North American Medical Management
North American Medical Management develops and manages provider networks, offering a full range of services to assist physicians and other providers in their managed care and business operations. Founder: Herbert A Fritch Founded: 1994 Parent organization: NAMM Holdings Inc. Subsidiaries: Physical Care Partners, Inc.,
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North American Medical Management Employees
Healthcare Economics Resources 2010 - Present
Wellcare 2007 - 2009
United Healthcare 2001 - 2007
North American Medical Management 1999 - 2000
Mission:Health 1998 - 1999
CIGNA 1995 - 1998
Skills
Health Policy, Health Economics, Medicaid, Managed Care, Analysis, Medicare, Provider Relations, Healthcare Industry, Healthcare Management, Healthcare, Medicine, Healthcare Consulting, Health Insurance, Disease Management, Healthcare Information..., Revenue Cycle, Physicians, HIPAA, Informatics, Practice Management
Education
University of South Florida 1984 — 1986
MBA, Finance
Boston College
BA, Economics
Humana April 2014 - Present
Humana Inc. January 2015 - May 2015
Humana May 2013 - April 2014
North American Medical Management March 2010 - May 2013
Aetna August 2002 - December 2008
Skills
Software Documentation, Utilization Management, Disease Management, Case Managment, Microsoft Office, MDX, Project Coordination, NCQA, Medical Records, Healthcare Industry, Medical Terminology, Medical Coding, Medicine, Informatics, HIPAA, Case Management, Health Policy, Medicaid Managed Care, Quality Management, Health Insurance, Health Education
Education
South Suburban College 2009 — 2010
CNA, Health Services/Allied Health/Health Sciences, General, PASSED CERTIFICATION EXAM
Charter Oak State College 2005 — 2010
Bachelor of Applied Science (BASc), Healthcare, GPA - 3.86
South Suburban College 2002 — 2004
Medical Assistant, Healthcare
Culbert Healthcare Solutions January 2014 - Present
Facey Medical Foundation May 2013 - December 2013
North American Medical Management April 2012 - September 2012
Loma Linda University Medical Center April 2001 - March 2011
Loma Linda University Health Care January 1993 - December 2000
Skills
Healthcare, Healthcare Information..., EHR, Project Management, PMP, Help Desk Support, HIPAA, Medical Billing, Visio, Revenue Cycle, Healthcare Consulting, Informatics, EMR, Epic Systems, Software Documentation, HL7, Software Implementation, Health Information..., Healthcare Management, IDX
Education
University of Phoenix
Huron Consulting Group November 2012 - Present
Navigant Consulting March 2012 - November 2012
The Joint Commission March 2005 - March 2012
North American Medical Management 2001 - 2005
Liberty Mutual Insurance 1998 - 2001
First Health 1996 - 1998
Elmhurst Memorial Healthcare 1989 - 1996
Rush University Medical Center 1985 - 1989
Skills
Patient Safety, Quality Management, Six Sigma-DMAIC, Nursing, Change Management, Process Improvement, Consultancy, Lean Healthcare, Root Cause Analysis, FMEA, Value Stream Mapping, Thought Leadership, Policy/Procedure..., Healthcare, Healthcare Management, Quality Improvement, JCAHO, Healthcare Information..., Utilization Management, Hospitals, Clinical Research, Accreditation, Managed Care, Healthcare Consulting, Informatics, Six Sigma, Medicine, EHR, Physicians, Healthcare Industry, EMR, Health Policy
Education
Dominican University 1986 — 1989
MBA, Healthcare Administration
Rush University 1984 — 1986
BSN, Nursing
Humana June 2011 - Present
North American Medical Management March 2010 - June 2011
Health Plus Physicians Organization January 2008 - March 2010
Intelistaf Health Care May 2005 - May 2006
Medix March 2004 - May 2005
Regence BlueShield July 1996 - January 2004
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, PowerPoint, Leadership, Training, English, Process Improvement, Research, Employee Benefits
Education
Morton College
Associate of Science (A.S.), Registered Nursing/Registered Nurse
United Healthcare June 2010 - Present
North American Medical Management January 2009 - March 2010
Sinai Health System 2002 - 2009
Christ Advocate Medical Center, Oak Lawn April 1999 - September 2001
University of Illinois August 1997 - April 1999
Skills
Managed Care, Utilization Management, Care Management, Evidence-based Medicine, Medicaid, Medical Management, Medicare, Clinical, Healthcare Management, Healthcare, Case Management, Inpatient, HMO, Cost Effective, Hospitals, Healthcare Industry, Acute Care, Physicians, Medicaid Managed Care, Quality Improvement, Case Managment, Family Medicine, Quality Assurance, Management, Medicine, Disease Management, Process Improvement, Internal Medicine, Health Insurance, Utilization Review, Provider Relations, Medical Education, PPO, ICU, Clinical Research, Revenue Cycle, Healthcare Consulting, Nursing, Physician Relations, Health Policy, Public Health, Practice Management, Health Care Systems, Medical Compliance, Population Health, EMR, Patient Outcomes, Healthcare Information..., Surgery, Physician Alignment
Education
Kellogg Foundation 1992 — 1994
None, Kellogg Foundation Fellow
University of California, Irvine - The Paul Merage School of Business 1990 — 1991
Cert in Med Mgmt, Medical Management/Business of Health Care
University of Michigan 1985 — 1987
MPH, Health planning and policy, health economics
Medical College of Ohio 1979 — 1982
MD, Medicine
Indiana University Bloomington 1972 — 1975
BSc, Honors Biology Program
Cleveland Heights High 1969 — 1972
Surgical Care Affiliates November 2014 - Present
UnitedHealthcare January 2013 - October 2014
UnitedHealthcare July 2011 - January 2013
United Healthcare April 2010 - July 2011
Urban Futures, Inc January 2005 - April 2010
North American Medical Management January 1998 - January 2005
UniMed Management Company January 1995 - January 1998
Managed Care Innovations January 1994 - January 1995
Community Home Health Network January 1993 - January 1994
Skills
Managed Care, Management Consulting, Network Administration, Contract Negotiations, Strategic Planning, Business Strategy, Operations Management, Process Improvement, Payor and Provider..., Strategic Leadership, Financial Analysis, Managerial Finance, Relationship..., Relationship Management, Accountable Care, Network Development, Network Management, HMO, Healthcare Industry, Contract Negotiation, Strategy, Provider Relations, Medicare, PPO, Physicians, Healthcare, Healthcare Information...
Education
University of Southern California 1993 — 1996
Masters, Healthcare Administration
University of Southern California 1991 — 1993
BS, Public Admin with Health Emphasis
Catamaran January 2015 - Present
CTU January 2007 - Present
WellPoint June 2011 - January 2015
WellPoint February 2007 - June 2011
North American Medical Management January 2006 - January 2007
Great-West Healthcare January 2003 - January 2006
Skills
Healthcare, Leadership, Management, Negotiation, Network Management, Provider Relations, Higher Education, Training, Diversity and Inclusion, Contract Negotiation, Contract Management, Continuous Improvement, Network Administration, Program Management, Project Management, Process Improvement, Vendor Management, HIPAA, Medicare, Healthcare Management, Managed Care, Hospitals, Healthcare Consulting, Change Management, Quality Improvement, Business Process..., Claim, Performance Management, Strategic Planning, Insurance, Team Building, Data Analysis, Medicaid, Strategy, Healthcare Industry, Health Policy, Health Insurance, Leadership Development, EMR, Staff Development, Physician Relations, Public Speaking, Home Care, Credentialing, Disease Management, Network Development, HMO, Utilization Management, Physicians, Revenue Cycle
Education
University of St. Francis 2003 — 2005
MHA, Health Administration
Chicago State University 1999 — 2002
BS, Criminal Justice
Chicago State University 1997 — 2000
BA, Sociology
Cramer Krasselt August 2012 - Present
North American Medical Management April 2010 - August 2012
Arthur J. Gallagher & Co. May 2008 - April 2010
BCS Financial Corporation November 2004 - May 2008
BCS Financial Corporation-Insurance Company November 2004 - May 2008
Education
Keller Graduate School of Management of DeVry University 2007 — 2009
Master of Business Administration (M.B.A.), Accounting and Finance
Keller Graduate School of Management
Masters of Business Administration, Finance
Robert Morris University - Illinois
Bachelors' of Business Administration, Management
Roche Applied Science April 2008 - Present
Bankers Life and Casualty May 2004 - April 2008
North American Medical Management August 2001 - December 2003
Skills
Medical Devices, Lifesciences, Biotechnology, Healthcare, Sales Process, Hospitals, Pharmaceutical Industry, Account Management, Sales Management, Oncology, Strategic Alliances, Capital Equipment, Life Sciences, Market Development, Salesforce.com
Education
University of Southern California 1999 — 2001
Masters in Health Administration, Health/Health Care Administration/Management
University of Southern California 1995 — 1999
BS, Biology
Health Care Service Corporation January 2009 - Present
Blue Cross Blue Shield September 2008 - Present
Health Care Service Corporation September 2008 - Present
Blue Cross Blue Shield of Illinois 2008 - 2009
Blue Cross Blue Shield of Illinois 2008 - 2009
North American Medical Management November 2005 - September 2008
North American Medical Management 2005 - 2008
William Crevier MD, Ltd. October 1997 - April 2005
M.D., Ltd January 1997 - January 2005
Family Christian Health Center January 2000 - January 2004
Education
Robert Morris University - Illinois
Master of Business Administration, Human Resource Management
Robert Morris University - Illinois
Bachelor of Business Administration, Healthcare Management
Robert Morris University - Illinois
Cornerstone Healthcare Group July 2014 - Present
National Kidney Foundation Serving Texas 2010 - Present
T-System April 2013 - July 2014
Society for Information Management, DFW Chapter March 2002 - December 2013
North American Medical Management of Illinois, an Optum Health Company September 2012 - March 2013
North American Medical Management 2011 - 2012
Reliant Hospital Partners, LLC January 2008 - April 2011
United Surgical Partners International, Inc. February 1999 - 2007
United Dental Care, Inc. 1997 - 1999
Ensemble Consulting 1996 - 1997
Skills
Leadership, Strategy Development, Team Building, Growth Planning, Process Improvement, Vendor Management, Healthcare, Mergers, Business Process..., Growth Management, EMR, IT Service Management, Strategy, Entrepreneurship, Business Strategy, Analysis, Management, Program Management, CRM, IT Strategy, Change Management, Information Technology, Project Management, Mergers & Acquisitions, Business Analysis, Business Development, Business Intelligence, Business Process, Contract Negotiation, Cross-functional Team..., ERP, Executive Management, Governance, Healthcare Information..., IT Management, Integration, Leadership Development, Management Consulting, Sales, Start-ups, Strategic Planning, Outsourcing, SaaS, Consulting, Enterprise Software, Project Portfolio..., Professional Services, Enterprise Architecture, Cloud Computing, Disaster Recovery
Education
The University of Texas at Arlington 1990 — 1992
MBA, Fin, IS
The University of Texas at Arlington 1987 — 1990
BS, Economics
North American Medical Management September 2003 - Present
Skills
Microsoft Office, Great Plains Software, QuickBooks, Peachtree, Crystal Reports 10.0, Hyperion Enterprise, Medicaid, Analysis, Managed Care, Health Insurance, HMO, Budgets, Healthcare Industry, Medicare, Variance Analysis
Education
Eastern Illinois University
Bachelor of Science (B.S.), Business Administration and Management, General
St. Rose Dominican Hospitals June 2005 - Present
Sierra Health Care, Inc October 2001 - June 2005
North American Medical Management December 1999 - October 2001
Skills
Quality Management, Clinical Research, Nursing Education, Home Health Agencies, Research Nurse..., Computer Proficiency, Analysis, Organization, Team Leadership, Communication Skills, People-oriented, Report Writing, Case Management, Healthcare, Nursing, Physicians, Utilization Review, Hospitals
Education
Grand Canyon University 2010 — 2012
Master of Science (M.S.), Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Indiana University Bloomington 1981 — 1983
Bachelor of Arts (B.A.), Psychology
Marriott International July 2013 - Present
Marriott International March 2012 - July 2013
North American Medical Management October 2011 - March 2012
Reba Management June 2011 - September 2011
Banner Equipment May 2010 - July 2010
Boys and Girls Club of Bloomingtion, IN January 2010 - April 2010
Skills
Marketing, Sales, Budgets, Event Planning, Catering, Hotels, Customer Service, Hospitality Management
Education
Indiana University Bloomington 2007 — 2011
Bachelor of Science, Tourism Management
Xantrion February 2002 - Present
Snapfish 2001 - 2001
North American Medical Management 2000 - 2001
Skills
Windows Server, Virtualization, Cloud Computing, Active Directory, VMware, Disaster Recovery, Windows, Servers, Troubleshooting, Networking
Education
University of Oregon 1986 — 1990
Bachelor of Arts (B.A.), Telecommunications and Film
BCFWC (FQHC) November 2014 - Present
PrimeCare Community Health, Inc. (FQHC) November 2012 - November 2014
PrimeCare Community Health, Inc. FQHC March 2009 - October 2012
North American Medical Management August 2005 - February 2009
AT&T (formerly SBC), January 2004 - June 2005
GE Capital September 2002 - December 2003
