Molina Healthcare of Ohio
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Molina Healthcare of Ohio Employees
Molina Healthcare November 2013 - Present
Molina Healthcare of Illinois May 2013 - November 2013
Molina Healthcare of Ohio August 2011 - May 2013
Anthem December 2008 - August 2011
Skills
HIPAA, Medicaid, Managed Care, Healthcare, Health Insurance, Call Centers, Claims Processing, Process Improvement, Medicare, Claim, Insurance, Customer Service, Hospitals, Healthcare Management, Healthcare Information..., Training, Healthcare Industry
Education
Columbus State Community College
Associate's Degree, Business Management
Fortis College-Columbus 2007 — 2008
Medical Billing and Coding
Nationwide Insurance March 2013 - Present
Nationwide Insurance May 2011 - March 2013
Molina Healthcare of Ohio October 2008 - June 2011
JPMorgan Chase January 2006 - October 2008
BISYS Fund Services 2000 - 2005
Skills
Data Analysis, Data Mining, SSRS, Microsoft Office, Access, Leadership, SQL, Databases, Process Improvement, Teradata
Education
Ohio Dominican University 2009 — 2011
Master of Science in Management, Management
Pace University 1995 — 1999
Bachelor of Business Administration, Management
Magellan Complete Care July 2013 - Present
DentaQuest January 2012 - July 2013
Molina Healthcare of Ohio 2008 - January 2012
CareSource Management Group October 2003 - March 2008
City of Dayton September 2000 - October 2003
Ohio Auditor of State April 1998 - September 2000
Skills
Medicaid, Project Management, Program Management, Business Process..., Leadership, Management, Strategic Planning, Performance Management, Operations Management, Healthcare, Policy, Medicare, Healthcare Industry, Managed Care, Provider Relations, Business Development, Network Development, HIPAA, Government, Health Policy, Utilization Management, HMO, Healthcare Consulting, Healthcare Management, Health Insurance, Disease Management, Physician Relations
Education
Project Management Institute 2005 — 2006
Certified PM, Project Management
University of Idaho 1995 — 1997
MPA, Public Administration
Central Michigan University
BS, English
Quantum Health January 2013 - Present
Molina Healthcare of Ohio May 2008 - June 2012
Alliance Data Retail Services June 2002 - April 2008
Skills
Microsoft Office, Customer Service, Risk Management, Business Analysis, Strategic Planning, Project Management, Business Strategy, Data Analysis, Visio, Financial Analysis, Process Improvement, Budgets, Leadership, Team Leadership, Analysis, Vendor Management, Business Process...
Education
University of Phoenix 2010 — 2012
Master of Business Administration (MBA), Business Administration
Franklin University 2003 — 2005
Bachelor of Science in Business Administration, Business Administration
Molina Healthcare July 2014 - Present
Molina Healthcare July 2012 - Present
Molina Healthcare of Ohio July 2012 - December 2012
Friendship Village of Dublin September 2011 - June 2012
Molina Healthcare of Ohio June 2011 - September 2011
Alliance Data July 2009 - October 2010
Skills
Customer Service, Time Management, Healthcare, Hospitals, Spreadsheets, HIPAA, Microsoft Word, Medicaid, Microsoft Excel, Medicare, Healthcare Management, Managed Care, Health Insurance, Process Improvement, Healthcare Information..., Provider Relations, Healthcare Industry, Outlook, Data Analysis, qnxt, claims
Education
The Ohio State University 2008 — 2012
Bachelor Degree, Human Development and Family Science
Eastmoor Academy High School
High School Diploma
Molina Healthcare of Ohio April 2011 - April 2013
Riverside Methodist Hospital June 2001 - March 2011
Skills
Healthcare Information..., Healthcare Management, Healthcare, HIPAA, Managed Care, Medicaid, EMR, Healthcare Industry, Process Improvement, Healthcare Consulting, Medicare, Nursing, EHR, Health Insurance, Hospitals
