PCA Health Plans
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19 PCA Health Plans employees in database. Find out everything there's to know about PCA Health Plans 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.
PCA Health Plans Employees
Aetna, INC. September 2009 - Present
Aetna June 1995 - August 2009
PCA Health Plans 1994 - 1995
Humana 1990 - 1992
Skills
Network Development, Managed Care, Contract Negotiation, HIPAA, Healthcare, PPO, Medicaid, EHR, HMO, Medicare, Healthcare Information..., Hospitals, Provider Relations, EMR, Quality Improvement, Healthcare Consulting, Healthcare Management, Medical Coding, Team Building, Credentialing, Physicians, Process Improvement, Performance Improvement, Workers Compensation, Health Insurance, Healthcare Industry, Medicare Part D, Physician Relations, Revenue Cycle, Health Policy, Medicine, Strategic Planning, Medical Records, Leadership, Employee Benefits, Claims Management, Insurance, Informatics, Executive Management, Utilization Management, Case Managment, Patient Safety, Claim, Revenue Cycle Management, Underwriting, Medical Terminology, Pharmacy Benefit..., Disease Management, Practice Management, Meditech
Education
Nova Southeastern University 1987 — 1989
MBA, Business
University of Florida 1981 — 1983
BS, Recreational Therapy
People's Trust Insurance May 2014 - Present
Copernicus Concepts February 2000 - April 2014
Hasner for U.S. House (FL-22) February 2012 - November 2012
Florida House of Representatives November 2002 - November 2010
HCA Physician Services 1997 - 2000
PCA Health Plans 1995 - 1997
Skills
Property & Casualty..., Executive Management, Business Strategy, Marketing Strategy, Marketing, Marketing Communications, Data-driven Marketing, Brand Marketing, Brand Ambassadorship, Government Relations, Legislative Relations, Regulatory Affairs, Public Relations, Media Relations, Strategic Communications, Crisis Communications, Crisis Management, Community Engagement, Public Speaking, Strategic Planning, Leadership, Business Development, Entrepreneurship, Mergers & Acquisitions, Management Consulting, Leadership Development, Corporate Development, Corporate Governance, Healthcare, Post Merger Integration, Political Consulting, Politics, Government, Public Policy, Political Campaigns, Fundraising
Education
Florida State University College of Law 1993 — 1995
JD
University of Maryland College Park 1987 — 1991
Bachelor of Arts (B.A.), Government and Politics
Strategic Partnerships, Inc. October 2007 - Present
Seton Healthcare Network September 2000 - June 2007
Self Employeed Bookkeeper June 1998 - October 2000
Arrowhead Plumbing 1995 - 1998
PCA Health Plans 1988 - 1995
Skills
Accounting, Accounts Receivable, Budgets, Accounts Payable, Finance, Financial Statements, QuickBooks, Management, Payroll, Microsoft Excel, Policy, Training, Nonprofits, Microsoft Word, Bookkeeping, Employee Relations, Business Process..., Leadership, Account Reconciliation, Cash Flow Forecasting, Financial Analysis, ADP Payroll, Paychex, Peachtree, MYOB, Analysis, Financial Reporting, Process Improvement, Forecasting, Contract Management, Certified Payroll, Microsoft Money, Ten Key, Typing, Invoicing, Employee Benefits, General Ledger, HR Policies, Contract Negotiation, Office Management
Education
Austin Community College 1984 — 1986
Accounting
Travis High School
Alliant Health Plans October 2008 - Present
Aon Consulting February 2006 - March 2008
Beech Street Corporation 2005 - 2006
1st Medical Network, LLC 2001 - 2005
Promina Health System 1998 - 2004
Medical Resource Network 1998 - 2001
Health Partners 1998 - 2000
PCA Health Plans 1993 - 1998
Georgia International Life 1982 - 1993
U.S. Army - Joint Drug Suppression Task Force (CID/DEA) January 1976 - January 1981
Skills
Insurance, Health Insurance, Medicare, Employee Benefits, Strategic Planning, Managed Care, Health Policy, Medicaid, Healthcare, Disability Insurance, Long-term Care, Account Management, Brokers, Team Building, Underwriting, Provider Relations, Network Development, Benefits Administration, PPO, Life Insurance, Health Savings Accounts, HMO, Health Care Reform, Leadership, Management, Sales, HIPAA, Process Improvement, Healthcare Industry, Healthcare Consulting
Education
Saint Leo University 1976 — 1979
English Language and Literature/Letters
Winter Park High School 1972 — 1975
