring July 2010 - December 2012
HealthSpring November 2008 - July 2010
Dominion Virginia Power October 2007 - August 2008
Skills
Medicare, Microsoft Office, Health Insurance, Microsoft Excel, PowerPoint, HIPAA, Microsoft Word, Social Media, Healthcare Industry, Operations Management, Business Analysis, Financial Analysis, Onboarding, Managed Care, Team Building, Healthcare, Insurance, Data Analysis, Sales Management, Data Entry, Healthcare Management, Analysis, Teamwork, Access
Education
Trevecca Nazarene University 2000 — 2003
Bachelor of Arts (BA), English Language and Literature, General
Airbus DS Communications July 2012 - Present
United Medical February 2009 - December 2011
HealthSpring March 2007 - January 2009
UPS April 1988 - March 2007
Skills
Capital Equipment, Medical Devices, Healthcare, Consultative Selling, Sales Force..., Cold Calling, Sales Management, New Business Development, Direct Sales, Hospitals, Selling, Sales Operations, Business Development, Account Management, Sales Force Development, Customer Satisfaction, Sales, Cross-functional Team..., Selling Skills, Sales Presentations, Management, Leadership, Solution Selling, Sales Process, Hardware Diagnostics, Contract Negotiation, Marketing Strategy, Salesforce.com, Training, B2B, Team Management, CRM, Product Management, Lead Generation, Marketing, Product Marketing, Product Launch, Team Building, Market Development, Key Account Management, Customer Service, Competitive Analysis, Strategic Partnerships, Start-ups, Cardiology, Program Management, Strategy, Market Planning, Product Development, Orthopedic
Education
Trevecca Nazarene University 2002 — 2004
Bachelor of Business Management & Human Relations
License: Insurance, Health and Life 2007 — 2007
Insurance License, Medical & Life Insurance
&3 Foods August 2012 - Present
Madeja Designs January 2012 - Present
SunTrust Bank July 2013 - April 2014
Healthspring October 2011 - July 2013
Self Employed January 2008 - January 2011
Gaylord Opryland 2006 - 2007
Skills
Health Insurance, Marketing, Marketing Communications, Marketing Strategy, Advertising, Social Media Marketing, Customer Service, Direct Marketing, Strategic Planning, Event Management, Social Media, Microsoft Office, Public Relations, Microsoft Excel, Leadership, Sales, Social Networking, Event Planning, Training
Education
Tulsa Technology Center-Lemley Campus 2002 — 2004
Apparel Design and Marketing
AARP May 2010 - Present
Healthways August 2007 - April 2010
HealthSpring November 2004 - July 2007
Skills
Healthcare, Workshop Facilitation, Non-profits, Public Relations, Marketing, Program Development, Cultural Diversity, Diversity Marketing, Strategy, Leadership, Volunteer Management, Time Management, Press Releases, Strategic Planning, Program Management, Nonprofits, Public Speaking
Education
The University of Memphis 1988 — 1991
BA, Communications
Tennessee State University 1986 — 1989
Mass Communications
Central High 1983 — 1986
The Neat Company August 2015 - Present
The Neat Company August 2015 - Present
Perimeter Technology Center (now TierPoint) June 2015 - August 2015
Rite Aid March 2013 - May 2015
Temple University August 2010 - December 2014
HealthSpring May 2011 - August 2011
Education
Temple University 2009 — 2014
Bachelor's degree
MD Anderson Cancer Center May 2014 - Present
MD Anderson Cancer Center August 2012 - May 2014
HealthSpring March 2012 - August 2012
Signature Health Services September 2011 - March 2012
Skills
Healthcare, Hospitals, Clinical Research, Healthcare Management, Healthcare Information..., EMR, Nursing, Cancer, Public Health, Patient Safety, HIPAA, Oncology, Medical Terminology, EHR, Medical Records, Medical Coding, ICD-9, Customer Service, Healthcare Consulting
Education
Texas State University 2013 — 2015
Bachelor’s Degree, Health Information Management, Cum Laude
San Jacinto College 2008 — 2009
Associate of Applied Science, Health Information Management
San Jacinto College 2005 — 2008
Associate of Arts in Biology
Cigna June 2014 - Present
Cigna-HealthSpring November 2011 - June 2014
HealthSpring Life & Health January 2008 - November 2011
HealthSpring December 2003 - January 2008
MedicalEdge Healthcare Group January 1999 - December 2003
Skills
Managed Care, Provider Relations, Hospitals, Network Development, Healthcare, Healthcare Management, Medicaid, Practice Management, Medicare, Healthcare Consulting, Health Insurance, Strategic Planning, Healthcare Information..., Physicians, EMR, EHR, HIPAA, Team Building, Home Care, Disease Management, Physician Relations, Healthcare Industry, Health Policy, Utilization Management, HMO, Revenue Cycle Management
Education
Texas Tech University 1982 — 1986
BBA, Business / Marketing
Santa Fe Community College 1992 — 1995
AD, Nursing
HealthSpring December 2012 - Present
HealthSpring December 2010 - December 2012
HealthSpring November 2009 - December 2010
Tennessee Urgent Care 2004 - 2009
Skills
Medicare Advantage, Health Insurance, Medical Coding, ICD-9, Provider Relations, Healthcare Consulting, Medical Terminology, Medicare, Hospitals, EHR, Managed Care, HIPAA, Medicaid, Revenue Cycle, CPT, Practice Management
Education
Nashville State Community College
Associate of Arts and Sciences (AAS), Business Administration and Management, General
HealthSpring
Skills
Health Education, Research, Microsoft Word, PowerPoint, Healthcare Management, Microsoft Office, Hospitals, Microsoft Excel, Nursing, Public Speaking, Teaching, Health Promotion, Outlook, Customer Service, Cpr Certified, Clinical Research, Epidemiology, Medical Terminology, Public Health, CPR Certified, EMR, HIPAA, Healthcare, Healthcare Information..., Patient Safety, Medicine
Education
University of Southern Mississippi 2010 — 2012
Bachelor of Applied Science (BASc), Community Health and Preventive Medicine
Merck January 2014 - Present
PAREXEL International January 2013 - August 2013
BlueCross BlueShield of Tennessee January 2011 - January 2013
BlueCross BlueShield of Tennessee August 2006 - January 2011
HealthSpring July 2005 - August 2006
Schaller Anderson November 2004 - July 2005
BlueCross BlueShield of Mississippi June 2001 - November 2004
Skills