Education
Otterbein University
BSN, Nursing
The Ohio State University
BSBA, Marketing
Molina Healthcare April 2014 - Present
Molina Healthcare March 2013 - April 2014
Molina Healthcare of Ohio September 2009 - March 2013
Molina Healthcare December 2005 - September 2009
CIGNA Healthcare September 1993 - December 2005
Skills
Healthcare Industry, Medicaid, Health Insurance, Healthcare, Medicare, Managed Care, Access, Enrollment Management, HIPAA, Healthcare Management, Healthcare Information..., Health Policy, Customer Service, HMO, Healthcare Consulting, Claim, Process Improvement
Education
The Ohio State University 1993 — 1993
BS, Marketing
Enliven Resources, LLC March 2009 - Present
Aetna October 2009 - October 2011
Molina Healthcare of Ohio September 2008 - October 2009
Directions for Youth & Families 2001 - 2008
Sunny Hills Children Garden July 2000 - June 2001
Enron Energy Services August 1997 - July 2000
Skills
Crisis Intervention, Mental Health, Case Managment, Motivational..., Social Services, Clinical Supervision, Interventions, Therapists, Family Therapy, Psychotherapy, Adolescents, Mental Health Counseling, Case Management, Treatment, Training, Program Development, Adults
Education
The Ohio State University 2002 — 2004
MSW, Clinical Social Work
The Ohio State University 1995 — 1997
BSW, Family Resource Management
Opportunities for Ohioans with Disabilities May 2013 - Present
Ohio Chamber of Commerce January 2010 - April 2013
PIA of Ohio, Inc. September 2008 - September 2009
Molina Healthcare of Ohio January 2007 - March 2008
The Ohio Department of Insurance 2001 - 2007
Court of Claims of Ohio September 1994 - July 2001
The Ohio State University 1991 - 1996
Marietta College 1993 - 1994
Skills
New Business Development, Government Relations, Public Speaking, Business Development, Community Outreach, Legislative Relations, Non-profits, Strategic Planning, Public Relations, Research, Budgets, Event Planning, Project Management, Insurance, Microsoft Office, Fundraising, Microsoft Excel, Team Building, Policy, Marketing, Customer Service, Lobbying, Nonprofits, Public Policy, Strategic Communications, Government
Education
The Ohio State University 1986 — 1991
Bachelor of Arts, History/English
Marietta High School 1970 — 1990
HS Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
Nationwide Childrens Hospital February 2011 - Present
Molina Healthcare of Ohio March 2009 - January 2011
OhioHealth November 2003 - March 2009
OhioHealth 2006 - 2007
OhioHealth 2003 - 2006
Skills
Healthcare, Healthcare Management, Managed Care, EMR, Microsoft Excel, Medicaid
Education
University of Phoenix 2007 — 2009
MBA, Business Adminstration
The Ohio State University 1996 — 2000
Molina Healthcare of Ohio July 2013 - Present
Molina Healthcare of Ohio, Inc. June 2006 - June 2013
Skills
Leadership, Customer Service, Provider Relations, Medicare, Visio, Healthcare, SDLC, Managed Care, Medicaid, Business Intelligence, Healthcare Management, Business Process, HMO, Operations Management, Healthcare Industry, Access, EMR, Insurance, Hospitals, HIPAA, Non-profit Volunteer, Team Building, Project Management, Quality Improvement, Healthcare Consulting, Network Development, Process Improvement, Medicare Part D, Health Policy, Business Analysis, Strategic Planning, EAI, Revenue Cycle, Healthcare Information..., Program Management, Practice Management, Cross-functional Team..., Physician Relations, Data Analysis, Health Insurance, Policy, Physicians, Medical Billing, PPO, Change Management, Nursing, Contract Negotiation, Vendor Management, Pharmacy Benefit..., Management
Education
University of Dayton 1998 — 2000
Master of Business Administration (MBA)
Ohio University 1992 — 1996
Health/Health Care Administration/Management
American Cancer Society December 2012 - Present
