Magellan Medicaid Administration
Industry: Management services company
DescriptionHeadquarters: Virginia Founded: 1968 Parent organization: Magellan Behavioral Health Inc Subsidiaries: FHC, Inc., Provider Synergies, LLC,
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Magellan Medicaid Administration Employees
Employee
Years
Job
Industry
Jessica Metcalf Jessica Metcalf's Magellan Medicaid Administration Experience July 2011 - March 2012
Job Nursing Student at Chipola College
Industry Hospital & Health Care
Experience
Gulf Coast Regional Medical Center - Panama City, FL March 2013 - Present
Emerald Coast Behavioral Hospital July 2014 - January 2015
Sacred Heart Health System July 2012 - March 2013
Bay Medical Center February 2012 - July 2012
Magellan Medicaid Administration July 2011 - March 2012
Tallahassee Memorial Hospital 2012 - 2012
CVS Caremark Corporation February 2008 - April 2011
Sacred Heart Health System October 2010 - March 2011
Skills
Pharmacy, Pharmacy Automation, Pyxis, Hospital Pharmacy, Medication Therapy..., Pharmacy Technicians, Compounding, Clinical Pharmacy, IV, Community Pharmacy, Pharmacy Practice, Pharmacy Benefit..., Medicare Part D, Medical Terminology, Patient Safety, HIPAA, Chemotherapy, Dosage Calculations, Prescription Drugs, Meditech, Third Party Billing, Managed Care, Pharmacology, Aseptic Technique, 340B, Medicaid, Informatics, CPR Certified
Education
Gulf Coast State College 2013 — 2015
Blountstown High School 2003 — 2007
Chipola College
Associate of Science (AS), RN
Gulf Coast Regional Medical Center - Panama City, FL March 2013 - Present
Emerald Coast Behavioral Hospital July 2014 - January 2015
Sacred Heart Health System July 2012 - March 2013
Bay Medical Center February 2012 - July 2012
Magellan Medicaid Administration July 2011 - March 2012
Tallahassee Memorial Hospital 2012 - 2012
CVS Caremark Corporation February 2008 - April 2011
Sacred Heart Health System October 2010 - March 2011
Skills
Pharmacy, Pharmacy Automation, Pyxis, Hospital Pharmacy, Medication Therapy..., Pharmacy Technicians, Compounding, Clinical Pharmacy, IV, Community Pharmacy, Pharmacy Practice, Pharmacy Benefit..., Medicare Part D, Medical Terminology, Patient Safety, HIPAA, Chemotherapy, Dosage Calculations, Prescription Drugs, Meditech, Third Party Billing, Managed Care, Pharmacology, Aseptic Technique, 340B, Medicaid, Informatics, CPR Certified
Education
Gulf Coast State College 2013 — 2015
Blountstown High School 2003 — 2007
Chipola College
Associate of Science (AS), RN
Janet Coons Janet Coons's Magellan Medicaid Administration Experience March 2007 - March 2011
Job Behavioral Health Management at WellPoint
Industry Health, Wellness and Fitness
Experience
WellPoint October 2014 - Present
CDPHP April 2011 - July 2014
Magellan Medicaid Administration March 2007 - March 2011
ValueOptions, Inc. January 1994 - January 2007
American Psych Management January 1992 - January 1994
Capital District Psychiatric Center July 1985 - January 1992
Skills
Managed Care, Healthcare, Medicaid, Clinical Research, Hospitals, Leadership, Nursing, Policy, Medicare, Management, Disease Management, Treatment, Healthcare Industry, Behavioral Health, Software Documentation, Mental Health, Program Management, Team Building, HIPAA, Utilization Management, Healthcare Management, Pharmacy Benefit..., HMO, Employee Benefits, Healthcare Consulting
Education
The Sage Colleges - Russell Sage College 1992 — 1994
MS, Health Services Administration
State University of New York 1981 — 1985
BSN, Nursing
Chapman Institute
Certified Wellness Program Manager, Wellness Professional
WellPoint October 2014 - Present
CDPHP April 2011 - July 2014
Magellan Medicaid Administration March 2007 - March 2011
ValueOptions, Inc. January 1994 - January 2007
American Psych Management January 1992 - January 1994
Capital District Psychiatric Center July 1985 - January 1992
Skills
Managed Care, Healthcare, Medicaid, Clinical Research, Hospitals, Leadership, Nursing, Policy, Medicare, Management, Disease Management, Treatment, Healthcare Industry, Behavioral Health, Software Documentation, Mental Health, Program Management, Team Building, HIPAA, Utilization Management, Healthcare Management, Pharmacy Benefit..., HMO, Employee Benefits, Healthcare Consulting
