Preferred Medical Plan, Inc.
Address: 4950 SW 8th St, Coral Gables, FL 33134 Phone: (855) 752-6767: : Place name: Website: Category: : : : : Own this business? Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of Preferred Medical Plan, Inc Posting publicly on the Web Reviews"The admin staff is rude.Their clinic staff is rude and incompetent." "Wasn't happy with the doctor or choice of doctors in the network, very limited." "I think my stubborn dog could manage a company better if I give him a cookies." View all Google reviews
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Preferred Medical Plan, Inc. Employees
Preferred Medical Plan, Inc. September 2015 - Present
Preferred Medical Plan, Inc. August 2014 - Present
Mukilteo School District July 2013 - July 2014
Edmonds Community College October 2012 - July 2013
Edmond's Community College April 2012 - October 2012
Sears, Roebuck and Co. November 2011 - April 2012
El Mestizo Restaurant February 2010 - November 2011
Skills
Technical Support, Active Directory, Windows 7, Customer Service, Help Desk Support, Microsoft Office, Computer Hardware, Networking, Operating Systems, Software Installation, Microsoft Excel, Computer Repair, Microsoft Exchange, Troubleshooting, Microsoft Word, HTML, Problem Solving, Dependable Team Player, PowerPoint, Fast Learner, Interpersonal Skill, Remote Desktop, Mac OS, Windows, TMG, Research, Energetic Leader, Multi Tasking, Close Attention to..., Multi Line phone, File Management, VirtualBox, ISA Server 2000, Teamwork, Account Management, Kronos Timekeeping, Data Entry, Student Information..., Print Management, Exceptionally Organized, OS X, Server Administration, Work in A Fast Paced..., Adaptable to Changes, School Districts, Printers, 10 Key, Office Administration
Education
Edmonds Community College 2012 — 2013
Network Security Specialist Certificate, Computer Information Systems
Edmonds Community College 2011 — 2013
Network Technology ATA, Computer Information Systems
Edmonds Community College 2011 — 2012
Desktop Support Specialist Certificate, Computer Information Systems
Edmonds Community College 2011 — 2012
Server Administrator, Computer and Information Systems Security/Information Assurance
Preferred Medical Plan, Inc. March 2014 - Present
Miami Beach Community Health Center, Inc. 2008 - 2012
Circuit City 2006 - 2007
Skills
Administrative..., Executive Support, Clerical Skills, Customer Support, Organizational..., Medical Compliance, Advertising, Marketing, Hospitality Industry, Bilingual-English/Spanis..., First Aid, Outlook, Microsoft Word, PowerPoint, QuarkXPress, Photoshop, Microsoft Excel, Staff Supervision, Retail Sales, Bartending, Database Administration, Freight Forwarding, Warehouse Management, Communication Skills, Training
Education
Barry University 2011 — 2013
Bachelor's of Science, Health Services Administration
Miami Dade College 2005 — 2011
Associate of Arts (A.A.), Intl. Affairs
Preferred Medical Plan, Inc. March 2011 - Present
Skills
Microsoft Office, Microsoft Excel, Research, Customer Service, Public Speaking, Teamwork, Healthcare, Cpr Certified, Medical Terminology, Clinical Research, Medicine, English, Photoshop, Retention Strategies, Sales Operations, Banking, Management, Hospitality Industry, Creative Writing, Creativity Skills, Logistics, Marketing, Public Relations, Food Safety, Sales, International Sales, Critical Thinking, Analysis, Event Planning, Teaching, Tutoring
Education
Florida International University 2011 — 2015
Bachelor's Degree in English Literature, Audiology/Audiologist and Speech-Language Pathology/Pathologist
Miami Dade College 2005 — 2010
Associate of Arts (A.A.), English Literature
Preferred Medical Plan, Inc. December 2014 - Present
Tata Consultancy Services October 2012 - December 2014
Tata Consultancy Services October 2009 - October 2012
Tata Consultancy Services October 2008 - October 2009
Skills
SQL, PL/SQL, Oracle, XML
Education
Anna Adarsh Higher Secondary School
SRM University
Bachelor of Engineering (B.E.), Computer Science
WellCare Health Plans August 2014 - Present
Preferred Medical Plan, Inc. November 2011 - August 2014
AIDS Healthcare Foundation May 2011 - August 2014
AIDS Healthcare Foundation May 2009 - April 2011
University of California San Francisco (UCSF) February 2005 - September 2008
