PacifiCare Health Systems
Industry: Insurance company
DescriptionPacifiCare Health Systems was a Fortune 500 healthcare company based in Cypress, California. It was acquired by UnitedHealth Group in late 2005, which continued to market health plans under the PacifiCare and SecureHorizons names until 2011, when it changed to the UnitedHealthcare name. Headquarters: Cypress, California, United States Founder: Terry O Hartshorn Founded: 1983 Number of employees: 7,500 Subsidiaries: UnitedHealthcare Inc, Spectera Inc, Parent organization: UnitedHealth Group
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PacifiCare Health Systems Employees
AT&T July 2014 - Present
AT&T March 2013 - July 2014
AT&T Management Services February 2009 - March 2013
AT&T May 2007 - January 2009
ADESA January 2007 - May 2007
United Healthcare/PacifiCare Health Systems March 2004 - December 2006
PacifiCare Health Systems March 2001 - August 2002
PacifiCare Health Systems January 1996 - March 2001
Education
Texas Woman's University 2011 — 2012
Masters of Business Administration, Accounting
The University of Texas at San Antonio 2000 — 2006
Bachelors of Business Administration, Accounting
Amgen August 2015 - Present
Texas Health Resources July 2013 - August 2015
Amgen August 2009 - July 2013
Novartis March 2002 - August 2009
PacifiCare Health Systems July 1999 - March 2002
Skills
Rheumatology, Biotechnology, Pharmaceutical Sales, Endocrinology, Pharmaceutical Industry, Gastroenterology, Osteoporosis, Cardiology, Buy & Bill, Hospital Sales, Managed Care, Urology, Hypertension, OB/GYN, Pulmonology
Education
Texas A&M University 1994 — 1996
Bachelor of Business Administration (BBA), Marketing
UnitedHealth Group June 2009 - Present
UT Medicine July 2007 - August 2008
PacifiCare Health Systems February 2004 - June 2007
Skills
Healthcare, Medical Terminology, Medical Coding, ICD-9, CPT, Epic Systems, Healthcare Industry, Health Insurance, ICD-10, Medicine
Education
San Antonio College
Anthem Blue Cross July 2008 - Present
Towers Perrin October 2007 - July 2008
Kaiser Foundation Health Plan August 1998 - October 2007
Pacificare Health Systems June 1996 - July 1997
Blue Shield of California March 1984 - June 1996
Skills
Healthcare Sales..., Team Leadership, Client Acquisition &..., Healthcare Financial..., Healthcare Management, Sales, Management, Account Management, Sales Management, Leadership, Strategy, Cross-functional Team..., Healthcare, CRM, Strategic Planning, Managed Care, Product Development, Health Insurance, Insurance, Sales Operations, Employee Benefits
Education
Saint Mary's College of California 1994 — 1996
Masters of Science, Health Services Administration
University of Arkansas 1977 — 1981
Bachelors of Science, Business Administration - Finance & Insurance
Sutter Health February 2015 - July 2015
Stanford Health Care May 2014 - February 2015
Kaiser Permanente June 2012 - May 2014
Kaiser Permanente February 2008 - June 2012
Kaiser Permanente March 2001 - February 2008
PacifiCare Health Systems January 1998 - December 1998
Skills
Healthcare, HIPAA, Healthcare Management, Healthcare Information..., Revenue Cycle, Medicare, Hospitals, EMR, Process Improvement, Epic Systems, Managed Care, EHR, Software Documentation, Healthcare Industry, Access, Medicaid, Ambulatory, CPT, Healthcare Consulting, ICD-9, Medical Coding
Education
Weber State University 2011 — 2015
Bachelor's of Integrated Studies: HIM, Health Science, Heatlhcare Admin (graduation Fall 2015), B.S. (In Progress) Integrated Studies: HIM, Health Science & Healthcare Admin
Solano Community College 1992 — 1996
Associate's degree, Biology/Biological Sciences, General
Armijo High School 1988 — 1991
High School
Mercer March 2005 - Present
TriWest Healthcare Alliance 2003 - 2005
PacifiCare Health Systems 1999 - 2003
Skills
SAS programming, Microsoft SQL Server, Oracle SQL Developer, DB2, Access, TCL, Crystal Reports, VBA, PADI Divemaster
Education
University of Phoenix 2003 — 2004
Bachelor of Applied Science (BASc), Information Technology
Rio Salado College
Associate of Arts and Sciences (AAS), Computer and Information Sciences, General
Phoenix College
Associate of Arts and Sciences (AAS), Medical Technology
Accelerated Hiring Solutions, SCL Health Systems May 2015 - Present
Everest University Online July 2012 - February 2014
PacifiCare Health Systems January 2005 - December 2007
HealthSouth January 2003 - December 2005
Memorial Hospital January 1993 - November 2003
Skills
Business Development, Marketing, Direct Sales, Career Counseling, Social Networking, Admissions, Nonprofits, Fundraising, Student Affairs, Resume Writing, Academic Advising, Student Development, Enrollment Management, Staff Development, Human Resources, Management, Sales, Sales Operations, Account Management, Budgets, Customer Retention
Education
University of Phoenix 2003 — 2005
Master's degree, Counselor Education/School Counseling and Guidance Services
Regis University
Bachelor's degree, Business, Management, Marketing, and Related Support Services
Medtronic Spine & Biologics October 2012 - Present
Bioventus January 2007 - September 2012
Kinetic Concepts November 2004 - December 2007
Health Management Systems (HMS) July 2003 - November 2004
ppoNEXT January 2002 - July 2003
PacifiCare Health Systems January 1996 - September 2001
Skills
Medical Devices, Orthopedic, Market Development, Hospitals, Health Economics, Healthcare, Pharmaceutical Sales, Managed Care, Product Launch, Healthcare Information..., Medicaid, Leadership, Orthopedics
Education
Our Lady of the Lake University 1996 — 1998
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
University of the Incarnate Word 1993 — 1995
Bachelor of Business Administration (B.B.A.), Marketing
Eat Out In February 2015 - Present
Star Smiles Pediatric Dentistry January 2013 - May 2014
State of Texas - DFPS December 2003 - October 2009
PacifiCare Health Systems May 2000 - August 2000
Skills
Healthcare, Social Services, Data Entry, Customer Service, Outlook, PowerPoint, Microsoft Excel, Administrative..., BLS, Account Management, Administrative..., Coaching, Microsoft Word, Project Management, Public Speaking, Sales Operations, Team Leadership, Training
Education
Texas State University-San Marcos 2000 — 2003
Bachelor of Applied Science (BASc), Business Administration and Management, General
Texas State University-San Marcos
Bachelor of Applied Science (BASc), Psychology
Regence BlueCross BlueShield September 2001 - Present
PacifiCare Health Systems August 1997 - August 2001
PacifiCare of Oregon June 1995 - August 1997
Skills
Business Analysis, Call Center, Call Centers, Cross-functional Team..., Customer Service, Health Insurance, Healthcare, Insurance, Leadership, Managed Care, Process Improvement, Program Management, Strategic Planning, Team Building, Vendor Management, Change Management, Management, Business Process..., Strategy
Education
Oregon State University
Trimmer Insurance Group November 2005 - Present
PacifiCare Health Systems January 1988 - August 2005
MetLife June 1986 - January 1988
Skills
Employee Benefits Design, Irrevocable Life..., Life Insurance, 401k, Insurance, Disability Insurance, Brokers, Health Insurance, Employee Benefits, CRM, Business Development, Strategic Planning, Sales, Management, Marketing, New Business Development, Sales Management, Financial Analysis, Healthcare, Contract Negotiation, Leadership, Underwriting, Account Management, Team Building, Consulting
Education
San Diego State University-California State University 1982 — 1986
Bachelor of Science (BS), Business Administration and Management, General
Edison High Schoodl 1978 — 1982
Austin Oaks Church October 2014 - Present
Austin Institute for the Study of Family and Culture September 2013 - September 2014
Work Out World 2011 - 2012
self-employed 2004 - 2012
Cornerstone Church; Redeemer Church 2003 - 2012
Biola University 2000 - 2004
PacifiCare Health Systems 1999 - 2000
The Medical Institute for Sexual Health 1997 - 1999
Motorola 1996 - 1997
Skills
Public Speaking, Program Development, Program Management, Teaching, Leadership, Customer Service, Staff Development, Health Promotion, Research, Student Affairs, Volunteer Management, Event Planning, Nonprofits, Community Outreach
Education
IACSAS
CPSAS certification
The University of Texas at Austin 1996 — 1998
Master of Education (M.Ed.), Health Education
Taylor University 1992 — 1996
Bachelor of Arts, Health Science
Optimal Health & Weight Loss August 2014 - Present
CareMore Health Plan October 2013 - Present
MediMedi Marketing May 2006 - June 2013
Arcadian Health Plan 2006 - 2012
PacifiCare Health Systems 2003 - 2006
PacifiCare Health Systems 2000 - 2003
PacifiCare Health Systems 1995 - 2000
Allergan 1990 - 1993
Allergan 1988 - 1991
Allergan 1985 - 1988
Skills
Product Management, Dual Eligible Special..., Dual Eligible Market, Cross-functional Team..., Medicare, Medicaid, Multicultural Marketing, Marketing Communications, Marketing, Managed Care, Project Planning, Product Development, Problem Solving, Medicaid Managed Care, Strategic Planning, Corporate Events, Event Management, Training, Virtual Teams, Project Team Management, Health Care Reform, Affordable Care Act, Leadership, Management, Healthcare, Strategy, Health Insurance, Team Building, Insurance, Process Improvement
Education
San Diego State University-California State University 1976 — 1979
BS, Business Administration - Marketing
UCLA - Health Care Management Certificate Program 2012 — 2013
UnitedHealthcare May 2002 - Present
PacifiCare/UnitedHealthcare June 2004 - December 2005
PacifiCare Health Systems May 2003 - June 2004
PacifiCare Health Systems September 2002 - May 2003
PacifiCare Health Systems May 2002 - September 2002
Skills
Health Insurance, Underwriting, Insurance, Life Insurance, Brokers, Customer Service, Leadership
Education
Colegio de San Juan de Letran 1992 — 1994
Liberal Arts and Sciences, General Studies and Humanities
University of Santo Tomas 1991 — 1992
Liberal Arts and Sciences, General Studies and Humanities
Saint Theresa College 1980 — 1991
Preparatory/Elementary/High School
United Airlines May 2000 - Present
Universal Care December 1999 - May 2000
PacifiCare Health Systems March 1995 - December 1999
Skills
Maintained reliable..., Perform service and..., Have briefings with..., Keep up on NSA/TSA/FAA..., Communication with..., Evacuation preparation,..., Prepared monthly and..., Held weekly meetings..., Successfully maintained..., Successfully created..., Served as a key contact..., Responsible for..., Interpretation and..., Complete knowledge of..., Aviation, Airlines, Program Management, Tourism, Commercial Aviation, Customer Service, Customer Satisfaction, Call Centers, Sales, Customer Experience, Airports, Microsoft Excel, Flights, PowerPoint, IATA, Civil Aviation, Time Management, Customer Retention, Flight Safety, Aircraft, Policy, Hospitality Management, Coaching, Employee Training, Hiring, Hospitality, Microsoft Word
Education
University of Phoenix 1997 — 1999
Courses selected centering on Business Management, Executive Management and World Economics.
Rio Hondo College 1996 — 1999
Classes were focused on fulfilling general education requirements.
