Interplan Health Group
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Interplan Health Group Employees
Election Systems & Software March 2008 - Present
ITT Technical Institute October 2007 - March 2008
Interplan Health Group September 2007 - February 2008
SoftExpert August 1997 - August 2007
Banca Naţională a României June 1995 - April 2001
Education
Universitatea „Politehnica” din București
Electrical Engineer
Sunshine Health November 2011 - Present
Advanced Nursing Concepts April 2006 - 2008
Interplan Health Group 2000 - 2005
One Call Medical 1998 - 2000
Humana 1996 - 1998
Leesburg Regional Medical Center 1995 - 1996
HealthPlus of Michigan 1988 - 1995
Skills
Healthcare, Provider Relations, Network Development, Health Insurance, Hospitals, Contract Negotiation, Healthcare Industry, Credentialing, Recruiting, Physicians, Managed Care, Medicare, Medicaid, PPO, Medicaid Managed Care, HIPAA
Education
Davenport University
Associate degree, Health Care Science
... March 2012 - Present
ABQ Health Partners 2015 - 2015
ABQ Health Partners 2015 - 2015
Amerigroup Community Care of New Mexico July 2012 - May 2014
UnitedHealth Group 2011 - 2012
Arcadian Health Plan 2007 - 2011
Interplan Health Group 2005 - 2007
MultiPlan 2001 - 2005
Skills
Healthcare, Strategic Development, Managed Care, Hospitals, Physician Management, Network Development, Contract Negotiations, Business Relationship..., Product Development, Key Account Management, Integrated Delivery..., Centers of..., Behavioral Health, Contract Negotiation, Budgets, EHR, Healthcare Industry, PPO, Medicare, Physicians, Credentialing, Disease Management, Healthcare Consulting, Utilization Management, Provider Relations, Medicaid, IDN, Business Strategy, Health Insurance, Healthcare Management
Education
BYU 1971 — 1975
Bachelors of Science, Exercise Physiology
Knowles Apothecary August 2012 - Present
Kensington Pediatrics September 2008 - Present
JNL Marketing Group (Division of Quantum) May 2008 - August 2008
Interplan Health Group January 2007 - May 2008
Skills
Healthcare, Medical Terminology, Medical Records, Medicine, Pediatrics, Vital Signs, Phlebotomy, EKG
Education
Kaplan University-Hagerstown Campus 2013 — 2016
Bachelor of Science in Health and Wellness
Manheim & Associates 2001 - 2013
TriZetto July 2006 - October 2010
Interplan Health Group June 2003 - June 2006
Columbia HCA Corporation, CCN Managed Care, Inc. June 1995 - November 2001
Skills
Mergers, Leadership, Mergers & Acquisitions, Finance, Sales, Healthcare Information..., New Business Development, Strategy, Integration, Management, Strategic Planning, Negotiation, Team Building, Insurance, Clinical Research, Contract Negotiation, Program Management, Healthcare, Managed Care, Process Improvement, Business Analysis, Executive Management, Healthcare Industry, Vendor Management, Cross-functional Team..., Budgets, Product Management, Project Management, Medicaid, Medicare
Education
University of California, Santa Barbara
Clinical instruction, Healthcare
University of Redlands
Business
Ventura College
Clinical (RRT equiv to RN studies)
Sacramento County October 2011 - Present
Sacramento County May 2008 - Present
Sacramento County September 2004 - May 2008
Interplan Health Group December 2001 - September 2004
OAO Healthcare Solutions May 2000 - November 2001
CSUS August 1999 - May 2000
Skills
Application Design, Database Design, Technical Documentation, Requirements Gathering, SQL Server, SSIS, SSRS, .NET, BizTalk, VB.NET, ASP, Visual Studio, ASP.NET, Visio, EDI, C#, SDLC, JavaScript, HTML, Windows, SQL, Access, Databases, XML, SharePoint, C++, Visual Basic, Web Services, Microsoft Office, Documentation, Testing, Architecture, MOSS 2007, Web Applications, ADO.NET, VBScript, IIS, Stored Procedures, DTS, Software Development, ODBC, Requirements Analysis, SharePoint Designer, Application Development, XSLT, Microsoft SQL Server, Software Documentation, T-SQL, Business Analysis, SOA