AT&T (formerly Ameritech), August 2000 - August 2002
Marketing Growth Inc. June 1997 - June 2000
Skills
Healthcare Management, Budgets, Process Improvement, Applicant Tracking..., Customer Service, Accounts Receivable, Great Plains Software, Management, Employee Relations, Finance, Leadership, Financial Analysis, Crystal Reports, Healthcare Information..., Onboarding, Accounting, Healthcare, Training
Education
North Park University 2001 — 2003
Master of Business Administration (MBA), Finance & International Business
Northeastern Illinois University
Bachelor's degree, Economics & Finance
California Health and Medical Billing July 2008 - Present
North American Medical Management April 2008 - July 2008
Skills
Healthcare, HIPAA, Healthcare Management, Insurance, Hospitals, Crystal Reports, Allscripts, Project Management, Medical Terminology, Medicare, Third Party Claims, Fee Schedules, Microsoft Office, HMO, PPO, IPA, Medical Billing, Configuration, Laserfiche, Payer Path, SharePoint, Appeals, Provider Relations
Education
Ashford University
Bachelor's degree, Sociology
Alvarado Hospital June 2015 - Present
ATI Staffing Solutions May 2011 - May 2013
U.S. Behavioral Health Plan August 2006 - May 2011
North American Medical Management November 2001 - June 2005
Claims Strategies Temp Agency July 2000 - October 2001
Evanston Northwestern Medical Group IPA April 1999 - July 2000
Health Systems Consultants October 1997 - April 1999
Skills
Customer Service, HIPAA, Insurance, Health Insurance, Healthcare, Medicare, Managed Care, Access, Data Analysis, Outlook, Data Entry, Microsoft Excel, Microsoft Word
Education
Southwestern Community College District 2013 — 2014
Associate of Science (A.S.), Medical Laboratory Technology, 3.5
Ashford University 2009 — 2010
Bachelor of Arts (B.A.), Health/Health Care Administration/Management
Southern Illinois University, Carbondale 1984 — 1985
Associates in Applied Science, Mortuary Science and Funeral Service
Joliet Junior College 1981 — 1983
Associate of Arts (AA), Business
Muir Eye Care July 2014 - Present
San Ramon Regional Medical Center September 2013 - November 2013
Zenith American Solutions December 2012 - January 2013
Associated Third Party Administrators (ATPA) 2002 - 2008
Colt Express Outsourcing 2000 - 2002
John Muir Medical Center 1999 - 2000
North American Medical Management 1996 - 1999
PacifiCare 1989 - 1996
Aetna 1984 - 1989
Skills
Accounts Receivable, Customer Service, Microsoft Excel, Microsoft Office, Payroll, Human Resources, Outlook, Accounting, Recruiting, Accounts Payable, Access, PowerPoint, Microsoft Word, Employee Relations, Project Management, Budgets, Team Building, Strategic Planning, Team Leadership, Public Speaking, Employee Benefits, Insurance, Benefits Administration, Training, Healthcare, HIPAA, Management, Health Insurance, Medicare, Medical Billing, Hospitals, Leadership, Medical Coding
Education
Santa Barbara City College 2009 — 2013
Health Information Technology, Sophmore
Whelan Security May 2014 - Present
Care.com August 2010 - Present
Dutchtown Care Center August 2014 - November 2014
State of Missouri March 2014 - June 2014
Alere, Inc. October 2009 - August 2010
WellPoint April 2006 - February 2009
North American Medical Management May 2005 - January 2006
First Health PPO, later part of Coventry April 2002 - May 2005
Skills
Psychiatric Care, Disease Management, Case Management, Healthcare Information..., Process Improvement, Physician Relations, Telemedicine, Team Building, Telehealth
Education
St. Louis Community College 2013 — 2014
Certificate Health IT EHR-Process Workflow Design Specialist
Rush University 1995 — 1997
BSN, Nursing
Eddie Bauer February 2015 - March 2015
ArjoHuntleigh November 2014 - January 2015
Benefit Administrative Systems October 2012 - October 2014
Motorolla Solutions October 2011 - August 2012
ICLOPS February 2011 - July 2011
North American Medical Management July 2006 - February 2011
Quest Diagnostics Inc April 2005 - July 2006
Barton Brands November 2004 - January 2005
HPR Partners May 2003 - November 2004
Quest Diagnostics Inc September 2004 - October 2004
Skills
Microsoft SQL Server, Databases, Microsoft Exchange, Business Intelligence, Access, SQL, Healthcare Information..., Active Directory, Network Administration, SDLC, Software Implementation, SSRS, SSIS, SSAS 2008, I3, Data Warehousing, Database Administration, Data Modeling, Crystal Enterprise, Crystal Reports
Education
Microtrain Technologies 2003 — 2004
Moraine Valley Community College 1990 — 1995
Associate's degree, Information Technology
Oak Lawn High School 1970 — 1974
The Permanente Medical Group October 2012 - Present
Kaiser Permanente August 2003 - September 2012
Kaiser Permanente May 2001 - July 2003
Kaiser Permanente January 1998 - April 2001
North American Medical Management October 1996 - October 1997
Sutter VNA & Hospice May 1994 - March 1996
Skills
Business Intelligence, Six Sigma, SAS, Balanced Scorecard, Systems Thinking, Healthcare, Budgeting, Decision Support, Business Process, Dashboards, Business Planning, Business Analysis, Healthcare IT, Strategic Planning, Informatics, Process Improvement, Performance Improvement, Financial Analysis, Management Consulting, Change Management, Healthcare Information..., Business Process..., Process Engineering, Strategy Development, Business Strategy, Healthcare Management, Strategy, Budgets, Managed Care, Program Management, Leadership, Data Analysis, Analysis, Integration, Management, Forecasting, Hospitals
Education
University of San Francisco 1989 — 1993
BS, International Business, Finance Emphasis
American Cooperative School, Monrovia, Liberia
North American Medical Management January 2014 - Present
SOC November 2008 - January 2012
Christian Community Health Center December 2006 - May 2011
Fresenius Medical Care April 2006 - August 2006
Circle Family Care August 2004 - August 2005
Skills
Customer Service, Customer Satisfaction, Registration, Loyal, Medical Billing, Accounts Payable, Accounts Receivable, Administrative..., Health Insurance, Medical Records, Call Center, Cash Flow, Microsoft Excel, Microsoft Word, Payroll, Leadership, Accounting, Administrative..., Call Centers, Data Entry, Insurance, Invoicing, Management, Process Scheduler, Quality Assurance, Team Building, Telephone Skills, Time Management, Training
Education
Capella University 2012 — 2014
Bachelor of Applied Science (B.A.Sc.), Health Care Administration/Management
DeVry University-Illinois 2011 — 2012
Bachelor of Applied Science (B.A.Sc.), Health Care Administration/Management
Taylor Business Institute 2003 — 2004
Associates of Applied Science, Medical Billing
Wilbur Wright College 2000 — 2001
Innovista Health Solutions July 2014 - Present
Health Plus Physicians Organization September 2013 - July 2014
Imperium Health Management, LLC June 2013 - September 2013
North American Medical Management May 2012 - June 2013
Fidelis SeniorCare Inc March 2010 - May 2012
Fidelis Senior Care March 2010 - March 2012
Health Plus Physicians Organization January 2006 - February 2010
Destiny Health April 2002 - December 2005
People Link Staffing Solutions January 2002 - January 2004
CorSolutions, Inc June 2000 - September 2001
Skills
HIPAA, Software Documentation, Disease Management, Employee Benefits, Health Policy, Healthcare, Healthcare Management, Managed Care, Management, Auditing, Medicaid, Nursing, Healthcare Industry, Medicine, Policy, Medicare, Case Managment, Healthcare Information..., Inpatient, Case Management, Provider Relations, Utilization Management, Hospitals, NCQA, Long-term Care
Education
Triton-College
Associated Degree, Nursing
Girls in the Game August 2012 - November 2012
North American Medical Management June 2012 - October 2012
Concentra June 2011 - July 2012
Advocate Medical Group October 2009 - May 2011
Alltown Bus Service, Inc October 2007 - May 2009
U.S Cellular December 2006 - October 2007
Skills
Fundraising, Training, Microsoft Office, Customer Service, Management, Vendor Management, Access, Hospitality Management, Hospitality, Event Planning, Corporate Events, Meeting Planning, Sales & Marketing..., Sales Leadership..., Program Management, Public Speaking
Education
DePaul University 2009 — 2013
Bachelor of Science in Business, Hospitality Leadership with a concentration in Sales Leadership
Oakton Community College 2007 — 2009
Associate of Arts, Liberal Arts
DePaul University
Cigna-HealthSpring January 2001 - Present
Paracelsus Health Care February 1998 - January 2001
North American Medical Management March 1996 - February 1998
Skills
Medicare, Managed Care, Healthcare Management, Hospitals, Healthcare, Medicaid, Healthcare Industry, HIPAA, Healthcare Consulting, Revenue Cycle, Healthcare Information..., Process Improvement, Physician Relations, Leadership, Strategic Planning, Health Insurance
Education
Stephen F. Austin State University
Bachelor of Arts (B.A.), Communication and Marketing
Blue Cross Blue Shield April 2013 - Present
North American Medical Management May 2012 - Present
Make a Difference for Every Child Foundation 2010 - Present
Make a Difference Alliance Group, LLC 2010 - 2012
The Chicago Mercantile Exchange Group 2001 - 2003
Deloitte Consulting 1998 - 2001
Kraft Foods 1996 - 1998
Montgomery Ward 1990 - 1996
Skills
EDI, Enterprise Resource..., Operations Management, Strategic Planning, Project Management, Contract Negotiation, CRM, E-commerce, Data Warehousing, Supply Chain, Leadership, Business Analysis, Vendor Management, Consulting, Trading, Healthcare Information..., ERP
Education
Univesity of Illinois, Chicago 1986 — 1990
BS, Information and Decision Sciences: MIS, Statistics, Operations Research
CIS Alamo Claims LLC January 2013 - December 2014
BSG Billing Services Group January 2009 - January 2013
GlobalSCAPE, Inc. August 2001 - September 2009
Tartan Textile Services, Houston, TX July 1999 - July 2001
North American Medical Management 1996 - 1999
Skills
Journal Entries, Accounts Payable, Payroll, Accounts Receivable, Invoicing, Budgets, Financial Statements, Auditing, ADP Payroll, General Ledger, Tax, Account Reconciliation, Variance Analysis, Payments, Financial Analysis, Mergers & Acquisitions, Forecasting, Accounting, Banking, Management, Financial Reporting, Internal Audit, Due Diligence, Bank Reconciliation, Revenue Recognition, GAAP, Fixed Assets, Microsoft Office, Microsoft Excel, Process Improvement, Sarbanes-Oxley Act, Sales Tax
Education
Texas School of Business-North
Accounting and Finance
Advocate Health Care November 2012 - Present
North American Medical Management July 2007 - November 2012
Hewitt Associates August 2006 - July 2007
AIT Worldwide Logistics May 2006 - August 2006
Skills
Medicare, Access, Financial Reporting, Data Analysis, Excel, Analysis, Budgeting, Crystal Reports, Healthcare, Healthcare Management, Great Plains Software, Month End Close, Financial Analysis, Variance Analysis, Medicaid, Budgets, Strategic Planning, Insurance, Microsoft Office, Accounting, Account Reconciliation, Management, Accounts Payable, Invoicing, Training, Process Improvement, Customer Service, Employee Benefits, Microsoft Excel, Healthcare Industry, Managed Care, HIPAA, Provider Relations, Healthcare Consulting, Forecasting, Health Insurance, Physician Relations, Hyperion Enterprise, Hospitals, Executive Management, Cost Accounting, Finance
Education
DePaul University - Charles H. Kellstadt Graduate School of Business 2011 — 2013
Graduated with Distinction, Master's in Business and Administration, Finance and Enterpreneurship
Truman State University 2001 — 2005
Bachelor of Science, Business Administration - Concentration in Finance
The Clorox Company December 2011 - Present
Raised Pinky Fine Teas October 2009 - Present
CGI TECHNOLOGIES March 2007 - January 2009
BLUESHIELD OF CA November 2006 - December 2006
Intel August 2005 - August 2006
PACIFIC PARTNERS MANAGEMENT SERVICES, INC March 2001 - July 2005
North American Medical Management November 1998 - February 2001
San Francisco Health Plan December 1996 - November 1998
Skills
HIPAA, Healthcare Management, Risk Management, Managed Care, Medicare Part D, Software Documentation, SharePoint, Community Outreach, Business Analysis, EDI, Access, Customer Service, Data Analysis, Healthcare, Healthcare Information..., Leadership, Employee Benefits, Policy, Medicare, Process Improvement, Research, Coaching
Education
University of San Francisco 2012 — 2014
Bachelor of Applied Science (BASc), Kinesiology and Exercise Science
National Holistic Institute 1998 — 1999
Certificate, Massage Therapy/Health Education
California State University-Sacramento 1990 — 1992
Criminal Justice
California State University-Sacramento
Bachelors, Criminal Justice
Diablo Valley College
Sports Medicine
North American Medical Management February 2007 - September 2008
Chicago Transit Authority February 2002 - February 2006
Carolyns Playhouse December 2000 - January 2002
Advocate Health Care October 1998 - November 2000
Skills
Team Building, Customer Service, Event Planning, Public Speaking, Event Management, Marketing Strategy, Marketing, Healthcare Management, Outlook, Coaching, Online Advertising, Start-ups, Microsoft Office, Receptionist Duties, Defensive Driving, Registration, Commercial Driving, Managed Care, Transportation Safety, Eligibility, Referrals, Secretarial Skills, Personal Chef Services, Food Safety, Food Service, Food Preparation, Ready Meals, Catering, Food Service Sanitation, Sales Management, Sales Operations, Personal Shopping, Restaurant Management, Human Resources
Education
Chicago State University 2010 — 2013
Bachelor of Arts (B.A.)