Education
The Sage Colleges - Russell Sage College 1992 — 1994
MS, Health Services Administration
State University of New York 1981 — 1985
BSN, Nursing
Chapman Institute
Certified Wellness Program Manager, Wellness Professional
Sandra Suyama PsyD Sandra Suyama PsyD's Magellan Medicaid Administration Experience September 2005 - Present
Job Licensed Clinical Psychologist and OnSite Care Coordinator at Magellan Medicaid Administration
Industry
Experience
Magellan Medicaid Administration September 2005 - Present
Skills
Psychiatry, Microsoft Office, Inpatient, Utilization Management, Healthcare, Microsoft Excel, Customer Service, Hospitals, Mental Health, Social Services, Case Management, Treatment, Clinical Supervision, Psychotherapy, Crisis Intervention, Family Therapy, Mental Health Counseling
Education
Carlos Albizu University - Miami Campus
Magellan Medicaid Administration September 2005 - Present
Skills
Psychiatry, Microsoft Office, Inpatient, Utilization Management, Healthcare, Microsoft Excel, Customer Service, Hospitals, Mental Health, Social Services, Case Management, Treatment, Clinical Supervision, Psychotherapy, Crisis Intervention, Family Therapy, Mental Health Counseling
Education
Carlos Albizu University - Miami Campus
William Fraker William Fraker's Magellan Medicaid Administration Experience 2002 - 2012
Job Therapist Intensive Outpatient Program at Richmond Community Hospital, Bon Secours Richmond
Industry Program Development
Experience
Richmond Community Hospital, Bon Secours Richmond 2013 - Present
Magellan Medicaid Administration 2002 - 2012
William W. Fraker, LCSW 1986 - 2003
Bon Secours Health System 1997 - 2002
Duke University Medical Center, Department of Psychiatry 1982 - 1986
Southern Virginia Mental Health Institute 1979 - 1982
Skills
Program Management, Healthcare, Teaching, Program Development, Public Speaking, Program Evaluation, Non-profits, Social Services, Mental Health, Community Outreach, Case Managment, Project Management, Group Therapy, Nonprofits, Research, Clinical Research, Psychotherapy, Treatment, SDLC, Medicaid, PMP, Strategy, Public Health, Leadership, Policy, HIPAA, Management, Process Improvement, Healthcare Information..., Case Management, Software Documentation, Fundraising, Training, Visio, Budgets, PMO, Behavioral Health, Hospitals
Education
University of North Carolina at Chapel Hill 1984 — 1987
M.P.H., Health Policy, Planning and Administration
University of Pennsylvania 1977 — 1979
M.S.W., Clinical Social Work
Yale University 1970 — 1975
M.Div.& S.T.M., Divinity School
Lynchburg College 1967 — 1970
B.A. cum laude, English and Religious Studies
Richmond Community Hospital, Bon Secours Richmond 2013 - Present
Magellan Medicaid Administration 2002 - 2012
William W. Fraker, LCSW 1986 - 2003
Bon Secours Health System 1997 - 2002
Duke University Medical Center, Department of Psychiatry 1982 - 1986
Southern Virginia Mental Health Institute 1979 - 1982
Skills
Program Management, Healthcare, Teaching, Program Development, Public Speaking, Program Evaluation, Non-profits, Social Services, Mental Health, Community Outreach, Case Managment, Project Management, Group Therapy, Nonprofits, Research, Clinical Research, Psychotherapy, Treatment, SDLC, Medicaid, PMP, Strategy, Public Health, Leadership, Policy, HIPAA, Management, Process Improvement, Healthcare Information..., Case Management, Software Documentation, Fundraising, Training, Visio, Budgets, PMO, Behavioral Health, Hospitals
Education
University of North Carolina at Chapel Hill 1984 — 1987
M.P.H., Health Policy, Planning and Administration
University of Pennsylvania 1977 — 1979
M.S.W., Clinical Social Work
Yale University 1970 — 1975
M.Div.& S.T.M., Divinity School
Lynchburg College 1967 — 1970
B.A. cum laude, English and Religious Studies
Siriporn Lek Cerber Siriporn Lek Cerber's Magellan Medicaid Administration Experience January 2005 - Present
Job Regional Care Coordinator at Magellan Medicaid Administration
Industry Hospital & Health Care
Experience
Passageway Residence of Dade County January 2014 - Present
