Molina Healthcare
Industry: Health care company
DescriptionMolina Healthcare is a managed care company headquartered in Long Beach, California, United States. The company provides health insurance to individuals through government programs such as Medicaid and Medicare. Number of employees: ~20,000 (December 2017) Headquarters: Long Beach, California, United States CEO: Joseph M. Zubretsky Revenue: 16.3 billion USD (2016)
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Molina Healthcare Employees
Molina Healthcare August 2014 - Present
Vein Clinics Of America October 2012 - August 2014
Chamberlin Edmonds July 2012 - October 2012
North American Medical Management in Illinois June 2006 - July 2012
Medix Staffing Solutions January 2006 - June 2006
Coverdell August 2005 - January 2006
Skills
Healthcare, Hospitals, Customer Service, Healthcare Management, Microsoft Office, Microsoft Excel, Benefits Administration, Medical Terminology, Medical Billing, Microsoft Word, Outlook, PowerPoint, Eligibility, Administrative..., Data Entry, Access, Medicaid, Medicare, Social Security..., Health Insurance, Insurance, Healthcare Industry, HMO, Fax, Recruiting, PPO, New Hire Orientations, Community Outreach, Human Resources, Medical Records, Claim, Payroll, Management, Managed Care, HIPAA, Health Policy, Provider Relations, Physician Relations, Network Development, Physicians
Education
University of Phoenix 2007 — 2011
Associate of Arts (A.A.), Business Administration and Management, General
American Medical Associate 2001 — 2001
Certificate, Basic medical billing
Illinois School of Health Careers 2000 — 2000
Certification, Massage Therapy/Therapeutic Massage
Molina Healthcare November 2004 - Present
ZC Sterling January 2003 - November 2007
MCI Corporation January 1992 - June 2002
Skills
Medicare, Managed Care, Healthcare, HIPAA, Medicaid, Insurance, Healthcare Industry, Process Improvement, Strategic Planning, Team Building, Call Center, Health Insurance, Call Centers, Management, Healthcare Management
Education
Arizona State University 1991 — 1994
Associates, Electronics Technology
Molina Healthcare March 2012 - Present
Bressler & Schaeffer, Inc. May 2007 - February 2012
Gaddis Medical & Aesthetics February 2009 - September 2009
Education
Columbus State Community College 2015 — 2017
Associate's degree, Licensed Practical/Vocational Nurse Training
Everest Institute-Gahanna 2006 — 2007
Medical/Clinical Assistant
Bowling Green State University 2004 — 2005
Reynoldsburg High School
Molina Healthcare April 2015 - Present
Rock Bottom Restaurant & Brewery January 2012 - Present
UBS Financial Services Inc. December 2013 - February 2015
UBS Financial Services Inc. May 2012 - December 2013
El Dorado Hills Sports Club August 2010 - August 2011
The Village Bistro March 2009 - August 2011
Skills
Microsoft Office, Customer Service, Microsoft Excel, PowerPoint, Microsoft Word, Time Management, Public Speaking, Event Planning, Social Networking, Leadership
Education
California State University-Long Beach 2011 — 2013
Bachelor of Science (BS), International Business
American River College 2011 — 2011
Business Administration and Management, General
Folsom Lake College 2009 — 2011
Business Administration and Management, General
Molina Healthcare July 2015 - Present
StarTek March 2014 - July 2015
Express Scripts July 2005 - February 2014
Fleet Credit Card Services September 2000 - July 2005
Skills
Training, Leadership, Process Improvement, Management, Performance Management, Customer Service, Team Building
Education
Adams State College 1986 — 1990
Bachelor of Arts (BA), Secondary Education and Teaching
Molina Healthcare October 2012 - Present
Kalter Financial Group October 1991 - September 2012
Skills
Accounting System, Microsoft Excel, Microsoft SQL Server, JDE Enterprise One, Sage MAS200, CPA, Financial Reporting, Financial Forecasting, Accounting, Budgets, Forecasting, GAAP, General Ledger, SEC filings, Process Improvement, Medicare, Medicaid, Managed Care, Healthcare Information..., Healthcare, HIPAA, Financial Analysis, Business Analysis
Education
California State University-Fullerton 1988 — 1990
Bachelor's degree, Accounting
Arizona State University 1986 — 1988
Molina Healthcare October 2013 - Present
Kaiser Permanente 2012 - September 2013
AE & Associates, LLC 2011 - 2012
PDM, a Trizetto Company 2008 - 2010
AE & Associates, LLC February 2007 - December 2007
Quest Diagnostics December 2003 - December 2007
Tri County Allied Health School 2007 - 2007
Skills
Medical Coding, Quality Auditing, E/M coding, Education, Compliance, Fraud Detection, Investigation, Data Analysis, Data Mining, Natural Language..., Risk Management, Healthcare Information..., Medical Billing, Customer Service, Microsoft Excel, Microsoft Word, Microsoft SQL Server, Microsoft Office, Outlook, Encoders, SQL, HIPAA, EHR, DRG, HCC Risk Adjustment, Appeals, Ambulatory Coding, ED Coding, Physician Educator, Outpatient Surgery, Access Database, Remote Desktop, Documentation..., 3M Encoder, Coding Clinic, Claims, Claims Handling, Workers Compensation, Claims Investigations, Fraud, Waste and Abuse..., Epic Systems, 10 Key, Social Networking, PowerPoint, Provider Education, Retrospectives, Prospective and..., Inpatient coding, E/M Specialty Coding, Quality Assurance
Education
Dakota State University
Bachelor of Science (BS), Health Information Management
Alfred State College - SUNY College of Technology
AAS, Health Information/Medical Records Technology/Technician
American Academy Of Professional Coders
Advanced Coding
Glendale Community College
Microsoft
Medical Institute
Diploma, Medical Coding and Billing
Tri County Allied Health School
Inpatient Coding Workshop and CCS Review Course
West Valley Occupational Center
Coding
Molina Healthcare April 2014 - May 2015
Curtis Optometry June 2013 - April 2014
Martel Eye Medical Group April 2009 - July 2010
Benchmark Research September 2008 - January 2009
Skills
Medicine, Phlebotomy, Bilingual-English/Spanis..., EKG, Medical Records, Microsoft Office, Microsoft Word, Microsoft Excel, Epic Systems, EMR, Venipuncture, Vital Signs
Education
Boise State University 2015 — 2018
Bachelor’s Degree, Registered Nursing/Registered Nurse
American River College 2010 — 2013
Registered Nursing/Registered Nurse
MTI College 2007 — 2008
Phlebotomist, Medical/Clinical Assistant
Molina Healthcare December 2011 - Present
Molina Healthcare December 2011 - Present
Prestige Staffing/Nurtur Wellness June 2011 - September 2011
Elim Home Health & Staffing Agency June 2010 - June 2011
Select Specialty Hospital November 2009 - May 2010
UnitedHealthcare October 2007 - May 2009
Heritage Place LLC, Inc June 2006 - January 2008
Skills
Hospitals, Nursing, Case Managment, Medicare, Clinical Research, Medicaid, HIPAA, Software Documentation, Patient Education, Medical Coding, Medical/Surgical, Program Management, Healthcare, Quality Assurance, Rehabilitation, Managed Care, Case Management, Patient Advocacy
Education
Tyler Junior College 1994 — 1995
Certificate of Proficiency, Practical Nursing, Vocational Nursing and Nursing Assistants
Dallas Nursing Institute
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse
Molina Healthcare March 2013 - Present
Fauquier County Government April 2010 - March 2013
Dynamic System Solutions, Inc. January 1999 - August 2009
Skills
Business Process..., Application Architecture, ASP, Systems Management, Programming Languages, IIS, Scripting, Agile & Waterfall..., SCOM, Server Architecture, Microsoft SQL Server, SharePoint, Powershell, Requirements Analysis, Windows Services, Windows Server, Hyper-V, Virtual Machine Manager, VMware ESX, vCenter Server, vSphere, VMware View, ArcGIS, Arcserve, Cisco UCS, Business Process..., Database Triggers, CA LISA Release..., DevOps, Integration
Education
University College London, U. of London 1992 — 1993
MA, Classical, Ancient Mediterranean and Near Eastern Studies and Archaeology
American University 1988 — 1992
Bachelor's degree, International/Global Studies/Anthropology
Molina Healthcare September 2014 - Present
Independent Care Health Plan August 2011 - September 2014
State of Wisconsin October 2008 - August 2011
UnitedHealthcare 2007 - July 2008
UnitedHealthcare 2005 - 2007
CIGNA Healthcare 2004 - 2005
FEI Behavioral Health 2002 - 2004
FEI Behavioral Health 2001 - 2004
Empathia, Inc. 1996 - 2001
Solano Family Center 1995 - 1996
Skills
Behavioral Health, Medicaid, Medicare, Crisis Intervention, Healthcare, Mental Health Counseling, Health Insurance, Fluent in Spanish, Managed Care, Mental Health, Psychotherapy, Provider Relations, EAP Counseling, Case Managment, HIPAA, Leadership, Disease Management, Utilization Management, Multicultural Counseling, Treatment, Healthcare Management, Public Speaking, Network Development, Vocational Counseling, Training, Case Management, Quality Improvement, Program Development, HEDIS, Clinical Research
Education
Amberton University 1993 — 1995
Master's in Mental/Behavioral Health Counseling
University of Wisconsin-Milwaukee
Bachelor's in Spanish Literature
Amtel LLC June 2015 - Present
Amtel LLC February 2015 - Present
Amtel LLC October 2014 - Present
MarketSource Inc. August 2013 - October 2014
DentaQuest October 2011 - February 2012
Molina Healthcare January 2010 - October 2011
American National Insurance June 2008 - January 2010
CVS Caremark Corporation April 2002 - June 2008
Skills
Microsoft Office, PowerPoint, Illustrator, Management, Project Management, Territory Development, HIPAA, Event Planning, Customer Service, Retail, Social Media Marketing, Time Management, Marketing, Sales, Social Media, Social Networking, Team Building, Training, Leadership
Education
American InterContinental University 2013 — 2014
Master of Business Administration (MBA), Project Management, 3.9
International Academy of Design and Technology 2010 — 2012
Bachelor of Fine Arts (BFA), Fashion Design and Merchandising
Centene Corporation November 2014 - Present
Molina Healthcare July 2012 - November 2014
Copeland Group January 2011 - July 2012
Junell's Retirement Services January 2011 - July 2012
Physicians Health Choice August 2009 - November 2010
Physicians Health Choice September 2008 - August 2009
Physician's Health Choice September 2007 - September 2008
Humana Market Point July 2005 - September 2007
Metabolic Research Center June 2005 - July 2005
Texas Traders Exchange October 1996 - June 2002
Skills
Sales Presentations, Sales Management, Salesforce.com, Advertising Sales, Direct Sales, Sales Coach, Insurance Law, Health Insurance, Payroll Administration, B2B Marketing, Event Planning, Event Execution, Event Organizer, Performance Appraisal, Staff Scheduling, Inventory Management, Product Marketing, Goal Oriented, Outlook, Community Outreach, Recruitment/Retention, Team Leadership, Teamwork, Great People Skills, Punctual, Team Motivator, Sales Process, Presentation Preparation, Board Presentations, Managing Volunteers, Account Management, Microsoft Office, Coaching, Medical Terminology, Medicare, Insurance, Training, B2B, Lead Generation, Advertising, Recruiting, New Business Development, Employee Benefits, Cold Calling, Team Building, Customer Service, Marketing, Healthcare, Customer Retention, Sales
Education
Association of Certified Fraud Examiners (ACFE) 2012 — 2013
Society of Certified Senior Advisors 2012 — 2012
CSA Designation, Certified Senior Advisor
Communispond 2010 — 2010
Certificate, Presentation Skills
Alamo Catholic
High School Diploma, Honors/Regents High School/Secondary Diploma Program
Amarillo College
Insurance/Business
West Texas A&M University
Business
Molina Healthcare July 2014 - Present
The Howard Group Inc. (via OfficeTeam) August 2013 - January 2014
Sarepta Therapeutics Inc October 2012 - March 2013
Breedloves Room and Board April 2009 - August 2012
Westech College Inc. October 2010 - January 2012
Pacific Associates Marketing April 1997 - May 2008
Skills
