Magellan Health Services
Industry: Managed care company
DescriptionMagellan Health Inc., is an American for-profit managed health care company, focused on special populations, complete pharmacy benefits and other specialty areas of healthcare. Headquarters: Scottsdale, Arizona, United States CEO: Barry M Smith (1 Jan 2013–) Revenue: 5.838 billion USD (2017) Subsidiaries: Magellan Pharmacy Services, Inc.,
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Magellan Health Services Employees
Magellan Health Services October 2008 - Present
Coventry Health Care June 2004 - October 2008
Coventry Health Care September 2000 - June 2004
St. Francis Hospital February 1995 - June 2000
Family Practice Specialists 1985 - 1995
Army National Guard June 1977 - June 1980
Skills
Training, Customer Service, Policy, Health Insurance, Recruiting, Interviews, Leadership, Medicare, Quality Assurance, Healthcare Management, Healthcare, Hospitals, Management, Payroll, Managed Care
Education
Delaware Technical and Community College-Stanton-Wilmington 1979 — 1983
Business Administration and Management, General
Magellan Health Services May 1998 - Present
Skills
Project Management, Compliance, HIPAA, Psychotherapy, User Interface Design, Healthcare, Training, Leadership
Education
University of Tennessee-Knoxville 1981 — 1983
MSSW, Social Work
Emory and Henry College
BA, Psychology
UnitedHealthcare November 2013 - Present
UnitedHealth Group 2007 - 2013
UnitedHealth Group 2004 - 2007
UnitedHealth Group 1998 - 2004
Magellan Health Services 1995 - 1998
Jefferson-Pilot Life Insurance 1986 - 1995
Skills
Quality Assurance, User Acceptance Testing, Process Improvement, HIPAA, Managed Care, Software Documentation, Analysis, Data Analysis, Coaching, Health Insurance, Claims Resolution, Insurance, Leadership, Auditing, Risk Management, Testing, Human Resources, Training, Team Building, Claim, Employee Benefits, Liability, Workers Compensation, Claims Management, Benefits Administration, Access, Claim Investigation, Medicaid Managed Care, Claims Handling, Provider Relations, Administration
Education
Far Eastern University 1980 — 1984
Bachelor of Science (BS), Industrial and Organizational Psychology
Pure Romance by Emily Morganstein December 2014 - Present
Terra Nova Club, Inc. 2007 - Present
BASCNA, Inc. March 2006 - Present
Magellan Health Services August 2012 - December 2013
New Roots News June 2011 - December 2011
A+ Tutor U December 2007 - August 2008
The Triton August 1999 - May 2007
Westat June 2000 - August 2000
Germantown Children's Center June 1998 - June 1999
Skills
Direct Sales, Communication Skills, Organization Skills, Coping Skills, Ethics, Diversity, Substance Use Disorders, Leading Meetings, Print Design, Small Business..., Online Journalism, Mac OS, AP Style, Counseling, Marketing, Blogging, Budgets, Social Media, Journalism, Leadership, Management, Non-fiction, Teaching, Microsoft Office, Adolescents, Team Building, Research, Photography, Psychology, Volunteer Management, Writing, Childcare, Behavioral Health, Addiction Recovery, Newspapers, Time Management, Staff Development, Event Planning, Child Development, Editing, Volunteering, Windows, Medicaid, Community Outreach, Copy Editing, Newsletters, Public Speaking, Nonprofits, Social Services
Education
Eckerd College 1999 — 2010
B.A., Media and Communication Studies, Minors in Human Development and Leadership Studies
Seneca Valley High School 1995 — 1999
High School Diploma
Prosidyan Inc. February 2015 - Present
County College of Morris September 2014 - Present
Orthofix June 2010 - August 2013
Blackstone Medical July 2009 - May 2010
Blackstone Medical November 2008 - June 2009
Blackstone Medical April 2007 - November 2008
Magellan Health Services July 2003 - April 2007
Skills
International Marketing, Spine, Medical Devices, New Business Development, Regulatory Affairs, Team Building, Market Development, Healthcare, Customer Relations, Product Launch, Marketing Strategy, Product Management, Sales Management, Customer Service, Problem Solving, Cross-functional Team..., Start-ups, Compliance, Business Strategy, Hospitals, FDA, Capital Equipment, Sales, Sales Operations, Contract Negotiation, Process Improvement, Team Leadership, International Sales, Global Marketing, Management, Orthopedic, ISO 13485, Surgical Instruments, Commercialization, Operating Room, Neurosurgery, Product Development, Healthcare Reimbursement, Health Insurance, Medical Device Directive, Complaint Management, Appeals, Mental Health, Business Analysis, Operating Budgets, Capital Budgeting, Contract Management, Office Management, ASTM standards, Leadership
Education
County College of Morris 2014 — 2016
Associate of Arts and Sciences (A.A.S.), Business Administration, 4.0
Magellan Health Services April 2008 - Present
Magellan Health Services June 2004 - April 2008
Skills
Managed Care, Medicaid, HIPAA, Medicare, Healthcare, Process Improvement, Customer Service, Quality Improvement, Healthcare Management, Call Center Development, Team Building, Call Center, Training, Quality Assurance, Program Management, Employee Relations, Leadership Development, Hiring, Staff Development, Workforce Planning, Employee Benefits
Education
Covenant College
Bachelor of Science (B.S.), Organizational Management
Keller Graduate School of Management of DeVry University
Master of Business Administration (M.B.A.), Human Resources Management and Services
Magellan Health Services January 2014 - May 2014
Suntron Corporation December 2011 - December 2013
CompuCom 2012 - 2013
ADT August 1996 - November 2010
Freescale Semiconductor June 2004 - January 2009
Brooks Automation June 2000 - November 2002
Tyco International September 1996 - July 2000
Skills
Product Development, Project Management, Semiconductors, Manufacturing, Troubleshooting, Integration, Six Sigma, Semiconductor Industry, SPC, Design of Experiments, Electronics, Help Desk Support, Software Documentation, Failure Analysis, Continuous Improvement
Education
Keller Graduate School of Management of DeVry University 2014 — 2015
Master's Degree
University of Phoenix 1997 — 1997
na
DeVry University 1987 — 1991
Bachelor
Magellan Health Services October 2013 - Present
HCA Chippenham Hospital Tuckers Pavillion November 2008 - October 2013
Hanover Community Services October 2004 - October 2013
First Health Services May 2002 - October 2004
Private Practice August 1997 - May 2002
Charter Westbrook Hospital March 1997 - March 1998
Rockwood Counseling Associates February 1992 - July 1997
Associates in Psychiatry and Psychotherapy Ltd. January 1987 - January 1991
Chesterfield Community Services Board 1986 - 1987
District 19 Community Service Board 1984 - 1986
Skills
Clinical Supervision..., International Board of..., International Board of..., EMDR Certified, Administrative..., Program Development, Mental Health, Behavioral Health, Case Management, Adolescents, Psychotherapy, Family Therapy
Education
Virginia Commonwealth University 1983 — 1984
Master’s Degree, Master of Social Work, 4.0
Eastern Mennonite University 1980 — 1982
Bachelor’s Degree, Social Work
Highmark Blue Cross Blue Shield July 2005 - Present
Magellan Health Services February 2004 - July 2005
Allegheny East June 2003 - February 2004
Skills
Insurance, Health Insurance, Medicare, Medicaid, Managed Care, HIPAA, Liability, General Insurance, Risk Management, Commercial Insurance, Analysis, Negotiation
Education
University of Pittsburgh 2001 — 2003
Masters and LSW, Social Work and Home School Visitor Certification
Edinboro University of Pennsylvania 1996 — 2000
Bachelors of Liberal Arts and Sciences, Liberal Arts and Sciences/Liberal Studies
The Painted Palette, LLC March 2012 - Present
Business Volunteers Maryland April 2013 - September 2014
Magellan Health Services May 2010 - March 2013
The Leukemia & Lymphoma Society September 2007 - May 2010
Skills
Public Relations, Community Outreach, Integrated Marketing..., Corporate Communications, Internal Communications, Volunteer Management, Media Relations, Strategic Communications, Press Releases, Newsletters, Event Management, Social Media, Speech Writing
Education
Elon University 1999 — 2003
BA, Journalism
University of Baltimore 1999 — 2003
Master of Arts (MA), Communications Design
Magellan Health Services January 2006 - Present
CIGNA International November 2004 - January 2006
Magellan Health Services May 2003 - November 2004
Magellan Health Services April 2001 - May 2003
Magellan Health Services October 1999 - April 2001
NovaCare August 1998 - August 1999
Independence Blue Cross February 1993 - August 1998
Skills
Risk Management, Healthcare Management, Financial Analysis, Analysis, Forecasting, Leadership, Management, Strategic Planning, Financial Modeling, Health Insurance, Healthcare, Insurance, Managed Care, Medicaid, Process Improvement
Education
DeSales University 2000 — 2006
MBA, Finance and Management
Temple University 1989 — 1992
BBA, Accounting
Maritz Motivation Solutions April 2014 - Present
Maritz Motivation Solutions August 2012 - April 2014
Magellan Health Services January 2011 - August 2012
Analysts International Corporation (AIC) August 2010 - January 2011
Vanliner Insurance Company June 2008 - October 2010
Analysts International July 1996 - May 2008
BEMAS Software December 2004 - October 2005
CLAD Info Consulting January 1992 - July 1996
Skills
Project Management, SDLC, Requirements Analysis, Leadership, SharePoint, Requirements Gathering, Analysis, Databases, Strategic Planning, Process Improvement, Software Documentation, Data Warehousing, Quality Assurance, Software Project..., Toastmasters, Public Speaking, Agile Methodologies, IT Management, Team Leadership, Business Analysis, Business Intelligence, Program Management, SQL, Vendor Management, MS Project, Business Process, Business Requirements, Visio, PMP, Systems Analysis, IT Strategy, Microsoft SQL Server