Magellan Medicaid Administration January 2005 - Present
Florida Department of Children and Families 2002 - 2004
Skills
Crisis Intervention, Social Services, Case Managment, Child Welfare, Mental Health, Group Therapy, Motivational..., Mental Health Counseling, Adolescents, Program Development, Family Therapy, Psychotherapy, Clinical Supervision, Therapists, Treatment, Psychology, Stress Management, Life Transitions, Case Management, Anger Management
Education
Barry University
Masters in Social Work, Social Work
Passageway Residence of Dade County January 2014 - Present
Magellan Medicaid Administration January 2005 - Present
Florida Department of Children and Families 2002 - 2004
Skills
Crisis Intervention, Social Services, Case Managment, Child Welfare, Mental Health, Group Therapy, Motivational..., Mental Health Counseling, Adolescents, Program Development, Family Therapy, Psychotherapy, Clinical Supervision, Therapists, Treatment, Psychology, Stress Management, Life Transitions, Case Management, Anger Management
Education
Barry University
Masters in Social Work, Social Work
Kathy Fields's Magellan Medicaid Administration Experience August 2013 - August 2015
Job Senior Trainer at Magellan Rx Management
Industry Pharmaceuticals
Experience
Magellan Rx Management August 2015 - Present
Magellan Medicaid Administration August 2013 - August 2015
Magellan Medicaid Administration April 2010 - August 2013
First Health Services Corporation November 1999 - April 2010
Virginia Commonwealth University Health System October 1992 - October 1999
Skills
Medicaid, Healthcare, HIPAA, Software Documentation, Medicare, Pharmacy Benefit..., Managed Care, Customer Service, Training, Utilization Management, Medicare Part D, Pharmacy, Healthcare Management, Healthcare Information..., Hospitals
Education
University of Phoenix 2009 — 2011
Masters, Health Administration
North Carolina State University 1988 — 1992
BS, Zoology
Magellan Rx Management August 2015 - Present
Magellan Medicaid Administration August 2013 - August 2015
Magellan Medicaid Administration April 2010 - August 2013
First Health Services Corporation November 1999 - April 2010
Virginia Commonwealth University Health System October 1992 - October 1999
Skills
Medicaid, Healthcare, HIPAA, Software Documentation, Medicare, Pharmacy Benefit..., Managed Care, Customer Service, Training, Utilization Management, Medicare Part D, Pharmacy, Healthcare Management, Healthcare Information..., Hospitals
Education
University of Phoenix 2009 — 2011
Masters, Health Administration
North Carolina State University 1988 — 1992
BS, Zoology
Lisa Nobles's Magellan Medicaid Administration Experience October 2007 - October 2009
Job Senior Proposal Writer at Healthways
Industry Writing and Editing
Experience
Healthways February 2013 - Present
Choice Administrators February 2012 - October 2012
McKesson Specialty Health October 2011 - January 2012
Prudential Relocation November 2010 - May 2011
Magellan Medicaid Administration October 2007 - October 2009
Anthem Blue Cross Blue Shield June 1983 - March 2007
Skills
Proposal Writing, RFP, Business Development, Government, Editing, Health Insurance, Medicaid, Technical Writing, Copywriting, Content Management, Marketing Communications, Press Releases, Strategic Planning
Education
University of Virginia 2000 — 2001
Graduate coursework
Barton College 1977 — 1981
Bachelor of Arts, English
Healthways February 2013 - Present
Choice Administrators February 2012 - October 2012
McKesson Specialty Health October 2011 - January 2012
Prudential Relocation November 2010 - May 2011
Magellan Medicaid Administration October 2007 - October 2009
Anthem Blue Cross Blue Shield June 1983 - March 2007
Skills
Proposal Writing, RFP, Business Development, Government, Editing, Health Insurance, Medicaid, Technical Writing, Copywriting, Content Management, Marketing Communications, Press Releases, Strategic Planning
Education
University of Virginia 2000 — 2001
Graduate coursework
Barton College 1977 — 1981
Bachelor of Arts, English
Greg Morrill Greg Morrill's Magellan Medicaid Administration Experience January 2012 - September 2013
Job Medical Science Liaison at Bayer HealthCare
