L.A. Care Health Plan
Industry: Government agency
DescriptionThe Local Initiative Health Authority of Los Angeles County, doing business as L.A. Care Health Plan, is an independent, local public agency based in Los Angeles, California, that began operations as a licensed health plan in 1997. CEO: John Baackes Headquarters: Los Angeles, California, United States CFO: Marie Montgomery General counsel: Augustavia J. Haydel Founded: 1 April 1997 Jurisdiction: Los Angeles County, California
L.A. Care Health Plan List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at L.A. Care Health Plan. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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L.A. Care Health Plan Employees
L.A. Care Health Plan March 2014 - Present
Skills
Research, Microsoft Office, Community Outreach
Education
California State University-Northridge 2011 — 2013
Bachelor's degree, Sociology
L.A. Care Health Plan March 2013 - Present
Kaiser Permanente (Contractor) 2010 - 2012
Los Angeles County Department of Public Health (Contractor) 2008 - 2010
Prestige Travel & Cruises 2007 - 2008
American Express / IBM 1992 - 2007
Skills
PMP, SDLC, Healthcare Information..., Process Improvement, MS Project, HIPAA, Project Management, Project Portfolio..., Vendor Management, Healthcare, Medicare, Software Project..., EHR, Medicaid, Project Delivery, Requirements Analysis, EMR, Change Management, Healthcare Management, SharePoint, Requirements Gathering, Business Intelligence, Business Process..., Healthcare Consulting, Agile Project Management, Business Process, Release Management, IT Strategy, Software Documentation, Cross-functional Team..., Project Planning, Data Analysis, Agile Methodologies, Program Evaluation, Strategic Planning, Analysis, Management, Team Building, Business Analysis, Systems Analysis
Education
Project Management Institute
PMP Certified, Project Management Professional
Capella University
Master's degree, Industrial and Organizational Psychology
Western International University
Bachelor's degree, Information Systems
L.A. Care Health Plan July 2014 - Present
L.A. Care Health Plan June 2013 - Present
Maker Studios Inc April 2012 - June 2013
Pinkberry Ventures, Inc June 2011 - May 2012
Associated Students, Inc. Cal Poly Pomona August 2007 - June 2011
FreedomZone October 2009 - December 2010
Skills
Event Planning, Facebook, Social Media, PowerPoint, Microsoft Office, Social Networking, Microsoft Excel, Microsoft Word, Customer Service, Social Media Marketing, Marketing, Outlook, Time Management, Recruiting, Human Resources, Leadership, Project Management, Compensation & Benefit, Talent Acquisition, Research, Data Analysis
Education
University of California, Los Angeles Extension 2014 — 2015
Human Resources Management Certificate, Human Resources, 3.8 GPA
California State Polytechnic University-Pomona 2007 — 2011
Hospitality Management, Hotels & Restaurants
Redlands East Valley High School
General Education
L.A. Care Health Plan July 2014 - Present
L.A. Care Health Plan December 2013 - June 2014
L.A. Care Health Plan January 2013 - December 2013
L.A. Care Health Plan March 2011 - December 2012
Worksite Health July 2010 - March 2011
Restaurants and Private Parties April 2000 - April 2010
Health Solutions Services 2008 - 2010
Health Fitness Corporation 2007 - 2010
Skills
Health Education, Hospitality, Project Execution, Health Promotion, Public Health, Wellness Coaching, Wellness, Fitness, Nutrition, Program Development, Nutritional Counseling, Healthcare Management, Healthcare, Event Planning, Nursing, Community Outreach, Behavior Change, Public Speaking, Corporations, Non-profits, Hospitals, Customer Service, Clinical Research, Disease Management, Prevention, Health Policy, Quality Improvement, Program Evaluation, Medicare, Medicaid, Nonprofits, Project Management
Education
UCLA Extension 2012 — 2013
Project Management
California State University-Los Angeles 2004 — 2007
B.S Health Science, Health Science
L.A. Care Health Plan April 2015 - Present
Chivas USA August 2013 - Present
Chivas USA November 2010 - July 2013
Chivas USA November 2007 - October 2010
Skills
Proactive self-starter, Adobe Creative Suite, Positive Team Player, Art Direction, Deadline Driven, Branding & Identity, Brand Development, Creative Services, Creative Direction, Advertising, Collateral, Event Planning, Event Management, Facebook, Graphics, InDesign, Marketing, Public Relations, Social Media, Social Media Marketing, Sports Marketing, Typography
Education
California State University-Los Angeles 2005 — 2007
Bachelor of Arts (BA), Design and Visual Communications, General
Santa Monica College 2003 — 2005
Associate of Arts (AA), Graphic Design
L.A. Care Health Plan December 2012 - Present
St. Francis Medical Center July 2011 - December 2012
St. Francis Medical Center October 2007 - July 2011
Skills
PowerPoint, Financial Reporting, Accounts Payable, Microsoft Excel, Access, Sage FAS, MS4, Capitation, Account Reconciliation, Accounting, Auditing, Healthcare, Financial Analysis, Process Improvement, Medicaid, Managed Care, Healthcare Management, Variance Analysis, Healthcare Industry, Data Analysis, Revenue Cycle
Education
California State University-Long Beach - College of Business Administration 2010 — 2012
M.B.A, Finance
University of Nevada Las Vegas Lee Business School 2004 — 2006
Bachelor of Science, Business Administration- Accounting
UCLA Extension
Project Management Certificate
Whitney
L.A. Care Health Plan December 2014 - Present
Chivas USA October 2004 - December 2014
Infinity Broadcasting October 2003 - October 2004
Skills
Digital Marketing, Advertising, Public Relations, Social Media, Brand Development, Event Management, Event Planning, Marketing, Sponsorship, Market Research, Creative Direction, New Media, Media Buying, Entertainment, Broadcast
Education
California State University-Los Angeles 2010 — 2012
Masters, Interdisciplinary - Public Administration and Kinisieology
Pepperdine University 1999 — 2003
Bachelors Degree, Communications
L.A. Care Health Plan October 2013 - Present
TeamLogicIT LA November 2012 - October 2013
American Reprographics Company April 2012 - August 2012
First Data Corporation February 2007 - July 2010
Countrywide Bank November 2004 - October 2006
Ameritas April 2000 - October 2004
Skills
Active Directory, Networking, DNS, SharePoint, Windows Server, Information Technology, Microsoft Office, DHCP, Network Administration, Windows 7, Troubleshooting, TCP/IP, VMware, Windows XP Pro, Windows, Remote Desktop, Oracle, VMware Workstation, Workstations, Android, Malwarebytes, Technical Support, Servers, Microsoft SharePoint, Training, Backup Exec, VNC, Shopping Cart, MBA, Grant Administration, IT Project & Program..., Spiceworks, Autotask, Kaseya, Kaspersky Antivirus, Symantec Endpoint..., CompTIA A+, Footprints
Education
California Lutheran University 1995 — 1997
MBA, Business Marketing
California Lutheran University 1992 — 1995
BA, Business Administration
NYC ACRE June 2015 - Present
L.A. Care Health Plan October 2013 - January 2015
L.A. Care Health Plan September 2012 - October 2013
Simon G. Jewelry November 2007 - August 2009
Skills
Adobe Creative Suite, Microsoft Office, InDesign, Premiere, Illustrator, Photoshop, Film Production, Final Cut Pro, Video Editing, WordPress, Mac OS X, Mac, OS X, Graphic Design, Facebook, Research, Blogging, Art, Graphics, Creative Writing, Editing
Education
New York University 2015 — 2016
Master of Science (M.S.), Integrated Digital Media
California State Polytechnic University-Pomona 2003 — 2008
Bachelor of Arts (BA), Psychology
L.A. Care Health Plan 2015 - Present
St. Joseph Health System July 2012 - January 2015
Managed Resources, Inc November 2004 - July 2012
St. Mary Medical Center, Long Beach, CA December 2002 - April 2004
Physician Associates February 1992 - June 2002
Skills
HIPAA, Healthcare Management, Medicare, Medicaid, Health Information..., Medical Terminology, Program Management, Outlook, Medical Billing, Health Insurance, Practice Management, Meditech, Vendor Management, Health Information..., Medical Records, CPT, Healthcare, Process Improvement, Change Management, Hospitals, Healthcare Information..., EHR, PACS
Education
California State University-Long Beach 2010 — 2012
MSHCA, Health Services Administration
National University, San Diego 2000 — 2002
Master of Business Administration (MBA), Business Administration and Management, General
University of Phoenix-Southern California Campus 1996 — 1999
Bachelor's degree, Business Administration and Management, General
L.A. Care Health Plan January 2015 - April 2015
Los Angeles County Department of Public Health April 2014 - November 2014
Keck Medicine of USC January 2014 - May 2014
Center for Disease Control and Prevention, Guangdong December 2012 - March 2013
Skills
SPSS, Statistics, SAS, Stata, Medical Statistics, Data Analysis, SAS programming, R, Data Mining, Research, Statistical Modeling, SAS Programming, SQL, Biostatistics, Clinical Trials, Analysis
Education
University of Southern California 2013 — 2015
Master's Degree, Applied Biostatistics and Epidemiology
Beijing Normal University 2009 — 2013
Bachelor's Degree, Biotechnology
L.A. Care Health Plan May 2015 - Present
Children's Hospital Los Angeles (CHLA) September 2013 - May 2015
Children's Hospital Los Angeles (CHLA) March 2010 - May 2015
Act 1 December 2009 - February 2010
MVP Baseball Training January 2002 - January 2010
Zenith Insurance Company February 2008 - July 2009
Child Care Resource Center February 2007 - February 2008
REHAB West, Inc March 2001 - September 2007
Skills
Team Building, Training, Management, Leadership, Marketing, Coaching, Employee Benefits, Program Management, Interviews, Insurance, Time Management, Case Managment, Budgets, Workers Compensation, Strategic Planning, Recruiting, Customer Service, Human Resources, Healthcare, Public Speaking, Policy, Nonprofits, Staff Development, Research, Community Outreach, Data Analysis, Performance Management, Leadership Development, Program Development, Fundraising, Employee Relations, Employee Training, Resume Writing, Outlook, Event Planning, Mentoring, Motivational Speaking
Education
Insurance Education Association 2009 — 2009
Medical Only Certification
Loyola Law School, Loyola Marymount University 2008 — 2008
Doctor of Law (JD), Criminal Law and Worker's Compensation
California State University-Northridge 2003 — 2007
BA, Psychology
Los Angeles Valley College 1999 — 2001
AA, Liberal Arts and Science
Kaiser Permanente 2015 - Present
Cedars-Sinai Medical Center 2014 - 2015
Kaiser Permanente 2012 - 2015
L.A. Care Health Plan 2008 - 2010
The Axis Agency 2006 - 2008
Cookie Jar Entertainment 2006 - 2006
Backstage Creations 2004 - 2005
The WB Television Network 2003 - 2005
Fox Broadcasting Company 2001 - 2003
Skills
Nursing, Nursing Care, Healthcare, Training, ICU, Patient Education, Critical Thinking, Medication..., Publicity, Project Management, Hospitals, Healthcare Management, Health Education, Direct Patient Care, Patient Safety, Teaching, Public Health, Microsoft Word
Education
California State University-Dominguez Hills 2010 — 2012
Master of Science in Nursing (MSN), Nursing, Clinical Nurse Leader
University of Southern California 2005 — 2007
M.A., Communication Management
University of California, Berkeley 1997 — 2001
B.A., American Studies
L.A. Care Health Plan November 2014 - Present
CauseForce, LLC November 2013 - April 2014
CauseForce, LLC August 2013 - November 2013
CauseForce, LLC May 2011 - August 2013
RLED, LLC 2008 - 2011
Skills
Marketing Communications, Event Management, Public Relations, Marketing, Trade Shows, Print, Event Planning, Project Coordination, Customer Service, Strategic Communications, Guerrilla Marketing, Marketing Strategy, Promotions, Product Development, Event Research, Market Research, Product Management, Product Enhancement, Event Enhancement, Relationship Marketing, Fundraising, Social Media, Social Networking, Advertising, Social Media Marketing, Management
Education
California State University-Fullerton 2004 — 2010
Bachelor's degree, Communication, General
Community Clinic Association of Los Angeles County April 2013 - Present
L.A. Care Health Plan November 2011 - April 2013
PricewaterhouseCoopers July 2010 - March 2011
Claremont Graduate University January 2008 - July 2010
Skills
Data Analysis, Report Writing, Healthcare Information..., Healthcare, Team Leadership, EMR, Management, Analysis, Informatics, Program Development, Project Management, Training, Entrepreneurship, Leadership, Policy, Proposal Writing, Software Documentation, Hospitals, Research, Nonprofits, Program Management, Business Development
Education
Claremont Graduate University
MA, Health Information Management
California State Polytechnic University-Pomona
