Mercy Health Plans
Founded: 1993 Parent organization: Mercy Health Subsidiary: Mercycare Hmo, Inc.
Mercy Health Plans List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Mercy Health Plans. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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Mercy Health Plans Employees
Wisten Health Care July 2014 - Present
Scott & White Health Plan January 2012 - June 2014
Blue Cross & Blue Shield of Rhode Island November 2010 - December 2011
Mercy Health Plans 2007 - October 2010
Skills
Provider Relations, Managed Care, Network Development, PPO, Credentialing, Medicaid, HMO, Medicare, Healthcare Industry, HIPAA, Healthcare Consulting, Health Policy, Health Insurance, Leadership, Healthcare Management, Healthcare Information..., Physician Relations, Healthcare, Revenue Cycle
Education
University of Wisconsin-Oshkosh 1985 — 1987
Master's of Public Administration, Health Care Administration
University of Missouri-Columbia 1974 — 1977
M.A. abt, Demographic Sociology
Coventry Health Care of Missouri, an Aetna Company January 2009 - Present
Coventry Health Care 2009 - 2013
Coventry Health Care Of Missouri /fka Group Health Plans August 2010 - June 2012
Wings of Success, LLC November 2009 - August 2010
Coventry Health Care January 2009 - May 2009
Mercy Health Plans 2002 - 2009
Skills
Training, Managed Care, Medicaid, Health Insurance, Medicare, Provider Relations, HIPAA, Network Development, Healthcare, PPO, HMO, Insurance, Claim, ASO Products, Key Account Management, Employee Benefits, Brokers, Claims Resolution, Health Savings Accounts, Health Care Reform, Physician Relations, Healthcare Industry, Fundraising, corporate sponsorship..., Healthcare Consulting, Disability Insurance, Life Insurance, Self-funded, Commercial Insurance, Term Life Insurance, Credentialing, Disease Management, Health Policy
Education
University of Missouri-Columbia
Bachelor of Science, Honors: Phi Omicron Upsilon Fraternity, Dean’s List.
Associated Electric Cooperative Inc April 2014 - Present
Associated Electric Cooperative Inc April 2013 - April 2014
Mercy Health Plans, A Coventry Company October 2010 - April 2012
Mercy Health Plans January 2008 - October 2010
Essentia Skin Care - Day Spa April 2006 - January 2010
Gibson Appraisal Services February 2002 - January 2008
American Dehydrated Foods, Inc. August 2001 - February 2002
The EPOCH Group January 1997 - August 2001
Rancho Del Oro Chiropractic March 1994 - March 1996
Skills
Microsoft Office, Outlook, Customer Service, Microsoft Excel, SharePoint, SharePoint Designer, Microsoft Word, HIPAA, Data Entry, Employee Benefits, Human Resources, Training, Accounts Receivable, Budgets, Insurance, Process Improvement
Education
Ozarks Technical Community College 2012 — 2015
Business Technology
Marketing Associates (at Ford Motor Company) August 2013 - Present
Percepta (at Ford Motor Company CRM) August 2001 - August 2013
Young & Rubicam February 1999 - May 2001
BBDO (formerly Ross Roy Communications) August 1998 - February 1999
Wunderman December 1996 - August 1998
Mercy Health Plans May 1994 - November 1996
SelectCare, Inc. Troy, MI October 1991 - May 1994
Manufacturers National Bank of Detroit October 1989 - October 1991
Blue Cross Blue Shield of Michigan June 1988 - September 1989
Skills
CRM, Database Marketing, Direct Mail, Marketing Analytics, Automotive, Program Management, Financial Analysis, Process Redesign, Healthcare, Decision Support, Relationship Marketing, Digital Marketing, Integrated Marketing, Direct Marketing, Marketing Research, Email Marketing, Marketing Management, Analytics, Marketing Strategy, Multi-channel Marketing, Cross-functional Team..., Customer Retention, Customer Acquisition, Digital Strategy, Marketing Communications, Marketing, Strategic Planning, Segmentation, Lead Generation, Campaign Management, B2B, Account Management, Sales, Management, Strategy, Market Research, New Business Development, Leadership, Advertising
Education
Wayne State University 1994 — 1996
MBA, Marketing
Eastern Michigan University 1984 — 1989
BBA, Corporate Finance
Lumeris 2014 - Present
Mercy February 2012 - September 2014
Coventry Health Care October 2010 - October 2011
Mercy Health Plans, Inc. January 1994 - June 2011
Mercy Health Plans June 2004 - September 2009
Westport Healthcare Management, Inc July 1993 - October 1994
IBM January 1984 - July 1993
IBM January 1984 - January 1993
Skills
Community Outreach, Access, Credentialing, Customer Satisfaction, Customer Service, Fundraising, Health Insurance, Healthcare, Healthcare Information..., Healthcare Management, Hospitals, Human Resources, Leadership, HIPAA, Managed Care, Management, Outlook, Process Improvement, Time Management, Travel Arrangements, Team Building, Marketing, Marketing Communications
Education
Lindenwood University
Degree: Master of Science, Human Resources Management
Lindenwood University 1995 — 1997
Bachelors, Health Care Management
Robert Half April 2014 - Present
Galileo Financial Group November 2010 - April 2014
Reverse Logistics Association November 2008 - October 2010
Mercy Health Plans February 2006 - November 2008
CenturyTel 2002 - 2004
3Com 1998 - 2001
Skills
Management, Email Marketing, Marketing, Event Management, Human Resources, Financial Analysis, Strategic Financial..., Cross-functional Team..., Operations Management, Process Improvement, Team Leadership, Project Management, Customer Service, Forecasting, Call Centers, Program Management, Finance, Contract Negotiation, Leadership, Accounting, Strategy, Start-ups, Accounts Receivable
Education
California State University-East Bay 1999 — 2000
Bachelor's Degree, Liberal Studies
Build-A-Bear Workshop February 2015 - September 2015
CenturyLink Technology Solutions July 2014 - February 2015
Wells Fargo Advisors November 2013 - June 2014
Centene Corporation May 2013 - November 2013
Lumeris October 2010 - May 2013
Mercy Health Plans August 2008 - October 2010
RGA Reinsurance of America 2006 - 2008
Skills
Business Analysis, Visio, SharePoint, SDLC, Access, SQL, Requirements Analysis, Databases, Integration, Data Analysis, Windows, HTML, Test Planning, Testing, PL/SQL, ASP.NET, Team Leadership, Microsoft Office, Microsoft Excel, Software Quality..., Software Development, Strategic Planning, Data Warehousing, Microsoft SQL Server, Software Documentation, Requirements Gathering, Business Intelligence, Visual Basic, Crystal Reports, Data Modeling, SSRS, Database Design, SSIS, User Acceptance Testing, ETL, Healthcare Information...
Education
Fontbonne University 2005 — 2007
MBA, Business Administration
Maryville University of Saint Louis
BS, Management Information Systems
Cornerstone Insurance Group December 2010 - Present
Mercy Health Plans March 2001 - October 2010
Mercy Health Plans 2001 - 2010
Skills
Insurance, Health Insurance, Life Insurance, Disability Insurance, Workers Compensation
Education
Grand View College 1983 — 1987
BA, Business Administration
saydel high school 1978 — 1982
diploma
Express Scripts February 2015 - Present
Mercy Health 1998 - June 2014
Mercy Health Plans 2005 - 2009
The Catholic Health Association of the United States 1995 - 1998
Blue Cross Blue Shield of Missouri 1989 - 1995
General American Life Insurance Company 1988 - 1989
Skills
Health Law, Medicare, Medicaid, HIPAA, Managed Care, Healthcare, Employment Law, Employee Benefits, Legal Compliance, Healthcare Industry, Medical Compliance, Healthcare Management, Regulatory Compliance, Health Policy, Insurance, HMO, Strategic Planning, Program Management, Process Improvement, Customer Service, Physicians, PPO, Privacy Law, Health Insurance, Policy, Nonprofits, Workers Compensation, Health Care Fraud, Negotiation, Health Care Compliance, Regulations, Risk Management, Claim, Accountable Care, Health Care Reform, Healthcare Information..., Hospitals, Provider Relations, Litigation, Employment Contracts, Compliance, Senior Counsel, Assistant General..., Attorneys, Corporate Law, Contract Law, Compliance Management
Education
St. Louis University School of Law
JD; LL.M., Health Law
University of Missouri-Saint Louis
BSBA, Marketing
Plan Left March 2015 - Present
Plan Left January 2015 - March 2015
Skyline Madison Campus May 2012 - July 2012
Skyline Medical Center IOP November 2011 - April 2012
None October 2006 - August 2011
Premier Medical Group July 2004 - October 2006
Premier Health Care Services March 2000 - April 2003
Mercy Health Plans 1997 - 1998
Skills
Family Therapy, Group Therapy, Crisis Intervention, Mental Health, Treatment, Psychotherapy, Mental Health Counseling, Solution Focused, Google Groups, Stress, Counseling Psychology, CBT, Addiction Recovery, Grief Counseling, Psychology, Program Development, Stress Management, Teaching, Social Skills, Interventions, Conflict Resolution, Drupal, HTLM, Access Database..., Public Speaking, Behavioral Health, HTML, Access
Education
Trevecca Nazarene University 2009 — 2012
Master of Marriage and Family Therapy, Counseling - Marriage and Family Therapy
Austin Peay State University 2005 — 2008
BS, Interdisciplinary Studies
BKD CPAs & Advisors February 2012 - Present
Mercy Health Plans September 2011 - December 2011
Missouri State University May 2010 - May 2011
Missouri State University Call Center May 2009 - December 2009
Skills
Social Media, Online Marketing, Microsoft Office, Salesforce.com, Team Leadership, Marketing Strategy, Marketing Communications, Data Entry, Market Research, Public Relations, Project Management, Advertising, Social Media Marketing, Event Management, Budgets, Strategic Planning, SEO, Social Networking, Event Planning, Press Releases, Email Marketing, Online Advertising, Facebook, Leadership, Lead Generation, Webinar Development
Education
Missouri State University 2006 — 2011
B.S., Marketing (Advertising and Promotion)
Southern Boone 2002 — 2006
Aspen Heights June 2012 - Present
Aspen Heights June 2011 - August 2012
Mercy December 2007 - January 2011
Mercy Health Plans December 2006 - December 2009
Skills
Social Media Marketing, Customer Service, Marketing Strategy, Customer Relations, Public Relations, Direct Sales, Sales Management
Education
University of Arkansas 2002 — 2006
Bachelors of Arts, Communication, Public Relations
University of Arkansas 2002 — 2006
Bachelor of Arts Degree, Communication