University of California San Francisco (UCSF) 2001 - 2005
Population Council and Ethiopia Ministry of Health 2000 - 2000
US Agency for International Development (USAID) and Zambia Integrated Health Programme 2000 - 2000
Skills
Quality Improvement, Quality Management, Program Evaluation, Evaluation, Public Health, Project Management, Research, Quantitative Research, Qualitative Research, Outcomes Research, Intervention Studies, Health Outcomes, Managed Care, Epidemiology, Global Health, Strategic Planning, Capacity Building, Technical Assistance, Training & Development, Data Analysis, Surveys, Demographics, Grant Writing, Writing, Non-profits, Social Services, HIV/AIDS, Women's Health, Family Planning, Reproductive Health, Early Childhood..., Accreditation, NCQA, AAAHC, HEDIS, Medicare, Medicaid, Regulatory Reporting, Client Services, Grievance Handling, Appeals, Databases, SAS, SPSS, Stata, Access, Excel, Online Research, Biostatistics, Presentation
Education
Johns Hopkins Bloomberg School of Public Health
Master of Health Science (Master of Public Health MPH equivalent), Family Health Sciences (Population, Family and Reproductive Health)
University of California, Los Angeles
Bachelors of Art, Psychology, Sociology, Asian American Studies
University of Ghana
Sociology, Education Abroad: International Development, Sociology
ProTranslating November 2010 - Present
Baptist Hospital December 2000 - November 2010
Preferred Medical Plan, Inc. September 1996 - December 2000
Skills
Project Management, Account Management, Management, Marketing, Microsoft Office, Localization, Customer Service, Translation, Leadership, Strategic Planning, CRM, Spanish
Education
Florida International University 2014 — 2015
Master of Business Administration (MBA), Business Administration and Management, General
Florida International University - College of Business
Bachelor of Business Administration, International Business, Business Administration and Management, General
Web.com July 2014 - Present
Wake Up Now April 2014 - Present
Preferred Medical Plan, Inc. January 2014 - March 2014
Muscular Dystrophy Association May 2013 - August 2013
Stellar Recovery Inc. June 2012 - January 2013
ADP 2013 - 2013
ABC Fine Wine & Spirits May 2011 - February 2012
InComm February 2010 - May 2010
ARS National Services October 2008 - November 2009
Citi November 2007 - August 2008
Skills
Proficient using..., Superior Customer..., 50 - 60 wpm, FDCPA, 7+ years in call center..., Superb Communicator, Great Team cohesion, Credit Cards, Cash Flow, Outlook, Customer Service, Credit, Call Center, Loans, Accounting, Process Improvement, Time Management, Accounts Receivable, Access, Call Centers, Banking, PowerPoint, Microsoft Excel, Team Leadership, Data Entry, Insurance, Leadership, Customer Satisfaction, Sales, Management, Lotus Notes, Microsoft Word, Customer Experience, Telephone Skills, Spreadsheets, Microsoft Office, Negotiation, Cold Calling
Education
ITT Technical Institute-Jacksonville 2010 — 2014
Computer & electronics engineering technology
Sandalwood Senior High School 1999 — 2001
Diploma, General Studies
Preferred Medical Plan, Inc. August 2013 - May 2015
Target October 2012 - February 2013
Florida International University August 2010 - October 2012
Maracallo Realty August 2007 - August 2010
Physicians Development Program August 2007 - December 2009
Skills
Clerical Skills, Customer Service, Microsoft Excel, Microsoft Word, PowerPoint, Public Speaking, Research, Data Entry, Spanish, Management, Editing, Teamwork, Sales, Leadership, Data Analysis, Employee Training, Training
Education
Florida International University 2007 — 2012
Bachelor, Business Administration; Management and Human Resource Management
Preferred Medical Plan September 2015 - Present
Preferred Medical Plan, Inc. July 2014 - Present
Preferred Medical Plan, Inc. October 2013 - Present
Preferred Medical Plan, Inc. July 2013 - October 2013
Alliance for Aging Research June 2012 - July 2013
Georgia State University May 2009 - August 2009
Middle Georgia State College January 2009 - May 2009
Skills
Nonprofits, Public Policy, Community Outreach, Strategic Communications, Clinical Research, Policy, Policy Analysis, Healthcare Management, Healthcare, Research, Health Policy, PowerPoint, Data Analysis, Facebook, Event Planning, Fundraising
Education
University of Miami 2011 — 2013