BA, English
Arent Fox March 2011 - Present
L.A. Care Health Plan February 2005 - February 2011
Cedars-Sinai Medical Center April 2002 - May 2003
Paul Hastings June 2000 - March 2002
Foley & Lardner LLP September 1996 - June 2000
UCLA Health December 1990 - November 1991
Skills
Healthcare Regulation, Hospital Law, Health Transactions, Patient Safety, Adverse Event Reporting, Health Licensing, Scope of Practice, Medicare Certification, Medical Staff Law, Medicare, Healthcare, Corporate Law, Legal Writing, Licensing, Legal Advice, Medicaid, HIPAA, Health Policy, Joint Ventures, Medical Compliance, Health Law
Education
USC Gould School of Law 1993 — 1996
J.D., Law
The Johns Hopkins University 1989 — 1990
B.S., Nursing
Boston University Questrom School of Business 1982 — 1986
B.S., Business Administration
The Buckley School 1975 — 1982
High School Diploma
Toyota USA April 2015 - Present
L.A. Care Health Plan November 2014 - January 2015
Real Mex Restaurants October 2012 - October 2014
Maruchan, inc. 2012 - 2012
Wells Fargo 2011 - 2012
Skills
New Hire Orientations, Human Resources, Employee Relations, Onboarding, Recruiting, Benefits Administration, HRIS, HR Policies, Talent Acquisition, Applicant Tracking..., Succession Planning, Deferred Compensation, Employee Engagement, College Recruiting, FMLA, Employee Training, OSHA Record Keeping, Interviews, Phone Screening
Education
California State University-Long Beach
WellPoint November 2014 - Present
L.A. Care Health Plan March 2005 - October 2014
Presbyterian Health Physicians June 2003 - March 2005
Skills
Quality Management, HEDIS, Grievance and Appeals, Chart Review, Oversight, Training, Policy, Analysis, Software Documentation, Quality Improvement, Healthcare, Nursing, Community Outreach, Reviews, Medical Records, Health Policy, Healthcare Management, Medicine
Education
Cerritos College 2002 — 2004
Nursing prerequisites, Registered Nursing/Registered Nurse, B
California State University-Long Beach 1987 — 2001
Bachelor of Arts (B.A.), Drawing and Painting, A
Hacienda La Puente Adult Education 1994 — 1995
Licensed Vocational Nurse, Licensed Practical/Vocational Nurse Training, A
Cerritos College 1984 — 1987
General Education Certification, General Studies, A-B's
Long Beach City College
RN Prerequisites, Registered Nursing/Registered Nurse
L.A. Care Health Plan September 2014 - Present
PIH Health September 2013 - Present
HSBC Mortgage Services June 2006 - 2013
Charter Communications 2005 - June 2006
Skills
Fixed Income, Real Estate, Financial Services, FHA, Finance, Due Diligence, Residential Mortgages, Mortgage Banking, Policy, FDCPA, Documentations, Healthcare, Healthcare Management, Communication, Data Entry, Federal Law, Communication Skills, HIPAA, Sales, Customer Service, Customer Retention, Team Building, Teamwork, Team-oriented, Clerical Skills, Microsoft Word, Reports, Research, Internet, Call Centers, PowerPoint, Compliance, Internal Communications, Health, Typing, Quality Assurance, Microsoft Office, 10 Key, Writing, Healthcare Industry, Healthcare improvement, Healthcare Information..., Healthcare Information..., Consumer Healthcare, Bankruptcy, Time Management, Medical Terminology
Education
University of Phoenix 2009 — 2012
Bachelor of Science (B.Sc.), Health/Health Care Administration/Management
Cerritos College 2001 — 2003
ATIMS March 2014 - February 2015
Freelance February 2012 - February 2014
Kaiser Permanente February 2011 - January 2012
L.A. Care Health Plan January 2009 - October 2009
Learning Tree International August 2008 - November 2008
CEDAR-SINAI MEDICAL CENTER July 2005 - May 2007
BEVERLY HILLS GREATER LOS ANGELES ASSOCIATION OF REALTORS August 2003 - November 2004
Bedford St. Martin and McGraw Hill Publishers September 1998 - September 2003
Glendale Community College March 1998 - September 2002
Glendale Community College May 1998 - August 2002
Skills
Creative Writing, Editing, Writing, Teaching English, Computer Literate, Publishing, Brochures, Publications, Web Content, Newspapers, Desktop Publishing, Proofreading, Copy Editing, Advertising, AP Style, Technical Writing, Copywriting, Research, Teaching English as a..., Event Planning, Social Media
Education
Arcadia University 1991 — 1993
Master of Arts (M.A.), English/Creative Writing
Chestnut Hill College 1985 — 1989
Bachelor of Arts (B.A.), English/Communications
L.A. Care Health Plan 2013 - Present
Molina Healthcare 2012 - 2013
Tenet Healthcare 2011 - 2012
Skills
Business Analysis, Data Analysis, Business Development, Project Management, Financial Analysis, Leadership, Healthcare Information..., Process Improvement, SDLC, Communication, Visio, Healthcare, Systems Analysis, Revenue Cycle, Business Requirements, Oracle Database, Microsoft Excel, Microsoft Project
Education
California State University-Long Beach
Bachelor's Degree, Health Care Administration and Finance
The George Washington University
Certificate, Business Analysis
University of California, Los Angeles
Certificate, Systems Analysis
L.A. Care Health Plan August 2015 - Present
Rita A Daninger Attorney at Law PLLC January 2009 - Present
Partners in Care Foundation November 2014 - July 2015
SchaafPC November 2009 - March 2015
UCLA School of Public Affairs September 2012 - June 2014
Public Opinion Strategies June 2007 - November 2008
Skills
Policy Analysis, Public Policy, Politics, Political Campaigns, Survey Research, Qualitative Research, Research, Legislative Relations, Quantitative Research, Government, Data Analysis, Strategic Communications
Education
UCLA 2012 — 2014
Master's Degree, Public Policy
Arizona State University 2002 — 2006
BS, Economics
L.A. Care Health Plan May 2014 - Present
Talbert Medical Group/HealthCare Partners January 2012 - April 2014
Accountable Healthcare IPA October 2010 - December 2011
St. Mary Medical Center August 2010 - February 2011
Pacific Hospital November 2009 - September 2010
Skills
Hospitals, Healthcare, Nursing, Case Managment, Customer Service, Public Speaking, Outlook, Clinical Research, Event Planning, Microsoft Word, Microsoft Office, PowerPoint, Microsoft Excel, Managed Care, Research, Public Health, Teaching, Case Management, Utilization Management, Healthcare Management
Education
California State University-Long Beach 2013 — 2015
Master's degree, Health/Health Care Administration/Management
California State University-Long Beach
Health Science, BS
Community Health
L.A. Care Health Plan April 2015 - Present
WellCare August 2013 - March 2015
CalOptima March 2011 - August 2013
A.D.A.M., Inc. April 2010 - March 2011
ADP August 2007 - April 2010
ADP April 2006 - August 2007
United Health Group September 1998 - April 2006
United Health Group January 2001 - January 2005
Skills
Analysis, HIPAA, XML, Testing, SDLC, HR Software, ADP Payroll, EDI, Business Process, Healthcare, Troubleshooting, Access, Business Analysis, Healthcare Information..., Human Resources, Integration, Process Improvement, Requirements Analysis, SQL, SharePoint, Software Documentation, User Acceptance Testing, Vendor Management, Visio
Education
Rio Grande High School 1985 — 1989
Brooks College
Interior Design
The University of New Mexico
L.A. Care Health Plan May 2013 - Present
Heritage Square Museum October 2005 - Present
STATE BOARD OF EQUALIZATION June 2011 - December 2011
State Compensation Insurance Fund December 2005 - December 2011
State Compensation Insurance Fund October 2005 - December 2011
L A GLO November 2004 - March 2005
MGT Industries 2000 - 2002
Skills
Medical bill..., Microsoft Office, Research, Customer Service, Event Planning, Public Speaking, Administrative..., Time Management, Microsoft Word, Outlook, American History, Customer Satisfaction, Nonprofits, Windows, Editing, Press Releases, Social Networking, Volunteer Management, Volunteering, History, Fundraising, Community Outreach, Community Development, Teaching, Data Analysis, Leadership, Program Development
Education
Abram Friedman Occupational Center
Computer Applications
Evergreen Valley College
Associate of Arts (AA), Fashion Merchandising
Evergreen Valley College
Associate of Arts, Fashion Merchandising
Fashion Institute of Design & Merchandising
Certificate, Fashion Design
Southern California Gas Company December 2011 - Present
Southern California Gas Company February 2011 - December 2011
L.A. Care Health Plan June 2010 - September 2010
Sony Pictures Entertainment January 2004 - May 2010
Quovadx June 2001 - December 2003
Sameday.com May 2000 - April 2001
Integic August 1998 - May 2000
Skills
Java, J2EE 1.4, Web Services, Web Development, Web Project Management, Weblogic, Eclipse, MS Project, Ant, JUnit, Internet Portals, weblogic portal, Enterprise Architecture, XML, WebLogic, Oracle, Microsoft Project, Software Development
Education
San Diego State University-California State University 1987 — 1990
MS, Mechanical Engineering
Asian Institute of Technology 1984 — 1986
MS, Energy Technology
Annamalai University 1977 — 1982
BEng, Mechanical Engineering
SXC/Zynchros May 2002 - September 2011
Healthcare Partners Medical Group May 2000 - April 2002
L.A. Care Health Plan April 1998 - April 2000
FHP/Talbert Medical Mgt 1980 - 1997
FHP 1989 - 1995
Skills
Pharmacists, Healthcare Industry, Managed Care, Medicare Part D, Formulary, Healthcare, Utilization Management, Medicaid, Health Policy, Medication Therapy..., Pharmacy, Clinical Research, Pharmaceutical Industry, Medicine, Pharmaceutical Sales, Pharmacy Automation, Diabetes, Pharmacy Benefit..., Pharmaceutics, Medicare
Education
University of Colorado Boulder 1968 — 1971
B. Pharmacy, Pharmacy
California State University-Long Beach 1963 — 1968
B.S. Zoology, Entomology
L.A. Care Health Plan October 2013 - Present
Oracle PL/SQL Development Leadership in the Greater Los Angeles Area 2013 - Present
ADP June 2013 - September 2013
MAXIMUS November 2010 - February 2013
MedImpact Health Care systems Inc. July 2007 - October 2010
Patni Computer Systems 2005 - 2007
Patni Computer Systems 2003 - 2007
Patni Computer Systems Ltd., Mumbai May 2003 - April 2005
Silverline Technologies February 2000 - May 2003
Pioneer Computers Pvt. Ltd., Jamshedpur October 1996 - February 2000
Skills
PL/SQL, Oracle, SDLC, Agile Methodologies, SQL, Requirements Analysis, Software Project..., Unix, Unix Shell Scripting, Software Development, Databases, Java, XML, Data Warehousing, Data Modeling, Query Optimization, Oracle Forms, Oracle Reports, Oracle PL/SQL..., Oracle Report Builder, SQLLDR, Explain Plan, Materialized Views, Query Tuning
Education
National Institute of Technology, Jamshedpur 1993 — 1996
M.C.A., Computer Applications
National Institute of Technology, Jamshedpur 1991 — 1993
M.Sc., Physics (Lasers and their applications)
Andhra University 1988 — 1991
B.Sc., Computer Science
DBMS English School 1985 — 1987
High School, Mathematics and Science
L.A. Care Health Plan June 2013 - Present
WellPoint November 2010 - September 2012
WellPoint September 2009 - November 2010
WellPoint April 2008 - September 2009
WellPoint January 2008 - April 2008
WellPoint February 2007 - January 2008
WellPoint July 2004 - February 2007
WellPoint December 2001 - July 2004
WellPoint September 1999 - December 2001
ExxonMobil August 1997 - September 1999
Skills
Management, Healthcare Information..., Data Management, Business Analysis, Business Intelligence, Change Management, Cross-functional Team..., Disease Management, Business Requirements, Managed Care, Analytics, Transformational..., Medicaid, Data Mining, Healthcare Management, Healthcare Consulting, Clinical Research, Utilization Management, Leadership, Strategy, Business Objects, Forecasting, Information Management, IT Management, Health Insurance, Vendor Management, Informatics, Requirements Gathering, Performance Improvement, Enterprise Software, IT Strategy, Medicare, Business Process..., Provider Relations, Project Portfolio..., Executive Management, SharePoint, Data Modeling, PPO, Healthcare Industry, Team Management, Quality Improvement, Integration, Data Warehousing, HIPAA
Education
California Lutheran University 2001 — 2005
Master of Business Administration (MBA), Information Technology Management
University of California, Santa Barbara 1983 — 1988
Physical Geography, Geographic Information Science and Cartography
Century21 Town & Country 2004 - Present
L.A. Care Health Plan March 2014 - September 2014
Align Networks August 2012 - October 2013
Skills
REO, First Time Home Buyers, Short Sales, Buyer Representation, Listings, Sellers, Condos, Referrals, Single Family Homes, Relocation, Real Estate, Property, Foreclosures, New Home Sales
Education
Bryan College 2012 — 2013
AA, Health Information Management and Coding
Chaffey College 2003 — 2004
Real Estate
PaxHealth Consulting, Inc. August 2012 - Present
California State University, Fullerton February 2012 - Present