Searcy High School 1998 — 2002
Behavioral Health Group January 2013 - January 2014
Coventry Health Care February 2009 - January 2013
Mercy Health Plans 2009 - 2010
Vatterott College 2008 - 2009
Corporate Health & Wellness 2005 - 2009
Occupational Medicine 2001 - 2005
Mercy St. John's 1999 - 2001
Burrell Behavioral Health 1997 - 1999
Lakeland Regional Hospital 1996 - 1997
Skills
Computer skills, IDX, ICD-9, Kronos, Benefits Administration, Power Chart, Chartscipt, FMLA, EncoderPro, Sunquest, Microsoft Office, QNXT, Workers Compensation, PMM, Visio, McKesson, Management, Process Driven, Coaching, Public Speaking, Public Relations, Inspiring Others, Training, Leadership, Implementation, Motivated, Chart, Staff Development, Resume Writing, Human Resources, Teaching, Interviews
Education
University of Phoenix
Master's Degree, Business Administration and Management, General
Ozarks Technical Community College
Nursing, Nursing Practice
Missouri State University
Bachelor of Science (B.S.), Psychology
Southeast Missouri State University
Undergraduate Psychology
AJCHS
Gallagher Benefit Services January 2015 - Present
Gallagher Benefit Services September 2008 - Present
McAuley Counseling Service January 2008 - March 2008
Capstone Insurors, Inc. September 2004 - January 2007
Sisters of Mercy Health System February 2000 - September 2004
Mercy Health Plans March 1999 - February 2000
Mercy Health Plans (Premier Health Plans) June 1996 - March 1999
Skills
Health Plans, Employee Benefits, Health Insurance, Account Management, Insurance, Customer Relations, Healthcare, Social Media, Benefits, Proposal Writing, Strategic Planning, Medicare, Vendor Relations, Health, Public Relations, Budgeting, Consultative Selling, Integrated Marketing, Customer Service, Negotiation, Marketing Strategy, Event Planning, Vendor Management, Public Speaking, Microsoft Office, PowerPoint, Outlook, Word, Competitive Analysis, Vendor, Team Building, Excel, Analytics, Non-profits, Benefits Administration, Planning, Contract Negotiation, Writing, Research, Problem Solving, Analysis, Event Management, Administration, Compliance, Claims, Health Policy, Claim, Time Management, Brokers, Budgets
Education
Missouri State University 2010 — 2013
Master of Science, Project Management
Missouri State University 1999 — 2006
BS, Marketing - Emphasis in Sales and Sales Management
RJB Consultants January 2008 - Present
American Eldercare February 2006 - July 2007
North Texas Healthcare Network November 1996 - July 2003
Mayo Health Plan / The Pace Group August 1995 - July 1996
Mercy Health Plans July 1989 - August 1995
PPOM May 1988 - June 1989
The Pace Group 1985 - 1988
Skills
Medicaid, Healthcare, Managed Care, Health Insurance, Executive Management, Healthcare Consulting, Medicare, Insurance, HIPAA, Healthcare Industry, Data Analysis, Revenue Cycle, Healthcare Management, Health Policy, Provider Relations, Hospitals, Informatics, EMR, Network Development
Education
University of Michigan
BA, Liberal Arts
University of Michigan - School of Public Health
MPH, Medical Care Administration / Health Policy
Cejka Executive Search July 2015 - Present
Mercy April 2014 - July 2015
City of Creve Coeur, MO April 2011 - April 2014
Mercy Health Plans June 2007 - May 2011
C & R Mechanical Company November 2005 - June 2007
EDS August 2003 - November 2005
Skills
Outlook, Customer Service, Policy, Administrative..., Project Planning, Process Improvement, Microsoft Office, Data Entry, Travel Arrangements, Non-profits, Spreadsheets, Office Management, Microsoft Excel, Software Documentation, Data Analysis, Local Government, SharePoint, WebEx, Citrix, Kronos, Timberline
Education
St. Louis Community College 2010 — 2014
Precision Practice Management April 2014 - Present
Airrosti Rehab Centers June 2013 - March 2014
Airrosti Rehab Centers August 2012 - June 2013
Precision Practice Management June 2011 - August 2012
Mercy Health Plans October 2008 - June 2011
Skills
Invoicing, Medical Terminology, Accounts Receivable, Medical Coding, ICD-9, Customer Service, HIPAA, Medicare, Account Reconciliation, CPT, Insurance, Microsoft Office, Microsoft Word, Microsoft Excel, Outlook, Medical Records, Training, Claim, Healthcare, Medical Billing
Education
Sanford-Brown College-Fenton
Blue Cross Blue Shield of Michigan January 2013 - Present
Meridian Health Plan 2011 - 2013
Meridian Health Plan 2007 - 2011
Priority Health 2000 - 2006
Priority Health 1996 - 2000
Mercy Health Plans 1993 - 1996
University of Illinois at Urbana-Champaign 1990 - 1993
University of Illinois at Urbana-Champaign 1987 - 1990
Skills
HEDIS, Managed Care, Healthcare Information..., Medicare, Healthcare, Data Analysis, Medicaid Managed Care, HIPAA, Health Insurance
Education
University of Illinois at Urbana-Champaign 1987 — 1993
Master of Education (EdM), Educational Psychology: Quantitative and Evaluative Research Methodologies
DePauw University 1981 — 1985
Bachelor of Arts (BA), Computer Science and Psychology
Centene Corporation September 2012 - Present
Centene Corporation November 2010 - September 2012
Mercy Health Plans July 2003 - December 2010
Magellan Behavioral Health May 2002 - July 2003
United Healthcare November 1994 - May 2002
Skills
Leadership, Customer Service..., Process Improvement, Customer Service, Software Documentation, Training, Employee Relations, Leadership Development, Coaching, Performance Management, Healthcare, HRIS, Instructional Design, Team Building, Employee Benefits, Onboarding, Policy, Program Management, Management, Management Development, Staff Development, Conflict Resolution, Medicare, HIPAA, Analysis, Call Centers, Interviews, Outlook, Quality Assurance, Employee Training, Human Resources, Supervisory Skills, Benefits Administration, Employee Engagement, Organizational..., Time Management, Recruiting, Training Delivery, New Hire Orientations, Talent Acquisition, Workforce Planning
Education
Lindenwood University 2004 — 2006
BA, Human Resource Management
Mercy October 2013 - June 2015
Mercy January 2013 - October 2013
Mercy September 2011 - January 2013
Coventry Health Care March 2009 - September 2011
Mercy Health Plans April 2005 - 2009
Skills
Microsoft Excel, Microsoft Word, Customer Service, Outlook, Budgets, Hospital Revenue Cycle, Health Insurance, Epic Systems, Microsoft Office, PowerPoint, Medicare/Medicaid..., Hospital Contracting, Research, Managed Care, English, Medicare Advantage, Photoshop, Windows, Teaching, HTML, Denials, Leadership, Healthcare, HIPAA, Healthcare Management, Process Improvement, Revenue Cycle, Training
Education
Evangel University 2009 — 2011
Master's degree, Organizational Leadership
Evangel University 2006 — 2008
Bachelor of Business Administration (BBA), Business Administration, Management and Operations
United HealthCare June 2012 - Present
Molina Healthcare of Missouri November 2011 - May 2012
Wellcare February 2010 - November 2011
Sisters of Mercy Health Systems March 2007 - October 2009
Mercy Health Plans November 2002 - March 2007
Mercy Health Plans February 1999 - November 2002
Skills
Provider Relations, Network Development, Medicaid, Medicare, HIPAA, Healthcare, Health Insurance, HMO, PPO, Healthcare Consulting, Healthcare Information..., Employee Benefits, Medicare Part D, Hospitals, Healthcare Industry, Credentialing, Health Policy, Disease Management, Utilization Management, Pharmacy Benefit..., Physicians, Healthcare Management
Education
Jefferson College
St. Louis Community College
Columbia Mutual Life Insurance April 2013 - Present
Lumeris May 2012 - Present
AT&T August 2009 - April 2012
HEALTHHELP, LLC July 2007 - July 2009
MERCY HEALTH PLANS January 2001 - July 2007
Skills
Analysis, Analytics, Budgets, Data Analysis, Databases, Employee Benefits, Forecasting, HIPAA, Healthcare, Managed Care, Management, Medicare, New Business Development, Program Management, Project Management, Quality Assurance, Sales, Training, Process Improvement, Leadership, Medicaid, Team Building, Customer Service, Strategic Planning, SharePoint, Healthcare Information..., Hospitals, EHR, Healthcare Management, Visio, Health Insurance, Software Documentation, Integration, Business Analysis, EMR, Call Centers, Healthcare Industry, PowerPoint, Strategy, Healthcare Consulting, Insurance, Microsoft Excel, Networking, CRM, Access, Contract Negotiation
Education
Fontbonne University 2009 — 2011
Master's Degree, Business Administration and Management, General, 3.8
Fontbonne University 2006 — 2009
Master, Business Administration
Fontbonne University 2003 — 2007
Bachelor, Business Administration
Al Med Academy 1995 — 1996
Certification, Medical Assistant
Colorado Commercial Group RMAPikes Peak Physical MedicineAugust 2009 - Present
Mercy Health Plans September 2006 - June 2007
Mayer Homes February 2006 - August 2006
Ultimate Electronics 1999 - 2004
Skills
Office Equipment, Customer Service, Outlook, 10 Key, Invoicing
Education
Intellitec Medical Institute 2009 — 2011
Associate's degree, Occupational and Applied Science
Adams State University 2001 — 2002
General
UnitedHealth Group October 2012 - Present
UnitedHealth Group December 2009 - October 2012
UnitedHealth Group October 2008 - December 2009
Mercy Health Plans May 2005 - October 2008
The Christiansen Group, Inc May 2003 - January 2005
The Parenting Life Skills Center March 2002 - May 2003
United States Marine Corps November 1995 - April 2002
Skills
Training, Technical Writing, Team Building, Software Documentation, Analysis, Business Process, Customer Service, Data Analysis, HIPAA, Healthcare, Management, Process Improvement, Program Management, Recruiting
Education
Missouri State University 2002 — 2006
Bachelor of Science, Biology - Microbiology/Biotechnology
South Callaway R-II 1988 — 1991
University of Missouri-Columbia
USI Insurance Services March 2008 - Present
Mercy Health Plans 1995 - 1998
Anthem 1980 - 1995
Skills
Insurance, Health Insurance, Disability Insurance, Account Management, Employee Benefits, Sales Management, Brokers, Sales, New Business Development, Life Insurance, Health Savings Accounts, Customer Service, Marketing, Sales Process, Strategic Planning
Education
Maryville University of Saint Louis
Bachelor of Arts (B.A.), Business/Corporate Communications
St. Louis Public Schools February 2012 - Present
Mercy Health Plans June 2009 - April 2011