Education
California State University-Sacramento 1997 — 2001
BS, Computer Science
Diana Weidenbach June 2013 - Present
Red Hawk Casino December 2011 - April 2012
Sutter Physician Services September 2007 - November 2010
Interplan Health Group February 2005 - September 2007
Kelly Services February 2001 - June 2004
Skills
PowerPoint, Office Management, Microsoft Excel, Visio, Project Management, Accounts Receivable, Time Management, SharePoint, Management, Budgets, Invoicing, Microsoft Office, Customer Service, Adobe Acrobat, Microsoft Word, Travel Arrangements, Confidentiality, Event Management, Calendars, Project Coordination, Photoshop, Adobe Creative Suite, Sales, Outlook, Software Documentation, Analysis, Training, Leadership
Education
The Art Institute of California-Sacramento 2013 — 2015
Bachelors of Science, Advertising
ITT Technical Institute 2010 — 2013
Associates of Science, Graphics Communication and Design, 3.88
2003MTI College of Business Technology 2003 — 2005
Technical Diploma, Microcomputer Configurations
1995Oak Ridge High School 1991 — 1995
High School Diploma
Homesite Insurance September 2014 - Present
Homesite Insurance June 2011 - September 2014
Homesite Insurance February 2010 - June 2011
Interplan Health Group May 2006 - January 2009
Skills
Multi Tasking, Work Ethic, Maintaining A Positive..., Communication Skills, Time Management, Problem Solving, Dependable Team Player, Self-confidence, Flexibility, Adaptability, Microsoft Office, PowerPoint, Customer Service, Negotiation, Claim, Insurance, Policy, Property Claims, Property, Subrogation, General Insurance, Claims Management, Property Damage, Claims Handling, Claim Investigation, Claims Resolution, Xactimate
Education
Kent State University 2003 — 2009
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Kent State University 2003 — 2007
Associate of Arts (A.A.), Business Administration and Management, General
Community Medical Centers August 2010 - Present
Interplan Health Group May 2003 - October 2008
National Semiconductor Corporation May 1999 - April 2003
AT&T Communications February 1985 - June 1998
Skills
Benefits Administration, ADP Payroll, Garnishments, Open Enrollment, Leave of Absence, 401k, HRIS, Employee Relations, Deferred Compensation, Onboarding, HR Policies, Payroll, PeopleSoft, Workers Compensation, Movex, Applicant Tracking..., Recruiting, Ceridian, Employee Benefits, Healthcare
Education
Heald College
Data Entry Operator
Medical Mutual January 2012 - Present
HealthSmart 2007 - January 2012
HealthSmart 2009 - 2011
Interplan Health Group 2004 - 2007
The Chandler Group of Companies 2003 - 2004
The Chandler Group of Companies 2000 - 2003
The Chandler Group of Companies 1995 - 2000
Skills
Operations Management, PPO, Business Intelligence, Problem Solving, System Conversion, M&A due diligence, Client Relationship..., Business Analytics, Marketing Strategy, Pharmacy Benefit..., Revenue Cycle Management, Employee Relations, Process Improvement, Healthcare, Managed Care, Insurance, Provider Relations, Medicare, Medicaid, Employee Benefits, Health Insurance, HIPAA, Healthcare Management, Network Development, Healthcare Industry, HMO, Strategic Planning, Claim, Hospitals, Healthcare Information..., Disease Management, Healthcare Consulting, Benefits Administration, Health Policy, Health Savings Accounts, Disability Insurance, Leadership
Education
Ohio University
Bachelor of Science, Education
St. Joseph Academy
College Prep
USI Insurance Services May 2010 - Present
Talus Brokerage May 2007 - April 2010
Interplan Health Group 2005 - 2007
Skills
Health Insurance, Employee Benefits, Insurance, Disability Insurance, Health Savings Accounts, Healthcare, Life Insurance
Education
The Ohio State University 1992 — 1996
BA, Politcal Science
Thomas Ash Consulting June 2013 - Present
Tropic Grow LLC 2013 - 2014
Ametros Financial December 2011 - June 2013
Ametros Financial February 2011 - December 2011