Strategic Analysis and..., Requests for Proposals..., Program Development, Proposal Writing, Technical Writing, Critical Thinking, Pharmacy Benefit..., Strategic Consulting, Medicaid, Healthcare, Managed Care, Medication Therapy..., Pharmacy, Payer, Health Insurance, Medicine, Pharmacists, Pharmacueticals, Pharmaceutical Industry, Clinical Trials, Medicare, Market Access, Oncology, Pharmaceutics, Informatics, Clinical Research, Healthcare Management, Outcomes Research, Health Economics, Healthcare Consulting, Disease Management, Strategic Planning, Analysis, Long-term Care, Health Policy, Utilization Management, Diabetes, Medicare Part D, Pharmacy Automation, Healthcare Industry, HIPAA, Clinical Pharmacy, Hospitals, Medical Writing
Education
University of Tennessee College of Pharmacy
Doctor of Pharmacy (PharmD)
The University of Tennessee at Chattanooga
Pre-Pharmacy
HealthCare Access Maryland October 2014 - May 2015
Sogeti May 2010 - August 2013
Consortium Health Plans July 2012 - July 2013
Planned Parenthood of Maryland 2010 - March 2013
HealthSpring September 2011 - May 2012
Prometric June 2011 - August 2011
Constellation Energy May 2010 - June 2011
Recorded Books February 2011 - March 2011
Sears Holdings Corporation September 2009 - May 2010
Sears Holdings Corporation October 2005 - September 2009
Skills
Process Improvement, Visio, Data Analysis, Business Analysis, SharePoint, Microsoft Office, Project Management, Analysis, Public Speaking, Strategic Planning, Customer Service, Change Management, Volunteer Management, Volunteer Recruiting, Volunteer Training, Non-profit Volunteer, Coordinating Special..., Donor Solicitation, Non-profit Fund..., Experienced Business..., UAT coordination, Production..., Requirements Management, Visual Modeling, Elicitation, Regression Testing, Civic Engagement, Political Participation, Election Monitoring, Voter Education, Grassroots Lobbying, Grassroots Organization, Reproductive Rights, Reproductive Health, Family Planning, Historical Research, ISO Management..., Certified Lead Auditor, ISO Implementation, Quality Management, ANSI, Training Manuals, Business Process Mapping, Fundraising, Board of Director..., HTML, Dreamweaver, InDesign
Education
Towson University 1999 — 2003
BA
Westminster High School 1994 — 1998
iostudio October 2012 - Present
Core Power Yoga February 2012 - May 2012
Premier Healthcare Services August 2011 - February 2012
Premier Healthcare Services Homehealth Division November 2010 - August 2011
HealthSpring February 2009 - July 2010
About Town Magazine May 2008 - August 2008
Skills
Employee Relations, Employee Benefits, HRIS, Microsoft Excel, Payroll, Event Planning, Budgets, Marketing Communications, Process Improvement, Organizational..., Project Management, Staffing Services, Temporary Staffing, Teaching
Education
Samford University 2004 — 2008
Bachelor of Arts (BA)
Vanderbilt University Medical Center Knowledge Management June 2015 - Present
Vanderbilt University July 2014 - June 2015
University of Tennessee August 2013 - May 2014
Preston Medical Library August 2013 - December 2013
Nashville Metro Archives May 2013 - August 2013
HealthSpring March 2012 - August 2012
Saint Thomas Health Services May 2009 - March 2012
Skills
Data Entry, Information Seeking, Information Processing, Pharmacy, Insurance, Microsoft Office, Information Systems, EMR, Library Science, HIPAA, Healthcare, Data Analysis, Healthcare Information..., Healthcare Management, Community Outreach, Time Management, Grant Writing, Public Speaking, PowerPoint, Teaching, Leadership Development, Nonprofits, Policy, Conflict Resolution, Microsoft Word, Event Planning, Research, Customer Service, Editing, Social Networking, Medicine, Team Building, Hospitals, Training, Higher Education, Facebook
Education
University of Tennessee-Knoxville 2012 — 2014
Master of Library & Information Science (M.L.I.S.)
Saint Louis University 2004 — 2008
Biology, Spanish Language and Literature
Freelance 2011 - Present
HealthSpring August 2006 - January 2011
HealthSpring July 2003 - August 2006
Life Care Centers of America August 2002 - May 2003
Skills
Marketing Communications, Public Relations, Healthcare, Direct Marketing, Corporate Communications, Press Releases, Copywriting, Public Speaking, Editing, Health Insurance, Marketing Strategy, Marketing, Advertising, Social Media Marketing, Blogging, Media Relations, Newsletters
Education
Southern Adventist University 1998 — 2002
B.A., News Editorial Journalism
XLHealth October 2011 - Present
Bravo Health October 2008 - Present
HealthSpring October 2008 - October 2011
Skills
Medicare
Education
Suffolk University Law School 1995 — 1998
J.D.
University of Massachusetts, Amherst 1989 — 1993
B.A.
Alegis Care September 2013 - Present
HealthSpring August 2011 - August 2013
HealthSpring December 2010 - August 2011
Bravo Health May 2009 - December 2010
Bravo Health November 2004 - April 2009
Center for Health Policy Studies October 2000 - February 2002
Paine Arthur Pierce & Associates August 1997 - September 2000
Prudential Healthcare 1989 - 1997
Education
Penn State University 1985 — 1989
BA, Health Policy & Administration
HealthSpring 2011 - Present
Greater Nashville Area 2007 - Present
Amerigroup Corporation 2009 - 2010
Baptist Hospital 2007 - 2008
BE Smith March 2007 - May 2007
Healthways 2005 - 2007
Skyline Medical Center (HCA) February 2005 - October 2005
Regional Medical Center Bayonet Point (HCA) 2002 - 2004
UAB Hospital 1996 - 2002
Veterans Health Administration 1989 - 1996
Skills
Hospitals, Healthcare Management, Healthcare, Nursing, Managed Care, Utilization Management, Clinical Research, Disease Management, Medicare, JCAHO, Case Management, Acute Care, Case Managment, Healthcare Consulting, Healthcare Information..., Medicaid, Critical Care
Education
Troy University 2000 — 2001
MBA, Healthcare Administration
Troy University
MSN, Nursing Administration
University of Alabama at Birmingham
BSN, Nursing
Walgreens August 2014 - Present
Walgreens May 2013 - August 2014
Purdue University May 2012 - May 2013
CVS Pharmacy May 2011 - November 2012
Cardinal Health May 2010 - August 2010
Walgreens August 2008 - June 2009
Meharry Medical College May 2008 - July 2008
HealthSpring January 2008 - June 2008
Medical Research Council May 2007 - August 2007
Skills
Product Marketing, Strategic Planning, Project Management, Leadership, Team Building, Public Speaking, Community Outreach, Innovation, Administrative Work, Community Pharmacy, Compounding, Customer Service, Diabetes, Healthcare, Hospitals, Immunization, Management, Medication Therapy..., Medicine, Pharmacists, Pharmacy, Training
Education
Purdue University 2009 — 2013
Doctor of Pharmacy (Pharm.D.)
