Humana Health Plans
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Humana Health Plans Employees
american mobile nurses February 2011 - Present
american mobile 2011 - Present
humana health plans October 2008 - June 2009
memorial regional hospital and trauma center March 2003 - June 2008
medlink of florida October 2000 - April 2002
community memorial medical center November 1998 - 1999
mother baby consortium 1994 - 1997
albert einstein medical center 1987 - 1992
Skills
Nursing, Critical Care, Patient Safety, EMR, Clinical Research, Hospitals, Healthcare Management, Healthcare, BLS, Healthcare Information...
Education
BIENVILLE UNIVERSITY 2000 — 2002
masters in health administration, Health/Health Care Administration/Management
Community College of Philadelphia 1985 — 1987
asd, Registered Nursing/Registered Nurse
Kean University 1982 — 1984
Bachelor's degree, American History (United States)
Blue Cross Blue Shield of Kansas City March 2012 - Present
Blue Cross Blue Shield of Kansas City August 2011 - March 2012
TRANSFORMED, INC January 2006 - July 2011
Kansas City CARE Clinic January 1999 - January 2006
Penn Valley College 1995 - 2004
Humana Inc. January 1997 - January 1999
Humana Health Plans January 1996 - January 1997
Executive Training Program January 1995 - January 1996
Ohio University January 1992 - January 1994
Skills
Health Insurance, Administration, Medicare, Medicaid, Healthcare, Medical Home, Practice Redesign, Change Management, Human Resources, Access, Budgets, Customer Service, Contract Negotiation, EHR, EMR, Employee Benefits, Health Policy, Healthcare Consulting, Healthcare Information..., Hospitals, Leadership, Managed Care, Management, Nonprofits, Physicians, Organizational..., Policy, Process Improvement, Provider Relations, Recruiting, Strategic Planning, System Administration, Training, Program Management
Education
Ohio University 1992 — 1994
M.H.A, Healthcare Administration
Ohio University 1987 — 1991
BS, Biology - Exercise Physiology
Stroud & Associates April 2000 - Present
Humana Health Plans October 1987 - January 2000
Education
Jefferson Community College
Associate's degree, Business/Corporate Communications
Quinlan School of Business, Loyola University Chicago July 2015 - Present
Quinlan School of Business December 2012 - Present
Quinlan School of Business July 2008 - Present
Quinlan School of Business November 2006 - Present
Quinlan School of Business, Loyola University Chicago January 2015 - June 2015
Northwestern Memorial Hospital 1999 - 2006
Gift of Hope 1995 - 1999
Northwestern Memorial Hospital 1993 - 1995
Advocate Health Care 1989 - 1992
Humana Health Plans 1987 - 1989
Education
Northwestern University - Kellogg School of Management 1984 — 1987
MBA, Marketing and Health Services Management
Fisk University 1979 — 1983
Bachelor of Arts (BA), Health Care Administration & Planning
MediLegal Matters/LifeCare Collaborative June 1999 - Present
PatientCentral Technologies, Inc. June 2004 - July 2015
Medical Center Intensivists, P.A. April 2005 - December 2010
Humana Health Plans 1998 - 1999
The Methodist Hospital 1993 - 1999
Skills
Healthcare Management, Healthcare, Hospitals, Healthcare Information..., Process Improvement, Managed Care, Physicians, HIPAA, Clinical Research, Healthcare Consulting
Education
University of Florida 2010 — 2010
CLCP, Catastrophic Case Management
Villanova University 2007 — 2007
Quality Management-Six Sigma
American InterContinental University 2003 — 2005
MBA, Health Care Management
American InterContinental University 2002 — 2003
BBA, Business-Enterprise Management
Nazareth College 1981 — 1982
Nursing
St. Elizabeth College of Nursing 1978 — 1981
R.N., Nursing
Texas Health Resources July 2002 - Present
Aetna 1999 - June 2002
Prudential Healthcare 1996 - August 1999
Prudential Healthcare 1995 - 1996
Humana Health Plans 1994 - 1995
Skills