Industry Pharmaceuticals
Experience
Bayer HealthCare September 2013 - Present
Magellan Medicaid Administration January 2012 - September 2013
Pfizer 2000 - January 2012
AstraZeneca 1997 - 2000
Veterans Affairs Medical Center - Tucson 1992 - 1997
Veterans Affairs Medical Center - Reno 1986 - 1992
Education
University of Arizona
PharmD
Veterans Affairs Medical Center - Tucson
Clinical Pharmacy Residency
Bayer HealthCare September 2013 - Present
Magellan Medicaid Administration January 2012 - September 2013
Pfizer 2000 - January 2012
AstraZeneca 1997 - 2000
Veterans Affairs Medical Center - Tucson 1992 - 1997
Veterans Affairs Medical Center - Reno 1986 - 1992
Education
University of Arizona
PharmD
Veterans Affairs Medical Center - Tucson
Clinical Pharmacy Residency
Dorothy Holley's Magellan Medicaid Administration Experience June 2006 - December 2013
Job Licensed Clinical Social WorkerExperienced Clinician and Quality Improvement Specialist
Industry Mental Health Care
Experience
Magellan Medicaid Administration June 2006 - December 2013
Florida Agency for Health Care Administrationh January 2006 - June 2006
Skills
Medicaid, Managed Care, Healthcare Management, Healthcare, Medicare, HIPAA, Provider Enrollment, Provider Education, Claims Auditing, Provider Relations, Data Collection, Data Analysis, Report Writing
Education
Florida State University 1987 — 1988
Master of Social Work (MSW), Social Work
University of West Florida 1984 — 1987
Bachelor of Social Work, Social Work
Magellan Medicaid Administration June 2006 - December 2013
Florida Agency for Health Care Administrationh January 2006 - June 2006
Skills
Medicaid, Managed Care, Healthcare Management, Healthcare, Medicare, HIPAA, Provider Enrollment, Provider Education, Claims Auditing, Provider Relations, Data Collection, Data Analysis, Report Writing
Education
Florida State University 1987 — 1988
Master of Social Work (MSW), Social Work
University of West Florida 1984 — 1987
Bachelor of Social Work, Social Work
Bob Gaston's Magellan Medicaid Administration Experience May 2001 - Present
Job Senior Manager at Magellan Medicaid Administration
Industry Information Technology and Services
Experience
Magellan Medicaid Administration May 2001 - Present
MaconIT March 2007 - September 2007
Xperts, Inc. May 2000 - May 2001
IPC Technologies March 1998 - April 2000
Signet Bank 1996 - 1998
Richmond Memorial Hospital 1994 - 1997
Skills
Systems Analysis, Network Architecture, Server Architecture, SDLC, SQL Tuning, Microsoft SQL Server, Databases, PL/SQL, Oracle, Program Management, ETL, Enterprise Architecture, Requirements Gathering, Visio, CRM, Software Documentation, Software Development, Leadership, Management, Enterprise Software, Change Management, Integration
Education
Grove City College 1987 — 1992
B.A., Accounting
Magellan Medicaid Administration May 2001 - Present
MaconIT March 2007 - September 2007
Xperts, Inc. May 2000 - May 2001
IPC Technologies March 1998 - April 2000
Signet Bank 1996 - 1998
Richmond Memorial Hospital 1994 - 1997
Skills
Systems Analysis, Network Architecture, Server Architecture, SDLC, SQL Tuning, Microsoft SQL Server, Databases, PL/SQL, Oracle, Program Management, ETL, Enterprise Architecture, Requirements Gathering, Visio, CRM, Software Documentation, Software Development, Leadership, Management, Enterprise Software, Change Management, Integration
Education
Grove City College 1987 — 1992
B.A., Accounting
Larry Shore's Magellan Medicaid Administration Experience November 2007 - July 2010
Job Management/Financial Analyst
Industry Financial Services
Experience
Accountemps October 2013 - October 2014
NV State Health Div/Fiscal Team August 2012 - June 2013
NV State Immunization Program 2010 - 2011
ProNet October 2010 - November 2010
Magellan Medicaid Administration November 2007 - July 2010
Skills
Analysis, Management, Auditing, Budgets, Program Management, Process Improvement, Accounting, System Administration, Supply Chain, Data Analysis, Access, Account Reconciliation, Community Outreach, Call Centers, Project Management, Quality Assurance, Financial Analysis, Sales, Team Building, Leadership, Strategic Planning, Microsoft Excel, MS Excel Pivot Tables