Tennessee State University 2004 — 2008
Bachelor of Applied Science (BASc), Chemistry, Magna Cum Laude
Gambia High School 2000 — 2003
Ndows comprehensive
HealthSpring August 2009 - August 2013
UnitedHealth Group January 2008 - August 2009
AmeriChoice June 2006 - December 2007
Adaytum February 2001 - February 2003
Quartet Service Corporation April 2000 - February 2001
Andersen Consulting 1992 - 2000
Accenture 1992 - 2000
Four Seasons 1988 - 1989
Hyatt Regency Dallas 1988 - 1989
Skills
Project Planning, Vendor Management, Process Improvement, Strategic Planning, Healthcare, Change Management, Project Management, Program Management, Business Analysis, Mergers, Contract Negotiation, Analysis, Business Development, Budgets, Business Intelligence, Business Process..., Business Strategy, Cross-functional Team..., Enterprise Software, Healthcare Information..., Integration, Leadership, Management, Management Consulting, Mentoring, Mergers & Acquisitions, Operations Management, Organizational..., Outsourcing, Policy, Product Management, Start-ups, Strategy, System Administration, Team Building, Team Leadership, Telecommunications, Project Portfolio..., IT Management, SDLC, CRM, Business Process
Education
The University of Texas at Austin - The Red McCombs School of Business 1990 — 1992
Master of Business Administration (M.B.A.), Finance/marketing/General management
Rice University 1984 — 1988
Bachelor of Arts (B.A.), Political science
St. Stephen's Episcopal School 1979 — 1984
Tractor Supply Company October 2014 - Present
Cigna-HealthSpring May 2013 - October 2014
HealthSpring August 2011 - May 2013
HealthSpring March 2010 - September 2011
Maxor Correctional Pharmacy Services January 2008 - March 2010
CHD Meridian May 2007 - January 2008
Epic Technologies, LLC 2000 - 2002
Skills
Security, Compliance, Audit, IAM, SOX, HIPAA, PCI DSS, Healthcare, Healthcare Information..., Insurance, Business Analysis, Data Analysis, Disaster Recovery, Problem Solving, Active Directory, Cisco, Identity & Access..., SQL, SQL Server, System Administration, Windows Server, Windows, VMware, Data Center, Troubleshooting, Budgeting, Integration, Process Improvement, Documentation, Auditing, Cisco Technologies, Microsoft SQL Server, Software Documentation, Information Security, Networking, DNS, Visio, Access, IT Operations
Education
Tennessee Technological University 2002 — 2006
BS, Management Information Systems
Tennessee Technological University - College of Business Administration 2002 — 2006
Business Management, Management Information Systems
HealthSpring Chief Operating OfficerTexas HealthSpringJanuary 2006 - December 2010
Education
Trinity University 1995 — 1997
Texas Tech University 1992 — 1995
BBA, Management
Vanderbilt University Medical Center August 2013 - Present
Dollar General (via BrookSource) May 2013 - August 2013
Ingram Barge Company August 2011 - May 2013
HealthSpring July 2010 - May 2011
Hewlett-Packard January 2010 - September 2010
The Coca-Cola Company September 2000 - January 2010
Simmons Company February 2000 - August 2000
The Coca-Cola Company October 1993 - January 2000
IBM February 1988 - September 1993
Skills
Active Directory, Troubleshooting, Servers, VMware, Windows Server, Windows 7, Hardware, VMware Infrastructure, Security, SAN, Networking, Disaster Recovery, Windows, Technical Support, Vendor Management, Network Engineering, Network Security, System Administration, Software Documentation, Information Technology, Virtualization, Data Center, Microsoft Exchange, ITIL, Visio, IT Operations, System Deployment, VPN, Integration, IT Management, DNS, VMware ESX
Education
Murray State University 1984 — 1988
Associate, Electrical Engineering Technology
Murray State University 1984 — 1987
Bachelor of Science, Computer Engineering Technology
Memorial Hermann Health System September 2014 - Present
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas September 2012 - September 2014
HealthSpring November 2004 - September 2012
Skills
Network Development, Provider Relations, HMO, Health Insurance, HIPAA, Revenue Cycle, Healthcare, Medicaid, Managed Care, Healthcare Industry, Medicare, Clinical Research, Healthcare Consulting
Education
Texas A&M University 1984 — 1989
Bachelor of Science (BS), Community Health
Vertex Pharmaceuticals November 2010 - Present
Vertex Pharmaceuticals November 2010 - November 2011
sanofi-aventis February 2009 - November 2010
HealthSpring October 2006 - February 2009
AstraZeneca Pharmaceuticals September 1995 - August 2005
Skills
Oncology, Medicaid, Pharmacy Benefit..., Managed Care, Healthcare, Medicare Part D, Orphan Drugs, Hepatitis C, Launching New Brands, Cystic Fibrosis
Education
The University of Memphis
Master of Business Administration (M.B.A.), Business Administration and Management, General
University of Tennessee-Health Science Center
Doctor of Pharmacy (PharmD), Pharmacy
2020 December 2013 - Present
2020 July 2013 - December 2013
Fierce Hunting April 2012 - October 2012
HealthSpring November 2007 - April 2012
HealthSpring July 2006 - November 2007
Averitt Express September 2005 - July 2006
Averitt Express September 2004 - September 2005
Skills
Marketing, Advertising, Healthcare, Medicare Advantage, Lead Generation, Direct Marketing, Analytics, Cost Per Lead, Budget, Compliance, Project Management, Marketing Strategy, Budgets, Sales, Management, Public Relations, Product Development, Strategy, Sales Management, Social Media, Market Research, Competitive Analysis, Marketing Communications, Marketing Research, Social Media Marketing, Account Management, Marketing Management, Market Planning, Strategic Planning, Facebook, Brand Development
Education
Tennessee Technological University 2006 — 2008
MBA, International Business
Tennessee Technological University 1997 — 2003
BA - Business, Marketing
Trinity Industries, Inc. August 2014 - Present
H&E Equipment Services, Inc. May 2013 - August 2014
HealthSpring April 2012 - April 2013
Nissan North America August 2008 - April 2012
Commissary Operations, Inc March 2008 - August 2008
Edgenet Big Hammer February 2004 - January 2008
COI Foodservice February 2003 - February 2004
iNET Messaging, Inc August 2001 - February 2003
Consultis, Inc June 1998 - August 2001
GAMBRO Healthcare Renal Care December 1997 - June 1998