Healthcare Management, Healthcare Information..., Healthcare Consulting, EHR, Health Insurance, Medicare, Revenue Cycle, Leadership, HIPAA, Health Policy
Education
Arizona State University - W. P. Carey School of Business 1993 — 1995
MHSA/MBA, Health Services Administration
University of North Carolina at Chapel Hill 1987 — 1991
BA, Industrial Relations
University of Chicago Medical Center June 2001 - Present
West Suburban Hospital June 1996 - June 2001
Humana Health Plans January 1990 - June 1996
Education
DeVry University 2010 — 2012
HR Management
Martin Luther King HS
Orange County Public Schools July 2007 - Present
Orange County Public Schools July 2007 - Present
MMM Healthcare Inc. April 2005 - June 2006
MMM Healthcare Inc April 2005 - June 2006
Humana Puerto Rico November 2000 - April 2005
Humana Health Plans August 2000 - April 2005
Skills
Customer Service, Analysis, Public Speaking, Microsoft Word, Insurance, First Responder
Education
Inter-American University of Puerto Rico-Metropolitan Campus 1995 — 2002
Arts, Criminal Justice
Interamerican University of Puerto Rico-Metro Campus 1995 — 2002
Bachelor of Arts (B.A.), Criminal Justice- Investigation, Bachelor
Social Media Enhancement Services and Consulting September 2013 - March 2015
Sedgwick Claim Management Services June 2008 - August 2013
Hewitt Associates August 2002 - May 2008
Humana Health Plans February 2001 - August 2002
Humana August 1999 - February 2001
Advocate Health Care May 1998 - August 1999
Chicago Health System (previously MacNeal Health Providers) March 1996 - May 1998
Skills
Process Improvement, CRM, Management, Leadership, Strategy, Project Management, Employee Benefits, Claims Management, Claims Operations, Creative Writing, Strategic Planning, Strategic Thinking, Strategic Consulting, Operational Efficiency, Operational Strategy, Six Sigma, Medical Compliance, Statutory Compliances, Benefits Administration, Benefits Design, User Acceptance Testing, Process Engineering, Quality Auditing, Social Media, Social Media Consulting, Social Media Strategist, Training, Customer Service, Insurance, Team Building, Analysis, Recruiting, Business Strategy, Cross-functional Team..., Leadership Development, Customer Retention, Contract Management, Contract Negotiation, Managed Care, Healthcare Management
Education
Elmhurst College 1994 — 1997
Bachelor's of Science, Business Management
Amerigroup May 2013 - Present
Humana Health Plans August 2006 - May 2013
Humana Health Plans August 1997 - July 2006
Skills
Medicare, Contract Negotiation, Training, Customer Service, Physicians, Leadership, Healthcare, Credentialing, Medicaid, Physician Relations, Strategic Planning
Education
Harold Washington College 1988 — 1990
AA, Business Management
Roosevelt University
Az HFMA 1996 - Present
Silver & Cherner, Ltd 1989 - Present
Humana Health Plans 1986 - 1989
Skills
Healthcare, Revenue Cycle, Healthcare Consulting, Healthcare Information..., Managed Care, Healthcare Industry, Medicaid, Hospitals, Healthcare Management, Medical Billing, EMR, HIPAA, Revenue Cycle Management, Physicians, Medicare, Practice Management, Epic Systems, EHR, Health Information..., Quality Improvement, Informatics, Health Policy, Health Insurance, Cerner
Education
University of Phoenix 1983 — 1985
MBA
The University of Kansas 1967 — 1972
BS, Medical Technology
The University of Kansas 1967 — 1971
BA, Microbiology
Callan Consulting 2001 - Present
Harris Methodist Health Plan 1991 - 2001
Insurance Works May 1988 - June 1990
Humana Health Plans January 1982 - May 1988
Skills
Health Insurance, Underwriting, Sales, Healthcare, Insurance, Employee Benefits, Healthcare Consulting, Strategic Planning, Leadership, Managed Care
Education
University of Kentucky
Floyd Memorial Hospital and Health Services September 2014 - Present
Trilogy Health Services March 2010 - Present
Life Care Ceters of America July 2008 - December 2009