Resume Writing, Career Counseling, Job Search Strategies, Microsoft Office, Career Services, Job Search, Career Development, Career Assessment, Mock Interviews, Interview Preparation, Coaching, Cover Letters, Counseling, Public Speaking, Career Transitions, Mentoring, Workshop Presenter, Administration, Community Outreach, Customer Relations, QuickBooks, Visio, Peachtree, Account Reconciliation, Bookkeeping, Databases, Outlook, Vendor Management, Leadership, PowerPoint, Customer Service, Event Planning, Microsoft Word, Training, Human Resources, Microsoft Excel, Problem Solving, Social Media, Nonprofits, Social Networking
Education
Westech College 2010 — 2011
Computer Office Administration, Office Management and Supervision, 4.0
South Puget Sound Community College 1996 — 1996
Management Supervisory Seminar, Business/Corporate Communications
Juanita High School 1984 — 1987
High School Diploma, Marketing and General Education, 12
Noridian Healthcare Solutions July 2013 - Present
HealthNet March 2013 - May 2013
Molina Healthcare February 2013 - April 2013
Group 1 Automotive 2011 - 2012
Skills
Customer Satisfaction, Microsoft Excel, Telephone Skills, Data Entry, Management, Microsoft Office, Team Leadership, Microsoft Word, Access, Call Centers, Software Documentation, Outlook, Customer Service, Inventory Management, Insurance, EMR, Windows, Administration
Education
American Career College-Anaheim 2010 — 2013
Associate of Science (A.S.), Health Information/Medical Records Technology/Technician
Rite Aid Pharmacy September 2015 - Present
Molina Healthcare August 2015 - Present
Walmart August 2015 - Present
Intermountain Healthcare June 2015 - July 2015
Walmart May 2015 - July 2015
Student Pharmacist at Intermountain Healthcare October 2014 - May 2015
eBay Inc July 2008 - November 2014
Xerox November 2006 - June 2008
Education
Roseman University of Health Sciences 2014 — 2017
Doctor of Pharmacy (Pharm.D.), M.B.A., Pharmaceutical Sciences
Molina Healthcare December 2011 - Present
TMHP/ACS July 1999 - December 2011
Skills
Provider Relations, Network Development, Health Insurance, Medicare, HIPAA, Healthcare Industry, Training, Contract Negotiation, Medicare/Medicaid..., Claims Management, Provider Education
Education
Amberton University
Master of Business Administration (M.B.A.), Strategic Leadership
Dallas Baptist University
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
San Diego Superior Court March 2009 - Present
SAIC Inc. for the San Diego Superior Court March 2009 - September 2012
Experian September 2008 - March 2009
Molina Healthcare May 2008 - September 2008
Honda for IBM September 2007 - May 2008
Union Bank of California for ProStaff IT December 2004 - September 2007
Getronics Pinkroccade, the Netherlands January 2000 - September 2004
HKA, the Netherlands May 1999 - December 2000
Skills
SCCM, Active Directory, VBScript, VMware, System Deployment, Application Packaging, Group Policy, Windows Server, Citrix, Virtualization, InstallShield, Scripting, App-V, Windows 7, MSI, ITIL, XP, Altiris, Citrix Metaframe, Application..., Powershell, Troubleshooting, VMware ESX, Disaster Recovery, Servers, VDI, Operating Systems, Software Installation, Microsoft Exchange, Hyper-V, System Administration, Technical Support, Testing, IIS, Microsoft Certified..., Microsoft Technologies, DHCP, SCOM, Server Architecture, VPN, Windows XP, Cluster
Education
Schoevers College 1979 — 1980
Certificates
Molina Healthcare September 2015 - Present
World Health Organization April 2015 - June 2015
MED25 International December 2014 - March 2015
EagleView Technologies, Inc. April 2012 - August 2013
Pacific Northwest Diabetes Research Institute March 2010 - April 2012
Seattle University September 2010 - June 2011
Skills
Customer Service, Data Analysis, Research, Microsoft Office, Bilingual, Public Speaking, Leadership, Training, SharePoint, Interpersonal..., SPSS, Scientific Writing, Clinical Research, Technical Writing, Rstudio, Quantitative Research, Statistical Data..., Systematic Reviews, Public Health, Team Leadership, Team Building, Management, Program Evaluation
Education
EHESP - École des Hautes Études en Santé Publique 2014 — 2015
Public Health
Københavns Universitet 2014 — 2015
Master of Public Health, specialty in Health Services and Prevention, Public Health
Universidad de Granada 2013 — 2014
Master of Public Health (MPH), European Master of Excellence in Public Health and Health Management
Seattle University 2007 — 2011
Bachelor of Science, General Science with Chemistry/ Biology concentrations
Seattle University 2007 — 2011
Minor, French Language & Culture
Molina Healthcare April 2015 - Present
All's Well Healthcare Services May 2014 - Present
Stellar Home Health/ Kabafusion November 2013 - Present
St Joseph Hospital May 2015 - August 2015
Conifer Health Solutions October 2014 - March 2015
St. Joseph Health, MSO March 2013 - November 2013
Vantage Home Health Care Svcs. March 2012 - March 2013
Fresh & Easy Neighborhood Market 2006 - 2008
FedEx Express September 2000 - September 2001
Skills
Home Care, Vital Signs, Immunization, Treatment, Medication..., Cpr Certified, Direct Patient Care, IV, Tube Feeding, Patient Advocacy, Phlebotomy, Medical/Surgical, Nursing Care, EKG, Patient Education, Infection Control, BLS, Pediatric Nursing, Nursing Documentation, Triage, Geriatric Nursing, Telephone Triage, Glucose Testing, Patient Safety, ACLS, Medical Records, Nursing Process, Nursing Education, Pediatrics, Meditech, BCLS, Elder Care, Medical Terminology, Tracheostomy, LPN, Nursing, HIPAA, Microsoft Word, Medicare, CPR Certified
Education
Kaplan University 2011 — 2012
Associate of Science (A.S.), Health/Health Care Administration/Management
Advanced College 2010 — 2011
Licentiate degree, Licensed Practical/Vocational Nurse Training, 3.8
Charles R. Drew University of Medicine and Science 2010 — 2011
Certification, Phlebotomy Technician/Phlebotomist, 3.5
Advanced College 2009 — 2010
Certification, Medical Insurance Specialist/Medical Biller, 4.0
United Education Institute-Huntington Park Campus 2000 — 2001
Diploma, Business Administration and Management, General, 3.5
Molina Healthcare December 2014 - Present
Molina Healthcare February 2014 - December 2014
Independent Living Systems, LLC February 2013 - February 2014
Independent Living Systems, LLC April 2010 - February 2014
Independent Living Systems, LLC April 2010 - February 2014
horizon 2008 - 2009
Skills
Healthcare, Medicare, Home Care, Managed Care, Healthcare Management, Home Health Agencies, Nursing, Team Building, HIPAA, Career Transition..., Coaching, Wellness Coaching, Employee Training, System Administration, System Testing, Software Design, Transitional Care, Healthcare Consulting, Hospitals, Medicaid, EHR, EMR, Healthcare Information..., Patient Safety, Process Improvement
Education
Mercy Hospital College of Nursing 2012 — 2012
R.N., Registered Nursing/Registered Nurse
Mercy Hospital School of Practical Nursing 2007 — 2008
LPN, Licensed Practical/Vocational Nurse Training
Molina Healthcare October 2013 - Present
Pacific Hospital of Long Beach August 2012 - October 2013
First Medical Management/Pacific Hospital of Long Beach June 2007 - August 2012
Skills
Active Directory, Customer Service, VMware, Citrix, Windows Server, Windows 7, OnBase, SAN, Cisco VoIP, Powershell, XP, Servers, Visio, Cisco Wireless, Technical Support, Disaster Recovery, Healthcare Information..., Linux, Cisco Call Manager, TCP/IP, Cisco Technologies, Cerner, Troubleshooting, Microsoft Exchange, Network Administration, DHCP, Backup Exec, Help Desk Support, Firewalls, VMware ESX, DNS, Group Policy, HP, Networking, vSphere, Cisco Routers, Operating Systems, System Administration, Virtualization, SharePoint, Data Center, Integration
Education
AMA University 2000 — 2003
Bachelor of Science, Computer Science
Hitachi Consulting Japan June 2014 - August 2014
Molina Healthcare March 2011 - July 2013
The Microphone Sessions, LLC April 2009 - March 2011
Akin Gump Strauss Hauer & Feld LLP March 2008 - March 2009
Akin Gump Strauss Hauer & Feld LLP May 2006 - August 2006
Akin Gump Strauss Hauer & Feld LLP May 2005 - August 2005
Education
University of Southern California Law School 2004 — 2007
Juris Doctorate, Law, Top 15%
London School of Economics and Political Science, U. of London 2006 — 2007
LL.M, Intellectual Property Law
グロービス経営大学院 / Graduate School of Management, Globis University 2013 — 2014
Master of Business Administration (M.B.A.), Business Administration, Management and Operations
Emory University 2000 — 2004
B.A., Sociology and Political Science
UCL 2003 — 2003
None, Sociology
Molina Healthcare September 2013 - Present
Psychology Department at Cal State Long Beach January 2013 - December 2013
Sierra Gastroenterology August 2007 - June 2011
Skills
Interpersonal Skill, Communication, Academic Advising, Computer Proficiency, Office Administration, Highly responsible, Teamwork, Time Management, Bilingual-English/Spanis..., Goal Oriented, Advising People, Healthcare Management, Health Insurance, Critical Thinking, Team-oriented, Oral, Leadership, Social Skills
Education
California State University-Long Beach 2014 — 2016
Master of Science (MS), Marriage and Family Therapy/Counseling
California State University-Long Beach 2011 — 2013
Bachelor's degree, Psychology
Antelope Valley College 2008 — 2011
Associate of Arts and Sciences (AAS), Liberal Arts and Sciences/Liberal Studies, 3.8
Don Quijote Spanish School 2010 — 2010
General Education, A
Molina Healthcare July 2013 - Present
Molina Healthcare October 2010 - June 2013
Computer Automation Systems January 2005 - October 2010
MAXIMUS February 2001 - 2005
Skills
Medicaid, Strategic Planning, HIPAA, Healthcare Information..., Healthcare, Process Improvement, Healthcare Management, Software Documentation, Managed Care, Data Analysis, Team Building, Program Management
Education
Arizona State University 1971 — 1975
Master of Business Administration (MBA), Heathcare
National University
Master of Business Administration (MBA), Healthcare
Molina Healthcare Inc. April 2005 - Present
Molina Healthcare October 2004 - Present
PROSPECT MEDICAL GROUP October 2003 - April 2004
HealthCare Partners May 2003 - September 2003
Health Network January 1998 - February 2003
Skills
Medical Billing, Medicare, Medicaid, Claim, Medical Terminology, Healthcare Information..., Insurance, Claims Management, Software Documentation, Employee Benefits, Medical Coding, Data Entry, Invoicing, Policy, Health Insurance
Education
Career Colleges of America 1997 — 1997
Molina Healthcare December 2014 - Present
Dupage Medical Group April 2014 - December 2014
AIM Specialty Health July 2011 - February 2014
Osco Drug October 2004 - June 2012
Skills
Cpr Certified, Medicare, Utilization Management, Medical Terminology, HIPAA, Medical Imaging, Patient Safety, BLS, ICD-9, CPT coding, Epic Systems, Customer Service, Phone Etiquette, Telephone Triage, Referrals, Nursing
Education
Illinois State University-Mennonite College of Nursing 2006 — 2010
Bachelor of Science (B.S.), Nursing
Providence Medical Group NW WA September 2006 - Present
Molina Healthcare September 2012 - June 2015
Univision News Seattle March 2014 - August 2014
Providence Health & Services June 2011 - January 2013
Skills
Board Certified, Hospitals, EHR, Healthcare, Family Medicine, Urgent Care, Pediatrics, Healthcare Management, Medicine, Medical Education, Inpatient, Physicians, Physician Relations, Epic Systems, Internal Medicine, Emergency Medicine, Clinical Research, Healthcare Consulting, Health Policy, Informatics, Healthcare Information..., Public Health, Surgery, Quality Improvement, Ambulatory, Ambulatory Care, Health Education, Patient Safety, Managed Care
Education
Franklin Square Hospital Center 2003 — 2006
Family Doctor, Family Medicine
Arizona State University 2002 — 2003
American English and Culture Program
Tulane School of Medicine 2001 — 2002
Pediatrics Internship