Chicago Public Schools January 2006 - August 2008
Riverview Gardens School District July 2004 - January 2006
City of St. Louis June 2001 - October 2003
City of St. Louis June 1999 - June 2001
City of St. Louis July 1998 - May 1999
Skills
Public Budgeting, Budget Analysis, Account Reconciliation, Financial Reporting, Financial Analysis, General Ledger..., Oracle E-Business Suite, SAP ERP, Process Evaluation and..., Building Relationships, Customer Engagement, Customer Support, Budgets, Managerial Finance, Auditing, Analysis, General Ledger
Education
Fontbonne University 2002 — 2004
MBA, Business Management
Saint Louis University 1993 — 1996
BSBA, Accounting
Civitas Media June 2015 - Present
The Sedalia Democrat (Civitas Media) April 2015 - May 2015
Civitas Media April 2015 - May 2015
Coventry Health Care (formerly Mercy Health Plans) SAME Organization from 6/2/1995 - 7/31/2013 October 2010 - July 2013
Mercy Health Plans, a Coventry Health Care Plan February 1999 - September 2010
Mercy Health Plans May 1998 - February 1999
Mercy Health Plans April 1996 - April 1998
Mercy Health Plans June 1995 - 1996
Skeeter Products August 1987 - February 1994
Vertex 1979 - 1987
Skills
Public Speaking, Health Policy, Sales Presentations, Benefits Negotiation, Personality, Trade Shows, People Skills, Customer Retention, Banquets, Human Resources, Accountability, Building Relationships, Managed Care, Group Medical, Marketing Communications, Employee Benefits, Computers, 10 Key, HMO, PPO, Wellness, Health Insurance, Customer Experience, Travel Arrangements, Expense Reports, Trade Show Strategy, Face-to-face Marketing, Event Technology, Insurance, Healthcare, Customer Service, Claim, Health Savings Accounts, Brokers, Selling, Provider Relations, Sales, Life Insurance, Time Management, Marketing, Public Relations, Small Business, Management, Team Building, Leadership
Education
Tyler Junior College 1995 — 1995
Real Estate License, Sales
Kilgore College 1978 — 1980
business
Drury University
Creative Writing / Public Speaking
Aetna/Coventry Health Care January 2012 - Present
Mercy Health Plans August 2007 - April 2010
La Spiaza February 2005 - May 2007
Tellabs September 1988 - November 2001
Tellabs 1988 - 2001
Edwin Neuger & Associates January 1988 - July 1988
Honeywell September 1984 - March 1987
Allied Healthcare Products, Inc. October 1983 - July 1984
United Technologies Communications Company (formerly General Dynamics Communications Company) August 1981 - October 1983
Emerson July 1980 - August 1981
Skills
Organizing, Event Planning, Trade Show Management, Promotion Planning, Copy Development, Spatial Design, Graphic Standards, Brand Messaging, Marketing Literature, Meeting Planning, Hotel Site Selection, Hotel Contract..., Theme Development, Branding Initiatives, External Marketing, Giveaways, Event Execution, Trade Publications, Global Marketing, Global Branding, Word, Outlook, Excel, PowerPoint, Photoshop, Visio, Research, Budgeting, Brand Development, Creative Development, Illustrator, Quickbooks, Microsoft Office, Promotions, MS Project, Advertising, Writing, Marketing Strategy, Event Management, Editing, Market Research
Education
Tellabs Management Development 1991 — 1999
Management Development
University of Missouri-Columbia 1972 — 1976
Bachelor of General Studies, Design (school of Journalism and fine art department)
Express Scripts November 2012 - Present
Trausoft Inc. April 1989 - Present
GalaxE Solutions January 2010 - October 2012
Prime Therapeutics November 2008 - December 2009
ADC Austin May 2007 - October 2008
Mercy Health PLANS May 2004 - June 2007
Datanomix 1999 - 2003
Mississippi River Transmission 1990 - 1993
Skills
AS400, DB2, IBM iSeries, CA Plex, CA 2E, RPG, COBOL, Informatica, Wordpress, Software Development, Agile Methodologies, Integration, SDLC, RPG III, Programming, Requirements Analysis, Database Design, Data Warehousing, Microsoft SQL Server, Software Design, OS/400, Business Intelligence, WordPress, Software Project..., XML, Business Analysis, Databases, Systems Analysis, Visio, SQL, SOA, Enterprise Architecture, Requirements Gathering, Data Modeling, SharePoint, Web Services
Education
Missouri State University 1974 — 1978
Bachelor of Science (BS), Mathematics and Computer Science
Knox College 1973 — 1974
Bachelor of Science (BS), Mathematics
Palm Beach Academy 1971 — 1973
College Preparatory
The Strategic Learning Group LLC January 2008 - Present
University of Phoenix March 2009 - Present
The Strategic Learner November 2008 - Present
Mercy Health Plans February 2007 - September 2007
Express Scripts Inc June 2005 - February 2007
National Benevolent Association January 1996 - January 2005
BJC HealthCare 1994 - 1996
Lutheran Medical Center School of Nursing 1991 - 1994
Tyler Junior College 1984 - 1991
Culver-Stockton College 1981 - 1984
Skills
Leadership Development, Organizational..., Staff Development, Public Speaking, Adult Education, Training, Team Building, Coaching, Teaching, Management Development, Conflict Resolution, Employee Training, Organizational..., Leadership, Personal Development, Performance Improvement, Strategic Planning, Organizational Learning, Social Learning, Training Delivery, Critical Thinking, Employee Engagement, Management, Performance Management, Business Coaching, Blogging, Strategy, Presentation Coaching, Team Leadership, Facilitators, Coaching Leaders, Workshop Facilitation, Human Resources, Retreats, Nonprofits, Instructional Design, Program Management, Psychology, Emotional Intelligence, Psychotherapy, Career Counseling, Career Development, Retreat Facilitation, DISC, Strategic Planning..., Presentation Skills..., Community Management, Facilitation
Education
University of Missouri-Saint Louis 2006 — 2010
Doctoral Studies, Adult Education and Human Resource Development
Webster University
MA, Leadership and Management
Northeast Missouri State University
MA, Counseling
Northeast Missouri State University
BSE, Social Science Education
Erickson Coaching International
The Art and Science of Coaching - Module One, Coaching
Cardinal Ritter Senior Services April 2008 - March 2009
Simplicity/Micro Systems Inc March 2004 - August 2006
MS Health Services Inc. April 2002 - June 2003
Mercy Health Plans June 1995 - April 2002
Health Care Group 1995 - 2002
Skills
Accounts Receivable, Bookkeeping, Reconciliation, General Ledger, Journal Entries, Account Reconciliation, Excel, Billing, Reconciliations, Word, Data Entry, Reconciling, Outlook
Education
Sanford-Brown College 1988 — 1989
Associates, Accounting
Keller Williams Realty October 2009 - Present
Mercy Health Plans October 1996 - July 2009
Springfield Credit Bureau March 1996 - October 1996
Springfield Community Hospital January 1992 - January 1996
Blue Shield of California January 1986 - January 1991
Sheraton Hotel January 1983 - January 1986
Education
Universidad de Chile
Associates, Chemistry
Universidad de Chile
Associates, English
Staples Promotional Products November 2010 - Present
Trescott Business Solutions January 1997 - Present
ExtendSnacks October 2004 - November 2010
Mercy Health Plans September 2004 - October 2010
Daugherty July 1998 - September 2004
A.G. Edwards June 1997 - October 1999
SSE April 1994 - May 1996
Skills
Databases, Microsoft SQL Server, T-SQL, ASP, XML, ASP.NET, Oracle, C#, Visio, VB.NET, Visual Studio, MS Project, Java, HTML, IIS, C++, PL/SQL, Sybase, DHTML, Access
Education
Missouri State University 1983 — 1987
Cartography & Map Technology, Engineering
Whalen & Company CPAs August 2011 - Present
Sperry Van Ness 2014 - 2015
Sperry Van Ness 2014 - 2015
Mercy Health Plans 2005 - 2007
Skills
Tax Preparation, Accounting, Tax, Income Tax, Microsoft Excel, Microsoft Word, Organizational..., Organization &..., Team Management, Operational Excellence, IT Support, Website Maintenance, Billing, IT Administration, Computers, Computer Software..., Financial Reporting, Invoicing, Customer Service, Financial Analysis, Public Speaking, Marketing, Event Planning, Small Business, Team Building, Leadership, Budgets
Education
St. Louis College of Health Careers 2002 — 2003
Certificate, Medical Coding and Billing
Marietta College 1999 — 2001
Columbus State
Accounting
Mercy Corporate Health April 2012 - Present
Mercy May 2009 - Present
Mercy November 2007 - May 2009
Mercy CarePlus June 2006 - November 2007
Mercy Health Plans December 2000 - June 2006
Bellevue Auto Center February 1999 - December 2000
Case Management, Inc August 1998 - February 1999
Behavioral Health Services, INC July 1997 - July 1998
Youth Villages April 1995 - July 1997
Skills
Case Manager, Counselor, Management, Insurance Background, Epic Systems, Training, HIPAA, Behavioral Health, Accounting, APA, Process Improvement
Education
University of Phoenix 2011 — 2012
Master's degree, Psychology
University of Tennessee at Martin 1989 — 1994
Bachelor of Science (B.S.), Biology Major, Psychology Minor
Numotion Mobility September 2013 - Present
Mercy May 2007 - May 2013
Mercy CarePlus June 2006 - May 2007
Mercy Health Plans July 2000 - June 2006
Skills
Nurse Recruitment, Job Fairs, Onboarding, Training, Applicant Tracking..., Resume Writing, HIPAA, Hospitals, Human Resources, Recruiting, Kronos, PowerPoint, Recruitment Training, Team Building, College Recruiting, Interviews, Data Entry, FMLA, Sourcing, Access, Visio, Temporary Placement, System Administration, Talent Acquisition, Deferred Compensation, Community Outreach, Benefits Administration, Behavioral Interviewing, PeopleSoft, Process Improvement, Workforce Planning, Internet Recruiting, Management
Education
University of Phoenix 2010 — 2012
BS, Psychology
Westminster Christian Academy
Coventry Health Care January 2010 - September 2012
Mercy Health Plans January 2008 - January 2010
Mercy Health Plans January 2005 - January 2008
The Mattson Jack Group January 1997 - January 2005
Cannon Design 1987 - 1997
Skills
Healthcare, Data Analysis, Performance Management, Project Management, Access, Quality Management, Quality Assurance, Strategic Planning, Performance Improvement, Outlook, Program Management, Analysis, Process Improvement
Education
Lindenwood University
Master of Arts, Communications; Training and Development
Lindenwood University
Bachelors of Science, Business Administration
RJP Electric, LLC August 2014 - Present
