One Health Plan
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21 One Health Plan employees in database. Find out everything there's to know about One Health Plan employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
One Health Plan Employees
Employee
Years
Job
Industry
Rita A. Nuñez Rita A. Nuñez's One Health Plan Experience May 1999 - July 2000
Job Lead PSR Outreach Counselor at El Proyecto del Barrio, Inc
Industry Hospital & Health Care
Experience
El Proyecto del Barrio, Inc November 2013 - May 2015
Patient Pathways by DaVita June 2012 - November 2012
Primary Provider Management Company/ Crown City Medical Group July 2011 - January 2012
Glendale Home Health Care April 2009 - July 2011
Regal Medical Group August 2006 - April 2008
Blueshield of California July 2000 - January 2006
ONE HEALTH PLAN May 1999 - July 2000
BLUE SHIELD OF CALIFORNIA May 1998 - May 1999
BLUE SHIELD OF CALIFORNIA September 1989 - May 1998
Skills
Healthcare, Microsoft Office, Hospitals, Customer Service, Microsoft Excel, Healthcare Management, Microsoft Word, PowerPoint, Public Speaking, Network Development, Provider Relations, Managed Care, Health Insurance, EMR, Physicians, Case Managment, Medicaid, Medicare, Healthcare Industry, Case Management, Insurance
Education
Los Angeles Valley College
El Proyecto del Barrio, Inc November 2013 - May 2015
Patient Pathways by DaVita June 2012 - November 2012
Primary Provider Management Company/ Crown City Medical Group July 2011 - January 2012
Glendale Home Health Care April 2009 - July 2011
Regal Medical Group August 2006 - April 2008
Blueshield of California July 2000 - January 2006
ONE HEALTH PLAN May 1999 - July 2000
BLUE SHIELD OF CALIFORNIA May 1998 - May 1999
BLUE SHIELD OF CALIFORNIA September 1989 - May 1998
Skills
Healthcare, Microsoft Office, Hospitals, Customer Service, Microsoft Excel, Healthcare Management, Microsoft Word, PowerPoint, Public Speaking, Network Development, Provider Relations, Managed Care, Health Insurance, EMR, Physicians, Case Managment, Medicaid, Medicare, Healthcare Industry, Case Management, Insurance
Education
Los Angeles Valley College
Linda Oughton Linda Oughton's One Health Plan Experience October 2001 - December 2002
Job Utilization Review for Health Net at Professional Services Network, Inc.
Industry Medical Practice
Experience
Professional Services Network, Inc. · Nurse Recruitment & Consulting June 2015 - Present
Haskell Memorial Hospital March 2014 - February 2015
TAIF MEDICAL CENTER, BAE SYSTEMS COMPOUND, Taif, KSA September 2009 - May 2010
SELECT ADMINISTRATIVE SERVICES April 2004 - February 2007
HUMANA MILITARY HEALTHCARE February 2003 - April 2004
ONE HEALTH PLAN October 2001 - December 2002
TEXAS MEDICAL FOUNDATION October 2000 - June 2001
HEALTH & HUMAN SERVICES COMMISSION February 1999 - October 2000
CENTRAL TEXAS MEDICAL CENTER November 1994 - February 1999
SETON MEDICAL CENTER September 1991 - November 1994
Skills
Case Managment, Secretarial Skills, Internet, Registered Nurses, Healthcare Industry, Bookkeeping, Account Reconciliation, Computer-savvy, Receptionist Duties, Payroll, Auditing, Clerical Skills, Friendly Personality, Attentiveness to Detail, Research Information, Negotiating Fees, Microsoft Applications, Typewriter, Dictaphone, 10 Key, Communicaitons, Wellness, Fitness, Healthcare Management, Inpatient, Vital Signs, Hospitals, Clinical Research, Case Management, EKG, Nursing, Patient Education, Patient Safety, Medical Records, Healthcare, Medication..., Medical-Surgical
Education
Austin Community College 1991 — 1993
Associate of Applied Science, Nursing, 3.4
American Commercial College-Lubbock 1979 — 1980
Executive Secreary, Administrative Assistant and Secretarial Science, General
Various Continuing Education Classes/Units
Professional Services Network, Inc. · Nurse Recruitment & Consulting June 2015 - Present
Haskell Memorial Hospital March 2014 - February 2015
TAIF MEDICAL CENTER, BAE SYSTEMS COMPOUND, Taif, KSA September 2009 - May 2010
SELECT ADMINISTRATIVE SERVICES April 2004 - February 2007
HUMANA MILITARY HEALTHCARE February 2003 - April 2004
ONE HEALTH PLAN October 2001 - December 2002
