Molina Healthcare of Texas
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Molina Healthcare of Texas Employees
Molina Healthcare of Texas 2007 - Present
Humana 1996 - 1997
Affiliated Healthcare 1994 - 1996
Skills
Strategic Planning, Risk Management, Property & Casualty...
Education
Texas Southern University 1988 — 1993
Bachelor's of Business Administration, Marketing
Quintiles April 2013 - Present
Brookdale Senior Living January 2012 - March 2013
New Braunfels Regional Rehabilitation Hospital September 2011 - March 2012
The TriZetto Group July 2010 - August 2011
Molina Healthcare of Texas May 2009 - July 2010
Molina Healthcare October 2007 - May 2009
Community First Health Plans July 2006 - August 2007
Skills
Creative Problem Solving, Healthcare, Educational Leadership, Case Managment, Medicaid, Health Insurance, Leadership, Training, Clinical Research, Public Speaking, Managed Care, Conflict Resolution, Software Documentation, Healthcare Information..., Hospitals, Program Development, Leadership Development, Strategic Planning, Non-profits, Policy, Coaching, Management, Inpatient, Case Management
Education
East Carolina University 2002 — 2004
Master of Science, Occupational Therapy
University of Toronto 1992 — 1994
Bachelor of Science, Nursing
George Brown College 1987 — 1990
Diploma, Nursing
Molina Healthcare of Texas 2011 - 2013
Skills
Customer Service, Healthcare, Leadership Development, Public Speaking
Education
Park University 1999 — 2002
Park University 1999 — 2002
Bachelor of Science (BS), Social Psychology, 2.3
The University of Texas at El Paso 1986 — 1993
Bachelor of Arts (BA), Education/Teaching of Individuals in Early Childhood Special Education Programs
Molina Healthcare of Texas November 2012 - Present
Stafflogix Corporation March 2012 - August 2012
Nokia Siemens Networks April 2007 - August 2011
Nokia February 2004 - April 2007
Nokia Mobile Phones June 2002 - February 2004
Nokia Mobile Phones July 1999 - June 2002
Pro Staff September 1998 - July 1999
Skills
Administrative Support, Attention to Detail, Calendar Management, Confidentiality, Document Management, Departmental Liaison, Domestic and..., Editing, Excel, Exceptionally Organized, Expense Reports, Filing, Government Filings, Internal Investigations, Internet Explorer, Invoice Processing, Legal Compliance, Meeting Plan and..., Non-disclosure..., Outlook, Phone Etiquette, PowerPoint, Presentation Development, Problem Solving, Visa and Passport..., Well-organized, WinZip, Word, Administrative..., Time Management, Microsoft Word, Training, Calendaring, Microsoft Excel, Lotus Notes, Government Liason, Invoicing, Spreadsheets, Calendars, Office Management, Process Scheduler, Coordination, Access, Visio, Leadership, Telephone Skills, System Administration, Data Entry, Office Administration, Human Resources
Education
Tarrant County College 2008 — 2016
Associate of Applied Science, Paralegal Studies
Molina Healthcare of Texas 2011 - 2013
2009-2010 Eligibility Consultants Inc May 2009 - August 2010
Las Animas County Social Services Dpt. August 2005 - October 2006
2003-2004 Westat Research Corporation March 2003 - March 2004
Hamilton &Associates Counseling & Consulting Firm January 1996 - January 2000
YWCA Childcare Management Services January 1992 - January 1996
Education
Park University 1996 — 2002
B.S. Social Psychology, Psychology, social behavior
The University of Texas at El Paso 1986 — 1993
Special Education/Social Work
Cypress Healthcare Consultants October 2014 - Present
Molina Healthcare of Texas July 2012 - Present
Independent Health Care Consultant 2010 - Present