Micro Train Technologies 2006 — 2006
Certificates
Olive Harvey 2001 — 2001
Diploma
City Colleges of Chicago-Harold Washington College 1986 — 1988
Certificates
Cairns Nurse Consulting August 2010 - Present
Managed Care Resources, LLC May 2010 - December 2011
North American Medical Management November 1999 - February 2010
North American Medical Management, Ontario, CA NAMM 1999-2007 (Acqui November 2001 - May 2004
Skills
CONSULTATION, Teaching, Utilzation..., Case Managment, Nursing, Healthcare, Hospitals, Managed Care, Healthcare Management, Utilization Management, Home Care, Inpatient, Clinical Research, Acute Care, ACLS
Education
Northern Illinois University 1985 — 1989
BS, Nursing
Northern Illinois University 1985 — 1989
bs, nursing
Coast Healthcare Management, LLC with Tenet Health April 2014 - Present
North American Medical Management July 2012 - April 2014
CHOC Health Alliance managed by AETNA subsidiary Schaller Anderson August 2011 - July 2012
UC Irvine Medical Center 2010 - 2011
Nikai Group of Companies June 2003 - December 2010
Kaiser Foundation Medical Center February 2002 - June 2003
Lucile Packard Children's Hospital June 2001 - January 2002
Lucile Packard Children's Hospital January 2001 - January 2002
Skills
Healthcare, Healthcare Management, Healthcare Information..., Hospitals, Healthcare Consulting, EHR, Informatics, EMR, Medicine, Medical Education, Managed Care, Pediatrics, Disease Management, Nursing, Medical Devices, Internal Medicine, Patient Safety, Strategic Planning, Physician Relations, Quality Improvement, Strategy, Epic Systems, Hardware Diagnostics, Management, Medicaid, Treatment, Team Building, Medicare, HIPAA, Surgery
Education
The Johns Hopkins University 2011 — 2011
Certification, Lean Six Sigma
University of California, Irvine - The Paul Merage School of Business 2009 — 2011
HCEMBA, Healthcare Management
UC Berkeley Haas School of Business 2008 — 2008
Certification in finance management, Finance for non finance executives
Indian Institute of Management, Ahmedabad 2006 — 2006
MDP, Business Management
Albert Einstein College of Medicine of Yeshiva University 2000 — 2003
MD, Pediatrics
Manipal Academy of Higher Education 1990 — 1996
MD, Medicine
Indian school 1986 — 1990
High School and Secondary School, Science
Fairmont Private School
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas January 2015 - Present
Valence Health 2013 - January 2015
North American Medical Management March 2011 - August 2013
Watermark Physician Services August 2006 - September 2009
Hackensack University Medical Center July 1999 - May 2006
Skills
Revenue Cycle, Hospitals, Managed Care, Excel, Contract Negotiation, Word, PowerPoint, Healthcare Management, Microsoft Office, Microsoft Word, Physicians, Medicaid, Leadership, Microsoft Excel, Process Improvement, Management, Analysis, Financial Analysis, Healthcare, Program Management, Healthcare Consulting, Healthcare Industry, Medicare
Education
Colorado Technical University 2010 — 2012
Associates, Science in Business Administration
Dover Business College 1998 — 1999
Diploma, Medical Billing/Government Billing
United Healthcare September 2002 - Present
Diversified Health Solutions 2000 - 2002
North American Medical Management 1994 - 2000
Diversified Health Solutions 1990 - 1994
Orlando Regional Healthcare System 1988 - 1990
Voluntary Hospitals of America 1986 - 1988
Blue Cross and Blue Shield of Florida 1983 - 1986
Skills
Budgeting, Strategic Planning, PowerPoint, Provider Relations, Managed Care, Excel, Process Improvement, Event Planning, Fund Raising, Contract Negotiations, Performance Dashboards, Budgets, Physicians, Contract Negotiation, Microsoft Excel, Healthcare Management, Program Management, Network Development, Healthcare Consulting, Leadership, Healthcare
Education
Florida State University - College of Business 1980 — 1982
MBA, Business
Tulane University 1975 — 1978
BA, English
Furman University 1974 — 1975
North American Medical Management August 2014 - Present
CalOptima January 2014 - August 2014
Scripps Mercy Physician Partners May 2013 - January 2014
IEHP April 2011 - May 2013
OrthoXpress a Team Post Op Company February 2005 - April 2011
Aetna March 2003 - June 2005
North American Medical Management 1997 - 2003
Skills
Healthcare, Healthcare Management, Healthcare Information..., Hospitals, Medicare, HIPAA, Medicaid, EMR, Medical Terminology, PowerPoint, Health Insurance, Microsoft Office, Utilization Management, Software Documentation, ICD-9, CPT, HMO, Clinical Research, Provider Relations, Managed Care, Public Health, Revenue Cycle
Education
Ashford University 2011 — 2014
Bachelor of Arts (B.A.), Health/Health Care Administration/Management
Whole Foods Market September 2014 - Present
Whole Foods Market November 2013 - Present
Whole Foods Market March 2012 - Present
Municipality of Tuy January 2010 - April 2010
Skokie Public Library August 2009 - December 2009
Aspire August 2008 - May 2009
North American Medical Management November 2008 - February 2009
Greenwell Therapeutics February 2007 - February 2008
Vital Wellness Home Health, Inc February 2007 - February 2008
LEAP Science and Maths School September 2006 - November 2006
Skills
Grant Writing, Program Development, Volunteer Management, Home Care, Mental Health, Social Services, Group Therapy, Public Speaking, Mental Health Counseling, Community Outreach, Non-profits, Medical Social Work, Adults, Adolescents, Psychology, Community Development, Training, Nonprofits, Case Management, Community Organizing, Customer Service, Event Planning, Leadership, Fundraising, Research, Teaching
Education
Dominican University 2008 — 2010
MSW, International social work, community organizing, community development, library social work
Eastern Illinois University December 2006
Degree: Bachelor of Science, Family Services
Elmhurst Yoga Shala
Texas Advantage Volleyball Club June 2015 - Present
KF Communications September 2012 - Present
Xtreme Volleyball Club & Training Center September 2011 - Present
The Gym Without Walls, Inc. December 2010 - August 2012
Sedona Fitness October 2009 - December 2010
YMCA June 2005 - September 2007
North American Medical Management March 1996 - November 2000
Skills
Cardio, Fitness Training, Fitness, Personal Training, Weight Training, Strength Training, Yoga, Public Speaking, Athletics, Wellness Coaching, Cpr Certified, AED, Community Outreach, Event Planning, Sports, Exercise Physiology, Newsletters, Sports Coaching, Athletic Training, Nutrition, Health Education, Sports Nutrition, Marketing
Education
Sam Houston State University 1990 — 1993
Bachelor of Arts (B.A.), Communication, Journalism, and Related Programs
Dell Services U.S.A. July 2013 - Present
Dr. Stanton Moldovan June 2013 - July 2013
National Smart Healthcare service November 2012 - January 2013
Advanced Fertility Center of Texas August 2005 - November 2010
Gulf Quest LLC/HealthSpring/CIGNA November 2000 - August 2005
North American Medical Management September 1998 - November 2000
North American Medical Management October 1996 - September 1998
Provident Life/Accident Medical Group Insurance September 1988 - October 1996
Skills
HIPAA, HCPCS, Meditech, CPT, ICD-10, Microsoft Word, Microsoft Excel, CPT Codes, ICD-9-CM, Outlook Express, Laser Printers, Lexmark Printers, Printers, Email, Wordperfect, Spread Sheets, CRTs, Laptops, Desktop Computers, Interpersonal and..., Team-oriented, Administrative Functions, Multi-tasked, Maintaining A Positive..., DIAMOND, QuickBooks Training, Type 45 to 55 wpm, EMR SOFTWARE ADVANCEDMD, EZCAPP2000, UNIFLOW, HSD, TENKEY BY TOUCH, MEDISOFT, FACET
Education
College of the Mainland 2012 — 2012
Certification Keeping Contractors Safe, Occupational Safety, Health and Environment, completed 8 hours
OSHAcademy 2010 — 2011
Certification Safety Management, Occupational Safety, Health and Environment, 95%
OSHAcademy 2010 — 2011
Certification OSH Training, Hazardous
College of the Mainland 2010 — 2010
Conducting Audit Safety, Certification, completed 8 hours
National Education Center Bryman Campus 1989 — 1991
Associate of Science, Business Technology, 3.75
University of Phoenix, Houston, Texas
Bachelor of Science (B.S.), Management
Self Employed, Design Freelancing 1998 - Present
North American Medical Management 1995 - 1998
Magnum Design February 1994 - February 1995
St Giles English Language School February 1992 - February 1994
Adventure Center July 1988 - February 1990
Skills
Illustrator, Graphic Design, Adobe Creative Suite, Art Direction, Brochures, Web Design, Graphics, Layout, Newsletters, Posters, Marketing, Flyers, Advertising, Digital Media, Web Development, Business Cards, Banners, Illustration, User Experience, Photoshop, Brand Development, Photography, Copywriting, Branding & Identity, Corporate Identity, Typography, SEO, Website Development, Visual Communication
Education
Thunderbird School of Global Management 1984 — 1985
MBA, Japanese, International Marketing
St. Olaf College 1978 — 1982
BA, English
White Bear Senior High School
Memorial Hermann Health System April 2012 - Present
Spherion Staffing September 2009 - December 2009
SPHERION (Contracted for Hewitt Associates) September 2009 - December 2009
RHUEMATOLOGY ASSOCIATES January 2008 - February 2009
Texas Children's Hospital January 2001 - November 2007