TEXAS MEDICAL FOUNDATION October 2000 - June 2001
HEALTH & HUMAN SERVICES COMMISSION February 1999 - October 2000
CENTRAL TEXAS MEDICAL CENTER November 1994 - February 1999
SETON MEDICAL CENTER September 1991 - November 1994
Skills
Case Managment, Secretarial Skills, Internet, Registered Nurses, Healthcare Industry, Bookkeeping, Account Reconciliation, Computer-savvy, Receptionist Duties, Payroll, Auditing, Clerical Skills, Friendly Personality, Attentiveness to Detail, Research Information, Negotiating Fees, Microsoft Applications, Typewriter, Dictaphone, 10 Key, Communicaitons, Wellness, Fitness, Healthcare Management, Inpatient, Vital Signs, Hospitals, Clinical Research, Case Management, EKG, Nursing, Patient Education, Patient Safety, Medical Records, Healthcare, Medication..., Medical-Surgical
Education
Austin Community College 1991 — 1993
Associate of Applied Science, Nursing, 3.4
American Commercial College-Lubbock 1979 — 1980
Executive Secreary, Administrative Assistant and Secretarial Science, General
Various Continuing Education Classes/Units
Denice Valentine-Boone, RN, MSN Denice Valentine-Boone, RN, MSN's One Health Plan Experience March 1999 - April 2002
Job Clinical Quality Improvement Specialist at CIGNA
Industry Health, Wellness and Fitness
Experience
CIGNA April 2004 - Present
UNC Charlotte 2007 - 2012
CIGNA 2002 - 2004
One Health Plan March 1999 - April 2002
QualChoice of NC, Inc. 1998 - 1999
Pfieffer University 1995 - 1999
Kaiser Permanente 1994 - 1999
Skills
Quality Management, Data Analysis, Nursing Education, Nursing, Nurses, Healthcare, Continuous Improvement, Process Improvement, Nursing Administration, Healthcare Management, Utilization Management, Managed Care, Clinical, Accreditation, NCQA, Performance Improvement, Quality Improvement, HIPAA, Project Management, Hospitals, Clinical Research, Health Policy, Leadership, HEDIS, Case Managment, Healthcare Information..., Medicare, Informatics, Home Care, EHR, Healthcare Consulting, Disease Management, Case Management, EMR, Medicine
Education
University of North Carolina at Charlotte 2009 — 2012
Master's of Science, Nurse Educator
University of North Carolina at Charlotte 2009 — 2012
Master of Science (MS), Masters of Nursing - Nurse Educator
Pfeiffer University 1997 — 1999
Bachelors Degree in Healthcare Management, Healthcare Management
St. Louis Community College at Forest Park 1977 — 1980
Associate Degree in Nursing, Nursing
CIGNA April 2004 - Present
UNC Charlotte 2007 - 2012
CIGNA 2002 - 2004
One Health Plan March 1999 - April 2002
QualChoice of NC, Inc. 1998 - 1999
Pfieffer University 1995 - 1999
Kaiser Permanente 1994 - 1999
Skills
Quality Management, Data Analysis, Nursing Education, Nursing, Nurses, Healthcare, Continuous Improvement, Process Improvement, Nursing Administration, Healthcare Management, Utilization Management, Managed Care, Clinical, Accreditation, NCQA, Performance Improvement, Quality Improvement, HIPAA, Project Management, Hospitals, Clinical Research, Health Policy, Leadership, HEDIS, Case Managment, Healthcare Information..., Medicare, Informatics, Home Care, EHR, Healthcare Consulting, Disease Management, Case Management, EMR, Medicine
Education
University of North Carolina at Charlotte 2009 — 2012
Master's of Science, Nurse Educator
University of North Carolina at Charlotte 2009 — 2012
Master of Science (MS), Masters of Nursing - Nurse Educator
Pfeiffer University 1997 — 1999
Bachelors Degree in Healthcare Management, Healthcare Management
St. Louis Community College at Forest Park 1977 — 1980
Associate Degree in Nursing, Nursing
Allison Lisman, SPHR Allison Lisman, SPHR's One Health Plan Experience March 2001 - October 2002
Job Human Resources Manager at CB Richard Ellis
Industry Human Resources
Experience
CB Richard Ellis August 2005 - Present
EDS Account August 2003 - August 2005
MOORE WALLACE HERITAGE PRESS November 2002 - July 2003
ONE HEALTH PLAN March 2001 - October 2002
CAREER BLAZERS, INC September 2000 - February 2001
Education
The University of Texas at Dallas
Degree: Bachelor of Arts, Psychology; Human Development and Communication