Skills
Benefits Administration, HRIS, Employee Relations, Employee Benefits, Recruiting, Payroll, PeopleSoft, Human Resources, Deferred Compensation, Access, HR Policies, Project Management, ADP Payroll, FMLA, Software Documentation, Forecasting, Sourcing, New Hire Orientations, Onboarding, Management, Interviews, Performance Management, Personnel Management, Applicant Tracking..., Hiring, Screening Resumes, Talent Acquisition, Internet Recruiting
Education
Southeastern Louisiana University 1989 — 1994
Bachelor of Arts, Liberal Arts and Sciences/Liberal Studies
Southeastern Louisiana University 1989 — 1994
Bachelor of Arts (B.A.), Liberal Arts and Sciences, General Studies and Humanities
Optima Health June 2009 - Present
HealthSpring March 2007 - May 2009
Education
Southern New Hampshire University
Sentinel Care LLC November 2012 - Present
Cigna December 2008 - December 2014
Healthspring September 2008 - December 2009
United Healthcare 2006 - 2008
Skills
Nursing, Family Medicine, Internal Medicine, EMR, Healthcare Management, Inpatient, Healthcare, Hospitals, Disease Management, Home Care, Clinical Research, Patient Safety, EHR, OB/GYN, Public Health, Practice Management, Medication Therapy..., Healthcare Information..., Cardiology, Acute Care, Managed Care, Medicare, Medicaid, HIPAA, Cpr Certified, Nursing Education, CPR Certified
Education
The University of New Mexico 2006 — 2014
PHDc, PhD Nursing
Maryknoll Baguio City
Maryknoll Baguio City
Maryknoll Baguio City
Maryknoll Baguio City
WB Graphics February 2013 - Present
HealthSpring January 2008 - August 2012
healthspring 2008 - 2008
University of Alabama Health Services Foundation 2005 - 2007
DST Health Solutions 1998 - 2005
CSC Healthcare Group 1998 - 2005
TXEN 1998 - 2005
Computer Sciences Corporation 1997 - 2005
Skills
HIPAA, Software Documentation, Medicare, Project Management, Training, Claim, Managed Care, Healthcare Information..., Process Improvement, Health Insurance, Business Analysis, Healthcare, Healthcare Management, Medicaid, Vendor Management
Education
University of Alabama at Birmingham 1988 — 1990
Tennessee State University 1979 — 1987
Psychology
HealthSpring Lead ProgrammerBravo HealthMay 2001 - April 2003
Skills
Business Analysis
Education
The Johns Hopkins University 2003 — 2007
MS, Computer Science
Towson University 1994 — 1998
BS, Mathematics
Cigna-HealthSpring September 2011 - Present
HealthSpring December 2010 - September 2011
Bravo Health November 1998 - November 2010
Advocate Health Care September 1997 - October 1998
United Healthcare September 1995 - September 1996
Humana 1985 - 1993
Skills
Medicare, Healthcare, HIPAA, Medicaid, Business Analysis, Customer Service, Healthcare Information..., Managed Care, Program Management, Insurance, Process Improvement, Data Analysis, Software Documentation, Healthcare Management, Healthcare Industry, Visio, Health Insurance, EHR, EMR, Revenue Cycle, Healthcare Consulting, Health Policy
Education
National Louis University 1987 — 1988
Half Hollow Hills High School
Medalogix September 2014 - May 2015
Cigna-HealthSpring June 2013 - September 2014
HealthSpring November 2011 - June 2013
Dollar General September 2007 - November 2011
Capital Bank & Trust March 2006 - September 2008
Credit Union ONE 1998 - 2006
Skills
Wordperfect, Microsoft Office, Outlook, Customer Service, Access, Administrative..., PowerPoint, Microsoft Word, Visio, Payroll, Microsoft Excel, Analysis, SharePoint, Event Management, Budgets, Event Planning, Office Management, Human Resources, Spreadsheets, Management, Networking, Process Improvement, Project Management, Software Documentation, System Administration, Time Management
Education
Trevecca Nazarene University 2008 — 2009
BBA, Management and Human Relations
HealthSpring March 2012 - Present
HealthSpring October 2009 - March 2012
HealthSpring August 2007 - September 2009
HealthSpring August 2006 - July 2007
HealthSpring August 2005 - August 2006
Magellan Health Services 1997 - 2005
Pathways Diagnostic & Evaluation Center 1994 - 1997
Skills
Software Documentation, HIPAA, Analysis, Training, Databases, Healthcare Management, Healthcare, System Administration, Process Improvement, Management, Access, Data Analysis, Project Planning, Visio, Healthcare Information..., Business Analysis
Education
University of Tennessee at Martin 1988 — 1991
Bachelor of Science, Psychology
Union University 1987 — 1988
Cigna October 2014 - Present
HealthSpring April 2013 - Present
Hewlett-Packard July 2011 - April 2012
Healthways April 1999 - April 2012
Healthways June 2008 - June 2011
HCA 1987 - 1999
Skills
SDLC, Process Improvement, Business Analysis, Visio, Software Documentation, Leadership, Microsoft SQL Server, Management, Vendor Management, SharePoint
Education
Southern Christian University 2002 — 2004
B.S., Management and Communication
Nashville State Tech 1982 — 1984
A.S, Business Data Processing
HealthSpring October 2009 - Present
Bravo Health October 2008 - October 2009
XLHealth May 2005 - October 2008
Americhoice April 2003 - May 2005
HCIA August 1998 - April 2002
Education
Salisbury University 1994 — 1998
BS, Management Information Systems
HealthSmart October 2014 - Present
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas October 2013 - August 2014
HealthSpring November 2010 - October 2013
United Healthcare January 2004 - November 2010
CIGNA Healthcare January 2001 - January 2004
Concentra January 1996 - January 2001
Skills
Medicaid, Certified Case Manager, CCM, Healthcare, Case Managment, Nursing, Disease Management, Medicare, Mental Health, Case Management, Utilization Management, Managed Care, Treatment, Clinical Research, Healthcare Management, Social Services, HIPAA, Behavioral Health, Training, Utilization Review, Provider Relations, Quality Improvement, Medicine, Home Care, Leadership, Healthcare Information..., Databases, Health Insurance, Patient Advocacy, Inpatient, Transplant, Access, Community Outreach, Long-term Care, Team Leadership, Leadership Development, Operational Risk..., Customer Satisfaction, Documentation, Clinical, Transplantation, Clinical Program..., - Quality Assurance, - Cost Control, Resource Planning &..., - Relationship..., Provider Access, - Claims Payment, Staff Supervision &..., Team Performance...