MORE AFS Consultants, LP October 2001 - March 2013
American Physicians Network February 1999 - May 2002
Skills
Managed Care, Network Development, HMO, Microsoft Office, Healthcare Management, Hospitals, Healthcare, PPO, Disease Management, Business Development, Medicare, Healthcare Information..., Leadership, Project Management, Program Development, Sales, Management, Healthcare Consulting, PowerPoint, Home Care, Case Managment, Health Insurance, Marketing, Medicaid, Customer Service
Education
Louisiana State University 1985 — 1987
Masters, Social Work
Huntingdon College 1980 — 1984
BA, Social Work, Psychology, Business
Molina Healthcare of Texas October 2013 - Present
Molina Healthcare of Texas August 2012 - October 2013
Kindred Healthcare August 2011 - July 2012
United Behavioral Health October 2008 - July 2011
Sharp Memorial Hospital September 2006 - July 2007
Spring Valley Hospital Medical Center December 2003 - September 2006
Skills
Provider Relations, Negotiation, Network Development, Managed Care, Healthcare Management, Network Contracting, Health Plan Operations, Appeals, Contract Negotiation, Contract Management, Contract Managers, Client Development, Malcolm Baldrige, Medicaid Managed Care, Medicare Advantage, Medicare/Medicaid..., Business Development, Behavioral Health, Long Term Acute Care, Strategic Planning, Resourceful..., Problem Solving, Claims Resolution, Accountable Care, Foster Care, Education, Customer Engagement, Customer Service, Cross-functional Team..., Hospitals, Alternative Medicine, Holistic Health, Wellness, Healthcare, HMO, Health Policy, Healthcare Industry, Home Care, Health Insurance, HIPAA, Medicaid, Medicare, Physician Relations
Education
California Western School of Law
Master of Advanced Studies, Health Law
University of California, San Diego
Master of Advanced Studies Health Law - UCSD and California Western School of Law
University of Southern California
Bachelor of Science, General Studies - Rossier School of Education
USAA July 2015 - Present
UnitedHealth Group, Optum Local Care Delivery of Physician Solutions Group, WellMed Medical Mgmt. April 2014 - July 2015
Care Competency (an Independent Consultancy) August 2013 - April 2014
ALAMO PMI April 2009 - September 2013
Medtronic August 2012 - July 2013
Molina Healthcare of Texas February 2010 - July 2012
Rogers Ranch Swim Board 2009 - 2012
LifeMasters Supported SelfCare March 2005 - March 2009
Home Depot Support Center, Atlanta, Georgia March 2003 - March 2005
Fairchild Dornier August 2001 - March 2003
Skills
Six Sigma, Customer Relations, Customer Service, Requirements Analysis, Program Management, Organizational Behavior, Organizational Change, Organizational..., Miller Heiman, ITIL, Scrum, Account Management, Team Building, New Business Development, Contract Negotiation, Documentation, Excel, Fundraising, Forecasting, Government, Government Contracting, Government Contracts, HTML, Healthcare, Healthcare IT, Healthcare Compliance, Journalism, Logistics, Lean Manufacturing, Lean Healthcare, Change Management, Mentoring, Lotus Notes, PowerPoint, Public Relations, Public Speaking, Qualitative Research, Quantitative Research, Risk Management, Teaching, Team Leadership, Visio, Vendor Management, Word, Windows Server, Healthcare Information..., Business Process..., Operations Management, Microsoft Word, Microsoft Excel
Education
The University of Texas at San Antonio 2008 — 2012
Master's degree, Masters of Communication with Healthcare Organization Focus, 3.8
St. Mary's University 1991 — 1995
Dual Degree BA, English and Communication Arts with a minor in Science (Pre-Med)
Judson High School
4.0
O.L.P.H.