L.A. Care Health Plan February 2011 - August 2012
CalOptima October 2009 - February 2011
CalOptima July 2005 - November 2009
CalOptima March 2001 - July 2005
Drake Institute of Behavioral Medicine April 1999 - February 2001
Skills
Privacy Law, Healthcare Information..., EHR, Medicaid, Healthcare, HIPAA, Healthcare Management, Managed Care, Health Information..., EMR, Medicare, Hospitals, Process Improvement, Program Management, HL7, Program Development, Health Policy, Informatics, Strategy, Leadership, Project Planning, SDLC, Budgets, Management, Strategic Planning, Public Health, Project Management, Training, Quality Improvement, Analysis, Data Analysis, Policy, Healthcare Consulting, Business Development, Clinical Research
Education
University of Phoenix 2003 — 2005
MBA, Business Administration and Management, General
California State Polytechnic University-Pomona 1995 — 1999
BA, Psychology
St Lucy's Priory High School 1992 — 1995
Los Angeles County August 2000 - Present
City of West Sacramento 2013 - Present
Yolo County Local Mental Health Board 2006 - Present
National Association of Social Workers, California Chapter (NASW-CA) June 2014 - Present
Yolo County Transportation District January 2014 - Present
Turning Point Community Programs October 2006 - September 2013
L.A. Care Health Plan August 1999 - August 2000
Los Angeles County Department of Mental Health September 1997 - August 1999
USC School of Social Work 1996 - 1998
Skills
Public Policy, Policy Analysis, Community Outreach, Policy, Coalitions, Non-profits, Legislative Relations, Political Campaigns, Government, Politics, Program Development, Public Speaking, Social Services, Nonprofits, Legislation, Program Evaluation, Legal Writing, Fundraising, Psychotherapy, Public Administration, Mental Health, Grants, Grant Writing, Community Organizing, Local Government, Grassroots Organizing, Political Consulting, Community Development
Education
University of Southern California 1996 — 1998
Master's degree, Social Work
California State University-Los Angeles 1994 — 1996
Bachelor's degree, Social Work
L.A. Care Health Plan February 2015 - Present
Care1st Health Plan - Yes, its all about you. June 2012 - February 2015
St. Francis Medical Center March 2011 - January 2012
Maass and Skier, Healthcare Consultants October 2010 - March 2011
Stephenson Acquisto & Colman September 1999 - October 2010
Shernoff, Bidart, Darras and Arkin June 1997 - September 1999
Kaiser Foundation Health Plan April 1994 - May 1995
Kaiser Permanente June 1992 - May 1994
Skills
Nursing, Physicians, Managed Care, Medicare, Healthcare, Healthcare Information..., EMR, HIPAA, Medicaid, Hospitals, Strategic Planning, Management, Health Insurance, Healthcare Management, Physician Relations, Revenue Cycle, Program Management, Clinical Research, Policy, Credentialing, Case Managment, Practice Management, Healthcare Consulting, EHR, Medical Coding, Provider Relations, Insurance, Software Documentation, Health Policy, Quality Improvement, JCAHO, Disease Management, Home Care, Patient Advocacy, Utilization Management, ICD-9, CPT, Patient Safety, Informatics, Revenue Cycle Management, Inpatient, HMO, Healthcare Industry, Epic Systems, Meditech, Medical Records, Medical Terminology, Acute Care, Cerner, Ambulatory
Education
Glendale College, University of Law 1985 — 1988
JD, Law
California State University-Los Angeles 1979 — 1981
BSN, Nursing
Los Angeles Valley College 1973 — 1976
RN AA, Nursing
John Burroughs High School 1966 — 1968
dipolma, College Prep
L.A. Care Health Plan February 2015 - May 2015
Health Net January 2013 - February 2015
Health Net August 2011 - January 2013
Health Net September 2010 - August 2011
Providence Holy Cross Medical Hospital August 2009 - December 2009
Mediscan Staffing Services, Inc August 2008 - November 2008
Robert Half International, Inc July 2007 - July 2008
Medtronic Mini Med October 2005 - June 2007
Dr. Shahira Abdel-Malek June 2003 - September 2005
Kaiser Permanente April 2003 - January 2005
Skills
Healthcare, Training, Leadership, Management, Medicare, Healthcare Management, Software Documentation, Policy, Quality Assurance, Hospitals, Cross-functional Team..., Managed Care, Strategic Planning, Customer Service, Microsoft Office, Data Analysis, Recruiting, Human Resources, Microsoft Excel, Health Insurance, Strategy, Business Development, Project Management, Team Building, Compliance, Sales Operations, Medical Compliance, Regulatory Affairs, Affordable Care Act, Healthcare Compliance, Regulatory Compliance, Compliance Management, Process Improvement, HIPAA, Healthcare Industry, Healthcare Information..., Insurance, Employee Benefits, Analysis
Education
California State University-Northridge 2006 — 2009
Master's, Health Administration
California State University-Northridge 2000 — 2005
B.S., Biology
L.A. Care Health Plan March 2015 - Present
L.A. Care Health Plan February 2012 - Present
L.A. Care Health Plan January 2012 - April 2014
L.A. Care Health Plan January 2012 - August 2013
SCAN Health Plan January 2011 - January 2012
UnitedHealthcare July 2007 - January 2011
Skills
Team Leadership, Project Management, Project Planning, MS Project, Microsoft Office, Training, Access, Process Improvement, Visio, Program Management, Software Documentation, Data Analysis, Business Analysis
Education
University of La Verne 2015 — 2018
Doctorate (Ed. D), Organizational Leadership
University of La Verne 2010 — 2012
Master's degree, Management and Leadership
CSUDH 2008 — 2010
Bachelor's degree, Accounting
MADCatfish Entertainment LLC & November 2014 - Present
UCLA Extension September 2013 - Present
L.A. Care Health Plan 2011 - 2011
Foothill Unity Center April 2009 - October 2010
First 5 LA January 2008 - June 2009
Great Beginnings for Black Babies, Inc. 2008 - 2009
American Friends Service Committee 2005 - 2008
AIDS Service Center 2003 - 2005
The Instrumental Women Project 2000 - 2000
Edison Technical College 1989 - 1991
Skills
Grant Writing, Marketing Communications, Production, Promotions, Copywriting, Press Releases, Government, Report Writing, Community Outreach, Non-profits, Nonprofits, Fundraising, Teaching, Proposal Writing, Strategic Planning, Event Planning, Public Speaking, Budgets, Organizational..., Leadership, Training, Research, Program Management, Grants, Management, Workshop Facilitation, Program Development, Social Media, Staff Development, Leadership Development, Coaching, Program Evaluation, Volunteer Management, Community Development, Team Building, Marketing, Event Management, Public Relations, Policy, Recruiting, Conflict Resolution, International Relations, Strategic Communications, Editing, Writing
Education
Azusa Pacific University 2004 — 2004
MBA, Management
Pacific Christian College 1978 — 1981
BA, Business Management
BERKSHIRE HATHAWAY HomeServices California Properties July 2012 - Present
AMF Holding Inc. January 2006 - Present
L.A. Care Health Plan September 2011 - January 2012
Blue Shield of California July 2009 - August 2011
Health Net July 1996 - 2009
Skills
Medicare, Health Insurance, Insurance, HIPAA, Training, Real Estate, Employee Benefits, Leadership, Investment Properties, Underwriting, Access, Team Building, Process Improvement, Managed Care, Healthcare, Selling, Software Documentation
Education
De Vry University
Comp Sci
San Beda College 1986 — 1988
Adamson University
Riverbed Technology March 2012 - Present
TIBCO Software December 2010 - March 2012
Wells Fargo December 2008 - January 2011
L.A. Care Health Plan April 2007 - December 2008
Skills
TIBCO, EAI, Mule ESB, REST API, ESB, XSLT, Salesforce.com..., SOA, Web Services, Oracle SOA Suite, Middleware, Salesforce.com..., TIBCO iProcess, Oracle, WSDL, Integration, Weblogic, JMS, JDBC, SoapUI, TIBCO BusinessWorks, TIBCO Rendezvous, XPath, SOAP, XML, EMS, Adapter, Business Process, Oracle Fusion Middleware, CEP, BAM, Spotfire, Business Process Design, TIBCO General Interface, SOA Governance, Oracle Agile PLM, TIBCO BusinessConnect, ORACLE AIA foundation..., TIBCO BusinessEvents, Python, SDLC
Education
The University of Texas at San Antonio 2006 — 2007
Master's degree, Computer Engineering
Acharya Nagarjuna Vishwavidhyalayamu 2002 — 2005
Bachelor of Technology (B.Tech.), Electronics and Communications Engineering
L.A. Care Health Plan August 2015 - Present
East West Bank September 2013 - July 2014
Minsheng Real Estate Co., Ltd January 2010 - July 2011
Accenture September 2008 - January 2010
Bosch Rexroth July 2007 - March 2008
Skills
New Business Development, Business Case, Strategy, Management Consulting, Business Development, Management, Strategic Planning, Negotiation, Marketing, Business Planning, Financial Modeling, Finance, Sales, Pricing, Marketing Strategy, Cross-functional Team..., Product Marketing, Project Management, Competitive Analysis, Financial Analysis, Product Management, Investments, Market Research, Analytics, Portfolio Management
Education
University of California, Irvine - The Paul Merage School of Business 2011 — 2013
Master of Business Administration
Beijing Jiaotong University 2003 — 2007
BS, Economics
Health Family Insurance July 2015 - Present
The Insurance Doctor Inc. October 2014 - June 2015
AvMed Health Plans July 2008 - October 2014
Blue Cross Blue Shield of Florida April 2006 - July 2008
L.A. Care Health Plan 2001 - 2005
Skills
Health Insurance, Healthcare, HMO, Insurance, Sales, Medicare, Managed Care, Medicaid, Product Development
Education
University of Miami - School of Business 2011 — 2012
Masters Business Administration, Executive Health Care MBA
University of Miami - School of Business 2011 — 2012
Certified Six Sigma Champion
California State University-Northridge 1993 — 1998
B.S., Business Administration - Marketing
Consulting CPA Chief Financial Officer, United States Artists USA ProjectsUnited States Artists/USA Projects.orgMarch 2011 - Present
United States Artists January 2011 - March 2014
L.A. Care Health Plan 2014 - 2014
Imaging3, Inc. 2004 - August 2011
Qtask, Inc. June 2008 - September 2008
University of Southern California 2005 - 2006
Santa Anita Park 1999 - 2000
Emerald Queen Casino 1996 - 2000
Capital Gaming 1993 - 1995
Longacres Park 1990 - 1993
Skills
Not for Profit, Artist Funding, Arts, Treasury, Start-ups, Budgets, Managerial Finance, Financial Reporting, Executive Management, Accounting, Sarbanes-Oxley Act, Mergers, Forecasting, Finance, Financial Modeling, SEC filings, Internal Controls, Auditing, GAAP, Cash Management, Internal Audit, Management Consulting, Revenue Recognition, Leadership, Mergers & Acquisitions, Management, Strategic Financial..., E-commerce, Business Planning, Financial Analysis, Financial Accounting, Cost Accounting, Cash Flow, Due Diligence, Marketing, Variance Analysis, Operations Management, Small Business, US GAAP, Project Planning, Mobile Devices, Corporate Finance, Strategy, Consolidation, Financial Audits, Sarbanes-Oxley, Venture Capital, CPA, General Ledger, Financial Statements
Education
University of Southern California 2003 — 2005
grad work, quantitative. biostats
Seattle Pacific University 1981 — 1988
MBA, Biz
Central Washington University 1979 — 1981
Accounting, Economics, Accounting
Pasadena City College 2011 — 2013
Intro to PHP and MySQL, 94%
Wenatchee Valley Community College 1973 — 1975
AA, General
L.A. Care Health Plan June 2014 - Present
Kaiser Permanente August 2002 - April 2014
St. Joseph Health System June 1997 - August 2002
St. Jude Medical Center 1996 - 2002
Harrington August 1985 - October 1995
Pacific Cost Administrator March 1987 - April 1995
Skills
Medicaid, Healthcare Management, Managed Care, Healthcare, Healthcare Information..., Medicare, Health Insurance, Claim, HIPAA, Healthcare Consulting, Leadership, Hospitals, Healthcare Industry, Insurance, Health Policy, EHR, Medical Compliance, Process Improvement, HMO
Education
California State University-Fullerton 1989 — 1992
BA, Communications
L.A. Care Health Plan April 2015 - Present
Panasonic Avionics Corporation July 2013 - April 2015
Global Language Solutions July 2012 - June 2013
HighTech Passport, Ltd. June 2011 - May 2012
Teruko Weinberg, Inc January 2010 - July 2010
Skills
Localization, Internationalization, Trados, Japanese, Technical Translation, Foreign Languages, Project Management, Translation, Website Localization, English, Terminology, Proofreading, Language Services, Photoshop, Microsoft Office, Globalization, Social Media, Microsoft Excel, SDL Trados, Machine Translation, International Business, Legal Translation, Localization Testing, Intercultural..., Quality Assurance, Program Management, Linguistics, Multilingual, Editing
Education
Monterey Institute of International Studies 2010 — 2012
MA, Translation and Localization Management