Thirty-One Gifts February 2014 - Present
Moments to Treasure 2008 - Present
Always a Party Entertainment 2000 - Present
Home June 2008 - August 2014
Andres Banquet Facilities May 2010 - July 2011
Women's Health Partners 2008 - 2009
St. Anthony's Medical Center April 2005 - June 2008
Mercy Health Plans 2004 - 2005
Tenet Healthcare 2000 - 2004
Skills
Event Planning, Video Production, Public Relations, Marketing, Entertainment, Social Networking, Medical Transcription, Executive..., Financial Reporting, Photography, Graphic Design, Sales Presentations, Bartending, Adobe Acrobat, Adobe Creative Suite, Microsoft Office, Microsoft Money, Vizio, Pagemaker, Quicken, Windows, Inkscape, Custom Facebook Pages, Newsletters, Business Strategy, Fundraising
Education
St. Louis Community College 1994 — 1996
Studies toward Advertising/Marketing/Business Administration
Affton Senior High School 1990 — 1994
General Studies with emphasis in Business Administration through COE Program
Health Fitness Corporation January 2012 - Present
Sisters of Mercy Health System January 2011 - January 2012
Sisters of Mercy Health System September 2010 - January 2011
Mercy Health Plans January 2010 - September 2010
Mercy Health Plans August 2008 - January 2010
MediFit Corporate Services June 2007 - July 2008
Skills
Fitness, Health Promotion, Health Education, Wellness, Program Management, Employee Wellness, Health, Program Evaluation
Education
Missouri State University 2003 — 2007
Health and Wellness Promotions
Lumeris October 2011 - Present
Mercy Health Plans 2006 - July 2011
Sisters of Mercy Health System July 2006 - July 2010
Skills
CPA, CNMT, Managed Care, Medicare, HIPAA, Health Insurance, Healthcare, Underwriting, Medicaid, Healthcare Information..., Employee Benefits, EHR, Process Improvement, Insurance, Data Analysis, Access, Healthcare Management, Health Policy, Software Documentation, EMR, Pharmacy Benefit..., Visio, Hospitals
Education
University of Missouri - St. Louis
University of Wisconsin-La Crosse
BS, Biology
Daugherty Business Solutions November 2013 - Present
Global Pharmaceutical Solutions (GPS) June 2012 - October 2013
CMIT Solutions of St. Charles November 2010 - September 2013
Cash anagement Solutions (CMS) November 2008 - December 2010
Mercy Health Plans March 2007 - November 2008
Beech-Nut Nutrition Corporation August 2006 - March 2007
Seventh Wave Laboratories July 2006 - January 2007
American Equity Mortgage August 2005 - July 2006
Beech-Nut Nutrition Corporation January 2005 - August 2005
EFDR - Electronic Forensic Data Recovery (Startup) August 2004 - December 2004
Skills
Business Analysis, Microsoft SQL Server, Data Warehousing, SDLC, Dashboard, Information Technology, Quality Assurance, Databases, Visio, Business Objects, Disaster Recovery, Managed Services, Visual Basic, Crystal Reports, Business Intelligence
Education
Lindenwood University 2005 — 2007
MS, Criminal Justice
Southern Illinois University, Carbondale 1982 — 1985
Computer Science, Computer Science
Mercy Health Plans October 2010 - Present
Coventry Health Care October 2010 - Present
Mercy Health Plans June 2005 - October 2010
Skills
Managed Care, HMO, Brokers, Insurance, Health Insurance, Health Savings Accounts, Medicare, HIPAA, Sales, Employee Benefits, Disability Insurance, Healthcare, PPO, Life Insurance, Long-term Care, Workers Compensation, Health Policy, Account Management, Customer Service, Medicare Part D, Underwriting
Education
Missouri State University 2001 — 2005
MBA, Hospital Adminstration
Missouri State University 1992 — 1999
B.S., Finance
Crestcom International November 2007 - Present
Jordan Valley Community Health Center January 2002 - Present
Jordan Valley Community Health Center 2006 - 2008
Mercy Health Plans May 1998 - 2006
Prior to Joining Mercy 1983 - 1998
Skills
Leadership Development, Coaching, Management Consulting, Executive Coaching, Strategic Planning, Organizational..., Negotiation, Change Management, Personal Development, Strategic Thinking, Management Development, Performance Management, Management, Health Policy, Healthcare Management, Leadership, Team Building, Managed Care, Marketing, Training, Business Development, Public Speaking, Workshop Facilitation, Strategy, New Business Development, Employee Training, Healthcare, Consulting, Executive Management, Business Planning, Business Strategy, Entrepreneurship, Time Management, Process Improvement, Recruiting, Organizational..., Nonprofits, Operations Management, Staff Development, Culture Change, Executive Development, Team Leadership, Emotional Intelligence, Employee Engagement, Program Management, Business Process..., Conflict Resolution, Performance Improvement, Human Resources, Talent Management
Education
The University of Georgia 1961 — 1964
Bachelor of Business Administration (BBA), Business Administration and Management, General
Amber Universirty 1995 — 1997
MBA, Business Leadership
The Resolution Group 1996 — 1997
Certificate of Completion, Bringing resolution to conflict situations
Combined Insurance July 2014 - July 2015
Pan-American Life Insurance Company May 2013 - July 2014
Pan-American Life Insurance Company January 2012 - May 2013
Quality Growth Management January 2009 - January 2012
Old Mutual Financial Network 2008 - 2008
Old Mutual Financial Network 2007 - 2008
Old Mutual Financial Network 2006 - 2007
Mercy Health Plans January 2004 - June 2006
Pan-American Life Insurance Company January 1998 - December 2003
Skills
Marketing, Insurance, Life Insurance, Fixed Annuities, Strategic Planning, Health Insurance, New Business Development, Sales Management, Business Development, Retirement, Team Building, Sales, Account Management, Negotiation, Disability Insurance, Term Life Insurance
Education
Rushmore University 2001 — 2002
MBA, Business
Florida State University - College of Business 1984 — 1987
B.S., Accounting
BancorpSouth Insurance Services, Inc. March 2015 - Present
AMN Healthcare March 2014 - January 2015
IntroLink Partners May 2003 - March 2014
Mercy Health Plans 1999 - 2003
Cox HealthPlans 1998 - 1999
Blue Cross Blue Shield of MO 1991 - 1998
Mangement Recruiters International 1987 - 1991
Skills
Workers Compensation, Recruiting, Insurance, New Business Development, Underwriting, Team Building, Sales Management, Health Insurance, Marketing, Benefits Administration, Strategic Planning, Brokers, Sales, Process Improvement, Employee Benefits, Healthcare, Customer Retention, Account Management, Leadership, Management, Customer Service, Human Resources, Talent Acquisition, Performance Management, Personnel Management, Talent Management, Microsoft Office, Managed Care, Employee Relations, Cold Calling, Training, Vendor Management, Strategy, Coaching, Applicant Tracking..., Leadership Development, Executive Management, Onboarding, Business Development, Sourcing, College Recruiting, CRM, Interviews, Technical Recruiting, Selling, Temporary Placement, Organizational..., Hiring
Education
Central Missouri State University 1980 — 1984
BSBA, Marketing
Tidewater Community College January 2014 - Present
University of Phoenix January 2005 - Present
Indiana University/ Purdue University January 2011 - January 2012
Mercy Health Plans May 2002 - December 2004
Skills
Curriculum Design, Student Affairs, Adult Education, Faculty Development, Academic Administration, Higher Education, Distance Learning, Admissions, Curriculum Development, Academic Advising, College Teaching, Courses, University Teaching
Education
University of Toledo 2000 — 2002
Master of Business Administration (MBA)
IPFW 1997 — 1999
Bachelor's degree, Finance, General
Southern Illinois University, Carbondale 1995 — 1997
Accounting and Finance
YP June 2015 - Present
CBIZ Benefits & Insurance Services, Inc. February 2014 - August 2014
Cox HealthPlans March 2010 - November 2013
Mercy Health Plans 2006 - 2010
QualChoice 2003 - 2006
HealthLink, Inc. 2001 - 2003
Arkansas BlueCross BlueShield 1996 - 2001
Skills
Marketing Strategy, Insurance, Direct Marketing, Employee Benefits, Strategic Planning, Health Insurance, New Business Development, Marketing, Leadership, Medicare, Managed Care, Marketing Communications, Healthcare, Life Insurance, Sales, Public Relations, Advertising, Customer Service
Education
Harding University 1994 — 1996
Bachelor of Business Administration (B.B.A.), Professional Sales
Abilene Christian University 1991 — 1993
Bachelor of Business Administration (BBA), Business Administration and Management, General
Lakeview Centennial High School 1987 — 1991
H.S. Diploma
Brinkmann Constructors September 2014 - Present
The Orthopedic Center of St. Louis April 2013 - September 2014
Mercy Health Plans October 2008 - May 2012
ProCare, Inc. June 2003 - July 2008
Account Temps/Office Team, St. Louis, MO January 2003 - June 2003
Interface Systems LLC February 1999 - August 2001
Grannemann Elementary School August 1997 - May 1998
Aldi Foods June 1990 - August 1996
Skills
Accounts Payable, Accounts Receivable, Outlook, QuickBooks, Data Entry, Invoicing, Access, Microsoft Excel, Spreadsheets, Accounting, PowerPoint, Customer Service, Employee Benefits, Telephone Skills, Management, 10 Key, Medicare, Financial Statements, Microsoft Word
Education
East Central College 2012 — 2014
Associate's Degree, Business Administration/Finance
High school graduate and some college
Business/Finance
N2 Publishing June 2015 - September 2015
Bayer HealthCare Pharmaceuticals February 2005 - August 2011
Bayer HealthCare February 1998 - February 2005
Bayer HealthCare February 1998 - February 1998
Mercy Health Plans January 1996 - January 1998
Mercy Health Plans January 1994 - January 1996
Preferred Healthcare January 1990 - December 1993
Skills
Organization Skills, Writing, Problem Solving, Teamwork, Leadership, Communication, Customer-facing, Customer Service, Following Through, Train Employees, Fundraising, Patience, Horses, PowerPoint, Excel, Business Acumen, Business Planning, Verix, Reproductive..., Hospitals, Pharmacy, Contracting, Managed Healthcare, OB/GYN, IUDs, Sales, Buy and Bill, Consulatative Selling..., Interviews, New Business Development, Professional Promotions, Legal Compliance, Pharma Guidelines, PDMA
Education
Central Michigan University 1993 — 1996
Masters, Health/Health Care Administration/Management, 3.9
Central Michigan University 1983 — 1988