Molina Healthcare of Ohio August 2011 - Present
CIGNA Onsite HealthWhirlpool January 2010 - May 2011
LaPorte Regional Health System April 2006 - January 2010
South Bend Community Schools August 2003 - June 2005
South Bend School Corporation August 2002 - June 2004
Skills
Health Education, Health information..., Program planning,..., Health Coaching, Hospitals, Wellness, Fitness, Wellness Coaching, Community Outreach
Education
Ball State University 1999 — 2002
BS, Health and Safety Education
Ball State University
Bachelor of Science Degree, Health and Safety Education
University of Alabama, Distance Learning
Master of Arts Degree, Health Studies
Humana 2014 - Present
Cigna HealthSpring April 2007 - January 2014
Molina Healthcare of Ohio 2005 - 2007
UnitedHealthcare EverCare 2003 - 2005
HealthNow New York Inc. 2001 - 2003
Buss HealthCare Consulting 1998 - 2001
PacifiCare Health Systems 1985 - 1998
Skills
Managed Care, Healthcare Management, Health Insurance, Medicare Advantage, Medicaid Managed Care, IPA Management, HIPAA, Long-term Care, Healthcare Industry, Revenue Cycle, Leadership, Strategy, Health Policy, Data Analysis, Physicians, Network Development, Hospitals
Education
The Ohio State University
Master of Business Administration (MBA)
The University of Akron
BS/BA, Finance, General
Molina Healthcare of Ohio March 2007 - Present
Mount Carmel Health System January 1991 - March 2007
Skills
Utilization Management, Managed Care, Nursing, Patient Safety, Hospitals, HIPAA, Healthcare, Medicaid, Medical/Surgical, Healthcare Management, Medicare, Pediatrics, BLS, ACLS
Education
Owens Community College 1987 — 1990
ADN, Nursing
Michigan State University
Robert B. Ooton, Esq. September 2009 - Present
Strategic Health Care 2007 - 2009
Molina Healthcare of Ohio 2006 - 2007
Education
University of Akron School of Law 2003 — 2006
JD, Corporate Law
Illinois State University 1999 — 2003
BA, Political Science
Glenwood High School
MCCI of Texas April 2014 - Present
Central Drug System, Inc. December 1998 - Present
UnitedHealthcare May 2012 - April 2014
WellMed Medical Management April 2010 - May 2012
Molina Healthcare of Ohio February 2009 - April 2010
Peoples Health February 2008 - February 2009
Humana May 2005 - February 2008
Skills
Utilization Management, Healthcare, Quality Assurance, Claims Review, Toxicology, Fraud, Waste and Abuse, Physicians
Education
David Geffen School of Medicine at UCLA 1981 — 1986
MD, Medicine
UCSB 1974 — 1976
Bachelor's degree, Physical and Biological Anthropology
Molina Healthcare May 2015 - Present
Molina Healthcare of Ohio August 2008 - May 2015
Molina Healthcare of Ohio June 2006 - August 2008
CIGNA Healthcare 1998 - December 2005
PageNet 1997 - 1998
AT&T/Lucent Technologies 1990 - 1996
U.S. Army Reserve 1984 - 1992
Skills
Microsoft Office, Medicaid, Training, Payroll, Healthcare, Hospitals, Access, Process Improvement, Data Entry, Data Analysis, Medicare, Insurance, Managed Care, Healthcare Management, Program Development, Provider Relations, Call Centers
Education
Columbus State
Associate's degree, Business Administration and Management, General
Otterbein College
BA, Business
molina healthcare of ohio July 2010 - Present
Molina healthcare of Ohio July 2010 - Present
Riverside Methodist Hospital March 2005 - March 2010
Nationwide Childrens Hospital February 1987 - January 2005
Skills
Customer Service, Healthcare, Process Improvement, Microsoft Office, Microsoft Excel, Project Management, Strategic Planning, Change Management, Team Building, Management, Microsoft Word, Hospitals, Leadership, PowerPoint, Healthcare Management, Operations Management, Program Management, Research, Healthcare Information...
Education
Felician College 1983 — 1986
Associate's degree, Registered Nursing/Registered Nurse, Graduated with a 3.5
Paramus. High School 1976 — 1980