CB Richard Ellis August 2005 - Present
EDS Account August 2003 - August 2005
MOORE WALLACE HERITAGE PRESS November 2002 - July 2003
ONE HEALTH PLAN March 2001 - October 2002
CAREER BLAZERS, INC September 2000 - February 2001
Education
The University of Texas at Dallas
Degree: Bachelor of Arts, Psychology; Human Development and Communication
Bobbi Crimm Bobbi Crimm's One Health Plan Experience October 1996 - August 2002
Job Sr. Director of Quality at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans May 2013 - Present
Absolute Total Care November 2012 - May 2013
Absolute Total Care March 2011 - November 2012
Centene Corporation-Absolute Total Care January 2010 - March 2011
Centene Corporation - Peach State Health Plan December 2005 - February 2010
Peach State Health Plan December 2005 - January 2009
Matria Healthcare September 2003 - December 2005
HealthFlash, Inc. August 2002 - August 2003
One Health Plan October 1996 - August 2002
BCBS GA May 1995 - October 1996
Skills
Medicaid, Healthcare, HEDIS, Quality Improvement, NCQA, Credentialing, PPO, Medicare, HMO, Medicaid Managed Care, Health Policy, Accreditation, Clinical Research, HIPAA, Disease Management, Healthcare Management, Case Managment, Utilization Review, Hospitals, Performance Improvement, Utilization Management, Managed Care, Healthcare Industry, Quality Management, Healthcare Information..., Healthcare Consulting, Provider Relations, Medicine, Revenue Cycle, Physician Relations, Health Insurance, Pharmacy Benefit..., Physicians
Education
Saint Joseph's College 2007 — 2009
MBA, Quality / Leadership
St. Joseph's College (ME)
BS in Health Care Administration
Centene Corporation - Green Belt Training
Six Sigma
Centene Corporation - Yellow Belt Training
Six Sigma
WellCare Health Plans May 2013 - Present
Absolute Total Care November 2012 - May 2013
Absolute Total Care March 2011 - November 2012
Centene Corporation-Absolute Total Care January 2010 - March 2011
Centene Corporation - Peach State Health Plan December 2005 - February 2010
Peach State Health Plan December 2005 - January 2009
Matria Healthcare September 2003 - December 2005
HealthFlash, Inc. August 2002 - August 2003
One Health Plan October 1996 - August 2002
BCBS GA May 1995 - October 1996
Skills
Medicaid, Healthcare, HEDIS, Quality Improvement, NCQA, Credentialing, PPO, Medicare, HMO, Medicaid Managed Care, Health Policy, Accreditation, Clinical Research, HIPAA, Disease Management, Healthcare Management, Case Managment, Utilization Review, Hospitals, Performance Improvement, Utilization Management, Managed Care, Healthcare Industry, Quality Management, Healthcare Information..., Healthcare Consulting, Provider Relations, Medicine, Revenue Cycle, Physician Relations, Health Insurance, Pharmacy Benefit..., Physicians
Education
Saint Joseph's College 2007 — 2009
MBA, Quality / Leadership
St. Joseph's College (ME)
BS in Health Care Administration
Centene Corporation - Green Belt Training
Six Sigma
Centene Corporation - Yellow Belt Training
Six Sigma
Tom Paulson Tom Paulson's One Health Plan Experience January 1997 - January 2000
Job Combining Business & Medicine
Industry Hospital & Health Care
Experience
Group Health Cooperative November 2012 - June 2014
Group Health Cooperative February 2011 - October 2012
Paulson Healthcare Consulting August 2010 - February 2011
Premera Blue Cross March 2006 - May 2010
The Regence Group April 2004 - March 2006
PacifiCare of Washington January 2000 - January 2004
ONE HEALTH PLAN January 1997 - January 2000
THE EVERETT CLINIC & MEDICAL PARTNERS NORTHWEST LLC July 1988 - January 2000
BETHANY NORTHWEST and EVERETT TRANSITIONAL CARE SERVICES January 1991 - January 1999
Skills
Healthcare, Clinical Research, Healthcare Management, Utilization Management, Training, Medicare, Health Insurance, Disease Management, Managed Care, HMO, Management, Provider Relations, Hospitals, Leadership, Strategic Planning, Healthcare Industry, Physicians, Medicine, Healthcare Consulting, Health Policy, Quality Improvement, Network Development, Healthcare Information..., Medicaid, Informatics, EHR, Family Medicine, Organizational...