Bachelor of Science (B.S.), Exercise Physiology; Nutrition, 3.2
Mercy Health Plans August 2003 - June 2005
Mercy Health Plans 1999 - 2002
Practice Patterns Science January 1997 - July 1999
Express Scripts July 1994 - January 1997
Skills
Business Analysis, Process Improvement, Healthcare Information..., SDLC, Healthcare
Education
Saint Louis University 2001 — 2003
MBA
Washington University in St. Louis 1991 — 1995
B.S. Information Systems, Information Systems
Mercy August 2013 - Present
St. John's Hospital Springfield, MO June 2009 - August 2013
Sisters of Mercy Health System May 2006 - June 2009
Sisters of Mercy Health Systems 2004 - 2006
Mercy Health Plans 1998 - 2004
Skills
Healthcare Information..., Leadership, HIPAA, EMR, Visio, Epic Systems, EHR, Healthcare, Computer Hardware, Hospitals, SharePoint, Database Administration, Active Directory, Business Analysis, Project Management, Crystal Reports, Process Improvement, HL7, SDLC, Disaster Recovery, Data Warehousing, Network Administration, Business Objects, Customer Service, Managed Care, Business Intelligence, Customer Relations, ITIL, Change Management, Integration, IT Management, Six Sigma, Population Health..., Technical Writing, Enterprise Content..., Data Mining, SQL, Oracle, Information Security, Allscripts, Epic Ambulatory, IT Asset Management, Healthcare Analytics, SSRS, IT Strategy, ITIL Service Strategy, Team Building, Healthcare Management, Software Documentation, Informatics
Education
Missouri State University 1992 — 1996
BS, Biology
MVRHS
UnitedHealthcare June 2010 - Present
Mercy Health Plans 2005 - 2010
Education
University of Dayton
Barnes-Jewish Hospital December 2014 - Present
Coventry Health Care, an Aetna Company October 2010 - December 2014
Mercy Health Plans March 2008 - October 2010
St. Mary's Medical Center 2001 - 2006
Skills
Managed Care, Healthcare, Customer Service, Health Insurance, Medicare, Critical Care, Hospitals, Nursing, Provider Relations, Utilization Management, Inpatient, Healthcare Information..., EMR, ICU
Education
Illinois Wesleyan University 1993 — 1997
Bachelor of Science Nursing, BSN
Molina Healthcare October 2009 - Present
Laredo Chamber of Commerce 2005 - 2012
Mercy Health Plans October 2005 - October 2009
El Metro Laredo Public Transit January 2005 - October 2005
Skills
Event Planning, Customer Service, Public Relations, Public Speaking, Microsoft Office, PowerPoint, Community Outreach, Strategic Planning, Microsoft Word, Fundraising, Microsoft Excel, Non-profits, Photoshop, Nonprofits, Social Networking, Leadership, Event Management, Team Building, Spanish, Management, Volunteer Management, Budgets, Program Development, Research, Project Management, Marketing Strategy, Leadership Development, Social Media, Analysis, Data Analysis, Editing, Training, Healthcare, Government, Staff Development, Project Planning, Community Development, Teaching, Organizational..., Marketing, Team Leadership, Contract Negotiation, Coaching
Education
The University of Texas at Austin 1999 — 2001
Bachelor of Fine Arts (B.F.A.), Art History
Austin Community College 1998 — 1999
Texas A&M International University 1997 — 1998
Ventura College 1996 — 1997
Mothers and More June 2011 - Present
The Ivy Sandbox March 2009 - April 2013
Mothers and More 2007 - 2010
Blue Care Network 2000 - 2002
Health Alliance Plan 1999 - 2001
Mercy Health Plans 1995 - 1998
Mercy Health Plans 1993 - 1995
Skills
Public Speaking, Account Management, Sales, PowerPoint, New Business Development, EMR, Revenue Cycle, Team Building, Event Planning, Research, Leadership, Business Analysis, Program Management, Fundraising, Nonprofits, Training, Public Relations, Health Insurance, Access, Leadership Development
Education
Michigan State University 1983 — 1988
B.A., Communication/Sales Promotion
x
Bachelor of Arts (B.A.), Communication, General
FlexTech, Inc May 1998 - Present
Cigna-HealthSpring April 2013 - December 2013
Independent Living Systems July 2012 - March 2013
Molina Healthcare July 2010 - June 2012
HTMS August 2008 - April 2010
Fallon Community Health Plan August 2008 - March 2010
Health Alliance Medical Plans May 2007 - July 2008
Physicians Health Plan November 2006 - April 2007
Mercy Health Plans July 2004 - October 2006
Unisys April 2003 - February 2004
Skills
SQL, Healthcare, Business Analysis, Healthcare Information..., Managed Care, Medicare, Medicaid, SSIS, Crystal Reports, Technical Analysis, Health Insurance, Healthcare Industry, HIPAA, QNXT, Testing, Healthcare Consulting
Education
Saginaw Valley State University 1972 — 1976
BS, Mechanical Engeering
Mercy Children's Hospital (Mercy Kids) January 2013 - February 2014
Molina Healthcare of Missouri April 2010 - May 2012
Mercy Health Plans August 2007 - April 2010
Mercy Health Plans October 1998 - August 2007
Skills
Healthcare, Leadership, Training, Analysis, Employee Benefits, Management, Process Improvement, Time Management, Outlook, Customer Service, Health Insurance, Software Documentation
Education
St. Louis Community College 1968 — 1970
Business Administration, Management and Operations
Laraine Yapo Health Care Consulting, LLC January 2012 - Present
HealthPlus of Michigan June 2009 - 2012
HealthPlus of Michigan 1999 - 2009
HealthPlus of Michigan 1997 - 1999
HealthPlus of Michigan 1996 - 1997
Mercy Health plans 1995 - 1996
Mercy Health Plans 1993 - 1995
Skills
HEDIS, Medicare, Disease Management, Medicaid, Health Insurance, Strategic Planning, Program Development, Healthcare, Managed Care, HMO, NCQA, Performance Improvement, Quality Improvement, Wellness, PPO, Healthcare Management, Health Policy, Pharmacy Benefit..., Nursing, Clinical Research, Credentialing, Accreditation, Healthcare Consulting, Healthcare Industry, Informatics, Healthcare Information..., HIPAA, Medicare Part D, Employee Benefits, Utilization Management, Pharmacy, Provider Relations, EHR, Revenue Cycle, Hospitals, Long-term Care, Medicine, Diabetes, EMR, Process Improvement, Network Development, Leadership Development, Physician Relations, Data Analysis
Education
Northwestern University - Kellogg School of Management 2008 — 2009
Madonna University
BSN, Nursing
Mehlville Lion's Club - South County 2005 - Present
Bethesda Health Group August 2002 - Present
Coventry (formerly GHP - Group Health Plan April 1998 - August 2003
Mercy Health Plans 1993 - 1995
Skills
Home Care, Private Duty, Healthcare, Elder Care, Medicare, Hospitals, Medicaid, Nonprofits, Managed Care, Healthcare Industry, Long-term Care, Strategic Planning, Social Services, Leadership, Case Managment, Community Outreach, Physicians, Seniors, Healthcare Management, Marketing, Health Insurance, Compassion, HIPAA, Patient Advocacy, Physician Relations, Disease Management, Utilization Management, Case Management
Education
Saint Louis University 1983 — 1987
Associates, Business Management
Meramec Community College 1978 — 1981
Business, Management, Marketing, and Related Support Services
Mehlville High School 1974 — 1977
MasterCard December 2013 - Present
Charter Communications May 2010 - December 2013
Advantage Consulting May 2009 - December 2009
e-Sponder, LLC March 2008 - May 2009
Consultant September 2006 - March 2008
Mercy Health Plans August 2001 - September 2006
Skills
C#, .NET, Visual Studio, XML, SQL, ASP, SharePoint, Database Design, JavaScript, Programming, SSRS, Web Services, PL/SQL, Business Intelligence, Database Administration, Business Objects, Visio, Microsoft SQL Server, IIS, T-SQL, SoapUI, LINQ, XQuery / XPath, HTML, Toad, RUP, Microsoft Certified..., Photoshop, Data Conversion, Oracle SQL, Oracle Applications, Java
Education
University of Missouri-Saint Louis 2002 — 2003
Certificate, Application Development
Vatterott College 2000 — 2001
Certificate, Application Development
Webster University 1995 — 1997
M.A., Psychology
Southeast Missouri State University 1991 — 1995
B.S., Psychology, Music, Computer Science
CyberCENTS June 2015 - Present
NetENV January 2014 - Present
Denver InfraGard April 2012 - Present
Camber Corporation December 2011 - June 2015
Avaya Government Solutions 2008 - 2011
Nortel Government Solutions 2005 - 2008
Lexiter Technologies 2004 - May 2005
Mercy Health Plans 2000 - 2004
Skills
Information Assurance, Air Force, DoD, Network Engineering, Switches, Network Security, Active Directory, Information Security..., Cisco Technologies, Routers, Security, Microsoft Exchange, CISSP, Windows Server, Disaster Recovery, DNS, Troubleshooting, Military, Networking, DoD Top Secret Clearance, Network Design, LAN-WAN, Network Architecture, Telecommunications, IT Service Management, Routing, PMP, Integration, Cyber Operations
Education
University of Colorado at Boulder
Master of Engineering (M.Eng.), Engineering Management
University of Colorado at Boulder
Master of Engineering (M.Eng.), Telecommunications
Yale University
Bachelor of Science (BS), Computer Science
Mercy Clinic March 2013 - Present
Coventry Health Care October 2010 - October 2012
Mercy Health Plans, a Coventry Company October 2009 - October 2010
Mercy Health Plans 2003 - October 2010
Mercy Health Plans 1999 - 2001
Mercy Health Plans 1999 - 1999
Skills
Managed Care, Healthcare, Data Analysis, Business Analysis, Process Improvement, Visio, Healthcare Information..., HIPAA, EHR, SharePoint, Medicaid, Project Management, EMR, Hospitals, Medicare, Provider Relations, SQL, Business Intelligence, Analysis, Informatics
Education
Webster University 2002 — 2004
MBA, Business Administration, Health Services Management
Saint Louis University 1993 — 1998
BS, Health Information Management, Business Administration
Mercy Health Plans Account ManagerMercy health plans2002 - 2009
Education
University of Missouri-Saint Louis 1982 — 1988
Marketing
Evolent Health August 2014 - Present
WellCare February 2010 - August 2014
Accenture December 2005 - February 2010
Mercy Health Plans December 2001 - December 2005
Skills
Business Process..., Process Improvement, Healthcare, Business Analysis, Performance Improvement, Acquisition Integration, Management Consulting, Medicaid, Healthcare Information..., Vendor Management, Change Management, HIPAA, Medicare, Program Management, Project Management, Strategic Planning, Business Process, Data Analysis, Business Process Design, Operations Management, SDLC, Strategy, Software Documentation, Cross-functional Team...