Universidad de La Sabana 1994 — 2001
Medical Doctor, Medicine
Rio Salado College March 2013 - Present
Stars Behavioral Health Group August 2011 - January 2013
Molina Healthcare June 2011 - August 2011
Cerritos College August 2008 - December 2009
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, EMR Training, HIPAA, Cpr Certified, Outlook, Compliance, Customer Service, Medicare, Typing, Treatment, Mentoring, Mental Health Counseling, Youth Mentoring, Legal Documents, Nonprofits, Invoicing, Internal Audit, Office Administration, Clinical Development, Data Entry, Community Outreach, Community Development, Medical Assisting, Glucose, Bandaging, Capillary Puncture, Urine, Hematocrit, Throat Cultures, Universal Precautions, Specimen Collection, Immunohematology, Calendaring, Calendar Planning, Off-site Events, Personal Administration, Computer-literate..., Grasp New Concepts..., Adapt Quickly to Change, Relationship-builder..., Thrives on challenges, Interact with All..., Client Follow-up, High Stress Environment, Self-motivated Team..., Case Managment, Case Management, Resume Writing
Education
American Career College-Anaheim 2010 — 2011
Cerritos College 2008 — 2009
Molina Healthcare March 2015 - Present
Wingspan Portfolio Advisors April 2012 - March 2015
Tuesday Morning October 2007 - April 2012
Venturi Staffing Partners June 2006 - October 2007
Venturi Staffing Partners 2007 - 2007
Todays Staffing (acquired by Spherion), August 2004 - June 2006
Medical Center of Plano ( HCA) November 2000 - June 2004
Bristol Hotels November 1998 - September 2000
Skills
Full-cycle Recruiting, HRIS, Employee Relations, Hiring, Interviewing, Recruitment/Retention, Benefits Administration, Payroll, Sourcing, Performance Management, Benefits, Background Checks, PeopleSoft, Coaching, Vendor Management, FMLA, Orientation, Payroll Processing, Employee Benefits, Team Building, Account Management, Screening, Word, PowerPoint, Recruiting, Microsoft Word, Management, New Hire Orientations, Interviews, Personnel Management, Training
Education
Collin College 2015 — 2015
Human Resources Management Certification, Human Resources
Education America 1997 — 1997
Travel and Tourism with Business
Texas Tech University 1992 — 1994
Marriage and Family Counseling
Abilene Christian University 1991 — 1992
Marriage and Family Counseling
TriCore Reference Laboratories January 2015 - Present
TriCore Reference Laboratories September 2014 - December 2014
Molina Healthcare December 2007 - September 2014
Skills
Project Management, Strategic Business..., Implementation..., Market Research, Business Development, Healthcare, Business Requirements, Business Strategy, Implementation..., Medicaid, PMP, Business Process..., Project Planning, Strategic Planning, Process Improvement, Healthcare Information..., Leadership, PMO
Education
The University of New Mexico - Robert O. Anderson School of Management 1990 — 1992
MBA
UNM Anderson School
Project Management Certificate
Arizona State University
MSW
University of Wisconsin-Madison
BS
Molina Healthcare May 2014 - August 2014
Allegheny Intermediate Unit August 2013 - December 2013
Famy Care Ltd., Mumbai June 2012 - July 2012
Masrani Hospital for Women and MIMAS May 2012 - June 2012
Cipla Ltd. May 2011 - June 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Research, Teamwork, Photoshop, Public Speaking, English, Windows, Event Planning, Time Management, Minitab, Access, Microsoft Project, Leadership, Data Analysis, SQL
Education
Carnegie Mellon University 2013 — 2015
Master's of Science in Health Care Policy and Management Candidate 2015, Health/Health Care Administration/Management
Institute Of Chemical Technology 2009 — 2013
Bachelor's degree, Pharmacy
Elderplan Inc May 2013 - Present
EmblemHealth February 2013 - April 2013
State of Nebraska August 2010 - January 2013
Minnesota Department of Human Services March 2009 - September 2010
Molina Healthcare January 2008 - February 2009
Coventry Healthcare March 2005 - December 2007
Skills
Quality Assurance, User Acceptance Testing, Quality Center, Test Automation, Software Quality..., Manual Testing, System Testing, Testing, Microsoft SQL Server, Requirements Analysis, Test Planning, Test Management, Healthcare, Requirements Gathering, QTP, Visio, SDLC, Software Documentation, Business Requirements, Regression Testing, Waterfall, Test Cases, Test Strategy, Defect Tracking, Integration Testing, Agile Methodologies, MS Project, System Integration..., Systems Analysis, Test Execution, HP Quality Center, Business Analysis, SQL
Education
Apeejay School
Anthem June 2015 - Present
Molina Healthcare of California March 2015 - June 2015
Molina Healthcare April 2013 - June 2015
UnitedHealthcare 2012 - April 2013
Easy Choice Health Plan 2011 - 2012
Care 1st Health Plan 2010 - 2011
Maxim Healthcare Services September 1998 - November 2010
Skills
Strategic Planning, Utilization Management, Healthcare Management, Managed Care, Medical Management, Disease Management, Nursing, Case Management, Healthcare, NCQA, Medicaid, Medicare, HIPAA, Performance Improvement, Program Development, Quality Management, Data Analysis, Mentoring, Compliance, Team Building, Process Improvement, PowerPoint, Excel, Public Speaking, Leadership Development, Change Management, Problem Solving, Negotiation, Microsoft Office, Word, Writing, Teaching, Six Sigma, Clinical, Health, Hospitals, Medical Informatics, Microsoft Excel, Clinical Research, Microsoft Word, Case Managment, HEDIS, HMO, Health Insurance, Health Policy, Healthcare Industry, Healthcare Information..., Home Care, Informatics, JCAHO
Education
Arizona State University 2014 — 2016
Doctor of Behavioral Health (DBH), Behavioral Aspects of Health, In progress
CSUDH 2008 — 2010
Masters Degree, Negotiation, Conflict Resolution, 3.7
University of Phoenix-Southern California Campus 2005 — 2007
BS, Healthcare Administration, 4.0
Molina Healthcare June 2014 - Present
SEIB Insurance and Reinsurance May 2012 - November 2013
Union Assurance Limited December 2006 - June 2011
Durdans Hospital July 2005 - November 2006
The Blue Water Hotel February 2003 - April 2005
Skills
Claims, Customer Relations, Customer Service, Insurance, Underwriting, Claim, Reinsurance, Team Leadership, Financial Risk
Education
American Career College 2014 — 2015
Medical billing and Coding
Chartered Insurance Institute 2013 — 2013
Award in General Insurance (WO1) and Insurance Claims Handling Process (IF4)., Insurance, Passed
Insurance Institute of India 2010 — 2011
Licentiate, Life
St Martin de Porres college, Wennappuwa. 1984 — 1996
Advanced Level examination, Biology/Biological Sciences, General
Molina Healthcare January 2011 - Present
Sony Pictures Entertainment July 2002 - July 2010
Homestore.com 1998 - 2002
Simon and Schuster May 1996 - October 1998
Bankers Trust May 1993 - May 1996
Aetna Life and Casualty May 1990 - May 1993
Lehman Brothers 1986 - 1990
First Boston Capital Group 1982 - 1986
Skills
Outsourcing, Program Management, E-commerce, Enterprise Architecture, IT Strategy, Infrastructure..., Business Transformation, IT Management, Acquisitions, Business Intelligence, Shared Services, Vendor Management, Agile Methodologies, Business Ethics, Business Process..., Business Strategy, Capital Budgeting, Cloud Computing, Data Center, Disaster Recovery, Enterprise Software, IT Operations, Information Technology, Integration, Leadership, Leadership Development, Mergers, Project Management, SDLC, Strategic Planning, Strategy
Education
Arizona State University 1976 — 1980
BS
Blue Cross Blue Shield of New Mexico June 2014 - Present
BCBSNM June 2014 - Present
Molina Healthcare October 2013 - June 2014
Permian Basin Community Center October 2012 - October 2013
Midland Memorial Hospital September 2011 - October 2012
L. J. Chabert Medical Center March 2009 - September 2011
Sheilas Studio of Style December 1996 - January 2011
Skills
Microsoft Excel, Strategic Planning, Project Planning, Microsoft Word, Patient Advocacy, Microsoft Office, BLS, Managed Care, PowerPoint, Medicare, Nursing Process, Nursing Care, Analysis, Orthopedic, Healthcare Consulting, JCAHO, Medical Coding, Medical Billing, Data Analysis, Community Outreach, Team Building, Teamwork, ACLS, PALS, Medical Case Management, Medical-Surgical, Neurology, Pediatrics, Emergency Room, Registered Nurses, Nursing Management, Nursing Documentation, Pediatric Nursing, Geriatric Nursing, Risk Assessment, Medicaid Managed Care, Medicaid, Customer Service, Policy, Human Resources, Healthcare, Hospitals, Clinical Research, Meditech
Education
FTCC/Nicholls State University 2007 — 2009
ASN/RN, Registered Nursing/Registered Nurse
Nicholls State University 2003 — 2007
General Studies
FTCC 1994 — 1994
Emergency Medical Tech
South Louisiana Beauty College 1987 — 1988
Cosmetology
WellCare November 2011 - Present
Healthcare Support Staffing 2011 - 2012
Centene Corporation April 2011 - September 2011
Molina Healthcare September 2010 - April 2011
United Health Care May 2006 - February 2010
CIGNA Healthcare August 2003 - May 2006
CIGNA Healthcare June 2002 - August 2003
Skills
Contract Negotiation, Medicaid Managed Care, Medicare/Medicaid..., Network Expansion, Credentialing, Provider Relations, Medicaid, HMO, Access, Claim, HIPAA, Health Insurance, Health Policy, Healthcare, Healthcare Industry, Healthcare Management, Hospitals, Managed Care, Management, Medicare, Network Development, PPO, Physicians, Process Improvement, Software Documentation, Medicare Part D
Education
American InterContinental University 2015 — 2016
Master of Business Administration (MBA), Health/Health Care Administration/Management & Finance
American InterContinental University 2013 — 2014
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management
American InterContinental University 2009 — 2011
Bachelor of Science (B.S.), Data Modeling/Warehousing and Database Administration
American InterContinental University
AA, Project Managememt
Molina Healthcare November 2014 - Present
Advanced Resources January 2014 - July 2014
Aon Hewitt August 2012 - November 2012
Rush University Medical Center July 2009 - July 2010
RTA Customer Service Center January 2009 - July 2009
Telesight Inc November 2006 - November 2008
Skills
Customer Service, Call Centers, Medicare, Health Insurance, Employee Benefits, Healthcare, Insurance, Outlook, Leadership, Data Entry, SAP, Microsoft Office, Microsoft SQL Server
Education
American InterContinental University 2014 — 2016
Bachelor of Applied Science (B.A.Sc.), Network and System Administration/Administrator, B+
Columbia College Chicago 2009 — 2011
Bachelor of Arts (BA), Post Production Television
Josephinum High School 2002 — 2006
High School Diploma
Wexner Heritage Village - Zusman Hospice 2015 - Present
Molina Healthcare September 2013 - Present
Vitas Hospice May 2012 - March 2013
Parkside Behavorial Healthcare April 2013 - 2013
Hospice by the Sea 2011 - 2012
Boca Raton Regional Hospital 2010 - 2011
Vitas Healthcare 2007 - 2010
Hospice of Dayton 1999 - 2007
Collinswood Nursing Home and HCR Manor Nursing Home 1998 - 1999
Good Samaritan Hospital, Dayton Ohio 1994 - 1998
Skills
Admission Nurse, Oncology Nursing, Medical Unit, Resource Inpatient, Cardiac Catheterization..., Chemical Dependency, Hospice and Critical..., Level II Trauma, Case Management, Team / Individual..., Professional..., Patient Advocacy, Microsoft Excel, Word, Electronic Medical..., Certified Hospice and..., Registered Nurse, Case Managment, Nursing, Hospitals, Healthcare, Inpatient, Home Care, Critical Care, Medical-Surgical
Education
State of Ohio
Registered Nurse Certification, Valid through August, 2015
Valencia Community College
Nurse Refresher Course
Antioch College
Bachelor of Arts (B.A.), Major in Social Work
Deaconess Hospital School of Nursing
RN Diploma, Registered Nursing/Registered Nurse
Kaiser Permanente via Office Works Staffing Agency November 2013 - March 2015