Education
Texas Christian University
Bachelor's Degree, Nursing
William Woods University
Bachelor's Degree, Sociology
HealthSpring
Skills
Case Managment
Education
Spring Hill College 1987 — 1991
Psychology / Sociology
Independent Consultant December 2014 - Present
Crafted Kosher December 2014 - Present
HealthSpring February 2012 - June 2014
Bravo Health October 2009 - February 2012
VitalSpring Technologies April 2009 - October 2009
Ernst & Young May 2002 - February 2009
Arthur Andersen December 1999 - May 2002
Business Matters December 1998 - December 1999
Skills
Risk Management, Sarbanes-Oxley Act, Process Improvement, Auditing, Business Process..., Internal Audit, QuickBooks, Analysis, Business Process, Leadership, Program Management, Internal Controls, IT Audit, Training, Finance, Outsourcing, Strategic Planning, Healthcare, Management, Financial Reporting, CPA, Due Diligence, Risk Assessment, Financial Risk, Enterprise Risk..., Information Technology
Education
Touro College 1990 — 1994
BS, Finance
McMillan United Methodist Church May 2009 - Present
HealthSpring February 2012 - June 2012
Maxim Healthcare Services September 2006 - October 2010
Blue Cross Blue Shield of Texas September 2007 - July 2008
All Medical Personel June 2007 - September 2007
Q-Temps September 2006 - March 2007
Hope United Methodist Church Southfield, MI September 1996 - July 2006
MetroStaff 2002 - 2004
MetroStaff June 1996 - August 2002
Skills
Leadership Team -..., *Substance Abuse &..., *Independent Nurse..., *Home Health Care -..., *Case Management -...
Education
Saint Louis University 1991 — 1992
Bachelors of Science, Nursing
National University 1985 — 1987
Master of Arts (M.A.), Human Behavior
National University 1983 — 1985
Master of Business Administration (M.B.A.), Finance, General
Spelman College 1976 — 1981
B.S., Biology
HealthSpring
Skills
Provider Relations, Medicare, Managed Care, Healthcare, Hospitals, Healthcare Management, Health Insurance, Credentialing, Medical Compliance, Revenue Cycle, Insurance, Budgets, ICD-9, Disease Management, Office Management, HIPAA, Healthcare Industry
Education
Texas A&M University 1998 — 2002
Bachelor of Business Administration (BBA), Marketing
HealthSpring Sr Programmer AnalystCigna1997 - 2006
HealthSource 1995 - 1997
Education
Southern New Hampshire University 1982 — 1989
BS, Management Advisory Services
St. Mary Development Corporation April 2015 - Present
Project C.U.R.E.; Inc. December 2013 - Present
OhioHealth August 2011 - October 2011
AdCare Health Systems February 2011 - June 2011
Kettering Health Network-Greene Memorial Hospital November 2007 - September 2010
Creative Memories-Antioch Publishing Company 2005 - 2007
HealthSpring December 2003 - August 2005
HealthStream June 2001 - January 2003
University of Tennessee Events Management Services 1995 - 2001
Skills
Accounting, Accounts Payable, Accounts Receivable, Auditing, Financial Statements, General Ledger, Financial Reporting, GAAP, Process Improvement, Fixed Assets, Account Reconciliation, Variance Analysis, Journal Entries, Internal Controls, SAP, Financial Accounting, QuickBooks, Great Plains Software, PeopleSoft, Kronos Timekeeping, Microsoft Dynamics GP
Education
Tennessee State University 2000 — 2003
Bachelor of Science (BS), Accounting and Business/Management
Nashville State Community College 1995 — 1999
Associate of Science (AS), Accounting Technology
Maplewood Comprehensive High School 1990 — 1994
GSK July 2014 - Present
Cigna-HealthSpring July 2013 - July 2014
HealthSpring August 2010 - July 2013
ASCP 2009 - 2012
excelleRx 2005 - 2007
Skills
Pharmacists, Pharmacy, Medication Therapy..., Pharmacy Benefit..., Healthcare, Healthcare Information..., Nursing, Immunization, Health Information..., Informatics, Clinical Research, Managed Care, EHR, CPOE, Pharmacy Automation, Clinical Pharmacology, Healthcare Management, Disease Management, Medicare Part D, Patient Counseling
Education
Lipscomb University 2011 — 2012
Master of Science (M.S.), Health Care Informatics
University of Tennessee-Health Science Center 2000 — 2004
Doctor of Pharmacy (Pharm.D.), Pharmacy
Vanderbilt University August 2011 - Present
HealthSpring October 2009 - January 2013
P Standifer Consulting May 2009 - October 2009
Proudfoot Consulting May 2007 - May 2009
Proudfoot Consulting March 1998 - May 2007
First American Bank 1997 - 1998
Proudfoot Consulting January 1989 - December 1996
Skills
Leadership Development, Change Management, Performance Improvement, Organizational..., Executive Coaching, Management Consulting, Instructional Design, Performance Management, Coaching, Process Improvement, Team Building, Organizational Design, Succession Planning, Blended Learning, Training, Leadership, Management, Workforce Planning, Organizational..., Program Management, Strategic Planning, Business Process..., Strategy, Mergers & Acquisitions, Analysis, Employee Engagement, Training Delivery, Talent Management, Business Strategy, Operational Excellence, Consulting, Employee Training, Operations Management, Human Resources, Onboarding, Organizational Behavior, Learning Management..., Workshop Facilitation, Management Development
Education
The University of Tennessee at Chattanooga 1986 — 1988
MS, I/O Psychology
Kingwood Medical Center September 2013 - Present
Good Shepherd Medical Center August 2010 - August 2013
HealthSpring July 2009 - June 2010
Wal-Mart Pharmacy June 2007 - April 2009
Skills
Healthcare, Inpatient, Critical Care, Clinical Research, Pharmaceutical Industry, Meditech
Education
The University of Georgia 2005 — 2009
Pharm.D., Pharmacy
The University of Texas at Austin 2000 — 2005