Education
Saint Louis University 2000 — 2002
Masters, Health Administration
Saint Mary's University of Minnesota 1996 — 2000
Bachelors, Accounting
cWc Healthcare Consultants, LLC January 2015 - Present
Southcoast Physicians Network and Southcoast Accountable Care Organization, LLC 2012 - 2014
CDPHP 2004 - 2012
One Call Medical 1999 - 2003
Oxford Health Plans 1997 - 1998
Mercy Health Plans 1995 - 1997
Aetna 1984 - 1993
Skills
Provider Relations, Managed Care, Provider Contracting, Provider Payment Models, Change Leadership, Team Leadership, Payments, Conceptual Modeling
Education
Bucknell University
BA, Biology
Duke University - The Fuqua School of Business
MHA
Rensselaer Polytechnic Institute at Hartford
MBA, Finance
Mercy Health Plans July 2007 - Present
EPC August 2004 - January 2007
Education
Maryville University of Saint Louis 2004 — 2006
Bachelors, Nursing
Lindenwood University 1998 — 2001
Bachelors, Business Administration
Kforce Technical Staffing August 2013 - Present
Kforce Inc August 2013 - Present
PwC Consulting October 2010 - July 2013
Mercy Health Plans September 2008 - February 2011
BearingPoint, Inc. 2003 - 2008
Dolphin, Inc. 1999 - 2002
Skills
Management Consulting, Program Management, PMP, Microsoft Office, PMO, Business Analysis, Process Improvement
Education
Allegheny College 1993 — 1997
BS, Computer Science, Math, Psychology
New Century Health October 2015 - Present
New Century Health September 2014 - October 2015
Centene Corporation September 2013 - September 2014
Centene Corporation April 2012 - September 2013
Centene Corporation September 2011 - April 2012
Centene Corporation August 2010 - August 2011
Sisters of Mercy Health System August 2009 - August 2010
Mercy Health Plans May 2006 - August 2009
WestRidge Homeowner's Association of Festus, Inc January 2008 - September 2008
WestRidge Homeowner's Association of Festus, Inc September 2006 - December 2007
Skills
Teradata, Business Intelligence, SQL, Process Improvement, Data Analysis, Software Documentation, Healthcare, Medicare, Medicaid, Health Insurance, Business Objects, Analytics, Managed Care, Healthcare Information..., Training, Business Analysis, Insurance, Visio, Data Mining, Team Leadership, Access, Databases, Team Building, Business Process..., Quality Assurance, Medicare Part D, Health Policy, Provider Relations, Customer Service, Documentation, Healthcare IT, Data Warehousing, Administration, Crystal Reports, Change Management, Management Consulting, Financial Analysis, Contract Negotiation, Database Administration, Microstrategy, Government Programs, Customer Relations, Mentoring, Oracle SQL, FastLoad, Group Medical, Health Plans, Analysis, Leadership, Management
Education
Western Governors University 2014 — 2017
Bachelor of Science (BSc), Health Informatics
Concordia University-Wisconsin 2000 — 2001
Health Care Administration
Missouri College 1994 — 1995
Medical Assistant
Maryville University of Saint Louis July 2014 - Present
Monsanto August 2012 - Present
Coventry Health Care March 2008 - August 2012
Centene Corporation March 2007 - December 2007
Mercy Health Plans March 2002 - March 2007
Skills
Vendor Management, Process Improvement, Managed Care, Provider Relations, Contract Negotiation, Contract Management, Account Management, Project Management, Program Management, Procurement, Healthcare, Cross-functional Team..., Business Analysis, Health Insurance, Software Documentation, Business Process..., Team Building, Training, Leadership, Management, Medicaid, Change Management, Network Development, Strategic Planning, Analysis, Insurance, Operations Management, HIPAA, Healthcare Industry, Medicare
Education
Maryville University of Saint Louis 2007 — 2010
MBA
Maryville University of Saint Louis 2001 — 2003
BS, Business Administration
St. Charles Community College 1999 — 2001
AA, Business Administration
Mercy July 2006 - Present
Mercy Health Plans June 2000 - July 2006
BJC HealthCare April 1999 - December 1999
BJC HealthCare September 1997 - October 1998
US Army - Aviation and Troop Command (ATCOM) April 1997 - July 1997
US Army - Aviation and Troop Command (ATCOM) July 1995 - March 1997
Maryville University June 1991 - May 1994
Skills
Storage, EMC Storage, NetApp, Storage Area Networks, Brocade, Servers, System Administration, Red Hat Linux, RHEL, AIX Administration, Unix Shell Scripting, Unix, Virtualization, Data Center, Technical Support, TCP/IP, HP, Networking, Troubleshooting, Shell Scripting, Hardware, SAN
Education
Maryville University of Saint Louis 1990 — 1994
Bachelor of Science (BS), Management Information Systems
The Mosaic Company July 2013 - Present
Target Corporation March 2008 - July 2013
Target Corporation January 2006 - March 2008
Mercy Health Plans January 2001 - January 2006
Arthur Andersen LLP March 1998 - January 2001
Borders November 1995 - March 1998
Builders Square, Inc. 1992 - 1995
Skills
SOX, Internal Audit, Audit, Auditing, Internal Controls, Retail Industry, Healthcare, Pharmacy Operations, Healthcare Compliance, Compliance, Operational Risk, Risk Assessment, Ethics, Enterprise Risk..., Business Process..., business risk management
Education
Northern Illinois University 1988 — 1991
Bachelor of Arts (B.A.)
Centegra Health System November 2011 - Present
BJC HealthCare January 2010 - November 2011
BJC HealthCare May 2008 - January 2010
Memorial Medical Center June 2007 - May 2008
Mercy Health Plans February 2006 - May 2007
St. Luke's Hospital May 2006 - August 2006
Barnes-Jewish Hospital May 2005 - May 2006
St. Alexius Medical Center May 2004 - July 2004
Skills
Leadership, Research, Marketing, Business Planning, Microsoft Office, Spreadsheets, Strategy, Strategic Planning, Healthcare Management, Hospitals, Process Improvement, Healthcare, Performance Improvement, Leadership Development, Operations Management, Physician Relations, Management, Customer Service, Marketing Strategy, Team Building, Cross-functional Team..., Physicians, Project Planning, Healthcare Consulting, Data Analysis, Healthcare Industry
Education
Washington University School of Medicine in St. Louis 2005 — 2007
Master of Health Administration
Truman State University 2001 — 2005
Bachelor of Science
mercy health plans March 2008 - Present
Education
University of Missouri-Columbia 1984 — 1988
bs, educational studies
Essence Healthcare June 2009 - Present
Mercy Health Plans 2002 - June 2009
Mercy Medical Group 1997 - 2002
McDonnell Douglas 1987 - 1991
Education
St. Louis College of Pharmacy 1991 — 1997
RPh, Pharm.D., Pharmacy
University of Missouri-Rolla 1982 — 1986
BSME, Mechanical Engineering
Washington University School of Medicine August 2010 - Present
Mercy Health Plans July 2004 - August 2010
Magellan Behavioral Health November 2000 - April 2004
Healthlink July 1999 - November 2000
General American Life Insurance April 1991 - December 1998
Education
Maryville University of Saint Louis 2000 — 2005
BS, Business Administration
Mercy September 2006 - Present
Mercy Health Plans May 1999 - September 2006
LinCom Corporation August 1993 - April 1999
Kansas State University June 1990 - May 1993
The Master Teacher June 1988 - June 1990
Skills
Online Help, Software Documentation, RoboHelp, Editing, Agile Methodologies, Technical Writing, Captivate, SnagIt, Process Improvement, Project Coordination, Quality Assurance, Version One, Visio, Training, Program Management, SharePoint, Newsletters, Documentation, Databases, Management
Education
University of Missouri-Saint Louis 1983 — 1987
Bachelor's, Speech Communication, emphasis in Mass Media
Dell Services October 2009 - Present
Mercy Health Plans July 1995 - October 2009
Mercy Information Services Division 1995 - 2009
Benefit Administrators of America, Inc 1991 - 1995
Blue Cross Blue Shield of Iowa 1987 - 1989
The Travelers Insurance Company 1981 - 1987
Skills
Training, Claim, Business Analysis, HIPAA, Employee Benefits, SDLC, Vendor Management, Quality Assurance, Requirements Analysis, Medicare, Process Improvement, Healthcare, Healthcare Information..., Health Insurance, Software Documentation
Education
Drury University 2006 — 2009
R+L Carriers 2012 - Present
Fifth Third Bank January 2011 - Present
Kentucky Cabinet for Health and Family Services June 2010 - January 2011
CoreTechs May 2005 - June 2010
PNC Equipment Finance July 2004 - February 2010
National City Commercial Capital August 2006 - November 2009
National City Mortgage January 2006 - August 2006
JP Morgan Chase 2003 - 2004
Mercy Health Plans January 2003 - August 2003
WPI 2000 - 2001
Skills
Program Management, Healthcare Information..., Requirements Analysis, Project Management, Management, SDLC, Agile Methodologies, Integration, Agile Project Management, Client Server..., Consulting
Education
Worcester Polytechnic Institute 1999 — 2001
M.S., Marketing and Technological Innovation
University of Rajasthan
Bachelor of Computer Engineering, Computer Science
Sisters of Mercy Health System July 2003 - Present
Mercy Health Plans 2003 - 2005
Skills
Performance Tuning, ETL, Database Administration, Data Center, Disaster Recovery, Oracle RAC, SQL Tuning, Oracle, Data Warehousing, Data Modeling, Virtualization
Education
Shandong University
Webster University
OnPoint Partners May 2015 - Present
Glenridge HealthCare Solutions July 2013 - April 2015
Molina Healthcare February 2013 - July 2013
Molina Healthcare November 2011 - January 2013
WELLCARE HEALTH PLANS, INC September 2009 - November 2011
XLHealth May 2008 - September 2009
Heritage Health Systems November 2006 - May 2008
MERCY HEALTH PLANS July 2003 - November 2006
Skills
Contract Management, Customer Relations, Time Management, Research, Provider Relations, Managed Care, Medicare, Network Development, Medicaid, Credentialing, Health Insurance, Healthcare, HIPAA, Customer Service, Insurance, Recruiting, Management, Healthcare Industry, Healthcare Consulting, Healthcare Management, Team Building, Contract Negotiation, Hospitals, Health Policy, Leadership, Marketing, Strategic Planning, Process Improvement, Revenue Cycle, Medicare Part D, Disease Management, Negotiation, Utilization Management, Strategy, HMO, Claim, Healthcare Information..., Policy, Project Management, Pharmacy Benefit..., Physician Relations, Physicians, Claims Resolution, Medical Billing, Quality Improvement, Medical Coding, Medical Compliance, EHR, Sales Operations, Healthcare Reimbursement
Education
University of Phoenix 2006 — 2008
Master of Business Administration (M.B.A.), Business
Lindenwood University 2004 — 2006
Bachelor of Business Administration (BBA), Business Administration and Management, General
Family Health Network December 2013 - Present
BJC HealthCare September 2006 - November 2013
Mercy Health Plans 2003 - 2006
Skills
Provider Relations, Policy, Healthcare, Healthcare Management, Health Education, Revenue Cycle, Budgets, Performance Management, Managed Care, Healthcare Information..., Credentialing, Process Improvement, Network Development, Medicaid, HIPAA, Coaching, Leadership, Software Documentation, Customer Service, Training, Team Leadership, Management, Medicare, Strategic Planning, Public Speaking, Team Building, Leadership Development, Change Management, Contract Negotiation, Health Insurance, Operations Management, Healthcare Consulting, Hospitals, Healthcare Industry, Microsoft Office
Education
Fontbonne University 2006 — 2010
BA, Business Administration
Coventry Health Care January 2012 - Present
Barnes-Jewish Hospital November 2009 - December 2011
Mercy Health Plans July 2007 - November 2009
Skills
Healthcare, Insurance, Health Insurance, Clinical Research, HIPAA, Healthcare Information...