Education
University of California, Irvine 1997 — 1999
Executive MBA, Healthcare emphasis
Medical College of Wisconsin 1980 — 1984
MD, Medicine
Family Practice Residency Northridge Hospital University of California Los Angeles
Internship St. Michael Hospital
BS, Biology and Chemistry
Group Health Cooperative November 2012 - June 2014
Group Health Cooperative February 2011 - October 2012
Paulson Healthcare Consulting August 2010 - February 2011
Premera Blue Cross March 2006 - May 2010
The Regence Group April 2004 - March 2006
PacifiCare of Washington January 2000 - January 2004
ONE HEALTH PLAN January 1997 - January 2000
THE EVERETT CLINIC & MEDICAL PARTNERS NORTHWEST LLC July 1988 - January 2000
BETHANY NORTHWEST and EVERETT TRANSITIONAL CARE SERVICES January 1991 - January 1999
Skills
Healthcare, Clinical Research, Healthcare Management, Utilization Management, Training, Medicare, Health Insurance, Disease Management, Managed Care, HMO, Management, Provider Relations, Hospitals, Leadership, Strategic Planning, Healthcare Industry, Physicians, Medicine, Healthcare Consulting, Health Policy, Quality Improvement, Network Development, Healthcare Information..., Medicaid, Informatics, EHR, Family Medicine, Organizational...
Education
University of California, Irvine 1997 — 1999
Executive MBA, Healthcare emphasis
Medical College of Wisconsin 1980 — 1984
MD, Medicine
Family Practice Residency Northridge Hospital University of California Los Angeles
Internship St. Michael Hospital
BS, Biology and Chemistry
J.D. Lytle J.D. Lytle's One Health Plan Experience 1996 - 2000
Job
Industry Financial Services
Experience
Denver Area Insurance Company December 2002 - Present
Denver Area Insurance Company 2000 - 2002
One Health Plan 1996 - 2000
Cigna Healthcare 1990 - 1996
Skills
SAP, Project Management, Leadership, ERP, Business Process..., SAP ERP, SAP R/3, Business Strategy, SDLC, Vendor Management, Business Analysis, Business Intelligence, PMO, Integration, Change Management, Business Development, Cross-functional Team..., Business Process, Contract Negotiation, IT Strategy, Process Improvement, Budgets, Financial Analysis, Data Analysis, Software Project..., Master Data Management, Requirements Analysis, Python, R, Amazon Web Services..., Amazon EC2, Visual Basic, HP Unified Functional..., Automated Software...
Education
University of Colorado Denver 1994 — 1998
MBA, Emphasis on Marketing and Management
Wichita State University 1986 — 1990
BBA, Finance, Economics
Denver Area Insurance Company December 2002 - Present
Denver Area Insurance Company 2000 - 2002
One Health Plan 1996 - 2000
Cigna Healthcare 1990 - 1996
Skills
SAP, Project Management, Leadership, ERP, Business Process..., SAP ERP, SAP R/3, Business Strategy, SDLC, Vendor Management, Business Analysis, Business Intelligence, PMO, Integration, Change Management, Business Development, Cross-functional Team..., Business Process, Contract Negotiation, IT Strategy, Process Improvement, Budgets, Financial Analysis, Data Analysis, Software Project..., Master Data Management, Requirements Analysis, Python, R, Amazon Web Services..., Amazon EC2, Visual Basic, HP Unified Functional..., Automated Software...
Education
University of Colorado Denver 1994 — 1998
MBA, Emphasis on Marketing and Management
Wichita State University 1986 — 1990
BBA, Finance, Economics
Natacha Julien Natacha Julien's One Health Plan Experience 1999 - 2000
Job Director, Medical Staff Office at Mass. Eye and Ear
Industry Hospital & Health Care
Experience
NWJ Consulting June 2015 - Present
Mass. Eye and Ear June 2014 - June 2015
Senior Whole Health June 2012 - June 2014
CVS Caremark Corporation June 2010 - November 2011
Neighborhood Health Plan August 2006 - June 2010
Private Healthcare Systems April 2000 - August 2006
One Health Plan 1999 - 2000
Skills
Credentialing, Medicaid, Medicare, Healthcare Management, NCQA, Physicians, JCAHO, Accreditation, Utilization Review, Claim, Leadership, Managed Care, HIPAA, Provider Relations, Healthcare, Hospitals, Clinical Research, HEDIS, Utilization Management, Healthcare Consulting, Healthcare Industry, HMO
Education
Stonehill College 2004 — 2006
Certificate, Healthcare Management
Boston College 1995 — 2000
BSN, Nursing
NWJ Consulting June 2015 - Present
Mass. Eye and Ear June 2014 - June 2015
Senior Whole Health June 2012 - June 2014
CVS Caremark Corporation June 2010 - November 2011
Neighborhood Health Plan August 2006 - June 2010
Private Healthcare Systems April 2000 - August 2006