Progressive Medical, Inc. June 2008 - February 2011
Thomas Ash Consulting June 2007 - May 2008
Kaiser Permanente June 2005 - June 2007
Health Net, Inc. August 1996 - December 2005
Interplan Health Group January 2005 - June 2005
First Health 2003 - 2005
Skills
Professional Chef, California Wine Wizard, California Jaycee..., Workers Compensation, Health, Insurance, Healthcare, Managed Care, Property & Casualty..., Entrepreneurship, Process Improvement, Medicare, Health Insurance, Strategy, Utilization Management, Chef, Employee Benefits, Legal Liability, Mergers & Acquisitions, Claims Management, Leadership, Wine, Claim, Management, Sales, Medicaid, Executive Management, Liability, Business Development
Education
Heriot-Watt University 2002 — 2009
Masters, Business Administration
California Culinary Academy 1976 — 1978
Professional Chef, Culinary Arts
Arizona State University 1970 — 1974
Bachelor of Science, Business
Cardiovascular Provider Resources October 2004 - Present
Interplan Health Group June 2002 - October 2003
Carreker Corporation 2001 - 2002
Network Services Now, Inc. 2000 - 2001
Occidental Chemical 1999 - 2000
Allstar Systems September 1998 - 2000
World Lynx 1996 - 1998
Intellinet 1994 - 1996
Skills
EMR, Integration, Web Development, NextGen, Computer Hardware, Healthcare Information..., Training, EHR, HTML, HIPAA, HL7, Healthcare, Access, Informatics, VB.NET, Process Improvement, Technical Support, Software Implementation, Microsoft SQL Server, Business Analysis, Crystal Reports, Servers, Epic Systems, Databases, SharePoint, Software Documentation, Health Information...
Education
University of Arkansas at Little Rock 1992 — 1994
Shorter College 1990 — 1991
General Education
WebTPA January 2010 - Present
HealthSmart September 2007 - October 2009
Interplan Health Group June 2005 - September 2007
Emerald Health Network June 2000 - June 2005
Skills
Healthcare, Health Insurance, Employee Benefits, Managed Care, Insurance
Education
Case Western Reserve University 1998 — 2002
Bacelor of Science, Business Management
Case Western Reserve University
Liberty Labor November 2014 - Present
InVision Inc September 2012 - Present
CAM PPO of America, Inc. February 2007 - September 2012
Interplan Health Group 2004 - January 2007
The Chandler Group of Companies March 1996 - 2003
Skills
Biotechnology, Managed Care, Medical Writing, Engineering, Pharmaceutical Industry, Regulatory Affairs, Clinical Research, Quality Assurance, Medical Devices, Healthcare, Oncology, Clinical Trials, Lifesciences, FDA, GMP, Clinical Development, Cross-functional Team..., Validation, Infectious Diseases, CAPA, GCP, Sop, GLP, CRO, Biopharmaceuticals
Education
Akron Medical Dental Institute 1995 — 1996
Medical Assistant
Kent State University 1991 — 1993
Interplan Health Group September 2002 - Present
Education
University of Connecticut 1978 — 1981
American CareSource Holdings September 2013 - May 2015
DiaSource January 2012 - October 2013
American CareSource Holdings 2008 - September 2013
Interplan Health Group 2004 - 2007
CCN Managed Care, Inc 1997 - 2002
HCA 1994 - 1997
Greenville Hospital System 1984 - 1994
Skills
Account Management, Team Building, Negotiation, New Business Development, Business Process..., Healthcare, Health Policy, Management, Executive Management, Medicare, Mergers, Strategic Planning, Salesforce.com, Business Analysis, Product Development, Analysis, Claim, Provider Relations, Insurance, Analytics, Employee Benefits, Leadership, Operations Management, EHR, Network Development, Pharmacy Benefit..., Health Insurance, Healthcare Industry, Managed Care, Physician Relations, Workers Compensation, Revenue Cycle, Process Improvement, Credentialing, Customer Service, Selling, Mergers & Acquisitions, Data Analysis, HIPAA, Healthcare Consulting, Physicians, Utilization Management, Disease Management, Revenue Cycle Management, Health Information..., Medical Billing, Practice Management, EMR, Home Care, Cross-functional Team...