Education
Maryville University of Saint Louis 2004 — 2006
Bachelors, Nursing
Lindenwood University 1999 — 2001
Bachelors, Business Administration
Mercy Health Plans April 2003 - Present
Mercy Health Plans January 2003 - Present
CarePartners January 2000 - January 2003
BJC HealthCare January 1999 - January 2000
Barnes-Jewish Hospital January 1994 - January 1999
Barnes Care January 1989 - January 1994
John Stark Printing January 1987 - January 1989
Telecommunications January 1984 - January 1987
Education
Missouri Baptist College
Masters degree; possess a Business and Office Diploma, Business Administration
Missouri Baptist University
MBA, Business Management
Gallagher Benefit Services July 2012 - Present
Gallagher Benefit Services May 2008 - July 2012
Cox Health Plans January 2005 - May 2008
Mercy Health Plans 2000 - 2005
Skills
Health Insurance, Employee Benefits, Disability Insurance, Insurance, Brokers, Term Life Insurance, Life Insurance, Underwriting, Long-term Care, Dentistry, Managed Care, Benefits Administration, Health Care Reform, COBRA, Health Savings Accounts, Leadership
Education
University of Illinois at Chicago 1994 — 1996
Bachelors, Political Science
Centene Corporation October 2014 - Present
Centene Corporation August 2005 - October 2014
Mercy Health Plan Ins. April 2002 - August 2005
Mercy Health Plans February 2001 - April 2002
Alliance Blue Cross/Blue Shield Missouri September 1999 - February 2001
Skills
Healthcare, Insurance, Data Analysis, Analysis, Access, Medicaid, Medicare, Informatics, HIPAA, Process Improvement, Software Documentation, Quality Assurance, Hospitals
Education
Webster University 2002 — 2004
MBA
Truman State University
BS, Accounting
Kern Health Systems January 2015 - Present
Mercy Health Plans April 2008 - Present
Managed Care Systems, LP March 2010 - January 2015
Medical Associates Health Plans & Health Choices May 2000 - February 2008
Medical Associates Clinic, P.C. 2000 - 2008
Quality Care Network MSO July 1999 - May 2000
Presbyterian Health Plan November 1997 - July 1999
FHP of New Mexico, Inc October 1993 - November 1997
UltraLink July 1992 - October 1993
Aetna Health Plans March 1987 - July 1992
Skills
Network Development, Managed Care, Budgets, Medicaid, Provider Relations, PPO, Medicare, HMO, Sales, Strategy, Customer Service, Healthcare, Health Policy, Leadership, Marketing, Physicians, Process Improvement, Employee Benefits, Strategic Planning
Education
University of Phoenix
MBA, Business Administration and Management, General
Brigham Young University
B.S, Business Management
Edward Jones September 2014 - Present
Edward Jones Financial December 2013 - September 2014
Holy Cross Lutheran School and Church 2011 - 2014
Barnes Jewish Hospital December 2010 - February 2012
MERCY HEALTH PLANS March 2008 - March 2010
WILDLIFE CENTER OF MISSOURI August 2004 - February 2008
UNITEDHEALTHCARE OF THE MIDWEST, INC December 2002 - February 2004
Granite City Glass, Dempsey Adams CARSTAR February 2001 - December 2002
SAINT ELIZABETH MEDICAL CENTER January 1996 - January 2001
Skills
Media Relations, Marketing Strategy, Crisis Communications, Sales, B2B, Desktop Publishing, Newsletters, Internal Communications, Event Planning, Corporate Communications, Public Relations, Marketing Communications, Customer Service, Insurance, Healthcare, Health Insurance, Copywriting, Marketing, Press Releases, Marketing Research, Advertising, Event Management, Fundraising, Strategic Communications
Education
Southern Illinois University 1992 — 1996
Bachelor of Arts, Speech Communication/Mass Communication
Southern Illinois University 1992 — 1996
Graduate Program, Mass Communications
Southern Illinois University, Edwardsville 1992 — 1996
BA, Speech Communication & Journalism
CHS
Mercy April 2014 - Present
Mercy January 2011 - Present
Mercy Health Plans September 1995 - August 2011
Skills
Team Leadership, HRIS, Employee Relations, Recruiting, Training, Onboarding, Leadership, Performance Management, Talent Management, Conflict Resolution, Resume Writing, Coaching, Temporary Placement, Team Building, Personnel Management, Strategic Planning, Management, Talent Acquisition, Healthcare, Process Improvement, Change Management, Human Resources, Employee Benefits, Benefits Administration, Leadership Development, Organizational..., Policy, Employee Engagement, Workforce Planning, New Hire Orientations, Deferred Compensation, FMLA, Applicant Tracking..., Succession Planning, Career Development, Labor Relations, College Recruiting, Interviews, HR Policies, Job Descriptions, Hiring, Sourcing, Organizational..., Job Fairs, Employee Training, Internet Recruiting, Technical Recruiting, Employment Law, PeopleSoft, HR Consulting
Education
Lindenwood University 2006 — 2011
Human Resources
Lovelace Health Plan April 2009 - April 2011
Mercy Health Plans January 1999 - January 2006
PRUDENTIAL INSURANCE COMPANY - GROUP CREDIT INSURANCE OPERATIONS January 1997 - January 1998
PRUDENTIAL INSURANCE COMPANY January 1993 - January 1997
PRUDENTIAL INSURANCE COMPANY - GROUP CREDIT INSURANCE OPERATIONS(GCIO) January 1986 - January 1993
Education
Princeton University 1969 — 1973
AB, Art History
Princeton University
A.B
Professional Designations
ASA, M.A.A.A, CLU
Forest Laboratories Inc 2011 - Present
Unisys 2011 - 2011
UnitedHealth Group 2010 - 2010
United Health Group 2009 - 2010
RZ Solutions 2008 - 2009
Centene Corporation May 2005 - November 2008
Mercy Health Plans 2004 - 2005
Education
McGill University 1976 — 1978
computer sc, business
Together Health Network January 2015 - Present
SKH Business Consultants, Inc. January 2002 - December 2014
Southeast Michigan Beacon Community April 2011 - December 2013
Prism 2010 - 2011
SelectCare 1999 - 2001
Mercy Health Plans 1996 - 1999
University of Michigan Health System 1988 - 1996
Skills
Healthcare Consulting, Hospitals, Strategic Planning, Health Insurance, Clinical Research, Insurance, Physicians, Healthcare, Employee Benefits, Population Health, Healthcare Information..., Clinical Practice..., Medicaid, Health Policy, Process Improvement, Healthcare Management, Program Management
Education
Eastern Michigan University 1991 — 1993
MBA
Madonna University 1986 — 1990
Bachelor of Science (B.S.), Accounting
Charter Communications April 2011 - Present
Wells Fargo Advisors June 2010 - April 2011
Express Scripts June 2009 - December 2009
Mercy Health Plans July 2007 - October 2008
MasterCard December 2006 - July 2007
Mercy Health Plans March 2004 - December 2006
MasterCard June 2001 - March 2004
Convergys, Inc April 2000 - April 2001
Smurfit-Stone September 1999 - March 2000
Solutia, Inc. February 1998 - September 1999
Skills
Project Management
Education
SUNY Potsdam
Bachelor of Arts (BA), Computer Science
State University of New York College at Potsdam
BA, Computer Science
Nortek Global HVAC January 2015 - Present
Nortek Global HVAC January 2015 - Present
Mercy Information Services Division 1999 - 2014
Sisters of Mercy Health System 1999 - 2014
The Sisters of Mercy Health System (MISD) 1999 - 2014
Sisters of Mercy Health Systems 1999 - 2014
Sisters of Mercy Health System August 1999 - September 2012
Mercy Health Plans 1999 - 2008
Skills
SSRS, Integration Testing, SharePoint, Software Documentation, VBScript, Requirements Gathering, Visio, SQL, SDLC, Systems Analysis, Data Warehousing, Agile Methodologies, Requirements Analysis, ETL, Microsoft SQL Server, Oracle, Databases, Business Intelligence, Business Analysis, Software Project..., Healthcare Information..., PL/SQL, Integration, Unix, Windows Server, EDI, ERP, Resource Management, IT Strategy, Vendor Management, Business Process, ITIL, IT Management, Data Analysis, HIPAA, Software Development, Process Improvement, Web Services, Solution Architecture, Software Implementation, Disaster Recovery, Access, Project Management
Education
Southeast Missouri State University 1991 — 1993
Bachelor of Science, Computer Science
Centene Corporation April 2015 - Present
Lumeris Essence Health September 2014 - March 2015
Centene Corporation April 2013 - September 2014
Coventry Health Care October 2010 - April 2013
Mercy Health Plans April 2008 - October 2010
Mercy Health Plans September 2005 - April 2008
Skills
Medicare, Health Insurance, Healthcare, Documentation, Call Center, Training, Managed Care, Provider Relations, Network Development, Insurance, HIPAA, Claim, Customer Service, Analysis, Employee Relations, CPT, HCPCS, Healthcare Management, Business Analysis, ICD-9, Team Building, Medical Billing, Medical Coding, Requirements Gathering, Software Documentation, HMO, Health Policy, Call Centers, Medicaid, Policy, Healthcare Industry, Process Improvement, PPO
Education
Middlebury College 1982 — 1986
BA, American Studies / History
Webster University
Edward Jones February 2011 - Present
Gravity Payments December 2009 - August 2010
Puritan Springs Water June 2009 - December 2009
C.H. Robinson Worldwide, Inc. June 2008 - February 2009
University of Missouri April 2005 - May 2008
Mercy Health Plans June 2007 - August 2007
Education
University of Missouri-Columbia, College of Business 2004 — 2008
Business Administration, Marketing
OptumInsight October 2011 - Present
Mercy Health Plans June 1998 - October 2007
Skills
ERISA, Health Policy, Data Analysis, Analytics, Healthcare Consulting, Management Consulting, Insurance, Health Insurance, Financial Modeling, Actuarial Science, Pensions, Medicare, Actuarial Consulting, SAS, Strategic Planning, Process Improvement, Managed Care, Risk Management, Benefits Administration, Employee Benefits, Health Care Reform, Leadership, Healthcare, Consulting, Defined Benefit, Executive Pay, Reinsurance, Strategy, Medicaid, Medicare Part D, 401k
Education
The Ohio State University 1981 — 1985
Concordia Plan Services January 2008 - Present
Mercy Health Plans November 2002 - January 2008
Skills
Actuarial Science, Health Insurance, Insurance
Education
Maryville University of Saint Louis 2001 — 2005
BS, Actuarial Science and Computer Science
UnitedHealthcare 2009 - Present
Mercy Health Plans 2003 - 2009
Skills
Network Development, Provider Relations, Managed Care, PPO, HMO, Medicaid, Medicare, Contract Management, Contract Negotiations, Contract Negotiation, HIPAA, Claim, Health Policy, Health Insurance, Healthcare Industry, Credentialing, Healthcare, Team Building, Process Improvement, Hospitals, Clinical Research, Policy, Healthcare Consulting, Revenue Cycle, Medicaid Managed Care, Pharmacy Benefit..., Medical Coding, Leadership, NCQA, Claims Resolution, Disease Management, Quality Improvement, Healthcare Reimbursement, Informatics, EMR, Utilization Management, Employee Benefits, Healthcare Management, Medicare Part D, Insurance, Healthcare Information..., Software Documentation, Physician Relations, Physicians, ICD-9, Medical Billing, Claims Management, Performance Improvement, Health Information..., EHR
Education
Kirkwood High School
The University of Kansas
B.S. in Business Administration
Aetna January 2014 - Present
Coventry Health Care October 2010 - January 2014
Mercy Health Plans October 2004 - October 2010
Jerome Group November 2003 - March 2004
Angelica Uniform October 1989 - September 2002
Skills
Organization Skills, Quality Management, Microsoft Access with..., Microsoft Excel, Microsoft OneNote, QuickBase, HEDIS, Microsoft Word, HEDIS - QSHR & QSI, Sharepoint - Limited, Business Objects -..., Access, Healthcare, Databases, Analysis, Medicaid, Medicare, SQL - Limited