PatientPro, Inc May 2013 - October 2013
Molina Healthcare March 2013 - April 2013
Good Samaritan Hospital June 2007 - February 2012
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Team Leadership, Management, Project Management, ICD-9, Software Documentation, Hospitals, Health Information..., EMR, EHR, HIPAA, Epic Systems, Healthcare, Healthcare Information..., Medical Terminology
Education
American Career College-Anaheim 2011 — 2013
Molina Healthcare March 2011 - Present
Womencare Inc May 2009 - March 2011
Weight Watchers of West Virginia May 2005 - April 2008
CDi Engineers August 1992 - April 2002
Appalachian Power August 1982 - August 1992
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Health Insurance, Healthcare Industry, PMP
Education
Everest Institute-Cross Lanes 2008 — 2009
Medical Bill and Coding Specialist, Medicine, Graduate
Mountain State School of Massage 2002 — 2003
Massage Therapy/Therapeutic Massage
St. Albans High School
Molina Healthcare May 2014 - Present
Holy Cross Hospital March 2014 - April 2014
Bank United June 2013 - December 2013
Beckman Coulter December 2004 - February 2013
The Answer Group March 2000 - November 2004
Motorola May 1999 - March 2000
Skills
System Administration, Wireless Networking, Remote Troubleshooting, BMC Remedy, RSA Ace Server, VPN, RSA SecurID, Juniper VPN Client, Mobile Devices, Blackberry, DNS, FIM, Smart Cards, Bomgar, Dameware, NetMeeting, Lotus Notes, Computer Repair, Troubleshooting, Hardware Diagnostics, Hardware Installation, Extranet VPN client, Active Directory, NetMotion Mobility XE..., Windows Mobile, Soti Mobi Control, Field Service, Blackberry Enterprise..., AS400 system, Software Installation, Technical Leadership, Technical Documentation, Employee Training, Microsoft Office 2003, CAPA, Microsoft Office 2010, Lotus Traveler, Sametime, Test Equipment, Outlook, Microsoft Exchange, Electronics, Rumba, Computer Proficiency, Business Intelligence, SharePoint, Medical Devices, Office 2010, Technical Support, Help Desk Support
Education
ATI Career Training Center-Fort Lauderdale 1998 — 2000
Specialized Associates Degree, Electronics Engineering Technology, 4.0
Miami Dade College 1995 — 1997
Associate of Science (AS), Drafting and Design Technology
State of NJ Division of Medical Assistance and Health Services March 2013 - Present
Molina Healthcare May 2012 - March 2013
Skills
MS Office Suite, Cpr Certified, Medical Terminology, Patient Education, Data Entry, Medicine, Public Health, HIPAA, Health Education, Patient Safety, AED, Nutrition, SAS, Microsoft Office, Databases, Data Analysis, SAS programming
Education
Arcadia University 2013 — 2013
SAS
University of the Sciences in PhiladelphiaSamson College of Health Sciences
Bachelors, Health Science
A Medical/Financial Services Company April 2008 - Present
Gould and Lamb April 2008 - December 2014
Molina Healthcare August 2006 - April 2008
Midwest ENT, St. Peters, MO October 2005 - June 2006
Accent Urology February 2005 - August 2005
Barnes Jewish Extended Care November 2004 - February 2005
Barnes-Jewish Hospital July 2004 - November 2004
Mercy March 2004 - October 2004
St. Louis County April 2000 - March 2004
Skills
Registered Nurse, Medicare Set-Aside..., Nursing, Medicare, Liability, Writing, Event Planning, Microsoft Word, Microsoft Excel, Outlook, Customer Service, Mac, Youth Mentoring, Healthcare, Leadership, Social Networking, Training, Time Management, Teamwork, Cpr Certified, Medical Records, PowerPoint, Social Media, Management
Education
Sanford-Brown College-St Peters 2006 — 2007
Associate of Science (AS), Registered Nursing/Registered Nurse, 4.0
Sanford-Brown College-St Peters 2003 — 2004
Licenced Practical Nursing, Licensed Practical/Vocational Nurse Training, 4.0
Molina Healthcare February 2013 - Present
Molina Healthcare April 2011 - February 2013
Molina Healthcare July 2008 - April 2011
Molina Healthcare September 2007 - July 2008
Molina Healthcare of Ohio, Inc December 2005 - September 2007
CIGNA Healthcare November 2003 - December 2005
Skills
Medicaid, Healthcare, Process Improvement, Health Insurance, Call Center, Program Management, Training and Development, HTML, HIPAA, Utilization Management, Case Managment, Medicare, Provider Relations, Healthcare Information..., Managed Care, Hospitals, Healthcare Industry, Claim, Healthcare Management, Insurance, Call Centers, Medical Billing, Credentialing, HMO, ICD-9, Network Development, Revenue Cycle, Health Policy, Healthcare Consulting, EHR, CPT, EMR, Medicare Part D, Leadership, Training, Customer Service, Management, Team Building
Education
DeVry University-Ohio 2011 — 2014
Bachelor of Business Management, Business Information Systems
Knox County Career Center 2002 — 2003
Associate's degree, Computer Technology/Computer Systems Technology
Molina Healthcare March 2015 - Present
Wincanton April 2011 - November 2014
Amerisource Industrial Supply June 2010 - September 2010
J Preedy and Sons Limited 2007 - 2010
Skills
Inventory Management, Business Administration, Shipping & Receiving, Office Administration, Redprairie WMS, Customer Service, Sales
Education
Northwestern Technological Institute 2015 — 2016
Heating, Air Conditioning, Ventilation and Refrigeration Maintenance Technology/Technician HVACR
City & Guilds, London England 2012 — 2014
Associate's Degree, Business Administration, Management and Operations
Valencia College 2006 — 2007
Certificate, A+ Computer Hardware & Software
Valencia Community College
Computer and Information Sciences and Support Services
Molina Healthcare February 2013 - Present
Reale Dezigns October 2011 - Present
St. Joseph Health System October 2011 - March 2013
Sarcom March 2010 - October 2011
Isle Technologies September 2007 - August 2010
BearingPoint March 2006 - September 2007
Northrop Grumman 2007 - 2007
Isle Technologies August 2002 - February 2006
Design Science 2005 - 2006
E2E Golf Solutions May 2000 - August 2002
Skills
Microsoft CRM, EDI, Software Development, SQL, SDLC, Agile, Application Development, ITIL, ITSM, Process Development, Management, IT Service Management, IT Management, Process Simulation, Oracle, Agile Methodologies, Leadership, Microsoft SQL Server, Enterprise Architecture, Business Intelligence, Integration, Process Improvement, Project Management, ERP, Program Management, Visio, Data Center, E-commerce, Testing, SOA, Cloud Computing, Vendor Management, Consulting, Professional Services, Enterprise Software, IT Strategy
Education
Arizona State University 1998 — 2008
Mathematics, Computer Science
Sunnyslope High 1976 — 1979
Molina Healthcare October 2013 - Present
Molina Healthcare August 2011 - October 2013
Molina Healthcare January 2010 - August 2011
Public Consulting Group September 2009 - January 2010
Boston University April 2008 - April 2009
Skills
Requirements Gathering, Software Documentation, SDLC, Medicaid, SSIS, Data Analysis, QNXT, SQL, Regression Testing, System Testing, Unit Testing, Defect Tracking, Certified Scrum Master..., Six Sigma, HIPAA, Healthcare Information..., Process Improvement, Visio, Healthcare, Requirements Analysis, Business Analysis
Education
American InterContinental University 2008 — 2009
Master of Business Administration (M.B.A.), International Business
University of Maine 2002 — 2007
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Molina Healthcare February 2012 - Present
West Coast Premier Basketball Academy September 2007 - Present
Mt. San Antonio College May 2011 - August 2011
Planet Plastics Co November 2007 - August 2011
Skills
Leadership, Medicaid, HIPAA, Medicare, Healthcare, Process Improvement, Training, Managed Care, Customer Service, Healthcare Management
Education
Alderson-Broaddus College 2005 — 2007
Bachelor of Science (BS), Accounting
Mount San Antonio College 2002 — 2005
Associate of Arts (AA), Liberal Studies
Molina Healthcare March 2009 - January 2010
Skills
•Medical Billing, •Healthcare..., •Medical Terminology..., •Healthcare Claims..., •Microsoft Office..., •QNXT/MCIR, •Healthcare Insurance..., •Communications, •Medical Records, •Front Office...
Education
Kaplan Career Institute-Detroit 2007 — 2007
Diploma, Medical Office Assistant/Specialist
HenryFor High School 1996 — 2000
Diploma, General Studies
Molina Healthcare March 2012 - Present
IPC The Hospitalist Company, Inc. May 2011 - March 2012
Arizona State University August 2009 - May 2011
Catholic Healthcare West May 2008 - May 2009
Skills
Nursing, Hospitals, ACLS, BLS, Pediatrics, Patient Safety, EMR, Clinical Research, Healthcare Management, Health Education, Healthcare, Chronic Illness
Education
Arizona State University
Doctorate in Nursing Practice, Family Nurse Practitioner
Arizona State University
Master of Science (M.S.), Nursing - Family Nurse Practitioner
Arizona State University
BS, Nursing
Sheth C. N. Vidyalaya
Completed High School
Molina Healthcare June 2011 - Present
6th Dimension group April 2005 - Present
Total Education Solutions February 2008 - February 2011
Property Consultants Realty December 2005 - January 2008
Stargate.com September 2005 - March 2006
RandStad January 2005 - April 2005
Byte Lynk Wireless January 2002 - June 2004
Skills
SEO, Web Design, CSS, Microsoft Office, SharePoint, PHP, Dreamweaver, JavaScript, ActionScript, Photoshop, Flash, XHTML, Wordpress, Databases, OS X, User Interface Design, Graphic Design, Web Development, Adobe Creative Suite, Multimedia, Google Analytics, CMS, Illustrator, HTML, Windows, Magento, WordPress, Networking, Advertising, Web 2.0, E-commerce, Video Editing, InDesign, Web Applications, XML, DHTML, HTML 5, Microsoft SQL Server, Email Marketing, Drupal, Adobe Fireworks, Training, Windows 7
Education
American InterContinental University 2008 — 2009
Master, Information Technology; Internet Security
Columbia College Chicago 2000 — 2004
BA, Digital Media Technology Major
College of DuPage 1997 — 2000
Associate, Arts
Molina Healthcare February 2005 - Present
Viva Panama Organization, Inc. 1991 - Present
InterAmerican College of Physicians & Surgeons. June 2010 - October 2010
Real Men Cook Foundation 2004 - 2009
Prostate Cancer Research Institute 2001 - 2005
Skills
Hospitals, Healthcare Management, Healthcare, Medicaid, Health Education, HIPAA, Healthcare Consulting, Process Improvement, Informatics, Clinical Research, Community Outreach, Policy, Nonprofits, Oncology, Public Health, Medicare
Education
East Los Angeles College - Monterey Park, CA
ONC: HITECH-EHR Technical and Implementation Support Specialist
A.T. Still University of Health Sciences
Masters degree in Healthcare Administration, Healthcare Administration
Prostate Cancer Research Institute
Prostate Cancer Primary Care
Stanford University School of Medicine
Family Medicine
Keck School of Medicine of the University of Southern California
HIV Medicine
Universidad de Panamá
MD, Doctor in Medicine
Esc. Sec. Pedro P. Sanchez
Bachelor in Science, Bachelor in Science
Colegio Moises Castillo Ocaña
Middle School
United Nations Elementary School
Available to work asap! May 2015 - Present
Harbor Health Plan thru Robert Half International April 2015 - May 2015
Molina Healthcare January 2015 - March 2015
AltaMed Health Services July 2014 - October 2014
City of Hope April 2014 - May 2014
HealthPort LLC March 2013 - March 2014
Cedars-Sinai Medical Center June 2013 - November 2013
Abeo January 2012 - June 2012
Summit medical billing solutions December 2010 - December 2011
Avaunte, Inc. July 2002 - October 2010
Skills
Medical Coding, ICD-9, Data Entry, Medical Terminology, EMR, Healthcare, CPT, EHR, Invoicing, Health Insurance, Medical Billing, Health Information..., Inpatient, Epic Systems, Healthcare Management, HIPAA, Software Documentation, Revenue Cycle, Medicare, Healthcare Consulting, Healthcare Information..., Cerner, Medical Records, Practice Management, HCPCS, ICD-9-CM, Accounts Receivable, Physicians, CPOE, Healthcare Industry, Informatics, Ambulatory, Physician Relations, Remote training for...