Education
DeVry University Phoenix, AZ 1982 — 1985
Bachelor of Science (B.S.), Computer Information Systems
Devry University 1982 — 1985
B.SC, Computer Information Services/Business
iCracked August 2014 - Present
Magellan Health Services December 2013 - Present
Magellan Health Services August 2008 - December 2013
Magellan Health Services February 2007 - August 2008
Magellan Health Services December 2005 - February 2007
Magellan Health Services May 2004 - December 2005
Skills
Healthcare, Healthcare Management, Mental Health, Case Management, Treatment, Hospitals, Managed Care, Medicaid, Public Speaking
Education
Denver Seminary 1986 — 1992
Master's of Divinity in Counseling, Counseling
Kearney State College 1981 — 1985
Bachelor's degree, Psychology
Magellan Health Services December 2012 - Present
Evergreen commercial REal Estate April 2006 - Present
Magellan Health Services October 2009 - November 2012
Magellan Health Services April 2005 - October 2009
Skills
Clinical Research, Healthcare Management, Hospitals, HIPAA, Managed Care, Healthcare, Healthcare Information..., Medicaid, Quality Improvement, Case Management, Medical Terminology, Health Policy, Medical Records, Healthcare Industry, Health Insurance, Credentialing, Provider Relations, Treatment, Mental Health, CPT, Medical Compliance, Physician Relations, Social Services, Prevention, Medicare, EHR, EMR
Education
William Paterson University of New Jersey 2008 — 2009
Bachelor's degree, Psychology
County College of Morris
Associate's degree, Liberal Arts and Sciences/Liberal Studies
Magellan Health Services April 2014 - Present
Kenexa August 2011 - April 2014
National Research Corporation July 2008 - August 2011
National Research Corporation July 2003 - July 2008
Skills
Applicant Tracking..., Onboarding, Recruiting, Talent Acquisition, Human Resources, Employee Relations, Employee Engagement, Talent Management, Interviews, Performance Management, Screening Resumes, Internet Recruiting, Management, Leadership, Business Development, Account Management, Training, Process Improvement, Time Management, Team Building, Sales, CRM, Project Management
Education
Doane College 1996 — 2002
Bachelor of Business Administration (BBA), Marketing/Business
Verizon April 2008 - Present
Cablevision CSC Holdings Inc. February 2007 - April 2008
EmblemHealth March 2005 - February 2007
Magellan Health Services September 2003 - March 2005
Skills
Call Center, Customer Satisfaction, Customer Retention, PowerPoint, Outlook, Microsoft Office, Microsoft Outlook, IBM Lotus Notes, Medical Claims and..., Access, Social Media Marketing, Call Centers, Management, Training, Customer Service, Time Management, Sales, Program Management, Team Leadership
Education
Saint Leo University 2009 — 2015
Bachelor of Science, Health Care Management
Essex County College 1994 — 1997
Associates, Computer Information Systems
Counseling Network, Inc March 2006 - Present
Magellan Health Services June 2001 - July 2005
Dallas Metrocare 1998 - 2001
Mountain View College 1999 - 2000
Promise House 1998 - 2000
Skills
Psychotherapy, Self-esteem, Family Therapy, Mental Health Counseling, CBT, Clinical Supervision, Anger Management, Post Traumatic Stress, Individual Counselling, Adjustment Disorders, Stress, Adolescent Therapy, Life Transitions, Adolescents, Group Therapy, Therapists, Prevention, Stress Management, Cognition, Psychology, Clinical Psychology, Developmental..., Motivational..., Behavior Modification, Crisis Intervention, Therapeutic Crisis..., Interventions, Behavioral Health, Trauma Therapy, Crisis, Phobias, Treatment of depression, Counseling Psychology, Young Adults, Child Development, Co-occurring Disorders, Crisis Counselling, Dual Diagnosis, Career Counseling, Chemical Dependency, Learning Disabilities, Play Therapy
Education
Andersonville Theological Seminary 2007 — 2008
D.C.C., Christian Counseling
Texas A&M University-Commerce 1996 — 1998
M.S. Counseling
Dallas Baptist University 1994 — 1996
B.A.A.S, Counseling Psychology
Magellan Health Services March 2013 - Present
Maryann Kemper MFT 2007 - Present
St. Vincent's School for Boys January 2002 - 2010
House for Girls/ SF Boys' & Girls Home/Catholic Charites 2002 - 2005
Bill Wilson Center 1999 - 2001
Education
Dominican University of California 2002 — 2005
MS, MFT
The Ohio State University
Magellan Health Services August 2006 - Present
Project Transition May 2001 - August 2006
Skills
Medicaid, Case Managment, Behavioral Health, Medicare, Healthcare, HIPAA, Mental Health, Utilization Management, Social Services, Hospitals, Psychotherapy, Crisis Intervention, Provider Relations, Mental Health Counseling, Group Therapy, Adolescents, Treatment, Case Management
Education
Marywood University 2000 — 2001
Master of Social Work (MSW)
Dordt College 1994 — 1997
BSW
General Dynamics Information Technology January 2012 - Present
Internal Revenue Service October 2007 - September 2011
UMass Memorial Health Care, Inc. August 2007 - October 2007
Sisters of Mercy Health System April 2006 - July 2006
Magellan Health Services October 1998 - February 2006
Value Behavioral Health March 1996 - October 1998
MCI Telecommunications, Inc. 1994 - 1996
Disclosure, Inc. 1990 - 1994
DynCorp 1988 - 1990
MCI Telecommunications 1984 - 1988
Skills
Strategic Planning, ITIL, Healthcare, Software Development, Team Building, Telecommunications, IT Management, Program Management, Enterprise Architecture, IT Strategy, IT Operations, Vendor Management, Process Engineering, Data Center, Security, Integration, Process Improvement, Data Warehousing, Business Intelligence, Planning, Change Management, Mentoring, SDLC, PMO, HIPAA, Government, SOX, Strategy Development, SOA, Customer Relations, Contract Negotiations, Disaster Recovery, Business Analysis, Compliance, Executive Management, Emerging Technologies, Business Process..., Project Planning, Databases, Strategy, Information Security, Leadership, Governance, Customer Service, Professional Services, CISSP, Networking, Contract Negotiation, Consulting, Mergers & Acquisitions
Education
East Carolina University 1974 — 1977
B.S.B.A, Operations Research & Accounting
East Carolina University
Bachelor of Science in Business Adminstration (B.S.B.A.), Accounting and Quantitative Methods
St Clare's Hospital November 2014 - Present
Magellan Health Services February 2008 - July 2014
High Focus Centers January 2007 - January 2008
KidsPeace June 2006 - December 2006
High Focus Centers January 2005 - May 2006
Care Plus NJ August 2000 - July 2004
Skills
Disease Management, Vendor Management, Medicaid, Behavioral Health, Managed Care, Psychotherapy, Crisis Intervention, Healthcare Management, Healthcare, Social Services, Case Managment, Mental Health, Medicare, Utilization Management, Health Insurance, Psychology, Developmental..., Counseling Psychology, Psychiatry, Nursing, Provider Relations, Group Therapy, Family Therapy, Policy, Mental Health Counseling, Stress Management, Program Development, Adolescents, Management, CBT, Motivational..., Therapists, Team Building, Interventions, Mindfulness, Clinical Research, Home Care, Quality Improvement, Clinical Supervision, Staff Development, Inpatient, Community Outreach, Hospitals, Anger Management, Child Welfare, Treatment, HIPAA, Self-esteem, Child Development, Case Management
Education
Dominican College of Blauvelt 1994 — 1999
BSN, Registered Nursing/Registered Nurse
Studio Players 2008 - Present
Darress Theater April 2003 - Present
Magellan Health Services August 2003 - July 2014
Cigna April 2001 - December 2002
Denville Pharmacy March 1988 - December 2002
Cigna May 1997 - April 2001
Education
William Paterson University of New Jersey 1994 — 1998
Bachelor's Degree, Computer Science
County College of Morris 1989 — 1991
Associate's Degree, Computer Programming - Business
Anthem/Healthkeeper's Plus/Virginia Medicaid Plan/WellPoint, Inc. March 2014 - Present
Ameritox July 2012 - November 2013
Sentara Healthcare/Optima Health 2008 - 2012
Sentara Healthcare/Sentara Behavioral Health Services August 1997 - January 2008
Magellan Health Services August 1997 - July 2004
Skills
Managed Care, Healthcare Management, Healthcare, Medicaid, Medicare, Utilization Management, Medicine, Medicaid Managed Care, Quality Improvement, Outcomes Research, disease management, Hospitals, NCQA accreditation, Pain Management, Pharmaceutical Industry, Health Policy, medical cost management, behavioral health, Mental Health, Healthcare Consulting, HEDIS, Clinical Research, Physicians, Psychiatry, Case Management, Provider Relations, Healthcare Industry
Education
Tulane University 2001 — 2003
Masters of Medical Management (MMM)
University of Virginia School of Medicine 1976 — 1980
Doctor of Medicine (MD)
Dartmouth College 1971 — 1975
Bachelor's degree, Music
Magellan Health Services July 2013 - Present
Magellan Health Services November 2005 - June 2013
Magellan Health Services September 2002 - October 2005
Magellan Health Services September 2001 - September 2002
Magellan Health Services March 2001 - August 2001
Skills
Over 10 years project..., Over 7 years provider..., Computer literate (MS..., Managed Care, Provider Relations, Data Analysis, Health Insurance, Strategic Planning, Healthcare, HIPAA, Analysis, Contract Management, PowerPoint, Network Development, Project Management, Business Analysis, Leadership, Management, Health Policy, Customer Service, Healthcare Management, Team Building, Quality Improvement, Microsoft Excel, Software Documentation, Program Management, Healthcare Information..., Insurance, Change Management, Healthcare Industry, Mental Health, Training, Vendor Management, Cross-functional Team...