North American Medical Management June 1996 - November 1999
Skills
Training, Administrative..., Software Documentation, Time Management, Management, Invoicing, Analysis, Customer Service, Employee Benefits, Budgets, Data Analysis, Program Management, Microsoft Excel, PowerPoint, Marketing, HIPAA, Spreadsheets
Education
University of Phoenix 2007 — 2010
MBA, Business Administration
University of Phoenix, Houston TXUniversity of Phoenix 2004 — 2007
BSB/A Bachelor of Science, Business Administration
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas January 2014 - June 2015
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas December 2011 - January 2014
North American Medical Management May 2010 - December 2011
Managed Healthcare Solutions, Inc. 2008 - December 2011
Fox Valley Medicine LTD July 1997 - 2008
Education
Northern Illinois University 1991 — 1992
BA, Psychology
Medical Staffing Network January 2014 - Present
Rehabilitation Institute of Chicago May 2004 - January 2014
McKinley Medical Clinic November 2002 - May 2004
North American Medical Management 1995 - 1999
Skills
Nursing, Hospitals, Rehabilitation, Healthcare, Acute Care, Inpatient, Diabetes, Patient Safety, ICU, Patient Education, Pediatrics, Critical Care, Nursing Education, BLS, Medical/Surgical, ACLS, Ambulatory, Patient Advocacy, CPR Certified, Wound Care, Nursing Process
Education
Rehabilitation Institute of Chicago 2005 — 2013
Andrews University 2000 — 2004
BS, Nursing
Shiloh Academy 1988 — 1991
Diploma, Honors
Association of Rehabilitation Nurses
Hines VA ITC October 2010 - Present
North American Medical Management October 2003 - January 2010
ABM Janitorial January 2003 - March 2003
Building One Service Solutions October 2000 - December 2002
ABM Inc. of Cook County September 1998 - January 2000
Rhone-Poulenc Basic Chemicals September 1996 - August 1998
Skills
Microsoft Office, Sarbanes-Oxley Act, HIPAA, Network Administration, Networking, Process Improvement, Healthcare, Microsoft SQL Server, VMware, Healthcare Information..., Access, IBM iSeries
Education
Roosevelt University 1976 — 1978
BGS
Walworth County, WI January 2011 - Present
North American Medical Management September 2001 - October 2009
Elmhurst Memorial Healthcare 1998 - 2001
Alexian Brothers Medical Center September 1995 - June 1998
FHP HMO January 1990 - September 1995
Loyola University Medical Center June 1979 - May 1990
Skills
Healthcare, Healthcare Industry, Healthcare Consulting, Network Development, Health Policy, Case Management, Managed Care, Medicare, Provider Relations, Medicaid, Utilization Management, Healthcare Management, Healthcare Information..., Disease Management, HIPAA, Physicians, Physician Relations
Education
Elmhurst College
BSN
CDW June 2015 - Present
CDW April 2012 - May 2015
North American Medical Management June 2008 - August 2010
Skills
Spanish, PowerPoint, Microsoft Word, Microsoft Excel, Microsoft Office, Customer Service, Leadership, Social Media, Facebook, Sales, Account Management, Networking, Strategic Planning, Inventory Management, Advertising, Accounting, Outlook, Marketing Strategy, Time Management, Team Building, Management, Salesforce.com
Education
Illinois State University 2007 — 2011
Bachelor of Science, Economics
Tenet Healthcare January 2015 - Present
Coast Healthcare Management, LLC March 2004 - December 2014
United States Marine Corps July 1996 - June 2004
North American Medical Management January 2001 - March 2004
Skills
Information Technology, Healthcare Information..., Database Administration, Server Administration, Network Administration, Web Design, Microsoft Excel, Microsoft SQL Server, Customer Service, Management, Microsoft Word, Networking, Process Improvement, Troubleshooting, Healthcare, Outlook, Windows
Education
Southern California Institute of Technology 1998 — 2002
Bachelor of Science (B.S.), Information Technology
Blue Cross and Blue Shield of North Carolina September 2005 - Present
Hewitt Associates April 2002 - September 2005
North American Medical Management September 1997 - February 2001
EY May 1996 - September 1997
Skills
Employee Benefits, Health Savings Accounts, Health Insurance, Managed Care, Insurance
Education
Cornell University
BA, Business Management and Applied Economics
PMAC Lending Services Inc. June 2014 - April 2015
Smart Utility Systems January 2014 - June 2014
North American Medical Management November 2007 - June 2013
Placement Pros February 2007 - October 2007
Macy's September 2005 - February 2007
Robinsons-May September 2005 - February 2007
Bath & Body Works 2003 - 2005
Skills
Human Resources, HIPAA, Healthcare, Healthcare Management, Benefits Administration, Customer Service, New Hire Orientations, Team Building, Recruiting, Employee Relations, Onboarding, Training, Personnel Management, Employee Benefits, Management, Applicant Tracking..., Leadership
Education
Azusa Pacific University 2012 — 2015
Bachelor of Business Administration (B.B.A.)
Chaffey College 2003 — 2008
Associate of Arts (A.A.), Nursing Education
Express Scripts January 2014 - Present
Surgical Care Affiliates April 2013 - January 2014
Tyco Integrated Security November 2010 - April 2013
North American Medical Management January 2010 - September 2010
Wisconsin Physican Services January 2008 - February 2009
Skills
Team Building, Team Leadership, Handling complaints, Customer Service, Employee Training, Monitoring Performance, Coaching, Problem Solving, Planning, Medical Billing, Human Resources, Microsoft Office, ICD-9, Claims Resolution, Customer Retention, Claims Handling, Revenue Cycle, ICD-10, UB04, CMS-1500, EOB, HIPAA
Education
Indiana Institute of Technology 2014 — 2016
Bachelor's Degree, Human Resources Management and Healthcare Administration, 3.44
Indiana Institute of Technology 2012 — 2014
Associate's Degree, Business Administration, Management and Operations, 3.44 GPA
Elizabeth Seton 1983 — 1986
high school diploma, General
Washington University School of Medicine September 2013 - Present
Washington University School of Medicine July 2012 - September 2013
Washington University School of Medicine June 2010 - July 2012
OakCare Medical Group January 2001 - January 2009
North American Medical Management January 2000 - October 2000
Summit Medical Center January 1999 - January 2000
Bowman Medical January 1998 - January 1999
Skills
Microsoft Office, Customer Service, Prior Authorization, Physician Coding, Typing, Leadership, Account Management, Analysis, HIPAA, Confidential Documents, Medical Billing, Medical Terminology, Medical Records, Medicare, Medicaid, Documentation, Document Review, Mac OS, Medical Appeals
Education
Lindenwood University 2015 — 2017
Bachelor’s Degree, Healthcare Managment B.S
Santa Barbara City College 2008 — 2010
Associate’s Degree, Healthcare Information Technology
Santa Barbara Business College 1996 — 1997
Diploma (Honors), Health Office Systems
Home Instead Senior Care October 2003 - March 2015
North American Medical Management August 2000 - October 2003
Los Angeles Unified School District January 1999 - August 2000
Hewlett-Packard January 1991 - January 1999
Office Overload June 1989 - June 1991
American Honda Motor Company, Inc. June 1981 - June 1989
Skills
Home Care, Customer Service, Data Entry, Event Planning, Microsoft Office, Public Speaking, Microsoft Word, PowerPoint, Social Media, Microsoft Excel, Marketing, Event Management, Healthcare, Seniors, Human Resources, Budgets, Newsletters, Insurance, Invoicing, Administrative Work, General Office Skills, Outlook, Management
Education
University of Phoenix
American Society for Gastrointestinal Endoscopy (ASGE) February 2015 - Present
North American Medical Management October 2014 - February 2015
American Academy of Pediatrics January 2012 - January 2013
Cincinnati Children's Hospital Medical Center April 2009 - January 2012
Ohio Association of Community Health Centers April 2001 - April 2009
Skills
Quality Improvement, Healthcare Information..., Hospitals, Healthcare, Healthcare Management, Patient Safety, Public Health, Performance Improvement, Process Improvement, EMR, Clinical Research, Strategic Planning, Data Analysis, Quality Management, Informatics, Policy, Training, Analysis, EHR, Healthcare Consulting
Education
Columbus State 2011 — 2012
Health Information Technology Certification
Ball State University 1992 — 1997
Bachelor of Science, Psychology
North American Medical Management September 2012 - Present
Nicor National December 2003 - March 2012
Sara Lee Foods December 2000 - August 2002
Sara Lee Foods March 1999 - December 2000
Skills
Microsoft Office, Energy, Excel, Strategic Planning, Change Management, Oracle E-Business Suite, Oracle Discoverer, Noetix, Essbase, Crystal Reports, Hyperion, Budgets, Hyperion Enterprise, Microsoft Excel, Forecasting, Access, Variance Analysis, Analysis, Management, Financial Analysis, Process Improvement, Account Reconciliation
Education
DePaul University
Bachelor's degree, Accounting
DePaul University
Bachelor's degree, Accounting
Dupage Medical Group May 2015 - Present
Swedish Covenant Hospital August 2010 - Present
North American Medical Management June 2012 - May 2015
Lincona Medical September 2008 - May 2012
Skills
Healthcare, Healthcare Management, Customer Service, Hospitals, HIPAA, Microsoft Word, EMR, Healthcare Information...