Project Specialist - Volunteer June 2012 - 2014
American Medical Technologies a d/b/a of Gordian Medical, Inc. March 2011 - March 2012
Dunn-Edwards Corporation February 2008 - April 2009
First American Title 2006 - 2007
Experian North America 2004 - 2006
PacifiCare Health Systems February 2001 - March 2004
SCAN Health Plan 1996 - 1999
Skills
Project Management, Business Analysis, Vendor Management, Project Delivery, Program Management, PMP, CRM, Leadership, Project Planning, Change Management, Team Leadership, Cross-functional Team..., Team Building, Management, Process Improvement, SDLC
Education
University of California, Irvine 2013 — 2014
Project Management, Information Technology Project Management, A
Advanced Career Transition Workshop 2014 — 2014
Career Development, A
Univeristy of Phoenix 2004 — 2005
Certification for Project Manager Professional, Information Technology Project Management
San Diego State University-California State University 1975 — 1978
Bachelor's degree (In progress), Communication, Journalism, and Related Programs
University Irvine 2013 — 2014
Project Management
Project Management Institute 2014 - Present
University of Washington 2013 - Present
Cynergy2 1994 - Present
University of California, Irvine Extension 2006 - 2013
Management Concepts 2012 - 2012
PacifiCare Behavioral Health 1997 - 2000
PacifiCare Health Systems 1994 - 1996
Skills
Technical Writers, Project Management, Training Delivery, Training, Project Management..., Project Management..., Project Management..., Teaching, E-Learning, On line Training, Curriculum Design, Leadership Development, Workshop Facilitation, Staff Development, Organizational..., Instructional Design, Adult Education, Higher Education, Curriculum Development, Instructor-led Training
Education
University of California, San Diego 1984 — 1986
Bachelor of Arts (BA), Writing, General
Pepperdine University, The George L. Graziadio School of Business and Management
Master of Business Administration (MBA), Business Administration and Management, General
Cognizant Technology Solutions August 2011 - Present
Accenture 2010 - August 2011
UnitedHealth Group April 2007 - July 2009
UnitedHealth Group December 2005 - April 2007
PacifiCare Health Systems May 2005 - December 2005
Edmunds.com July 2004 - May 2005
EDS May 2000 - March 2004
Consulting Services February 1987 - May 2000
Skills
Strategic Leadership, SDLC, Program Management, IT Management, IT Strategy
Education
Pepperdine University, The George L. Graziadio School of Business and Management 2000 — 2002
Exec. MBA, Executive Management
Texas Tech University 1983 — 1988
B.S., Computer Science
St. Stanislaus' High School, Bombay
LA Care Health Plan August 2014 - Present
Cambia Health Solutions March 2012 - August 2014
Health Net January 2004 - March 2012
LA Care Health Plan January 2003 - January 2004
PacifiCare Health Systems 2002 - 2003
Camber Companies, LLC 2000 - 2002
PacifiCare Health Systems 1999 - 2000
Motion Picture and Television Fund 1989 - 1998
Moore-white medical group 1984 - 1989
Moore-white medical group 1984 - 1989
Skills
Medicare, Managed Care, Disease Management, Medicaid, Healthcare, HIPAA, Health Insurance, Healthcare Management, Utilization Management, Healthcare Information..., Healthcare Consulting, Hospitals, Process Improvement, Quality Improvement, Informatics, Nursing, Physicians
Education
Pepperdine University 1985 — 1987
MBA, Business
University of Southern California 1983 — 1985
Bachelor of Science, Nursing
california hospital school of nursing 1977 — 1980
nursing diploma, Registered Nursing/Registered Nurse
Siemens Healthcare September 2013 - March 2015
Allscripts Healthcare Solutions, Inc. May 2007 - August 2013
PacifiCare Health Systems 2003 - 2006
Applied Semantics 2002 - 2003
Brobeck, Phleger & Harrison 2000 - 2002
Quinn Emanuel Urquhart & Sullivan 1996 - 2000
Wiley Rein 1995 - 1996
Skills
Intellectual Property, Contract Negotiation, Licensing, Software Licensing, Corporate Governance, Mergers & Acquisitions, Healthcare, Healthcare Information..., Executive Management, Outsourcing, Litigation, Strategy, IT Outsourcing, Legal Writing, Contract Law, IT law, Vendor Contracts, Business Transactions, IP transactions, IT Transformation, IT Solutions, Reseller/VAR Networks, Trademarks, Sales Contracts, Software Documentation, Privacy Law, Process Improvement, Leadership, Management, Start-ups, SaaS, Corporate Law, Strategic Planning
Education
The George Washington University Law School 1992 — 1995
Doctor of Law (J.D.), Law, High Honors, Class Rank: 19/433 (Top 4%)
University of California, San Diego 1988 — 1992
BA, Economics, Honors with Highest Distinction in Economics, Magna Cum Laude, GPA: 3.71/4
Dental Soulutions of Chambersburg,PC July 2006 - Present
Keystone Dental December 2001 - October 2005
PacifiCare Health Systems January 1997 - January 1999
Skills
Preventative Dentistry, Extractions, Dental Implants, Invisible Braces, Botox Cosmetic, Juvederm, Crowns, Fillings, Tooth Colored Fillings, Dentures, Partials, Bridgework, Root Canal, Teeth Whitening, Cosmetic Dentistry, Snap on Smile, Anti Snoring Treatment, Lumineers, Veneers, Family Dentistry, Emergency Dentistry, Denture Repair, Cosmetics, DNA extraction
Education
Temple University - Kornberg School of Dentistry 1991 — 1996
DMD, Dentristry, Graduate
Xavier University 1987 — 1990
Bachelor of Applied Science (B.A.Sc.), Biology, General, Graduate
UnitedHealthcare July 2004 - Present
PacifiCare Health Systems 2004 - 2005
PacifiCare Health Systems 2002 - 2004
Skills
Call Center, Medicare, Managed Care, Customer Service, Employee Training, Strategic Planning, Call Centers, Employee Benefits, Cross-functional Team..., Insurance, Process Improvement, Vendor Management, Leadership, Health Insurance, Team Building
Education
West Valley College 1983 — 1985
Business
Santa Barbara City College 1980 — 1982
Business
OptumHealth (a division of UnitedHealth Group) 2009 - Present
OptumHealth February 2008 - Present
OptumHealth/ HSG 2007 - 2008
PacifiCare Health Systems 2001 - 2006
Skills
Disease Management, Six Sigma, Program Management, Medicaid, Healthcare, Health Insurance, Managed Care, Healthcare Management, Medicare, Healthcare Information..., Healthcare Consulting, Health Policy, Marketing, Utilization Management, Healthcare Industry, Cross-functional Team..., Public Speaking, HIPAA, Hospitals, Management, Team Leadership, HMO, Quality Improvement, Leadership, Provider Relations, Process Improvement, EHR, PPO
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1986 — 1988
MBA
University of Toronto
BSN, Nursing
Texas Health Resources August 2009 - Present
Texas Health Allen January 2008 - August 2009
Texas Health Resources March 2001 - December 2007
PacifiCare Health Systems December 1994 - February 2001
Skills
ITIL v3 Foundations..., ITIL Service Strategy, ITIL Service Operations, Epic Systems, EHR, Healthcare Information..., HL7, HIPAA, PACS, Healthcare, Hospitals, CPOE, EMR, Software Implementation, ITIL, IT Management, SDLC, RIS, Project Management, Healthcare Management, Radiology, Information Technology, Integration, Healthcare Industry
Education
Tarleton State University 1991 — 1994
Bachelors of Business Administration, Information Systems
Trinity Valley Community College 1989 — 1991
Associates, Business
Kaiser Permanente August 2010 - Present
Blue Shield of California April 2003 - February 2010
Health Net, Inc July 2000 - March 2003
Kaiser Permanente July 1998 - July 2000
PacifiCare Health Systems November 1993 - August 1997
Skills
Healthcare, Program Management, Cross-functional Team..., SDLC, Process Improvement, Disease Management, Strategy, Managed Care, Business Process, PMP, Leadership, Project Portfolio..., Project Management, CRM, Management
Education
University of California, Los Angeles 1990 — 1991
MPH, Health Services Management and Policy
San Francisco, International Institute for Learning
Stanford University
University of California, San Diego
Bachelor of Arts, Communications & Anthropology
Optum Technology / United Health Group February 2015 - Present
UnitedHealth Group July 2011 - February 2015
Prescription Solutions, a UnitedHealth Group Company March 2010 - July 2011
Kaiser Permanente June 2005 - March 2010
SANDS Insurance & Financial Services November 2003 - June 2005
PacifiCare Health Systems 2001 - 2003
Vulcan Materials Company 1995 - 2001
Skills
Leadership Development, Process Improvement, Cross-functional Team..., Statistics, Performance Management, Healthcare, Hospitals
Education
Walden University 2009 — 2013
Ph.D., Ph.D. Management
Villanova University 2008 — 2009
Masters Certificate, Six Sigma
Pepperdine University, The George L. Graziadio School of Business and Management 1999 — 2001
MBA, Strategic Planning & Implementation
Pepperdine University, The George L. Graziadio School of Business and Management 1996 — 1998
BSM, Accounting & Finance
Rivermark Community Credit Union January 2003 - April 2008
PacifiCare Health Systems September 1999 - June 2002
Bank of America February 1998 - August 1999
Builders Square July 1995 - February 1998
McDonald's Corporation October 1990 - July 1995
Skills
Customer Service, Customer Satisfaction, Telephone Skills, Data Entry, Organization, Problem Solving, Cash Handling Experience
Education
Portland Community College 2014 — 2015
None, Psychology
Theodore Roosevelt High School 1986 — 1990
Diploma, 12
InsightStream Communication 2005 - Present
Prescription Solutions 2000 - 2004
PacifiCare Health Systems 1993 - 2000
The Gage Group 1988 - 1993
Skills
Freelance Writing, Illustrator, Marketing Communications, Direct Marketing, Marketing Strategy, Email Marketing, Integrated Marketing, Copywriting, Strategic Communications, Newsletters, Online Marketing, Marketing, Public Relations, Advertising, Online Advertising, Press Releases
Education
University of Santa Monica 2005 — 2007
M.A.
San Diego State University-California State University 1982 — 1985
B.S.