California State University-Long Beach - College of Business Administration 2006 — 2010
BS, International Business
Yonsei University 2007 — 2008
n/a, International Business, Korean Language
Irvine Valley College 2004 — 2006
Business Administration
L.A. Care Health Plan October 2012 - Present
Thomson Reuters Elite October 2011 - August 2012
Kaiser Permanente December 2010 - October 2011
Cedars-Sinai January 2010 - November 2010
Providence Health & Services March 2009 - October 2009
Energize Software Services, Inc. August 2003 - June 2008
NetApp September 2002 - August 2003
21st Century Insurance February 2001 - April 2002
Thirsty.com April 2000 - December 2000
Cedars-Sinai December 1991 - January 2000
Skills
SDLC, Change Management, Budgets, Scrum, Disaster Recovery, Agile Project Management, Software Development, MS Project, Databases, PMO, Agile Methodologies, PMP, Software Documentation, Quality Assurance, Business Process
Education
California Polytechnic State University-San Luis Obispo 1976 — 1979
Bachelor of Applied Science (BASc), Computer Science
L.A. Care Health Plan November 2014 - Present
Kaiser Permanente January 2013 - November 2014
Crescendio, LLC January 2012 - December 2012
Systems, Inc February 2009 - October 2010
Self Employed February 2004 - January 2009
Skills
Strategic Planning, Change Management, Performance Analysis, Operations Management, Cross-functional Team..., Quality Management, Business Process..., Risk Management, Management Consulting, Coaching, Patient Safety, Six Sigma, Lean Healthcare, DMAIC, Healthcare, Performance Improvement, Training, Leadership, Collaborative Problem..., Team Building, Project Management, Management, Strategy, Business Process..., Program Management, Business Analysis, Healthcare Information..., Business Intelligence, Organizational..., Organizational Design, Performance Management, Business Strategy, Process Improvement
Education
University of Illinois College of Medicine 2011 — 2013
M.S., Patient Safety Leadership
California State University-Northridge 2007 — 2008
B.S., Business Management
Santa Monica College 2005 — 2007
A.A., Business Administration
Child Care Resource Center August 2014 - Present
L.A. Care Health Plan June 2013 - June 2014
CDI Head Start serving San Gabriel Valley June 2012 - July 2013
Ventura County Public Health Department February 2010 - June 2012
USC-Keck School of Medicine October 2010 - November 2011
Skills
Public Health, Health Education, Case Managment, Program Development, Social Services, Community Outreach, Nonprofits, Grant Writing, Fundraising, Public Speaking, Research Design, Research, Program Evaluation, Case Management, Nutrition, Community Health, Spanish, Healthcare, Health Policy
Education
California State University-Northridge 2009 — 2011
Master of Public Health (M.P.H.), Community Health Education
San Diego State University-California State University 2006 — 2008
Bachelor of Applied Science (B.A.Sc.), Public Health
Moorpark College 2003 — 2006
Associate of Arts (A.A.), General Studies
L.A. Care Health Plan July 2015 - Present
The Walt Disney Company November 2011 - January 2015
EDI Media September 2011 - December 2011
Johnson & Johnson January 2011 - July 2011
Qualcomm October 2009 - July 2010
Medtronic January 2009 - July 2009
John Deere August 2008 - December 2008
Telegent systems inc. February 2008 - August 2008
Motorola June 2002 - July 2007
Skills
Six Sigma, Quality Assurance, Integration, ClearCase, Requirements Analysis, Wireless, Telecommunications, System Testing, ClearQuest, Troubleshooting, Engineering, GSM, Testing, Systems Engineering, Visual Basic, SDLC, Agile, SQL, Test Automation, Process Engineering, Electrical Engineering, Agile Methodologies, Embedded Software, Test Cases, Software Engineering, Test Planning, Scrum, Software Quality..., Perl, Software Development, Agile Project Management, Unix, JIRA, Software Project..., Linux, Test Management, Shell Scripting, Quality Center, Mobile Devices, Android, Embedded Systems, Mobile Applications, XML, Eclipse, Software Design, Perforce, Java, C, System Architecture, C++
Education
UNSW Australia 1996 — 1998
MS, Electrical Engineering
Beijing Jiaotong University 1990 — 1994
BE, Electrical Engineering
L.A. Care Health Plan April 2014 - Present
Freedom Writers Foundation December 2007 - Present
Kidsave International August 2013 - April 2014
Orangewood Children's Foundation November 2005 - September 2013
Jamboree Housing Corporation - Housing With Heart July 2010 - August 2013
Child Abuse Prevention Center August 2011 - February 2012
Orange County Department of Education May 2010 - April 2011
M & I Educational Consult Network 2009 - 2010
Youth In Mind May 2007 - 2009
San Francisco State University – Bay Area Academy June 2006 - November 2008
Skills
Community Outreach, Social Services, Case Management, Mental Health, Child Welfare, Youth Development, Foster Care, Non-profits, Program Development, Public Speaking, Research, Strategic Planning, Microsoft Office, Counseling, Excel, Family Therapy, Supervisory Skills, Public Relations, Staff Development, Team Building, Mentoring, Curriculum Development, Documentation, PowerPoint, Adolescents, Program Management, Case Managment, Volunteer Management, Nonprofits, Leadership, Psychotherapy, Teaching, Higher Education, Training, Program Evaluation, Crisis Intervention
Education
University of Southern California 2008 — 2010
Master of Social Work, Social Work
California State University-Fullerton 2005 — 2008
Bachelor of Science, Child Development with a Minor in Sociology
Independence Blue Cross October 2011 - September 2012
Independence Blue Cross August 2010 - October 2011
L.A. Care Health Plan April 2009 - July 2010
Sidley Austin May 2008 - March 2009
Oakley 2008 - 2008
Oakley 2008 - 2008
Oakley 2008 - 2008
VCK, A Medical Corporation April 2007 - November 2007
Yale University August 2003 - June 2006
VCK, A Medical Corporation May 2005 - August 2005
Education
University of California, Los Angeles - Fielding School of Public Health 2009 — 2009
Intro to US Health Care Systems - Extension Course
California State University-Fullerton 2007 — 2007
Statistics, Intro Biology, Intro Biology Lab - Extension Center
University of California, Riverside (Extension) 2007 — 2007
Sexualities (Extension Course)
Yale University 2002 — 2006
B.A., History
Westfield July 2012 - Present
Darlene Veloso dba DVDesign 1990 - July 2012
RD Design & Advertising June 2006 - November 2011
The Weinstein Company February 2003 - 2006
Uniworld Boutique River Cruise Collection 2000 - 2001
Litco Marketing 1998 - 2000
The Walt Disney Company 1998 - 1999
Adventist Health System 1997 - 1998
L.A. Care Health Plan 1995 - 1997
Skills
Creative Direction, Production, Promotions, Corporate Branding, Advertising, Trade Shows, Graphic Design, Multimedia Project..., Print Production, Print, Art Direction, Multimedia, Packaging, Logo Design, Web Design, Brand Development, Adobe Creative Suite, Marketing Communications, Marketing Strategy, Digital Marketing, Email Marketing, Digital Media, Marketing, Integrated Marketing, Social Media Marketing, Corporate Identity, Art, Branding & Identity, Creative Strategy, Brochures, Direct Mail, InDesign, Graphics, Mac, Adobe Acrobat, Concept Development, Management, Entertainment, Project Management
Education
California State University-Dominguez Hills 2010 — 2010
Project Management
Otis College of Art and Design 1992 — 1995
Graphic Design & Advertising
University of California, Los Angeles 1989 — 1991
History, Specialization in Spanish
Los Angeles City College 1987 — 1989
Associate's Degree, Education
Albuquerque High School 1977 — 1980
MLK Community Hospital May 2013 - Present
L.A. Care Health Plan March 2009 - May 2013
United States Federal Probation Department March 2005 - November 2007
Knox Services July 1999 - July 2002
Skills
HIPAA, Time Management, Adobe Acrobat, Analytical Skills, Binding, Common Sense, Communication Skills, Computer Proficiency, Conflict Resolution, Creative Thinking, Critical Thinking, Detail Oriented, eCopy, Effective Listener, Flexible, Kronos Timekeeping, Interpersonal Skills, Intranet Savvy, Mail Distribution, Microsoft Office, Microsoft Exchange, Skilled Multi-tasker, Negotiation, Organization Skills, Replicon, Social Media, Program Management, Healthcare, Healthcare Information..., Management, Healthcare Management, Process Improvement, Leadership, Hospitals, Nonprofits, EMR, Strategic Planning, Public Health
Education
Ashford University 2015 — 2018
Bachelor’s Degree, Health/Health Care Administration/Management, Sophmore
University of Phoenix 2014 — 2015
Bachelor's Degree, Health Care Fundamentals, Freshman
Citrus College 2005 — 2007
Criminal Justice and Corrections
Vulcan Materials Company April 2014 - Present
L.A. Care Health Plan December 2013 - April 2014
Aramark Uniform Services September 2012 - October 2013
Kaiser Permanente April 2008 - September 2012
Kaiser Permanente September 2005 - April 2008
Skills
Candidate Development, Full-cycle Recruiting, Job Fairs, Applicant Tracking..., College Recruiting, Talent Acquisition, Staff Development, Onboarding, Recruiting, SDLC, Employee Benefits, Employee Relations, New Hire Orientations, Human Resources, Talent Management, Sourcing, Benefits Administration, Internet Recruiting, Screening, Interviews, Succession Planning, Benefits Negotiation, PeopleSoft, Training, FMLA, Deferred Compensation, Temporary Placement, Labor Relations, Job Descriptions, Cold Calling, Performance Management, Workforce Planning, HRIS, Taleo, Screening Resumes, Staffing Services, Resume Writing, Technical Recruiting, Employer Branding, Behavioral Interviewing, Hiring, Contract Recruitment, Executive Search, HR Policies, Temporary Staffing, Personnel Management, Employee Engagement, Background Checks, Management, Employee Training
Education
California State University-Northridge 2007 — 2009
Human Resources Managment Certification, Human Resources Management and Services
California State University, Northridge 1999 — 2003
Bchelors of Science, Business Adminstration
Seeking Employment Opportunities September 2015 - Present
L.A. Care Health Plan March 2015 - August 2015
Altegra Health July 2010 - October 2014
VHA Inc. June 2007 - March 2009
Parcel Pro June 2006 - June 2007
Aetna September 2004 - June 2006
HealthCare Partners April 2001 - September 2004
Pacific Hospital of Long Beach August 1999 - March 2001
En Pointe Technologies May 1997 - August 1999
Varad Corporation May 1996 - May 1997
Skills
Healthcare, Customer Service, Project Management, Care Coordination, Executive..., Microsoft Office, Medical Terminology, Medicare, Process Improvement, At Multitasking, Program Management, Training & Development, Organization Skills, SharePoint, Visio, Vendor Management, Data Entry, Scheduling, Medical Records, Public Health, Data Analysis, Leadership, Medicaid, CPR Certified, Program Development, Patient Safety, Health Insurance, Healthcare Information..., Social Services, Analysis, Time Management, Health Education, EMR, Medical Billing, EHR, Policy, Managed Care, HIPAA, Program Evaluation, Hospitals, Budgets, Youth Development, Youth Mentoring, Youth Leadership, Fundraising, Civic Engagement, Community Outreach, Corporate Events, Event Management, Nonprofits
Education
California State University-Long Beach 1990 — 1994
Bachelor of Arts (BA), Liberal Arts and Sciences/Liberal Studies
Southern California Regional Occupational Center (SCROC) 1989 — 1989
Certificate, Medical Reception/Receptionist
Amgen June 2015 - Present
Fresenius Medical Care February 2014 - June 2015
L.A. Care Health Plan October 2013 - February 2014
OptumRx October 2011 - October 2013
Baxter BioScience May 2008 - September 2011
Skills
Managed Care, Pharmacists, Pharmacy, Medical Writing, Pharmacy Benefit..., Medical Affairs, Medication Therapy..., Pharmaceutical Industry, Healthcare, Clinical Development, Hospitals, Medical Education, Clinical Trials, Clinical Research, Diabetes, Inpatient
Education
University of Southern California
Doctorate, Pharmacy
California State University-Northridge
Master, Public Policy
University of California, San Diego
Bachelor, Pharmacological Chemistry
L.A. Care Health Plan January 2015 - Present
Los Angeles County January 2012 - January 2015
HealthCare Partners January 2008 - December 2011
Skills
Internal Audit, Regulatory Requirements, Standards Compliance, Regulatory Compliance, Statutory Compliances, Regulatory Analysis, Public Speaking, Process Improvement, Problem Solving, Business Process..., Regulatory Guidelines, Project Planning, Communication, Policy Analysis, Work Process Development, Microsoft Word, Grant Writing, Government, Nonprofits, Networking, Oversight, Training, Time Management, Teaching, Critical Thinking, Adobe Acrobat, Research, Public Relations, Corrective Actions, Community Development, Risk Assessment, Report Writing, Public Health, Health Education, Disaster Response, Real Estate, Cisco VoIP, Outlook, PowerPoint, Microsoft Excel, Microsoft Office, Typing, Scanners, PDF Creator, Proofreading, Editing, Adult CPR, Affordable Care Act, Medi-Cal, Medicare