Education
Everest College-Skokie 2007 — 2007
Certification, Medical/Clinical Assistant
Oakton Community College 2006 — 2007
University of Southern California November 2013 - Present
MBA Productions, Inc July 2009 - Present
Moore and Associates July 2006 - April 2009
Moore & Associates April 2006 - April 2009
Moore and Associates April 2006 - January 2007
Ameriquest Mortgage September 2005 - January 2006
Moore Stephens Wurth Frazer & Torbet, LLP November 2004 - February 2005
North American Medical Management February 2002 - August 2004
Caremark Therapeutic Services, Inc October 1998 - February 2002
Skills
System Administration, Microsoft Excel, Recruiting, Office Administration, Human Resources, Marketing, Project Management, Family Therapy, Time Management, Creative Writing, Creative Strategy, Task Management, Event Management, Communication, Interviews, Software Documentation, Process Scheduler, Management, Customer Service
Education
Orange Coast College 2009 — 2012
Marriage and Family Therapy/Counseling
SAND HILL ASSOCIATES July 2011 - October 2013
Hoya Surgical Optics June 2009 - June 2011
SAN GABRIEL VALLEY WATER COMPANY May 2008 - March 2009
Bausch + Lomb March 2003 - January 2009
NORTH AMERICAN MEDICAL MANAGEMENT September 1999 - March 2003
Skills
PowerPoint, Medical Devices, Concur, Heavy Calendaring, Healthcare, Microsoft Excel, Microsoft Word, Microsoft Office, International Travel, Handle Confidential..., Supervisory Skills, Coordinating Events, HR Policies, Team Building, Employee Engagement, Trade Shows, Vendor Management, Office Administration, Team Leadership, Expense Reports, Travel Arrangements, Travel Planning, Performance Management
Education
Coastline Community College 1988 — 1990
Associate of Arts (AA), Business/Commerce, General, B
Advocate Physician Partners July 2004 - Present
North American Medical Management 2001 - 2004
Alexian Brothers Health Providers 1995 - 2001
Humana HMO 1992 - 1995
Crescent Counties Foundation for Medical Care 1986 - 1992
Met Life 1989 - 1990
St Joseph Hospital 1982 - 1986
Skills
Nursing, Hospitals, Inpatient, Acute Care, Healthcare, Healthcare Management, Quality Management
Education
Northern Illinois University 1978 — 1982
Bachelor's degree, Nursing
Northern Illinois University 1978 — 1982
Bachelor of Science (B.S.), Nursing
GSFSGroup 2014 - Present
GSFSGroup 1999 - 2014
Sonat Marketing August 1998 - April 1999
Prudential Healthcare 1996 - 1998
North American Medical Management 1993 - 1996
Lee C. Burns & Company 1993 - 1995
Skills
Financial Analysis, Process Improvement, Financial Modeling, Finance, Financial Reporting, Managerial Finance, Corporate Finance, Forecasting, Budgets, Strategic Financial..., Hyperion Enterprise, Valuation, Strategic Planning, Business Strategy, Variance Analysis, Risk Management, Business Analysis, Analysis, Financial Forecasting
Education
Texas A&M University - Mays Business School 1990 — 1992
Master of Business Administration (MBA), Managmenet
Texas Tech University 1986 — 1990
BBA, Finance
Andress High School 1984 — 1986
High School Diploma, College Prep
nscglobal July 2012 - Present
Carbide Tooling and Industrial Supply March 2012 - September 2012
OneSource Building Technologies April 2011 - March 2012
Hostgator.com March 2009 - April 2011
Total Technologies, LLC January 2008 - November 2008
Hi-Tech Electric, Inc. 2004 - 2007
Signaltron 2001 - 2004
North American Medical Management 1996 - 2001
Texas Commerce Bank 1993 - 1996
Telescape International 1991 - 1993
Skills
Telecommunications, Problem Solving, Cabling, Budgeting, Quality Assurance, Vendor Relations, Network Security, Cisco, VoIP, Wireless, Troubleshooting, Data Center, Security, Network Design, Switches, Customer Relations, Microsoft Office, Visio, Customer Service, Windows, Contract Negotiation, Purchasing, Negotiation, Team Building, MS Project, Network Administration, Documentation, ITIL, Operating Systems, Computer Hardware, Program Management, Excel, Word, Fiber Optics, Change Management, Strategic Planning, Planning, Routers, Vendor Management, Testing, Wireless Networking, Firewalls, Team Leadership, Account Management, AutoCAD, Administration, Product Management, Consultancy, Linux, Process Improvement
Education
University of Phoenix
Bachelor of Science in Business with Project Management Certificate, Project Management
University of Houston-Clear Lake
Bachelor of Business Administration (B.B.A.), Management Information Systems, General
Lone Star College System
Associate of Arts and Sciences (AAS), System, Networking, and LAN/WAN Management/Manager
Houston Community College
Associate of Science (AS), Computer Systems Networking and Telecommunications
Utah Valley State College
Associate of Arts (AA), Aviation/Airway Management and Operations
Molina Healthcare July 2015 - Present
Molina Healthcare November 2013 - Present
Vantage Medical Group February 2011 - August 2013
Vantage Medical Group February 2011 - December 2012
North American Medical Management 2010 - 2011
MedImpact Healthcare Systems, Inc March 2008 - June 2010
Rancho Specialty Hospital June 2007 - March 2008
Rancho Specialty Hospital February 2007 - May 2007
Vicenti Lloyd & Stutzman LLP January 2003 - May 2007
Inland Christian Home September 2001 - May 2007
Skills
Managed Care, Process Improvement, Healthcare, Accounts Payable, Accounts Receivable, Hospitals, Healthcare Management, Medicare, HIPAA, Provider Relations, Program Management, Management, Auditing, Healthcare Industry, Medicaid
Education
University of California, San Diego 2008 — 2010
Masters, Leadership of Healthcare Organizations
California State University-Long Beach 2003 — 2007
Bachelor of Science, Health Care Administration
Grant Thornton LLP October 2010 - Present
Affirma Consulting October 2008 - August 2009
Copacino + Fujikado February 2001 - November 2003
North American Medical Management August 1999 - February 2001
Education
University of California, Berkeley
Bachelor of Arts (BA), Sociology
University of Washington
Master's degree, Accounting
Freeman Office Products January 2003 - Present
Custom Solutions Consulting - a division of Freeman Office Products January 2015 - Present
North American Medical Management January 2007 - December 2014
Redlands Family Practice April 1992 - December 2014
Skills
Customer Experience, Customer Service..., Strategic Planning, Marketing, Marketing Strategy, Budgets, Public Speaking, Team Building, Business Strategy, Customer Service, Team Leadership, Team Management, Healthcare, Sales Management, Sales Operations, Customer Support, Healthcare Management, Customer Relations, Patient Experience..., Managed Care, Medicare, System Administration, Executive Management, Training, Leadership, Management
Education
San Bernardino Valley College
Business Administration and Management, General
North American Medical Management 2006 - Present
NAMM California 2006 - Present
Tilly's April 2005 - August 2006
Linksys July 2001 - April 2005
Skills
Crystal Reports, Healthcare, Databases, SQL, SSIS, Microsoft SQL Server, T-SQL, Project Management, Visio, SharePoint, Database Design, Process Improvement, Business Objects, SSRS, Integration, Software Development, Agile Methodologies, Requirements Analysis
Education
British Columbia Institute of Technology 1989 — 1991
Operations Management
The Billing House February 2009 - Present
North American Medical Management 1998 - 2002
Skills
Healthcare, Hospitals, Wellness, Treatment, Strategic Planning, Customer Service, Medical Billing, Public Speaking
Education
Nogales High School 1966 — 1970
High School Diploma, College Prep
Cal State Fullerton
Clif Bar & Company December 2013 - Present
Clif Bar & Company 2006 - 2013
Fit Intuit July 2000 - January 2006
North American Medical Management 1995 - 2000
Alameda County Supervisor Keith Carson 1992 - 1995
Skills
Strategic Planning, Coaching, Recruiting, Human Resources, Cross-functional Team..., Interviews, Talent Acquisition, Organizational..., Leadership Development, Vendor Management, Event Planning, Training, Project Management, Sales Management, Management
Education
John F. Kennedy University 2004 — 2007
MA Holistic Health Education
University of California, Santa Cruz 1987 — 1991
BA, History
Advocate Health Care September 2011 - September 2012
Ingalls Memorial Hospital March 2009 - September 2011
Dupage Medical Group March 2011 - July 2011
North American Medical Management March 2006 - March 2009
Robert Half Technology March 2005 - March 2006
Kendall College June 2004 - March 2005
Marsh Advantage America January 2001 - March 2004
Folger Adam June 1998 - September 1999
Skills
Microsoft SQL Server, Business Intelligence, Crystal Reports, SQL, T-SQL, ETL, SSIS, Data Warehousing, Analysis, Active Directory, Visio, Consulting, Microsoft Exchange, Enterprise Software, Stored Procedures, Networking, Customer Service, Healthcare Information..., Process Improvement
Education
Gustavus Adolphus College 1983 — 1987
TSB Plumbing Services, Inc. September 2012 - Present
Memorial Hermann Healthcare System 2009 - September 2012
Memorial Hermann Healthcare System - MHHNP 2000 - March 2009
North American Medical Management 1994 - 2000
Skills
Insurance, Health Insurance, Decision Support, Healthcare Consulting, Managed Care, Healthcare Industry, Revenue Cycle, Medicare, EHR, Employee Benefits, Strategic Planning, Healthcare, Process Improvement, Healthcare Management
Education
Texas A&M University 1991 — 1993
Master of Science (M.S.), Finance
Saint Bonaventure University 1987 — 1991
Bachelor of Science (B.S.), Mathematics
CVS Minute Clinic 2012 - Present
HealthSpring March 2008 - October 2010
MHN January 2003 - March 2008
HealthNet/MHN January 2003 - March 2008
HealthNet/ MHN January 2003 - March 2008
North American Medical Management January 2000 - January 2002
PacifiCare January 1990 - January 2000
EDELSTEIN, GORENBERG & ASSOCIATES January 1990 - January 1996
Medical Center of North Hollywood January 1989 - January 1990
NORTHRIDGE HOSPITAL MEDICAL CENTER 1979 - 1989
Skills
Health Care Management..., Profit and Loss..., Quality Improvement, Financial Management, Care, case, and disease..., Regulatory compliance, Health Care cost..., Strategic planning, Program development and..., Healthcare, Clinical Care, Program Management, HMO, Healthcare Management, Leadership, Behavioral Health, Compliance, Process Improvement, Case Managment, Medicaid, Disease Management, Utilization Management, Clinical Research, Strategic Planning, Management, Medicare, Program Development, Healthcare Consulting, Nursing, Team Building, Managerial Finance, CASE, HIPAA, Managed Care
Education
University of Cincinnati 2010 — 2012
Masters of Science, Nursing, MSN, FNP
CALIFORNIA STATE UNIVERSITY
M.B.A, Marketing and Management
NORTH PARK COLLEGE
B.S, Nursing
Alliant Credit Union June 2015 - Present
North American Medical Management April 2012 - Present
OAD Orthopaedics December 2007 - August 2012
NCI Mobility November 2005 - September 2007
NCI Mobility 2005 - 2007
Crown Equipment Corporation January 1998 - November 2005
Hartford Insurance 1997 - 1998
Corvel 1995 - 1998
El Valor 1995 - 1998
El Valor 1995 - 1998
Skills
Disaster Recovery, Leadership, Microsoft Office, Process Improvement, Project Management, System Administration, VMware ESX, Vendor Management, Windows Server
Education
University of Iowa 1994 — 1995
M.A, Rehabiliation Counseling
University of Iowa 1989 — 1994
BA, Psychology
PIH Health October 2011 - Present
AppleCare Medical Management 2009 - 2011
SCAN Health Plan 2003 - 2008
North American Medical Management 2000 - 2003
Skills
Medicare, Managed Care, Healthcare Management, Medicaid, Healthcare Information..., HIPAA, Revenue Cycle, Healthcare, Employee Benefits, Case Managment, Software Documentation, Leadership, Healthcare Consulting
Education
University of La Verne
Bachelor of Science (B.S.), Healthcare Administration
California State University-Long Beach - College of Business Administration
Hinsdale Orthopedics October 2008 - Present
Tatum LLC February 2001 - Present
LifeMasters Supported SelfCare 2007 - 2008
Correctional Medical Services October 2006 - April 2007
Northwestern Memorial Hospital April 2006 - September 2006
HealthSouth Diagnostic Division 2004 - 2006
North American Medical Management June 1997 - January 2001
PhyCor, Inc. 1997 - 2001
University of Chicago Hospitals January 1994 - April 1997
Grant Hospital 1985 - 1989
Skills
Financial Modeling, Managed Care, Restructuring, Healthcare, Sarbanes-Oxley Act, Mergers, Financial Reporting, Managerial Finance, Acquisition Integration, Finance, Accounting, Healthcare Management, Healthcare Information..., Revenue Cycle, Executive Management, Auditing, Financial Analysis, SEC filings, Due Diligence, Strategic Planning, Mergers & Acquisitions, Internal Controls, Process Improvement, Hospitals, Forecasting, HIPAA, Venture Capital, GAAP, Leadership, Business Process..., Cash Flow, Revenue Cycle Management, Private Equity, Divestitures, Start-ups, Healthcare Consulting, Corporate Finance, Management Consulting, Healthcare Industry, Investor Relations
Education
The University of Chicago Booth School of Business 1984 — 1987
University of Illinois at Urbana-Champaign - College of Business 1978 — 1982
BS, Accountancy
Blue Shield of California February 2008 - Present
MHN 2005 - 2008
California Department of Public Health 2004 - 2005
North American Medical Management 1993 - 2002
Skills
Program Development, Program Management, Healthcare, Training, Integrated Marketing, Clinical Research, Marketing, Health Education, Medicare, Nonprofits, Marketing Strategy, Stress Management, Mental Health, Organizational..., Coaching, Strategic Planning, Volunteer Management, Curriculum Design, Wellness, Non-profits, Leadership Development, Management
Education
National Wellness Institute
Certified Wellness Program Coordinator
San Francisco State University
MPA, Health administration
The Chapman Institute
Certified Wellness Program Manager, Wellness
Trinity University-Washington
Bachelor of Arts (B.A.)