Kindred Hospital February 2005 - July 2008
Kindred Healthcare January 2003 - February 2005
Green Valley Care Center July 2000 - January 2002
U of L Hospital January 2000 - July 2000
Vencor October 1997 - December 1999
Humana Health Plans October 1990 - October 1997
Skills
Marketing, Coaching, Recruiting, Budgets, Nursing, Hospitals, Human Resources, Managed Care, Medicare, Management, Healthcare, Long-term Care, Healthcare Management, Acute Care, Team Building, Healthcare Industry, Elder Care, Case Management, Home Care
Education
Marian College
BA Psychology & Sociology
Spalding University
Humana Health Plans 2008 - 2009
Humana Health Plans 2006 - 2008
Humana Health Plans 2004 - 2006
Humana Health Plans 2000 - 2003
Arthur Andersen 1999 - 2000
Coventry Health Care 1998 - 1999
Humana Health Plans 1995 - 1998
Skills
Medicine, Credentialing, Project Management, Managed Care, Health Insurance, Physicians, Healthcare Consulting, Insurance, Leadership, Healthcare, Medicare, Customer Service, Team Building
Education
New York Medical College
M.D., Medicine
The University of Chicago
MBA, Business
United Airlines February 2012 - Present
United Airlines November 2011 - February 2012
Memorial Hermann Hospital Systems August 2011 - November 2011
Reliant Energy an NRG Company March 2002 - January 2011
Humana Health Plans September 1997 - September 2001
Memorial Sisters of Charity April 1995 - August 1997
Skills
Customer Service, Project Management, Customer Satisfaction, Process Scheduler, Account Reconciliation, Outlook, Public Speaking, Microsoft Excel, Human Resources, Microsoft Word, Management, Operations Management, PowerPoint, Project Planning, Strategic Planning, Time Management, Training, Accounting, Budgets, Microsoft Office, Policy, Process Improvement, Program Management, Research
Education
Kaplan University
Bachelor of Science, Business Administration, 3.5 (Cum Laude)
Morselife Home Health June 2010 - January 2012
Morse Life Home Health Services-Home Health Coder/Quality June 2010 - January 2012
MorseLife January 2008 - January 2010
Nurse On Call Home Health Services January 2007 - January 2008
Humana Health Plans January 1999 - January 2007
IHS Home Care January 1994 - January 1998
Swedish Covenant Hospital January 1989 - January 1997
Humana Health Plans January 1989 - January 1995
Olsten Kimberley Home Care Services January 1993 - January 1994
Martha Washington Hospital January 1985 - January 1989
Education
University of Illinois at Chicago
Masters Degree, Public Health Administration, Health Resources Management
North Park University
Bachelor of Science Degree, Nursing
Morton College
Associate Degree, Nursing
Sunshine State Halth Plan 2009 - 2012
Sunshine State Health Plan January 2009 - December 2011
Access Health Solutions (acquired by Sunshine State Health Plan) March 2005 - December 2008
MMI Consultants, Inc. January 2004 - March 2005
Humana Health Plans April 2000 - January 2004
Skills
Healthcare Management, Non-profits, Healthcare, Managed Care, Policy, Nonprofits, Management, Project Management, HIPAA, Healthcare Information..., Process Improvement, EMR, Medicaid, Public Speaking, Team Building
Education
University of South Florida 1972 — 1978
MBA
Dignity Health June 2015 - Present
ARIZONA PRIORITY CARE March 2012 - March 2015
MANAGED HEALTH CARE ASSOCIATES, LTD November 2005 - March 2012
North American Medical Management January 1996 - January 2005
HUMANA HEALTH PLANS January 1991 - January 1996
CITIBANK, F/KA ARLINGTON FEDERAL SAVINGS January 1985 - January 1991
ARLINGTON FEDERAL SAVINGS January 1979 - January 1985
Skills
SQL, Data Analysis, Access, Business Analysis, Databases, Microsoft Excel, Analysis, Managed Care, Medicaid, Process Improvement, Medicare, Customer Service, Hospitals, Healthcare
Education
Eastern Illinois University
Bachelor of Science, Business, Finance and Marketing