Education
Kaplan University 2012 — 2014
Masters, Public Health
California State University-Long Beach 1998 — 2002
Bachelor's in Human Development, Human Development and Family Studies, General and Public Administration
Molina Healthcare March 2015 - Present
AIDS Healthcare Foundation November 2013 - February 2015
L.A. Care Health Plan October 2012 - November 2013
L. A. Care Health Plan April 2010 - 2012
UCLA Health System 1996 - 2010
Independent 1996 - 2010
Skills
Healthcare, Hospitals, Healthcare Management, HIPAA, Healthcare Information..., Clinical Research, Data Analysis, Non-profits, Quality Improvement, Radiation Therapy, Meditech, Public Speaking, Epic Systems, Medicare, Medical Terminology, Medical Records, Neurosurgery, Managed Care, Process Improvement, NCQA, Microsoft Access, Report Writing, Public Health, Project Management, Management, Quality Assurance, Healthcare Consulting, Healthcare Industry, Health Policy, EHR, Medicaid, EMR, Health Information..., Informatics, Access, Health Insurance, Analysis, Patient Safety, Nonprofits, Training, Medicine, Quality Management, Physicians, HMO, Program Development, Policy
Education
Ohio University 2015 — 2017
Master of Health Administration (MHA), Health/Health Care Administration/Management
Azusa Pacific University 2004 — 2005
BS, Organizational Leadership, 4.0
Los Angeles Pierce College 1992 — 1995
Options For Youth June 2015 - Present
The Academic Advantage August 2013 - September 2013
Westlake Financial Services April 2013 - August 2013
L.A. Care Health Plan January 2013 - March 2013
Skills
C++, Java, PHP, HTML, Databases, XML, SQL, MySQL, Unix, JavaScript, Troubleshooting, Microsoft Office, Visual Basic, Linux, Perl, Customer Service, Microsoft Excel, PowerPoint
Education
Cal Poly Pomona 1990 — 2012
Bachelors, Computer Science
Baldwin Park Adult & Community Education
L.A. Care Health Plan January 2015 - Present
Blue Shield of California October 2010 - December 2014
AppleCare Medical Management March 2009 - October 2009
Tenet Healthcare August 2007 - February 2009
UnitedHealth Group / Legacy Secure Horizons June 2005 - January 2007
UnitedHealth Group / Legacy PacifiCare Health Systems Inc. April 2003 - May 2005
Beech Street Corporation May 2000 - March 2003
Beech Street Corporation September 1999 - May 2000
Beech Street Corporation July 1991 - August 1999
Skills
Project Management, Account Management, RFP, Event Management, E-Learning, CPT, ICD-9, RFI, Managed Care, Medicare, Healthcare, Health Insurance, DRG, Program Management
Education
California State University-Long Beach 1996 — 1998
Bachelor of Science, Business Administration; Marketing
De La Salle University 1985 — 1989
Bachelor of Science, Computer Science
L.A. Care Health Plan February 2012 - Present
WellPoint 2008 - 2011
St. Francis Medical Center 2002 - 2005
St. Francis Medical Center 2002 - 2005
Skills
Utilization Management, Discharge Planning, Care Management, Case Management, Home Care, Healthcare Management, Social Services, Pediatrics, Patient Advocacy, Microsoft Office, Nursing, Hospitals, Case Managment, Healthcare, Medicare
Education
Mt. St. Mary's College, Los Angeles 1983 — 1985
BS, Nursing
CSUDH 1977 — 1979
BA, Human Services
L.A. Care Health Plan February 2014 - Present
CalOptima February 2013 - February 2014
Pacific Clinics July 2012 - February 2013
Orange County Health Care Agency February 2012 - July 2012
Recovery Innovations of California September 2010 - February 2012
Youth In Mind September 2007 - February 2011
College Community Services September 2009 - September 2010
California Youth Connection September 2008 - May 2009
YOUTH Training Project December 2005 - September 2006
Youth Training Project February 2004 - August 2006
Skills
Youth Development, At-risk Populations, Program Management, Program Development, Public Speaking, Mental Health First Aid, Start-ups, Nonprofits, Mental Health, Advocacy, Teaching, Educational Leadership, Community Outreach, Training, Organizational..., Grants, Employee Training, Curriculum Design, Behavioral Health, Leadership Development, Public Health, Public Policy, Process Improvement, Grant Writing, Program Evaluation, Policy, Healthcare, Event Planning, Management
Education
University of Southern California 2005 — 2009
Master's degree, Social Work
California State University-Fullerton 2003 — 2005
Bachelor's degree, Psychology
L.A. Care Health Plan August 2015 - Present
Regal Medical Group July 2014 - August 2015
Asian Pacific Health Care Venture, Inc. June 2013 - July 2014
Fuhu, Inc November 2012 - January 2013
Children's Hospital Los Angeles (CHLA) November 2011 - November 2012
Skills
Social Media, Media Relations, Microsoft Office, Financial Screener, Marketing, Peer Mentoring, Photoshop, Public Relations, Tutoring, Video Editing, Administration, NextGen, Healthcare, Event Planning
Education
California State University-Northridge 2015 — 2017
Master’s Degree, Public Health
California State University-Northridge 2006 — 2012
Bachelor of Science (B.S.), Health/Health Care Administration/Management
L.A. Care Health Plan November 2014 - Present
L.A. Care Health Plan March 2013 - November 2014
Childrens Hospital Los Angeles December 2010 - March 2013
AltaMed Health Services September 2009 - August 2010
AMERICAN RED CROSS January 2009 - June 2009
AMERICAN RED CROSS October 2008 - January 2009
California State University January 2007 - May 2008
Skills
PowerPoint, Community Outreach, Non-profits, Spanish, Excel, Outlook, Nonprofits, Healthcare Management, Program Management, Event Management, Microsoft Excel, Training, Data Analysis, Research, Healthcare, Management
Education
UCLA Extension 2014 — 2014
California State University-Dominguez Hills 2006 — 2008
Bachelors of Science in Health Science, Concentration: Health Care Management
El Camino College 2002 — 2006
Associates Degree of Science, Biology
L.A. Care Health Plan March 2014 - Present
Contract Vendor August 2013 - March 2014
ADP TotalSource January 2010 - April 2012
Farmers Insurance March 2008 - November 2009
Education
California State University-Los Angeles 2000 — 2002
MBA, Management
University of Pittsburgh 1983 — 1987
B. A., Economics and Business
Premier Healthcare Services July 2015 - Present
Your Best Life Therapy July 2014 - Present
L.A. Care Health Plan July 2014 - Present
L.A. Care Health Plan January 2010 - July 2014
California Kidney Care Ctr September 2009 - December 2009
PsychTemps, Inc. August 2009 - August 2009
C.A.R.E Program November 2006 - July 2009
College Hospital Cerritos April 2003 - October 2006
Sexual Assault Crisis Agency September 2002 - May 2003
Los Angeles County Department of Children and Family Services September 2001 - May 2002
Skills
Case Management, Social Services, Program Development, Medicare, Crisis Intervention, Psychotherapy, Therapists, Community Outreach, Healthcare, Treatment, Mental Health, Family Therapy, Interventions, Nonprofits, Healthcare Management, LCSW, Health Insurance, HIV, Nephrology Social Work, Medi-Cal, Social Work, Financial Social Work, Managed and Long Term..., Case Management Services, Public Speaking, Medicaid, Behavioral Health, Training, Mental Health Counseling, Public Health, Supervision, Clinical Supervision, Staff Supervision, Project Management, Employee Training, Grant Evaluation, Suicide Prevention, Grief Counseling
Education
California State University-Long Beach 2001 — 2003
Master’s Degree, Social Work
University of California, Riverside 1999 — 2001
Bachelor’s Degree, Psychology
L.A. Care Health Plan January 2013 - Present
Guthy Renker January 2012 - October 2012
DaVita 2010 - January 2012
Houlihan Lokey Howard & Zukin 2002 - 2008
Kemper Insurance 2001 - 2002
IBM (Formerly Candle Corp.) 1994 - 2001
DMR Management 1993 - 1994
Skills
Integration, Project Management, SharePoint, SDLC, Business Process, Business Analysis, Software Development, Business Intelligence, Management, Vendor Management, Corporate Systems, Enterprise Software, Enterprise Architecture, CRM, ERP Software, Databases, Program Management, Leadership, Microsoft SQL Server, PMP, MS Project, Visio, Solution Architecture, Contract Management, Project Portfolio..., Process Improvement, Product Management, Resource Management, Software Project..., SaaS, Application Architecture, Oracle, IT Strategy, Learning Management..., Database Design, Business Process..., Sarbanes-Oxley, Team Leadership, Change Management, ITIL, Cross-functional Team..., Agile Methodologies, Consulting, Disaster Recovery, Requirements Analysis, Cloud Computing, IT Management
Education
Brigham Young University
BA
University of California, Los Angeles
Computer Science, Real Estate, Business
WellCare 2011 - Present
The CommUnity Commitment 2011 - Present
UnitedHealthcare 2009 - 2011
WellCare 2006 - 2009
L.A. Care Health Plan 1999 - 2006
Skills
Marketing, PMP, Business Development, Program Management, Product Development, Strategic Planning, Contract Negotiation, Management, Start-ups, Managed Care, Community Outreach, Medicare, Proposal Writing, Healthcare, Community Development, Marketing Strategy, Project Management, Team Building, Medicaid, Training, Strategy, Health Insurance, HIPAA, Healthcare Management, Six Sigma, Insurance, Healthcare Consulting, Marketing Communications, Claim, Provider Relations, Hospitals, Leadership, Health Policy, Process Improvement, Government, Disease Management, Healthcare Industry, Medicare Part D, Health Care Reform, Healthcare Information..., Employee Benefits, Executive Management, Policy, Network Development, HMO
Education
Walden University
Doctor of Philosophy (PhD), Public Health
California State University-Fullerton
Bachelors, Communications
University of Arizona
Masters, Business Administration
University of Arizona
Masters, Health/Health Care Administration/Management
L.A. Care Health Plan November 2014 - Present
Blue Shield of California June 2013 - Present
Blue Shield of California April 2012 - May 2013
Blue Shield of California July 1999 - April 2012
Pharmacy July 1989 - October 2004
Skills
Managed Care, Medicaid, Insurance, Health Insurance, Provider Relations, Medicare, Process Improvement, Medicare Part D, HIPAA, Employee Benefits, Claim, HMO, Healthcare, Healthcare Industry, PPO, Health Policy, Healthcare Management, Medical Compliance, Health Care Reform, Pharmacy Benefit..., Medical Billing, Vendor Management, Claims Management, Claim Investigation, Auditing, Healthcare Consulting, Claims Resolution, Training, Leadership, Team Building, Revenue Cycle
Education
CSUN 1991 — 1996
Business
Kaplan College-Sacramento 2014 — 2014
Life, Health and Disability Licensed agent, State License
Pharmacy Tech 2002 — 2020
Licensed Pharmacy Tech, Pharmacy
University of Phoenix
BS, Business Administration and Management, General
L.A. Care Health Plan November 2008 - Present
IHOP Corp October 2004 - March 2008
Oracle Corp January 2003 - September 2004
Oracle Corp. April 1998 - March 2002
Skills
Oracle Applications, Business Intelligence, Data Warehouse..., ETL, Software Project..., Logical Data Modeling, Physical Data Modeling, Database Administration, Systems Analysis, Java software..., Enterprise Architecture, Cloud Computing, Big Data, Vendor Management, Replication Technologies, Relational Data Modeling, Weblogic, Oracle, Information Security, HIPAA, Platform Architecture, Toad, Java, CRM, SDLC, PL/SQL, Enterprise Software, OBIEE, Informatica, Integration
Education
Acharya Nagarjuna University 1987 — 1991
Masters, Computer Applications
L.A. Care Health Plan 2011 - Present
City of Los Angeles December 2010 - August 2011
Learning Rights Law Center May 2009 - May 2010
Skills
Public Speaking, Legal Writing, Legal Research, Process Improvement, Contract Negotiation, Intellectual Property, Strategic Planning, Community Outreach, Healthcare, Courts, Hospitals, Litigation, Microsoft Excel, Nonprofits, Non-profits, Westlaw, PowerPoint, Outlook
Education
Cal Poly Pomona
BS - International Business, Business Law
Whittier Law School
JD
Cindy's Insurance Services June 2009 - Present
Blue Shield January 2008 - May 2009
L.A. Care Health Plan September 2007 - January 2008
Allied Physicians/Network Medical Management May 1996 - July 2007
Skills
Health Insurance, Insurance, Medicare, Sales, Employee Benefits, Life Insurance, Managed Care, Business Development, Healthcare, Business Strategy, Team Building, Health Policy, Sales Management, Dentistry
Education
California State University-Los Angeles 1993 — 1996
BS, Marketing & sales