One Health Plan 1999 - 2000
Skills
Credentialing, Medicaid, Medicare, Healthcare Management, NCQA, Physicians, JCAHO, Accreditation, Utilization Review, Claim, Leadership, Managed Care, HIPAA, Provider Relations, Healthcare, Hospitals, Clinical Research, HEDIS, Utilization Management, Healthcare Consulting, Healthcare Industry, HMO
Education
Stonehill College 2004 — 2006
Certificate, Healthcare Management
Boston College 1995 — 2000
BSN, Nursing
Beth M James's One Health Plan Experience January 1999 - January 2000
Job Oncology Reimbursement & Payer Expertise, Health Policy, Patient Advocate, Pharma Consultant, Market Access, Trainer
Industry Pharmaceuticals
Experience
AmerisourceBergen December 2010 - Present
GE Healthcare September 2010 - December 2010
US Oncology January 2003 - December 2009
US Physical Therapy 2001 - 2003
One Health Plan January 1999 - January 2000
UnitedHealthcare January 1998 - January 1999
Skills
Revenue Cycle Management, Managed Care, Healthcare Reimbursement, Medical Coding, Six Sigma, Lean Thinking, Cross-functional Team..., Thought Leadership, Field Operations, Client Liaison, Operations Management, Healthcare Consulting, Strategic Planning, Oncology Business..., Patient Advocacy, Business Development, Strategic Data Analysis, Contract Negotiation, Creative Writing, Solution Development, Collaborative Problem..., Budget Monitoring, Performance Reporting, Oncology, Healthcare, Physicians, Process Improvement, Pharmaceutical Industry, Healthcare Information..., Healthcare Management, Informatics, EHR, Hospitals, Pharmacy, Revenue Cycle, Provider Relations, Medicaid, Healthcare Industry, Medicare, HIPAA, Physician Relations, Pharmacy Benefit..., Health Policy, Medical Compliance
Education
University of Houston
Pursuing BBA, Healthcare Administration
AmerisourceBergen December 2010 - Present
GE Healthcare September 2010 - December 2010
US Oncology January 2003 - December 2009
US Physical Therapy 2001 - 2003
One Health Plan January 1999 - January 2000
UnitedHealthcare January 1998 - January 1999
Skills
Revenue Cycle Management, Managed Care, Healthcare Reimbursement, Medical Coding, Six Sigma, Lean Thinking, Cross-functional Team..., Thought Leadership, Field Operations, Client Liaison, Operations Management, Healthcare Consulting, Strategic Planning, Oncology Business..., Patient Advocacy, Business Development, Strategic Data Analysis, Contract Negotiation, Creative Writing, Solution Development, Collaborative Problem..., Budget Monitoring, Performance Reporting, Oncology, Healthcare, Physicians, Process Improvement, Pharmaceutical Industry, Healthcare Information..., Healthcare Management, Informatics, EHR, Hospitals, Pharmacy, Revenue Cycle, Provider Relations, Medicaid, Healthcare Industry, Medicare, HIPAA, Physician Relations, Pharmacy Benefit..., Health Policy, Medical Compliance
Education
University of Houston
Pursuing BBA, Healthcare Administration
Stephen Gorshow M.D., FACP Stephen Gorshow M.D., FACP's One Health Plan Experience June 1996 - June 2003
Job Regional Medical Director at UnitedHealthcare
Industry Hospital & Health Care
Experience
UnitedHealthcare May 2013 - Present
UnitedHealth Group Medicare & Retirement July 2010 - May 2013
CIGNA Healthcare April 2008 - January 2010
Great-West Healthcare June 2003 - April 2008
One Health Plan June 1996 - June 2003
University of Colorado Health Sciences Center January 1990 - March 2003
Great-West Life and Annuity Insurance Company March 1995 - June 1996
University Park Medical Center January 1988 - January 1995
Parker Internal Medicine October 1984 - January 1988
Denver Health March 1974 - September 1975
Skills
Healthcare, Medicare, Disease Management, Hospitals, Clinical Research, Physicians, Physician Relations, Medicaid, Oncology, Medicare Part D, Medicine, Pharmacy Benefit..., Pharmacy, HMO, Network Development, Provider Relations, Healthcare Information..., Healthcare Industry, Health Insurance, Internal Medicine, PPO, Medical Coding, Medical Devices, Cross-functional Team..., Insurance, Employee Benefits, Healthcare Management, Managed Care, Health Policy, Treatment, EHR, Quality Improvement, Biotechnology, Informatics, Health Care Reform, Claim, Credentialing, EMR, Medicaid Managed Care, Health Economics, Medical Writing, Home Care, Patient Safety, Avoidable (preventable_..., Healthcare Consulting
Education
zMichael Reese Medical Center 1979 — 1982
University of Colorado School of Medicine 1975 — 1979
M.D.