Education
Université de Bordeaux 1985 — 1989
Bachelor of Science (B.S.), Orthoptics/Orthoptist
AAPC
CPC, Medical Insurance Coding Specialist/Coder
NACC
MCP, Windows NT networking
Coldwell Banker King Thompson 2013 - Present
Buckeye Community Health Plan thru Health Care Scouts 1982 - 2013
Molina Healthcare 2010 - 2012
Odyssey Healthcare 2009 - 2010
Skills
Healthcare, Case Management, Home Care, Nursing, BLS, Management, Healthcare Management, Cardiology, Hospitals, End of Life, Training, Customer Service, Patient Advocacy, Real Estate, Case Managment, Selling, Acute Care, Medical/Surgical, Public Speaking
Education
Ashland University 1993 — 1995
BSN, Nursing/Real Estate
Ashland University Dwight Schar College of Nursing 1993 — 1995
Nursing Science
Intuit January 2012 - Present
Blue Shield of California September 2011 - January 2012
Cognizant Technology Solutions January 2006 - January 2012
Intuit May 2008 - June 2011
Molina Healthcare June 2007 - April 2008
Cognizant Technology Solutions January 2006 - May 2007
Skills
Microsoft SQL Server, C#, Java, SSIS, SSRS, Hibernate, EDI, Data Analysis, Healthcare, Web Services, XML, SDLC, SQL, Agile Methodologies, SOA, Software Development, Oracle, Scrum
Education
Birla Institute of Technology and Science, Pilani 2007 — 2009
MS, Software Engineering
Anna University 2001 — 2005
BE, Computer Science
Sethu Bhaskara Matric 1997 — 2001
12th Grade
G.K Shetty Vivekananda Vidhyala 1991 — 1997
8th Grade
Molina Healthcare June 2015 - Present
SPARC, LLC September 2014 - April 2015
Teamphoria September 2014 - April 2015
Skills
Data Analysis, Data Mining, Data Science, Computer Science, Data Management, Data Entry, Data Modeling, JavaScript, R, SQL, Sports Analysis, Weka, Social Media, Statistical Computing, Node.js, Photoshop, Illustrator, Protege, API Development, Graphic Design, Management, Microsoft Excel, Microsoft Office, Customer Service, Public Speaking
Education
College of Charleston 2011 — 2015
Data Science with a concentration in Psychology
Free University of Bozen - Bolzano 2014 — 2014
Bachelor's Degree, Data Science, German
Molina Healthcare April 2015 - Present
Molina Healthcare December 2013 - April 2015
ApriaHealthcare, Inc. April 2013 - December 2013
Environment of Care Group LLC October 2010 - July 2013
Children's Healthcare of Atlanta July 2006 - November 2012
Foodbuy, LLC June 2005 - July 2006
Premier July 2003 - June 2005
Skills
Vendor Management, IT Governance, SharePoint, EPM, Business Process..., Supply Chain Management, Procurement, Process Improvement, Strategic Sourcing, Cross-functional Team..., Business Analysis, Program Management, Contract Management, Forecasting, Team Leadership, Business Strategy, Planning, Budgeting, Financial Analysis, MS Project, Budgets, Project Planning, Strategy, Management Consulting, Business Process, Project Management, Leadership, Integration, Management, Analysis, Contract Negotiation, Strategic Planning, Data Analysis, Healthcare, Change Management, ERP, PMO, Visio, Policy, Supply Chain, Analytics, Business Development, Team Management, Hospitals, Revenue Cycle, Requirements Analysis, Requirements Gathering, Software Project..., Operations Management, Software Documentation
Education
Emory University - Goizueta Business School 2008 — 2010
MBA, Operations Management
Alliant International University-San Diego Scripps Ranch 1996 — 1999
Bachelors, Multimedia Communication minor in International Business
Avon October 2009 - Present
Avon October 2009 - Present
BURGER KING June 2007 - 2009
Molina Healthcare August 2005 - June 2006
Molina Healthcare 2005 - 2006
EVERETT MCDONALDS June 2005 - August 2005
Howard University 2001 - 2004
Thomas Jefferson University December 1998 - June 2001
PENNSYLVANTA STATE UNIVERSITY COLLEGE OF MEDICINE July 1996 - November 1998
Penn State University 1996 - 1998
Skills
Administration, Invoicing, Data Entry, Office Management, Fundraising, Research, Budgets, Outlook, Process Scheduler, Microsoft Word, Accounting, Microsoft Excel, Customer Service, System Administration, Spreadsheets, Microsoft Office, Accounts Payable, Team Building, Strategic Planning, Public Relations, Recruiting, Public Speaking, Non-profits, PowerPoint, Administrative..., Event Planning, Telephone Skills, Social Networking, Program Management, Training, Administrative...
Education
Pennsylvania State University College of Medicine
Rock Hurst College Continuing Education Center-National Seminars
HACC, Central Pennsylvania's Community College
Lebanon County Area Vocational Technical School
Certificate, Data and Information Processing
HACC, Central Pennsylvania's Community College
Certificate of Proficiency, Office Information Systems Specialist
Zion Bible Institute 1978 — 1980
n/a, Ministry
Saratoga Springs High School 1976 — 1979
High School Diploma, Business
March Vision Care March 2012 - Present
Molina Healthcare January 2006 - March 2012
Cognizant Technology Solutions January 2006 - March 2012
Skills
HIPAA, EDI & HealthCare..., C# .NET, VB.NET, SQL Server 2000-2008, SSIS, QNXT, HIPAA, C#, VB.NET, Microsoft SQL Server, EDI, BizTalk, Health Insurance, SQL, Enterprise Architecture, SOA, Healthcare, SDLC, Business Analysis, Business Intelligence, Medicaid, Requirements Gathering, Agile Methodologies, Healthcare Information..., Scrum, ASP.NET MVC, MVC Architecture, .NET, SharePoint, Medicare, Visio, SSRS, Requirements Analysis, Software Project..., Systems Analysis, Testing, Solution Architecture, Data Warehousing, ASP.NET, ETL, T-SQL, PL/SQL, Business Requirements
Education
Anna University 2001 — 2005
B.E., Computer Science & Engineering
Alagappa University 2004 — 2005
ADPM - Advanced Diploma In Project Management, Project Management
Molina Healthcare December 2013 - Present
Whittier Hearing Center, Inc. February 1983 - July 2012
Skills
Audiology, Hearing Aids, Hearing Aid Dispensing, Aural Rehabilitation, Communication Disorders, Tinnitus, Rehabilitation, Hearing Conservation, Hearing Tests, Healthcare, Hardware Diagnostics, Medical Devices, Treatment, Evaluations, Hospitals, Diagnostic, EAR, Audiometry, Assistive Technology
Education
A.T. Still University of Health Sciences 2005 — 2007
Au.D, Audiology
California State University-Los Angeles
Loyola Marymount University
Molina Healthcare May 2009 - Present
Triple-S (Formerly know as American Health Medicare) May 2005 - June 2009
Amerigroup May 1997 - February 2004
XL-Care Agency, Inc. September 1991 - May 1996
Education
Cameron University School of Business
Bachelor of Applied Science (B.A.Sc.)
University of Puerto Rico School of Medicine
Associate's degree, Language Arts
Priority Health July 2013 - Present
Cigna July 2006 - July 2013
Molina Healthcare May 2004 - July 2006
PPOM 1998 - 2004
Skills
Provider Relations, Leadership, Process Improvement, Customer Service, Strategic Planning, Outlook, Team Building, Insurance, Healthcare, Microsoft Office
Education
Aquinas College 1986 — 1990
Bachelor's degree, Business Administration and Management, General
T-Mobile March 2015 - Present
Apple October 2011 - Present
Molina Healthcare October 2014 - February 2015
Altus Home Health Services February 2011 - September 2011
Tiger Direct October 2010 - February 2011
Balance Staffing Services April 2006 - September 2009
WESSCO COMPANIES January 2001 - April 2006
Skills
Account Management, Customer Service, Inventory Management, Cold Calling, New Business Development, Team Building, Contract Negotiation, Operations Management, Business Development, Sales, Management, Sales Management, Microsoft Office, Negotiation, Microsoft Excel, OS X Mountain Lion, iWork, Team Facilitation, Employee Training, Solution Selling, Technical Consultation, Customer Satisfaction, Retail
Education
College of Central Florida 2007 — 2008
College of Business and Technology-Miami 2004 — 2006
Web Design
Art Institute of Fort Lauderdale 1999 — 2001
Miami Dade College 1998 — 2000
Wellington "Art" Works October 2001 - Present
Vaupell June 2015 - August 2015
CBRE May 2015 - June 2015
Molina Healthcare March 2015 - March 2015
The Boeing Company September 2013 - February 2015
The Boeing Company December 2010 - September 2013
The Boeing Company August 2007 - December 2010
The Boeing Company November 2007 - August 2008
United Healthcare, Inc June 2007 - December 2007
The Boeing Company August 2007 - September 2007
Skills
Program Management, Project Management, Analysis, MS Project, Budgets, Management, Leadership, Strategic Planning, Nonprofits, Policy, Business Analysis, Requirements Analysis, SharePoint, Team Leadership, Customer Experience, Business Strategy, Process Flow..., Project Planning, Visio, Mind Mapping, Healthcare Management, Training, Knowledge Management, Soft Skills, Event Planning, Business Value, Data Integrity, Creative Writing, Agile Project Management, Inventory Management, Microsoft Excel, Quality Management, Microsoft Office, Budget Management, Defect Tracking, Project Tracking, User Stories, User Surveys, Software Configuration..., System Administration, User Acceptance Testing, Agile & Waterfall..., Grant Writing, ITIL Process, Data Analysis, Forecasting, Continuous Improvement, Kanban, Outlook, Risk Management
Education
Alaska Pacific University
BA, Management
Alaska Junior College
Associate's Degree, Business Administration and Management, General
Saint Petersburg State University
Certificate, Russian Language and Political Science
Center for Foreign Citizens' Preparation
Certificate, Russian Lanaguage and Culture
Agricultural Technical Institute for Slavic Languages
Certificate, Russian Language and Literature
ABC Language Center
Certificate, Russian Language and Literature
Molina Healthcare December 2012 - Present
Come Land Maintenance Services Inc. October 2011 - December 2012
QueensCare Health Centers May 2010 - March 2011
Queenscare Family Clinic February 2007 - March 2009
Skills
Medical Records, Data Entry, PowerPoint, Filing, Administration, Microsoft Excel, Microsoft Word, Microsoft Office, Outlook, Customer Service, Health Education, Medical Terminology, EHR, HIPAA, Leadership, Employee Training
Education
California State University-Long Beach 2014 — 2015
Bachelor of Science (B.S.), Health Care Administration
East Los Angeles College
Associate of Science (A.S.), Natural Science
American Career College
Medical Assistant
Molina Healthcare August 2006 - Present
Skills
Microsoft Word, Microsoft Excel, PowerPoint, Training, Research, Healthcare, Team Building, Analysis, Customer Service, Leadership, Data Analysis, Outlook, Process Improvement
Education
Academy of Court Reporting and Technology-Cleveland 1996 — 1998
Paralegal, Legal Assistant/Paralegal
Molina Healthcare September 2014 - Present
Shisha Center Inc. November 2013 - February 2015
Skills
Microsoft Word, Microsoft Excel, HIPAA, Outlook, Team Building, Customer Service, PowerPoint, Healthcare, Leadership, Healthcare Management, Medical Terminology, Data Analysis, Nursing
Education
American Career College 2014 — 2014
Medical assistant, Medical/Clinical Assistant
Long Beach City College 2011 — 2013
Registered Nursing/Registered Nurse
Molina Healthcare August 2010 - Present
Skills
Medicaid, Healthcare Information..., Healthcare, Medicare, Managed Care, HIPAA, Customer Service, Healthcare Consulting, Healthcare Industry, Health Insurance, Healthcare Management
Education
American School of Technology 2014 — 2015
Billing and Coding Diploma
Molina Healthcare
Skills
Healthcare, Managed Care, Healthcare Management, Nursing, Hospitals, Healthcare Information..., HIPAA, Medicare, Disease Management, Medicaid, EMR, Healthcare Consulting
Education
St. Mary's University 2006 — 2009
Doctor of Philosophy (Ph.D.), Counselor Education and Supervision
Amberton University 2002 — 2005
Master’s Degree, Professional Counseling
Angelo State University 1999 — 2002
Bachelor’s Degree, Psychology and Communications
Molina Healthcare December 2014 - Present
Molina Healthcare September 2013 - December 2014
Molina Healthcare April 2013 - September 2013
Molina Healthcare May 2012 - April 2013
Molina Healthcare May 2010 - May 2012
Skills
Healthcare, HIPAA, Utilization Management, Healthcare Industry, Healthcare Management, Medicare, Medicaid, Disease Management, Hospitals, Managed Care, Nursing, EMR, EHR, Health Insurance, Case Management, Process Improvement, NCQA, Medicare SNP, Medicare Duals..., New Business...