Bachelore of Sciences, Health Sciences/Business Administration/Public Health, Magna Cum Laude
The University of Georgia 2011 — 2011
Chemistry
Middle Georgia State College 2008 — 2011
Associate of Science (AS), Biological Science & Chemistry, Summa Cum Laude
Ocean Bank June 2015 - Present
Fast-Teks Onsite Computer Services 2009 - Present
Preferred Medical Plan, Inc. October 2014 - June 2015
EmblemHealth November 2010 - October 2014
Lock and Key Events June 2009 - September 2010
Stiles Corporation December 2005 - May 2009
ABN AMRO 2004 - 2005
Spherion December 2002 - November 2004
Skills
Active Directory, VMware ESX, VMware, Troubleshooting, Citrix, Networking, Virtualization, VPN, Process Improvement, Customer Service, Switches, Help Desk Support, Windows Server, System Administration, Servers, Network Administration, Microsoft Certified..., IT Operations, Event Planning, Windows 7, Windows Server 2008, Problem Solving, ITIL, Administration, Public Speaking, Windows Server 2003, Disaster Recovery, Computer Hardware, Operating Systems, Blackberry Enterprise..., Desktop Support, DNS, TCP/IP, Documentation, Event Management, Venue Finding, Customer Relations, Cloud Computing, vSphere, Microsoft Exchange, Network Security, Data Center, HIPAA, Technical Support, Software Installation, Firewalls, Software Documentation, Information Technology, Leadership
Education
The Academy of South Florida 2009 — 2010
Network +, MCTIP, ITIL, IT Certifications
University of Phoenix 2007 — 2008
BS, Business Management
BMGI
Lean Six Sigma eYellow Belt
Broward College 2002 — 2006
AAS, Computer Systems Specialist
Keiser College 2002 — 2002
Certificate, Networking Essentials/Fundamentals
Naval Education Center 1993 — 1994
Certificate, Cryptologic Technician Communications
Naval Education Center 1993 — 1994
Certificate, Tacintel Communications Operator
WellCare Health Plans February 2015 - Present
Preferred Medical Plan, Inc. July 2013 - January 2015
Advance Insurance Consultants, Inc. October 2011 - July 2013
CBS4 January 2010 - May 2010
South Florida News Service January 2010 - April 2010
CBS4 September 2009 - January 2010
Skills
Insurance, Editing, Employee Benefits, Interviews, Video, Spanish, General Insurance, Investments, Storytelling
Education
Florida International University
Bachelor of Science in Communications, Communication, Journalism, and Related Programs with a Concentration in Spanish Langauge
La Salle High School
Preferred Medical Plan, Inc. June 2014 - Present
Bill Seidle Nissan October 2010 - June 2014
Skills
Microsoft Excel, Customer Service, Insurance, Healthcare, Outlook, Microsoft Word, Health Insurance, Management, PowerPoint
Education
Florida International University 2012 — 2014
Bachelor's degree, Health Services Administration
Miami Dade College 2009 — 2011
Associate of Arts (AA)
Massachusetts Institute of Technology (MIT) September 2015 - Present
Massachusetts Institute of Technology (MIT) May 2015 - August 2015
Massachusetts Institute of Technology (MIT) September 2013 - May 2015
MIT Lincoln Laboratory May 2014 - July 2014
Preferred Medical Plan, Inc. June 2013 - August 2013
Preferred Medical Plan, Inc. June 2012 - August 2012
Skills
Microsoft Office, PowerPoint, Engineering, Microsoft Word, CAD, Inventor, Teamwork, SolidWorks, Autodesk Inventor, Data Analysis, GIMP, Mechanical Engineering
Education
Massachusetts Institute of Technology 2012 — 2016
Bachelor of Science (B.S.), Aerospace, Aeronautical and Astronautical Engineering
American Heritage School 2008 — 2012
High school diploma, Pre-Engineering
Baptist Health Enterprise - Kendal Credit Business Services October 2014 - Present
Homestead/Miami February 2013 - Present
BCA Financial Services, Inc. February 2012 - September 2013
Preferred Medical Plan, Inc. February 2008 - February 2011
COMMUNITY HEALTH OF S. FLORIDA January 1999 - January 2008
Skills
Customer Relations, Microsoft Office, Typing, Executive Office Support, Front Office Operations, Strong Problem Solving, Type 60wmp, Detailed Oriented, Proficient Microsoft..., Proficient Excel, Proficient PowerPoint, Microsoft Word, Microsoft Excel, PowerPoint, Customer Service, Executive Positions, Management, Data Entry, Administrative..., Healthcare, Analysis, Call Centers, Front Office, Office Management, Policy, Time Management, Outlook, Problem Solving, Administrative..., Team Building