Education
University of Missouri-Saint Louis 1982 — 1988
B.S. in Business Administration, Management Information Systems
Essence Healthcare June 2014 - Present
SSM Cardinal Glennon Children's Medical Center December 2010 - June 2014
Mercy Health Plans March 2008 - December 2010
Mercy Health Plans May 2007 - March 2008
Spectrum Healthcare Resources September 2006 - May 2007
Spectrum Healthcare Resources June 2006 - September 2006
Skills
Auditing, Leadership, Training, Credentialing, Managed Care, JCAHO, NCQA, Medicaid, Medicare, Healthcare, Accreditation, Healthcare Management, Provider Relations, PPO
Education
University of Missouri-Columbia 1985 — 1989
BS, Education
CHAN Healthcare ~ Crowe Horwath June 2014 - Present
A.T. Still University June 2011 - June 2014
Mercy Health Plans~ A Coventry Health Care Plan October 2010 - January 2012
MHP January 2009 - October 2010
Mercy Health Plans November 2003 - August 2009
Mercy Health Plans November 2003 - May 2009
Powell Consulting November 2003 - April 2008
Skills
Healthcare Management, Managed Care, Healthcare, Medicaid, Healthcare Information..., Health Policy, Healthcare Consulting, Clinical Research, EHR, Nursing, HEDIS, Medicine, Medical Records, Leadership, Provider Relations, Surgery, Quality Improvement, Disease Management, Insurance, Health Insurance, Informatics, Physicians, Revenue Cycle, Health Education, EMR, HIPAA, Hospitals, Medicare, Process Improvement, Public Health, Healthcare Industry, Management, Data Analysis, Program Development, Physician Relations, Patient Safety
Education
University of Missouri-Saint Louis 1990 — 1992
BSN, Nursing, Case Management, Legal Nurse Consultant
Mercy Physician Community PHO January 2000 - Present
OPNS October 1997 - Present
Mercy Health Plans 1996 - 1998
Skills
Healthcare, Healthcare Consulting, Healthcare Information..., Microsoft Office, Managed Care, Healthcare Management, Project Management, Case Managment, Medicare, Medicaid, HIPAA, Hospitals, Healthcare Industry, EHR, Health Policy, Practice Management, Physicians, EMR, Quality Improvement, Health Insurance, Medical Billing, Revenue Cycle, Physician Relations, Performance Improvement
Education
Oakland University 1968 — 1972
BA, History, English
Rehab Care, Inc. April 2009 - Present
Mercy Health Plans 1995 - 2008
Education
Lindenwood University
Bachelor, Healthcare Management
Priority Health March 2013 - Present
Jillybean Boutique July 2012 - December 2014
The Missouri Community Healthcare Cooperative July 2012 - March 2013
LIFT February 2012 - March 2013
The Outsource Group December 2010 - February 2012
Mercy Health Plans February 2007 - October 2010
Scott & White Healthcare June 2004 - February 2007
Ernst & Young June 1994 - June 2004
Skills
SOA, Management Consulting, IT Strategy, Process Improvement, Change Management, Operations Management, Business Coaching, Management Coaching, Leadership, Strategic Planning, Management, Healthcare, Managed Care, Team Building, Healthcare Management
Education
Arizona State University 1987 — 1989
MPA, Public Finance
Western Michigan University 1984 — 1987
BA, Political Science and Government
Humana February 2015 - Present
Humana July 2010 - January 2015
Mercy Health Plans June 2006 - June 2010
Mercy Health Plans April 2000 - May 2006
Skills
Medicare, Insurance, Business Analysis, Business Intelligence, Healthcare, Process Improvement, Visio, Data Analysis, SharePoint, Analysis, Performance Management, Process Engineering
Education
University of Louisville 1997 — 1999
Master, Business
A Mother's Touch In-Home Health Care, LLC March 2015 - Present
All About Love & Care, Inc. September 2013 - Present
Innovative Endings September 2012 - Present
Harris-Stowe State Universiity January 2001 - Present
All About Love & Care, Inc. September 2013 - March 2015
Missouri College November 2009 - August 2012
Grace Hill Neighbhorhood Health Centers, Inc. February 2006 - November 2009
St. Louis ConnectCare May 2002 - February 2006
Mercy Health Plans January 1999 - February 2001
Southern Illinois University Edwardsville August 1998 - December 1999
Skills
Leadership Development, Public Speaking, Non-profits, Staff Development, Program Development, Teaching, Coaching, Grant Writing, Event Planning, Organizational..., Microsoft Office, Budgets, Program Management, Leadership, Strategic Planning, Fundraising, Team Building, Nonprofits, Healthcare, Customer Service, Recruiting, Management, Community Outreach, Training
Education
Southern Illinois University, Edwardsville 1998 — 1999
Master of Science (M.S.), Economics and Finance
Harris Stowe State University 1995 — 1998
BS, Business Administration
St. Louis Community College 1993 — 1995
AS, Managment & Supervisory Development
Ferguson Florissant School District January 2010 - Present
Ladue Horton Watkins High School 2008 - 2012
Mercy Health Plans September 2008 - 2009
Kelly Healthcare Service Inc November 2006 - March 2008
Skills
Research, Strategic Planning, Microsoft Office, Outlook, English, Team Building, PowerPoint, Training, Microsoft Excel, Leadership, Time Management, Microsoft Word, Windows, Team Leadership, Teamwork, Editing, Data Analysis, Analysis, Event Planning, Healthcare, Social Networking, Public Speaking, Hospitals, Customer Service, Teaching, Management, Process Improvement, Curriculum Design, Nursing, Nonprofits, Medical Terminology, Budgets, HIPAA, Insurance, Fundraising, Public Health, Healthcare Information..., Critical Thinking, Sales, Healthcare Management, Curriculum Development, Project Management, Marketing, Photoshop, Social Media, HTML
Education
Chamberlain College of Nursing 2014 — 2015
Bachelor's Degree Nursing, Registered Nursing/Registered Nurse
Jefferson College
Associate's degree, Nursing Science
Missouri Baptist University
Diploma of Nursing, Registered Nursing/Registered Nurse
Mercy April 2014 - Present
Sisters of Mercy Health System May 2005 - April 2014
Mercy Health Plans January 2001 - May 2005
Lutheran Senior Services November 1997 - December 2000
Skills
Benefits Administration, Onboarding, Employee Benefits, HRIS, HIPAA, Human Resources
Education
Southern Illinois University, Edwardsville 1991 — 1993
Bachelor of Science, Human Resources Psychology, Business, Engineering
Mercy Health plans May 2009 - Present
Blue Cross Blue Sheild of Illinois July 2000 - August 2005
Education
Lindenwood University 2009 — 2010
Masters of Science, Healthcare Management
Lindenwood University 2006 — 2009
Bachelors, Business Administration
Centene Corporation September 2014 - Present
Centene Corporation March 2013 - September 2014
Centene Corporation May 2011 - March 2013
Express Scripts October 2010 - May 2011
Mercy Health Plans 2008 - 2010
The EPOCH Group 2000 - 2007
Skills
SharePoint, XP, Process Improvement, Windows Vista, Troubleshooting, HIPAA, Microsoft Office, Customer Service, Healthcare Information..., System Administration
Education
St. Louis Community College
Certificate of Proficiency, Information Technology: Network Administration
BJC Medical Groups April 2013 - Present
St Luke's Hospital May 2010 - April 2013
Mercy Health Plans January 2009 - May 2010
Western Union 2000 - 2008
Skills
Call Center, Customer Service, Outlook, Training, Instructional Design, Coaching, Microsoft Office, Management, Time Management, Troubleshooting, Team Management, Microsoft Excel, Microsoft Word, Team Building, PowerPoint, Insurance
Education
Lindenwood University 2014 — 2017
Master of Arts (M.A.), Counselor Education/School Counseling and Guidance Services
Lindenwood University 2009 — 2010
Bachelor of Arts (B.A.), Health/Health Care Administration/Management
St Charles Community College 2005 — 2007
Associate of Arts (A.A.), Liberal Arts and Sciences/Liberal Studies
Mercy Health Plans September 2006 - March 2011
Mercy Health Plans 2006 - 2011
General American Life / Great West Life Insurance September 1990 - September 2003
Skills
Insurance
Education
Art Center College of Design
B.F.A., Commercial Photography
Menlo College
B.S., Business Administration
Coventry Health Care August 2010 - Present
Mercy Health Plans April 2005 - August 2010
United Health Care September 2003 - April 2005
Anthem Blue Cross 1986 - 2002
Skills
Health Insurance, Fully Insured, Health Plans, Brokers, Workers Compensation, Insurance, Health Policy, Account Management
Education
University of Missouri-Columbia 1980 — 1984
BS, Counseling and Personnel Services
University of Missouri-Columbia
Synergetics, Inc January 2013 - Present
Staffing Solutions April 2012 - January 2013
Mercy Health Plans October 2010 - April 2012
Dermatological Care 2012 - 2012
Mercy Health Plans August 2006 - October 2010
Mercy Health Plans June 2002 - August 2006
Ferguson - Florissant School District August 2001 - June 2002
Skills
Customer Service, Data Entry, Event Planning, Microsoft Office, Employee Relations, Managed Care, Facilities Management, Office Equipment, Outlook, PowerPoint, Microsoft Word, Microsoft Excel, Leadership, HIPAA
Education
Fontbonne University 2008 — 2011
Bachelor of Arts, Corporate Communications
St. Louis Community College 1998 — 2005
Associate of Arts, General Studies
Saint Louis University April 2002 - Present
SLUCare - The Physicians of Saint Louis University 2002 - Present
Mercy Health Plans 1996 - 2001
Surgical Health Corporation (SHC) 1993 - 1994
Outpatient Surgery Center, Inc. 1985 - 1993
Education
Maryville University of Saint Louis
MBA, Business
Centene Corporation May 2013 - Present
Centene Corporation September 2012 - May 2013
Coventry Health Care August 2011 - April 2012
Mercy Health Plans July 2008 - August 2011
Citi October 2006 - July 2007
Monsanto February 2005 - November 2005
DePaul December 2003 - May 2004
Veterans Health Administration June 1993 - December 1993
Skills
Healthcare, Management, Leadership, Customer Service, Health Insurance, PowerPoint, Access, Medical Terminology, Strategic Planning, Microsoft Excel, Team Building, Microsoft Office, SharePoint, Process Improvement, Medicare, Hospitals, Outlook, Microsoft Word, Provider Relations
Education
Southern Illinois University, Carbondale
BS Healthcare Management, Healthcare
J.W. Terrill April 2011 - Present
Coventry October 2010 - April 2011
Mercy Health Plans November 2005 - March 2011
Education
Lindenwood University
Bachelor of Science (B.S.), Business Administration, Management and Operations
Coventry Health Care April 2012 - Present
Molina Healthcare July 2011 - April 2012
Coventry Health Care January 2011 - July 2011
Mercy Health Plans January 2008 - January 2011
Mercy Health Plans November 2006 - January 2008
Mercy Health Plans October 2005 - November 2006
Mercy Health Plans November 2003 - October 2005
Mercy Health Plans August 2002 - November 2004
UnitedHealth Group June 2001 - July 2002
Education
Truman State University
Mercy Health Plans August 2002 - Present
Mutual of July 2001 - June 2002
First Independent Bank September 1996 - June 2001
Commerce Bank March 1995 - October 1996
Education
Southwest Missouri State University 1995 — 1996
Aurora High School
Humana June 2011 - Present
Mercy Health Plans August 2005 - October 2010
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas August 2000 - August 2005
Education
Lindenwood University 2006 — 2010
Masters degree, Healthcare Management
Lindenwood University
Bachelor of Science (B.S.), Business Administration