L.A. Care Health Plan June 2014 - Present
March Vision Care September 2010 - June 2014
Molina Healthcare May 2005 - September 2010
PacifiCare Health Systems June 2000 - May 2005
Skills
Databases, SharePoint, Access, Training, Business Intelligence, EDI, Disaster Recovery, Requirements Analysis, BizTalk
Education
California State University-Los Angeles 1976 — 1980
Bachelor of Applied Science (BASc), Business Information Systems
Cathedral High School 1972 — 1976
L.A. Care Health Plan June 2014 - Present
JPMorgan Chase September 2011 - November 2013
Los Angeles County Economic Development Corporation March 2011 - October 2011
MJ & Amigos April 2009 - February 2011
Bernards October 2007 - February 2009
Ernst & Young LLP October 2006 - October 2007
DC Insurance Services, Inc October 2000 - October 2005
MasterCard, Inc June 2003 - August 2003
Skills
PowerPoint, Microsoft Excel, Microsoft Office, Outlook, Microsoft Word, Access, Lotus Notes, Adobe Creative Suite, Market Research, Strategic Planning, Marketing, Research, Social Media, Event Planning, Customer Service, Social Media Marketing, Public Speaking, Proposal Writing, Spanish, Program Management, Leadership, Analysis, Event Management, Sales, CRM, Business Development, Budgets, Management, Project Management, Data Analysis, Entrepreneurship, Community Outreach, Marketing Strategy, Team Leadership
Education
Mount Saint Mary's University 2013 — 2014
Master of Business Administration (M.B.A.), Organizational Leadership
California State University-Los Angeles 2005 — 2007
Business Administration, Marketing / Management; Minor in Economics
Cathedral College Preparatory
Kaiser Permanente March 2015 - Present
University of Southern California June 2008 - Present
Kaiser Permanente June 2014 - March 2015
L.A. Care Health Plan January 2013 - June 2014
LAC+USC Healthcare Network January 2004 - June 2014
L.A. Care Health Plan June 2011 - January 2013
COPE Health Solutions June 2008 - June 2011
University of Southern California, Keck School of Medicine 2004 - 2008
U.S. Department of Veterans Affairs July 2003 - December 2003
Harvard Medical School July 2001 - June 2003
Skills
Healthcare, Healthcare Management, Clinical Research, Public Health, Healthcare Information..., Medicine, Hospitals, Internal Medicine, Health Policy, EMR, Health Services Research, Medical Education, Board Certified, Informatics, Clinical Operations, Quality Improvement, Business Development, Disease Management, Case Managment, Utilization Management, Pharmacy, Business
Education
University of California, Los Angeles - The Anderson School of Management 2010 — 2012
MBA
Harvard T.H. Chan School of Public Health 2001 — 2003
MPH, Clinical Effectiveness
Boston University School of Medicine 1993 — 1998
M.D., Medicine
University of California, Berkeley 1988 — 1992
Bachelor of Arts (B.A.), Biochemistry and Molecular Biology
Simi Valley High School 1984 — 1988
High School
South Central Family Health Center July 2002 - Present
Community Health Foundation of East Los Angeles December 2001 - June 2002
Veloz Consulting Group September 2000 - December 2001
L.A. Care Health Plan June 1996 - September 2000
National Highway Traffic Administration (NHTSA) September 1994 - June 1996
US Department of Health & Human Services January 1993 - September 1994
US House of Representatives August 1989 - January 1993
White Memorial Medical Center June 1986 - August 1989
Skills
Strategic Planning, Healthcare IT, Government Relations, Health, Non-profits, Healthcare, Team Building, Public Relations, Board Development, Healthcare Management, Healthcare Information..., Lobbying, Nonprofits, Policy, Public Health, Health Policy, Leadership, Grant Writing, Program Development, Medicaid, Medicare, Legislative Relations, Hospitals, Healthcare Consulting, Family Medicine, Physician Relations, Physicians, Health Education, Quality Improvement, Disease Management, Revenue Cycle, Healthcare Industry, Informatics, EHR, Utilization Management, HIPAA, EMR, Clinical Research, Practice Management, Home Care, Long-term Care, Case Managment, Medicine, Revenue Cycle Management, Health Promotion, Elder Care, Patient Safety, Community Health, Medical Education, Pediatrics
Education
University of California, Los Angeles - School of Law 1982 — 1985
J.D., Law
University of California, Los Angeles - Fielding School of Public Health 1975 — 1977
M.P.H., Behavioral Health
California State University-Los Angeles 1971 — 1974
B.A., History
East Los Angeles Community College 1968 — 1971
A.A., History
Antelope Valley Press May 2011 - Present
L.A. Care Health Plan May 2006 - May 2007
Discovery Eye Foundation 2007 - 2007
Save the Date magazine 2002 - 2007
Southern California Edison January 2003 - August 2005
Voice News Network/The Atlanta Voice Newspaper January 2000 - January 2005
Cedars-Sinai Medical Center April 2000 - July 2002
Young Communications Group, Inc. 1997 - 2000
Young Black Scholars program 1992 - 1995
Education
California State University-Northridge 1978 — 1982
B.A., Journalism
CheckPoint Credentials Management Services Senior, Quality Management AuditorUHP HealthcareMarch 1999 - August 2002
L.A. Care Health Plan July 1996 - March 1999
Education
University of Southern California 2001 — 2005
MHA, Health Care Administration
California State University-Long Beach 1991 — 1996
BA, Economics
Infinity Business Solutions December 2005 - Present
Socal BNI March 2010 - October 2011
Boys and Girls Club of Buena Park January 2009 - October 2011
Federal commercial contracts Inc January 2008 - October 2011
ABAOC 2010 - 2011
Business Network International, Referral Professionals Chapter April 2009 - March 2010
BNI 2007 - March 2010
L.A. Care Health Plan January 1997 - February 2007
Egerton University- Njoro Kenya 1992 - 1996
Skills
Team Building, Coaching, Public Speaking, Strategic Planning, Small Business, Non-profits, Start-ups, Negotiation, Marketing, Leadership, Marketing Strategy, Management Consulting, Nonprofits, Sales, Business Development, Customer Service, Social Media Marketing, Social Media, Entrepreneurship, Strategy, New Business Development, Social Networking, Real Estate, Training, Program Management, Team Leadership, Business Planning, Project Management, Leadership Development, Event Management, Advertising, Business Strategy, Time Management, Management, Networking, Business Intelligence, Event Planning, Sales Management, Contract Negotiation, Public Relations, Healthcare, Online Marketing, Recruiting, Organizational..., Operations Management, Project Planning, Analysis, Executive Coaching, Policy, Fundraising
Education
California State University-Fullerton 1996 — 1999
Master in Science, policy and planning
Egerton University 1991 — 1994
Bachelor of Arts, Sociology and minor economics
L.A. Care Health Plan July 2014 - Present
Health Net July 2008 - July 2014
Wellpoint Inc. July 2002 - July 2008
IBM Global Services (formerly PricewaterhouseCoopers Consulting) June 1999 - June 2002
Accenture (formerly Andersen Consulting) May 1998 - June 1999
US Navy May 1991 - May 1998
Skills
Supply Management, Strategic Planning, Strategic Sourcing, Business Process, Outsourcing, Vendor Management, Ariba, Cross-functional Team..., Project Management, Strategy, Procurement, Change Management, Business Process..., Contract Negotiation, Leadership, Process Improvement, Supply Chain Management, Program Management, Sourcing, Business Analysis, E-procurement, Business Strategy, ERP, Six Sigma, Supply Chain, Business Transformation, Contract Management, RFP
Education
California Lutheran University
MBA
University of Florida
BS, Industrial and Systems Engineering
Jacksonville University
BS, Physics
SCAN Health Plan March 2011 - September 2014
L.A. Care Health Plan April 2001 - December 2010
UNIMED MANAGEMENT CO. (Subsidiary of UniHealth Foundation) October 1998 - February 2001
MEDPARTNERS, INC September 1997 - September 1998
TALBERT MEDICAL MANAGEMENT CORP February 1995 - September 1997
FHP INTERNATIONAL, INC January 1988 - January 1995
Education
California State University-Long Beach - College of Business Administration
MBA, Accounting & Management
California State University-Long Beach - College of Business Administration
B. S, Accounting & Business Management
SkyMall October 2002 - Present
RPS Consulting INC January 2001 - Present
ConocoPhillips January 2001 - October 2002
VCommerce March 2000 - December 2000
NDCHealth February 1998 - March 2000
L.A. Care Health Plan 1996 - 1997
Los Alamos National Laboratory 1993 - 1996
Education
Arizona State University - W. P. Carey School of Business 2008 — 2009
MSIM, Information Management
Santa Fe University of Art and Design 1991 — 1993
B.S., Environmental Science, Chemistry
Accountable Health Care IPA February 2015 - Present
Greater Los Angeles Agency on Deafness, Inc. September 2005 - February 2015
L.A. Care Health Plan 2003 - 2004
La Vida Medical Group & IPA June 2002 - July 2003
Skills
Employee Relations, Benefits Administration, HRIS, Performance Management, Benefits, Updated company policies, Create new employee..., Succession Planning, Policy, Leadership, Management, Customer Service, Conflict Resolution, Change Management, Employee Benefits, Talent Management, Onboarding, Recruiting, Leadership Development, Employee Training, Human Resources, Talent Acquisition, Deferred Compensation, Applicant Tracking..., Personnel Management, Interviews, Training, Temporary Placement, New Hire Orientations
Education
CSULB - PHR/SPHR 2008 — 2008
Certificate, Human Resources Management
University of Phoenix 1997 — 2000
Bachelor of Science, Business Management
CSUN 1983 — 1988
Business Administration
Kaiser Permanente IT May 2010 - Present
Kaiser Permanente October 2003 - April 2010
Perot Systems March 2001 - September 2003
L.A. Care Health Plan July 1997 - March 2001
Skills
System Deployment, Healthcare Information..., Project Portfolio..., Innovation Development, Innovation Management, Program Management, Resource Development, Mentoring, Thought Leadership, Cross-functional Team..., HL7, Project Management, Business Analysis, Healthcare, IT Strategy, Process Improvement, Visio, Healthcare Management, Management, SDLC, PMP, Software Documentation, Vendor Management, PMO, HIPAA, Epic Systems, Informatics, EMR, Health Information..., CPOE, EHR, Cerner
Education
California State University-Los Angeles 1998 — 2000
MS, Healthcare Management
University of California, Riverside
B.A., Psychology
L.A. Care Health Plan May 2015 - Present
UnitedHealth Group February 2012 - May 2015
Hilton Worldwide May 2008 - October 2011
OneWest Bank June 2006 - May 2008
Hilton Hotels Corporation August 2004 - June 2006
Skills
Project Management, Vendor Management, SDLC, Construction, Business Analysis, Software Project..., Program Management, PMP, Process Improvement, Visio, Management, Budgets, Integration, Contract Negotiation
Education
California State Polytechnic University-Pomona 1998 — 2002
L.A. Care Health Plan September 2014 - Present
Kforce Technical Staffing April 2014 - August 2014
Robert Half Technology August 2013 - November 2013
Los Angeles Homeless Services Authority July 2008 - June 2012
Playboy Enterprises, Inc. April 1999 - March 2004
Skills
Relational Databases, Translation, Photoshop, SSIS, Microsoft SQL Server, Database Design, SQL, Databases, Microsoft Access, Program Management, Oracle, SharePoint, Security, Management
Education
California State University-Los Angeles 1979 — 1983
Bachelor of Music, Classical Guitar
L.A. Care Health Plan December 2014 - Present
West Pacific Medical Laboratory May 2014 - December 2014
Molina Healthcare April 2012 - May 2014
Molina Healthcare January 2007 - April 2012
TEAM Enterprises July 2005 - December 2006
Cingular Wireless August 2005 - June 2006
Verizon Wireless November 2001 - August 2005
Skills
Managed Care, Healthcare, Medicaid, Medicare, Hospitals, New Business Development, Training & Development, Direct Sales, Sales Management, Presentation Development, Sales Operations, Employee Training, Account Management, Process Improvement, Sales Presentations, HIPAA, Insurance, Customer Retention, Health Insurance, Wireless, Marketing, Sales, Management
Education
California State University-Fullerton
Bachelor of Arts, Communications
L.A. Care Health Plan 2006 - Present
L.A. Care Health Plan 2006 - 2011
T.H.E. Clinic, Inc. 1992 - 2005
Skills
Community Outreach, Program Development, Health Education, Public Health, Medicaid, Medicare, Provider Relations, Event Planning, Nonprofits, Grants, Health Policy, Healthcare Management, Program Evaluation, Case Managment, Healthcare, Healthcare Consulting, EHR, HIPAA, Managed Care, Grant Writing, Healthcare Industry, Hospitals, Policy, Mental Health, HEDIS, Case Management, Health Promotion, Clinical Research, Healthcare Information...