Education
Tulane University 1982 — 1984
MHA, Health/Health Care Administration/Management
Salem College 1978 — 1981
BA, Economics and Sociology
Pinnacle Capital Mortgage Corp August 2008 - Present
Consumer Attorneys of California April 2008 - August 2008
The Parker Group March 2007 - March 2008
Interplan Health Group 2007 - 2008
Central Pacific Mortgage 1998 - 2007
Skills
SQL Server, Database Design, Visual Basic, Crystal Reports, SQL, Access, Databases, T-SQL, XML, Microsoft Office, VB.NET, SSIS, Excel, Windows, Visual Studio, Programming, Software Development, Database Administration, Microsoft SQL Server, Microsoft Excel
Education
Sierra College 1996 — 1998
AS, Computer Science
Sierra College 1994 — 1996
AS, Computer-Aided Drafting
Anthem November 2013 - May 2015
Bluegrass Healthcare Management Group January 2013 - January 2014
Passport Health Plan July 2007 - December 2012
Personal Care - Coventry Health December 2006 - June 2007
Interplan Health Group 1998 - 2006
Skills
Medicaid, Managed Care, Medicaid Managed Care, Network Development, Provider Relations, Medicare, Healthcare, HIPAA, Contract Management, Healthcare Industry, Health Insurance, Leadership, Statutory Compliances, Process Improvement, Health Policy, PPO, Insurance, Healthcare Consulting, Hospitals, Healthcare Information..., Strategic Planning, Pharmacy Benefit..., Healthcare Management, Cross-functional Team..., Credentialing, Program Management, Utilization Management, Claim, Project Management, Physicians, Physician Relations, EMR, Contract Negotiation, Visio, Policy, Software Documentation, Access, Marketing Communications, Compliance, Statutory Audit, System Migration, Platform Integration, System Design, Quality Auditing, Data Quality, Operations Management, Vendor Management, Vendor Relationship..., Management, Accountable Care
Education
Indiana Wesleyan University 2015 — 2017
Master's degree, Health/Health Care Administration/Management
Indiana Wesleyan University 2000 — 2003
BSBA, Business Administration, Management and Operations
University of Kentucky 1990 — 1993
Jeffersonville High School 1986 — 1990
Anthem Blue Cross May 2008 - Present
Interplan Health Group 2005 - May 2008
Fair Isaac 2002 - 2005
Mitchell International 1994 - 2002
Skills
Account Management, Microsoft Office, Salesforce.com, Sales, Strategic Planning, Strategic Partnerships, Process Improvement, Insurance, Managed Care, Workers Compensation, Access, Contract Negotiation, Leadership, Medicare, Customer Service, Outlook, Vendor Management, New Business Development, Sales Management, Team Building, Forecasting, Program Management, HMO, Employee Benefits, Health Insurance, Selling, Business Analysis, Management, PPO, Customer Retention, Sales Operations, Training, Project Management, Provider Relations, Healthcare, Executive Management, Operations Management, Medicaid, HIPAA, Data Analysis, Cross-functional Team..., Customer Satisfaction, CRM, Network Development, Claim, Utilization Management, Healthcare Industry, Disease Management, Analysis
Education
California State University-Northridge
BA
HealthSmart 2008 - Present
Interplan Health Group August 2005 - June 2008
The Emerald Health Network February 1997 - August 2005
The MassMutual Insurance Co. July 1986 - February 1997
Education
LSU Shreveport 1982 — 1986
BA - Liberal Arts, History
Commercial Business College 1979 — 1980
Programming Certificate, Computer Programming
Barney & Barney September 2011 - December 2011
Barney & Barney September 2010 - January 2011
PHNS March 2008 - May 2008
Consulting Engagements November 2004 - March 2008
Interplan Health Group October 2002 - November 2004
CCN Managed Care, Inc/ First Health (Coventry Health) December 1998 - October 2002
First Dental Health March 1997 - December 1998
Capp Care 1996 - 1998
Education
Henry Ford Community College 1975 — 1978
Undergraduate study in Architecture
MiraCosta College
Associates of Arts, Business
Akron Women in Tech January 2015 - Present
The University of Akron March 2011 - Present