Eli Lilly and Company January 2013 - Present
Eli Lilly and Company 2006 - January 2013
Eli Lilly and Company 2001 - 2006
St. Anthony Regional Hospital & Nursing Home January 1997 - July 1999
PCA Health Plans July 1995 - October 1996
Kemper National Services 1993 - 1995
Hospice of Palm Beach County 1993 - 1993
Skills
Pharmacovigilance, Business Partner..., Business Partner Support, Contract Negotiation, Contract Management, Third Party Vendor..., SOP development, Issue Resolution, Hospitals, Therapeutic Areas, Clinical Development, Biotechnology, Clinical Research, Pharmaceutical Industry, Clinical Trials, FDA, Healthcare, GCP, Oncology
Education
Butler University
Master of Business Administration (MBA)
Indiana University-Purdue University at Indianapolis
Bachelor of Science (BS), Registered Nursing/Registered Nurse
REMAX Round Rock June 2009 - Present
Nussentials March 2009 - January 2011
HNTB April 2009 - March 2010
TechSkills July 2008 - November 2008
Dell Inc. July 2003 - July 2008
Dell July 2003 - July 2008
Dell July 2003 - July 2008
Asyst Technologies August 2000 - April 2003
Steiner Ranch, TWC LTD. November 1996 - August 2000
PCA Health Plans January 1993 - November 1996
Skills
Real Estate, Marketing, Sales, Negotiation, Training, Microsoft Word, Budgets, Customer Service, Investment Properties, Outlook, Access, Short Sales, Management, Forecasting, Customer Satisfaction, Analysis, Relocation, Selling, PowerPoint, Microsoft Excel, Buyers, Cross-functional Team..., Sales Operations, Contract Negotiation, Sellers, Program Management, Competitive Analysis, Sales Management, Contract Management, Process Improvement, Team Building, Finance, Investments, Residential Homes, Advertising, Project Planning, Business Process..., Commercial Real Estate, Strategic Planning, Pricing, Product Marketing, Time Management, Real Estate Transactions, Word, Photoshop, Certified New Home Sales, Home, IBM iSeries, Accredited Buyers Agent, Short Sales and...
Education
St. Edward's University 2001 — 2007
BA, Organizational Communication, Marketing, Accounting
Austin Community College 2000 — 2004
Certificate, Real Estate
Pay for Performance, Inc. October 2014 - Present
Anthem / WellPoint / Amerigroup Community Care September 2007 - August 2014
Boca Raton Community Hospital August 2000 - August 2007
Holy Cross Hospital 1996 - 2000
PCA Health Plans 1993 - 1996
Skills
Managed Care, Provider Relations, Process Improvement, Medicaid, Network Development, Medicare, Strategic Planning, Healthcare, Contract Negotiation, Project Management, Hospitals, Negotiation, Medical Cost Containment, Financial Analysis, Financial Modeling, Critical Thinking, New Business Development, Operations Management, Problem Solving, Workflow Management, Medical Practice..., HIPAA, Healthcare Industry, Healthcare Management
Education
Ball State University - College of Business
Bachelor of Science (B.S.), Marketing Sales and Promotion
Healthcare Consultants, Inc. May 2000 - Present
AmeriHealth 1997 - 2000
PCA Health Plans 1992 - 1995
Skills
TX Group I Insurance..., Marketing, Account Management, Life Insurance, Dental Insurance, Vision Insurance, Health Insurance, Disability Insurance, 401k, Employment Legislation, Employee Benefits, Quote Preparation, HIPAA, COBRA, Customer Retention, Customer Service, Self Funded Contracts, Insurance, Health Savings Accounts, HMO, Self-funded, Group Medical, Leadership, Voluntary Employee..., Health Care Reform, Brokers, Term Life Insurance, Long-term Care, Medicare, Insurance Brokerage, Critical Illness, Workers Compensation, HRA, PPO, Open Enrollment, Underwriting, Medicare Part D, Benefits Administration, Recruiting, Fixed Annuities, Managed Care, Dentistry, Claim, Umbrella Insurance, Property & Casualty..., Health Policy, Retirement, Claims Resolution, ERISA
Education
San Jacinto College 1991 — 1992
Sam Rayburn 1988 — 1991
Blue Cross Blue Shield of Florida September 2010 - Present
Blue Cross Blue Shield of Florida December 2008 - August 2010
Blue Cross Blue Shield of Florida November 2005 - December 2007
Humana 1997 - 2004
PCA Health Plans 1992 - 1997
Skills