Towers Watson June 2015 - Present
xG Health Solutions December 2012 - January 2015
Alere, Inc. October 2009 - December 2012
Care Continuum Alliance October 2008 - September 2010
Alere May 2008 - September 2009
Accenx 2008 - 2009
Alere Medical, Inc. June 2007 - May 2008
Alere Medical, Inc. July 2005 - June 2007
PacifiCare Health Systems January 2004 - June 2005
PacifiCare Health Systems 2000 - 2003
Skills
Healthcare Quality, Health Management, Healthcare Strategy, Health Outcomes, Cost Reduction..., Medical Devices, Remote Monitoring, Medical Informatics, Medical Diagnostics, Telemedicine, Strategy Development, Health Economics, Physician Relations, Clinical Data Management, Business Innovation, Clinical Decision..., Quality Improvement, Population Health, Healthcare, Informatics, Health, Strategy, Thought Leadership, Strategic Thinking, Team Building, Start-ups, Disease Management, Clinical Research, Health Information..., Public Health, Managed Care, Medicare, Leadership, Hospitals, Business Development, Executive Management, Healthcare Management, Medicine, Health Policy, EHR, HIPAA, Medicaid, Program Management, EMR, HMO, Strategic Planning, Healthcare Analytics, Provider Relations, Health Insurance, Case Managment
Education
Stanford University Graduate School of Business
MBA
Univ of Rochester/Highland Hospital Family Medicine Residency
R3, Family Medicine
Maine Dartmouth Family Medicine Residency
R1-2, Family Medicine
Stanford University School of Medicine
MD
Stanford University
AB, Psychology
Medicare Advantage Specialists, Inc. June 2014 - Present
Cutler & Associates September 2009 - April 2014
Kingdom Insurance Group October 2007 - July 2009
United Healthcare September 1996 - September 2007
UnitedHealthcare April 2005 - January 2006
PacifiCare Health Systems September 1998 - March 2004
Skills
Marketing Effectiveness, Sales Operations, Direct Sales, Marketing Strategy, Provider Relations, Marketing, Lead Generation, Team Building, Direct Marketing, Product Development, Customer Retention, Insurance Brokerage, Leadership, Sales Presentations, Cold Calling, Business Planning, Contract Negotiation, Management, Medicaid, Recruiting, Customer Service, Executive Management, Sales Process, Selling, Time Management, Training, Small Business, Retirement, Sales, Negotiation
Education
Texas Tech University
Business Administration
AMN Healthcare June 2014 - Present
AMN Healthcare April 2013 - June 2014
AMN Healthcare November 2010 - April 2013
Provide Commerce October 2009 - August 2011
AMN Healthcare July 2010 - November 2010
GTLHomes, Inc. December 2000 - October 2009
FEMA September 2005 - October 2005
Obagi Medical Products November 2002 - August 2004
PacifiCare Health Systems April 2000 - August 2002
Aetna August 1996 - April 2000
Skills
Software Documentation, Sales, Healthcare, Hospitals, Healthcare Information..., Recruiting, Healthcare Management, Contract Negotiation, Customer Service, Microsoft Office, Nursing, Team Building, Talent Acquisition, Microsoft Excel, Leadership, Budgets, Human Resources
Education
University of Phoenix 2013 — 2014
Business Administration, Management and Operations
San Diego City College 2004 — 2006
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
Metro Estates May 2007 - Present
Proxicom July 2006 - June 2007
Independent Contractor July 2004 - July 2006
BDO USA, LLP February 2003 - April 2004
Deloitte & Touche June 1999 - October 2001
Landmark Healthcare, Inc. July 1997 - May 1999
FHP Healthcare August 1996 - July 1997
United Healthcare September 1994 - August 1996
PacifiCare Health Systems May 1991 - September 1994
General Group International February 1987 - April 1991
Skills
Business Development, Negotiation, Marketing Strategy, Team Building, Consulting, Partner Communications, Strategy, Account Management, Lead Generation, CRM, Customer Retention, Employee Benefits, New Business Development, Sales, Leadership, Training, Strategic Planning, Selling, Strategic Partnerships, Sales Operations, Management, Start-ups, Sales Process, Real Estate, Market Analysis, Business Planning, Sales Management, Health Insurance
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1995 — 1998
Bachelor of Science, Business Management
University of Minnesota-Twin Cities
Communications & Applied Design
Nerium International May 2012 - Present
Bottom Line Results Corporation January 2009 - October 2012
The First American Corporation 2002 - 2008
Pacificare health Systems January 2000 - May 2002
World Vision April 1991 - December 1999
Skills
Change Management, Process Improvement, Performance Management, Employee Relations, Strategy, Strategic Planning, Sales&Marketing, Leadership, HR Consulting, Coaching
Education
Chapman University
Organizational Development
Park University
BA, Psychology and Criminology
Self January 2008 - Present
TranSystems 2001 - May 2011
Retired Marketing Exec. 2002 - 2009
PacifiCare Health Systems 1994 - 2001
PacifiCare Health Systems 1994 - 2001
Texas Direct Inc. 1977 - 1990
Skills
Marketing Communications, Market Research, Business Development, Customer Service, Marketing Strategy, Marketing, Direct Marketing, Microsoft Excel, Project Management, Advertising, Account Management, Management, Strategic Planning, CRM, Email Marketing, PowerPoint, Microsoft Word, Team Building, Proposal Writing, Budgets, Leadership, Sales, Social Media Marketing, Team Leadership, New Business Development, Business Planning, Event Planning, Public Relations, Contract Negotiation, Program Management, Social Networking, Online Marketing, Data Analysis, Project Planning, Strategy, Social Media, Business Strategy, Analytics, Analysis, Event Management, Fundraising, B2B, Product Development, Microsoft Office, Negotiation, Trade Shows, Start-ups, Integrated Marketing, Forecasting, Newsletters
Education
Rockford University
BS, Pre-Vet
Rye High School
College Prep, French and Latin
DeVry Education Group September 2013 - Present
DeVry Inc. July 2011 - September 2013
DeVry Inc. February 2010 - July 2011
Eclipse HR January 2008 - February 2010
US Cellular October 2004 - January 2008
US Cellular February 2004 - November 2004
US Cellular August 2003 - October 2004
Sears, Roebuck and Company January 1998 - August 2003
PacifiCare Health Systems 1996 - 1998
Skills
Organizational..., Talent Acquisition, Performance Management, Recruiting, Conflict Resolution, Employee Relations, Employee Engagement
Education
St. Mary's University 1983 — 1988
BBA, Human Resources Management
Central Catholic High School 1979 — 1983
iSheriff August 2015 - Present
EPL Partners, LLC March 2010 - Present
Internet Marketing Association February 2014 - Present
NSS Labs January 2012 - March 2012
M86 Security, now part of Trustwave April 2001 - February 2010
Senior.com April 2000 - March 2001
PacifiCare Health Systems February 1996 - March 2000
Carter Hawley Hale/Broadway Stores, Inc. August 1994 - February 1996
Prentice Hall Online (now Lexis/Nexis) February 1993 - March 1994
TRW Information Services Division.(Now Experian) July 1985 - May 1992
Skills
Lead Generation, B2B Marketing, Social Media, Eloqua, Online Marketing, Start-ups, Public Speaking, Leadership, Strategic Partnerships, Marketing Automation, Team Building, Social Media Marketing, Marketing Strategy, Executive Management, Strategy, Marketing, Marketing Communications, Online Advertising, Go-to-market Strategy, Email Marketing, Competitive Analysis, Product Launch, Product Management, Public Relations, Demand Generation, Market Planning, B2B, Customer Acquisition, Market Research, Branding, Industry Analyst..., Trade Shows, Strategy Development, High Growth Companies, Lead Nurturing, Brand Management, New Business Development, Multi-channel Marketing, Product Marketing, Marketing Management, Integrated Marketing, Salesforce.com, Direct Marketing, SEM, International Marketing, Brand Development, Digital Marketing, Analytics
Education
The Ohio State University
MBA, Marketing
University of Rhode Island
BS, Business and Management Information Systems
Arrow Electronics April 2012 - Present
Arrow Electronics April 2010 - April 2012
Albertsons LLC April 2006 - January 2010
CollectiveView March 2005 - April 2006
Greystar August 2004 - March 2005
PacifiCare Health Systems November 2001 - August 2004
Child Health Advocates September 2000 - November 2001
Equity Residential June 1999 - September 2000
Restaurant Accounting Systems January 1997 - May 1999
Skills
Variance Analysis, Forecasting, General Ledger, Account Reconciliation, Accounting, Financial Analysis, Accounts Payable, Payroll, ERP, Accounts Receivable, Auditing, Access, Process Improvement, Analysis, Finance, Accruals, Financial Statements, Sarbanes-Oxley Act, Financial Reporting, Journal Entries, Internal Controls, Oracle E-Business Suite, Oracle Applications, Supply Chain Management, Business Process..., Microsoft Excel, Citrix Metaframe, Invoicing, Financial Modeling
Education
Regis University 2002 — 2004
Master's, Finance and Accounting
University of Denver 1998 — 2001
Bachelor's, Business Administration
Montbello High School 1989 — 1992
Pediatrix and Obstetrix Medical Groups February 2003 - Present
Health Choice Arizona April 1999 - January 2003
PacifiCare Health Systems February 1997 - September 1998
FHP Healthcare August 1995 - January 1997
FHP Healthcare March 1994 - July 1995
FHP Healthcare August 1993 - February 1994
Skills
Managed Care, Healthcare Information..., Healthcare Management, Hospitals, HIPAA, Healthcare, Medical Terminology, Clinical Research, OB/GYN, Nursing, ACLS, EMR, Health Insurance, Medicaid, Healthcare Consulting, Physicians, Medicare, Healthcare Industry
Education
Santa Clara University - Leavey School of Business
Master of Business Administration (M.B.A.)
Santa Clara University School of Law
Doctor of Law (J.D.)
The University of New Mexico
Bachelor of Arts (B.A.), Economics, Chemistry
Cox Communications January 2006 - Present
PacifiCare Health Systems January 1997 - December 2005
Arizona Physicians IPA 1992 - 1996
Skills
Leadership, Management, Customer Service, Process Improvement, Interviews, Call Center, Training, Telecommunications, Cross-functional Team..., Customer Retention, Strategic Planning, Team Building, Call Centers, Vendor Management, Customer Experience, Project Management, Program Management, Employee Relations, Coaching, Public Speaking, Strategy, Troubleshooting, Budgets, Customer Satisfaction, Performance Management, Team Leadership
Education
Pacific Lutheran University
Tacoma Community College
Associates, Arts & Sciences
HealthCompare September 2013 - Present
The Word & Brown Companies November 2012 - September 2013
The Word & Brown Companies May 2012 - November 2012
HealthCompare July 2010 - May 2012
CareMore Health Plan June 2009 - July 2010
UnitedHealthcare May 2006 - June 2008
PacifiCare Health Systems November 2002 - May 2006
Skills
Medicare, Healthcare, Operations Management, Succession Planning, Performance Improvement, Selling, Managerial Economics, Sales, Policy, Project Planning, Health Insurance, Insurance, Medicare Exchange, Carrier Development, Marketing Strategy, Call Center, Outside Sales, Inside Sales, Medicaid, HIPAA, Managed Care, Call Centers, Business Development, Management, Leadership, Process Improvement, Sales Management, Training, Marketing, Team Leadership, Business Analysis, Vendor Management, Sales Operations, Coaching, Team Building, Strategic Planning, Recruiting, Customer Service, Account Management, Time Management, Executive Management, Customer Retention, Healthcare Industry, Disability Insurance, Salesforce.com, Long-term Care, Cross-functional Team..., Brokers, Term Life Insurance, Underwriting
Education
Pepperdine University, The George L. Graziadio School of Business and Management 2008 — 2011
BS, Business Management
Peripheral Vascular Associates April 2015 - Present
Wells Fargo Insurance Services September 2008 - December 2014
Benefit Port Southwest December 2006 - September 2008
United Healthcare June 1998 - December 2006
PacifiCare 1995 - 1998
PacifiCare Health Systems June 1990 - 1995
Skills
Dentistry, Employee Benefits, COBRA, Healthcare, Long-term Care, Life Insurance, Health Insurance, Disability Insurance, Insurance, Medicare, Health Savings Accounts, Fixed Annuities, Term Life Insurance, Brokers, Benefits Administration, Workers Compensation, Commercial Insurance, Employee Wellness, Underwriting, Sales, Group Insurance, Small Business, Health Care Reform, Customer Retention, Managed Care, Accident, Critical Illness, Claim, Property & Casualty..., Flexible Spending..., 401k, Professional Liability, HMO, General Insurance, Self-funded, Insurance Brokerage, Account Management, Customer Service, Marketing
Education
The University of Texas at San Antonio 1986 — 1989
San Antonio College 1984 — 1986
ISEC, Inc. September 2005 - Present
PacifiCare Health Systems September 1999 - August 2003
USF & G Insurance Company July 1992 - August 1998
Travelers Insurance May 1989 - April 1992
Travelers Ins Cos June 1976 - 1989
Skills
Employee Relations, Human Resources, Talent Acquisition, Microsoft Excel, Talent Management, Onboarding, Personnel Management, Strategic Planning, Applicant Tracking..., Job Descriptions, College Recruiting, Recruiting, Training, Workforce Planning, Succession Planning, Deferred Compensation, Job Fairs, New Hire Orientations, Benefits Administration, Performance Management, Labor Relations, HR Transformation, Sourcing
Education
Purdue University - Krannert School of Management 1970 — 1972
MSIR, Human Resources
Liability Navigator January 2015 - Present
ISO Claims Partners (formerly Crowe Paradis) 2009 - 2014
UnitedHealth Group 2007 - 2008
PacifiCare Health Systems 2003 - 2007
MAXIMUS CHDR 1998 - 2003
Skills
analysis of Medicare's..., Litigation Management, Workers Compensation, Insurance, Claim, Medicaid, Healthcare, Managed Care, Health Insurance, Risk Management, Liability, Legal Research, HIPAA, Litigation, Contract Negotiation, Strategic Planning, Health Policy, Healthcare Management, Personal Injury, Product Liability, Corporate Law, Medicare, Appeals, Medical Malpractice
Education
State University of New York at Buffalo - Law School 1988 — 1991
JD
State University of New York at Buffalo
BSN
KnowledgeSource Consulting December 2012 - Present
IHRIM (International Association for Human Resource Information Management) January 2012 - June 2014
Baylor Health Scott & White April 2011 - December 2012
Aquire November 2009 - March 2011
The First American Corporation January 2007 - November 2009
First American MISG Segment October 2000 - December 2006
PacifiCare Health Systems October 1996 - October 2000
Education
Texas Woman's University 2007 — 2008
MBA
University of Phoenix
BS/BM
Seigniorage Investments, LLC January 2015 - Present
Aventine Hill Partners October 2014 - Present
Piazza Realty April 2013 - Present
Texas Standard Mortgage Brokers June 2006 - Present
Ms V Designs, INC., M&C IMPORTS, Everything Jeweled, LLC, & StellarZing.com 2003 - Present
Fashion Group International, Inc. New York City May 2009 - December 2010
Integra Realty Resources June 2008 - June 2010
PacifiCare Health Systems 1994 - 1995
Masterson & CO., CPA May 1993 - May 1994
Arthur Andersen & Co. December 1991 - May 1993
Skills
Fashion Design, Apparel, Styling, Illustrator, Fashion, Microsoft Excel, Networking, Business Analysis, Strategic Planning, Sales, Marketing, Customer Service, Management, Finance, Public Relations, Negotiation, Social Media, Marketing Strategy, Real Estate, Public Speaking, Small Business, Social Media Marketing
Education
Nation Wide Licensing System 2015 — 2019
Mortgage Loan Originator, Finance
St. Mary's University 1989 — 1991
Bachelor of Business Administration (BBA), Accounting and Finance
Incarnate Word High School 1985 — 1989
High School Diploma
CCIM
CCIM Candidate, Certified Commercial Investment Manager
Texas Real Estate Commission
Broker, Broker
Experian Health September 2005 - Present
PacifiCare Health Systems November 2003 - September 2005
Humana August 1996 - March 2003
Skills
Athena, Epic Systems, Salesforce.com, IDX, NexGen, IDX Flowcast, Citrix, Appeals, Leadership, HMO, PPO, Medicare/Medicaid..., Medicare Advantage
Education
San Antonio College
Associate of Arts and Sciences (AAS)
Nationwide Insurance July 2014 - Present
Keller Williams May 2014 - Present
QTC Medical Services 2005 - Present
PacifiCare Health Systems May 1997 - December 2004
Anthem UT Choice February 1994 - May 1997
Skills
Microsoft Excel, Microsoft Word, Tableau, Project Planning, Access, Motivated self-starter, Organized Multi-tasker, Hands-on leader, Hard Working, Think & Act..., Process Improvement, Analysis, Cross-functional Team...