Education
Miami Senior High School 1986 — 1987
High School, High School Graduate
University of Phoenix 2008 — 2010
AA, Business Administration
Santos Healthcare Consulting, LLC January 2011 - Present
Sheridan Healthcorp December 2007 - December 2010
Preferred Medical Plan, Inc. August 2006 - November 2007
JM Baragano Biomedical and Consulting, Inc. April 2002 - February 2006
Medical Card Systems Inc. July 2000 - March 2002
Clendo Reference Laboratory May 1998 - April 2000
Skills
Healthcare, Medicaid, Medical Coding, Healthcare Management, Revenue Cycle Management, Research, Provider Education, Mergers, Hospice & Palliative..., Healthcare Consulting, Medicare, Healthcare Information..., HIPAA, Hospitals, Managed Care
Education
Nova Southeastern University 2013 — 2015
Doctorate Degree in Health Care Sciences (DHSc), Health Care Sciences
University of Phoenix
Master's Degree in Health Care Administration (MHA), Health/Health Care Administration/Management
Inter-American University of Puerto Rico-Metropolitan Campus
Bachelor's Degree in Science (BS), Microbiology
Preferred Medical Plan, Inc. February 2013 - Present
Miami Rescue Mission Health Clinic/ Broward Outreach Health Centers March 2012 - December 2012
Benefit Expo April 2001 - 2011
Jackson Health System 2009 - 2010
Cambridge Advisory Group 2008 - 2009
Marsh & McLennan 1998 - 2000
Skills
Health Insurance, Strategic Planning, Sales, Program Management, Benefits Administration, Financial Analysis, Healthcare, Executive Management, Managed Care, Performance Management, Employee Benefits, Physician Network..., Revenue Cycle Management, Healthcare Management, Budgets, Change Management, Coaching, Contract Negotiation, EHR, Health Policy, Human Resources, Insurance, Healthcare Industry, Leadership, Medicaid, Management, Medicare, Organizational..., Negotiation, Physician Relations, Practice Management, Process Improvement, Start-ups, Strategy, Team Building
Education
University of Pennsylvania 2000 — 2004
CEBS, Employee Benefit Plan Management
University of Miami - School of Business 1996 — 1998
MBA, Health Administration Concentration
Penn State University 1976 — 1980
BA, History
Central Catholic
College Preparatory
Preferred Medical Plan, Inc. May 2014 - Present
Infosys November 2010 - May 2014
Infosys November 2009 - November 2010
Infosys November 2008 - November 2009
Skills
Integration, Consulting, Requirements Analysis, SDLC, SQL, Microsoft SQL Server, Business Analysis, Testing, Data Analysis, Healthcare Information..., Healthcare Consulting, C#, Health Care Systems, SSIS, SSRS, EDI ANSI X12, Visual Studio, Accounts Payable &..., Health Insurance..., Individual Health..., Medicaid Managed Care, Requirements Gathering, QNXT
Education
SRM University 2004 — 2008
Bachelor of Technology (B.Tech.), Computer Science
Padma Seshadri Bala Bhavan 1992 — 2004
Preferred Medical Plan, Inc. February 2014 - Present
Catamaran September 2013 - February 2014
SCIO Health Analytics July 2011 - March 2013
Park Shore Pharmacy October 2002 - February 2011
Skills
Pharmacy Benefit..., Medicare Part D, Training, Pharmacy, Ambulatory Care, Managed Care, Clinical Pharmacology, HIPAA, Medicare, Health Insurance, Health Policy, Pharmacy Technicians, Healthcare, Medical Terminology, Pharmacueticals, Auditing, Pharmaceutics, Medicaid, Compounding, Informatics, Pharmacists, Compliance, Data Analysis, Customer Service, Utilization Management, Medication Therapy..., Pharmaceutical Industry, Healthcare Information..., Healthcare Management, Prescription, Pharmacy Automation, Healthcare Industry
Education
Miami Dade College
Associate of Arts (AA), Pre-Pharmacy Studies
Miami Dade College 2001 — 2002
Technical Certificate, Pharmacy Technology
Miami Norland Senior High 1992 — 1996
High School Diploma, Secondary
Preferred Medical Plan, Inc. April 2014 - Present
SunTrust Bank December 2012 - December 2013
Piedmont surgery January 2012 - September 2012
Wells Fargo February 2008 - October 2011
United Medbilling August 1992 - December 2008
Eastern National Bank March 1991 - March 1994
First Atlanta Bank, Wachovia 1986 - 1991
Skills
Data Entry, Cash Handling, Credit, Word, Microsoft Office, Customer Service, PowerPoint, Accounts Receivable, Hiring, Compliance, Scheduling, Problem Solving, Administration, Inventory Management, Teamwork, Supervisory Skills, Photocopier, Fax, Scanners, Laser Printers, Inkjet, Insurance, Accounts Payable, Medical Billing, Training, Management, Banking, Payroll