Medicare, HMO, Provider Relations, Healthcare Management, Medicaid, Project Management, Management, Employee Training, Development Of Employees, PPO, Team Leadership, Provider Network..., Hiring Practices, Health Insurance, Healthcare, Affordable Care Act, Continuous Improvement, SharePoint, Microsoft Excel, PowerPoint, Hipaa, Vendor management, Strategic planning, Claims, Claims resolution, Claims review, Primary Care Physicians, Physicians, Physical Therapy, Process improvement, Process Improvement..., Healthcare Industry, Contract Negotiation, Hospitals, Ambulatory surgery..., Managed Care
Education
Florida Atlantic University
Bachelor of Health Services, Health Administration
Mercy high school Burlingame
eReceivables LLC May 2010 - Present
Evergreen Re November 2003 - January 2009
Horizon Behavioral Services 2001 - 2003
Magellan Specialty Health 1998 - 2001
Foundation Health 1996 - 1998
PCA Health Plans 1995 - 1996
PCA Health Plans of Florida 1992 - 1995
MAMSI 1990 - 1992
Skills
Medicare, Managed Care, Healthcare, Medical Billing, HMO, Insurance, Medicaid, Sales, Hospitals, Physicians, Health Policy, Employee Benefits, Healthcare Management, Claim, Call Centers, HIPAA, Healthcare Consulting, Health Insurance
Education
University of South Florida 1980 — 1982
MS, Management
Depuy Synthes a Johnson & Johnson Company. March 2015 - Present
Level 10, LLC February 2015 - April 2015
Vee Industries August 2014 - February 2015
DataMax System Solutions August 2006 - August 2014
Office Depot December 1996 - January 2006
PCA Health Plans January 1996 - December 1996
Skills
Troubleshooting, Customer Service, Hardware, Technical Support, QuickBooks, Goal Oriented, Software Documentation, Team Building, POS, Information Technology, Testing, Microsoft Exchange, Disaster Recovery, Security, Management, Retail, Integration, Operating Systems, Training, IT Management, Project Management, Help Desk Support, System Administration, Solution Selling, Printers, IT Operations, Software Installation, Servers, Windows XP, IBM iSeries, XP, Process Improvement, Vendor Management, Cross-functional Team..., Operations Management, Business Analysis, Team Leadership, Strategic Planning, Leadership, Account Management, Telecommunications, Inventory Management
Education
Palm Beach State College 2014 — 2016
Bachelor of Science (BS)
National Rifle Association of America 2012 — 2013
Certified NRA Instructor, Firearm Safety/pistol/Home Personal Protection.
Texas School of Business 1992 — 1994
AA, Computer Science, Accounting
Andrews Biernacki Davis Milev & Polsky, PA April 2013 - Present
Infinity Insurance June 2011 - March 2013
Law Offices of Cecile S. Mendizabal, LLC January 2009 - June 2011
Lidsky, Vaccaro & Montes March 2007 - December 2008
iNNERHOST.com 1999 - 2003
PCA Health Plans 1993 - 1997
Lamelas and Associates 1991 - 1994
Skills
Trials, Litigation, Legal Research, Civil Litigation, Legal Writing, Personal Injury, Courts, Westlaw, Appeals, Trial Practice, Mediation, Bankruptcy
Education
Florida International University - College of Law 2003 — 2006
J.D., Law
Florida International University - College of Business 1997 — 1999
BBA, MIS
Blue Cross & Blue Shield of Florida November 1996 - Present
PCA Health Plans 1990 - 1996
Family Health Plan January 1986 - March 1990
Skills
Provider Relations, HMO, Managed Care, Network Development, PPO, Medicare, Healthcare, Medicaid, Healthcare Industry, Health Insurance, Healthcare Management, HIPAA, Credentialing, Healthcare Information..., Health Policy, Healthcare Consulting, Hospitals, Insurance, Revenue Cycle, Leadership, Process Improvement, Physicians, EHR, Practice Management, Medical Billing, Informatics, EMR, Physician Relations, Medical Coding, Health Information..., Medicare Part D, CPT, Pharmacy Benefit..., Quality Improvement
Education
St. Thomas University 1984 — 1985
BA, Marketing
Immaculata University 1981 — 1982
BS, Econmics
BCBS of Michigan November 2010 - March 2014
Principal Financial Group July 2010 - October 2010
WellPoint August 2009 - May 2010
Munich Reinsurance America, Inc. May 2008 - June 2009
The TriZetto Group April 2003 - April 2008
Blue Cross & Blue Shield of Louisiana September 2001 - April 2003
Ochsner Health Plan July 1999 - September 2001
Perot Systems December 1996 - July 1999
PCA Health Plans July 1994 - November 1996
Skills
Program Management, SDLC, Management, Business Analysis, Vendor Management, Process Improvement, Project Management, Project Portfolio..., PMP, Integration, Business Intelligence, PMO, IT Strategy, Leadership, HIPAA