Education
Our Lady of the Lake University 1978 — 1999
Bachelor of Arts (B.A.), Liberal Arts and Sciences/Liberal Studies
LanguageLine Solutions May 2014 - Present
United Blood Services May 2011 - April 2014
KCI USA 2004 - January 2011
KCI Medical December 2007 - July 2008
sears customer care network 1999 - 2003
PacifiCare Health Systems 1996 - 1999
CVS Caremark Corporation 1993 - 1996
Skills
Customer Satisfaction, Process Improvement, Team Building, Coaching, Workforce Management, Leadership, Team Leadership, Performance Management, Strategic Planning, Operations Management, Quality Assurance, Organizational..., Leadership Development, Human Resources, Cross-functional Team..., Healthcare, Training, Interviews, Change Management, Employee Training, Sales, Recruiting, Employee Relations, Onboarding, Vendor Management, Management, Program Management
Education
Regis University 1978 — 1980
Bachelor's degree, Business Administration and Management, General
American Cancer Society April 2012 - Present
Independent Healthcare Professional April 2011 - April 2012
Bristol-Myers Squibb October 1981 - March 2011
PacifiCare Health Systems October 1992 - March 1997
Skills
Leadership, Sales Management, Change Management, Business Analysis, Strategic Planning, Contract Negotiation, Coaching, Microsoft Excel, Managed Care, Diabetes, Key Account Management, Advocacy, Collaboration, Healthcare, Pharmaceutical Industry, Strategy, Personal Development, Cardiology, Biotechnology, Hospitals, Medical Devices, Product Launch, Team Building, Medicine, Pharmaceutical Sales, Oncology, Urology, Budgets, Nonprofits, Sales Operations, Sales Effectiveness, Competitive Analysis, Clinical Research, Management, Business Development, Market Access, Government Relations, Healthcare Policy, Health Policy, Psychiatry, Primary Care, Health Economics, Disease Management, Informatics, Hospital Sales
Education
Saint Louis University 1975 — 1976
BS, Nursing
Southern Illinois University, Edwardsville 1972 — 1975
BA, Biology, General
Elements Behavioral Health August 2015 - Present
Frazier Healthcare Partners March 2015 - Present
CK Advisors January 2013 - Present
Apria Healthcare 2006 - 2012
PacifiCare Health Systems 2003 - 2006
Net Catalyst 1999 - 2002
Quarterdeck 1995 - 1998
Skills
Mergers & Acquisitions, Restructuring, Turnaround Experience, Business Strategy, IT Management, High Growth Companies, Leadership, Venture Capital, Finance, Corporate Finance, Financial Modeling, Strategy, Investments, Process Improvement, Management, Cash Flow, Corporate Development, Business Development, Acquisitions, Turn Around Management
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1994 — 1995
Master of Business Administration (MBA)
University of Richmond 1986 — 1990
BSBA, Finance & Marketing
Penncrest HIgh School
Lincoln Financial Advisors / Sagemark Consulting June 2001 - Present
John Hancock Life Insurance Company (U.S.A.) June 1996 - May 2001
PacifiCare Health Systems October 1991 - May 1996
Skills
Insurance, Strategic Financial..., Wealth Management, Retirement, Securities, Retirement Planning, Finance, Estate Planning, Life Insurance
Education
St. Mary's College of California
Professional Certificate, Paralegal Studies
UC Davis
Bachelor of Arts, Political Science / Economics
Alliance 360 Insurance Solutions, Inc. October 2000 - Present
PacifiCare Health Systems May 1991 - August 2000
Skills
Insurance, Business Development, Sales Management, Selling, Marketing, Health Care Reform, Sales
Education
Pepperdine University
Advanced Beauty, Inc. January 2014 - March 2015
The Apparel Group May 2012 - January 2013
Robert Half Technology February 2012 - August 2012
SWK Technologies, Inc. March 2011 - November 2011
Remington Health Products, LLC. May 2004 - March 2011
PacifiCare Health Systems April 2003 - May 2004
PacifiCare Health Systems June 2001 - April 2003
Instant EC dba TradewindEC 2000 - 2001
Vidpro International, Inc./SoccerPal June 1993 - June 2000
Skills
EDI, Data Mapping, Enterprise Software, Software Documentation, Management, FTP, Supply Chain, Business Analysis, Retail, ERP, Process Improvement, Inforem, Technical Support, Software Implementation, Sage MAS200, Training, Crystal Reports, Systems Analysis, Microsoft SQL Server, Business Intelligence, Analysis, Data Analysis, Troubleshooting, Integration, SharePoint, Customer Service, Global Data..., Standards Compliance, GXS Catalog, EXTOL EBI & EXS, Gentran Integration..., IT Management, System Administration, Network Administration, IT Outsourcing, Account Management, Fixed Asset Management, Domain Registration, Business Process..., Warehouse Automation, Barcode Technology, Barcode Scanners, Supply Chain..., Logistics, 3PL, E-commerce, Freight Transportation, ERP Implementations, WMS Implementations, Process Flow...
Education
Tarrant County College 1992 — 2001
James Martin High School 1989 — 1992
Coventry Health Care October 2005 - November 2011
PacifiCare Health Systems November 2003 - October 2005
Skills
Microsoft Excel, Microsoft Word, Windows, Microsoft Office
Education
San Antonio College
Business Administration and Management, General
Amazon May 2012 - Present
Jet City Sports 2007 - Present
Verizon Wireless October 2004 - May 2012
PacifiCare Health Systems 1998 - 2003
Skills
Team Leadership, Process Improvement, Contract Management, Financial Modeling, Analysis, Finance, Strategic Planning, Cross-functional Team..., Business Analysis, Microsoft Excel, Project Management, Budgets, Forecasting, Leadership, Accounting, Management
Education
San Diego State University-California State University 1997 — 1999
Master of Business Administration (MBA)
University of California, Santa Barbara 1992 — 1994
Bachelor of Science (BS), Mathematics
Panasonic Avionics Corporation July 2015 - Present
Panasonic Avionics Corporation January 2013 - June 2015
TECHNICAL PROFICIENCIES January 2000 - January 2013
Alvaka Networks March 2012 - December 2012
CapitalSource Bank August 2008 - February 2012
Fremont Investment & Loan March 2005 - August 2008
Quest Software August 2004 - March 2005
New Horizons Computer Learning Centers April 2003 - August 2004
IBM Global Services March 2002 - July 2002
PacifiCare Health Systems April 2001 - March 2002
Skills
Active Directory, Windows Server, Troubleshooting, Software Documentation, Networking, Visio, Security, VPN, Microsoft Exchange, DHCP, DNS, Windows XP, Process Improvement, Technical Support, Management, Windows, FTP, Training, Databases, Network Security, Computer Hardware, Hardware, Leadership, Vendor Management, Altiris, IIS, Symantec Antivirus, SharePoint, McAfee, Servers, TCP/IP protocols, Analysis, Outlook, WINS, MS Project, Disaster Recovery, Testing, Call Centers, Customer Service, Project Management
Education
Pepperdine University, The George L. Graziadio School of Business and Management 2006 — 2010
Master of Business Administration, Dispute Resolution
Pepperdine University School of Law 2009 — 2010
MBA, Dispute Resolution
University of Phoenix 2000 — 2002
Bachelor of Science, Information Technology
Computer Learning Center 1999 — 2000
Network Engineering and Management certificate
UnitedHealth Group 2012 - Present
UnitedHealth Group 2009 - 2011
UnitedHealth Group 2006 - 2008
PacifiCare Health Systems 2004 - 2006
PacifiCare Health Systems 2000 - 2004
Kaiser Permanente 1998 - 2000
Beijing Heart, Lung, and Vascular Medical Center- Anzhen Hospital 1989 - 1994
Education
University of California, Irvine - The Paul Merage School of Business 2008 — 2010
Master of Business Administration (MBA), Healthcare Executive MBA
University of Southern California 1994 — 1998
Doctor of Philosophy (Ph.D.), Gerontology
Beijing Heart, Lung, and Vascular Medical Center- Anzhen Hospital 1991 — 1994
Master of Science (M.S.), Clinical Epidemiology
Peking University 1983 — 1989
Doctor of Medicine (M.D.), Public Health and General Preventive Medicine Residency Program
I-86 February 2007 - Present
Lieberman Research Worldwide 2000 - 2007
PacifiCare Health Systems February 1996 - March 2000
Charter Medical Corporation 1993 - 1995
CompCare April 1983 - June 1992
Kenyon & Eckhardt 1981 - 1983
Foote, Cone & Belding 1979 - 1981
Peoples Life Insurance Company 1978 - 1978
Skills
Segmentation, Customer Insight, Market Research, Focus Groups, Brand Equity, Ethnography, Marketing Strategy, Innovation Systems, Marketing Research, Consumer Behaviour, Quantitative Research, Innovation Development, Advertising Research, Positioning, Integrated Marketing, Marketing, Brand Development, Brand Architecture, Competitive Intelligence, Advertising, Analytics, Strategy, Product Development, Qualitative Research, Marketing Communications, Consumer Insight, Creative Strategy, Digital Marketing
Education
University of Virginia 1977 — 1979
Bachelor of Science (BS), Marketing
St. Lawrence University 1975 — 1977
marketing
Scarsdale High School 1971 — 1975
Tenet Healthcare August 2004 - Present
Firm United Healthcare 2001 - 2004
PacifiCare Health Systems 2000 - 2001
Intermedics 1997 - 1999
Prudential Healthcare 1988 - 1995
Shell Oil Company 1981 - 1988
Skills
Healthcare, Managed Care, Medicare, Health Insurance, Healthcare Management, Process Improvement, Strategic Planning, Data Analysis, Hospitals, Insurance, Business Analysis, HIPAA, Business Intelligence, Healthcare Information..., Contract Negotiation, Business Strategy, Financial Analysis, Healthcare Consulting, Healthcare Industry, Analytics, Analysis, Medicaid, Access
Education
University of Houston, C.T. Bauer College of Business 1985 — 1987
MBA, Finance
NE State Tech, Blountville, TN 1979 — 1981
AE, Mechanical Engineering
The Ohio State University 1973 — 1977
BS, Agronomy
Chanel High School 1969 — 1973
High School Degree, College Prep
Assurant 2011 - Present
Clopton Consulting, LLC 2011 - 2011
Assurant Health 2002 - 2010
Thomas A Clopton - Consulting 2001 - 2002
PacifiCare Health Systems 1990 - 2001
Tenet Healthcare (American Medical International) 1985 - 1990
Skills