Education
Sonoma State University 1995 — 2000
BS, International Business / Business Economics
American River College 1979 — 1984
AA, Electronic Communications / Computer Technology
Accountemps October 2013 - October 2014
NV State Health Div/Fiscal Team August 2012 - June 2013
NV State Immunization Program 2010 - 2011
ProNet October 2010 - November 2010
Magellan Medicaid Administration November 2007 - July 2010
Skills
Analysis, Management, Auditing, Budgets, Program Management, Process Improvement, Accounting, System Administration, Supply Chain, Data Analysis, Access, Account Reconciliation, Community Outreach, Call Centers, Project Management, Quality Assurance, Financial Analysis, Sales, Team Building, Leadership, Strategic Planning, Microsoft Excel, MS Excel Pivot Tables
Education
Sonoma State University 1995 — 2000
BS, International Business / Business Economics
American River College 1979 — 1984
AA, Electronic Communications / Computer Technology
Victoria Nardozzi's Magellan Medicaid Administration Experience September 2006 - July 2011
Job Private practice/retired
Industry Mental Health Care
Experience
Psychotherapist January 1980 - March 2013
Magellan Medicaid Administration September 2006 - July 2011
Eckerd College PEL Program February 2001 - December 2007
Psychotherapist January 1999 - September 2006
Youth and Family Centered Services: Tampa Bay Academy 1991 - 2000
Horizon Hospital 1983 - 1992
Skills
Teaching, Program Development, Public Speaking, Community Outreach, Psychotherapy, Mental Health, Healthcare Management, Adolescents, Self-esteem, Life Transitions, Family Therapy, Leadership Development, Group Therapy, Student Development, Higher Education, Mental Health Counseling, CBT, Career Counseling, Student Counseling, Program Evaluation, Psychology, Behavioral Health, Social Services, Treatment, Conflict Resolution, Counseling Psychology, Stress Management, Case Managment, Crisis Intervention, Clinical Supervision, Motivational..., Nonprofits
Education
University of South Florida 1979 — 1981
M.A., Rehabilitation Counseling
Goucher College 1973 — 1975
BA, Anthropology
Eckerd College 1970 — 1972
Anthropolgy
Westtown School 1967 — 1970
Ruxton Elementary 1963 — 1965
Psychotherapist January 1980 - March 2013
Magellan Medicaid Administration September 2006 - July 2011
Eckerd College PEL Program February 2001 - December 2007
Psychotherapist January 1999 - September 2006
Youth and Family Centered Services: Tampa Bay Academy 1991 - 2000
Horizon Hospital 1983 - 1992
Skills
Teaching, Program Development, Public Speaking, Community Outreach, Psychotherapy, Mental Health, Healthcare Management, Adolescents, Self-esteem, Life Transitions, Family Therapy, Leadership Development, Group Therapy, Student Development, Higher Education, Mental Health Counseling, CBT, Career Counseling, Student Counseling, Program Evaluation, Psychology, Behavioral Health, Social Services, Treatment, Conflict Resolution, Counseling Psychology, Stress Management, Case Managment, Crisis Intervention, Clinical Supervision, Motivational..., Nonprofits
Education
University of South Florida 1979 — 1981
M.A., Rehabilitation Counseling
Goucher College 1973 — 1975
BA, Anthropology
Eckerd College 1970 — 1972
Anthropolgy
Westtown School 1967 — 1970
Ruxton Elementary 1963 — 1965
Tim Bennette's Magellan Medicaid Administration Experience August 2009 - July 2012
Job Sr. Director of Finance at Magellan Health Services
Industry Health, Wellness and Fitness
Experience
Magellan Health Services July 2012 - Present
Magellan Medicaid Administration August 2009 - July 2012
Coventry Health Care August 2001 - August 2009
First Health Services Corporation January 1999 - August 2001
First Health Services Corporation January 1998 - January 1999
First Health Services Corporation August 1997 - January 1998
First Health Services Corporation January 1993 - August 1997
First Health Services Corporation January 1988 - January 1993
MBI, Inc., Garrity Industries, GE Investment January 1980 - January 1988
Skills
Medicaid, Accounts Receivable, Account Reconciliation, Accounting, Accounts Payable, Auditing, Data Analysis, Invoicing, Budgets, Payroll, Finance, Management, Financial Statements, Human Resources, Internal Audit, Mergers & Acquisitions