Education
The University of Dallas 1992 — 1994
MBA, Management
Friends University 1977 — 1981
B.S., Accounting/Business Administration
Texas A&M University January 2011 - Present
University of the Incarnate Word January 2009 - December 2011
Texas A&M University 2010 - 2010
Tulane University 2000 - 2009
PCA Health Plans January 1995 - July 1997
Maxicare 1989 - 1994
Skills
Healthcare IT, Public Health, Research, Teaching, Strategic Planning, Executive Management, Healthcare Information..., Biostatistics, Health Policy, Epidemiology, Clinical Research, Biotechnology, Clinical Trials, Informatics, Grant Writing, Program Development, Team Building, Healthcare, Policy, Organizational..., Qualitative Research, Science, Data Analysis, Leadership Development, Program Evaluation, Statistics, Higher Education, Healthcare Management, SPSS, University Teaching, Adult Education, Academic Advising, Public Speaking, Community Outreach, Staff Development, Nonprofits, E-Learning, Instructional Design, Distance Learning, Curriculum Development, College Teaching, Global Health, Leadership, Educational Leadership
Education
Tulane University 1999 — 2005
Doctor of Science (Sc,D,), Public Health
Tulane University School of Medicine, SPHTM 1999 — 2002
Sc.D, Healthcare
United Heathcare March 2008 - Present
EBA Resource Group LLC April 2007 - Present
Capital Strategies Group April 2002 - March 2007
GuideStar Health Systems, Inc. 1998 - 2002
CIGNA Healthcare 1995 - 1998
PCA Health Plans 1993 - 1995
PrimeHealth, Inc. 1985 - 1993
HealthAmerica 1984 - 1985
Pasquale Food Company 1983 - 1984
AmSouth Bank 1980 - 1983
Skills
Insurance, Health Insurance, Strategic Planning, Risk Management, Employee Benefits, Underwriting, Business Strategy, Project Management, Management Consulting, Commercial Insurance, Change Management, Business Analysis, Strategy, Program Management, Process Improvement, Disability Insurance, Life Insurance, Team Building
Education
Samford University 1975 — 1980
Bachelor of Science (BS), Business Administration-Economics
Vestavia Hills HS 1972 — 1975
University Health System March 2013 - Present
Baptist Health System June 2005 - Present
UT Medicine San Antonio texas 1996 - 2005
PCA Health Plans 1994 - 1996
Santa Rosa Medical Group 1991 - 1993
PacifiCare 1989 - 1991
South Texas Primary Care 1986 - 1991
Skills
Patient Safety, Healthcare Management, Acute Care, Nursing, Inpatient, Healthcare, Physician Relations, Hospitals, Healthcare Information..., ACLS, EMR, Critical Care, Revenue Cycle
Education
State University of New York at Albany 1993 — 1995
Bachelor's degree, Nursing Science
Univerity of Texas Austin
UnitedHealth Group March 2013 - Present
Cigna Individual and Small Group Plans January 2010 - October 2012
Aetna, Inc January 2008 - January 2010
Aetna Inc March 1999 - December 2007
St. Augustine HealthCare August 1997 - January 1999
PCA Health Plans August 1992 - July 1997
Skills
Sales Management, Superior Client Service, Healthcare, Insurance, Disability Insurance, Health Insurance, Employee Benefits, Health Savings Accounts, Account Management, Start-ups, Medicare, Client Services, Life Insurance, Managed Care, Medicare Part D, Sales, Underwriting, Salesforce.com, Term Life Insurance, Brokers, Small Business, CRM, HMO, PPO, Reinsurance, Management, Benefits Administration, Health Care Reform, HIPAA, Marketing Strategy, Property & Casualty..., Customer Retention, 401k, Sales Operations, Accident, New Business Development, COBRA, Employee Wellness, Health Policy, Healthcare Industry, Negotiation, Claim, Workers Compensation, General Insurance, Critical Illness, Strategic Planning, Retirement, Product Development
Education
University of South Florida
Bachelor's degree
Armed Forces Services Corporation January 2014 - Present
Austin Police Department 2012 - 2013
Symtech Corporation 2008 - 2009
Texas Department of Insurance 2007 - 2008
The Boon Group, Inc. 2005 - 2007
JI Companies 1999 - 2005
PCA Health Plans 1995 - 1998
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets
Education
Career Step for Medical Coding and Billing 2014 — 2015
Certification for CCS-Medical Coding License, Medical Insurance Coding Specialist/Coder, A
Texas State University 1989 — 1990
High School, Elementary Education and Teaching, Freshman
Del Valler High School 1986 — 1989
High School Diploma