Consumer Insights, Market Research, Innovation, Consumer Trends, Internal Consultant, Analytics, Marketing Strategy, Market Analysis, Competitive Intelligence, Competitive Analysis, Product Development, Strategic Planning, Data Analysis, Customer Insight, Cross-functional Team..., Consumer Behaviour, Insurance, Leadership, Business Development, Marketing Research, Analysis, Business Intelligence, Marketing, Start-ups, Program Management, B2B, Segmentation, New Business Development, Mergers & Acquisitions, Project Planning, CRM, Sales, Coaching, Customer Retention, Customer Satisfaction, Business Analysis, Business Strategy, Pricing
Education
The Johns Hopkins University
Doctor of Science (Ph.D. equivalent)
University of California, Los Angeles
MPH (Health Services Administration)
University of California, Los Angeles
Bachelor of Science (Summa Cum Laude)
Yogi Impressions February 2011 - Present
San Diego City Schools August 1996 - Present
PacifiCare Health Systems February 1994 - January 1995
Skills
Lesson Planning, Teaching, Tutoring, Editing, Public Speaking, Curriculum Design, Instructional Technology, Educational Technology, Elementary Education, Educational Leadership, Classroom Management, Coaching, Classroom, Teacher Training, Staff Development, Instructional Design
Education
San Diego State University-California State University 1987 — 1991
MA, Education
Calabasas High School
OCHIN September 2009 - Present
Qmedtrix May 2009 - August 2009
Clinicient, Inc. November 2008 - March 2009
Oregon Health Systems January 2008 - October 2008
Medical Consultants Network, Inc. January 2003 - January 2008
PacifiCare Health Systems May 2001 - January 2003
PacifiCare Health Systems July 1999 - May 2001
Healthfirst March 1999 - July 1999
Abel Healthcare April 1998 - February 1999
PacifiCare Health Systems October 1994 - April 1998
Skills
Healthcare, Team Building, Project Management, Employee Benefits, Process Improvement, Epic Systems, Management, HIPAA, Coaching, Leadership, Analysis, Insurance, Training, Medical Billing, Microsoft Excel, Access, Revenue Cycle
Education
Portland Community College
Business Management
WellPoint January 2014 - Present
WellPoint January 2010 - December 2013
WellPoint January 2010 - December 2010
United Healthcare October 2006 - February 2010
UnitedHealth Group April 2005 - October 2007
PacifiCare Dental & Vision October 2002 - April 2005
PacifiCare Health Systems 2000 - 2002
Deloitte Consulting May 1997 - January 2000
Investor's Business Daily 1993 - 1997
Skills
Cross-functional Team..., Strategy, Medicare, Health Insurance, Product Management, Start-ups, Strategic Planning, Business Planning, Business Development, Provider Relations, Leadership, Product Development, Product Marketing, Team Building, Management, Business Process, Enterprise Software, Executive Management, Forecasting, Health Policy, Healthcare, Managed Care, Market Research, Marketing, Marketing Strategy, Team Leadership, Program Management, Pricing, Training, Process Improvement, P&L Management, Sales
Education
San Diego State University-California State University 1991 — 1993
MBA
University of California, Davis 1983 — 1988
BA
Yavapai Regional Medical Center April 2014 - Present
Phoenix Children's Hospital October 2010 - April 2014
John C. Lincoln Health Network May 2002 - October 2010
Huett and Asscociates June 2005 - May 2010
PacifiCare Health Systems August 1999 - May 2002
Skills
Healthcare, Hospitals, Healthcare Management, Inpatient, Team Building, Acute Care, Customer Service, Leadership, Legal Nurse Consulting, Program Development, Managed Care, Case Management, ICD-10, Case Managment, Social Services, Utilization Review, Clinical Documentation..., Cerner, Case Management EMR, Observation Units, Change Management, Patient Safety, Patient Advocacy
Education
San Jose State University 1985 — 1987
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
San Francisco State University 1974 — 1976
Bachelor of Arts (B.A.), Interior Design
DynTek March 2012 - Present
Kforce at Southern California Edison July 2009 - March 2012
Perot Systems at St. Joseph Health Systems November 2007 - May 2009
Fremont Investment & Loan June 2004 - November 2007
IBM Global Services 2002 - 2004
PacifiCare Health Systems 1998 - 2003
Skills
XenDesktop 5.x, XenApp 6.x, Windows Server, Enterprise Architecture, Citrix, Netscaler, Virtual Desktop..., Disaster Recovery, Business Continuity, Windows 7, Mobile Device Management, VMware Infrastructure, Hyper-V, Microsoft Clustering, Redhat, Active Directory, SOX, HIPAA, Cisco Unified Computing..., HP Proliant, Dell PowerEdge Servers, IBM xSeries, Storage Area Networks, NAS - Netapp, VDI, Server Based Computing, Cloud Computing, Team Leadership, Technical Leadership, IT Strategy, Flux Capacitor, HAL 9000, IMSAI 8080 Operator, Gibson, Citrix Metaframe, Virtualization, Servers, NAS, Sarbanes-Oxley Act, IT Management, Data Center, IIS, SharePoint, VMware, ITIL, Infrastructure, Enterprise Software, Security, Systems Management, System Deployment
Education
Sonoma State University
Foothill High School
Harmony Insurance Agency January 2002 - Present
Strategic Outsourcing Inc. 1999 - 2001
Christus Health Systems 1991 - 1993
Spohn Health System 1991 - 1993
PacifiCare Health Systems 1989 - 1990
Skills
Health Insurance, Disability Insurance, Employee Benefits, Insurance, Long-term Care, Health Savings Accounts, Financial Planners, Term Life Insurance, Strategy, Life Insurance, HIPAA, Claim, Underwriting, Fixed Annuities, Strategic Financial..., Legal Liability, Healthcare, Account Management, Liability, IRAs, Program Management, Critical Illness, Brokers, Estate Planning, Casualty, Commercial Insurance, Medicare, General Insurance, Benefits Administration, Healthcare Management, Health, Health Policy, Whole Life, Retirement, 401k, Long Term Care Insurance, Marketing, Homeowners, COBRA, Property & Casualty..., Claims Management, Universal Life, Retirement Planning, Managed Care, Dentistry, Workers Compensation, Health Care Reform, Umbrella Insurance, Professional Liability, Small Business
Education
Trinity University 1988 — 1990
Masters of Science, Health Care Administration
Texas A&M International University 1982 — 1984
MBA, International Trade
Texas A&M International University 1982 — 1984
MBA, International Business
Trinity University 1978 — 1982
BA, Latin American Studies
Regence BlueCross BlueShield of Oregon August 2013 - Present
CIGNA August 2005 - August 2013
PacifiCare Health Systems January 1999 - August 2004
Skills
Network Development, Managed Care, Provider Relations, PPO, Medicare, Employee Benefits, Healthcare Industry, Healthcare, Health Insurance
Education
Oregon State University 1990 — 1992
MBA, Business Economics
University of Arizona 1986 — 1990
Bachelor of Science (B.S.), Business Administration and Management, General
Optum April 2010 - Present
Universal American - thru Catalyst Search January 2010 - April 2010
CSC October 2007 - January 2010
Avidyn Health / Fiserv Health January 2007 - October 2007
Insight Global, Inc August 2005 - December 2006
PacifiCare Health Systems November 1996 - January 2005
PCA Healthplans 1995 - 1996
Skills
Business Process..., Business Analysis, Healthcare Information..., Leadership, Visio, Project Management, PMP, Process Improvement, Management, Cross-functional Team..., Team Management, Analysis, Requirements Gathering, Health Insurance, Software Documentation, Program Management, SDLC, Budgets, Business Strategy, SharePoint, Consulting, EHR, Requirements Analysis, PMO, Hospitals, Project Planning, Medicare, Business Requirements, Quality Assurance, MS Project, Business Process
Education
Amber University
Bachelor of Science, Business Management
Texas A&M University 1982 — 1987
Coventry Health Care 2004 - Present
PacifiCare Health Systems 2000 - 2002
Harris Methodist Health System 1997 - 2000
Humana 1996 - 1997
Skills
HMO, Provider Relations, Managed Care, Medicare, Medicare Part D, Network Development, HIPAA, Healthcare Management, Strategic Planning, Medicaid, PPO, Healthcare, Health Insurance
Education
Texas A&M University
Trinity University
Healthcare Administration
RBL 2004 - Present
Organizational Solutions 2000 - Present
PacifiCare Health Systems 1994 - 2000
Skills
Organizational Design, Executive Coaching, Organizational..., Talent Management, Human Resources, Change Management, Strategy, Employee Engagement, Succession Planning, Personnel Management, Performance Management, Leadership Development, HR Consulting, Performance Improvement, Organizational...
Education
Pepperdine University 1984 — 1986
MA, Psychology
Health Care DataWorks (HCD) August 2014 - July 2015
Intelligent Healthcare December 2012 - May 2014
CareMore Health Plan October 2010 - December 2012
White Branch Partners February 2010 - December 2010
Initiate Healthcare November 2009 - February 2010
Accenx Technologies November 2007 - November 2009
XLHealth Corporation June 2005 - November 2007
PacifiCare Health Systems January 2004 - June 2006
Gryphon Health Works, Inc January 2001 - January 2004
For Health, Inc January 1997 - January 2001
Skills
Strategic Planning, Healthcare, Marketing Strategy, Strategy, Dog Walking, Healthcare Management, Healthcare Information..., Managed Care, Management, Medicaid
Education
Saint Joseph's University
BS, Psychology
Vanderbilt University
MBA
PointClickCare September 2013 - Present
PointRight Inc. October 2010 - Present
PointRight August 2008 - October 2010
United Healthcare October 2007 - July 2008
Tufts Health Plan July 1999 - October 2007
PacifiCare Health Systems 1996 - 1999
Skills
Managed Care, Healthcare, Health Insurance, Access, Account Management, Analysis, Business Analysis, Business Development
Education
Punahou School
University of California, Los Angeles
University of Southern California
American Honda Foundation June 2006 - Present
The Rogers Group January 2000 - June 2006
PacifiCare Health Systems November 1996 - January 2000
Skills
Philanthropy, Strategic Communications, Media Relations, Public Relations, Nonprofits, Community Outreach, Press Releases, Corporate Communications, Event Management, Fundraising, Speech Writing, Corporate Social..., Event Planning, Crisis Communications, Marketing Communications, Internal Communications, Public Policy, Social Media Marketing, Newsletters, Public Affairs
Education
Sciences Po 1991 — 1993
Stanford University 1985 — 1989
B.A.