Education
Covenant Theological Seminary 1998 — 2000
Southwest Baptist University 1990 — 1994
Bachelor of Arts (B.A.), Business Administration and Management, General
Magellan Health Services January 2010 - Present
Skills
Financial Analysis, Variance Analysis, Financial Modeling, Medicaid, Financial Reporting, Insurance, Ad Hoc Reporting, Health Insurance, Microsoft Excel, Cognos, Forecasting, Access, Medicare, Data Analysis, Managed Care, Hyperion Enterprise, Budgets, Provider Relations, Accounting, Sarbanes-Oxley Act, Analysis, Business Analysis
Education
Eastern University 2011 — 2014
Master of Business Administration (MBA), Business Administration and Management, General
Magellan Health Services June 2012 - Present
XLHealth August 2008 - May 2012
American Radiology Services February 1998 - June 2008
Skills
Healthcare, Healthcare Management, Strategic Planning, Risk Management, Insurance, Medicare, Financial Analysis, Payroll, Accounts Receivable, Employee Relations, Health Insurance, Managed Care, Sarbanes-Oxley
Education
Cornell University 1988 — 1992
Bachelor of Science
Private Practice June 2012 - Present
Sameem Associates March 2012 - Present
Magellan Health Services April 2006 - July 2006
South Eastern Regional Technical High School September 2002 - March 2003
Skills
Psychotherapy, Treatment, Crisis Intervention, Group Therapy, Adults, Mental Health Counseling, Clinical Supervision, Dual Diagnosis, Family Therapy, Program Development, Play Therapy, Life Transitions, Behavioral Health
Education
Lesley University 1997 — 2000
MA Clinical Mental Health, School and Community Specializationj
Emerson College 1988 — 1992
B.F.A., Performance
Colossus Consulting LLC January 2005 - Present
Liquid Mercury Solutions January 2005 - Present
Press Ganey Associates August 2010 - October 2010
Mayland Hospital Association February 2008 - August 2010
Vision Technology Services February 2008 - August 2008
Colossus Consulting July 2004 - December 2004
Magellan Health Services February 2000 - November 2003
Kelly Waldron February 1999 - October 1999
Database America April 1998 - December 1998
Karl Analytics November 1993 - December 1998
Skills
Business Intelligence, Business Analysis, SQL Server 2005/2000, SQL Server 2000-2008, Oracle SQL, Excel, Word, SharePoint Designer, SharePoint, Business Intelligence..., Japanese, HTML
Education
Emory University 1991 — 1993
none, psychobiology
University of Pennsylvania 1987 — 1991
Bachelor's degree, psychobiology
TechCFO LLC 2007 - 2008
Kroll June 2000 - December 2001
Magellan Health Services April 1997 - June 2000
RTC February 1992 - September 1996
Andersen Consulting June 1987 - May 1990
Skills
Accounting, Mergers, Financial Reporting, Management Consulting, Strategic Financial..., Business Strategy, Due Diligence, Executive Management, Acquisition Integration, Financial Analysis, Mergers & Acquisitions, Private Equity, Financial Modeling, SEC filings, Management, Finance, Forecasting, Restructuring, SEC Filings
Education
Emory University - Goizueta Business School 1986 — 1987
MBA, Finance
Emory University - Goizueta Business School 1982 — 1985
BBA, Marketing
Magellan Health Services 1991 - Present
Pan American Airlines 1990 - 1991
Education
Eastern University 2011 — 2014
Master of Business Administration (MBA), Business Administration and Management, General
Magellan Health Services February 2013 - Present
Huttig Building Products March 2012 - September 2012
Wells Fargo Advisors October 2010 - March 2012
Forest Pharmaceuticals January 2008 - October 2010
Energizer June 2005 - November 2007
Foundry Software October 2000 - March 2003
Skills
SQL Server, ASP.NET, C#, VB.NET, Business Analysis, Oracle, JavaScript, Microsoft SQL Server, .NET, Visio, T-SQL, SharePoint
Education
Columbia College 1998 — 2000
Aetna Life Insurance Company 2012 - Present
Magellan Health Services March 2008 - May 2012
Coventry Health Care January 2002 - March 2008
Skills
Business Analysis, Process Improvement, HIPAA, Managed Care, Visio, Healthcare Information..., SharePoint, Software Documentation, SDLC, Insurance, Vendor Management, Requirements Gathering, Requirements Analysis, Data Analysis, Access, Cross-functional Team..., Call Centers, Analysis, Data Warehousing, Team Building, Project Management, Leadership, Information Technology, Business Process, Business Process..., Systems Analysis
Education
Palmyra Area High School 1993 — 1997
Duquesne University
BS, Professional Studies/Leadership
Duquesne University
MBA, completed courses towards Masters
Magellan Health Services 2013 - Present
UnitedHealth Group 2010 - 2013
Unison Health Plan 2005 - 2010
Paul J. Gitnik & Associates, LLC 2002 - 2005
Blumling & Gusky, LLP 2000 - 2002
Skills
Health Law, Medicare, Privacy Law, Managed Care, Health Policy, Insurance, Litigation, Corporate Governance, Health Insurance, Medicaid Managed Care, Medical Compliance, Provider Relations, Litigation Management, Corporate Law, Medicare Part D, HIPAA, Claim, Employment Law, Legal Compliance, Contract Negotiation, Policy, Legal Research, Compliance, Regulations, Risk Management, Licensing, Medicaid, Fraud, Civil Litigation, Network Development, Hospitals, Arbitration, Dispute Resolution, Mediation, Commercial Litigation, HMO, Compliance Procedures, Real Estate Transactions, Government Auditing, Policy & Procedure..., Healthcare, Pharmacy Benefit..., PPO
Education
Duquesne University School of Law 1997 — 2000
Doctor of Law (J.D.)
Pennsylvania State University 1985 — 1990
Bachelor of Science
Arizona Department of Corrections November 2011 - Present
Justice Services May 2011 - Present
Magellan Health Services December 2007 - August 2011
scottsdale treatment June 2008 - January 2011
Arizona Behavioral Counseling June 2006 - February 2007
Bell Therapy October 2004 - December 2005
Bell Therapy April 2001 - December 2005
Bell Therapy April 2001 - July 2002
Wisconsin Correctional Service July 1999 - March 2001
Education
Concordia University 2000 — 2002
Master's Degree, Professional Counseling
University of Wisconsin-Milwaukee 1992 — 1999
Bachelor of Science Degree, Occupational Therapy
18+ years experience Actively Seeking New Opportunities April 2015 - Present
Quality Staffing of America, Inc. October 2014 - April 2015
Telerx April 2012 - March 2014
Magellan Health Services January 2005 - June 2010
Magellan Health Services January 2005 - December 2006
Dun and Bradstreet March 2002 - September 2002
ICT Group Inc. February 1999 - April 2002
Skills
Troubleshooting, Access, Team Building, Software Documentation, Call Centers, Time Management, Databases, Sales, Computer Hardware, Customer Service, Problem Solving, Process Improvement, Networking, Microsoft Office 2007, Operating Systems, Excel, Outlook, PowerPoint, Microsoft Office, Visio, Training, Financial Accounting, Computer Hardware..., IP Networking, Hardware, Call Center, Database Administration, XP, Documentation, Customer Relations, Administration, Windows, System Administration, Mentoring, Data Entry, Network Administration, Software Installation, Billing, Teamwork, SharePoint, Management, CRM, Program Management, Salesforce.com, Windows 7, Coaching, Cloud Computing, Technical Support, Customer Satisfaction, Team Leadership
Education
DeSales University 2011 — 2015
Bachelors, Management
New Horizons Computer Learning Center 2011 — 2011
Diploma, Computer and Network Support Technician
Allentown Business School 2002 — 2004
Associates, Management & Marketing
Accenture December 2011 - Present
Magellan Health Services February 2000 - December 2011
Viva usa Inc February 1998 - February 2000
Silverline Industries Ltd March 1997 - February 1998
Vidyut Metallics Ltd September 1995 - January 1997
Skills
Business Architecture, Pre-sales Technical..., Strategic Planning, Negotiation, Organizational..., Business Strategy, Solution Architecture, Leadership, Analysis, Marketing, Business Process..., Program Management, Enterprise Architecture, Business Intelligence, Business Analysis, Change Management, Process Improvement, SDLC, Pre-sales, Software Project..., Strategy, IT Management, Management, Enterprise Software
Education
Duke University - The Fuqua School of Business 2006 — 2007
MBA, Business Administration and Management, General
Madurai Kamaraj University 1991 — 1995
BE, Electrical and Electronics
St. Thomas Matriculation school 1990 — 1990
High school
The Chicago School of Professional Psychology December 2013 - Present
Suncoast Neuropsychology, LLC September 1998 - Present
Magellan Health Services May 2012 - July 2014
American Board of Medical Psychology 2009 - 2014
Suncoast Neuropsychology, LLC September 2011 - July 2012
Reynolds Army Community Hospital September 2010 - April 2011
The Psychology Clinic of Lake Charles October 2009 - September 2010
Suncoast Neuropsychology Laboratories, Inc. July 1998 - September 2009
Communicare Inc. 2002 - 2005
Skills
Psychopharmacology, Neuropsychology, Neuropsychological..., Forensic Psychology, Medical Psychology, Forensic Neuropsychology, Forensic Analysis, Healthcare, Treatment, Psychology, Mental Health, Clinical Research, Traumatic Brain Injury, Hospitals, Psychological Testing, Pediatrics, Criminal Law, Neurology, Interventions, Clinical Supervision, Clinical Psychology, Psychiatry, Psychological Assessment, Cognition, Behavioral Health, Technology Needs..., CBT, Case Managment, Therapists, Crisis Intervention, Stress Management, Adolescents, Group Therapy, Motivational...
Education
University of Pennsylvania School of Medicine 1994 — 1995
Neuropsychology Fellow, Department of Neurology
Drexel University 1990 — 1992
Doctor of Philosophy (PhD), Neuropsychology
Drexel University 1988 — 1990
Master of Science (M.S.), Neuropsychology
Nova Southeastern University 2003 — 2005
Master of Science (M.S.), Clinical Psychopharmacology
Stetson University 1984 — 1988
Bachelor of Science (BS), Psychology, cum laude
CHRISTUS Health September 2015 - Present
CHRISTUS Health June 2014 - Present
Aetna July 2012 - June 2014
HMS September 2011 - May 2012
North Lake College May 2010 - May 2011
Girling Health Care February 2009 - May 2011
MHN June 2008 - December 2008
Magellan Health Services June 2004 - June 2008
Magellan Health Services June 2004 - September 2004
Skills
Curriculum Design, Higher Education, Teaching, Six Sigma, Mentoring, Mental Health, Employee Benefits, Benefits Administration, Medical Coding, Claims Resolution, Claims Management, Fraud Claims, Customer Service, Reports, Account Management, Accounts Payable, Accounts Receivable, Management, Operations Management, Microsoft Office, Microsoft Excel, Quality Management, Sales Operations, Analytics, Clinical Data Management, Team Building, Public Speaking, Training, Leadership, Leadership Development, Nonprofits, Staff Development
Education
Vision International 2007 — 2008
Bachelor's degree, Theological and Ministerial Studies, 4.0
Vision International 2007 — 2008
Bachelor's degree, Christian Business Administration, 4.0
Eastfield College 2004 — 2006
Social Work, 3.25
ESS College of Business 1997 — 1999
Business, Business Administration and Management, General, 3.0
Big Spring High School 1993 — 1997
General, 3.0
Magellan Health Services July 2009 - Present
Magellan Health Services September 2000 - Present
Magellan Health Services February 2009 - July 2009
Magellan Health Services September 2004 - February 2009
Magellan Health Services September 2000 - September 2004
Skills
Management, Healthcare, Analysis, Auditing
Education
Coppin State University
Management Science
Coppin State University
Bachelor of Science, Management Science
Health Net June 2015 - Present
Xerox State Healthcare LLC December 2012 - June 2015
Xerox State Healthcare September 2011 - December 2012
Arcadian Health Plan October 2009 - January 2011
CMA Foundation 2000 - 2010
Blue Shield of California May 2009 - October 2009
BloodSource January 2007 - December 2008
Magellan Health Services November 2002 - July 2008
National Imaging Associates Inc 2002 - 2006
Blue Shield of California May 1995 - November 2002
Skills
Healthcare, Healthcare Management, Clinical Research, Utilization Management, Managed Care, Healthcare Information..., Health Policy, Disease Management, Hospitals, Cross-functional Team..., Medicaid, Medicare
Education
David Geffen School of Medicine at UCLA 1972 — 1976
MD, Medicine
UHS Medicaid Billing SpecialistUniversal Health Services CorporationApril 2013 - Present
Magellan Health Services October 2012 - April 2013
CVS Pharmacy March 2006 - October 2012
westbury pharmacy March 2004 - March 2005
Chipotle Mexican Grill February 2003 - March 2004
Skills
Pharmacy, HIPAA, Managed Care, Healthcare, Pharmaceutical Industry, CPOE, Medical Terminology, Community Pharmacy, Hospitals, Pharmacy Practice, Database Administration, Data Warehousing, Data Entry, Data Analysis, VB.NET, Customer Service, JavaScript, Microsoft SQL Server, Microsoft Office, Microsoft Excel, Microsoft Word, Administrative..., Medical Coding, Medical Billing, Medical Records
Education
ECPI College of Technology 2012 — 2013
Bachelor’s Degree, Accounting, 4.0
ECPI College of Technology 2010 — 2013
Bachelor’s Degree, Database Programming
ECPI University 2007 — 2013
Bachelor of Applied Science (B.A.Sc.), Data Modeling/Warehousing and Database Administration, 3.8
Strayer University 2011 — 2012
Bachlors, Computer Information Systems, 3.8
BJC HealthCare November 2013 - Present
Magellan Health Services May 2010 - October 2013
Magellan Health Services July 2007 - May 2010
Eastern Illinois University May 2006 - August 2006
AT&T June 2004 - August 2004