UCLA
Certificate, Gerontology Certificate, Andrus Scholl of Gerontology
All Children's Hospital August 2013 - Present
Emdeon June 2010 - June 2013
Sarasota Memorial Hospital February 2006 - June 2010
Sarasota Memorial Hospital February 2006 - May 2008
University Community Hospital August 2002 - February 2006
North American Medical Management 1998 - 2002
United Chambers Insurance May 1996 - October 1998
University of Chicago Hospitals (Chicago Partners) 1996 - 1998
Orthopedic Associates of Chicago 1994 - 1996
Skills
Revenue Cycle, Six Sigma, Healthcare Management, Healthcare Reimbursement, Healthcare Consulting, Managed Care, Contract Negotiation, Medicare, Medicaid, Medi-Cal, Medicaid Managed Care, Medicare/Medicaid..., Hospital Reimbursement, Healthcare, Contractual Agreements, Workers Compensation, Third Party Claims, IPAs, Capitation, Physician Network..., Analytics, Strategy, EHR, Hospitals, Revenue Cycle Management, Healthcare Information..., EMR, HIPAA, Health Information..., Quality Improvement, Medical Coding, Provider Relations, Healthcare Industry, Meditech, ICD-9
Education
Illinois Institute of Technology 1996 — 1999
MBA, Strategy & Organizational Behavior
Eckerd College 1991 — 1993
BA, Business Management & Political Science
Palm Beach Atlantic University 1989 — 1990
Oak Forest High School
North American Medical Management April 2009 - September 2011
North American Medical Management -IL January 2008 - April 2009
Aetna 2004 - 2006
Skills
Managed Care, Medicare, HIPAA, Healthcare, Health Policy, Healthcare Industry, Healthcare Information..., Healthcare Management, Medicaid, Physician Relations, Provider Relations, Disease Management, HMO, Hospitals, Network Development, Quality Improvement
Education
University of Illinois at Chicago 1995 — 1999
Premier Health Plan/Coast Medical Management January 2015 - Present
AltaMed Health Services October 2012 - December 2014
AppleCare Medical Management September 2008 - October 2012
Bravo Health 2006 - 2008
Physician WebLink 2000 - 2006
Monarch HealthCare 2000 - 2006
North American Medical Management June 1997 - December 2000
AHI Healthcare Systems April 1992 - December 1996
Skills
Managed Care, Healthcare, Healthcare Management, Change Management, Healthcare Information..., Medical Group Practice, Accountable Care..., Strategic Planning, Mergers and Acquisitions, Medicare Advantage, MediCaid, Reporting & Analysis, Contract Negotiation, Contract Management, Facilities, Customer Service, Physician Profiling, P4P, Independent Practice..., Medicaid, Healthcare Consulting, Medicine, Physicians, Accountable Care, Provider Relations, Informatics, Medicare, HMO, Utilization Management, Hospitals, Network Development, Health Policy, EHR, Disease Management, EMR, Health Insurance, Healthcare Industry, Process Improvement, Revenue Cycle, Mergers & Acquisitions, Practice Management, Clinical Research
Education
Humboldt State University 1977 — 1982
BSN, Nursing
Valence Health April 2013 - Present
North American Medical Management January 2012 - April 2013
North American Medical Management July 2011 - January 2012
Coventry Health Care December 2008 - May 2011
AXA Assistance, USA April 2008 - December 2008
Viant, Inc December 2006 - April 2008
Coventry Health Care April 2004 - December 2006
First Health July 2002 - April 2004
Skills
Managed Care, Health Insurance, Management, Workers Compensation, Process Improvement, Contract Negotiation, Network Development, Account Management, Provider Relations, Insurance, CRM, Employee Benefits, Healthcare, Medicaid, PPO
Education
St. Joseph's College (IN) 1998 — 2002
Bachelor of Science, Marketing / Business Management
Valence Health April 2015 - Present
North American Medical Management June 2012 - April 2015
Presence Health November 2008 - June 2012
Advocate Health Care June 2006 - November 2008
Cook County June 1992 - August 2007
Skills
McKesson Healthcare..., Epic Security, Interfaces - Real Time..., Interfaces - Address..., EMR/EHR Project..., Epic - Cadence, Epic - Prelude, Epic - ADT, Allscripts TouchWorks, SharePoint, Healthcare Acute, Healthcare Ambulatory, Healthcare Private..., Microsoft InfoPath, Salesforce.com..., Microsoft Office, GE Centricity, RadNet, eScriptions, CareConnection, Allegra, Dragon Naturally..., ACL Lab, BizTalk, PeopleSoft Financial, Cashiering Systems, POS, Lockbox, Website Development, Government Tax Sale, Network Administration, Database Administration, Automated Phone Systems, Help Desk Support, Training, Healthcare, Informatics, Epic Systems, EHR, Healthcare Information..., Hospitals, Security, Business Analysis, ITIL v3 Foundations...
Education
Project Management Institute 2013 — 2013
PMP Certification, Project Management
Keller Graduate School of Management of DeVry University 2011 — 2012
Masters in Project Management, Project Management, 4.0
Keller Graduate School of Management of DeVry University 2010 — 2011
MBA, Business Administration, 4.0
Epic 2010 — 2010
Cadence Certified, Cadence - Scheduling
Epic 2010 — 2010
Prelude Certified, Prelude - Registration
Devry University 2006 — 2008
BA, Business Administration
Triton College 1989 — 1993
Associates, Computer Science & Arts
Proviso East High School 1985 — 1989
Diploma Received, 3.0
North American Medical Management April 2014 - Present
Insight Imaging May 2012 - April 2014
InSight Health Corp. December 2008 - May 2012
Apria Healthcare July 2008 - December 2008
Insight Imaging 2000 - 2008
Skills
Healthcare, Healthcare Information..., Project Management, SDLC, Managed Care, Software Documentation, Data Analysis, Process Improvement, Customer Service, Training, Revenue Cycle, Healthcare Management, Hospitals, HIPAA, Medicare, Healthcare Consulting, Data Warehousing
Education
Pepperdine University 1992 — 1994
Master of Arts (M.A.), Clinical Psychology
California State University-Fullerton 1984 — 1989
Bachelor of Arts (B.A.), Industrial and Organizational Psychology
Innovista Health Solutions February 2015 - Present
AIM Specialty Health April 2008 - February 2015
North American Medical Management October 2005 - April 2008
Blue Cross Blue Shield of Illinois April 2002 - October 2005
Chicago Health Systems 1994 - 2000
Skills
Healthcare, Managed Care, Medicare, HIPAA, Provider Networks, Health Insurance, Healthcare Information..., Provider Relations, Process Improvement, HMO, Healthcare Consulting, PPO, Medicaid, Network Development, Healthcare Management, Healthcare Industry, Management
Education
Northwestern University - Kellogg School of Management 1997 — 2000
Health Care Management, Finance, General
Drake University 1990 — 1994
BSBA, Economics & Finance
Banner Health January 2007 - Present
Health Net July 2005 - December 2006
North American Medical Management June 2002 - October 2004
North American Medical Management September 1999 - June 2002
Education
San Francisco State University 1986 — 1992
Bachelor of Arts, Psychology
HealthCare Markets Group January 2000 - Present
The Brian G Young Foundation 2013 - Present
LeTourneau University Healthcare Administration Program May 2011 - Present
Lakeway Regional Medical Center June 2012 - May 2013
Shield Bearer Counseling Centers 2010 - 2012
National Radiology Group 2005 - 2007
North American Medical Management 1997 - 2000
Provider Services Network (PICA) 1996 - 1997
National Imaging Affiliates (MedSolutions) 1995 - 1996
Medicon 1992 - 1995
Skills
Joint Ventures, Start-ups, Divestitures, Partnerships, Seed Capital, Creative Financing, Venture Financing, Due Diligence, Business Operations, Mergers, Valuation, Asset Management, Finance, Healthcare, Turn Around Management, Venture Capital, Mergers & Acquisitions, Structured Finance, Financial Modeling, Corporate Development, Strategy, Process Improvement, Executive Management, Private Equity, Operations Management, Healthcare Information..., Healthcare Management, Analysis, Financial Analysis, Managerial Finance, Business Strategy
Education
Southern Illinois University, Carbondale 1986 — 1988
BS, Accounting
Joliet West High School
The Crucible
Healthspring of Alabama a Cigna Company April 2011 - Present
Schaeffer Eye Center January 2000 - April 2011
North American Medical Management January 1997 - December 1999
North American Medical Management 1997 - 1999
Olsten Home Health Care January 1993 - December 1996
Olsten 1993 - 1996
Blue Cross & Blue Shield of Alabama 1990 - 1993
Blue Cross Blue Shield January 1990 - December 1992
Education
University of Alabama at Birmingham
M.B.A
University of Alabama at Birmingham 1997 — 1999
MBA
University of Alabama at Birmingham 1990 — 1995
BS, Finance
University of Alabama at Birmingham
B.S, Finance
County of Santa Clara October 2013 - Present
Alameda Alliance for Health September 2009 - Present
SamTrans November 2008 - May 2009
Holland Iron Works October 2005 - October 2008
Addus Health Care December 2006 - August 2007
Genentech, Inc August 2004 - September 2005
Genentech July 2000 - August 2004
North American Medical Management January 2000 - July 2000
North American Medical Management January 1998 - January 2000
North American Medical Management January 1996 - January 1998
Skills
Healthcare, HIPAA, Managed Care, Medicare, Medicaid, Call Centers, Process Improvement, Access, Healthcare Information..., Claim, Analysis, Change Management, Software Documentation, Management, Project Management, Healthcare Management, Data Analysis
Education
College of San Mateo 1986 — 1987
Capuchino High School 1983 — 1987
Pioneer Medical Group January 2004 - Present
Healthcare Public Relations and Marketing Association January 2008 - December 2009
North American Medical Management January 2000 - December 2003
Skills
Strategic Communications, Process Improvement, Media Relations, Medicare, Marketing, Newsletters, Healthcare, Integrated Marketing, Brand Management, Managed Care, Budgets, Strategic Planning, Marketing Strategy, Copywriting, Training, PowerPoint, Brand Development, Healthcare Industry, Public Relations, Advertising, Corporate Communications, Healthcare Management, Insurance, Press Releases, Strategy, Direct Marketing, Program Management, Marketing Communications, Account Management, Internal Communications, Customer Service, Leadership, Project Management, Event Planning, Social Media
Education
California State University-Fullerton - College of Business and Economics
Bachelor of Arts, Marketing and Management
Alameda Alliance for Health February 2013 - Present
Health Net/MHN 2004 - 2013
Blue Shield of California 2002 - 2004
North American Medical Management 1999 - 2002
North American Medical Management 1997 - 1999
Skills
Healthcare, Insurance, Data Analysis, Analytics, Analysis, Business Analysis, Health, Managed Care, Behavioral Health, Business Intelligence, Medicare, Healthcare Management, Medicaid
Education
University of California, San Diego 1988 — 1992
BA, Economics
San Diego State University-California State University
MPH, Health Services Administration
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas December 2011 - Present
North American Medical Management May 1999 - December 2011
Alexian Brothers Medical Center 1995 - 1998
Rush Prudential Health Plans 1989 - 1993
Skills
Provider Relations, Network Development, Managed Care, Medicare, Medicaid, Healthcare, Healthcare Industry, Physician Relations, HMO, Operations Management, Physicians, Contract Negotiation, Healthcare Management, Hospitals, Health Policy
Education
Northern Illinois University 1984 — 1986
B.S., Economics
University of Illinois at Urbana-Champaign 1982 — 1984
Business/Commerce, General
Molina Healthcare October 2013 - Present
Molina healthcare 2013 - 2014
North American Medical Management March 2013 - August 2013
Edward Hospital October 2009 - March 2013
MacNeal Hospital January 2009 - October 2009
United Healthcare September 2004 - January 2009
MedAdvocates September 2001 - September 2004
Progressive Nursing Staffers October 2000 - September 2001
Westlake Hospital August 1992 - May 2001
Loretto hospital August 1986 - August 1992
Skills
Nursing, Hospitals, Healthcare, Healthcare Management, Clinical, Physicians, Case Management, Clinical Research, Medicare, HIPAA, Pediatrics, Inpatient, Managed Care, Physician Relations, Critical Care, Medicaid, Home Care, ACLS, Oncology, Patient Education, ICU, Utilization Management, Medicine, Treatment, Case Managment
Education
Olivet Nazarene University 1998 — 2000
Master of Business Administration (MBA), Business Administration and Management, General
Lewis University 1994 — 1996
bsn, nursing
Optum October 2014 - Present
Brown and Toland Physicians Alta Bates Medical Group August 2011 - October 2014
Alta Bates Medical Group July 2005 - August 2011
North American Medical Management January 1996 - June 2005
Skills
New Business Development, Program Management, Managed Care, Healthcare Management, Healthcare Industry, Medicare, Healthcare, Management, Quality Improvement, Utilization Management, Healthcare Consulting, Revenue Cycle
Education
San Jose State University
Master of Public Health (MPH), Public Health
University of California Santa Cruz
Bachelor's Degree, Psychology
Longs Drugs February 2003 - Present
North American Medical Management June 1999 - January 2003
Lane Industrial Developement Dept September 1998 - May 1999
Education
Lane Community College 1996 — 1998
sociology
Quality First Management Solutions, Inc. October 2008 - Present
Quality First Healthcare Consulting, Inc. February 2001 - Present
AmeriHealth of Florida, Inc. 1999 - 2001
HealthPlan Southeast 1998 - 1999
North American Medical Management 1996 - 1998
Prudential Healthcare, Inc. 1994 - 1996
Baptist Medical Center 1992 - 1994
Home Nutritional Services, Inc. 1990 - 1992
Baptist Medical Center 1986 - 1989
Skills
Quality Management, Program Evaluation, Accreditation, Medical Management, Care Management, NCQA, Managed Care, Healthcare Management, Case Management, Healthcare IT, Medicaid, Case Managment, Management, Clinical Research, Informatics, Health Policy, Healthcare Information..., Credentialing, Healthcare, Healthcare Consulting, Program Management, Disease Management, Program Development, Physicians, Utilization Management, Revenue Cycle, Medicare, EHR, Hospitals, JCAHO, EMR, Physician Relations, Healthcare Industry, Elder Care, HIPAA, Patient Safety, Nursing, Quality Improvement, Medical Coding, Performance Improvement, Policy, Strategy, Operations Management, Management Consulting, Epic Systems, Home Care, Practice Management, Medicine, Provider Relations, Revenue Cycle Management
Education
University of Phoenix 2000 — 2002
MBA, Health Care Management
University of North Florida 1987 — 1989
BSN, Nursing
Florida State College at Jacksonville 1984 — 1985
ASN, Nursing
Adventist La Grange Memorial Hospital February 2011 - Present
North American Medical Management 2003 - November 2010
Education
University of Illinois at Chicago 1983 — 1986
BSN, Nursing
CVS Caremark Corporation February 2012 - Present
CVS Caremark Corporation February 2005 - February 2012
CVS Caremark Corporation May 2003 - February 2005
University of Chicago Hospitals October 2002 - May 2003
University of Chicago Hospitals June 2002 - October 2002
University of Chicago Hospitals July 2001 - June 2002
University of Chicago Hospitals April 2000 - July 2001
University of Chicago Hospitals April 2000 - July 2001
North American Medical Management January 1999 - May 1999
North American Medical Management February 1997 - January 1999
Education
Loyola University Chicago
B.S, Biology
Akerman LLP July 2012 - Present
Akerman LLP July 2005 - June 2012
Akerman LLP April 2001 - June 2005
North American Medical Management January 2000 - March 2001
Mission:Health September 1998 - December 1999
North American Medical Management January 1998 - September 1998
Prudential Healthcare May 1997 - January 1998
Prudential Healthcare June 1995 - April 1997
Jacksonville Health Care Group July 1993 - June 1995
Skills
Financial Analysis, Financial Services, Finance, Mergers & Acquisitions, Budgets, Financial Reporting
Education
University of North Florida 1993 — 1995
Master's degree, Accounting
Texas Christian University - M.J. Neeley School of Business 1989 — 1992
BBA, Accounting
North American Medical Management October 2012 - Present
Education
Northern Illinois University 1983 — 1987
BA Corporate/Organizational Communication, Business/Corporate Communications
Realtor 2014 - Present
Koenig & Strey Real Living December 2010 - January 2014
Prudential Rubloff 2008 - 2010
Koenig & Strey Real Living December 2003 - April 2008
North American Medical Management 1995 - 2001
Travelers Insurance 1993 - 1995
Education
University of North Carolina at Charlotte 1971 — 1976
BS, Nursing
Buckeye Community Health Plan 2012 - Present
Buckeye Community Health Plan 2004 - 2012
Self employed 2001 - 2004
North American Medical Management 1999 - 2001
Chiropractic Choice Network 1998 - 1999
Nightingale Medical Equipment 1997 - 1998
Kentucky Independent Physical Therapy Network 1996 - 1997
Skills
Contract Negotiation, Contract Management, Managed Care, Medicaid Managed Care, Provider Risk...