Education
Radium Soft 2012 — 2016
NHA-CCS, Medical Billing and Coder, 92%
Omega Institute 1989 — 1990
Diploma, Counselor Relations
Florida Career College-Miami 1983 — 1985
Associates , Medical Assistant
Molina Healthcare August 2015 - Present
Preferred Medical Plan, Inc. June 2014 - July 2015
Medica Health Plans/ United Health Group March 2011 - June 2014
CarePlus Health Plans January 2009 - March 2011
21st Century Oncology August 2004 - January 2009
University of Miami, Miller School of Medicine February 1998 - August 2004
Skills
Customer Service, Insurance, Health Insurance, Life Insurance, Underwriting, Medicare, Claim, Invoicing, Healthcare, HIPAA, Managed Care, Medicaid, Clinical Research, Healthcare Information..., Healthcare Industry, Hospitals, Healthcare Consulting
Education
University of Phoenix
Bachelor of Business Administration (B.B.A.), Health/Health Care Administration/Management
University of Miami September 2015 - Present
Prepworks November 2012 - May 2015
Preferred Medical Plan, Inc. May 2014 - October 2014
Anna's Linens February 2013 - June 2014
Skills
Public Speaking, Microsoft Word, PowerPoint, Microsoft Excel, Statistics, Public Health, SPSS, Critical Thinking
Education
University of Miami Leonard M. Miller School of Medicine 2015 — 2017
Master of Public Health (MPH), Epidemiology
University of Miami 2011 — 2015
Bachelor’s Degree, Public Health; Minor in English Literature
Verité Partners Inc. March 2015 - Present
Preferred Medical Plan, Inc. December 2013 - April 2015
Tui Holanda, Arke fly September 2007 - September 2013
Melia September 2002 - June 2004
Skills
Foreign Languages, Computer Science, Life & Health Insurance..., French, Dutch, Public Relations, Research, Spanish, Event Management, Marketing Communications, Time Management, Data Analysis, Social Media Marketing, Marketing, Insurance, Customer Service, Health Insurance, Leadership, Microsoft Word, Strategic Planning, Healthcare, Microsoft Excel, Process Improvement, Team Building, HIPAA, Sales, Medicare, Management, Healthcare Information..., Customer Satisfaction, Outlook, Account Management
Education
Miami Dade College 2015 — 2017
Associate of Arts and Sciences (A.A.S.), Pre-Pharmacy Studies
Insurance school 2013 — 2013
Licensed insurance agent, Life, health and variable annuities
Alianza Francesa, Havana, Cuba 2012 — 2013
Delf B1, French Language and Literature
University of Matanzas "Camilo Cienfuegos" 2007 — 2013
Social and Cultural Sciences, Sociology
Technical High School Of Computer Science Matanzas, Cuba 2000 — 2004
Computer science Associate Degree, Databases, C++, Visual Basic, Java Programming
Preferred Medical Plan, Inc. November 2014 - Present
Marriott International March 2011 - February 2013
Kimpton Hotels 2008 - 2011
Mayfair Hotel and Spa April 2007 - December 2008
Biltmore Hotel January 2006 - June 2006
Skills
Time Management, Hospitality Industry, Hospitality Management, Hotels, Customer Service, Spanish, Human Resources, Food & Beverage, Front Office, Hotel Management, Hospitality, Rooms Division, Restaurants, Revenue Analysis, Pre-opening, Resorts, Event Management
Education
Fortis College 2013 — 2014
nursing, Licensed Practical/Vocational Nurse Training
Fortis Institute - Miami 2013 — 2014
Licensed Practical Nurse, Licensed Practical/Vocational Nurse Training
Miami Dade Community College 2008 — 2009
Associates, Business Administration
Mondriaan College 2004 — 2007
Associates, Hospitality Management
International School of The Hague 2000 — 2002
IGCSE, High school
Beacon Health Options July 2015 - Present
Beacon Health Strategies (formerly Psychcare) November 2014 - July 2015
Preferred Medical Plan, Inc. June 2014 - October 2014
Magellan Health Services December 2012 - May 2014
University of Miami Healthy Start May 2007 - December 2012
Skills
Public Speaking, Team Building, Non-profits, Community Outreach, Healthcare Management, Healthcare, Hospitals, Program Development, Quality Improvement, Training, Mental Health, Medicaid, Behavioral Health, Nursing, Managed Care, Healthcare Industry, Analysis, Software Documentation, Data Analysis, Process Improvement, Management, HIPAA, Health Insurance