State Farm 2002 - 2004
Skills
Budgets, Customer Service, Accounting, Management, Analysis, Accounts Payable, Microsoft Excel, PowerPoint, Microsoft Office, Healthcare, Event Planning, Training, Microsoft Word, Lawson General Ledger, Essbase, Community Outreach, Call Centers, Tableau
Education
Webster University 2014 — 2017
MBA, Business
Eastern Illinois University 2003 — 2007
Bachelor of Science in Business, Accounting, Accounting
Empathia, Inc. & Empathia Pacific, Inc. 2009 - Present
ShimkuSpeaking, PLLC December 2013 - Present
Magellan Health Services January 2001 - Present
Accepting Responsibility is Mandatory September 2008 - Present
Oakland Family Services November 1986 - October 2013
Muscular Dystrophy Association 2012 - 2012
Catholic Social Services 1981 - 1983
Skills
Mental Health, Treatment, Stress, Psychotherapy, Adolescents, Counselling, Family Therapy, CBT, Crisis Intervention, Counseling, Group Therapy, Self-esteem, Stress Management, Adults, Mental Health Counseling, Motivational..., Treatment Planning, Dual Diagnosis, Program Development, Case Managment, Interventions, Case Management, Counseling Psychology, Plannning
Education
Wayne State University 1983 — 1984
MSW, Social Work
Eastern Michigan University 1979 — 1981
BSW, Social Work
Macomb Community College 1975 — 1979
Associates, Executive Secretarial/Law Enforcement
Eisenhower High School 1972 — 1974
EyeMed Vision Care November 2013 - Present
companies within the Medical/Ancillary insurance market 2012 - Present
Magellan Health Services June 2010 - January 2012
MHN 2006 - 2010
Metropolitan Financial Group 2004 - 2006
AIG 2000 - 2004
Unum / Provident 1998 - 2000
J&H Marsh & McLennan 1987 - 1998
Education
El Camino College
Catasys Inc. September 2015 - Present
Catasys, Inc. November 2008 - August 2015
Magellan Health Services 2006 - 2008
Optimized Benefits, Inc. 2004 - 2006
CIGNA 2001 - 2004
Nabisco 1997 - 2001
Campbell Soup Company 1995 - 1997
Procter & Gamble 1990 - 1995
Skills
Managed Care, Healthcare, Healthcare Information..., Marketing, Strategic Planning, Medicare, Business Development, Cross-functional Team..., Leadership, Product Launch, Product Management, Start-ups, Team Building, Competitive Analysis, Strategy
Education
Cornell University - S.C. Johnson Graduate School of Management 1989 — 1991
MBA
University of Pennsylvania - The Wharton School 1981 — 1985
BS
Magellan Health Services January 2012 - Present
www.yellowribbon.mil 2010 - Present
MHN Government Services June 2007 - Present
DuPage High School District 88 June 2001 - Present
Military Readjustment Educators, Inc. January 2010 - December 2012
Skills
Military, Crisis Intervention, Behavioral Health, Mental Health, Wellness, Psychotherapy, Mental Health Counseling, Family Therapy, Group Therapy, Adolescents, Anger Management, Stress Management, Life Transitions, Counseling Psychology, CBT, Grief Counseling, Case Managment, Interventions, Personal Development, Case Management, Self-esteem
Education
Concordia University-River Forest 2007 — 2009
Master of Arts (MA), Educational Leadership and Administration, General
University of Illinois at Chicago 1994 — 1997
Master of Social Work (MSW), School Social Work
University of Illinois at Chicago 1990 — 1992
Master of Arts (M.A.), Art Therapy
inVentiv Health Clinical June 2015 - Present
inVentiv Health Clinical April 2012 - May 2015
Bristol-Myers Squibb August 2011 - April 2012
Princeton University July 2011 - August 2011
inVentiv Health January 2003 - September 2010
Taylor Technology April 1999 - December 2002
Magellan Health Services 1995 - 1999
Healthcare Commons Inc. January 1995 - April 1995
Horizon House, Inc. August 1994 - December 1994
network180 September 1991 - May 1994
Skills
GLP, Sop, Validation, FDA, Quality Assurance, Bioanalysis, Computer System..., Relational Databases, Metrics, SDLC, LIMS, CAPA, Investigation, Deviations, GCP, ICH Guidelines, GxP, OECD, 21 CFR Part 11, Biologics, Small Molecules, Ligand Binding, Contract Management, LC-MS, GC-MS, Quality Auditing, Data Analysis, QUMAS, SAP, Onyx, CRO, Psychology, Crisis Intervention, Quality Control, Clinical Research, Change Control, Clinical Development, GMP, Training, Pharmaceutical Industry, Clinical Trials, Drug Development, Biotechnology
Education
Eastern University 1986 — 1991
B.A., Psychology
Magellan Health Services 2012 - Present
MHN Government Services September 2009 - April 2013
Skills
Coaching, Organizational..., Public Speaking, Community Outreach, Program Development, Management Consulting, Strategic Planning, Program Management, Policy, Leadership, Nonprofits, Leadership Development, Healthcare, Grant Writing, Teaching, Government, Mental Health, Crisis Intervention, Psychotherapy, Case Management
Education
Eastern Washington University 1987 — 1991
Masters of Science, Applied Psychology, 3.9
Magellan Health Services November 2001 - Present
Des Moines Area Community College August 1996 - Present
Vasquez Management Consultants December 1993 - November 2001
Mercy Hospital Medical Center 1987 - 1993
Skills
Psychotherapy, Behavioral Health, Mental Health, Mental Health Counseling, Case Managment, Clinical Supervision, Counseling Psychology, Crisis Intervention, CBT, Motivational..., Family Therapy, Treatment, Anger Management, Life Transitions, Psychology, Stress Management, EAP, Coaching, Therapists
Education
Drake University 2006 — 2007
Master's degree, Community Health Services/Liaison/Counseling
Des Moines University-Osteopathic Medical Center 1991 — 1993
Master of Science (MS), Health/Health Care Administration/Management
Des Moines Area Community College 1985 — 1987
Associate of Science (A.S.), Human Services
Des Moines Area Community College
Associate of Science (A.S.), Human Services
Magellan Health Services November 2013 - Present
The Iowa Clinic, P.C. May 2007 - November 2013
UnityPoint Health August 2001 - May 2007
St. Anthony Regional Hospital & Nursing Home August 1991 - August 2001
Skills
Patient Safety, Healthcare Information..., Healthcare, Healthcare Management, Leadership, EHR, EMR, HIPAA, Hospitals, Process Improvement, Public Speaking, Clinical Research
Education
Des Moines University 2002 — 2006
Masters in Healthcare Administration
University of Iowa 1990 — 1991
Medical Technology
University of Northern Iowa 1987 — 1991
BA of General Science
Mental Health Association of Morris County January 2014 - Present
Magellan Health Services November 2013 - January 2014
Mobility Elevator & Lift Co., Inc June 2013 - October 2013
Matson, Driscoll & Damico LLP November 2012 - March 2013
Yogurtland November 2012 - December 2012
Panera Bread January 2012 - April 2012
Rowan University January 2011 - December 2011
Helping Hand Behavioral Center June 2011 - June 2011
YMCA October 2005 - August 2010
Chester Area Pool June 2009 - August 2009
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Social Media, Social Networking
Education
Rowan University 2009 — 2011
Bachelor of Arts (BA), Psychology
County College of Morris 2007 — 2009
N/A, Chemistry
Randolph High School 2003 — 2007
High School Graduation, General Studies
Magellan Health June 2015 - Present
Magellan Health January 2013 - June 2015
Magellan Health Services November 2011 - December 2012
Magellan Health Services January 2011 - November 2011
Walgreens August 2002 - December 2010
Skills
Pharmacy, Customer Service, Windows 7, Microsoft Excel, Customer Satisfaction, Pharmacists, Pharmacy Automation, Medication Therapy..., Pharmacy Technicians, Prescription, Pharmacy Benefit..., Typing, Excel, Customer Retention, Microsoft Office, PowerPoint, Management, Time Management, Team Building, Team Leadership, Customer Relations, Client Relations, Scheduling, Avaya Technologies, Call Monitoring, Collaborative Problem..., Staff Development, Coaching
Education
Columbia College Chicago
St. Louis Community College
SLATE Missouri Career Center November 2014 - February 2015
AT&T September 2009 - May 2014
Magellan Health Services March 2007 - September 2009
Charter Communications October 2005 - July 2006
Skills
My areas of expertise..., Contract Negotiation, Account Management, Relationship Management, Problem Resolution, Internet Research..., Microsoft Office
Education
Columbia College 2013 — 2017
Business, Management, Marketing, and Related Support Services
Sanofi Pasteur MSD August 2015 - Present
Sanofi US August 2015 - Present
Magellan Health Services July 2009 - July 2014
Skills
Healthcare Information..., HIPAA, EHR, Managed Care, Healthcare Management, EMR, Medicare, Medicaid, Provider Relations, Epic Systems, Informatics, Quality Improvement, Healthcare Consulting, Healthcare Industry, Health Policy, Case Management, Healthcare, Mental Health, Hospitals
Education
County College of Morris 2001 — 2003
Computer and Information Systems Security/Information Assurance
SEEDS Educational Services, Inc October 2014 - Present
Magellan Health Services September 2013 - August 2014
Accretive Health 2012 - 2012
Skills
Microsoft Office, Social Networking, Cpr Certified, Airline Ticketing, Airline Reservations, Microsoft Word, Customer Service, Customer Satisfaction, Public Speaking, hospital information..., Early Childhood..., PowerPoint, People-oriented, Statistical Data..., Exercise Prescription, Health Education, Motivational Speaking, CPR Certified, Curriculum Design
Education
Concordia University-Seward 2012 — 2015
Master's degree, Public Health, 3.74
Western Michigan University 2008 — 2011
Bachelor's, exercise science, 3.4
Kalamazoo Valley Community College 1992 — 2009
Associates, General Studies, 3.85
portage central
portage central
Lumeris Healthcare Outcomes / Essence Healthcare July 2003 - Present
Magellan Health Services January 2004 - October 2004
Coventry Health Care September 1998 - June 2003
WellPoint 1993 - 1998
Kforce Inc. 1991 - 1998
AT&T May 1985 - March 1991
Boeing May 1984 - August 1984
University of Missouri-Columbia 1983 - 1984
University of Missouri-Columbia 1982 - 1983
Creighton University 1981 - 1982
Skills
IT Management, IT Operations, Healthcare IT, Software Development, Web Design, Web Development, Database Development, MS Project, Project Planning, Software Project..., Healthcare Information..., Business Intelligence, Databases, Agile Methodologies, Data Warehousing, T-SQL, Process Improvement, SharePoint, Microsoft SQL Server, Medicare, SDLC, Disaster Recovery, Enterprise Architecture, Management, Vendor Management, Program Management, Integration, Software Documentation, Requirements Gathering, Systems Analysis, Requirements Analysis, Information Technology, Leadership, Business Analysis
Education
University of Missouri-Saint Louis 1992 — 1995
Chancellor's Certificate, Computer Science
University of Missouri-Rolla 1985 — 1986
Some graduate work towards Masters, Computer Science
University of Missouri-Columbia 1982 — 1985
BS, Computer Science
Creighton University 1981 — 1982
Some undergraduate work towards BS, Computer Science
St. Henry's Preparatory Seminary High School 1977 — 1981
High Alpha May 2015 - Present
hc1.com July 2014 - April 2015
salesforce.com September 2013 - July 2014
ExactTarget October 2012 - August 2013
ExactTarget April 2011 - October 2012
ExactTarget April 2010 - March 2011
ExactTarget November 2008 - March 2010
Magellan Health Services September 2006 - November 2008
SOITIS September 2004 - August 2006
National City Bank March 2004 - August 2004
Skills
Financial Modeling, Financial Analysis, Forecasting, Financial Reporting, Excel, Budgeting, Budgets, Corporate Finance, Business Analysis, Strategic Financial..., Process Improvement, Finance, Analytics, Strategy, Mergers & Acquisitions, Financial Planning
Education
University of North Carolina at Chapel Hill - Kenan-Flagler Business School 1999 — 2002
BSBA, Finance
DePauw University
Aurora Behavioral Health System February 2014 - Present
Magellan Health Services May 2013 - February 2014
Private Practice July 2012 - April 2013
Valle del Sol June 2011 - July 2012
Yavapai County Long Term Care November 2010 - June 2011
Private Practice September 2009 - June 2010
Chrysalis December 2005 - June 2010
Dynamic Living January 2007 - January 2010
QCSI/Trizetto January 2000 - January 2005
Skills
Mental Health, Social Services, Treatment, Behavioral Health, Healthcare, Counseling Psychology, Clinical Supervision, Stress Management, Training, Policy, Leadership, Managed Care, Dual Diagnosis, Inpatient
Education
Ottawa University 2001 — 2005
MA, Professional Counseling
Ottawa University 2001 — 2005
M.A, Professional Counseling, Advanced Studies; Clinical Counseling
DeVry Institute of Technology 1983 — 1986
B.S, Computer Information Systems
Magellan Health Services May 2014 - Present
Littler Mendelson October 2006 - May 2014
Skills
Litigation, Employment..., Workplace Harassment, Retaliation, Retaliatory Discharge, Internal Investigations
Education
Duke University School of Law 1999 — 2002
Doctor of Law (JD)
Furman University
Magellan Health Services February 2012 - November 2013
GGN International Enterprises June 2005 - December 2011
Aetna July 1997 - July 2005
Skills
Healthcare Management, Strategic Planning, Program Management, Operations Management, Provider Relations, Change Management, Continuous Improvement, Operational Excellence, Consulting, Leadership Development, Project Management, Managerial Finance, Health Insurance, Public Health, Mental Health, Interpersonal..., Microsoft Office, Key Performance..., New Business Development, Customer Service, Contract Management
Education
Fairleigh Dickinson University
Bachelor of Science (B.S.)