B.S., Architectural Engineering, Pre-Pharmacy
The SSI Group, Inc. January 2013 - Present
HealthSpring October 2011 - January 2013
Arcata Associates June 2011 - October 2011
Skills
SYSTEMS: Linux/Unix,..., LANGUAGES: SQL, HTML,..., SOFTWARE: MS Office,..., Windows Server, Microsoft SQL Server, System Administration, Active Directory, Troubleshooting, Citrix, VMware, Systems Analysis, Software Documentation, Technical Support, Disaster Recovery, EMR, HITECH, HIPPA, Analysis, SQL, HIPAA, SSIS, Security, SSRS, Integration, CMS-1500, SQL Tuning, Data Migration, Healthcare Information..., Database Design, Agile Methodologies, Agile Testing, Windows XP, BMC Remedy, Unix, Windows, Enterprise Architecture, ITIL, Requirements Analysis, Computer Hardware, Databases, Windows 7, Linux, T-SQL, Visual Studio
Education
Tulane University 2009 — 2011
Bachelor of Science (B.S.), Applied Computing and Technology
Cigna-HealthSpring January 2015 - Present
Cigna-HealthSpring January 2012 - December 2014
HealthSpring August 2010 - February 2012
Superior Essex January 2005 - August 2010
Superior Essex January 2000 - December 2005
Milliken & Company January 1996 - December 1996
Skills
Program Management, Process Improvement, Business Analysis, Business Process..., Data Analysis, Process Engineering, Six Sigma, Lean Manufacturing, Project Management, Cross-functional Team..., Continuous Improvement, Analysis, Healthcare, Leadership, Software Documentation, Visio
Education
Tennessee Technological University 1994 — 1999
Engineering, Chemical Engineering
Blue Cross Blue Shield of Illinois November 2012 - Present
Health Care Service Corporation February 2012 - November 2012
HealthSpring October 2005 - January 2012
First Health April 2004 - May 2005
MedMark Services, Inc. January 2003 - March 2004
Advocate Health Centers December 1998 - August 2001
Skills
Managed Care, Medicare, Medicaid, Healthcare, Healthcare Management
Education
The Ohio State University College of Medicine 1988 — 1992
MD, Medicine
Healthspring 2010 - Present
HCR ManorCare July 2007 - 2009
GENEX Services, Inc. August 2000 - July 2007
Quality Managed Care 1995 - 2000
Education
Northwestern University
BSN, Nursing
KPMG October 2014 - Present
KPMG May 2013 - September 2014
Cigna-HealthSpring 2012 - 2013
HealthSpring March 2012 - October 2012
Weingarten Realty Investors August 2010 - March 2012
Weingarten Realty Investors July 2009 - August 2010
Strake Jesuit College Preparatory August 2008 - June 2009
Skills
Real Estate Development, Real Estate, Location Intelligence, Health Care..., Health Care Systems, Healthcare Management, Healthcare Reimbursement, Managed Care, Due Diligence, Portfolio Management, Financial Modeling, Valuation, Healthcare, Financial Analysis, Contract Negotiation, Strategy, Data Analysis, Management, Leadership
Education
Rice University 2011 — 2013
Masters in Business Administration, Health/Health Care Administration/Management
Saint Louis University 2004 — 2008
Business, Economics
Robert Wood Johnson University Hospital Hamilton April 2013 - Present
Cigna January 2013 - Present
HealthSpring January 2011 - December 2012
Bravo Health/ HealthSpring September 2009 - December 2010
Robert Wood Johnson University Hospital Hamilton 2007 - 2009
Merrill Lynch July 2004 - August 2007
Skills
PeopleSoft, Microsoft Excel, UltiPro, Cognos 8, ADP ReportSmith, ADP HRB, ADP Payroll, HRIS
Education
The College of New Jersey 2001 — 2004
Womens and Gender Studies, Business Administration, Management and Operations
HealthSpring Provider Relations Education RepHumana Military Healthcare ServicesFebruary 2000 - August 2006
Education
The University of Georgia 1991 — 1992
MEd, Adult Education
Stewart Title June 2014 - Present
Stewart Title January 2012 - May 2014
Stewart Title May 2009 - December 2011
Stewart Title August 2007 - April 2009
HealthSpring May 2005 - July 2007
Encana May 2004 - August 2004
Skills
CPA, General Ledger, Accounting, Sarbanes-Oxley, Financial Reporting, Financial Analysis, Forecasting, Risk Management, Employee Management, Balance Sheet Review, MS Excel Pivot Tables, Microsoft Excel, Microsoft Word, PowerPoint, Outlook, QuickBooks, Lawson General Ledger, CODA Financials, Solomon General Ledger, Budgets, Hyperion Enterprise, Finance, Corporate Finance, GAAP, SEC filings, Financial Planning, Analysis
Education
Texas A&M University - Mays Business School 2002 — 2005
BBA, Accounting
americhoice by uhc 2010 - Present
UnitedHealthcare 2010 - Present
United Health Group (AmeriChoice) May 2010 - April 2014
HealthSpring December 2009 - May 2010
Accredo Healthcare - a Medco Company 2004 - 2009
Quorum Health Resources November 1999 - May 2004
CIGNA 1991 - 1996
Skills
Managed Care, Contract Negotiation, Case Managment, Long-term Care, Executive Management, Network Development, Medicaid Managed Care, Medicare, Account Management, Claims Management, Regulatory Reporting, Provider Network..., Healthcare Reimbursement, Process Improvement, Clinical Research, Health Policy, Revenue Cycle, Health Insurance, Physician Relations, Insurance, Medical Coding, Utilization Management, Physicians, Health Economics, Medical Billing, Healthcare Consulting, HMO, Employee Benefits, Health Services Research, HEDIS, Quality Improvement, Medical Terminology, Credentialing, Revenue Cycle Management, HIPAA, EMR, EHR, PPO, Claim, Medical Compliance, Home Care, Accountable Care, NCQA, Medicare/Medicaid..., Healthcare Industry, Health Care Reform, Medicare Part D
Education
The University of Memphis 1987 — 1989
MPA, Health/Health Care Administration/Management
HealthSpring July 2009 - Present
Skills