Education
Carnegie Mellon University - Tepper School of Business
MS, Industrial Administration
University of Cincinnati
BS, Mechanical Engineering
Kaiser Permanente November 2002 - Present
North American Medical Management April 1997 - October 2002
Guardian Post Acute Skilled Naursing October 1994 - April 1997
Skills
Medical Social Work, Discharge Planning, Social Work Case..., Healthcare Management, Customer Service
Education
San Francisco State University 1985 — 1987
Master's degree, Social Work
Humboldt State University 1978 — 1981
Bachelor's degree, Social Work & Sociology
Optum June 2013 - Present
North American Medical Management March 2005 - Present
San Antonio Community Hospital January 2002 - January 2004
Kenneth Norris Cancer Hospital January 2003 - November 2003
Skills
Healthcare, Healthcare Management, HIPAA, Managed Care, Hospitals, EMR, Medicare, Strategic Planning, Medicaid, Medical Billing, Health Insurance
Education
University of La Verne 2004 — 2007
Master's degree, MHA
Najah University
Bachelors of Arts
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas December 2012 - Present
North American Medical Management January 2010 - December 2012
Unicare January 2008 - October 2012
WellPoint December 2004 - December 2007
Step by Step Pediatrics, LLC May 2001 - October 2004
Pediatric Nursing Specialists January 2002 - March 2003
Clarian Health Partners August 2000 - May 2001
Skills
Utilization Management, Managed Care, Medicare, Healthcare, Nursing, Hospitals, Home Care, Case Management, Health Insurance, Inpatient, Utilization Review
Education
Indiana University-Purdue University at Indianapolis 1995 — 2000
BSN, Nursing
The Westview School January 2012 - May 2012
Texas Department of Family and Protective Services August 2002 - August 2003
ACS State and Local Solutions 2000 - January 2001
North American Medical Management September 1999 - 2000
1999 Pulse Staffing Temporary Agency May 1999 - September 1999
Skills
Recruiting, Interviews, Benefits Administration, New Hire Orientations, Temporary Placement, Training, Temporary Staffing, Customer Service, Public Speaking, Labor Relations, Nonprofits
Education
Indiana University of Pennsylvania
Bachelor of Arts, Political Science
University of Pittsburgh
Masters, Public Administration; Personnel and Labor Relations
North American Medical Management March 1999 - Present
Skills
Healthcare, Microsoft Office, Public Speaking, Team Building, Strategic Planning, Customer Service, Budgets, Program Management, Change Management, Financial Analysis, Health Plan Audits, Employee Training, Medicare and Medicaid..., Hipaa compliance, New plan implementation, Best practices, Refunds and recoveries, Fraud waste and abuse, CMS and Medicaid Pricing, Recruiting, Medicare and Medicaid..., Consulting
Education
DePaul University
Bachelor of Science (B.S.), Psychology
Roosevelt University
Clinical Psychology
Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma & Texas April 2013 - Present
Lewis University March 2002 - Present
North American Medical Management April 2011 - April 2013
Provena Saint Joseph Medical Center March 2006 - February 2009
Provena Saint Joseph Medical Center September 2004 - March 2006
Provena Saint Joseph Medical Center March 2001 - September 2004
Provena Saint Joseph Medical Center May 1999 - March 2001
Provena Saint Joseph Medical Center August 1994 - May 1999
Provena Saint Joseph Medical Center June 1990 - August 1994
Olympia Fields Osteopathic Medical Center December 1989 - December 1993
Skills
Healthcare, Healthcare Management, Hospitals, Medicare, Cpr Certified, Team Building, Process Improvement, Data Analysis, Change Management, Project Management, Healthcare Information..., Nursing
Education
Northern Illinois University 1986 — 1990
MS, Nursing
University of Illinois at Chicago 1980 — 1981
BSN, Nursing
Saint Joseph Hospital School of Nursing 1974 — 1977
Diploma, Nursing
State of Illinois Regional Outreach CoordinatorState of Illinois, Office of the Governor, Illinois Health Insurance MarketplaceJuly 2013 - Present
Metro South Medical Center September 2012 - February 2013
North American Medical Management May 2008 - October 2009
Easter Seals Metropolitan Chicago November 2000 - May 2008
Skills
Healthcare, Program Development, Community Outreach, Case Management, Nonprofits, Social Services, Fundraising, Public Speaking, Training, Event Planning, Finance, Program Management, Strategic Planning, Leadership, Organizational..., Leadership Development, Team Building, Volunteer Management, Policy, Research, Staff Development
Education
Saint Xavier University 2007 — 2008
Master of Business Administration (M.B.A.), Hospital and Health Care Facilities Administration/Management
Northern Illinois University 1994 — 1999
B.A., psychology
Voxai Solutions March 2015 - Present
AT&T October 2014 - March 2015
TXU May 2011 - October 2014
SallieMae November 2008 - May 2011
Sallie Mae June 2007 - November 2008
Sallie Mae January 2004 - June 2007
Sallie Mae September 2002 - January 2004
Gateway Transactions November 2000 - July 2002
North American Medical Management August 1999 - November 2000
S.H. Leggitt July 1996 - August 1999
Skills
IVR, Call Centers, ACD, Genesys, Call Logging, VoIP, Integration, Technical Support, Disaster Recovery, Networking, Vendor Management, Management, Telecommunications, Call Center Development, Business Analysis, Data Center, ITIL, IT Management, Troubleshooting, System Deployment, IT Strategy, Cisco Technologies, Service Delivery, Visio, SharePoint, IT Service Management, Servers, Call Center Architecture, Business Perspective, Budgets, RFP experience, SIP, SIP Trunking, Web Applications, CRM, Server Architecture, Microsoft SQL Server
Education
Texas State University-San Marcos 1988 — 2011
BBA, Computer Information Systems
Texas State University
Bachelor of Business Administration (BBA), Computer/Information Technology Administration and Management
CareMore Health Plan October 2012 - Present
NAMM California September 2002 - September 2012
North American Medical Management September 2002 - September 2012
County of San Bernardino 1999 - 2002
Skills
SQL Server, Databases, Healthcare, SQL Tuning, Architecture, Replication, System Architecture, Administration, Database Development, SSIS, Technical Leadership, Hospitals, SQL, Java, HTML, Budgeting, .NET, XML, Requirements Analysis, Database Administration, Computer Science, AJAX, Programming, ASP.NET, Application Architecture, Data Warehousing, Web Applications, Integration, T-SQL, Crystal Reports, Stored Procedures, Database Design, SQL Server 2000-2008, VB.NET, Data Modeling, PL/SQL, Relational Databases, Oracle SQL, Web Services, Application Development, Visual Studio, IIS, ASP, Visual Basic, Unix, Data Migration, SOAP, Microsoft SQL Server, Software Development, SDLC
Education
San Bernardino Valley College 1995 — 2001
Computer Science
University of California, Riverside 1996 — 2000
Computer Science
Orange Coast College 1978 — 1981
Electrical Engenerring
Lighthouse Hospice, Inc. January 2013 - December 2013
Aseracare Hospice July 2011 - July 2012
IPC The Hospitalist Company January 2001 - September 2009
IPC The Hospitalist Company, Inc. May 2000 - September 2009
Hospitalist Company May 2000 - September 2009
IPC The Hospitalist Company May 2000 - January 2001
North American Medical Management January 1999 - April 2000
Skills
Physicians, Recruiting, Managed Care, Medicare, Medicaid, Credentialing, Payroll, Human Resources, Accounts Receivable, Accounts Payable, Insurance, Clinical Research, Management, Medicine, Healthcare Management, Policy, Data Entry, Healthcare, Physician Relations
Education
Kaplan University-Davenport Campus 2014 — 2016
Associate's Degree, Human Services, General, 89
Houston Community College 1985 — 1988
Business Management
various consulting organizations, including ICX, Resources Global, and SRFL Consulting August 2004 - Present
Mayo Clinic Jacksonville & St. Luke's Hospital August 1999 - July 2004
North American Medical Management February 1999 - July 1999
Nemours May 1996 - January 1999
Skills
Internal Audit, External Audit, Financial Risk, Enterprise Risk..., Business Analysis, Internal Controls, Financial Reporting, SOX, Accounting, GAAP, COSO, Financial Accounting, SEC reporting, Financial Analysis, Due Diligence, Mergers, Financial Control, Consolidation, General Ledger, Cash Flow, Compliance Audits, Revenue Recognition, Process Improvement, Financial Audits, Auditing, Sarbanes-Oxley Act, Management Consulting, Risk Management, Analysis, Budgets, Finance, SEC filings, Management, Start-ups, Sarbanes-Oxley, Mergers & Acquisitions, Supply Chain Operations, Financial Statements, Business Process, Financial Modeling, US GAAP, Business Process..., IT Audit, Variance Analysis, CPA, Hyperion Enterprise, Big 4, Cost Accounting, SEC Filings
Education
University of North Florida 1983 — 1988
B.A., MBA, Accounting, summa cum laude
Ingalls Memorial Hospital July 2009 - Present
North American Medical Management June 2012 - June 2013
Silver Cross Hospital December 2006 - April 2013
Christ Hospital and Medical Center August 1998 - June 2009
Skills
ACLS, Nursing, Critical Care, ICU, Advocacy, BLS, PALS, Pediatrics, Emergency Medicine, Acute Care, Nursing Education, Inpatient, Patient Safety, Patient Education, Nurse Practitioners, Emergency Nursing, EMR, Hospitals, Telemetry, TNCC, Medical/Surgical, Healthcare Management, Trauma Nursing, Medical-Surgical, Home Care, Healthcare
Education
Loyola University of Chicago 2010 — 2013
Doctorate of Nursing (DNP-candidate), Nursing Practice
Loyola University of Chicago 2003 — 2006
Master of Science, Acute Care Nurse Practitioner
Lewis University 1998 — 2001
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Moraine Valley Community College 1994 — 1998
Associate of Arts (A.A.)