Fairleigh Dickinson University-Florham Campus
Bachelor of Science (B.S.)
Magellan Health Services August 2009 - Present
SXC Health Solutions April 2011 - August 2011
AccessCare January 2007 - August 2008
ACS Healthcare Provider Solutions 2005 - 2007
Skills
Pharmacoeconomics, Clinical Pharmacology, Clinical Data Management, Account Management, Teaching, Publications, Public Speaking, Pharmacology, Pharmacists, Pharmacodynamics, Pharmacokinetics, Pharmaceuticals, Pharmacovigilance, Program Management, Clinical Development, Board Presentations, Customer Presentations, Group Presentations, Sales Presentations, Presentation Development, Customer Relations, Customer Service, Customer Satisfaction, Customer Retention, Customer Acquisition, Healthcare, Health Insurance, Healthcare IT, Public Health, Healthcare Management, Health Economics
Education
Walden University 2006 — 2008
Masters of Business Administration, MBA with concentration in health care management
Drake University 1997 — 2003
Doctorate of Pharmacy, Pharmacy
Boeing 1998 - Present
Magellan Health Services 1996 - 1998
Spectrum Health Systems, Inc. 1994 - 1996
W.B. McCloud Company 1988 - 1994
Skills
Forecasting, Process Improvement, Variance Analysis, Financial Analysis, Financial Modeling, Accounting, Earned Value Management, Program Management, Cross-functional Team..., Financial Reporting, Budgets, Analysis, Access, Human Resources, Human Resource Planning, Human Resource..., Cost Benefit, Cost Accounting, Internal Audit, Strategic Planning, Team Leadership, Microsoft Excel, Team Building, Finance, Management, Leadership, Aerospace, Business Planning, Project Management, Project Planning, Business Analysis, Microsoft Word, Integration
Education
Webster University 2010 — 2012
Master of Arts Degree, Human Resources Management and Services, Honors
Webster University 2000 — 2002
Master of Business Administration (MBA), Business Administration and Management, General
Columbia College 1992 — 1997
Bachelor of Science (B.S.), Accounting with a Minor in Management, Cum laude
Roosevelt High School
High School, General
Cenpatico March 2013 - Present
Blue Cross Blue Shield of Texas August 2010 - November 2012
Tiffany Moody, LCSW February 2008 - November 2012
Magellan Health Services December 2008 - August 2010
Skills
Behavior Problems, Behavioral Health, Leadership, Operations Improvement, Operation Efficiencies, Operation Monitoring, Insurance, Quality Assurance, Quality Improvement, Quality Improvement..., Program Development, Program Management, Project Management, Training, Mental Health, Managed Care, Utilization Management, Case Managment, Thought Leadership, Servant Leadership, Case Management, Counseling Psychology, Nonprofits, Healthcare Management, Hospitals, Utilization Review
Education
Dallas Baptist University 2007 — 2011
MBA, Healthcare Management
The University of Texas at Arlington 2004 — 2005
MSSW, Clinical/Medical Social Work
Texas Christian University 2001 — 2004
BSSW, Social Work/Psychology
Park Hill
Magellan Health Services September 2008 - Present
Magellan Health Services May 2006 - November 2009
Magellan Health Services May 2003 - December 2005
United Medical Mart 1986 - 1995
Skills
Mental Health, Provider Relations, Microsoft Technologies, Organizational..., Implementation..., Network Administration, System Testing, Procedural Documentation, Training Facilitation, Credentialing, Managed Care, Health Policy, Medicare, Behavioral Health, Software Documentation, Case Managment, HIPAA, Healthcare, Medicaid, Process Improvement, Pharmacy Benefit..., Quality Improvement, Psychotherapy, Health Insurance, Social Services, Healthcare Management, Clinical Research, Access, Data Analysis, Healthcare Information..., Case Management, Hospitals
Education
University of Missouri-Saint Louis 2006 — 2010
M.Ed, Community Counseling
Columbia College 2000 — 2005
BA, Psychology
WellCare August 2011 - Present
Bay Care Health System January 2010 - July 2011
Magellan Health Services April 2006 - August 2009
Schaller Anderson February 2004 - March 2006
ValueOptions April 1999 - January 2004
Skills
Utilization Management, Medicaid, Behavioral Health, Managed Care, Healthcare, Medicare, Mental Health, Provider Relations, Practice Management, Physician Relations, HIPAA, PPO, Medicine, Social Services, Disease Management, Case Managment, Health Policy, Medicaid Managed Care, Performance Improvement, Health Insurance, Revenue Cycle, Program Development, Physicians, Healthcare Management, Hospitals, Case Management
Education
Marywood University 1974 — 1979
MSW, Social Work
East Stroudsburg University of Pennsylvania 1974 — 1976
East Stroudsburg High School
Lorrie Davenport - Healthcare Industry Consultant June 2012 - Present
Hewlett-Packard April 2009 - June 2012
HP Enterprise Services October 2005 - March 2009
HP Enterprise Services September 2001 - October 2005
HP Enterprise Services November 1996 - September 2001
Magellan Health Services May 1986 - November 1996
Skills
PMP, Service Delivery, SDLC, Solution Architecture, IT Service Management, ITIL, Business Process, RFP, Managed Services, Requirements Gathering, IT Operations, Project Management, Change Management, Pre-sales, Business Requirements, HP, SOA, SharePoint, EDI, Team Leadership, Professional Services, Business Transformation, Project Delivery, Project Portfolio..., Requirements Analysis, Independent..., Proposal Writing, CRM, Business Intelligence, Solution Development, Data Warehousing, Cross-functional Team..., Strategy, Enterprise Software, Consulting, Governance, Management, Program Management, Business Analysis
Education
Southwest Texas State University 1998 — 2000
MBA, Busines Administration
Concordia University Texas 1995 — 1997
BBA, Business Administration
Cardinal Health April 2011 - Present
University of Maryland Medical Center September 2007 - April 2011
Magellan Health Services September 2004 - September 2007
Riverside Health System - Riverside Long Term Care August 2003 - June 2004
Riverside Health System - Riverside Long Term Care July 2002 - August 2003
Riverside Health System October 2000 - July 2002
Riverside Health System - Riverside Rehabilitation Institute October 1996 - October 2000
Skills
Employee Relations, Benefits Management, HR Metrics, Organization
Education
East Carolina University - College of Business 1992 — 1996
Bachelor's of Science Business Administration, Human Resources
SMS Data Products July 2010 - Present
Dover Business College August 2009 - April 2013
Subsystem Technologies, Inc. July 2008 - July 2010
Magellan Health Services October 2004 - July 2008
CompUSA August 2003 - February 2007
ServiceWare 1999 - 2001
CompUSA March 1999 - February 2000
Skills
Windows Server, Windows 7, Security, Networking, Technical Support, Microsoft Certified..., Security+, Information Technology, Training, Troubleshooting, Network Security, System Administration, Disaster Recovery, Server Administration, CCNA, Network+, MCSE 2003, A+, Active Directory, Network Administration, Computer Hardware, VPN, XP, Firewalls, Data Center, Information Security..., A+ Certified, Information Security, Information Assurance, SharePoint, Remote Desktop, Routers, Operating Systems, Virtualization, DNS, Servers, Visio, Computer Security, Cisco Technologies, Switches, Microsoft Exchange, Security Clearance, Microsoft Technologies, VMware, CompTIA A+, CompTIA Security+
Education
Keller Graduate School of Management of DeVry University 2008 — 2012
Masters, Networking and Communcations Management
DeVry University 2006 — 2007
B.S., Technical Management
County College of Morris 1995 — 2003
A.A, Music
County College of Morris 2002 — 2002
Certificate, Routing
Morris Hills High School 1991 — 1995
High School Diploma
Halyard Health September 2015 - Present
American Cancer Society March 2015 - June 2015
FOCUS Brands November 2014 - March 2015
CAN Capital April 2014 - October 2014
American Cancer Society August 2013 - January 2014
Comcast December 2011 - July 2013
Artis and Associates, LLC February 2009 - December 2011
inVentiv Health December 2007 - February 2009
IBM Smarter Workforce June 2004 - August 2007
Magellan Health Services February 2004 - June 2004
Skills
Human Resources, Pharmaceutics, Engineers, Applicant Tracking..., Talent Acquisition, Architects, Technical Recruiting, Internet Recruiting, College Recruiting, Onboarding, Recruiting, Talent Management, Benefits Negotiation, Sourcing, Executive Search, Employee Relations, Temporary Placement, Contract Recruitment, HRIS, Screening, Interviews, Leadership
Education
East Carolina University
BS BE, Business Education/Business Administration
University of NC at Charlotte
MPA, Public Administration with an HR Concentration
Collective Bias December 2013 - April 2015
WorkPlace Media April 2010 - November 2013
Valassis, Inc. September 2004 - January 2010
ADVO September 2004 - January 2010
VisionRx May 2000 - September 2004
Independent Consultant June 1999 - May 2000
Magellan Health Services May 1995 - June 1999
Schulte Roth & Zabel LLP January 1985 - May 1995
Paul, Weiss, Rifkind, Wharton & Garrison LLP September 1984 - January 1985
Skills
Direct Marketing, Integrated Marketing, Direct Mail, Customer Acquisition, Analytics, Advertising, Marketing Strategy, Database Marketing, New Business Development, Account Management, Multi-channel Marketing, Lead Generation, Start-ups, Management, Business Planning, CRM, Digital Marketing, Strategy, Marketing, Leadership, Mergers & Acquisitions, Sales, Email Marketing, Sales Operations, B2B, Negotiation, Executive Management
Education
Duke University School of Law 1981 — 1984
J.D.