Notre Dame Academy
Custom Performance Solutions April 2012 - Present
Aetna August 2011 - April 2012
Custom Performance Solutions, Inc. 2005 - September 2011
Pacificare Health Systems 2000 - 2005
Prudential Healthcare 1997 - 1999
CIGNA Healthcare 1995 - 1997
Home Quarter's Warehouse, Inc., 1994 - 1995
Neiman Marcus 1991 - 1993
Time Warner Inc., 1990 - 1991
Skills
Strategic Planning, Strategy, Business Development, Account Management, Employee Training, Sales Operations, Marketing, Training, Management, Sales
Education
Southern Methodist University 1981 — 1985
B.B.A., Marketing, Marketing, Minors: English and Studio Art
Tegile Systems December 2014 - Present
Windstream Hosted Solutions June 2013 - December 2014
Right! SystemsInc March 2009 - June 2013
EMC April 2008 - March 2009
Avnet Electronics Marketing February 2000 - March 2008
PacifiCare Health Systems March 1997 - February 2000
Nationwide Insurance, Inc April 1996 - March 1997
Skills
Sales Management, Selling, Customer Relations, Key Account Management, Hardware, software sales, Software Industry, VoIP, Enterprise Software, Sales Process, Customer Service, Storage, Cloud Computing, SaaS, Account Management, Direct Sales, Contract Negotiation, Channel Partners, Disaster Recovery, Virtualization, Solution Selling, Professional Services, Managed Services, Sales, Data Center, Enterprise Storage
Education
Portland State University 1993 — 1996
Degree, Economics; minor in Psychology
Portland State University 1993 — 1996
Bachelor of Science, Economics
University of Oregon 1990 — 1992
Fox (Film, TV & Sports) September 2009 - Present
Fox Networks Group 2004 - September 2009
Kaiser Permanente IT 2001 - 2003
Capita 1999 - 2001
WellPoint 1996 - 1999
Health Net 1994 - 1996
PacifiCare Health Systems 1990 - 1994
First Options of Chicago 1989 - 1989
Goldman Sachs 1989 - 1989
Abbott Laboratories 1988 - 1989
Education
The Ohio State University 1980 — 1984
AT&T Mobility 2003 - Present
PacifiCare Health Systems August 1997 - February 2003
Skills
Financial Modeling, Financial Analysis, Variance Analysis, Forecasting, Process Improvement
Education
State University of New York College at Plattsburgh 1992 — 1994
Dish Network January 2015 - Present
EchoStar August 2002 - December 2014
Qwest Communications April 2000 - August 2002
PacifiCare Health Systems September 1996 - April 2000
Skills
Supply Management, Vendor Management, RFP, Strategic Sourcing, Procurement, Vendor Relationships, Purchasing, Account Management, Cross-functional Team..., Direct Marketing, Direct Mail, Inventory Management, Forecasting, Marketing, Logistics, Marketing Strategy, Marketing Communications, Multi-channel Marketing, Supplier Development, Supply Chain Management
Education
Texas Tech University 1987 — 1992
Bachelor of Science (B.S.)
CareOregon July 2005 - July 2015
PacifiCare Health Systems 1997 - 2002
PacifiCare 1995 - 1997
Skills
Instructional Design, Process Improvement, Insurance, SharePoint, Team Building, Employee Training, HIPAA, Instructor-led Training, Performance Management, Visio, Coaching, Health Insurance, Training, Healthcare, Customer Service, Technical Writing, Employee Benefits, Leadership
Education
Portland State University 2006 — 2009
Optum February 2013 - Present
UnitedHealth Group 2005 - Present
PacifiCare Health Systems July 2005 - December 2005
ValueOptions, Inc. March 2003 - July 2005
Skills
Health Insurance, Behavioral Health, Contract Negotiation, Managed Care, Medicare, Healthcare Management, Employee Benefits, HIPAA, Healthcare, Healthcare Industry, Health Policy, Medicaid, Leadership, Corporate Law, Health Law, Provider Relations, Medical Compliance, Legal Compliance, Privacy Law, Process Improvement, HMO, Legal Advice, Risk Management, Utilization Management
Education
SUNY Buffalo Law School 1993 — 1996
JD
University of Rochester 1987 — 1991
BA, History/Polictical Science
Sempra Energy Utilities January 2004 - Present
PacifiCare Health Systems September 1992 - March 2002
Symantec September 1990 - August 1992
Skills
Hadoop, Tomcat, Apache, Linux System..., Linux Server, Windows Server, Active Directory, Weblogic Administration, IT Infrastructure Design, Infrastructure, Linux, Databases, SharePoint, Enterprise Architecture, Disaster Recovery, Storage Area Networks, Cloud Computing, Technical Support, VMware, IIS, Virtualization, Data Center, High Availability, Servers, VMware ESX
Education
Santa Monica College 1985 — 1989
Physics and computer science
West Coast University June 2011 - Present
Irvine Valley College August 2009 - Present
Kumon North America, Inc. February 2001 - July 2008
PacifiCare Health Systems 1994 - 2001
PacifiCare Health Systems 1994 - 2001
Skills
Curriculum Design, Instructional Design, Curriculum Development, Higher Education, Staff Development, E-Learning, Actuarial Science, Teaching, Adult Education, Public Speaking, Data Analysis, Mathematics Education, Tutoring, Community Outreach, Leadership, Nonprofits, Training
Education
San Francisco State University 1989 — 1991
M.A., Mathematics
University of California, Berkeley 1984 — 1988
B.A., Mathematics
Delta Dental April 2005 - March 2014
United Concordia Dental March 2014 - 2014
PacifiCare Health Systems July 2003 - September 2004
Hotel Nikko San Francisco September 2002 - July 2003
Peninsula Golf and Country Club July 2001 - September 2002
Skills
Health Insurance
Education
Santa Clara University 1996 — 2000
OneHealth Plan (Great West Life) March 2000 - July 2002
PacifiCare Health Systems March 1995 - March 2000
Education
Stephen F. Austin State University 1989 — 1994
Criminal Justice, Sociology
Contractor at Apple Inc. June 2015 - Present
Blue Shield of California June 2011 - April 2013
Blue Shield of California July 2007 - June 2011
United Healthcare June 2006 - July 2007
PacifiCare Health Systems July 2003 - June 2006
Skills
Process Improvement, Cross-functional Team..., Analysis, Data Analysis, Business Analysis, Management, Health Insurance, Project Management, Competitive Analysis, Healthcare, Product Management, Managed Care, Analytics, Product Development, Software Development, Insurance, Healthcare Information..., Strategic Planning, Health Care Reform, Data Management, Product Design, Databases, Operational Streamlining, Integration
Education
Santa Clara University - Leavey School of Business 2008 — 2011
Masters, Business Administration
University of California, Los Angeles 1998 — 2003
Bachelor of Science, Mathematics of Computation
Bonneville Power Association August 2010 - Present
WiMAX Forum February 2008 - February 2010
Evanta November 2004 - January 2008
Qsent 1999 - 2004
PacifiCare Health Systems 1993 - 1999
Skills
Marketing Communications, Event Planning, Budget Management, Public Relations, Event Management, Social Media, Marketing Strategy, Business Development, Competitive Analysis, Social Media Marketing, Marketing Management, Corporate Communications, Market Research, Marketing, Management, Start-ups, Media Relations, Trade Shows, Operations Management, Online Marketing, Newsletters, Email Marketing, CRM, Contract Negotiation, Press Releases, Product Management, Strategy, Project Management, Sales, Product Marketing, Negotiation, Training, Sponsorship, Account Management, Salesforce.com, Brand Awareness, Social Networking, Strategic Communications, Internal Communications, Direct Marketing, Lead Generation, Public Speaking
Education
Oregon State University 1985 — 1990
Speech Communications
Western Oregon University 1984 — 1985
SCORE Association August 2014 - Present
PacifiCare Health Systems 1992 - 1998
Skills
Promotions, Special Events, Sponsorship, Event Management, Trade Shows, Event Planning, Restaurants
Education
San Diego State University-California State University 1982 — 1986
ba, marketing
san dieguito
Optum June 2007 - Present
UnitedHealth Group December 2005 - June 2007
PacifiCare Health Systems July 1999 - December 2005
Health Resource Partners July 1997 - July 1999
St. Vincent's HealthCare June 1992 - June 1997
Education
Wichita State University
Master of Business Administration (M.B.A.)
Texas A&M University 1990 — 1991
Business
Pittsburg State University 1986 — 1990
Bachelor's Degree
WellMed Medical Management June 2006 - Present
Physicans Health Choice May 2007 - January 2011
WellMed Medical Management May 2006 - January 2011
PacifiCare Health Systems 1997 - 2006
PacifiCare of Texas 1996 - 2005
Skills
Medicare, Healthcare, Managed Care, Mergers, Healthcare Management, Process Improvement, Forecasting, Insurance, Financial Reporting, Health Insurance, Budgets, Strategic Planning, Change Management, Human Resources, Medicaid, Payroll, Employee Benefits, Management Consulting, Vendor Management, Contract Negotiation
Education
The University of Texas at San Antonio 1996 — 1997
MBA, Business
Texas A&M University 1983 — 1987
BBA, Accounting
IBM January 2003 - Present
PacifiCare Health Systems March 2001 - December 2002
Bank One 1998 - 2001
Borden Foods 1995 - 1997
Skills
Budgets, Outsourcing, Vendor Management, IT Strategy, PMO, IT Outsourcing, PMP
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1991 — 1993
MBA, Finance
Love's Travel Stops October 2012 - Present
Chesapeake Energy November 2009 - October 2012
Resources Global Professionals 2009 - 2009
Time Warner Cable 2005 - 2009
Cirrus Logic 2002 - 2005
PacifiCare Health Systems 1998 - 2002
Prudential Healthcare 1994 - 1998
Skills
Analysis, Cost Management, Vendor Management, Contract Negotiation, Strategic Planning, Budgets, Business Analysis, CRM, Cross-functional Team..., Customer Satisfaction, Disaster Recovery, IT Strategy, Leadership, Management, Process Improvement, Project Management, Project Planning, Security, Software Development, Strategic Partnerships, Team Building, Telecommunications, Training, Troubleshooting
Education
Texas State University
B.B.A., Computer Information Systems
University of The Incarnate Word
MBA, Business Administration
Kaiser Permanente June 2005 - Present
Pacificare Behavioral Health 1993 - 2005
PacifiCare of California 1991 - 1993
PacifiCare Health Systems 1989 - 1991
The Brighton Consulting Group August 1985 - September 1989
Skills
HMO, Healthcare, Healthcare Information..., Claim, Managed Care, Healthcare Management, Program Management, Medicare, Process Improvement, HIPAA, Healthcare Consulting, Hospitals, Cross-functional Team...
Education
Stanford University
Bachelor of Arts (B.A.)