Northwestern University 1970 — 1974
BA
UnitedHealthcare May 2013 - Present
UnitedHealth Group Medicare & Retirement July 2010 - May 2013
CIGNA Healthcare April 2008 - January 2010
Great-West Healthcare June 2003 - April 2008
One Health Plan June 1996 - June 2003
University of Colorado Health Sciences Center January 1990 - March 2003
Great-West Life and Annuity Insurance Company March 1995 - June 1996
University Park Medical Center January 1988 - January 1995
Parker Internal Medicine October 1984 - January 1988
Denver Health March 1974 - September 1975
Skills
Healthcare, Medicare, Disease Management, Hospitals, Clinical Research, Physicians, Physician Relations, Medicaid, Oncology, Medicare Part D, Medicine, Pharmacy Benefit..., Pharmacy, HMO, Network Development, Provider Relations, Healthcare Information..., Healthcare Industry, Health Insurance, Internal Medicine, PPO, Medical Coding, Medical Devices, Cross-functional Team..., Insurance, Employee Benefits, Healthcare Management, Managed Care, Health Policy, Treatment, EHR, Quality Improvement, Biotechnology, Informatics, Health Care Reform, Claim, Credentialing, EMR, Medicaid Managed Care, Health Economics, Medical Writing, Home Care, Patient Safety, Avoidable (preventable_..., Healthcare Consulting
Education
zMichael Reese Medical Center 1979 — 1982
University of Colorado School of Medicine 1975 — 1979
M.D.
Northwestern University 1970 — 1974
BA
Julie McCarter's One Health Plan Experience 1997 - Present
Job Sr Director, CIGNA
Industry Health, Wellness and Fitness
Experience
Great-West Healthcare Product DevelopmentCIGNA Healthcare2008 - Present
CIGNA 2008 - Present
One Health Plan 1997 - Present
Great-West Healthcare 1997 - Present
Education
University of Colorado Boulder 1985 — 1989
Great-West Healthcare Product DevelopmentCIGNA Healthcare2008 - Present
CIGNA 2008 - Present
One Health Plan 1997 - Present
Great-West Healthcare 1997 - Present
Education
University of Colorado Boulder 1985 — 1989
Cleo O'Rourke's One Health Plan Experience May 1997 - November 2000
Job Director, Contracting & Payor Relations at University of Washington Physicians
Industry Medical Practice
Experience
University of Washington Physicians 2000 - 2013
One Health Plan May 1997 - November 2000
UnitedHealthcare November 1996 - April 1997
Foundation Health - Tricare January 1995 - October 1996
Premera 1990 - 1994
Regence BlueCross BlueShield February 1989 - February 1990
Skills
Contract Negotiation, Provider Relations, Product Management, Managed Care, Physician Credentialing, Contract Management, Credentialing, Medicare, Strategy, Network Development, Physicians, HIPAA, Program Management, Project Management, Budgets, Process Improvement, Medical Billing, Analysis, Policy, Public Speaking, Strategic Planning, Epic Systems, Management, Health Insurance, Project Planning, Risk Management, Leadership, Medical Coding
Education
University of Oregon
BA, Sociology
chn5
University of Washington Physicians 2000 - 2013
One Health Plan May 1997 - November 2000
UnitedHealthcare November 1996 - April 1997
Foundation Health - Tricare January 1995 - October 1996
Premera 1990 - 1994
Regence BlueCross BlueShield February 1989 - February 1990
Skills
Contract Negotiation, Provider Relations, Product Management, Managed Care, Physician Credentialing, Contract Management, Credentialing, Medicare, Strategy, Network Development, Physicians, HIPAA, Program Management, Project Management, Budgets, Process Improvement, Medical Billing, Analysis, Policy, Public Speaking, Strategic Planning, Epic Systems, Management, Health Insurance, Project Planning, Risk Management, Leadership, Medical Coding
Education
University of Oregon
BA, Sociology
chn5
Brad Steiner's One Health Plan Experience July 2000 - September 2001
Job Senior Client Manager at CIGNA Healthcare
Industry Insurance
Experience
CIGNA Healthcare April 2008 - Present
Great-West Healthcare October 2001 - March 2008
ONE Health Plan July 2000 - September 2001
ONE Health Plan May 1999 - June 2000
Great-West Healthcare March 1992 - April 1995
Education
South Dakota State University 1982 — 1986
Bachelor's Degree, Journalism