Education
California State University-Dominguez Hills 2005 — 2008
L.A. Care Health Plan December 2014 - Present
Richard Heath and Associates, Inc. (RHA) July 2013 - November 2014
Freelance / Self-Employed November 2009 - July 2013
PureSense August 2011 - June 2012
Valley Ventures Group August 2008 - November 2009
United Security Bank November 2007 - August 2008
ICG Financial Services August 2006 - November 2007
San Joaquin Valley Air Pollution Control District April 2004 - August 2006
CS&O September 2002 - October 2003
Fresno County September 1999 - August 2002
Skills
Business Strategy, Entrepreneurship, Research, Strategic Planning, Microsoft Office, Start-ups, Business Planning, Leadership, Nonprofits, Community Outreach, Organizational..., Financial Modeling, Social Media Marketing, Risk Management, Marketing, Strategic Partnerships, Customer Service, Project Management, Fundraising, Data Analysis, Marketing Communications, Team Building, Project Planning, Management Consulting, Product Development, Management, Marketing Strategy, Strategy, Sustainability, Public Relations, Negotiation, Financial Analysis, New Business Development, Public Speaking, Program Management, Business Development, Event Management, Event Planning, Coaching, Mergers & Acquisitions, Business Analysis, Budgets, Contract Negotiation, Leadership Development, Team Leadership, Market Research, Social Media, Change Management, Social Networking, Policy
Education
California State University, Fresno 1999 — 2002
MBA, Entreprenuership
L.A. Care Health Plan October 2010 - June 2015
Skills
Bookkeeping, Financial Reporting, QuickBooks, Accounting, Tax, Financial Accounting, Payroll, Auditing, Financial Analysis, Sales Tax, Financial Statements, Spreadsheets, Journal Entries, Accounts Payable
Education
California State University-East Bay
Bachelor’s Degree, Business Administration and Management, General
Santa Monica College 1995 — 1997
Business, Accounting, marketing
Loyola Marymount University, College of Business Administration 1994 — 1995
L.A. Care Health Plan January 2011 - Present
BRIDGELiNX. September 2010 - December 2010
Sac Tec Labs, Inc. February 2010 - August 2010
Arcadian Management Services October 2009 - January 2010
Sac Tec Labs, Inc. February 2009 - October 2009
Molina Healthcare June 2008 - December 2008
The Coding Source 2008 - 2008
Capital Group December 2004 - June 2007
Alliance Imaging October 2001 - December 2004
HRCS September 1998 - September 2001
Skills
Applicant Tracking..., Recruiting, Sourcing, Interviews, Screening, Hiring, Start-ups, Healthcare, Software Documentation, Networking, Salary Negotiation, Talent Acquisition, Onboarding, College Recruiting, Internet Recruiting, Talent Management, Performance Management, Employee Relations, Executive Search
Education
California Polytechnic State University-San Luis Obispo
Gold Coast Health Plan March 2013 - Present
MedPoint Management August 2011 - March 2013
L.A. Care Health Plan January 2011 - August 2011
Bakersfield Family Medical Center February 2008 - December 2010
Blue Cross and Blue Shield Association 2000 - 2004
Skills
Medicaid, Managed Care, Claim, Medicare, HIPAA, Medi-Cal, Analytics, Crystal Reports, Health Insurance, Access, Data Analysis, Strategic Planning, Healthcare Information..., Healthcare Management, Healthcare Industry, Health Policy, Insurance, Healthcare, Process Improvement, Revenue Cycle, Utilization Management, Medicare Part D, Network Development, Medical Terminology, Business Analysis
Education
DeVry University 2004 — 2005
BS, Healthcare Administration
California State University-Long Beach 1999 — 2003
Business
L.A. Care Health Plan August 2015 - Present
LA Care Health Plan July 2013 - Present
Goldman School of Public Policy August 2011 - May 2013
Los Angeles County Department of Health Services June 2012 - August 2012
California Department of Health Care Services January 2012 - May 2012
Insure the Uninsured Project June 2011 - August 2011
Alameda County Health Care Services Agency January 2011 - May 2011
Ryan/Chelsea-Clinton Community Health Center October 2007 - October 2009
Ryan/Chelsea-Clinton Community Health Center June 2007 - October 2007
Amherst College January 2004 - May 2007
Skills
Community Outreach, Spanish, Event Management, Fundraising, Grants, Teaching, Program Management, Curriculum Design, Volunteer Management, Nonprofits, Microsoft Office, Leadership, Program Evaluation, Public Speaking, Philanthropy, Program Development, PowerPoint, Proposal Writing, Public Policy, Policy Analysis, Grant Writing, Data Analysis, Public Health, Statistics, Community Development, Policy, Research, Community Organizing
Education
University of California, Berkeley 2010 — 2013
Master of Public Health (M.P.H.), Master of Public Policy (M.P.P.), Health Policy and Management
Amherst College 2003 — 2007
BA, Anthropology
Hunter College High School 1997 — 2003
Kaiser Permanente April 2008 - Present
L.A. Care Health Plan December 2005 - April 2008
Comsys June 1989 - December 2005
American Medical International February 1984 - June 1989
Computer Sciences Corporation June 1981 - February 1984
ADP Pension Services December 1980 - June 1981
Owens-Illinois January 1980 - December 1980
Accounting Datamation February 1979 - January 1980
Skills
Oracle, Oracle PL/SQL..., 11gR2, Database Design, Rules Engines, Performance Tuning, Data Modeling, PL/SQL, Data Warehousing, Toad, Troubleshooting, ETL, SDLC, SQL, Business Intelligence, Program Management, Healthcare Information..., Clinical Data Management, Requirements Analysis, Technical Documentation, Professional Mentoring, Data Migration
Education
California State University-Fullerton, Mihaylo College of Business and Economics 1978 — 1979
Loma Linda University 1977 — 1978
History
Southern California College of Optometry July 2010 - Present
The Real Estate Group June 2003 - Present
The E8ht Group February 2005 - July 2010
L.A. Care Health Plan August 1996 - January 2005
CalOptima November 1994 - August 1996
UHP Healthcare March 1989 - November 1994
Watts Health Center December 1985 - March 1989
Council Shared Services August 1984 - October 1985
Cedars-Sinai Medical Center January 1982 - August 1984
Cedars-Sinai Medical Center January 1980 - January 1982
Skills
Real Estate, Nonprofits, Strategic Planning, Short Sales, Program Development, Budgets, Investment Properties, Program Management, Sellers, Healthcare, Public Speaking, Team Building, Hospitals, Fundraising, Customer Service, Microsoft Office, First Time Home Buyers, REO, Non-profits, Training, Policy, Leadership
Education
Pepperdine University 1979 — 1981
MPA, Public Administration
California State University-Long Beach 1973 — 1977
Bachelor of Science, Health Science/Community Health Education
L.A. Care Health Plan February 2015 - Present
CalOptima July 2012 - February 2015
CalOptima November 2011 - July 2012
CalOptima 2010 - 2012
Orange County Health Care Agency February 2008 - April 2008
SVL Holding Corporation January 2008 - April 2008
Skills
Health Plan Operations, Healthcare Management, Provider Relations, Call Centers, Customer Service, Escalation Resolution, People Management, Medi-Cal, Medicare, Affordable Care Act, HIPAA, Public Health, Case Management, Healthcare
Education
California State University-Long Beach 2008 — 2009
Master's degree, Public Administration
California State University-Long Beach 2003 — 2008
BS, Health Science: Community Health
L.A. Care Health Plan October 2013 - September 2014
L.A. Care Health Plan July 2013 - October 2013
Kaiser Permanente June 2010 - May 2012
Toastmasters International 2011 - 2012
United Healthcare February 2008 - September 2009
Kaiser Foundation Health Plan February 2001 - January 2008
Kaiser Foundation Health Plan November 1997 - February 2001
Pacifica Hospital 1985 - 1994
Skills
Quality Management, Result Oriented, Healthcare, Healthcare Management, Managed Care, HIPAA, Medicare, Hospitals, Health Insurance, Process Improvement, Program Management, Software Documentation, Policy, Healthcare Information..., Strategic Planning, Project Management, Training, Leadership, Health Policy, Business Development, Healthcare Industry
Education
University of California, Los Angeles 1992 — 1994
Master of Public Health (MPH), Health Services Administration
California State University-Dominguez Hills 1989 — 1991
B.S., Health Sciences
Our Lady of Victory
Regina Caeli
L.A. Care Health Plan December 2013 - Present
Oracle February 2013 - November 2013
Dell March 2012 - January 2013
Deloitte June 2006 - February 2012
PacifiCare Health Systems August 2005 - May 2006
Seagate Technology International 2000 - 2005
Skills
SDLC, Java Enterprise Edition, Web Services, Hibernate, Solution Architecture, Requirements Analysis, Oracle, SOA, Weblogic, Enterprise Architecture, Java, Struts, PL/SQL, Spring, Information Security, Identity Management, Performance Tuning, People Skills, Creative Problem Solving, WebLogic
Education
Bharathidasan University 1995 — 1998
Master of Computer Applications, Computer Science
L.A. Care Health Plan 2012 - Present
L.A. Care Health Plan 2009 - 2012
L.A. Care Health Plan 2006 - 2009
Maxpoint Computeres February 2003 - March 2006
Skills
Medicaid, Medicare, HIPAA, Microsoft Excel, Microsoft Office, Managed Care, Healthcare, HMO, Process Improvement, Visual Basic, Java, SBT accounting software, Microsoft Access, Photoshop, Adobe Acrobat, TurboTax, EZ-Quant Stistical..., Lotus Notes, Macro, MHC Claims System, GTESS, eCopy, CMS1500, UB04, NCCI coding, Accounts Receivable, Auditing, Accounts Payable, Healthcare Industry, Analysis, Healthcare Consulting
Education
California State Polytechnic University-Pomona 2013 — 2016
Master of Science (MS), IS Auditing
Cal Poly Pomona 1999 — 2003
Bachelor of Science (BS), Accounting
Cal Poly Pomona 1999 — 2003
Minor in Computer Information System
IEHP February 2014 - Present
Center for Oral Health October 2012 - Present
Phoenix Children's Hospital August 2011 - September 2012
Phoenix Children's Hospital 2012 - 2012
L.A. Care Health Plan May 2008 - July 2011
CalOptima 2005 - 2007
Center for Community and Family Services 1997 - 2001
Skills
Early Childhood..., Healthcare Management, Case Managment, Grants, Healthcare Information..., Public Health, Non-profits, Program Development, Training, Nonprofits, Fundraising, Leadership, Public Policy
Education
California State University-Los Angeles 2001 — 2004
M.A., Child and Family Studies
Pacific Oaks College 1997 — 2000
B.A., Human Development
Employers Group September 2015 - Present
Employers Group September 2015 - Present
Taproot Foundation March 2010 - Present
JVS 2015 - 2015
JVS 2015 - 2015
L.A. Care Health Plan October 1998 - December 2014
St. Jude Medical Cardiac Rhythm Management Division 1996 - 1998
Strunin Miller Associates 1988 - 1996
American Society for Training and Development/ASTD 1988 - 1992
Summit Health Ltd 1984 - 1988
Skills
Non-profits, Performance Management, Talent Management, Program Management, Team Building, Workshop Facilitation, Leadership, Training, Management, Employee Training, Succession Planning, Nonprofits, Strategic Planning, Process Improvement, Staff Development, Recruiting, Organizational..., Interviews, Employee Engagement
Education
Fielding Graduate University 2005 — 2006
Certificate, Dialogue, Deliberation and Public Engagement
California State University-Northridge
M.A., Education/Ed Psychology
University of California, Los Angeles
BA, Political Science
Molina Healthcare July 2014 - Present
L.A. Care Health Plan February 2014 - July 2014
L.A. Care Health Plan December 2011 - February 2014
L.A. Care Health Plan January 2011 - December 2011
L.A. Care Health Plan December 2009 - January 2011
L.A. Care Health Plan May 2007 - December 2009
Cardiology Specialists of Orange County December 2006 - April 2007
Health Net July 2006 - December 2006
Skills
Managed Care, Medicare, Strategic Planning, Healthcare, Medicaid, Healthcare Information..., Healthcare Management, Program Management, Health Policy, Healthcare Industry, HIPAA, Healthcare Consulting
Education
California State University-Long Beach
Bachelor of Science, Healthcare Administration
L.A. Care Health Plan April 2014 - Present
L.A. Care Health Plan November 2010 - April 2014
interTrend Communications December 2007 - August 2010
NetworkOmni Multilingual Communications July 2004 - November 2007
Crestec Los Angeles June 2002 - May 2004
iLanguage May 2000 - May 2002
Yamada International April 1998 - April 2000
Ada Technologies November 1997 - March 1998
Education
Arizona State University 1994 — 1997
BA, Sociology
Kansai Gaidai University 1992 — 1994
Spanish
CCHCP
SCAN Health Plan May 2014 - Present
Consultant July 2013 - April 2014
InnovaCare Health May 2012 - July 2013
Dynamic Healthcare Systems October 2009 - May 2012
Arta Health Plan October 2008 - October 2009
L.A. Care Health Plan 2007 - 2008
Blue Shield of California 2005 - 2006
Hoag Hospital / Greater Newport Physicians Physician Group 2001 - 2005
Loma Linda University 1998 - 2000
Shopping.com 1997 - 1998
Skills
HEDIS, Medicare, Managed Care, Data Analysis, Health Insurance, Healthcare Management, Product Management, Quality Management, Program Management, Financial Analysis, Public Speaking, Healthcare Information..., Medicare/Medicaid..., Healthcare, HIPAA, Healthcare Analytics, Software Development, Strategy, Disease Management, Medicaid, Management, Healthcare Industry, Healthcare Consulting, HCC / Risk Adjustment, HIX, Leadership, Process Improvement, Analytics
Education
Northwestern University 2012 — 2015
Master of Science (MS), Predictive Analytics
Loma Linda University 1998 — 2001
na, Epidemiology and Biostatistics
Atlantic Union College 1992 — 1997
BA & BS, English Literature and Biology
Prime Healthcare Services June 2014 - Present
Prime Healthcare Services September 2011 - June 2014
American University of Complementary Medicine May 2011 - February 2012
California State University, Long Beach January 2011 - May 2011
VA Medical Center May 2009 - September 2010
L.A. Care Health Plan December 2009 - April 2010
Maniben Ayurvedic Hospital, Ahmedabad, India March 2006 - September 2006
Skills
SPSS, XSight, Meditech,..., Healthcare Management, Healthcare, Hospitals, Healthcare Information..., HIPAA, EMR, Data Analysis, EHR, Public Health, Clinical Research, Managed Care, Patient Safety, Medical Records, Medicaid, Research, Medical Terminology, Access, Microsoft Office, Medicare, Ayurveda, Panchakarma, Shirodhara, Sanskrit, Performance Improvement, ICD-9, Medicine, Informatics, Quality Improvement
Education
California State University-Long Beach 2008 — 2011
Master of Science i, Health Care Administration
Akhandanand Ayurved College 2007 — 2008
Panchkarma
Gujarat Ayurved University 2001 — 2007
BAMS, Ayurvedic Medicine and Surgery
Gandharva Mahavidyalaya, Mumbai 1996 — 2001
Bachelor of Arts (B.A.), Indian Classical Music
L.A. Care Health Plan CFOGold Coast Health PlanJuly 2015 - Present
Blue Shield 1997 - 2007
Skills
Managed Care, Medicare, Process Improvement, Medicaid, Health Insurance, Healthcare Management, Healthcare, Insurance, Healthcare Industry, HIPAA, EHR, Revenue Cycle, Hospitals, Data Analysis, EMR, Health Policy, Informatics, Software Documentation, Leadership, Business Analysis, HMO, Medicare Part D, Budgets, Healthcare Information..., Team Building, Provider Relations, Healthcare Consulting, Disease Management, PPO, Practice Management, Quality Improvement, Physicians, Network Development, Credentialing, Employee Benefits, Epic Systems, Health Information..., ICD-10, Medical Billing, Access, Revenue Cycle Management, Medicaid Managed Care, Policy, Pharmacy Benefit..., Health Information..., Claim, HL7, Healthcare Reimbursement, Medical Compliance
Education
University of California, Los Angeles
Mindful Awareness Research Center
University of Washington
BA, Economics
California Lutheran University
MBA, Business
L.A. Care Health Plan March 2008 - Present
4medica March 2006 - May 2007
Healthcare Partners 2002 - 2005
UHP Healthcare June 1999 - September 2001
Kaiser Permanente 1990 - 1993
Levis Strauss 1990 - 1992
Levi Strauss & Co. 1990 - 1992
Fusion 1985 - 1991
Fusion 1985 - 1989
Skills
Requirements Analysis, RFP, SDLC, SQL, Technical Documentation, Business Process, Healthcare, Documentation, Problem Solving, Quality Assurance, Software Documentation, SharePoint, Microsoft SQL Server, Healthcare Information..., Visio, Business Requirements, Testing, Management, Systems Analysis, Requirements Gathering, Analysis, Data Analysis, Business Analysis, Business Intelligence
Education
San Francisco Art Institute 1989 — 1991
Fine Arts
California State University-Long Beach
English Literature
Harbor College
AA, Liberal Arts
Productivity Point - San Francisco, CA
MCSE
UnitedHealthcare April 2010 - Present
UnitedHealthcare April 2010 - Present
GGB MEDICAL MANAGEMENT SERVICES December 2009 - April 2010
L.A. Care Health Plan June 2007 - December 2009
L.A. Care Health Plan June 2007 - December 2009
GREAT WEST HEALTHCARE October 2003 - June 2007
Great-West Healthcare July 2001 - June 2007
Washington states June 2003 - October 2003
ONE HEALTH PLAN OF CA. INC June 2001 - October 2003
ONE HEALTH PLAN OF CA. INC June 2001 - June 2003
Education
California State University-Northridge 1996 — 1999
Bachelor, Political Science
California State University
Bachelor of Arts, Political Science
NetChemistry December 2013 - Present
L.A. Care Health Plan December 2012 - December 2013
Clinica Msr. Oscar A. Romero December 2005 - October 2012
Skills
Program Management, EHR, Strategic Planning, EMR, Nonprofits, Healthcare Information..., Healthcare Consulting, Healthcare Management, Clinical Research, Healthcare, Epic Systems, Non-profits, HIPAA, Hospitals, Program Development, Proofreading, Report Writing, Grants, Project Management, Management, Public Health, Informatics, Medicaid, Managed Care, Public Relations, Organizational..., Proposal Writing, Quality Auditing, Quality Improvement, Process Quality..., Health Information..., Healthcare Industry, Quality Assurance, Strategic Communications, Client Relations, Client Development
Education
Mount Saint Mary's University 2008 — 2010
MBA, Organizational Leadership
California State University-Northridge 2001 — 2005
BS, Health Science, Emphasis in Health Administration
St. Mary's
Kelly Services April 2012 - April 2013
Kelly Services August 2011 - January 2012
Robert Half International March 2007 - May 2008
Provena St. Mary's Hospital May 2005 - October 2006
Northwestern Mutual Financial Network October 2002 - May 2005
L.A. Care Health Plan May 2001 - May 2002
Management Compensation Group, NW, LLC November 1995 - February 1999
The Centennial Life Insurance Company January 1993 - October 1994
Marsh & McLennan, Inc. May 1986 - January 1990
Skills
Insurance, Healthcare, Health Insurance, Financial Analysis, Customer Service, Excel, Problem Solving, Word, Budgeting, Account Management, Microsoft Office, Risk Management, Outlook, Data Analysis, Claims, Long Term Care, Healthcare Management
Education
Avila University 1990 — 1992
MBA, Finance emphasis
American Institute for CPCU
A.R.M., Associate of Risk Management
Nazarene
Nazarene
L.A. Care Health Plan
Education
California State University-Fullerton
Master of Science (M.S.), Environmental Science
Loyola Law School, Loyola Marymount University
Doctor of Law (J.D.)