Education
Florida International University - College of Business Administration 2011 — 2012
MBA, Healthcare Management, 3.8
Florida International University 2000 — 2005
Bachelor of Arts, Psychology
Coral Gables Senior High 1992 — 1996
High School
Carnival Cruise Lines October 2014 - Present
Carnival Cruise Lines February 2008 - October 2014
Ashley Furniture Industries May 2004 - January 2008
Preferred Medical Plan, Inc. September 2002 - October 2003
Swindall Powell Company March 2000 - September 2002
Skills
Management, Project Management, Customer Service
Education
Miami Dade College
Computer IT
Preferred Medical Plan, Inc. June 2014 - Present
Molina Healthcare June 2010 - June 2014
CVS Caremark Corporation August 2005 - September 2006
Education
Florida International University 2009 — 2013
Bachelor of Business Administration (BBA), Business Administration and Management, General
Miami Dade College 2006 — 2008
Associate of Arts (AA), Business Administration and Management, General
Aledade, Inc. June 2015 - Present
Aledade, Inc. April 2015 - June 2015
NeuroBehavioral Institute September 2014 - April 2015
Preferred Medical Plan, Inc. May 2014 - August 2014
Florida Atlantic University August 2013 - May 2014
Boca Raton Regional Hospital July 2013 - January 2014
Darden December 2011 - January 2014
Target May 2011 - July 2012
CVS Pharmacy July 2010 - March 2011
Education
Florida Atlantic University 2013 — 2014
Master's Degree, Health Administration
Florida Atlantic University 2010 — 2012
Bachelor's Degree, Neuroscience and Behavior
Preferred Medical Plan, Inc. July 2014 - Present
Health Compliance Partners, LLC February 2014 - Present
Sproutivity May 2013 - Present
PA Group June 2013 - February 2014
CoAdvantage September 2012 - June 2013
Max Brackett Technology August 2000 - June 2013
Sunera LLC February 2012 - September 2012
SUNZ Insurance Company July 2010 - February 2012
Avalon Healthcare July 2007 - April 2010
Gentiva Health Services August 2006 - July 2007
Skills
CIO, Leadership, Management, Strategy, Disaster Recovery, Project Management, Mergers & Acquisitions, HIPAA, PCI DSS, SOX, Budgets, Integration, SQL, Entrepreneurship, Enterprise Architecture, Data Center, Start-ups, Business Analysis, IT & Business Roadmaps, Risk Management, ITIL, Agile, Scrum, Kanban, Contract Negotiation, Data Warehousing, Mentoring, CRM, SSRS, Oracle, Health Claims Recovery, Vendor Management, SSIS, SDLC, Windows Server, ASP.NET, ETL, VMware, Marketing Communications, Data Modeling, MySQL, Start-up Operations, Product Development, Technical Direction, JavaScript, Web Development, Network Security, Risk Analysis, Cloud
Education
Saint Leo University 2003 — 2007
B.S., Computer Information Systems
UnitedHealth Group August 2015 - Present
AAPC December 2014 - Present
Skyline Aerial Photogrphy, Inc. July 2012 - Present
Preferred Medical Plan, Inc. December 2013 - August 2015
CarePlus Health Plans March 2011 - September 2013
Everest University Kendall Campus May 2010 - March 2011
University of Miami Hospital August 2003 - May 2010
Skills
Management, Microsoft Excel, Microsoft Office, Marketing, Project Management, Team Building, Insurance, Risk Management, Strategic Planning, Customer Service, Health Insurance, Leadership, Training, Process Improvement, Medicare, HIPAA, Sales, Employee Benefits, Software Documentation, Data Analysis
Education
Keiser University-Ft Lauderdale 2014 — 2016
Associate of Science (A.S.), Health Services Administration
Miami Dade College 2014 — 2015
Certification, Certified Professional Coder
Preferred Medical Plan, Inc. April 2012 - Present
Miami-Dade County Health Department April 2010 - April 2012
Miami-Dade County Public Schools February 2008 - March 2010
Costa Nursery Farms July 2006 - February 2008
Hines Horticulture October 2004 - July 2006
Kroll Associates June 2000 - September 2003
Catholic Cemeteries of the Archdiocese of Miami February 1998 - June 2000
Skills
Accounting Management, Training & Development, Cost Reduction, Internal Controls, Development and..., Financial Analysis, Budget Management, Financial Reporting, Financial Accounting, GAAP, General Ledger, Budgets, Managerial Finance, US GAAP, SAP, Account Reconciliation, Accounting, Accounts Payable, Analysis, Internal Audit, Finance, Tax, IFRS, Payroll, Management, Financial Statements, Sarbanes-Oxley Act, Leadership, Financial Forecasting, Cash Flow, QuickBooks, Cost Accounting, Forecasting, Auditing, Budgeting, Variance Analysis, Process Improvement, Accounts Receivable