CIGNA Healthcare April 2008 - Present
Great-West Healthcare October 2001 - March 2008
ONE Health Plan July 2000 - September 2001
ONE Health Plan May 1999 - June 2000
Great-West Healthcare March 1992 - April 1995
Education
South Dakota State University 1982 — 1986
Bachelor's Degree, Journalism
Davin Bogan's One Health Plan Experience 1997 - 1999
Job Senior Manager : reliability engineering at Twitter
Industry Internet
Experience
Twitter March 2014 - Present
Twitter October 2012 - Present
Twitter October 2011 - September 2012
eBay January 2008 - October 2011
eBay January 2006 - January 2008
Onstream Media January 2003 - January 2006
Onstream Media June 2000 - January 2003
entertainment digital networks March 1999 - June 2000
One Health Plan of California March 1997 - March 1999
One Health Plan 1997 - 1999
Skills
Management, Linux, Cloud Computing, Scalability, Agile Methodologies, Distributed Systems
Education
Presidio Graduate School 2009 — 2015
MBA, Sustainable Management
Sound Training Center 1996 — 1997
Diploma, Sound Engineering
University College Dublin 1991 — 1995
BSc, Psychology, Computer Science
Twitter March 2014 - Present
Twitter October 2012 - Present
Twitter October 2011 - September 2012
eBay January 2008 - October 2011
eBay January 2006 - January 2008
Onstream Media January 2003 - January 2006
Onstream Media June 2000 - January 2003
entertainment digital networks March 1999 - June 2000
One Health Plan of California March 1997 - March 1999
One Health Plan 1997 - 1999
Skills
Management, Linux, Cloud Computing, Scalability, Agile Methodologies, Distributed Systems
Education
Presidio Graduate School 2009 — 2015
MBA, Sustainable Management
Sound Training Center 1996 — 1997
Diploma, Sound Engineering
University College Dublin 1991 — 1995
BSc, Psychology, Computer Science
Kathleen A. Dion's One Health Plan Experience June 2000 - December 2001
Job Director, Corporate Peer Review, Health & Medical Management Division, at Blue Cross Blue Shield of Massachusetts
Industry Health, Wellness and Fitness
Experience
Blue Cross Blue Shield of Massachusetts May 2005 - Present
Cambridge Health Alliance January 2002 - May 2005
One Health Plan June 2000 - December 2001
Cambridge Health Alliance May 1999 - June 2000
One Health Plan May 1997 - May 1999
Harvard Pilgrim Health Care July 1995 - May 1997
Whidden Memorial Hospital June 1993 - July 1995
Norwood Hospital March 1992 - June 1993
Mount Auburn Hospital February 1988 - March 1992
Skills
Accreditation, NCQA, Healthcare, Healthcare Management, Provider Relations, Hospitals, Health Policy, Quality Improvement, Managed Care, Medicaid, HIPAA, Medicare, Healthcare Industry, Credentialing, Healthcare Consulting
Education
Northeastern University 2004 — 2004
Certificate, Paralegal Studies
Emmanuel College 1983 — 1997
BS, Health Care Administration
Blue Cross Blue Shield of Massachusetts May 2005 - Present
Cambridge Health Alliance January 2002 - May 2005
One Health Plan June 2000 - December 2001
Cambridge Health Alliance May 1999 - June 2000
One Health Plan May 1997 - May 1999
Harvard Pilgrim Health Care July 1995 - May 1997
Whidden Memorial Hospital June 1993 - July 1995
Norwood Hospital March 1992 - June 1993
Mount Auburn Hospital February 1988 - March 1992
Skills
Accreditation, NCQA, Healthcare, Healthcare Management, Provider Relations, Hospitals, Health Policy, Quality Improvement, Managed Care, Medicaid, HIPAA, Medicare, Healthcare Industry, Credentialing, Healthcare Consulting
Education
Northeastern University 2004 — 2004
Certificate, Paralegal Studies
Emmanuel College 1983 — 1997
BS, Health Care Administration
Janine Gordon's One Health Plan Experience May 1997 - May 1999
Job Metabolic Specialty Sales Representative at Boehringer Ingelheim
Industry Pharmaceuticals
Experience
Boehringer Ingelheim January 2014 - Present
Boehringer Ingelheim July 2013 - January 2014
Eli Lilly and Company March 2012 - June 2013
Takeda Pharmaceuticals June 1999 - March 2012
One Health Plan May 1997 - May 1999
Blue Cross Blue Shield of Massachusetts 1989 - 1997
Skills