Molina Healthcare of Texas, Inc. June 2015 - Present
Molina Healthcare of Texas April 2013 - Present
Education
The University of New Mexico - Robert O. Anderson School of Management 1980 — 1984
Bachelor of Business Administration (BBA), Marketing
Molina Healthcare of Texas November 2011 - Present
Medco March 2008 - November 2011
PacifiCare Health Systems 1993 - 2000
PacifiCare Health Systems 1993 - 2000
PacifiCare Health Systems 1993 - 2000
PacifiCare Health Systems 1993 - 2000
Skills
Disease Management, Healthcare, Managed Care, Utilization Management, Healthcare Management, Medicaid, Medicare, Pharmacy Benefit...
Education
Baylor College of Medicine 1977 — 1981
Doctor of Medicine (MD)
Texas A&M University 1974 — 1977
Bachelor of Science (BS)
First Care Health Plan March 2014 - Present
Molina Healthcare of Texas August 2007 - February 2014
LifeMasters 2005 - 2008
Evercare 1998 - 2003
Skills
HEDIS, Disease Management, Accreditation, Managed Care, Health Policy, Credentialing, NCQA, HMO, Healthcare, Healthcare Analytics, Healthcare Consulting, Healthcare Information..., Hospitals, Healthcare Management, Medicaid, Medicare, QNXT, Quality Improvement, Quality Management, Utilization Management, Utilization Review, Healthcare Industry, Medicaid Managed Care, Provider Relations, CPHQ, HIPAA
Education
The University of Texas Health Science Center at Houston 1992 — 1994
BSN, Regiestered Nursing
Leon Springs Counseling & Life Coaching April 2013 - Present
Molina Healthcare April 2013 - August 2014
Molina Healthcare of Texas March 2011 - April 2013
The Center for Healthcare Services January 2008 - March 2011
The Center for Healthcare Services January 2008 - February 2010
Laurel Ridge Treatment Center April 2006 - November 2009
Pathways Youth and Family Services September 2007 - January 2008
Pathways Youth and Family Services September 2006 - September 2007
Family Violence Prevention Services January 2006 - August 2007
Pathways Youth and Family Services May 2005 - September 2006
Skills
Crisis Intervention, CBT, Mental Health, Psychotherapy, Treatment, Therapists, Group Therapy, Clinical Supervision, Healthcare, Case Management, Behavioral Health, Interventions, Social Services, Mental Health Counseling, Adolescents
Education
St. Mary's University San Antoio, Texas 2011 — 2016
Doctor of Philosophy (Ph.D.), Counselor Education and Supervision, Currently Enrolled
The University of Texas at San Antonio 2002 — 2005
Master of Science, Community Counseling
Sam Houston State University 1998 — 2002
Bachelor of Science, Criminal Justice
Molina Healthcare of Texas August 2009 - Present
United Healthcare 2008 - 2009
Comprehensive Care BH 2002 - 2005
Tarrant County MHMR 1992 - 2000
Skills
Healthcare, Provider Relations, Medicare, Healthcare Management, Medicaid, Disease Management, Managed Care, HIPAA, Healthcare Information..., Leadership, Health Insurance, Network Development, Healthcare Industry, Physician Relations, Health Policy, Revenue Cycle, Utilization Management, Credentialing, Quality Improvement, EHR, Physicians, Practice Management, Hospitals, Medical Compliance, EMR, Healthcare Consulting, JCAHO, Medical Billing, Revenue Cycle Management, CPT, Home Care, ICD-9, Medical Coding
Education
The University of Texas at Arlington 1994 — 1996
MPA, Public Administration
Sandia Resort & Casino July 2011 - Present
Sandia Resort & Casino October 2007 - Present
Molina Healthcare of Texas February 2006 - June 2007
Molina Healthcare, Inc. September 2004 - February 2006
Horizon/CMS Healthcare dba Advanced Clinical Technology(ACT) 1990 - 1998
Skills
Human Resources, Bonus Programs, HRIS, Personnel Management, Compensation & Benefit, Job Evaluation, Payroll, ADP Payroll, Leadership, Employee Relations, Management