UnitedHealthcare 2008 - Present
UnitedHealth Group 2008 - Present
PacifiCare Health Systems 2000 - 2007
FPA Medical Mgmt 1997 - 1998
Skills
Healthcare Industry, Network Development, Healthcare, Healthcare Management, Health Insurance, Hospitals, Managed Care, Medicare, Provider Relations
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1993 — 1995
MBA, Finance
Pepperdine University
Bachelor of Science, Business Administration
Cigna May 2013 - Present
CIGNA June 2006 - Present
CIGNA HealthCare June 2006 - May 2013
PacifiCare 2005 - 2006
PacifiCare Health Systems 1999 - 2006
PacifiCare 2001 - 2004
Skills
Managed Care, Medicare, Health Insurance, Employee Benefits, Sales Management, Team Building, Sales, Medicaid, Account Management, Insurance, Management, HMO, PPO, Strategic Planning, Health Savings Accounts, Provider Relations, Healthcare, Call Centers
Education
Rollins College 1994 — 1996
MBA, Management, Marketing and Finance
Rollins College 1994 — 1996
MBA, Focus in Marketing, Management and Finance
Whittier College 1990 — 1994
Business Administration, Business, Biology, Chemistry
Multiple Healthcare Consulting Firms 2011 - Present
GE Healthcare 2004 - 2010
GE Healthcare 2004 - 2009
Kaiser Permanente 2003 - 2004
PACIFICARE HEALTH SYSTEMS 2002 - 2003
Deloitte Consulting 2000 - 2002
Ernst & Young 1997 - 2000
UNIVERSITY OF MARYLAND MEDICAL SYSTEM 1996 - 1997
Skills
Six Sigma, Change Management, Vendor Management, Team Leadership, SDLC, PMO, Team Building, Management, Management Consulting, PMP, Business Intelligence, Healthcare Consulting, Quality Management, Integration, Informatics, Governance, IT Strategy, Analysis, EHR, Medical Devices, Strategy
Education
The Johns Hopkins University
MHS, Health Finance & Management
University of California, Santa Barbara
BS, Biopsychology
Innovative Cost Management Services, Inc 2007 - Present
American Specialty Health July 1999 - July 2007
PacifiCare Health Systems July 1994 - July 1999
Mutual of Omaha June 1986 - July 1999
Skills
Medicare, Brokers, Account Management, Healthcare, Insurance, Disability Insurance, Leadership, Health Insurance, Managed Care, New Business Development, Strategic Planning, Team Building, Underwriting, General Insurance, Positive Discipline, Wellness Coaching, Value Creation, Marketing, Management, Process Improvement, Executive Management, Sales, Customer Service, Consulting, Business Development, Strategy
Education
Pepperdine University, The George L. Graziadio School of Business and Management 1994 — 1996
MBA
University of Nebraska-Lincoln 1982 — 1986
Bachelor's Degree
Emergency Service Partners, L.P. 2014 - Present
Hill + Knowlton Strategies April 2008 - January 2014
Comprehensive ENT Center of Texas July 2000 - April 2008
Quantum Medical Management January 1997 - June 2000
PacifiCare Health Systems June 1995 - 1997
Skills
Internal Communications, Event Management, Recruiting, Operations Management, Benefits Administration, Human Resources, Project Management, Management, Leadership, Training, Marketing, Contract Negotiation, Employee Relations, Customer Service, Process Improvement
Education
St. Mary's University 1991 — 1993
MBA, Business Administration, Management and Operations
St. Mary's University 1987 — 1991
BBA, Marketing
Global Benefits Group October 2012 - Present
Global Benefits Group May 2009 - October 2012
Consulting Partners January 2009 - December 2009
UnitedHealthcare January 2006 - July 2008
PacifiCare Health Systems November 1997 - December 2005
FHP Inc. September 1987 - October 1997
Skills
Health Insurance, Managed Care, Underwriting, Compliance, Expatriate Insurance, Employee Benefits, Life and LTD Insurance
Education
Stony Brook University 1973 — 1975
B.A., Education
Suffolk County Community College 1971 — 1973
A.A, Liberal Arts
Aetna 2011 - Present
Aetna 2005 - 2011
PacifiCare Health Systems 2000 - 2005
Prudential Healthcare 1987 - 2000
Skills
Insurance, Health Insurance, Disability Insurance
Education
Rutgers University
Master of Business Administration (MBA), Finance and Financial Management Services
Rutgers University-New Brunswick 1983 — 1987
Bachelor of Arts (B.A.), Economics
The American College
CLU
UnitedHealth Group August 2014 - Present
Aetna August 2011 - March 2014
Anthem January 2007 - November 2010
PacifiCare Health Systems 1999 - 2006
PacifiCare October 1986 - September 1999
Skills
Medicare, Managed Care, Health Insurance, HMO, Health Policy, Health Savings Accounts, PPO, Insurance, Healthcare, Employee Benefits, Medicaid, Process Improvement, HIPAA, Strategic Planning, Leadership, Brokers, Account Management, Network Development, Disability Insurance, Claim, Medicare Part D
Education
Pierce College
Premera Blue Cross March 2010 - Present
Premera Blue Cross October 2008 - March 2010
United Healthcare 2006 - 2008
PacifiCare Health Systems 1993 - 2006
Skills
Network Development, Provider Relations, Medicaid, Managed Care, Medicare
Education
Oregon State University 1988 — 1991
BS, Healthcare Administration
UnitedHealthcare February 2008 - Present
Selby Communications 2000 - February 2008
HealthNet 1996 - 2000
PacifiCare Health Systems 1990 - 1996
Skills
Marketing Strategy, Direct Marketing, Marketing Communications, Health Insurance, Marketing, Strategic Planning, Email Marketing, Account Management, Lead Generation, Marketing Management, Market Planning, Direct Mail, Integrated Marketing, Product Marketing, Brand Management
Education
Pepperdine University, The George L. Graziadio School of Business and Management
MBA
Tufts Health Plan October 2012 - Present
Towers Watson January 2012 - October 2012
Health Net June 2008 - January 2012
Kaiser Permanente October 2007 - May 2008
UnitedHealth Group March 2007 - October 2007
PacifiCare Health Systems December 2004 - February 2007
Aetna July 2001 - November 2004
Skills
Underwriting, Employee Benefits, Risk, Health Insurance
Education
Quinnipiac University - School of Business 2002 — 2010
Master of Business Administration (MBA)
Siena College 1997 — 2001
Bachelor of Science (BS), Finance
Health Net March 2009 - Present
Gabriel Roeder Smith & Company July 2007 - April 2009
PacifiCare Health Systems December 2001 - December 2006
Blue Shield of California January 2001 - December 2001
Skills
Pricing, Leadership, Strategic Planning, PPO, Underwriting, Employee Benefits, Managed Care, Health Insurance, Workers Compensation, Healthcare, Benefits Administration, Insurance, Brokers, HMO, Business Strategy, Analysis, Medicare
Education
Southern University and Agricultural and Mechanical College at Baton Rouge
Bachelor of Science, Business Management
New York Life Insurance Company March 2014 - Present
Protocols, LLC October 2013 - January 2014
Protocols, LLC 2014 - 2014
Provider Resources, Inc. January 2013 - October 2013
RLS Underwriting February 2012 - January 2013
Symetra 2002 - February 2012
Symetra Financial 2002 - 2012
PacifiCare Health Systems 2000 - 2002
Skills
Insurance, Healthcare, Structured Settlement..., Medicare/Medicaid..., Health Insurance, Medicare, HIPAA, Employee Benefits, Clinical Research, Nursing, Leadership, Underwriting, Medicine, Hospitals, Process Improvement, Managed Care, Fixed Annuities, Strategic Planning, Life Insurance, Liability, Claim, Disability Insurance
Education
MSA Training program 2012 — 2012
MSCC Certification, Medicare Set aside allocation work
Seattle University 1990 — 1999
BABA/BSN, Business Mngt./Nursing
UnitedHealthcare 2014 - Present
UnitedHealthcare 2006 - 2014
PacifiCare Health Systems 2005 - 2006
Time Warner 2000 - 2003
TRENDnet 1999 - 2000
Skills
Marketing Strategy, Direct Marketing, Marketing Communications, Product Marketing, Marketing Management, Marketing, New Business Development, Strategic Planning, Direct Mail, Email Marketing, Integrated Marketing, Brand Management, Competitive Analysis, Online Marketing, Lead Generation
Education
Pepperdine University, The George L. Graziadio School of Business and Management
MBA
University of Oxford
Studied Abroad, International Business
Musket Corp. November 2012 - Present
THE JET COMPANIES April 2006 - September 2012
PacifiCare Health Systems December 2003 - April 2006
ConocoPhillips August 1997 - November 2003
Skills
Logistics
Education
South Mountain Community College
Business Management
Clackamas County February 1999 - Present
Corporate Express Delivery Systems 1998 - 1999
PacifiCare Health Systems 1997 - 1998
CH2M Hill IDC 1993 - 1997
Skills
Employee Relations, HRIS, Human Resources, Organizational..., Labor Relations, Leadership Development, Policy, Recruiting, Performance Management, Coaching, Deferred Compensation, Onboarding, HR Policies, Conflict Resolution, Government, Community Outreach, Management, Public Speaking, Talent Management, Workforce Planning, Training, Interviews
Education
Portland State University 1989 — 1992
BS, Human Resource Management/General Management
Pinnacle Plus April 2003 - Present
PacifiCare Health Systems April 1998 - March 2003
Skills
Salesforce.com, Strategic Planning, Healthcare, Selling, Sales Operations, Hospitals, Account Management, New Business Development, Marketing
Education
San Diego State University-California State University 1984 — 1988
BS, political science
MemorialCare Health System August 2011 - Present
Primary Provider Management Company February 2008 - March 2011
PacifiCare Health Systems 2000 - 2005
Skills
Healthcare, Managed Care, Healthcare Information..., Healthcare Management, Health Policy, HIPAA, Clinical Research, Hospitals, Public Health, Data Analysis, EMR, Medicaid, EHR, Medical Devices, Medical Records, Visio, Clinical Trials, Patient Safety, Medicare
Education
Santa Ana College
Humana 2014 - Present
Cigna HealthSpring April 2007 - January 2014
Molina Healthcare of Ohio 2005 - 2007
UnitedHealthcare EverCare 2003 - 2005
HealthNow New York Inc. 2001 - 2003
Buss HealthCare Consulting 1998 - 2001
PacifiCare Health Systems 1985 - 1998
Skills
Managed Care, Healthcare Management, Health Insurance, Medicare Advantage, Medicaid Managed Care, IPA Management, HIPAA, Long-term Care, Healthcare Industry, Revenue Cycle, Leadership, Strategy, Health Policy, Data Analysis, Physicians, Network Development, Hospitals
Education
The Ohio State University
Master of Business Administration (MBA)
The University of Akron
BS/BA, Finance, General
Northwest Permanente, PC November 2014 - Present
Cigna September 2013 - November 2014
OHSU July 2006 - September 2013
LifeWise Health Plan of Oregon January 2005 - June 2006
PacifiCare Health Systems January 2000 - January 2003
PacifiCare Health Systems May 1994 - January 2000
Skills
Microsoft Word, Provider Relations, Contract Negotiation, Network Development, Medicaid Managed Care, Managed Care, Medicare, Microsoft Excel, PowerPoint, Customer Service, English, Windows, Outlook, Public Speaking, Microsoft Office, Hospitals
Education
Portland State University
Communication Studies
Premera Blue Cross April 2010 - Present
Premera Blue Cross September 2006 - April 2010
Premera Blue Cross March 2004 - March 2006
PacifiCare Health Systems January 2000 - March 2004
National Hospice and Palliative Care Organization August 1998 - October 1999
Skills
Business Requirements, Health Insurance, Process Improvement, Insurance, Managed Care, SDLC, Visio, Healthcare, Business Analysis, Data Analysis, Vendor Management, Requirements Gathering, HIPAA, Medicare, Program Management, Medicaid, SharePoint, Employee Benefits, Software Documentation, Healthcare Information..., Business Process..., Project Management
Education
The George Washington University 1994 — 1998
BA, Psychology
International Pharmacy, INC. November 2013 - Present
NY Hotel Trades March 2010 - May 2013
PacifiCare Health Systems April 2002 - December 2007
Skills
Managed Care, Clinical Research, Hospitals, Healthcare Management, EMR, Disease Management, Informatics, Medicine, EHR, Epic Systems, Public Health, Medical Education, Pharmacy Benefit..., Patient Safety, Pharmacy
Education
State University of New York at Albany 1992 — 1996
Doctor of Pharmacy (Pharm.D.), Clinical, Hospital, and Managed Care Pharmacy, 3
UNIVERSITY OF FREIBURG PHARMACY SCHOOL 1978 — 1980
GERMAN PHARMACY LICENSE EQUIVALENT, Pharmacy, 4
ALEXANDRIA UNIVERSITY FACULTY OF PHARMACY 1974 — 1978
Bachelor of Science (BS), PHARMACUETICAL STUDIES, 3
The American University in Cairo 1973 — 1978
Bachelor's degree, Organic Chemistry
Deutsche Schule Der Borromaerinnen 1959 — 1973
Hochschule / Sprachdiplom, Wissenschaft / 4 Sprachen
United Health Care February 2002 - Present
PacifiCare Health Systems February 2002 - June 2005
Education
Rio Hondo College 1993 — 1994
HealthCare Partners May 2010 - Present
Talbert Medical Group April 2007 - May 2010
PacifiCare Health Systems 1994 - 2006
Skills
Human Resources, Microsoft Word, Time Management, Data Analysis, Microsoft Excel, Outlook, Microsoft Office, Customer Service, Word, Excel, Epic Systems
Education
R.O.P.