Medication Therapy..., Managed Care, Pharmacy Benefit..., Pharmacists, Utilization Management, Healthcare Management, Healthcare Information..., Patient Safety, Medicare Part D, Medicaid Managed Care, Medicare, Medicaid, Pharmacy
Education
The University of Texas at Austin 2005 — 2009
PharmD, Pharmacy
Cigna-HealthSpring January 2012 - Present
HealthSpring January 2011 - January 2012
KPMG January 2008 - January 2011
HealthSpring July 2007 - December 2008
Gulfquest May 2004 - June 2007
Skills
Leadership, Internal Audit, Sarbanes-Oxley Act, Financial Reporting, Financial Analysis, Accounting, Sarbanes-Oxley, Internal Controls, Finance, Auditing, CPA, GAAP, General Ledger, SEC filings, Variance Analysis
Education
Texas A&M University 2000 — 2004
B.S., Economics
University of Alabama Health Services Foundation; UAB Medicine April 2004 - Present
HealthSpring June 2001 - April 2004
Skills
Instructor-led Training, Captivate, Training Delivery, Instructional Design, Needs Analysis, Learning Management, Blended Learning, Training, Learning Management..., Employee Training, Technical Training, E-Learning, Adult Education, Performance Improvement, ADDIE, Training Needs Analysis, Organizational..., Performance Consulting, HIPAA
Education
University of Alabama at Birmingham 2010 — 2014
Management Information Systems, General
Mississippi State University 1994 — 1999
Bachelor of Arts (B.A.), Speech Communication and Rhetoric
HealthSpring February 2011 - Present
HealthSpring October 2005 - February 2011
Coventry Health Care September 2000 - October 2005
Skills
Contract Management, Contract Negotiation, Data Analysis, Medicare Part D, Pharmacy Benefit..., Analysis, Pharmacy, Management, Program Management, Pricing, Negotiation, Accounts Receivable, Managed Care, Medicaid, Healthcare, Medicare, Health Policy, Finance, Process Improvement
Education
Tennessee State University 1984 — 1989
BBA, Business Administration
Western High School
HealthSpring November 2010 - Present
HEALTHMARKETS 2009 - 2010
K&L GATES LLP 2004 - 2008
GODWIN GRUBER LLP 2001 - 2004
WALLACH & MOORE, PC 2000 - 2001
CORPHEALTH, INC. 1998 - 1999
MHMR SERVICES OF TARRANT COUNTY 1997 - 1998
C&L ESPERANZA HOME HEALTH 1997 - 1997
CARE UNITED HOSPICE 1995 - 1996
HARRIS METHODIST HEALTH PLAN 1990 - 1995
Education
Northwest Texas Hospital School of Nursing 1976 — 1977
Diploma, Nursing
Sam Houston State University
BS, Social Rehabilitation
West Texas A&M University
BS, Nursing
GoHealth September 2014 - Present
John J. Mackey and Associates July 2011 - Present
Western & Southern Life July 2012 - August 2014
HealthSpring September 2008 - March 2011
Combined Insurance June 2007 - September 2008
Bankers Life and Casualty January 2007 - June 2007
Strategic Marketing for the Arts October 2005 - June 2007
The Goodman Theatre April 1998 - October 2005
LeadWorks December 1995 - April 1998
The Thresholds October 1980 - December 1995
Skills
Health Insurance, Long Term Care, Insurance, Medicare Supplements, Medicare Part D, Term Life Insurance, Customer Service, Annuities, Long-term Care, Mentoring, Excel, Microsoft Office, PowerPoint, Call Center, Administration, General Insurance, Data Entry, Accident, Problem Solving, Team Building, Strategic Planning, Public Speaking, Fundraising, Sales Management, Coaching, Retirement, Account Management, Medicare, Employee Benefits, Outlook, Word, Fixed Annuities, Disability Insurance, Call Centers, Long Term Care Insurance, Marketing, 401k, Life Insurance, Sales, Small Business, Whole Life, Management
Education
Northeastern Illinois University 1989 — 1991
BA, Psychosocial Rehabilitation
Northwestern University 1987 — 1989
Organizational Behavior
Kwame Nkrumah University of Science and Technology; Kumasi, Ghana 1970 — 1970
Certificate, Architecture
Cigna-HealthSpring 2010 - Present
HealthSpring April 2006 - December 2010
State of Texas DHS March 1999 - April 2005
Marshalls Department Stores October 1993 - November 1998
Skills
Retired Military, Medicaid, Provider Relations, Managed Care, Medicare, HIPAA, Process Improvement, Healthcare Information..., Healthcare Consulting, Health Insurance, Revenue Cycle, Healthcare, Healthcare Management, Leadership, Customer Service, Training, Strategic Planning, Software Documentation, Management, Healthcare Industry, Hospitals, Business Analysis, Team Building
Education
Park University 1974 — 1998
BA, Management
HealthSpring May 2011 - Present
TexasSocialWork.org June 2010 - Present
Mayhill Hospital December 2010 - May 2011
Baylor Health Care System September 2007 - December 2010
Skills
Case Management, Mental Health, Social Services, Crisis Intervention, Healthcare, Medical Social Work, Discharge Planning, Medicare
Education
Texas A&M University-Commerce 2009 — 2010
Master of Social Work, Social Work
University of North Texas 2000 — 2005
Bachelor of Social Work, Social Work
HealthSpring January 2009 - Present
Cigna HealthSpring 2009 - 2014
Strategic Business Partners May 2006 - December 2009
Skills
HIPAA, Healthcare Information..., Software Documentation, System Administration, Medicare, Troubleshooting, Healthcare, Data Analysis, Healthcare Management, SSIS, Disaster Recovery, Active Directory, Process Improvement, Medical Coding, Crystal Reports, Citrix, Access, Systems Analysis, SSRS, Motivational Speaking, Consulting, Software Development, Software Project..., HEDIS, PowerPoint, Microsoft Word, Microsoft Excel, Medical Billing, Hospitals, Physician Relations, Healthcare Consulting, EMR, EMR Training, Practice Management, NextGen, Centricity, VFE, Coordination, Communication Skills, Managed Care, medical, Medical Records, Health Insurance, Commercial Insurance, Life Insurance, Property & Casualty..., Building Strong..., Revenue Analysis, Revenue Cycle, Clinical Content