Education
Sacred Heart University 1982 — 1987
Master, Business Administration
University of Western Ct 1976 — 1980
BBA; Bachelor, Accounting concentration; Business Administration
Magellan Health Services July 2012 - Present
Magellan Medicaid Administration August 2009 - July 2012
Coventry Health Care August 2001 - August 2009
First Health Services Corporation January 1999 - August 2001
First Health Services Corporation January 1998 - January 1999
First Health Services Corporation August 1997 - January 1998
First Health Services Corporation January 1993 - August 1997
First Health Services Corporation January 1988 - January 1993
MBI, Inc., Garrity Industries, GE Investment January 1980 - January 1988
Skills
Medicaid, Accounts Receivable, Account Reconciliation, Accounting, Accounts Payable, Auditing, Data Analysis, Invoicing, Budgets, Payroll, Finance, Management, Financial Statements, Human Resources, Internal Audit, Mergers & Acquisitions
Education
Sacred Heart University 1982 — 1987
Master, Business Administration
University of Western Ct 1976 — 1980
BBA; Bachelor, Accounting concentration; Business Administration
Tiffany Coughlin-Celaya's Magellan Medicaid Administration Experience September 2010 - September 2014
Job Student
Industry Mental Health Care
Experience
Magellan Medicaid Administration September 2010 - September 2014
Skills
Managed Care, Healthcare, Process Improvement, HIPAA, Clinical Research, Healthcare Management, Medicaid, Customer Service, Software Documentation, Hospitals, Medicare, Leadership, Strategic Planning, Microsoft Excel, Microsoft Office, Team Building, Outlook, Healthcare Information..., Data Analysis, Training
Education
Arizona State University 1997 — 2010
BA, Liberal Studies
Capella University
Magellan Medicaid Administration September 2010 - September 2014
Skills
Managed Care, Healthcare, Process Improvement, HIPAA, Clinical Research, Healthcare Management, Medicaid, Customer Service, Software Documentation, Hospitals, Medicare, Leadership, Strategic Planning, Microsoft Excel, Microsoft Office, Team Building, Outlook, Healthcare Information..., Data Analysis, Training
Education
Arizona State University 1997 — 2010
BA, Liberal Studies
Capella University
Vilma E Millan, PMP, CSSGB, MHA, AIC, AIM, SCLA's Magellan Medicaid Administration Experience November 2008 - Present
Job Senior Project Manager at Magellan Medicaid Administration
Industry Hospital & Health Care
Experience
Magellan Medicaid Administration November 2008 - Present
VA Premier November 2004 - November 2008
Selective Insurance 1983 - 2004
Skills
Insurance, Process Improvement, Business Analysis, Leadership, SDLC, Healthcare, Project Management, Vendor Management, Visio, Software Documentation, Claim, Analysis, Team Building, Change Management, Business Process..., Program Management, HIPAA, Management, Strategic Planning, Requirements Gathering, Requirements Analysis, Risk Management, Data Analysis, Testing, Training, Medicaid, PMP, Quality Assurance, Access, Integration, SharePoint, PMO, Cross-functional Team...
Education
American Society for Quality 2010 — 2011
Certified Six Sigma Green Belt, Process Improvement
Project Management Institute 2009 — 2009
PMP, Project Management
Strayer University 2006 — 2008
MHA, Heath Care Adminstration
Montclair State University 1972 — 1977
Bachelor's Degree, Business Administration and Management, General, 3.0
John F Kennedy High School 1968 — 1972
HS, Business
Magellan Medicaid Administration November 2008 - Present
VA Premier November 2004 - November 2008
Selective Insurance 1983 - 2004
Skills
Insurance, Process Improvement, Business Analysis, Leadership, SDLC, Healthcare, Project Management, Vendor Management, Visio, Software Documentation, Claim, Analysis, Team Building, Change Management, Business Process..., Program Management, HIPAA, Management, Strategic Planning, Requirements Gathering, Requirements Analysis, Risk Management, Data Analysis, Testing, Training, Medicaid, PMP, Quality Assurance, Access, Integration, SharePoint, PMO, Cross-functional Team...