University of Maryland College Park 1977 — 1980
B.S., Accounting
Magellan Health Services August 2003 - Present
Dominion Virginia Power April 2001 - August 2003
Ciber Inc November 2000 - March 2001
Weyerhaeuser November 1998 - November 2000
Rapidigm May 1998 - November 2000
Diaspark September 1997 - May 1998
Suvi Information Systems January 1995 - September 1997
Skills
Agile, Quality Assurance, Vendor Management, Cognos, HL7, Oracle, Microsoft SQL Server, Talend Open Studio, Informatica
Education
Devi Ahilya Vishwavidyalaya 1989 — 1992
Bsc, English, Chemistry, Geology
St. Pauls, Indore, M.P 1975 — 1989
High School, Physics, Chemistry and Biology
The College of William and Mary - The Mason School of Business
The College of William and Mary - The Mason School of Business
CenturyLink Technology Solutions July 2013 - Present
Savvis May 2012 - June 2013
Savvis April 2011 - May 2012
Corizon May 2007 - April 2011
Centene Corporation January 2004 - April 2007
Centene Corporation May 2002 - December 2003
Centene Corporation May 2001 - April 2002
Centene Corporation May 2000 - April 2001
Magellan Health Services May 1997 - April 2000
Skills
Project Management, Healthcare Management, Strategic Planning, Software Lifecycle, Business Case, Total Cost of Ownership, Leadership, Healthcare Information..., SDLC, Project Portfolio..., Vendor Management, PMO, Business Process..., Process Improvement, Program Management, Testing, Business Requirements, Agile Methodologies, Scrum, Management, Project Planning, Business Intelligence, Healthcare, Team Building, SharePoint, Information Technology, ITIL, Enterprise Software, Requirements Analysis, Business Process, Strategy, Business Analysis, Analysis, Quality Assurance, Team Leadership, Risk Management, Data Analysis, Visio, IT Strategy, Integration, Software Documentation, Requirements Gathering, IT Management, Resource Management, Cross-functional Team..., Software Project..., Agile Project Management
Education
Drury University 1992 — 1996
Bachelor of Science, Psychology and Sociology
Magellan Health Services May 2005 - Present
Skills
Financial Modeling, Mergers, Corporate Finance, Due Diligence, Private Equity, Valuation, Managerial Finance, Risk Management, Auditing, Internal Controls, PowerPoint, Strategic Planning, Forecasting, Analysis, Financial Reporting, Financial Analysis, Strategy, Accounting
Education
University of Maryland Baltimore County 2002 — 2005
BS, FinanacialEconomics
Ewha Womans University 1996 — 2000
BA, Law
DaeWon Girls High School 1993 — 1996
Magellan Health Services 2012 - Present
mmandmore 2011 - 2012
Magellan Health Services 2002 - 2012
Magellan Health Services April 2000 - May 2002
United Behavioral Health April 1998 - April 2000
Private Practice Therapist May 1989 - April 2000
Human Affairs International August 1994 - April 1998
ComPsych August 1991 - June 1992
Highland Park Hospital May 1986 - August 1991
Skills
Managed Care, Medicaid, Provider Relations, Utilization Management, Behavioral Health, Healthcare, Management, Analysis, Healthcare Information..., Analytics, Leadership, Case Managment, Policy, Healthcare Management, Mental Health, Quality Assurance, Training, HIPAA, Disease Management, Network Development, Process Improvement, Budgets, Performance Improvement, Healthcare Consulting, Health Insurance, Treatment, Business Process, Hospitals, Employee Benefits, Health Policy, Claim, Clinical Research, Software Documentation, Quality Improvement, Team Leadership, HMO, Contract Negotiation, Quality Management, Social Services, Medicare, Program Development, Physician Relations, Physicians, Healthcare Industry, Pharmacy Benefit..., Executive Management
Education
Loyola University of Chicago 1986 — 1989
Masters, Social Work
Eastern Illinois University 1982 — 1986
BA, Psychology
Deerfield High School 1978 — 1982
High School/Secondary Diploma Programs
Magellan Health Services October 2010 - Present
GlaxoSmithKline March 2010 - October 2010
ICON plc May 2009 - December 2009
Marsh August 2007 - February 2009
Marsh May 2006 - August 2007
Philadelphia Stock Exchange June 2005 - May 2006
Philadelphia Stock Exchange December 2004 - June 2005
Philadelphia Stock Exchange August 2004 - December 2004
Skills
Financial Analysis, Financial Reporting, Accounting, Financial Modeling, Leadership
Education
Drexel University - College of Business and Administration 1999 — 2004
Bachelor's degree, Finance
Magellan Health November 2013 - Present
Magellan Health January 2014 - July 2014
Magellan Health Services December 2011 - June 2013
Aetna January 2011 - December 2011
Aetna March 2009 - January 2011
WellPoint, Inc. July 2002 - March 2009
Peppers and Rogers Group, Inc. June 2000 - June 2002
Pfizer, Inc. May 1999 - August 1999
Conair Corporation October 1994 - July 1998
Skills
Marketing Strategy, Marketing, Leadership, Management Consulting, Strategy, Business Strategy, Recruiting, Budgets, Segmentation, Product Management, Direct Marketing, Product Marketing, Process Improvement, Email Marketing, Management, Product Development, Team Building, Healthcare, Brand Management, Sales, Competitive Analysis, Project Planning, Market Planning, Strategic Planning
Education
Duke University - The Fuqua School of Business 2007 — 2008
Executive Certification, Health Sector Management
Duke University - The Fuqua School of Business 1998 — 2000
MBA, Marketing Management
University of Pennsylvania 1989 — 1993
BS, History and Political Science
Brookfield High School 1986 — 1989
Diploma
Magellan Health Services May 2010 - Present
Service Access & Managment, Inc. 2008 - 2010
UPMC/ Community Care Behavioral Health October 2002 - April 2007
UPMC/ Community Care Behavioral Health August 2001 - October 2002
Philhaven Hospital 1998 - 2001
Skills
Provider Relations, Credentialing, Staff Development, Contract Negotiation, Performance Improvement, Claim, Budgets, NCQA, Project Management, Relationship Management, Managed Care, Medicaid, Mental Health, Behavioral Health, Healthcare Management, Clinical Research, Healthcare, Network Development, Utilization Management, Healthcare Information..., Health Policy, Healthcare Industry, Psychotherapy, Leadership, Treatment, Medicare, Healthcare Consulting, Social Services, Case Managment, Disease Management, Crisis Intervention, Mental Health Counseling, HIPAA, Quality Improvement
Education
Wheaton College 1989 — 1991
M.A., Clinical Psychology
Evangel University 1984 — 1988
B.S., Psychology
Bellevue Pharmacy April 2014 - Present
Bellevue Pharmacy June 2012 - March 2014
CRB Consulting Engineers October 2004 - June 2012
Magellan Health Services 2001 - 2004
Skills
Outlook, Access, SharePoint, PowerPoint, Document Control, Project Accounting, Microsoft Word, Microsoft Excel, Adobe Acrobat, Data Analysis, Project Planning, Customer Service, Sales, Document Management, MS Project, Software Documentation, Technical Writing, Quality Assurance, Microsoft Office, Process Improvement, Training, Visio, Project Management, Office Management, Leadership, Analysis, Contract Management, System Administration, Management, Supervisory Skills, Budgets, Time Management, Team Building, GMP, Contract Negotiation, Process Simulation, Proposal Writing
Education
Lindenwood University 2015 — 2017
Bachelor's degree, Business Administration
Eastern Michigan University 1994 — 1996
Magellan Health Services June 2003 - Present
NCS Healthcare 2000 - 2003
Skills
Managed Care, Disease Management, Pharmacy Benefit..., Medicaid, Medicare, Healthcare, Pharmacy Automation, Pharmacists, Pharmacy, Utilization Management, Healthcare Industry, HIPAA, Healthcare Consulting, Health Policy, Medicare Part D, Healthcare Information..., Healthcare Management, Informatics, Provider Relations, Health Economics, Oncology
Education
D'Amore-McKim School of Business at Northeastern University 2003 — 2005
MBA, Business
Massachusetts College of Pharmacy and Health Sciences 2000 — 2002
Pharm D, Pharmacy
University of Rhode Island 1988 — 1993
BS Pharmacy, Pharmacy
Anthem, Inc. August 2015 - Present
Anthem, Inc. August 2012 - August 2015
Anthem, Inc. January 2010 - August 2012
Erickson Retirement Communities June 2008 - January 2010
Nationwide Better Health September 2006 - May 2008
Caremark 2005 - 2006
Johns Hopkins Healthcare 2003 - 2005
Magellan Health Services 1998 - 2002
Skills
Healthcare, Customer Relations, Strategic Planning, Healthcare IT, Program Management, Account Management, Healthcare Management, Vendor Relations, Healthcare Information..., Cross-functional Team..., Analysis, Business Analysis, Customer Service, Data Analysis, CRM, Human Resources, Leadership, Process Improvement, Vendor Management, Management
Education
Elizabethtown College 1994 — 1998
Magellan Health Services July 2009 - Present
Coventry Health Care 2004 - July 2009
Region of Peel 2001 - 2004
Systems Xcellence Ltd 2000 - 2001
Education
Dalian University of Technology
Centene Corporation May 2015 - Present
Cenpatico [a subsidiary of Centene Corporation] September 2004 - May 2015
Magellan Health Services July 1999 - August 2004
Vista Behavioral Health July 1996 - July 1999
Skills
Managed Care, Healthcare, Medicaid, Health Insurance, Case Managment, Mental Health, Utilization Management, Behavioral Health, Medicaid Managed Care, Medicare, Psychology, Executive Management, Program Development, HMO, Psychotherapy, EMR, Healthcare Information..., HIPAA, Case Management, Provider Relations, Disease Management
Education
Duquesne University 1979 — 1985
Ph.D., Clinical Psychology
Southern Methodist University 1976 — 1979
B.S., Psychology
Magellan Health Services April 2012 - Present
Express Scripts April 2010 - June 2011
Express Scripts November 2006 - April 2010
Express Scripts November 2002 - October 2006
Express Scripts June 1993 - October 2002
Skills
Cross-functional Team..., Pharmacy Benefit..., Agile Methodologies, Managed Care, Healthcare, Healthcare Information..., Medicare, Medicaid, Management, Pharmaceutical Industry, HIPAA, Process Improvement, Pharmacy, SDLC, Visio, Healthcare Industry, Health Insurance, Program Management, Software Documentation, Business Analysis, Team Leadership, Data Analysis, Informatics, Vendor Management, Medicare Part D
Education
Evangel University 1988 — 1992
Bachelor Of Businss Administration, Marketing, Managment