Certificate Program, Computer Applications Specialist, Passed
Santa Ana College 1980 — 1982
None, General
RPO Designs December 2012 - Present
Nordstrom 2007 - 2008
Century 21 2003 - 2008
PacifiCare Health Systems 2003 - 2003
Keystone Pacific Property Management 2001 - 2001
Skills
First Time Home Buyers, Short Sales
Education
California Department of Real Estate 2003 — 2003
Real Estate License, Real Estate Licensee
Santa Ana College 2000 — 2002
Associate Science/Associate Arts, Business Administration/Liberal Arts
SpecTech BuyerASCOctober 2005 - January 2010
PacifiCare Health Systems March 2003 - August 2004
Education
Tarrant County College 2003 — 2007
Associates
The Elizabeth Hospice January 2009 - Present
The Elizabeth Hospice August 2001 - December 2008
PacifiCare Health Systems 1998 - July 2001
Skills
Strategic Planning, Non-profits, Program Development, Public Speaking, Public Relations, Customer Service, Healthcare Management, Medicare, Team Building, Microsoft Office, Leadership, Community Outreach, Coaching, Budgets, Training, Marketing
Education
San Diego State University-California State University 1989 — 1991
Master of Arts (M.A.), Communications
San Diego State University-California State University 1985 — 1988
Bachelors of Arts, Communications, Graduated with Distinction
Brown Benefits 2007 - Present
PacifiCare Health Systems May 1996 - May 1998
PacifiCare Health Systems December 1989 - May 1996
Skills
Liability, Professional Liability, Claim, Property & Casualty..., General Insurance, Underwriting, Commercial Insurance, Disability Insurance, Legal Liability, Term Life Insurance, Reinsurance, Customer Service, Workers Compensation, Brokers, Employee Benefits, Fixed Annuities, Long-term Care, Casualty
Education
Pepperdine University 1982 — 1985
Bachelor of Arts (B.A.), Organizational Communication, General
Westmont College 1981 — 1982
SiteStaff January 2012 - Present
PacifiCare Health Systems October 1990 - June 2004
Skills
Social Media Marketing, Online Advertising, Customer Satisfaction, Avaya, Lead Generation, Online Marketing
Education
San Diego State University-California State University 1986 — 1989
BS, Information Systems
Healthnet February 2005 - Present
PacifiCare Health Systems March 1997 - February 2005
Skills
Health Insurance, Managed Care, Insurance, Medicare, HIPAA, Provider Relations, Software Documentation, PPO, HMO, Medicaid, Process Improvement, Healthcare, Healthcare Information...
Education
South Dakota State University 1989 — 1992
Brookhaven Hospital, Neurological Rehabiliation Institute February 2013 - Present
MetLife Financial Services January 2010 - February 2013
Coventry Health Care July 2006 - December 2009
PacifiCare Health Systems February 2004 - July 2006
Saint Francis Health System July 1999 - October 2003
Prudential Healthcare January 1995 - July 1999
Skills
Risk Management, Contract Negotiation, Contract Management, Financial Analysis, Management, New Business Development, Business Development, Strategic Financial..., Business Strategy, Provider Relations, Sales, Liability, Insurance, Medicare/Medicaid..., Employee Benefits, Medicare, General Insurance, Financial Services, Customer Service, Leadership, Wealth Management
Education
Southern Nazarene University 1997 — 1999
Masters, MSM
EnvisionRxOptions July 2013 - Present
Licensed by the Boards of Pharmacy 1991 - January 2014
CVS Caremark Corporation 2001 - 2009
Aetna US Health Care 1998 - 2000
Prudential Health Care 1996 - 1999
PacifiCare Health Systems 1992 - 1996
Skills
Contract Negotiation, Strategic Planning, Pharmaceuticals, Healthcare, Account Management, Team Leadership, Sales & Marketing..., Operations Management, Pharmacy, Pharmaceutical Industry, Managed Care, Pharmacy Benefit...
Education
The George Washington University 2013 — 2016
MBA in progress, Health/Health Care Administration/Management
University of Southern California 1987 — 1991
Doctorate of Pharmacy, Pharmeuctical Chemistry/Pharmaceutical Care/Practice of Pharmacy
Industrial Commission of Az February 2012 - Present
Health Net November 1999 - June 2011
PacifiCare Health Systems January 1991 - December 1999
Skills
Communication Skills, Administrative..., Travel Arrangements, Calendars, Health Insurance, Lotus Notes
Education
Sierra College 1982 — 1983
Metrolist, Inc, October 2004 - March 2011
Jefferson County Department of Health and Environment February 2003 - November 2004
Western Integrated Networks October 2000 - February 2003
PacifiCare Health Systems May 1999 - October 2000
Texaco Trading and Transportation May 1990 - May 1999
Mobil Exploration and Production Inc January 1988 - May 1990
Education
Regis University 1991 — 1993
MSCIS, Computer Information Science
AHIMA March 2012 - September 2012
Eileen Fisher, Inc. 2004 - 2011
PAWSitive Solutions & Self-employed 2002 - 2004
Sierra Military Health Services 1998 - 1998
PacifiCare Health Systems 1997 - 1997
ULTRA Credentialing, Inc. 1996 - 1997
FHP, Inc. 1994 - 1996
FHP, Inc. 1994 - 1994
Skills
Customer Service, Credentialing, Medical Staff..., CVO Credentialing..., Delegation of..., Oversight Audits,..., NCQA, JCAHO, NCQA CVO Certification, Healthcare Management, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Access, Relational Databases, Operating Budgets, Cost Projections, Writing, Communication Skills, Hiring Employees, Employee Training, Supervisory Skills, HR Policies, Resourceful..., Enthusiasm to learn, Collaboration, Teamwork, Sales, Inventory Accuracy, Long-term Customer...
Education
University of California, Irvine
MBA
University of California, Irvine
BA
Penn State University
HealthGrades November 2004 - Present
PacifiCare Health Systems January 2002 - January 2005
BENTEK Energy January 2000 - January 2002
US Navy January 1996 - January 2000
Skills
Product Management, Database Development, Business Intelligence, Data Warehousing, Data Analysis, Database Design, Microsoft SQL Server, SQL, Access, ETL, Business Process, Analysis
Education
Regis University 2000 — 2006
Bachelor’s, Computer Information Systems
Timesless Designs by Donna September 2005 - Present
Escala Services September 2007 - December 2009
PacifiCare Health Systems September 1998 - September 2005
Education
McMahon School of Court Reporting
Court Reporter, Court Reporting/Court Reporter, Achieved 200 wpm
San Jacinto College
Business Administration and Management, General
University of Houston
Business Administration and Management, General
UnitedHealthcare March 2015 - Present
UnitedHealthcare August 2009 - February 2015
UC Davis Health System May 2007 - August 2009
PacifiCare Health Systems May 2005 - April 2007
County of Santa Clara August 2000 - May 2005
Skills
Microsoft Office, Lotus Notes, Visio, Emptoris Contracting..., Siemens Contract Manager, NICE, RIMS, UNET,..., Invision, Managed Care, NCQA, AB1455 rules and..., CPT and HCPC coding..., Medi-Cal and Medicare..., Standard Insurance..., Credentialing Procedures, Health Insurance, Insurance, Leadership, Medicare
Education
San Jose State University 1997 — 2000
Bachelors of Science, Healthcare Administration
HealthCare Partners September 2009 - Present
UnitedHealth Group September 2007 - August 2009
StoneTapert Employee Benefits & Financial Services January 2001 - August 2007
PacifiCare Health Systems January 1994 - December 2001
Skills
Medicare Advantage, Medicaid, Marketing, Sales, Health Care Compliance, Health Care Reform, CMS, Managed Care, Product Development, Team Leadership, Team Building, HIPAA, Health Insurance, Health Policy, Healthcare, Insurance, Leadership, Management, Medicare, Strategy, Strategic Planning, Program Management
Education
San Francisco State University
Bachelor of Arts (B.A.), Psychology
Community Provider Enrichment Services (CPES) February 2015 - Present
Quality Innovations, LLC January 2002 - Present
Canyon Ranch August 2002 - November 2014
PacifiCare Health Systems 1990 - 2002
St. Mary's Hospital 1979 - 1990
Skills
Healing, Spa, Wellness, Hospitality, Hotels, Resorts, Wellness Coaching, Fitness, Pre-opening, Holistic Health, Nutrition, Public Speaking, Lifestyle, Treatment, Leadership, Strategic Planning, Hospitality Industry, Customer Service, Healthcare, Quality Improvement, Health Education, Hospitality Management, Program Management, Leadership Development
Education
University of Phoenix
Master of Business Administration (MBA), Business Administration and Management, General
Pima Community College
Associates Applied Science (AAS) Nursing, Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
University of Arizona
Bachelor of Science (BS), Microbiology and Chemistry
Tuality Healthcare February 2003 - Present
PacifiCare Health Systems June 1997 - November 2002
Skills
Healthcare Information..., Healthcare, Hospitals, Healthcare Management, EMR, HIPAA, EHR, Patient Safety, Clinical Research, Medical Billing, Medical Terminology, Revenue Cycle, Quality Improvement
Education
Portland Community College 2010 — 2013
Associate of Science (A.S.), Health/Health Care Administration/Management
Stanford University January 2015 - Present
Stanford University October 2013 - December 2014
Avenidas October 1999 - March 2003
PacifiCare Health Systems September 1998 - May 1999
Age Wave June 1998 - August 1998
WISE Senior Services September 1997 - May 1998
Stanford University January 1997 - August 1997
Stanford University June 1993 - December 1996
Skills
Program Management, Non-Profits, Project Management, Research, Gerontology, Organizational..., Team Leadership, Fundraising, Grant Writing, Budget Management, Team Management, Event Planning, Special Projects, Public Speaking, Aging in Place, Elder Care, Spokesperson, Community Outreach, Program Evaluation, Strategic Planning, Website Development, Management, Program Development, Nonprofits
Education
University of Southern California 1997 — 1999
MSG and MHA, Gerontology
Stanford University 1989 — 1993
Bachelor of Science (BS), Psychology