Education
Florida International University 2004 — 2006
Master's, Accounting
Universidad Nacional Pedro Henríquez Ureña
Bachelor, Accounting
CTI Partners August 2014 - Present
Preferred Medical Plan, Inc. January 2014 - June 2014
ettain group June 2013 - December 2013
Apex Systems April 2013 - June 2013
ACS, a Xerox Company February 2011 - March 2013
Hevia & Associates August 2009 - April 2011
Cerner Corporation May 2001 - February 2009
Keane May 1991 - December 2000
Affiliated Computer Services November 1997 - February 1998
Keane May 1991 - November 1997
Skills
Project Management, IT Strategy, Contract Negotiation, Leadership, Analysis, Governance, Consulting, Project Implementation, Strategic Planning, IT Operations, IT Management, Integration, Criminal Justice, Criminology, Software Documentation, Software Development, CRM, Systems Analysis, Management, Programming, ERP, Information Technology, Software Design, DB2, System Deployment, HL7, Pre-Law, EDI ANSI X12
Education
Florida International University 2014 — 2015
Bachelor of Science (B.S.), Criminal Justice - Pre Law
Control Data Institute 1983 — 1984
Bachelor of Applied Science (B.A.Sc.), Computer Programming, 3.7 out of 4.0
The University of Texas at Dallas 1981 — 1983
Bachelor of Science (BS) candidate, Computer Science
Preferred Medical Plan, Inc. March 2015 - Present
Qba-Ky Express December 2011 - February 2015
VIP Sign Pros April 2012 - June 2013
Skills
Mac, Graphic Design, Microsoft Office, Customer Service, Windows, Adobe Master Collection, Mac OS, Bilingual-English/Spanis...
Education
Sullivan College of Technology and Design 2011 — 2013
Associate's degree, Graphic Design
Western MST High School 2008 — 2011
High School, High School/Secondary Diplomas and Certificates
Preferred Medical Plan, Inc. October 2012 - Present
Direct Pharmacy Source June 2012 - September 2012
South Miami Pharmacy December 2010 - March 2012
Navarro Discount Pharmacy August 2010 - November 2010
Gold Coast Beverage March 2008 - June 2009
Best Buy September 2006 - January 2008
Education
Technical Career Institutes 2009 — 2009
Pharmacy Technician/Assistant
Miami Dade College
Associate's Degree, Pharmacy Technician/Assistant
Miami Children's Hospital March 1996 - Present
Preferred Medical Plan, Inc. 1994 - 1995
CareFlorida, Inc. 1990 - 1994
Skills
Medicaid, Hospitals, HMO, Managed Care, Revenue Cycle, Healthcare Management, Provider Relations, Network Development, Physicians, Pediatrics, Healthcare Information..., HIPAA, Healthcare, Physician Relations, EMR, Leadership, Ambulatory, Healthcare Industry, Medicare, Medicine, Pharmacy Automation, Credentialing, EHR, Practice Management, Disease Management, Medical Billing, Problem Solving, Health Policy, Revenue Cycle Management, Healthcare Consulting, JCAHO, Utilization Management, Informatics, PPO, Home Care, Provider Network..., ICD-9, Medical Coding, Nursing, Quality Improvement, CPT, Healthcare Reimbursement, Medicaid Managed Care
Education
Miami Dade College 1976 — 1977
Coral Gables Senior High School 1971 — 1973
High School
MedHOK, Inc. May 2014 - Present
Preferred Medical Plan, Inc. August 2012 - April 2014
MedHOK Healthcare Solutions, LLC July 2010 - July 2012
AHF MCO of Florida, Inc. February 2009 - May 2010
WellCare Health Plans January 2005 - January 2009
State of Connecticut Office of Policy and Management January 1995 - January 2005
University of New Haven School of Business July 2002 - December 2004
Skills
Business Analysis, Medicaid, Healthcare Management, Managed Care, Healthcare, Medicare, Healthcare Consulting, Health Insurance, Healthcare Information..., HIPAA, Leadership, Business Development, Pharmacy Benefit..., Long-term Care, Healthcare Industry, Strategic Planning, Budgets, Vendor Management, Management, Physicians, EMR, Policy, Team Building, Hospitals, Insurance, Revenue Cycle, Program Management, Process Improvement, EHR, Disease Management, Provider Relations, Executive Management, Health Policy, Network Development, HMO, Utilization Management, Quality Improvement, Claim, Physician Relations, Medicare Part D, Medical Billing, Practice Management, Credentialing, Health Care Reform, Informatics, Revenue Cycle Management, Medicine, Medical Compliance, Performance Improvement, PPO