Gastroenterology, Salesforce Training, Rheumatology, Endocrinology, Pharmaceutical Sales, Nephrology, Urology, Pulmonology, Diabetes, Managed Care, Sales Effectiveness, Hypertension, OB/GYN, Neurology, Cardiology, Osteoporosis, Erectile Dysfunction, Chronic Pain, Product Launch, Sales Operations, Pharmaceutical Industry, Healthcare, ENT, Buy & Bill
Education
Suffolk University
Master Public Health, Health Administration, 3.91
Suffolk University - Sawyer School of Management
BSBA, Business
Boehringer Ingelheim January 2014 - Present
Boehringer Ingelheim July 2013 - January 2014
Eli Lilly and Company March 2012 - June 2013
Takeda Pharmaceuticals June 1999 - March 2012
One Health Plan May 1997 - May 1999
Blue Cross Blue Shield of Massachusetts 1989 - 1997
Skills
Gastroenterology, Salesforce Training, Rheumatology, Endocrinology, Pharmaceutical Sales, Nephrology, Urology, Pulmonology, Diabetes, Managed Care, Sales Effectiveness, Hypertension, OB/GYN, Neurology, Cardiology, Osteoporosis, Erectile Dysfunction, Chronic Pain, Product Launch, Sales Operations, Pharmaceutical Industry, Healthcare, ENT, Buy & Bill
Education
Suffolk University
Master Public Health, Health Administration, 3.91
Suffolk University - Sawyer School of Management
BSBA, Business
Kris Emde's One Health Plan Experience 1999 - 2002
Job Secretary at Pinehurst Surgical
Industry Medical Practice
Experience
Pinehurst Surgical November 2007 - Present
CorVel Corporation 2005 - 2007
One Health Plan 1999 - 2002
Education
Columbus State University 1996 — 1997
Some college, Early Childhood Education and Teaching
Pinehurst Surgical November 2007 - Present
CorVel Corporation 2005 - 2007
One Health Plan 1999 - 2002
Education
Columbus State University 1996 — 1997
Some college, Early Childhood Education and Teaching
Odette Schulz's One Health Plan Experience June 2000 - August 2001
Job Customer Service Representative
Industry Consumer Services
Experience
The Bridges Center June 2009 - February 2011
Ross Stores September 2008 - November 2008
Newcomb Oil November 2007 - May 2008
Candela Corporation August 2006 - July 2007
Milestone Management March 2005 - January 2006
Innovative Development August 2002 - September 2004
One Health Plan June 2000 - August 2001
Blue Cross Blue Shield of GA April 1997 - June 1999
Education
Argosy University Phoenix 2010 — 2015
Bachelor's degree, Psychology, 3
National Center for Paralegal Training 2000 — 2001
Paralegal Certificate, Real Estate Law, 3.0
Rochester Business Institute 1988 — 1990
Associate's degree, Marketing/Marketing Management, General, 3.2
The Bridges Center June 2009 - February 2011
Ross Stores September 2008 - November 2008
Newcomb Oil November 2007 - May 2008
Candela Corporation August 2006 - July 2007
Milestone Management March 2005 - January 2006
Innovative Development August 2002 - September 2004
One Health Plan June 2000 - August 2001
Blue Cross Blue Shield of GA April 1997 - June 1999
Education
Argosy University Phoenix 2010 — 2015
Bachelor's degree, Psychology, 3
National Center for Paralegal Training 2000 — 2001
Paralegal Certificate, Real Estate Law, 3.0
Rochester Business Institute 1988 — 1990
Associate's degree, Marketing/Marketing Management, General, 3.2
Denise Kaufman's One Health Plan Experience 1995 - 1999
Job InHouse Counsel at WellPoint/Anthem
Industry Insurance
Experience
WellPoint/Anthem October 2007 - Present
Southeastern US Captive (SEUS) April 2001 - May 2005
One Health Plan 1995 - 1999
Skills
Insurance, Claim, Litigation Management, Health Insurance, Litigation, Legal Research, Legal Writing, Insurance Law, Licensing, Claims Management, Legal Compliance, Workers Compensation
Education
Georgia State University College of Law
Doctor of Law (JD), Law
Purdue University
Bachelor's degree, psychological sciences
WellPoint/Anthem October 2007 - Present
Southeastern US Captive (SEUS) April 2001 - May 2005
One Health Plan 1995 - 1999
Skills
Insurance, Claim, Litigation Management, Health Insurance, Litigation, Legal Research, Legal Writing, Insurance Law, Licensing, Claims Management, Legal Compliance, Workers Compensation
Education
Georgia State University College of Law
Doctor of Law (JD), Law
Purdue University
Bachelor's degree, psychological sciences