Education
AmeriTech College
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Salt Lake Community College
Molina Healthcare February 2014 - Present
Aetna Healthcare March 2008 - August 2012
Education
Excelsior College 2013 — 2015
Master of Science (MS), Nursing Education
The University of Texas at Arlington 2011 — 2013
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Dallas Nursing Institute 2010 — 2011
Associate of Science (A.S.), Registered Nursing/Registered Nurse
CTS November 2006 - Present
Molina Healthcare 2012 - 2014
Logica January 2006 - November 2006
Birlasoft May 2005 - January 2006
PB Systems, Inc. July 2003 - January 2005
Skills
ASP.NET, .NET, Microsoft SQL Server, SharePoint, C#, ADO.NET, QNXT, Microsoft Technologies, Visual Studio, SharePoint Designer, JavaScript, SQL, WCF, MOSS 2007, SharePoint 2013, Web Services, Microsoft Office..., Requirements Analysis, SDLC
Education
Periyar Univesity 2000 — 2003
MCA, Computer Sceience
Nagarjuna University 1997 — 2000
Bachelor of Science, Maths, Computers, Statistics
Molina Healthcare May 2014 - Present
Sister Emmanuel Hospital February 2013 - Present
Skills
Nursing, Medication..., Wound Care, BLS, IV, PowerPoint, Microsoft Excel, Healthcare, Vital Signs, Customer Service, Leadership, Hospitals, Microsoft Word
Education
West Coast University 2015 — 2017
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Mercy Hospital School of Practical Nursing 2012 — 2013
Licensed Practical/Vocational Nurse Training
Molina Healthcare July 2013 - Present
Cardon Outreach August 2011 - March 2013
Aerotek March 2011 - July 2011
Women's Health Connection April 2010 - March 2011
Healthcare Resource Group August 2009 - January 2010
Skills
Writing, Healthcare, Microsoft Office, Process Improvement, Software Documentation, Customer Service, ICD-9, HIPAA, Outlook, Team Building, Medical Billing, Medical Coding, Medical Records, Microsoft Word, PowerPoint, Microsoft Excel, Medicaid, UB04, Medical Terminology, HCPCS, Medicare/Medicaid..., ICD-9-CM, CPT, Healthcare Reimbursement, Centricity, Revenue Cycle Management, NextGen, Meditech, HMO, PPO, Medicaid Managed Care, EHR, HCFA, Denials, Physician Coding, Human Anatomy, Data Entry, Charge Entry, Accounts Receivable, Appointment Scheduling
Education
Western Governors University 2015 — 2018
Bachelor of Applied Science (B.A.Sc.), Health Informatics
Interface College-Spokane
Associate of Arts and Sciences (A.A.S.), Medical Office Administration
Interface College-Spokane 2008 — 2010
Certificate, Medical Coding and Reimbursement Specialist
Eastern Washington University 2002 — 2003
General Studies
Rose International October 2013 - October 2014
Midcom August 2011 - June 2013
Molina Healthcare June 2007 - July 2011
Universal Care September 2002 - May 2007
Skills
Training, Research, PowerPoint, Microsoft Excel, Microsoft Office, Microsoft Word
Education
American Career College 2002 — 2003
Phlebotomy Technician/Phlebotomist
Narbonne High School 1998 — 2001
High School Diploma, General Studies
Molina Healthcare November 2014 - Present
Dynamic Healthcare Systems June 2013 - Present
Sprint September 2009 - June 2013
Ovations Food Services, LP November 2007 - September 2009
Wells Fargo September 2007 - July 2009
Skills
Customer Support, Sales Management, Sales, Customer Service, Management, Recruiting, Retail, Accounting, Customer Retention, Customer Satisfaction, Sales Operations, Customer Experience, Call Centers, Salesforce.com, CRM, Direct Sales
Education
Arizona State University 2012 — 2013
Business Administration and Management, General
Cypress College 2006 — 2008
Associate of Science (A.S.)
UnitedHealthcare December 2012 - Present
Disneyland October 2011 - April 2012
Molina Healthcare May 2010 - March 2011
Skills
Medicare, Medicaid, Health Insurance, Managed Care, HIPAA, Provider Relations, HMO, Healthcare, Utilization Management, PPO, Healthcare Management, Insurance, Healthcare Information..., Healthcare Industry
Education
American Career College 2013 — 2014
Pharmacy Technician/Assistant
Career Networks Institute 1998 — 1999
Medical Admin/ Billing, Health/Health Care Administration/Management
Rancho Alamitos High School
Diploma 1996
Molina Healthcare August 2014 - Present
TownePlace Suites by Marriott April 2013 - July 2014
Express Scripts September 2012 - April 2013
Fairfield Inn & Suites by Marriott June 2011 - April 2013
Walt Disney World January 2011 - June 2011
Albertson's August 2009 - January 2011
Albertson's March 2007 - August 2009
Skills
Hotel Management, Hospitality Management, Hotels, Hospitality, Property Management..., Front Office, Food & Beverage, Tourism, OnQ, Customer Service, Guest Service Management, Guest Recovery, Reservation, Inventory Management, Training, Employee Training, Up-selling, Pharmacy, Data Entry, Telephone Skills, Concierge Services, Food, Cashiering, Accounts Payable, Phone Etiquette, Teamwork, Hotel Administration, Food Safety
Education
Carrington College-Albuquerque 2011 — 2012
Diploma, Pharmacy Technician/Assistant
Central New Mexico Community College 2009 — 2011
In Progress, Business Administration and Management, General
Molina Healthcare September 2015 - Present
Kaiser Permanente December 2014 - August 2015
Kaiser Permanente September 2013 - December 2014
Kaiser Permanente October 2007 - September 2013
Skills
Microsoft Excel, Data Entry, Data Analysis, Workflow Management, Workflow Diagrams, Visio, Triage, Computer Hardware...
Education
Everest College-San Francisco
Pharmacy Technician/Assistant
George Washington High School
High School, General Studies
Molina Healthcare September 2015 - Present
Global Efficient Energy December 2014 - September 2015
Texas Tech Independent School District November 2011 - December 2014
Baylor Regional Medical Center at Grapevine July 2011 - October 2011
Covenant Health System September 2010 - May 2011
Baylor Health Care System May 2010 - August 2010
Baylor Health Care System May 2009 - August 2009
Skills
Press Releases, Media Relations, Newsletters, Marketing, Editing, Event Planning, Photography, Social Media, Newsletter Production, Microsoft Office, Strategic Communications, Internal Communications, Marketing Research, Email Marketing, Advertising, Social Media Marketing, Public Relations, Social Networking, Facebook
Education
College of Media & Communication, Texas Tech University 2012 — 2014
Master's of Art, Mass Communication
College of Media & Communication, Texas Tech University 2007 — 2011
B.A. in Public Relations, Minor in Spanish
First Data Corporation May 2015 - Present
Compassion International November 2012 - May 2015
Molina Healthcare December 2008 - January 2012
Idaho Department of Health & Welfare 2003 - December 2008
Sprint ESolutions 1996 - 2003
Paranet 1996 - 1997
Software Marketing 1989 - 1991
Skills
Disaster Recovery, ITIL, Data Center, Enterprise Architecture, System Integration, Solution Architecture, Business Architecture, Data Architecture, RFP Generation, Integration, SDLC, Security, Vendor Management, HIPAA, PMP, SOA, Cloud Computing, Leadership, IT Strategy, IT Management, Service Delivery, Information Technology, Management, Business Analysis, Analysis, Enterprise Software, Business Intelligence, Requirements Analysis, SharePoint, IT Service Management
Education
Arizona State University
Regis University
Molina Healthcare of Ohio, Inc. August 2015 - Present
Molina Healthcare February 2015 - August 2015
OhioHealth August 2014 - August 2015
Charles Penzone April 2013 - August 2015
Diamond Country Lodging DBA Pineview Motel and Apartments October 2006 - February 2013
Regis Corporation December 2004 - October 2006
Skills
Office Management, Microsoft Word, Data Entry, Customer Service, Microsoft Publisher, Process Scheduler, Small Business, Hospitality Management, Project Planning, Hospitality Industry, HIPAA, Internet, Invoicing, Tourism, Microsoft Office, Microsoft Excel, Epic Systems, NextGen, Citrix, Self Learning, Self-management, Accounts Payable &..., Health Insurance, Human Resources, Beauty Industry, Spa, Training, Time Management, PowerPoint, Leadership, Healthcare, Event Planning
Education
Brookline College-Phoenix 2013 — 2014
Bachelor's Degree, Healthcare Administration, A
Anthem College-Phoenix 2006 — 2007
Associate of Science (AS), Medical Insurance Specialist/Medical Biller, A
Anthem November 2013 - Present
Amerigroup November 2012 - November 2013
Amerigroup Corporation February 2011 - November 2012
Molina Healthcare November 2005 - February 2011
Unisys 2005 - 2010
Value Options February 2005 - November 2005
Amerigroup Corporation August 1999 - August 2001
Skills
Healthcare Information..., Requirements Analysis, Project Management, Account Management, HIPAA, Requirements Gathering, SDLC, Business Process..., Software Documentation, Analysis, Quality Assurance, Program Management, Process Improvement, Healthcare, Visio, Data Analysis, Software Project..., Team Building, Systems Analysis, Managed Care, Customer Service, Healthcare Management, Health Insurance, Six Sigma, EDI, Medicaid, MS Project, Enterprise Architecture, SharePoint
Education
American University 1989 — 1992
MS, Information Systems
University of Maryland College Park 1986 — 1989
BA, Communications
Old Dominion University
Health Sciences
iHeartMedia December 2014 - Present
St. David's HealthCare May 2014 - November 2014
Molina Healthcare January 2012 - April 2014
Topnotch Resort and Spa December 2010 - September 2011
Marriott International March 2008 - July 2010
State Farm Insurance and Financial Services April 2004 - February 2008
Education
Arizona State University 2003 — 2007
Bachelor of Science, Finance
HireRight October 2013 - Present
Verisk Analytics/Interthinx March 2007 - September 2013
WellPoint February 2006 - March 2007
eBusiness Application Solutions May 2004 - March 2007
Molina Healthcare May 2005 - January 2006
Jet Airways March 2000 - July 2002
Skills
SDLC, Vendor Management, Visio, Agile Methodologies, Business Analysis, Requirements Analysis, Business Requirements, Management, Product Management, Strategy, Business Intelligence, Waterfall, CRM, RUP, Testing, Analysis, Requirements Gathering, MS Project, Software Documentation, Software Development, Databases, Competitive Analysis, SQL, Risk Management, Analytics, •Brand Positioning •..., Mobile Strategy, User Experience, User-centered Design, User Experience Design, Business Strategy, Strategic Partnerships, Marketing Strategy, Digital Marketing, Digital Strategy, Digital Media
Education
Harvard University 2015 — 2016
Certificate Strategic Management
Providence College 2002 — 2004
Master of Business Administration (M.B.A.)