Education
American Society for Quality 2010 — 2011
Certified Six Sigma Green Belt, Process Improvement
Project Management Institute 2009 — 2009
PMP, Project Management
Strayer University 2006 — 2008
MHA, Heath Care Adminstration
Montclair State University 1972 — 1977
Bachelor's Degree, Business Administration and Management, General, 3.0
John F Kennedy High School 1968 — 1972
HS, Business
Jill Wilons's Magellan Medicaid Administration Experience 2009 - 2010
Job Mental Health Care Professional
Industry Mental Health Care
Experience
Magellan Medicaid Administration 2009 - 2010
RICVAMC 2005 - 2007
Beth Sholom Continuing Care Community 2002 - 2005
Jewish Family Services, Richmond, VA 2000 - 2002
Education
The University of Tennessee Health Science Center 1987 — 1989
MSSW, Social Work
Magellan Medicaid Administration 2009 - 2010
RICVAMC 2005 - 2007
Beth Sholom Continuing Care Community 2002 - 2005
Jewish Family Services, Richmond, VA 2000 - 2002
Education
The University of Tennessee Health Science Center 1987 — 1989
MSSW, Social Work
Ginilyn Hill RN BS's Magellan Medicaid Administration Experience June 2002 - Present
Job Registered Nurse Clinical reviewer at MAGELLAN
Industry Insurance
Experience
Magellan Medicaid Administration June 2002 - Present
Hampton-Newport News Community Services Board September 2001 - June 2002
Central State Hospital. Western State Hospital and Eastern State Hospital September 1989 - June 2001
Skills
Process Improvement, Change Management, Microsoft Office, Program Management, Public Speaking, Case Managment, Mental Health, Nursing, Behavioral Health, Utilization Management, Treatment, Psychology, Adolescents, Hospitals, Healthcare, Adults, Emergency Nursing
Education
Medical College of Virginia 1992 — 1993
Bachelor's degree, Registered Nursing/Registered Nurse
Blue Ridge Community College 1987 — 1989
Associate's degree, Registered Nursing/Registered Nurse
Magellan Medicaid Administration June 2002 - Present
Hampton-Newport News Community Services Board September 2001 - June 2002
Central State Hospital. Western State Hospital and Eastern State Hospital September 1989 - June 2001
Skills
Process Improvement, Change Management, Microsoft Office, Program Management, Public Speaking, Case Managment, Mental Health, Nursing, Behavioral Health, Utilization Management, Treatment, Psychology, Adolescents, Hospitals, Healthcare, Adults, Emergency Nursing
Education
Medical College of Virginia 1992 — 1993
Bachelor's degree, Registered Nursing/Registered Nurse
Blue Ridge Community College 1987 — 1989
Associate's degree, Registered Nursing/Registered Nurse
Deborah Mowe's Magellan Medicaid Administration Experience September 2003 - December 2011
Job physician reviewer/Utilization review at KePRO
Industry Hospital & Health Care
Experience
Sutter Medical Group Urgent Care October 2011 - Present
Keystone Peer Review Organization, Inc June 2010 - Present
Magellan Medicaid Administration September 2003 - December 2011
Community Care of West Virginia March 2011 - June 2011
Rubenstein Juvenile Detention Facility January 2004 - May 2011
Tucker County Health Department March 1997 - December 2010
Tucker Community Care March 1997 - October 2010
Glenside Medical Associates July 1990 - February 1997
Johnston-Willis Hospital January 1991 - October 1991
The Retreat Hospital October 1989 - December 1990
Skills
Family Medicine, Urgent Care, Sports Medicine, Utilization Review
Education
Virginia Commonwealth University School of Medicine 1982 — 1986
MD, medicine
University of Richmond 1978 — 1982
Bachelor of Science (BS), Chemistry
Sutter Medical Group Urgent Care October 2011 - Present
Keystone Peer Review Organization, Inc June 2010 - Present
Magellan Medicaid Administration September 2003 - December 2011
Community Care of West Virginia March 2011 - June 2011
Rubenstein Juvenile Detention Facility January 2004 - May 2011