Magellan Health Services February 2014 - Present
BraKen Solutions January 2010 - Present
Ultimate Medical Academy May 2013 - February 2014
Career Education Corporation August 2006 - October 2013
Magellan Health Services January 2012 - December 2012
Midwest Health Services February 1998 - December 2001
Skills
Adult Education, Teaching, Program Management, Higher Education, Curriculum Development, Staff Development, College Teaching, Student Affairs, Distance Learning, Instructional Design, Curriculum Design, Admissions, E-Learning, Educational Leadership, Coaching, Strategic Planning, Cpr Certified, Healthcare, Team Building, Faculty Development, Medical Coding, Career Counseling, PowerPoint, Public Speaking, Customer Service, Research, Training, Student Development, Microsoft Office, Accreditation, Classroom, Academic Administration, Microsoft Excel, Microsoft Word, Educational Technology, Program Development, Leadership, Retaining Customers, Leadership Development, Enrollment Management, CampusVue, Student Recruiting, Medical Records, Academic Advising, Resume Writing, Student Financial Aid
Education
Stephens College 2008 — 2015
Bachelor of Applied Science (B.A.Sc.), Health Information Management
Logan University 1993 — 1996
Doctorate, Chiropractic
Delaware State University 1988 — 1992
Bachelor of Applied Science (BASc), Biology, General
Centene Corporation February 2015 - Present
Centene Corporation March 2014 - February 2015
Centene Corporation March 2013 - March 2014
Magellan Health Services October 2012 - March 2013
Magellan Health Services July 2008 - October 2012
Proquest Technologies 2006 - 2008
Shiloh Village School August 2002 - January 2006
Hazelwood East High School 1998 - 2001
Whiteside School District 1996 - 1998
Skills
Performance Management, Project Management, Instructional Design, Learning Management..., Learning Management, Leadership Development, Taleo, Blended Learning, Visio, Talent Management, Microsoft Office, SharePoint, Teaching, PowerPoint, Outlook, Process Improvement, Adobe Connect, E-learning, Educational Technology, Microsoft Excel, Excel, Business Objects, Workday, E-Learning, Leadership, Software Documentation, Training
Education
Eastern Illinois University 1992 — 1995
B. Music Ed., Music Education
Lincoln Land Community College 1990 — 1992
AS Chemistry, Chemistry
Stinger Ghaffarian Technologies (SGT) February 2015 - Present
Magellan Health Services May 2014 - November 2014
PHH Arval 1999 - 2014
Rite Aid 1997 - 1999
Ryland Homes Company 1996 - 1997
Manor Health Care, Inc 1995 - 1996
Potomac Research, Inc. 1993 - 1995
Skills
Data Warehousing, Databases, Java, Microsoft SQL Server, Oracle, SQL, Software Development, Sybase, Unix, ETL
Education
Coppin State University 1986 — 1991
BS, Computer Science
Aromabiz Intl/Welcome Corp November 2007 - Present
Talented IT April 2007 - October 2007
Magellan Health Services January 2006 - March 2006
Amgen Inc, CA September 2005 - December 2005
Skills
SQL, Struts, Microsoft SQL Server, Java Enterprise Edition, Hibernate, Java, AJAX, Servlets, JUnit, EJB, JBoss Application Server, Websphere, JSP, XML, JavaScript, CSS, Spring, Tomcat
Education
San Jose State University 2003 — 2005
Bachelor of Science, Computer Science
De Anza College 2001 — 2003
AA, Software
Celgene May 2015 - Present
Maxcess Managed Markets May 2010 - May 2015
Access Communications, LLC January 2006 - May 2010
Magellan Health Services March 2004 - December 2005
CogniMed Inc October 2001 - March 2004
Skills
Project Management, Creative Direction, Program Management, Leadership, Pharmaceutical Industry, Strategy, Product Launch, Budgets, Digital Strategy, CRM, Account Management, Integrated Marketing, Managed Care, Strategic Planning, Marketing Strategy
Education
Fairleigh Dickinson University 1997 — 2001
BA of Arts, English/Communications
Magellan Health Services January 2010 - Present
CIGNA Healthcare 1999 - May 2009
CIGNA Healthcare 2002 - 2005
MedPartners April 1993 - September 1999
Skills
Account Management, Employee Benefits, Sales, Sales Operations, Leadership, Process Improvement, Strategy, Health Insurance, Sales Management, Analysis, Managed Care, Insurance, Healthcare, Management, Strategic Planning
Education
Fairfield University 1986 — 1990
B.S., Accounting
Other
University of Connecticut
MBA, Finance
Magellan Health Services Clinical Data AnalystCoventry Health CareDecember 1996 - December 1998
Novum, Inc. 1994 - 1996
Education
Duquesne University 1992 — 1994
MS, Pharmacology, Toxicology
Duquesne University 1988 — 1994
M.S., Pharmacology/Toxicology
Arnot Health April 2015 - Present
STG International, Inc. August 2007 - March 2013
IAP World Services, Inc. March 2003 - February 2008
Magellan Health Services March 1999 - March 2003
Skills
Wellness, Health, Health Education, Healthcare, Public Speaking, Program Management, Health Promotion, Stress Management, Strategic Planning, Business Development, EAP, Salesforce.com, Account Management, Work Life Balance, Project Management, Treatment, Employee Wellness, Mental Health, New Business Development, Coaching, Community Outreach, Management, Government, Leadership Development, Training, Program Development
Education
Syracuse University 1992 — 1993
Master's of Social Work, Employee Assistance Program/Occupational Social Work
Cornell University 1988 — 1991
Bachelor of Science (BS), Project Management
Magellan Health Services August 2013 - Present
Oak Plains Academy, Universal Healthy Systems June 2012 - May 2013
Adaptable Human Solutions February 2010 - February 2012
The Lyceum of Monterey County September 2008 - June 2009
Monterey County 2007 - 2008
Skills
Community Outreach, Mental Health, Behavioral Health, Group Therapy, Non-profits, Case Managment, Crisis Intervention, Post Traumatic Stress, Social Services, Family Therapy, Public Speaking, CBT, Program Development, Psychological Assessment, Teaching, Psychology, Psychotherapy, Neuropsychological..., Adolescents, Nonprofits, Play Therapy, Gestalt Psychotherapy, Adolescent Therapy, Treatment
Education
The Johns Hopkins University 2007 — 2008
Post Master's Certificate, Play Therapy
The Johns Hopkins University 2005 — 2007
M.A., Clinical Community Counseling
Drake University 2000 — 2004
B.S., Psychology
Magellan Health Services January 2014 - Present
Magellan Health Services January 2013 - January 2014
MHN June 2010 - January 2013
Counseling Services of Manassas October 2009 - December 2010
New Horizon Psychological Services September 2009 - December 2010
Family Preservation Services October 2007 - March 2009
YWCA Women in Crisis Shelter August 2006 - November 2007
Skills
Play Therapy, Art Therapy, Group Therapy, Treatment, Therapists, Art, Adolescents, Mental Health Counseling, Family Therapy, Life Transitions, Mindfulness, Crisis Intervention, Mental Health
Education
Eastern Virginia Medical School 2004 — 2007
MS, Art Therapy
Pratt Institute 1998 — 2001
BFA, Painting
Magellan Health Services October 2007 - Present
Education
University of Kansas 1986 — 1988
DePauw University 1984 — 1985
parkway west
Healthways September 2008 - December 2009
Nationwide Insurance 2003 - 2006
Magellan Health Services March 2001 - March 2003
The Brattleboro Retreat June 1998 - June 1999
Maple Leaf Farm Associates June 1995 - November 1996
EAPA 1995 - 1995
State of Ohio EAP 1989 - 1994
Talbot Hall 1983 - 1986
Education
Columbus State 2011 — 2011
Certificate-Clinician/Practitioner Consultant, Health Information Technology
Central Michigan University 1993 — 2000
M.S.A., Health Program Administration
Ohio State University 1993 — 1994
Hospital and Health Administration-Graduate Program
Franklin University 1979 — 1981
BSBA, Business Administration
Magellan Health Services May 1994 - Present
Magellan Health Services 1996 - April 2004
Magellan Health Services 1995 - 1997
Skills
Treatment, Mental Health, Psychotherapy, Counseling Psychology, Behavioral Health, Psychology, Mental Health Counseling, Case Managment, Clinical Supervision, Motivational..., Case Management, Clinical Research, Program Development
Education
Washington University in St. Louis 1987 — 1990
MSW, Social Work, Management, Health
Creighton University 1979 — 1983
BA, Psychology
Magellan Health Services Network Engineer/Database AdministratorCorporate Network SolutionsJuly 2006 - July 2007
Education
DeVry University 1999 — 2001
BS, Information Technology
Cenpatico Integrated Care May 2015 - Present
Cenpatico May 2014 - April 2015
Magellan Health Services January 2012 - May 2014
Magellan Health Services August 2007 - January 2012
Oakland County Community Mental Health Authority October 2000 - July 2007
Oakland County Community Mental Health Authority January 1996 - September 2000
Skills
HIPAA, Medicaid, Managed Care, Data Analysis, Medicare, Healthcare, Provider Relations, Analysis, Healthcare Information..., Health Insurance, Revenue Cycle, Healthcare Industry, Hospitals, Healthcare Consulting, SQL Server Management..., Microsoft Excel, Access, Microsoft Word, PowerPoint, Project Management, Medical Coding, Medical Billing, Corporate Budgeting, Benefit Cost Analysis
Education
Ferris State University 1991 — 1995
Bachelor's degree, Health/Health Care Administration/Management, Distinction
Psychologist 2009 - Present
Magellan Health Services 2006 - 2007
Danville State Hospital 2005 - 2006
Skills
Psychological Assessment, Clinical Psychology, Psychological Testing, Mental Health Counseling, Crisis Intervention, Health Psychology, Clinical Supervision, Neuropsychological..., Phobias, Forensic Psychology, Motivational..., Family Therapy, Psychotherapy, Behavioral Health, CBT, Chemical Dependency, Psychology, Life Transitions, Adolescents, Post Traumatic Stress, Acceptance & Commitment..., Behavioral Medicine, Psychoanalytic..., DBT, Hypnotherapy, Adolescent Therapy, Neuropsychology, Group Therapy, Mental Health, Play Therapy, Counseling Psychology, Trauma Therapy, Interventions, Child Therapy, Body Image, Psychoeducational, Mindfulness-based..., Anger Management, Panic Disorder, Psychoanalysis, Cognitive Therapy, Psychodynamic..., Addiction Recovery, Treatment of depression, Cognition, Dual Diagnosis, Therapists, Mindfulness, EMDR
Education
Philadelphia College of Osteopathic Medicine 2002 — 2007
Doctor of Clinical Psychology, Clinical Psychology
Marywood University 1998 — 2000