Memorial Hermann Healthcare System October 2008 - Present
Memorial Hermann Healthcare System October 2004 - October 2008
Memorial Hermann Healthcare System May 2001 - October 2004
Sprint ESolutions February 2000 - May 2001
North American Medical Management June 1998 - February 2000
Comerica Bank June 1997 - June 1998
Skills
Accounting, Accounts Payable, Management, Finance, Healthcare, Process Improvement, Healthcare Management, Healthcare Consulting, Medicaid, Physician Relations, Healthcare Industry, Healthcare Information..., Leadership, Budgets, Managed Care, Revenue Cycle, EHR, Insurance, Financial Analysis, Financial Reporting, Medicare, Hospitals, HIPAA, Strategic Planning, Health Insurance, Internal Controls
Education
University of Houston-Clear Lake 1995 — 1997
BS, Finance
Private Practice June 2015 - Present
Private Practice January 2012 - June 2015
SafePlace February 2011 - October 2014
Ascension Health 2007 - 2013
Addiction and Psychotherapy March 2002 - August 2007
Charter Behavioral Hospital September 1999 - April 2000
Austin Recovery Center July 1999 - January 2000
North American Medical Management January 1995 - March 1999
Medical Neurology, P.A. October 1984 - September 1994
Park Lane Medical Center January 1982 - May 1984
Skills
Dual Diagnosis, Crisis Intervention, Group Therapy, Family Therapy, Higher Education, Career Counseling, Therapists, Psychology, Self-esteem, Adolescents, Individual Counselling, Interventions, Psychotherapy, Chemical Dependency, EMDR, Mental Health
Education
Texas State University-San Marcos 2008 — 2011
M.A., Professional Counseling
The Hunt Corporation March 2014 - Present
The Hunt Corporation July 2000 - February 2014
Sheraton San Marcos Golf Resort and Conference Center 1999 - 2000
North American Medical Management 1996 - 1999
Hyatt Newporter 1993 - 1996
Skills
Accounts Payable, Accounts Receivable, General Ledger, Accounting, Sage, Auditing, Budgets, Fixed Assets, Internal Audit, Finance, Financial Analysis, Financial Reporting, Reconciliation, Analysis, Excel, Journal Entries, Cash, Expenses, Accruals, Subcontracting, Problem Solving, Microsoft Office, Preparation, Billing, Forecasting, Balance, Cash Flow, Word, Research, Administration, Customer Service, Customer Relations, Account Reconciliation, Microsoft Excel
Education
University of California, Irvine 1987 — 1993
Bachelors of Science, Mathematics
North American Medical Management August 2014 - Present
North American Medical Management January 2013 - August 2014
Emeritus Senior Living June 2012 - November 2012
Heritage Woods Supportive Living April 2009 - November 2011
Multiple Home Health Companies 2008 - 2009
The Sullivan Group 2007 - 2009
Multiple Staffing Agencies 2006 - 2009
RSA Medical 2007 - 2008
Managed Access, Inc. 2006 - 2006
Walnut Grove Retirement Community 2004 - 2006
Skills
BLS, Nursing, Medication..., Leadership, Healthcare, Quality Improvement, Managed Care, Healthcare Industry, Medicaid, Home Care, Medicare, Disease Management, HIPAA, Inpatient, Utilization Management, Healthcare Management, Hospitals
Education
Waubonsee Community College 2011 — 2012
Austin Community College
Continuing Ed Case Management
Triton College
Vocational, Practical Nurse
Joliet Junior College 1991 — 1992
Bunsiness Management/Finance
Drake University 1989 — 1990
Business Management/Finance
Memorial Hermann Healthcare System August 2001 - Present
Primary Health Medical Group May 1998 - October 1999
North American Medical Management February 1993 - May 1998
Skills
Claim, Medicare, HIPAA, Healthcare, Health Insurance, Managed Care, Insurance, Hospitals, Revenue Cycle, Healthcare Information..., Healthcare Management, Medical Terminology, Medicaid, Medical Billing, Workers Compensation, Employee Benefits, Process Improvement, Claims Management, Customer Service, Long-term Care
Education
Houston Community College 1977 — 1978
Criminology/socialology
Jefferson High School 1973 — 1975
Diploma, General Studies
Third Millennium Associates 2011 - 2011
Mazda North American Operations January 2010 - March 2010
North American Medical Management July 2006 - September 2009
North American Medical Management August 2003 - July 2006
LDR Industries October 1992 - November 2002
Skills
Customer Service, Word, Excel, Access, Microsoft Office, Quickbooks, PowerPoint, Corel Draw, ADP Payroll, Microsoft Excel, System Administration, Time Management, Microsoft Word, Spreadsheets, Data Entry, Outlook, QuickBooks, Office Management, Event Management, Teamwork, Budgets, Troubleshooting, Accounts Payable
Education
Morton College 1983 — 1984
Secretarial Certificate
York Community High School 1974 — 1978
Graduated, General
The Salvation Army Chicago Metropolitan Division November 2014 - Present
North American Medical Management March 2008 - April 2014
Remax Goldengate June 2005 - March 2008
Calyonfinancial January 1998 - September 2004
Skills
Microsoft Excel, Outlook, Accounts Receivable, Invoicing, Spreadsheets, QuickBooks, Accounting, Access, Customer Service, Lotus Notes, Time Management, Payroll, Office Management, Healthcare, Software Documentation, PowerPoint, Data Entry, Microsoft Office, Microsoft Word, Accounts Payable, Process Improvement, Administrative..., HIPAA
Education
Roosevelt University 1996 — 1999
None, Education
Northwestern Business College 1989 — 1992
Associate of Arts (A.A.), Travel and Exploration
Guardian Security Services June 2015 - September 2015
Intelligentsia Coffee & Tea May 2014 - April 2015
Letke & Associates June 2013 - January 2014
Superior Construction Co., INc. October 2011 - April 2013
ITS Technologies & Logistics June 2009 - August 2011
Mi-Jack Products February 2006 - June 2009
Siegel Steel February 2005 - February 2006
North American Medical Management September 2003 - November 2004
Provena Health 1998 - September 2003
Skills
Process Scheduler, Microsoft Excel, Microsoft Word, Change Orders, Microsoft Office, Construction, Subcontracting, Contract Management, Procurement, Contractors, Budgets, PowerPoint, Invoicing, Accounts Receivable, Month End Close, Accounts Payable, Accruals, Consolidated Financial..., Payroll, Journal Entries, General Ledger..., Account Reconciliation
Education
Indiana State University 1983 — 1987
Bachelor of Science, Business Administration and Management, General
Oak Forest High School 1979 — 1983
Humana January 2013 - Present
North American Medical Management June 2006 - January 2013
Skills
Healthcare Management, Data Entry, EHR, HIPAA, EMR, Managed Care, Medicare, Patient Safety, Quality Management, Nursing, Utilization Management, Healthcare Information..., Healthcare, Hospitals, Disease Management, Medicaid, Healthcare Industry
Education
Lewis University
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
I am currently looking for a permanent case manager position June 2015 - July 2015
NORTH American Medical Management May 2014 - October 2014
UnitedHealthcare 2012 - 2012
Skills
Case Management, Utilization Review, Healthcare, Medicare, Managed Care, Medicaid, Utilization Management, HIPAA, Disease Management, Hospitals, Nursing
Education
College of DuPage
Associate's degree, Registered Nursing/Registered Nurse
Alameda Alliance for Health November 2013 - Present
MHN (Subsidiary of Health Net, Inc.) April 2005 - Present
Blue Shield of California February 2004 - April 2005
Blue Shield of California April 2002 - January 2004
North American Medical Management 1996 - 2001
Skills
Business Objects, Showcase Query, Cognos, Crystal Reports, SAS Enterprise Cuide, Microsoft Visual Basic, SQL, Microsoft Excel, Microsoft Access, Relational database..., HEDIS measures and..., Access, Analysis, Cross-functional Team..., Managed Care, Business Intelligence, Visual Basic, Data Warehousing, Data Analysis, Visio, Management, Program Management, SAS, Process Improvement, Analytics, Databases
Education
University of California, Berkeley 1992 — 1996
Bachelor of Arts (B.A.), Neurobiology
University of California, Berkeley 1992 — 1996
Minor, Business Administration
CIGNA October 2000 - Present
North American Medical Management 1999 - 2000
Prudential Healthcare 1994 - 1999
Education
The University of Texas at Austin
Bachelor of Science (BS), Pharmacy
Jancyn August 2012 - Present
Self-Employed May 2008 - Present
North American Medical Management July 1996 - May 2008
Advocate Condell Medical Center June 1988 - April 1993
Education
Northern Illinois University 1982 — 1986
BA, Psychology
Arlington High School
Dignity Health June 2015 - Present
ARIZONA PRIORITY CARE March 2012 - March 2015
MANAGED HEALTH CARE ASSOCIATES, LTD November 2005 - March 2012
North American Medical Management January 1996 - January 2005
HUMANA HEALTH PLANS January 1991 - January 1996
CITIBANK, F/KA ARLINGTON FEDERAL SAVINGS January 1985 - January 1991
ARLINGTON FEDERAL SAVINGS January 1979 - January 1985
Skills
SQL, Data Analysis, Access, Business Analysis, Databases, Microsoft Excel, Analysis, Managed Care, Medicaid, Process Improvement, Medicare, Customer Service, Hospitals, Healthcare
Education
Eastern Illinois University
Bachelor of Science, Business, Finance and Marketing
Department of Health & Human Services, Victoria February 2015 - Present
North American Medical Management April 2014 - August 2014
North American Medical Management February 2014 - March 2014
North American Medical Management February 2013 - April 2013
Harmony WellCare Health Plan November 2011 - February 2012
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Leadership, Sales, Windows, English, Process Improvement
Education
Everest College 2009 — 2010
Diploma/Certificate, Pharmacy Technician/Assistant
City Colleges of Chicago-Kennedy-King College 1999 — 1999
Certificate, Certified Nurses Assistance
McCain Inc August 2014 - Present
North American Medical Management July 2006 - Present
Collins Computing April 2006 - July 2006
FMT Consultants May 2005 - March 2006
Skills
Process Improvement, Healthcare Information..., Business Analysis, EHR
Education
Los Angeles Valley College
Accounting and Finance
Moorpark College
HealthPort Technologies March 2015 - Present
North American Medical Management 2015 - 2015
Northwest Community Healthcare January 2014 - May 2014
St Nino Medical & Dental Center: February 2014 - April 2014
Aces$ Disability Services March 2011 - December 2013
Education
Harper College 2011 — 2014
Associate of Science (A.S.), Health Information/Medical Records Technology/Technician
NAMM California August 2015 - Present
North American Medical Management November 2013 - August 2015
Beechstreet Corporation 1997 - 1999
Beechstreet Corporation 1997 - 1999
Skills
Medicare, Healthcare, Health Insurance, Healthcare Management, Medicaid, Hospitals, Healthcare Information..., Insurance, Managed Care, HIPAA, Medical Terminology, Employee Benefits, Physician Relations
Education
San Bernardino Valley College 2015 — 2016
Associate’s Degree, Health/Health Care Administration/Management
Riverside City College 2002 — 2006
Business Administration and Management, General