Medica Health Plan
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Medica Health Plan Employees
Medica Health Plan August 2011 - Present
Medica Health Plan August 2011 - Present
Skills
Medicare, Insurance, Health Insurance, Employee Benefits, Managed Care, Disability Insurance, Healthcare, Long-term Care, Life Insurance, Underwriting, Health Policy, Brokers, Claim, Workers Compensation, HIPAA, Property & Casualty..., Medicaid
Education
Emory University
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Medica Health Plan April 2014 - Present
Medica Health Plan January 2012 - April 2014
Skills
Customer Service, Microsoft Excel, Outlook, Microsoft Word, Microsoft Office, PowerPoint, Windows, English, Strategic Planning, Research, Budgets, Public Speaking, Insurance, HTML, Negotiation, Leadership, Team Building
Education
College of St. Benedict
BSN, Registered Nursing/Registered Nurse
University of Minnesota-Twin Cities
Master of science nursing, geriatrics
Medica Health Plan January 2014 - Present
Medica March 2004 - January 2014
Medica May 1999 - March 2004
Medica June 2002 - July 2003
HealthPartners 1995 - 1999
HealthPartners 1993 - 1995
HealthPartners 1991 - 1993
HealthPartners 1989 - 1991
StrategicCare, Inc. 1988 - 1989
Minneapolis Children's Medical Center 1987 - 1988
Skills
Leadership, Health Insurance, Process Improvement, Project Planning, Contact Center..., Health plan operations, Strategic planning, Financial management, Leadership development, Vendor Management, Business Development, Care delivery system..., Marketing Communications, Marketing strategy, Contract negotiations, Call Centers, Contract Negotiation, Cross-functional Team..., Healthcare, Human Resources, Insurance, Leadership Development, Managed Care, Marketing, Marketing Strategy, Medicare, Performance Management, Product Development, Professional Mentoring, Program Management, Strategic Planning, Strategy, Operations Management
Education
University of Minnesota-Twin Cities
Bachelor of Arts, Speech Communications
University of St. Thomas
MBA, Business
Cretex Companies November 2012 - Present
St. Jude Medical - Cardiovascular Division November 2010 - November 2012
AGA Medical Corporation 2007 - November 2010
AGA Medical Corporation September 2007 - October 2008
Medica September 2005 - September 2007
Medica Health Plan October 2001 - September 2005
Pro Staff November 1999 - October 2001
GE Capital Fleet Services August 1985 - November 1999
Skills
Certified Compensation..., Senior Professional..., Human Resources, Talent Management, Leadership, SPHR, Process Improvement, HRIS, Certified Compensation..., CCP, Medical Devices, Training, Recruiting
Education
University of Minnesota - Carlson School of Management 2008 — 2010
MBA
Central High School
Concordia University-St. Paul
BA, Organizational Management & Communications
Normandale Community College
AAS, Marketing
Stratis Health 2000 - Present
University of Minnesota Crookston 2013 - 2015
Medica Health Plan November 1998 - March 2000
American Cancer Society December 1995 - October 1998
Skills
Grant Writing, Quality Improvement, Public Health, Program Development, Program Management, Community Outreach, Non-profits, Program Evaluation, Healthcare, Workshop Facilitation, Grants, Proposal Writing, Policy Analysis, Epidemiology, Capacity Building, Nonprofits, Public Speaking, Healthcare Management, Strategic Planning
Education
University of Minnesota-Twin Cities 1999 — 2002
MPH, Public Health Administration
UnitedHealth Group September 2015 - Present
Klared Digital Advocate June 2015 - Present
Advanced Strategies, Inc. November 2014 - May 2015
Firecraqer, LLC January 2014 - May 2015
MN Community Measurement February 2013 - December 2013
Medica Health Plan February 2009 - February 2013
Minnesota Department of Human Services (DHS) August 2006 - January 2009
Minnesota Management and Budget (MMB) October 2000 - July 2006
Skills
Project Management, Management, Analysis, Leadership, Program Management, Market Research, Cross-functional Team..., Data Analysis, Training, Strategy, Marketing Communications, Marketing Strategy, Budgets, Process Improvement, Strategic Planning, Nonprofits, Policy, Project Planning, Proposal Writing, CRM, Healthcare, Focus Groups, Product Marketing, Writing, Public Speaking, New Business Development, Consulting, Strategic Communications, Survey development and..., Product Development, User Experience, Business Analysis, Product/program..., Process modeling and..., Web content development..., Large Group Facilitation, Government Contract..., Decision support tool..., SEO, Content Strategy, Local Search..., Reputation Management, Conversion Optimization, Competitive Analysis, Sales Funnel...