Master of Social Work (MSW), Clinical/Medical Social Work
East Stroudsburg University of Pennsylvania
Bachelors Degree Psychology
Philadelphia College of Osteopathic Medicine
Masters Degree Clinical Psychology
Stroudsburg high school
Stroudsburg high school
Stroudsburg high school
Centene Corporation - AcariaHealth August 2011 - Present
Magellan Health Services June 2009 - September 2011
Magellan Health Services July 2007 - June 2009
SunTrust Bank November 2005 - June 2007
SunTrust Bank November 2003 - November 2005
SunTrust Bank August 1997 - November 2003
Skills
Lean Six Sigma..., Financial Analysis, Management, Analysis, Auditing, Access, Operations Management, Project Planning, Software Documentation, Finance, Training, Accounting, Sarbanes-Oxley Act, Account Reconciliation, Management Consulting, Procurement, Accounts Receivable, Internal Audit, Databases, Variance Analysis, Healthcare, Managed Care
Education
Florida Institute of Technology 2004 — 2007
Masters of Science, Management Information Systems
Dowling College
Bachelor, Business Administration
Coventry Healthcare October 2012 - January 2014
CVS Caremark Corporation February 2012 - August 2012
Wells Fargo Advisors April 2011 - January 2012
Walmart September 2010 - March 2011
Magellan Health Services April 2010 - August 2010
Blue Cross Blue Shield of Michigan June 2009 - March 2010
Blue Cross Blue Shield of Michigan April 2008 - June 2009
Blue Cross Blue Shield of Michigan March 2007 - March 2008
Blue Cross Blue Shield of Michigan April 2006 - February 2007
Skills
Data Analysis, Business Analysis, SDLC, Pharmaceutical Industry, Healthcare Information..., SQL, Oracle, Business Process, Access, Vendor Management, Management, Analysis, Integration, Quality Assurance, Software Documentation
Education
Eastern Illinois University 2004 — 2006
Masters, Economics
UnitedHealth Group April 2013 - Present
Magellan Health Services November 2012 - April 2013
Skills
E-Learning, Microsoft Excel, Data Analysis, Microsoft Office, Business Analysis, SQL, Project Management, Analysis
Education
Grand Canyon University
Master's degree, Healthcare Informatics
DeVry University
Bachelor's degree, Information Technology
University of Arizona
Bachelor's degree
Magellan Health Services November 2010 - April 2011
Target May 2006 - February 2010
Henkel of America October 2005 - December 2005
Bank of America May 2001 - May 2005
Skills
Employee Relations, Recruiting, Labor Relations, Sales Management, Talent Management, Talent Acquisition, Sage Abra HRMS, Training, Transportation..., Change Management, Event Planning, Unemployment Claims, Strategic Planning, Creative Strategy, Customer Service, EEO/AA Compliance, EEO Investigations, Business Partner Support, Compliance, Project Management, Human Resources, Personnel Management, Performance Management, Retail, Employee Engagement, Workforce Planning, Employee Training, Payroll, HRIS, Leadership Development, Meeting Planning, Leadership, Interviews, Benefits Administration, Onboarding, Hiring, Safety Management..., Coaching, Conflict Resolution
Education
Saint Joseph College
Certificate, •Human Resource Management Certification
Fairfield University 2001 — 2005
Organizational Communication & Marketing, Communications
Magellan Health Services June 2013 - Present
Gaudenzia, Inc. July 2012 - June 2013
Gaudenzia, Inc. August 2010 - November 2012
Gaudenzia, WINNER Program August 2008 - August 2010
Gaudenzia, Kindred House March 2004 - July 2008
Skills
Social Services, Case Managment, Motivational..., Group Therapy, Behavioral Health, Mental Health Counseling, Mental Health, Adolescents, Family Therapy, CBT, Psychotherapy
Education
Lincoln University 2008 — 2010
Master, Human Service
Eastern University 2006 — 2008
Associates, Addiction Studies
Community College of Philadelphia 2002 — 2004
Behavioral Health
TurningPoint Global Solutions November 2013 - Present
TurningPoint Global Solutions July 2013 - November 2013
Capgemini June 2010 - July 2013
Lockheed Martin Corporation September 2006 - June 2010
Legg Mason Inc. September 2004 - September 2006
Lockheed Martin - Social Security Admin 2004 - 2005
Citi-Financial/Citi Mortgage August 2003 - August 2004
Magellan Health Services January 2002 - July 2003
Sierra Health Svs (United Healthcare Company) 1998 - 2001
Blue Cross Blue Shield of Texas September 1996 - January 1998
Skills
IT Strategy, Business Analysis, Management Consulting, Business Transformation, Business Process..., Enterprise Architecture, Business Intelligence, Program Management, Project Management, PMP, ERP, ITIL, Project Portfolio..., Process Improvement, Testing, Business Strategy, Business Development, SAS70, IEEE standards, Project Governance, SOX Compliancy, SSAE 16, SDLC, Governance
Education
Denison University 1992 — 1996
Bachelor of Arts (B.A.), Economics, 3.3
Magellan Health Services May 2004 - Present
Skills
Managed Care, Behavioral Health, Medicaid, Mental Health, Provider Relations, Contract Negotiation, Provider Network..., Communication, Program Development, Medicare, HIPAA
Education
Doane College
BA, Business Management
TBA October 2014 - Present
ClaimTrak Systems, Inc. March 2011 - October 2014
Magellan Health Services November 2009 - March 2011
ClaimTrak Systems, Inc. May 2008 - October 2009
Skills
Microsoft SQL Server, Visual C#, C#, HTML, Windows, Objective-C, Java, Linux, Stored Procedures, DTS, SSRS, OS X, T-SQL, RPG, Omnis, Mac OS X, Omnis 3.2, Omnis 6.0, JavaScript, Software Documentation, Visual Basic, Business Intelligence, XML, Agile Methodologies, EHR
Education
DeVry University Phoenix 2008 — 2014
Bachelor's degree, Computer Science
Lansing Community College
CVS Caremark Corporation August 2011 - Present
Caremark Specialty Pharmacy August 2011 - Present
Magellan Health Services November 2010 - June 2011
Us Citizenship and Immigration Services September 2008 - October 2009
Flash Global Logistics March 2007 - September 2008
Skills
Customer Service, Customer Relations, Microsoft Office, Excel, Word
Education
Essex County College
Accounting
Essex County College
Essex County College
Pfizer Consumer Healthcare May 2014 - Present
COVANCE March 2012 - April 2014
Merck 2011 - 2012
Cegedim Relationship Management 2010 - 2011
Magellan Health Services 2007 - 2009
Skills
Clinical Trials, GCP, Sop, Quality Assurance, Data Management, Drug Safety/..., Adverse Event Reporting, EHR, Biotechnology, Protocol, FDA, Drug Safety, Clinical Research, Regulatory Submissions, Healthcare, Oncology, Regulatory Affairs, Clinical Monitoring, SOP, CRO
Education
Rutgers, The State University of New Jersey-Newark 2013 — 2015
Master of Science (MS), Health Care Management- Conc. Pharmaceutical/ Management & Leadership
Montclair State University 2005 — 2007
Bachelor’s Degree, Biological Sciences
Essex County College 2003 — 2005
Associate of Science (A.S.), Biology Pre-medicine
Magellan Health Services June 2008 - Present
A & B Family Center, Inc March 1988 - Present
Norristown State Hospital October 2006 - May 2008
Skills
Registered Nurse, Continue to teach..., Specialist in the..., Psychology, Social Services, Behavioral Health, Mental Health, Adults, CBT, Clinical Supervision, Clinical Research, Psychiatry, Group Therapy
Education
Drexel University 2006 — 2010
MSN, Leadership and Health Systems Management
West Chester University of Pennsylvania 1988 — 1990
MA, Clinical Psychology
The Reading Hospital School of Nursing 1980 — 1983
Diploma, Nursing
Lebanon Valley College 1975 — 1979
BS and BSN, Social Services and Nursing
Wyomissing Area High School
Magellan Rx January 2014 - Present
Magellan Health Services January 2009 - Present
Magellan Health/ ICORE Healthcare 2008 - Present
Magellan Health/ ICORE Healthcare 2008 - Present
Magellan Health Services 2009 - 2012
Skills
Utilization Management, Medicare, Healthcare, Health Insurance, Pharmacy Benefit..., Account Management, Managed Care, Disease Management, Health Policy, Healthcare Consulting, Medicare Part D, HMO, Healthcare Industry
Education
Sisters Hospital School of Nursing 1970 — 1973
RN, Family Practice Nurse/Nursing
D'Youville College
Master's Degree, Health Services Administration
D'Youville College
Master's degree, Health Services Administration
Daemen College
Bachelor's Degree, Nursing Education
Magellan Health Services March 2012 - Present
West Essex YMCA April 2006 - March 2012
Skills
Medicare, Case Managment, Process Improvement, Healthcare Management, HIPAA, Medicaid, Healthcare, Managed Care, Healthcare Information..., Software Documentation, Behavioral Health, Utilization Management, Mental Health, Cpr Certified, Elder Care, Hospitals, Crisis Intervention, Treatment, Health Policy, Healthcare Industry, EMR, Clinical Research, Home Care, Social Services, Provider Relations, Nursing, Patient Advocacy, Program Development, Case Management
Education
College of St. Elizabeth 2013 — 2015
Masters Degree, Counseling Psychology
Ramapo College of New Jersey 2009 — 2011
Bachelor's degree, Psychology
County College of Morris 2007 — 2009
Associate's degree, Liberal Arts and Sciences/Liberal Studies
Magellan Health Services
Education
Columbia College 2012 — 2014
St. Louis Community College 2010 — 2012
Associate of Arts and Sciences (A.A.S.)
Wellpoint Anthem July 2014 - Present
TEKsystems July 2013 - July 2014
Apex Systems July 2012 - May 2013
TEKsystems January 2011 - May 2012
Magellan Health Services August 2003 - June 2010
Skills
Project Management, SDLC, Visio, MS Project, Databases, Testing, Management, Leadership, Team Management, Networking, Telecommunications
Education
ECPI College of Technology 1991 — 1992
Computer Programming
William Tyndale
Education
Assault Care Center Shelter & Support September 2013 - Present
Magellan Health Services June 2013 - Present
Skills
Wellness, Behavioral Health, Mental Health, Certified Domestic..., Fiancial Literacy Coach
Education
Des Moines Area Community College 2010 — 2012
Associate's degree in Human Services
Magellan Health Services December 2013 - Present
Magellan Health Services December 2013 - November 2014
Skills
General Insurance, Insurance, Life Insurance, Medicare, Claim, Health Insurance, Claims Management, Underwriting, Customer Service, Employee Benefits, Call Centers
Education
Drake University 1987 — 1989
IIA Insurance, Insurance, Graduated