Tucker County Health Department March 1997 - December 2010
Tucker Community Care March 1997 - October 2010
Glenside Medical Associates July 1990 - February 1997
Johnston-Willis Hospital January 1991 - October 1991
The Retreat Hospital October 1989 - December 1990
Skills
Family Medicine, Urgent Care, Sports Medicine, Utilization Review
Education
Virginia Commonwealth University School of Medicine 1982 — 1986
MD, medicine
University of Richmond 1978 — 1982
Bachelor of Science (BS), Chemistry
Michael C. Murphy, RN-BC, CQA's Magellan Medicaid Administration Experience July 2000 - November 2013
Job Clinical Reviewer at Alliant ASO
Industry Mental Health Care
Experience
Alliant ASO November 2013 - Present
Magellan Medicaid Administration July 2000 - November 2013
Education
Broward College
Daytona State College
University of Central Florida
Alliant ASO November 2013 - Present
Magellan Medicaid Administration July 2000 - November 2013
Education
Broward College
Daytona State College
University of Central Florida
Mary Roberts, RPh's Magellan Medicaid Administration Experience Consultant PharmacistUnited Pharmacy ServicesDecember 1998 - December 2002
Job Sr Director, Clinical Services at Magellan Medicaid Administration
Industry Pharmaceuticals
Experience
Magellan Medicaid Administration Consultant PharmacistUnited Pharmacy ServicesDecember 1998 - December 2002
Skills
Managed Care, Pharmaceutical Industry, Pharmacy Benefit..., Medication Therapy..., Medicaid, Pharmacy, Pharmacy Automation, Process Improvement, Diabetes, Utilization Management, Medicare, Clinical Pharmacology, Medicare Part D, Disease Management, Software Documentation, Healthcare Industry, Pharmacoeconomics, Pharmacists, Healthcare Information..., Ambulatory Care, Health Policy, Informatics, Healthcare Management
Education
University of South Carolina-Columbia 1982 — 1987
BS, Pharmacy
Magellan Medicaid Administration Consultant PharmacistUnited Pharmacy ServicesDecember 1998 - December 2002
Skills
Managed Care, Pharmaceutical Industry, Pharmacy Benefit..., Medication Therapy..., Medicaid, Pharmacy, Pharmacy Automation, Process Improvement, Diabetes, Utilization Management, Medicare, Clinical Pharmacology, Medicare Part D, Disease Management, Software Documentation, Healthcare Industry, Pharmacoeconomics, Pharmacists, Healthcare Information..., Ambulatory Care, Health Policy, Informatics, Healthcare Management
Education
University of South Carolina-Columbia 1982 — 1987
BS, Pharmacy
Barbara J. Dowd's Magellan Medicaid Administration Experience September 1999 - Present
Job Clinical Project Manager at Magellan Medicaid Administration
Industry Pharmaceuticals
Experience
Magellan Medicaid Administration September 1999 - Present
Kaiser Permanente March 1993 - June 1997
Suburban Hospital September 1985 - March 1997
Skills
Pharmacy Automation, Healthcare, Pharmacy Benefit..., Managed Care, Clinical Research, Medicaid, Pharmaceutical Industry, Medication Therapy..., Pharmacy, Diabetes, Clinical Pharmacology, Pharmacists, Utilization Management, Disease Management, Medicare Part D
Education
The Ohio State University 1976 — 1981
Bachelor of Pharmacy (B.Pharm.), Pharmacy
Magellan Medicaid Administration September 1999 - Present
Kaiser Permanente March 1993 - June 1997
Suburban Hospital September 1985 - March 1997
Skills
Pharmacy Automation, Healthcare, Pharmacy Benefit..., Managed Care, Clinical Research, Medicaid, Pharmaceutical Industry, Medication Therapy..., Pharmacy, Diabetes, Clinical Pharmacology, Pharmacists, Utilization Management, Disease Management, Medicare Part D
Education
The Ohio State University 1976 — 1981
Bachelor of Pharmacy (B.Pharm.), Pharmacy
BayCare Health System
Prime Therapeutics
Skanska USA Building Inc.
TriHealth
Accretive Health
CBIZ
M-I SWACO
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