Education
Texas Tech University 1978 — 1980
Mass Communications
Floydada High School, Floydada, TX 1975 — 1978
General Studies
J.P. Hart Lumber Company November 2014 - Present
Molina Healthcare April 2011 - July 2014
Molina Healthcare of Texas February 2012 - April 2013
Community First Health Plans October 2007 - April 2011
Harris Stratex/Harris Corporation March 2006 - October 2007
Gonzaba Medical Group 2003 - 2006
Skills
Financial Analysis, Health Insurance, Financial Reporting, Medicaid, Finance, Medicare, Process Improvement, Healthcare, Managed Care, Accounting, Sarbanes-Oxley Act, HIPAA, Forecasting, Budgets, Revenue Cycle, Data Analysis, Insurance, Analysis, Healthcare Consulting, Healthcare Industry
Education
The University of Texas at San Antonio
General Business, Accounting and Finance
Molina Healthcare January 2012 - August 2012
Molina Healthcare of Texas January 2012 - August 2012
Humana August 2008 - April 2012
Community First Health Plans March 2011 - September 2011
Community First Health Plan March 2011 - September 2011
Lockheed Martin October 2010 - March 2011
HUMANA, Inc August 2008 - April 2010
Comprehensive Health Services January 2007 - May 2008
Medical Site Reviewers (MSR) January 2006 - December 2006
San Antonio Independent School District March 2001 - May 2005
Skills
Utilization Management, Disease Management, Medicaid, HMO, NCQA, Managed Care, Medicare, Nursing, Case Managment, HIPAA, Healthcare, Hospitals, Software Documentation, Health Insurance
Education
Texas Woman's University 1974 — 1978
BSN, Nursing
Texas Woman’s University Denton
Molina Healthcare June 2013 - Present
Molina Healthcare of Texas April 2012 - June 2013
Microtia Congenital Ear Deformity Institute January 2012 - March 2012
Carestat Home Health November 2007 - January 2012
Home Health Licensing Specialists September 2006 - November 2007
SOUTH TEXAS SPINAL CLINIC,PA June 2005 - September 2006
Pediatric Ear, Nose and Throat December 2004 - June 2005
Drury Hotels March 2004 - December 2004
Vital Health Care September 1999 - May 2002
Skills
Healthcare, Healthcare Management, Healthcare Information..., HIPAA, Managed Care, Medicaid, Medicare, EMR, Clinical Research, Healthcare Consulting, Home Care
Education
The University of Texas at San Antonio 2000 — 2004
Molina Healthcare of Texas December 2014 - Present
Insight Global May 2014 - August 2014
Texas Health Resources July 2013 - January 2014
Maricopa Integrated Health System March 2010 - June 2013
Maricopa Integrated Health System September 2000 - March 2010
MD Home Health/MD Home Assist 2004 - 2008
Carrigan and Carrigan Registry 1999 - 2003
Arizona Research Center 1999 - 2000
Life Care of South Mountain - Life Care Centers of America 1999 - 1999
Skills
EMR, Nursing, Epic Systems, Clinical Research, Pediatrics, Ambulatory Care, Inpatient, BLS, Medicine, Nursing Education, Home Care, HIPAA, Patient Advocacy, Patient Education, Case Management, JCAHO, Case Managment, Acute Care, Health Education, Medical Case Management, Microsoft Office, Utilization Management, Accountable Care, HEDIS, Leadership, Bilingual-English/Spanis..., Microsoft Word, Employee Training, Hands-on Training, Physician-Centered..., Microsoft Excel, Diabetes Management, Hands-on Problem Solver, Motivation, Mentoring, CPOE Implementation, Elbow to Elbow..., Go Live Support, Healthcare Management, HMS, Workflow Management, EHR, Clinical Analytics, Clinical Data Management
Education
Grand Canyon University
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Gateway Community College
Associate of Science (A.S.), Registered Nursing/Registered Nurse
San Diego Mesa College
Associate of Science (A.S.), Business Administration and Management, General