Commercial Timesharing, Inc May 2007 - March 2011
Interplan Health Group January 2005 - May 2007
ERICO May 2003 - January 2005
Strong Tool Company 2002 - 2003
Skills
JavaScript, SQL, SQL Server, Java, C++, HTML, Linux, C#, C, Visual Studio, jQuery, PHP, Software Engineering, Databases, Software Development, AJAX, VMware, Microsoft SQL Server, OBIEE, Oracle BPM, .NET, Visual Basic, Windows, SharePoint, Troubleshooting, Windows Server, Active Directory, Data Warehousing, Servers, Security
Education
The University of Akron 2012 — 2014
Master of Science, Engineering
The University of Akron 2003 — 2007
Bachelor of Science, Computer Science
Lakeland Community College 1997 — 2002
Associate of Applied Business, Information Systems
Clinical Specialties July 2009 - Present
HealthMarkets March 2008 - July 2009
Interplan Health Group March 2006 - March 2008
Emerald Health Network February 1998 - March 2006
Anthem January 1995 - February 1998
The Prudential Insurance Company of America July 1992 - January 1995
Skills
Healthcare, Network Development, Data Analysis, Health Economics, Managed Care, Hospitals, HIPAA, Medicare, Strategic Planning, Medicaid, Healthcare Consulting, Healthcare Industry
Education
Ohio University 1989 — 1990
MBA, Finance
Bowling Green State University 1985 — 1989
BSBA, Healthcare Administration
Mentor High School 1983 — 1985
Alliant Insurance Services October 2014 - Present
Capitol Administrators July 2008 - October 2014
Interplan Health Group 1991 - 2008
Skills
Employee Benefits, Brokers, Claim, Contract Negotiation, Customer Service, Cross-functional Team..., HIPAA, Health Savings Accounts, Healthcare, Healthcare Information..., Insurance, Healthcare Management, Leadership, Management, Medicare, PPO, Provider Relations, Process Improvement, Strategic Planning, Team Building, Workers Compensation, Sales, Pharmacy Benefit..., Managed Care, Account Management, Marketing
Education
California State University-Sacramento 1985 — 1988
BA, Business Administration
California State University-Sacramento
Bachelor's degree, Business Administration and Management, General
ISG Holdings 2008 - Present
Interplan Health Group 2000 - 2007
Presidium Services 1995 - 2000
Travelers Insurance 1984 - 1994
PwC 1978 - 1984
Education
Dartmouth College
AB, Economics
CVS Health April 2014 - Present
CVS Caremark Corporation January 2014 - April 2014
CVS Caremark Corporation April 2006 - January 2014
Interplan Health Group September 2003 - April 2006
BCE Emergis April 1999 - February 2002
Skills
Managed Care, Healthcare, Health Insurance, Cross-functional Team..., Process Improvement, Pharmacy Benefit..., Medicare Part D, HIPAA, Data Analysis, Pharmacy, Pharmaceutical Industry, Employee Benefits, Leadership, Medicare, Management, Disease Management, Healthcare Information..., Strategic Planning
Education
Northwestern State University
BS, Business Administration
Cleveland Clinic October 2012 - Present
Nordec Inc January 2011 - October 2012
Nordec Inc July 2007 - January 2011
Interplan Health Group June 2005 - July 2007
Skills
Microsoft Excel, Databases, Microsoft Office, Data Analysis, Project Management, Microsoft Word, PowerPoint, Time Management, Data Entry, Customer Service, Social Media, Sales, Event Planning
Education
The University of Akron 2003 — 2010
Bachelor, Early Childhood Education, Cum Laude
Bristol Hospice Stockton, LLC June 2015 - Present
Sutter Health February 2014 - Present
Health By Design June 2013 - Present
Hill Physicians Medical Group October 2005 - Present
Hill Physicians Medical Group October 2009 - February 2013
Kaiser Foundation Health Plan October 2003 - October 2005
Health By Design March 2002 - October 2003
Interplan Health Group 1999 - 2000
Skills
Healthcare, Hospitals, Healthcare Management, Managed Care, HIPAA, Utilization Management, Clinical Research, Nursing, Patient Advocacy, Case Management
Education
Walla Walla College 1979 — 1982
Nursing
Pacific Union College 1977 — 1979
Pre-Nursing Studies