Education
FCAHS
The University of Southern Mississippi
SAS April 2015 - Present
SAS August 2012 - March 2015
The Clorox Company July 2011 - July 2012
HealthSpring August 2010 - January 2011
Skills
Analytics, Data Mining, SAS, Business Intelligence, Predictive Modeling, Machine Learning, Market Research, Business Analytics, Statistical Modeling, Marketing Strategy, Forecasting, Data Analysis, Analysis, Business Analysis, Statistics, Marketing Research, Marketing Mix Modeling, Market Basket Analysis, Competitive Analysis, Propensity Modelling, Data Modeling, SQL, Pricing, SAS Base, SAS E-Miner, JMP, Lifetime Value, Pricing Analysis, Regression Analysis, Multivariate Statistics, Discrete Choice, Optimizations, Cluster Analysis, Logistic Regression, Linear Regression, Decision Trees, Neural Networks, Factor Analysis, Text Mining, CPG Industry, Social Media Analytics, Hadoop, Python, Cloudera, Hive, Impala, Apache Pig, Recommender Systems, Optimization
Education
University of Alabama 2009 — 2011
MS, Statistics, 4.0 GPA
The University of Georgia 2008 — 2009
Master of Marketing Research, Marketing Research
University of South Alabama 2000 — 2005
BS, Business
VIVA Health April 2011 - July 2014
HealthSpring October 2005 - April 2011
HealthSouth October 2003 - October 2005
United Healthcare Group Recruitment Services February 2001 - September 2003
Skills
Medicare, Medicaid, Employee Benefits, Management, Hospitals, Insurance, Healthcare, HIPAA, Healthcare Information..., Invoicing, EMR, Customer Service, Training, Data Entry
Education
Samford University 1993 — 1994
Bachelor, General Studies
HealthSpring September 2010 - Present
Skills
Healthcare, Pharmacy, Hospitals, HIPAA, Managed Care, Medication Therapy..., Healthcare Management, Patient Safety, Healthcare Information..., Medicare Part D, Inpatient, Medical Terminology
Education
The University of Tennessee at Chattanooga 2002 — 2009
B.S., Biology
Chestnut Hill Hospital February 2014 - Present
Healthspring May 2013 - Present
Pharmacy Manager March 2006 - May 2013
Skills
Medication Therapy..., Pharmacy Operations, Dispensing, PBM, Medicare Part D, Managed Care, Pharmacy Benefit..., Pharmacy Automation, Pharmacy Practice, Pharmacists, Community Pharmacy, Patient Counseling, Clinical Pharmacy
Education
Temple University 2001 — 2005
Doctor of Pharmacy (PharmD)
Cigna-HealthSpring November 2012 - Present
HealthSpring's Living Well Clinic July 2012 - November 2012
HealthSpring June 2011 - June 2012
Kroger October 2009 - June 2011
Skills
Pharmacy, Pharmacists, Healthcare, Ambulatory Care, Immunization, Medication Therapy..., Pharmacy Automation, Pharmacy Benefit..., Medicare Part D, Managed Care, Community Pharmacy, Clinical Pharmacy, Disease Management, Patient Safety, BLS, Cpr Certified, Compounding, Clinical Research, Hospitals, Patient Counseling
Education
University of Houston 2005 — 2009
PharmD, Pharmacy
Tarleton State University 2000 — 2004
BS, Biology
HealthSpring January 2002 - Present
Skills
Case Managment, Medicare, Customer Service, Utilization Management, NCQA, Healthcare, Nursing, Acute Care, Hospitals, Medicaid Managed Care, Home Care, Provider Relations, Patient Safety, Managed Care, BLS, Certified Case Manager, Staff Development, Management, Insurance, Disease Management, Healthcare Information..., Healthcare Management, Utilization Review, Inpatient, Critical Care, HEDIS, Clinical Outcomes, Medication Therapy..., Medicaid, Medical/Surgical
Education
Temple University 1964 — 1967
RN, Nuring
HealthSpring October 2012 - Present
The Affinitus Group June 2012 - October 2012
HealthTrust Purchasing Group September 2009 - May 2012
Deloitte May 2007 - September 2009
Asurion October 2006 - May 2007
Skills
ETL, Data Modeling, Data Warehousing, SSIS, SSRS, Dimensional Modeling, Data Integration, T-SQL, Database Design, Data Marts, Software Development
Education
The University of Memphis
BS, Mathematics
HealthSpring case managercentennial medical centerApril 2004 - May 2006
Education
Union College (NE) 1973 — 1978
BSN, NURSING, 3.5
Cigna February 2015 - Present
HealthSpring October 2012 - Present
HealthSpring February 2012 - September 2012
Towson University August 2008 - December 2011
Skills
Actuarial Exams (P/1,..., SQL, Microsoft Office 2007, Minitab, Mathematica, R
Education
Towson University 2007 — 2009
Master of Science (M.S.), Applied Mathematics
HealthSpring September 2009 - Present
MDI May 2003 - April 2009
Skills
Contract Negotiation, Recruiting, Problem Solving, Management, Healthcare, HMO, Team Building, Medicaid, Network Development, Health Insurance, Managed Care, Healthcare Management, Medicare, Provider Relations, Insurance, Process Improvement, Hospitals, Healthcare Industry, PPO
Education
Stephen F. Austin State University
Bachelor of Business Administration (B.B.A.), Business/Commerce, General
HealthSpring September 2010 - June 2012
Skills
Computer Proficiency, Work well without..., Works well in a team, Customer Service, Technical Support
Education
North Lake College 2011 — 2013
Associate of Arts and Sciences (A.A.S.), Computer and Information Sciences and Support Services, 3.25
HealthSpring May 2005 - Present
Skills
Hospitals, Healthcare, Healthcare Management, Healthcare Information..., Medicare, Managed Care, HIPAA, Revenue Cycle, Health Insurance
Education
University of Phoenix 2011 — 2014
Bachelor of Science (B.S.), HealthCare Administration Management
Southern Illinois University, Carbondale 1978 — 1980
HealthSpring 2011 - 2013
Education
Troy University 2005 — 2007
BSN, Registered Nursing/Registered Nurse