Delhi University 1997 — 2001
Bachelor's degree
Institute of Hotel Management 1997 — 2000
Associate's degree
Molina Healthcare 2014 - Present
Kaiser Permanente 2011 - 2013
The Walt Disney Company 2010 - 2011
Juniper Networks 2009 - 2010
Yahoo! 2007 - 2007
Microsoft 2004 - 2007
Elance 2003 - 2004
Siebel Systems July 2000 - September 2003
Arizona State University 1998 - 1998
Taiwanese army (mechanized infantry division) 1993 - 1995
Skills
Enterprise Software, Siebel, LoadRunner, SDLC, CRM, Requirements Analysis, Microsoft SQL Server, Quality Assurance, Testing, Software Quality..., Quality Center, Software Project..., Performance Tuning, Requirements Gathering, SiteScope, Enterprise Architecture, HP Performance Center, HP BAC, HP BSM, Cloud Computing, Databases
Education
Carnegie Mellon University
M.S., Information Systems Management
Arizona State University
Bachelor's Degree, Computer Information Systems
FlexTech, Inc. May 2013 - Present
Molina Healthcare August 2011 - May 2013
UnitedHealthcare February 2009 - August 2011
Aetna April 2008 - December 2008
Motorola Solutions January 2000 - February 2003
Motorola Solutions November 1999 - December 2000
Skills
HIPAA, Insurance, Health Insurance, Medicare, Medicaid, Claim, Visio, Call Center, Employee Benefits, Business Requirements, Access, Requirements Gathering, Process Improvement, Healthcare
Education
Arizona State University 2004 — 2007
Interior Design and Architecture
Scottsdale Community College 2008 — 2010
General Studies
Molina HealthCare June 2015 - Present
Molina Healthcare January 2014 - June 2015
First capital surety & trust September 2013 - January 2014
Mercer Management Consulting October 2012 - November 2013
DentaQuest January 2008 - November 2011
U.S. Bank July 2005 - December 2007
Lincoln Neighborhood redevelopment corp 2003 - 2007
Universal Mortgage Corporation February 2002 - July 2005
Skills
Loans, Mortgage Lending, FHA, Mortgage Banking, Customer Service, Hot Jobs, Employee Benefits, Finance, Insurance, Software Documentation, Call Centers, Process Improvement, Customer Satisfaction, Public Speaking, Leadership, Microsoft Excel, Outlook, Training, Team Building, Sales
Education
American Public University System 2010 — 2017
Bachelor's degree, Sociology
Colorado Technical University 2014 — 2015
Healthcare Administration, Health/Health Care Administration/Management
American Public University System
Associate's degree, Public Health
Molina Healthcare April 2013 - Present
Anthem WellpPoint February 2008 - September 2012
Southern States Cooperative 1998 - 2006
SkyTel, Inc. 1994 - 1998
Skills
SDLC, Data Warehousing, SQL, Systems Analysis, ITIL Foundations, Software Development, Business Information..., Management, Microsoft SQL Server, Project Management, Information Technology, Business Analysis, Security, ETL
Education
Baton Rouge School of Computers 1981 — 1982
Programming and Operational Management, Computer Programming, Specific Applications, A
University of Louisiana at Lafayette 1976 — 1981
Associates Degree, Computer and Information Sciences and Support Services
Molina Healthcare August 2015 - Present
Visiting Nurse Service of New York 2014 - 2014
Visiting Nurse Service of New York June 2008 - 2014
The College of New Rochelle 2007 - 2009
Impact Communications 2000 - 2005
Oxford Health Plans 1994 - 1999
United Hospital Medical Center 1987 - 1994
Skills
Healthcare Management, Healthcare, Training, Organizational..., Performance Improvement, Hospitals, Management, Staff Development, Program Development, Nursing, Managed Care, Coaching, Strategic Planning, Leadership, Home Care, Learning Management, Curriculum Development, Learning & Development..., Case Managment, EMR, Leadership Development, Organizational Learning, Project Management, Blended Learning, Case Management, Public Health, Program Evaluation, Creative Problem Solving, Compliance, Curriculum Design, Continuing Education
Education
Duke University School of Nursing 2013 — 2013
Population Care Coordinator Program, Population Health, Certificate
The College of New Rochelle
MS, Nursing/Adult Learning
Wagner College
BSN, Nursing
Smart Media L.L.C March 2007 - Present
Molina Healthcare 2014 - 2015
Universal Music Group May 2013 - October 2013
Thunderbird School of Global Management January 2006 - January 2007
HostProduction.com September 2003 - 2006
944 Magazine January 2000 - January 2002
Moving Pictures Magazine January 2000 - January 2002
GE Capital January 2000 - January 2002
ESPN January 1997 - January 2000
Public Broadcasting Service: KAET Channel 8 PBS affiliate station January 1992 - January 1994
Skills
Editing, Blogging, Screenwriting, Copywriting, Digital Media, Project Management, Producing, Video Production, Photography, Film, Videography, Technical Writing, Feature Films, Theatre, Storytelling, Music, Creative Writing, Video, Editorial
Education
Arizona State University
BA, English
Tunxis Community Technical College
University of Granada
Spanish Literature and History
Molina Healthcare June 2013 - Present
CareMore Health Plan December 2012 - May 2013
United Healthcare/Optum Insight January 2006 - October 2012
Balboa Insurance/Countrywide Home Loans/Bank of America January 2003 - January 2006
Capgemini 1999 - 2002
Skills
HIPAA, SDLC, Enterprise Architecture, Business Analysis, Vendor Management, EAI, Data Warehousing, Healthcare Information..., Insurance, Process Improvement, Healthcare, EDI, Business Intelligence, Integration, Project Management
Education
Andhra University 1982 — 1985
Masters, Applied Mathematics
Andhra University 1982 — 1985
Master, Applied Mathematics
Medtronic February 2015 - Present
Alliance HealthCare Services August 2011 - June 2015
Molina Healthcare October 2008 - August 2011
InSight Health Corp. April 2003 - October 2008
NHIC, Corp (An EDS company) December 2000 - March 2003
Skills
Credentialing, Medicare, Provider Relations, Managed Care, Healthcare, Healthcare Information..., HIPAA, Healthcare Management, Hospitals, Healthcare Consulting, Revenue Cycle, Medical Billing, Radiology, Customer Service, SQL Server 2005/2000, Microsoft Access, Health Plan Operations, Contract Negotiation, Strategic Planning, Team Building, Process Improvement, Budgets, Data Analysis, Provider Data Management, Provider Networks, Health Care Compliance, Medicaid Managed Care, Business Process..., Environmental Compliance, Healthcare Industry, Management
Education
American InterContinental University
BA, Business Administration
Molina Healthcare September 2009 - Present
Accredo Health January 2009 - September 2009
Sedgwick CMS August 2008 - December 2008
AmeriHealth Administrators October 2007 - July 2008
Merck December 2000 - October 2007
Merck April 1996 - November 2000
Bristol-Myers Squibb May 1994 - March 1996
SEI February 1991 - May 1994
Skills
SDLC, Requirements Elicitation, Business Requirements, Business Process...
Education
Arcadia University 1991 — 1996
MA, Education, Secondary Math Certification
Stockton University 1981 — 1983
BA, Mathematics, Computer Science
Little Flower 1973 — 1977
High School
Molina Healthcare August 2004 - Present
MinuteClinic 2008 - 2012
St. John Providence Health System 1996 - 2011
Molina Healthcare 2004 - 2009
Skills
Healthcare, Managed Care, Credentialing, Hospitals, Medicare, Emergency Medicine, Disease Management, Healthcare Management, Medicaid, Healthcare Consulting, EHR, Physician Relations, Quality Improvement, Provider Relations, HIPAA, Healthcare Industry, Health Policy, Utilization Management, Healthcare Information..., Physicians
Education
Wayne State University School of Medicine 1989 — 1993
Doctor of Medicine (MD), Medicine
Albion College 1986 — 1989
Biology, General
Davenport University 2005 — 2007
Master of Business Administration (MBA), Health/Health Care Administration/Management
Wayne State University School of Medicine 1989 — 1993
MD, Medicine
Molina Healthcare July 2009 - Present
Citizens Bank March 2009 - June 2009
Toyota Motors North America February 2008 - March 2009
Wells Fargo Bank October 2007 - January 2008
Skills
EMC Storage, Enterprise Architecture, Solution Architecture, vSphere, Visio, Python, Linux, Cluster, Active Directory, VMware, SQL, Unix, Clariion, Cisco UCS, C#
Education
Denmark Technical University 2005 — 2006
Masters, Thesis
University of Kalmar 2004 — 2006
Masters, Electrical Enginerring
Jawaharlal Nehru Technological University
Bachelors of Technology, Electrical & Electronics Engg
Cognizant Technology Solutions August 2005 - February 2011
AmeriChoice by United Health Group 2008 - 2011
AmeriChoice by UnitedHealth Group 2007 - 2008
TeamHealth 2007 - 2007
Molina Healthcare 2006 - 2007
Molina Healthcare 2006 - 2006
TriZetto Corporation 2006 - 2006
Skills
Business Intelligence, Crystal Reports, SQL, Business Objects, Data Warehousing, PL/SQL, Healthcare Analytics, SSRS, SSIS, SDLC, Business Analysis, Requirements Analysis, Software Project..., Requirements Gathering, Oracle, Analytics, Microsoft SQL Server, .NET, Healthcare Management, Agile Methodologies, Scrum, Training
Education
Anna University 2001 — 2005
B.Tech, Information Technology
Molina Healthcare January 2015 - Present
Robertson Properties Group 2008 - 2014
Hines Interest Limited Partnership 2007 - 2008
CBS CORPORATION (formerly United Paramount Network) 2000 - 2007
TRAMMEL CROW COMPANY (a subsidiary of CBRE Group), 1999 - 2000
GOLDRICH AND KEST MANAGEMENT INC. 1996 - 1999
Skills
General Ledger, JD Edwards, Accounting, Accruals, Financial Analysis, Fixed Assets, Journal Entries, GAAP, Real Estate, Budgets, Forecasting, Auditing, Accounts Payable, Variance Analysis, Account Reconciliation, Financial Statements, Financial Reporting, Finance, Accounts Receivable, Cash Flow, Internal Controls, Payroll
Education
College of the Holy Spirit
Bachelor of Science (B.S.), Major in Accounting
Chesterfield County - Information Systems Technology April 2015 - Present
Molina Healthcare May 2014 - April 2015
Verisk Analytics December 2013 - March 2014
Bostwick Laboratories December 2005 - November 2013
Giesecke & Devrient October 2000 - November 2005
Skills
ASP.NET, ASP.NET MVC, Architecture, SDLC, SQL, SOA, Agile Methodologies, Java, Windows Services, jQuery, JavaScript, ASP.NET AJAX, ADO.NET, Database Design, WCF, WPF, jQuery UI, Data Entity Framwork, RDBMS, HTML 5, CSS, SSIS, Web API, OOP, Web Services, .NET
Education
University of Electronic Science and Technology
Master, Computer Science
Xi'an Institute of Technology
Bachelor, Computer Science
Molina Healthcare November 2012 - June 2013
JCPenney August 2012 - December 2012
Manning & Napier Advisors December 2006 - July 2012
Meijer February 2004 - March 2007
Skills
Outlook, Social Media, Microsoft Excel, Customer Service, Sales, Microsoft Word
Education
Kaplan College-Columbus 2004 — 2006
Associates, Business Applications
Cognizant August 2014 - Present
Infosys December 2011 - Present
Molina Healthcare 2012 - 2014
Molina Healthcare 2012 - 2014
UST Global August 2009 - December 2010
Skills
SharePoint 2013, SharePoint, .NET, SharePoint Designer, Microsoft SQL Server, Web Services, C#, Requirements Analysis, InfoPath, JavaScript, jQuery, Visual Studio, Microsoft Office..., SQL, WCF, ASP.NET, SharePoint Server
Education
Anna University 2003 — 2007
Bachelor of Technology (B.Tech.), Information Technology
Molina Healthcare April 2014 - Present
Molina Healthcare August 2013 - April 2014
Molina Healthcare December 2011 - July 2013
Molina Healthcare June 2011 - December 2011
Molina Healthcare December 2007 - May 2011
Molina Healthcare of Indiana December 2004 - December 2007
Harmony Health Plan Inc. October 2000 - December 2004
Skills