Education
University of Wisconsin-Madison
Bachelor's Degree, International Relations
Hamline University
MPA
UCare July 2002 - Present
Medica Health Plan June 1999 - July 2002
Medica Health Plan/ United Health Care January 1985 - January 1997
METHODIST HOSPITAL January 1981 - January 1985
Skills
Business Strategy, Business Writing, Relationship Management, Product Development, Program Management, Healthcare Industry, Contract Negotiation, Healthcare, Managed Care, Medical Compliance, Disease Management, Health Policy, Microsoft Excel, Provider Relations, Clinical Research, Management, Data Analysis, Healthcare Information..., Healthcare Management, Process Improvement, Software Documentation, Hospitals, HIPAA
Education
Metropolitan State University 1997 — 2001
Master of Business Administration (MBA)
Metropolitan State University
Bachelor of Arts, Business Administration
Lutheran Deaconess Hospital School of Nursing
Registered Nurse Diploma
Self- Employed March 2014 - Present
Medica Health Plan May 2008 - February 2014
Blue Cross Blue Shield of MN September 1994 - February 2009
Blue Cross Blue Shield of Minnesota 1994 - 2009
HealthPartners March 1991 - August 1994
Share Health Plan March 1990 - March 1991
Skills
HIPAA, Health Insurance, Healthcare, Healthcare Management, Medicaid, Quality Assurance, Medicare, Process Improvement, Managed Care, Business Process..., Access, Quality Improvement, Management, Auditing, Clinical Research, Disease Management
Education
Saint Mary's University of Minnesota 1982 — 1985
MA, Health and Human Services Administration
Minnesota State University, Mankato
BSN, Nursing, Psychology and Sociology
Consultant 1993 - Present
Upton Hill May 2015 - Present
National leader in population health mgmt; one of world's largest HIT, services, and consulting cos. October 2014 - April 2015
RedBrick Health June 2014 - September 2014
UCare 2013 - June 2014
National Integrated Managed Care Consortium/Largest US MCO 2014 - 2014
Aetna 2012 - 2013
Fairview Health Services 2011 - 2012
Medica Health Plan 2010 - November 2011
Salo LLC 2007 - February 2011
Skills
Process Improvement, Healthcare, Strategic Planning, Financial Management, Financial Reporting, Management, Compliance, Cross-functional Team..., Managerial Finance, Forecasting, Program Management, Accounting, Business Analysis, Budgets, Analysis, Business Strategy, Change Management, Project Management, Leadership, Mergers, Strategy
Education
University of Minnesota - Carlson School of Management
MBA, Finance and Accounting
Blue Cross and Blue Shield of Minnesota 2010 - Present
Medtronic November 2006 - November 2010
Medica Health Plan November 1997 - November 2006
EBenX 1997 - 1997
Skills
Healthcare, Managed Care, Healthcare Consulting, Physicians, Hospitals, Physician Relations, Medical Devices, Public Health, Health Policy, Policy
Education
University of St. Thomas - Opus College of Business 1989 — 1997
MBA, Health Care Management
University of Minnesota-Twin Cities 1982 — 1985
Bachelor of Science, Nursing
Children's Hospitals and Clinics of Minnesota November 2014 - Present
Medica August 2013 - November 2014
Medica Health Plan July 2011 - July 2013
Medica July 2007 - July 2011
Avera Health Plans September 2005 - July 2007
Avera Health Plans May 2005 - September 2005
ŠKODA AUTO a.s. May 2004 - September 2004
Skills
Compliance, Risk Management, Security, Legal Research, Auditing, Management, Privacy Law, Process Improvement, Program Management, HIPAA, Policy, Business Ethics, Health Law, Managed Care, Health Care Reform, Medicaid, HMO
Education
William Mitchell College of Law 2009 — 2013
Juris Doctor
Seton Hall Law School 2011 — 2011
The University of South Dakota 1999 — 2005
Master of Business Administration (MBA), Health Services Administration
The University of South Dakota 1999 — 2004
BS, Health Services Administration
LIFECARE Management Partners March 2012 - Present
SecurityCare April 2009 - April 2011
TriCenturion 2005 - 2009
Regence Group 2003 - 2005
McKesson 2000 - 2002
Medica Health Plan 1998 - 1999
Health Systems Integration, Inc. 1996 - 1998
United Healthcare Corporation 1993 - 1996
Blue Cross Blue Shield of Minnesota 1974 - 1993
Skills
Contract Negotiation, Health Policy, Managed Care, Executive Management, Employee Benefits, Strategy, Health Insurance, Policy, Insurance, Healthcare, Healthcare Management, Leadership, Medicare, Medicaid, Process Improvement, Government, Contract Management, Program Management, Organizational..., Business Development, Healthcare Information..., Organizational..., Claim, HIPAA, Business Planning, Health Care Fraud
Education
Luther College 1970 — 1974
Bachelor of Arts
Hospira Inc. March 2010 - Present
United Hospital-Allina Health System June 2007 - January 2010
Medica Health Plan June 2001 - March 2005
Skills
Pharmaceutical Industry, Managed Care, Pharmacy, Pharmacists, Pharmacy Automation, Pharmaceutical Sales, Oncology, Medication Therapy..., Healthcare, Diabetes, Pharmacy Benefit..., Medical Devices, Healthcare Information..., Hospitals, Clinical Research, Informatics, Product Launch, Healthcare Industry, Clinical Trials, Cross-functional Team...
Education
University of Minnesota College of Pharmacy 1975 — 1980
BS Pharmacy, Pharmacy
Leidos March 2013 - January 2015
Mediant Health Resources January 2013 - December 2013
Medica Health Plan October 2012 - December 2012
Courage Center June 2010 - September 2012
Fairview Health Services January 2011 - March 2011
Stern & Associates, Inc. August 1997 - March 2007
Skills
RHIA, Healthcare, Healthcare Management, ICD-10, Registered Health..., Epic Systems, HIPAA, ICD-9, Healthcare Consulting, Hospitals, Training, EHR, Healthcare Information..., Informatics, Medicare, Leadership, EMR, Revenue Cycle
Education
Florida International University
Bachelor's degree, Health Information Management