San Francisco State University
M.A.
L.A. Care Health Plan February 2008 - Present
LA Care Health Plan February 2008 - Present
Orthonet West December 2003 - February 2008
Surgery Center of Long beach June 2001 - December 2003
Education
California State University-Long Beach 1981 — 1986
Bachelor's of Science, Registered Nursing/Registered Nurse
St Mary's Academy 1977 — 1981
L.A. Care Health Plan February 2015 - Present
WellPoint September 2014 - January 2015
Bankers Life and Casualty Company June 2014 - September 2014
LegalZoom January 2014 - April 2014
Kaiser Permanente February 2010 - August 2013
Stamps.com November 2009 - February 2010
Health Net, Inc September 2003 - February 2009
US Search.com August 2002 - September 2003
Prudential Insurance Co. Of America June 1996 - April 2002
Mid Valley Properties 1990 - 1996
Skills
Customer Satisfaction, Leadership, Training, Call Center, Customer Service, Team Building, Vendor Management, Process Improvement, Account Management, Outlook, Strategic Planning, Microsoft Office, Team Performance, Call Centers, Team Management, Insurance
Education
California State University-Northridge 1991 — 1996
BA, English Lit
Pierce College 1979 — 1982
AA, Business Management
L.A. Care Health Plan March 1999 - Present
Skills
Medicare
Education
California State University-Fullerton 1998 — 2000
Master of Science (M.Sc.) - Policy and Planning
L.A. Care Health Plan July 2013 - Present
The Coalition of Orange County Community Health Centers December 2011 - December 2012
AltaMed Health Services August 2008 - December 2011
State of California August 2007 - August 2008
Providence Health & Services June 2006 - July 2007
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, Nonprofits, Healthcare
Education
California State University-Fullerton 2004 — 2006
Bachelor of Science (B.S.) Human Services, Human Services
Rio Hondo College 2001 — 2004
Associate of Science (A.S.), General Studies
L.A. Care Health Plan May 2005 - Present
Skills
Healthcare Information..., HIPAA, Healthcare, Medicaid, Healthcare Management, Medicare, Visio, Managed Care, SDLC, Data Analysis, Health Information..., Healthcare Consulting, Revenue Cycle
Education
AMA University 1992 — 1995
B.S. Computer Science
AltaMed Health Services December 2007 - Present
AltaMed Health Services December 2007 - Present
California State University, Los Angeles June 2013 - Present
L.A. Care Health Plan 2003 - 2007
L.A. Care Health Plan 2001 - May 2003
Skills
Healthcare, Managed Care, Outlook, Operations Management, Medicaid, Strategic Planning, Policy, Hospitals, HIPAA, Recruiting, Process Improvement, Medicare, Healthcare Information..., Public Health, EMR, Health Policy, Healthcare Consulting, Team Building, Software Documentation, Program Management, Data Analysis, Health Insurance, Provider Relations, Insurance, Training
Education
California State University-Los Angeles 2003 — 2005
MBA, Business Administration - Health Care Management
L.A. Care Health Plan September 2014 - Present
Skills
Pharmacy, Retail, HIPAA, Spanish, Cash Register, Prescription, Time Management, Data Entry, Customer Satisfaction, Microsoft Word, Inventory Management, Phone Etiquette, PowerPoint, Filing, Inventory Control, Critical Thinking
Education
California State University-Long Beach 2015 — 2017
Bachelor’s Degree, Economics
Cerritos College 2008 — 2015
Transfer, Economics, 3.100
UEI College 2009 — 2010
Pharmacy Technician
L.A. Care Health Plan April 2015 - Present
L.A. Care Health Plan December 2012 - Present
L.A. Care Health Plan December 2010 - December 2012
Health Net September 2005 - November 2010
Tenet Healthcare June 2004 - September 2005
Maxicare Health Plan 1998 - 2000
Prudential Health Care 1994 - 1996
Skills
Project Management, Healthcare, HIPAA, Healthcare Information..., Program Management, Process Improvement, Visio, Medicaid, MS Project, Healthcare Management, Managed Care, Medicare, Hospitals, Quality Improvement, Credentialing, Healthcare Industry, EHR, Health Policy, Revenue Cycle, Health Insurance, Healthcare Consulting, Informatics, Provider Relations, Training, Public Health
Education
California Lutheran University 2002 — 2004
Teaching Credential, Education
California State University-Northridge 1998 — 2002
B.A., Liberal Studies
Newbury Park HS 1972 — 1976
L.A. Care Health Plan April 2013 - Present
Experian May 2011 - April 2013
UnitedHealth Group December 2007 - May 2011
Amtrak May 2006 - December 2007
Skills
Data Analysis, SAS Programming, SQL, Public Health, Clinical Research, Medicare, Hospitals, Process Improvement, Health Economics, Healthcare Analytics, Relational Databases, Statistical Data..., HEDIS
Education
University of Maryland College Park 2004 — 2006
Master’s Degree, Mathematical Statistics
Beijing University of Chemical Technology 2000 — 2003
Master’s Degree, Automatic Control Engineering
Beijing University of Chemical Technology 1996 — 2000
Bachelor’s Degree, Automatic Control Engineering
Southern California Permanente Medical Group February 2011 - Present
L.A. Care Health Plan 2001 - 2010
Education
UCLA 1992 — 1994
Master's of Public Health, Behavioral Science Health Education
Cal Poly Pomona 1981 — 1986
B.S., Communications
L.A. Care Health Plan March 2007 - Present
AltaMed Health Services 2002 - 2007
Tower Health 2000 - 2002
Skills
Information Systems, Business Strategy, Business Development, Community Outreach, Healthcare Management, Event Management, Health Insurance..., Health Services..., Health Education, Public Health, Health Policy, Health Insurance, Medicare, Medicaid, Managed Care, HMO, Medicaid Managed Care, Health Promotion
Education
California State University-Long Beach
Bachelor of Science (B.S.), Health/Health Care Administration/Management
Conifer Health Solutions August 2015 - Present
Kaiser Foundation Health Plan November 2008 - Present
Kaiser Permanente April 2006 - November 2008
L.A. Care Health Plan June 2005 - April 2006
PacifiCare Health Systems June 2004 - June 2005
UHP Healthcare December 2001 - July 2002
Maxicare Healthcare Corporation December 2000 - November 2001
Transamerica Life Insurance Company November 1998 - December 2000
PacifiCare Health Systems April 1995 - December 1998
Skills
Business Process..., Cross-functional Team..., HIPAA, Healthcare Information..., Hospitals, Medicare, Process Improvement, Software Documentation, Strategy, Training, Program Management, Policy, Managed Care, Leadership, Healthcare Management, Healthcare
Education
University of London International Programmes 2015 — 2017
Bachelor's Degree, Philosophy
Pasadena City College
Certified Mediator, Mediation and Conflict Resolution
California State University-Los Angeles
Psycholgy, Behaviorial
L.A. Care Health Plan August 2012 - Present
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Research, PowerPoint, Leadership, Training, Medi-Cal, Medicaid, OIG, Legal Compliance, DHS, Managed Care, Quality Auditing, Time Management, Information Analysis, Team Building, Conflict Resolution, Conflict Analysis, Conflict Prevention, Regulatory Requirements, Oral Communication, Written Communication, Written Correspondence, Problem Solving, Collaborative Problem..., Credentialing, Medical Staff..., NCQA, CMS, Medicare, Medical Terminology, Healthcare Medical..., Healthcare Information, Coaching, Psychology, Positive Psychology, Personality, Counseling, Research Analysis
Education
California State University-Long Beach 2010 — 2011
Bachelor's degree, Psychology
L.A. Care Health Plan Healthcare professional working directly with Senior Leadership within IPA/PPG, MSO's, Hospital, and Ancillary Providers. Host quarterly JOM and other meetings as needed. Manage geographical assignments of all provider types. Member products are managed care Medi-Cal, and Medi-Care. Actively involved in readiness for California Exchange, Covered California, and CCI initiatives and much much more.Accounting SupervisorMedtronicJanuary 2008 - January 2011
Skills
Healthcare, Managed Care, Healthcare Information..., Medicare, Hospitals, Healthcare Management, HIPAA, Process Improvement, Medicaid, Health Insurance, Strategic Planning, Data Analysis, Project Management, Customer Service, EMR
Education
Ashford University
Bachelor's degree, Health/Health Care Administration/Management
WellPoint September 2014 - Present
Affinity Medical Group August 2013 - July 2014
L.A. Care Health Plan July 2007 - August 2013
Wellpoint Anthem June 2002 - July 2007
Cigna 1998 - 2002
USAF Reserves 1990 - 1997
Skills
QI, Healthcare, Healthcare Management
Education
Avila University
Bachelor of Science in Nursing
Mercy Junior College
Associate Degree in Nursing
University of Missouri Kansas City
Master of Arts (M.A.), American History (United States)
University of Missouri Kansas City
Master of Business Administration (M.B.A.), Business Administration and Management, General
L.A. Care Health Plan October 2012 - Present
The McHenry Management Group April 2011 - September 2012
General Dynamics Information Technology February 2010 - March 2011
Altmark, Rotter, Saff & Trock, LLP February 2007 - January 2010
Skills
Analytics, Project Management, GUI, Legal Documents, Maintenance Management, SharePoint, Database Management, ACMS/ALMIS, Contract Management, Data Integration, Specialized Equipment
Education
Anne Arundel Community College 2007 — 2010
Associate of Arts and Sciences (AAS), Business Administration and Management, General
Stevenson University 2005 — 2006
Business Administration and Management, General
L.A. Care Health Plan March 2015 - Present
中国银行 October 2011 - March 2015
Skills
ANTI-MONEY LAUNDERING, INTERNAL CONTROL, DUE DILIGENCE, CREDIT ANALYSIS, BSA AUDIT, RISK MITIGATION, TRADE SERVICE, GENERAL ACCOUNTING, DATABASE MANAGEMENT, 投资
Education
Clark University 2009 — 2011
Finance, Master of Science (M.Sc.)(GPA 3.93)
南开大学 2007 — 2009
Applied Economics-Logistics, Master's degree(GPA3.7)
北京交通大学 2003 — 2007
Supply Chain Management, Bachelor of Business Administration (B.B.A.)(GPA3.6)