Healthcare, Leadership, Medicaid, Training, Managed Care, Medicare, HIPAA, Quality Assurance, HMO, EHR, Healthcare Consulting, Policy, Provider Relations, Hospitals, Process Improvement, Health Insurance, Healthcare Industry, Program Management, Management, Call Centers, Employee Benefits, Healthcare Management, Strategy, Network Development, NCQA, Health Policy, PPO, Revenue Cycle, Compliance, Claim, Insurance, Organizational..., Coaching, Staff Development, Claims Resolution, Medical Billing, Health Insurance..., Affordable Care Act, Strategic Planning, Change Management, Team Building, Healthcare Information..., Project Management, Customer Service, Software Documentation, Vendor Management, Business Analysis, EMR, Visio, Physician Relations
Education
Amberton University 2013 — 2015
Master of Business Administration (MBA), Strategic Leadership
Robert Morris University - Illinois 2007 — 2009
Bachelor of Business Administration (BBA), Management
Cognizant November 2010 - Present
Molina Healthcare 2014 - 2015
CareVoyant, Inc. July 2007 - October 2010
Skills
Microsoft Office, Research, PowerPoint, Leadership, Powerinsight, DA2, Cerner CCL, PowerChart, GE Centricity, Cerner millennium, Order Catalog Tool, MSBI, Microsoft SQL Server, C#.Net, SSAS, SSIS, SSRS, Business Intelligence, SDLC, C#
Education
Anna University
Molina Healthcare June 2012 - Present
Molina Healthcare February 2012 - June 2012
Arcadian Health Plan January 2009 - February 2012
Health Net September 2004 - December 2008
Kaiser Permanente April 2002 - August 2004
NAMM California 2002 - 2002
Skills
Medicaid, Medicare, Managed Care, Healthcare Management, Healthcare, Health Insurance, Healthcare Industry, HMO, Healthcare Analytics, Provider Relations, Claim, Disease Management, EMR, Medicare Part D, Executive Management, Health Policy
Education
Tanta University 1988 — 1992
BS, Accounting
Molina Healthcare August 2013 - Present
Phase II Inc, April 2012 - December 2012
Delta Dental of California December 2005 - November 2010
Delta Dental November 2001 - December 2005
Delta Dental October 2000 - November 2001
Skills
Accounts Receivable, General Ledger, Account Reconciliation, Invoicing, Microsoft Excel, Teamwork, Management, Accounting, Outlook, Microsoft Word, PowerPoint, Oracle, MS Excel Pivot Tables, Customer Service, Customer Satisfaction, Call Centers, General Office..., COBRA, 10 Key, Eligibility, Open Enrollment, Insurance, Process Improvement, Microsoft Office, Administration, Bank Reconciliation
Education
American InterContinental University 2009 — 2010
Associates, Business Administration
Molina Healthcare April 2015 - Present
Molina Healthcare August 2014 - April 2015
Molina Healthcare February 2014 - August 2014
H&R Block January 2013 - April 2013
Electronetics March 2012 - July 2012
Eastern Illinois University August 2011 - December 2011
Eastern Illinois University February 2011 - May 2011
Ethiopian Airlines January 2008 - July 2010
Developing Families Together September 2006 - July 2007
Skills
Research, Planning, Budgeting, Statistics, Non-profits, Economics, Econometrics, Data Analysis, Project Managment, Business Analysis, Financial Analysis, Project Management, Forecasting, Project Planning, Leadership, Budgets, Market Research, International..., Business Planning, Strategic Planning, Analysis, Qualitative Research, Marketing, Policy Analysis, Nonprofits, Proposal Writing, Business Development, Policy, SPSS, PowerPoint, Microsoft Excel, SQL, Microsoft Word, Pivot Tables, VBA, Salesforce.com, Time Management, Stata, Teamwork, CRM, SAS, Access, Program Management, Strategy, Finance, Management, Management Consulting, Team Leadership, Training, Microsoft Office
Education
University of Washington 2013 — 2014
Certificate, Business Analysis
Eastern Illinois University 2010 — 2014
Masters of Arts Degree, Economics
Everett Community College 2013 — 2013
Certificate, SQL Advanced Querying
Ethiopian Airlines School of Marketing 2007 — 2008
Diploma, Marketing
Jimma University 2004 — 2006
Bachelors of Arts Degree, Economics
Infosys Public Services September 2013 - Present
Molina Healthcare May 2011 - September 2013
Skills
Medicaid, Healthcare Information..., SDLC, HIPAA, Managed Care, Healthcare, Visio, Healthcare Management, Requirements Gathering, Business Analysis, Requirements Analysis, Medicare, Process Improvement, EHR, Software Documentation, EMR, Business Requirements, SharePoint, Healthcare Industry, Hospitals
Education
Anna University 2003 — 2007
Bachelors in Engineering, Electronics and Instrumentation, A
Molina Healthcare June 2014 - March 2015
UnitedHealth Group 2011 - 2013
Hyundai Motor America/ Adecco 2010 - 2011
AT&T Wireless 2006 - 2008
Skills
Customer Service, Healthcare
Education
American Career College 2015 — 2015
Medical Billing and Coding
Molina Healthcare February 2015 - Present
Molina Healthcare September 2014 - Present
MedXM March 2014 - Present
College Hospital, Cerritos April 2014 - August 2014
Northrop Grumman Aerospace Systems March 2007 - December 2011
Northrop Grumman Aerospace Systems March 2004 - March 2007
Northrop Grumman Corporation March 1997 - March 2004
Northrop Grumman Aerospace Systems, TRW Space & Technology April 1983 - March 1997
Skills
Healthcare Management, Medicare, Utilization Management, Clinical Research, Product Engineering, Customer Service, AutoCAD, Pro Engineer, Simulations, Semiconductors, Testing, Pro Intralink, SAP
Education
Pacific College 2012 — 2013
Licensed Practical/Vocational Nurse Training
Inova Health System October 2014 - Present
George Washington University September 2013 - Present
Inova Health System March 2014 - October 2014
Inova Health System November 2012 - June 2013
Molina Healthcare July 2010 - November 2012
Kaiser Permanente May 2006 - July 2010
Inova Health System August 1987 - January 2006
Skills
Healthcare Management, Hospitals, Patient Safety, EMR, ACLS, BLS, Inpatient, Process Improvement, Great Customer Servicer, Outpatient, Emergency Services, Physician Relations, Emergency Management, Team Building, Cross-functional Team..., Cross Functional Team..., Patient Advocacy, Quality Assurance, Budgets, Project Management, Service Quality, HIPPA, Agent for Change, Experienced Change Agent, Epic Systems, GE Centricity systens, Disaster Preparedness, Regulatory..., Legal Research
Education
George Mason University 2001 — 2005
Master's degree, Nursing Administration
Roxborough Memorial Hospital School of Nursing 1971 — 1974
diploma, Registered Nursing/Registered Nurse
Agave Health, Inc. October 2014 - Present
Magellan Health Services, Inc 2014 - 2014
OputmHealth New Mexico, Inc. March 2011 - May 2013
Molina Healthcare 2013 - 2013
Mesa Mental Health October 2009 - January 2011
FIRE SPIRIT SEMINARS December 2002 - December 2010
Value Options New Mexico March 2006 - June 2009
Skills
Health Insurance, Managed Care, Utilization Management, Medicaid, Healthcare, Nursing, HMO, Provider Relations, Medicare, Software Documentation, HIPAA, Claim, Healthcare Management, Disease Management, Case Management, Behavioral Health, Elder Care, Medicaid Managed Care, Utilization Review, Medicare Part D, NCQA, Hospitals, Healthcare Industry, Inpatient, ICD-9, Home Care, Patient Advocacy, Medical Records, Physicians, Medical Coding, Crisis Intervention
Education
Antioch University New England
Master of Arts (M.A.), Counseling Psychology
Hartwick College
Bachelor of Arts (B.A.), Political Science
Walgreens Infusion Claims Resolution Center October 2013 - Present
The Center For Healthcare Services/Haven for Hope September 2012 - October 2013
Molina Healthcare May 2011 - September 2012
Advantage Infusion Services, Inc February 2010 - September 2010
CHRISTUS Health April 2003 - April 2009
Christus Santa Rosa Home Care April 2003 - April 2009
HCD Homecare September 1999 - April 2003
Homecare Dimensions, Inc September 1999 - April 2003
Olsten Health Services June 1996 - September 1999
Skills
Medicare, Hospitals, Home Care, Pediatrics, Nursing, Invoicing, Healthcare, Medicaid, Pharmacy, HIPAA, Healthcare Consulting, Healthcare Management, Healthcare Industry, Managed Care, Customer Service, Team Building, Training, Physicians, Case Management, Leadership, Marketing, Long-term Care
Education
San Antonio College 1990 — 1991
Insurance, 08 Insurance Adjusters License
University of Stavanger (UiS)
Molina Healthcare October 2012 - Present
Skills
PowerPoint, Microsoft Office, Research, Microsoft Excel, Customer Service, Outlook, English, Public Speaking, Windows, Healthcare, Clinical Research, Strategic Planning, Hospitals, Budgets, Medicine, Medical Terminology, Healthcare Management
Education
Everest College-Everett 2012 — 2012
Diploma, Medical/Clinical Assistant
Eisenhower High School 2006 — 2010
Diploma, Medical/Clinical Assistant
Molina Healthcare June 2012 - Present
Molina Healthcare February 2012 - June 2012
Ohio Reproductive Medicine January 2010 - February 2012
Hypertension & Kidney Specialists, LLC May 2009 - January 2010
Education
Fortis College-Columbus 2010 — 2012
Associate's degree, Registered Nursing/Registered Nurse, 3.4
Fortis College-Columbus 2009 — 2010
Diploma, Licensed Practical/Vocational Nurse Training, 3.3
Everest Institute-Gahanna 2008 — 2009
Diploma, Medical/Clinical Assistant, 3.8
LegalZoom April 2014 - Present
Molina Healthcare November 2010 - April 2014
Health Net November 1999 - November 2010
Antelope Valley Hospital 1996 - 1998
Skills
HIPAA, Medicaid, Health Insurance, Access, Data Analysis, Business Intelligence, SharePoint, Business Analysis, Healthcare, Medicare, Managed Care, Process Improvement, Insurance, SSRS, Microsoft SQL Server, SQL Server Management..., Visual Basic, Microsoft Excel, Healthcare Information..., Claim, SSIS, HTML, CSS, .NET, Healthcare Management, Hospitals, Microsoft Office, Data Mining, Tableau
Education
Arizona State University 2012 — 2013
Bachelor of Science (BS), Political Science and International Studies
Molina Healthcare December 2010 - May 2014
Education
Everest College-Everett 2009 — 2010
Medical Assistant Certification, 4.0
Molina Healthcare May 2010 - Present
Education
Arcadia University
Bachelor's degree
Molina Healthcare February 2011 - Present
Molina Healthcare October 2009 - February 2011
Charleston Area Medical Center Health System February 1998 - January 2009
Charleston Area Medical Center Health System February 2001 - June 2002
Charleston Area Medical Center Health System January 1994 - February 1998
Charleston Area Medical Center Health System August 1990 - January 1994
Skills
Type 70 wpm, Data entry 9,000 kpm, Microsoft Office, Microsoft Word, Clinical Research, Medical Coding, Physicians, Inpatient, Hospitals, Medicine, Provider Relations
Education
Garnet Career Center 2001 — 2002
Salamanca, New York
Molina Healthcare May 2014 - Present
Dr. Cardin's office November 1994 - October 2012
Preferred Properties April 2000 - August 2003
Skills
Data Entry, Marketing, Microsoft Excel
Education
Pacific College 2012 — 2013
Long Beach City College 1997 — 1999
generals
Molina Healthcare January 2015 - Present
MCCI Group Holdings, LLC January 2012 - January 2015
Almost Home Inc January 2013 - January 2014
Florida Insurance representing Florida Blue (Blue Cross/Blue Shield) January 2009 - January 2012
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop
Education
42
Bachelor’s Degree, Nursing; Nursing
Molina Healthcare May 2013 - Present
Loudoun County Community Services Board December 2012 - May 2013
Fairfax County Community Services Board September 2011 - August 2012
Nova Southeastern University Psychology Services Center September 2010 - August 2011
Mental Health Association of Montgomery County, MD July 2004 - June 2010
Education
American School of Professional Psychology at Argosy University
Psy. D.
University of Maryland College Park
Bachelor’s Degree