PCA Health Plans

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PCA Health Plans Employees

Employee
Years
Job
Industry
Donna Imbrigiotta Donna Imbrigiotta West Palm Beach, Florida Area Details
Donna Imbrigiotta's PCA Health Plans Experience 1994 - 1995
Job Network Manager at Aetna, INC.
Industry Hospital & Health Care
Experience
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

Adam Hasner Adam Hasner Deerfield Beach, Florida Details
Adam Hasner's PCA Health Plans Experience 1995 - 1997
Job Vice President, Chief Marketing & Communications Officer at People's Trust Insurance
Industry Insurance
Experience
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

Laura Matisi Laura Matisi Austin, Texas Area Details
Laura Matisi's PCA Health Plans Experience 1988 - 1995
Job Controller at Strategic Partnerships, Inc.
Industry Accounting
Experience
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

Mark Mixer Mark Mixer Dalton, Georgia Details
Mark Mixer's PCA Health Plans Experience 1993 - 1998
Job Chief Executive Officer (Interim) at Alliant Health Plans
Industry Insurance
Experience
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

Jan (Myers) Tye Jan (Myers) Tye Indianapolis, Indiana Details
Jan (Myers) Tye's PCA Health Plans Experience July 1995 - October 1996
Job Clinical Research Scientist at Eli Lilly and Company
Industry Pharmaceuticals
Experience
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

Sally Decelis Sally Decelis Austin, Texas Area Details
Sally Decelis's PCA Health Plans Experience January 1993 - November 1996
Job RE/MAX Realtor
Industry Real Estate
Experience
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

Daniel Grimes Daniel Grimes West Palm Beach, Florida Area Details
Daniel Grimes's PCA Health Plans Experience 1993 - 1996
Job Chief Executive Officer at Pay for Performance, Inc.
Industry Hospital & Health Care
Experience
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

Kathy Hulsey, SGS Kathy Hulsey, SGS Houston, Texas Area Details
Kathy Hulsey, SGS's PCA Health Plans Experience 1992 - 1995
Job Agent/Sr. Account Manager at Healthcare Consultants, Inc.
Industry Insurance
Experience
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

Damaris Molina Damaris Molina Miami/Fort Lauderdale Area Details
Damaris Molina's PCA Health Plans Experience 1992 - 1997
Job Network Contractor at Florida Blue
Industry Hospital & Health Care
Experience
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

Bill Whitaker Bill Whitaker Fort Lauderdale, Florida Details
Bill Whitaker's PCA Health Plans Experience 1995 - 1996
Job Chief Operating Officer at eReceivables LLC
Industry Insurance
Experience
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

Shanna Dillard-Waters Shanna Dillard-Waters West Palm Beach, Florida Area Details
Shanna Dillard-Waters's PCA Health Plans Experience January 1996 - December 1996
Job Experienced IT professional
Industry Information Technology and Services
Experience
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

Cecile S. Mendizabal Cecile S. Mendizabal Miami/Fort Lauderdale Area Details
Cecile S. Mendizabal's PCA Health Plans Experience 1993 - 1997
Job Attorney at Law
Industry Law Practice
Experience
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

Rosenberg-Shipley Michelle Rosenberg-Shipley Michelle Miami/Fort Lauderdale Area Details
Rosenberg-Shipley Michelle's PCA Health Plans Experience 1990 - 1996
Job Sr Manager Network Management at Blue Cross & Blue Shield of Florida
Industry Hospital & Health Care
Experience
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

Jamie Brown, MBA, PMP Jamie Brown, MBA, PMP Greater New Orleans Area Details
Jamie Brown, MBA, PMP's PCA Health Plans Experience July 1994 - November 1996
Job Independent Information Technology and Services Professional
Industry Information Technology and Services
Experience
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

Dr. Alan Preston Dr. Alan Preston San Antonio, Texas Area Details
Dr. Alan Preston's PCA Health Plans Experience January 1995 - July 1997
Job Professor
Industry Higher Education
Experience
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

Todd C. Skaggs Todd C. Skaggs Birmingham, Alabama Details
Todd C. Skaggs's PCA Health Plans Experience 1993 - 1995
Job Insurance Executive
Industry Insurance
Experience
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

Raje Wolf Raje Wolf San Antonio, Texas Area Details
Raje Wolf's PCA Health Plans Experience 1994 - 1996
Job Director Acute and Post Acute Care Coordination at University Health System
Industry Hospital & Health Care
Experience
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

Debbie Delli Santi Debbie Delli Santi Tampa, Florida Details
Debbie Delli Santi's PCA Health Plans Experience August 1992 - July 1997
Job General Manager, North/Central Florida, UnitedHealthcare Medicare and Retirement
Industry Insurance
Experience
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

Dolris Harris Dolris Harris Austin, Texas Area Details
Dolris Harris's PCA Health Plans Experience 1995 - 1998
Job Medical Billing and Coding
Industry Insurance
Experience
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