Education
University of New Haven 1994 — 1998
MPA, Local Government and Managed Care
Georgetown University 1982 — 1986
BSFS, Foreign Service
Central School of Planning and Statistics (Now Warsaw School of Economics), Warsaw, Poland
Economics and History
Pushkin Pedagogical Institute, Moscow, USSR
Advanced Russian Language Certificate, Russian Language and Linguistics
Med-Life Group (Independent Agency) May 2011 - Present
Bank of America October 2007 - May 2011
Preferred Medical Plan, Inc. January 2000 - October 2007
Skills
Life Insurance, Series 7, Fixed Annuities, Variable Annuities, 529 Plans, Mutual Funds, Disability Insurance, Estate Planning, Wealth Accumulation, Wealth Transfer, Retirement Planning, Finance
Education
Miami Dade College
Associate of Arts (A.A.), Business Administration
Kaiser Foundation Health Plan July 2006 - Present
Kaiser Foundation Health Plan 2004 - 2006
Kaiser Foundation Health Plan January 2002 - March 2003
Kaiser Foundation Health Plan July 2001 - December 2001
Preferred Medical Plan, Inc. November 1997 - July 2001
The Lewin Group 1994 - 1998
Skills
Managed Care, Healthcare Management, Program Management, Healthcare Consulting, Healthcare, Healthcare Information..., HIPAA, Health Policy, EHR, Management, Project Management, Medicare, Hospitals, EMR, Leadership, Healthcare Industry, Medicaid, Data Analysis, Quality Improvement, Business Development, Health Insurance, Epic Systems, Strategic Planning, Strategy, Process Improvement, Consulting, Health Plan Operations
Education
University of California, Los Angeles - Fielding School of Public Health 1990 — 1992
MPH
California State University-Dominguez Hills 1986 — 1988
BS
Independent Life & Health Insurance Professional May 2014 - Present
Preferred Medical Plan, Inc. September 2009 - May 2014
Skills
Insurance, Marketing, Customer Service, Sales, Recruiting, Team Building, Management, Leadership, Training, Marketing Strategy, Strategic Planning, Microsoft Office, Process Improvement, Employee Benefits, Time Management, Public Relations, Social Media, Event Planning, Marketing Communications, Social Media Marketing, Outlook, Healthcare, Data Analysis
Education
Miami Dade College 2003 — 2005
Associate of Arts (A.A.), General Studies
Florida International University
Preferred Medical Plan, Inc. May 2009 - Present
Telemundo October 1998 - October 2003
Cruz/kravetz:IDEAS April 1997 - October 1998
Skills
Event Management, Event Planning, Multicultural Marketing, Integrated Marketing, Media Relations, Marketing Communications, Social Media Marketing, Media Buying, Media Planning, Radio Advertising, Press Releases, Customer Service, Consumer Marketing, Advertising, Microsoft Office, Brand Awareness, Health Insurance, Marketing
Education
Florida International University 1987 — 1991
Bachelor of Science (BS), Mass Communication/Media Studies
St. Brendan HIgh School
Royal Caribbean Cruises, Ltd. March 2015 - Present
Olympus Managed Health Care October 2012 - Present
Preferred Medical Plan, Inc. April 2009 - August 2012
Medical Staffing Network 2008 - 2010
Valley Baptist Medical Ctr-Brownsville, Texas March 2006 - October 2008
AMAA January 2001 - October 2008
American Diabetes Association February 1997 - October 2008
A-Touch HHC March 2005 - July 2007
American Heart Association January 1999 - January 2007
South Texas Vocational Institute 2003 - 2007
Skills
Microsoft Excel, Event Planning, Public Speaking, Customer Service, Hospitals, Microsoft Office, Healthcare, Managed Care, HIPAA, Disease Management, Microsoft Word, Medicare, Healthcare Management, Healthcare Information..., Research, Nursing, Clinical Research, Data Entry, Strategic Planning, Management, Leadership, Patient Safety, Case Management, Team Building, Home Care, Medicine, Medicaid, Healthcare Consulting, Health Insurance, CPR Certified, Inpatient, BLS, Pediatrics, Public Health, Training, Nonprofits, Physicians, Treatment, Patient Education, Health Education, Program Development, Critical Care, Patient Advocacy, Fundraising, Community Outreach, Leadership Development, Medical Terminology, Social Media
Education
Dade Medical College-Miami
Registered Nursing/Registered Nurse
VALLEY BAPTIST MED. CTR-SCHOOL OF NURSING, HARLINGEN, TX
Concordia Behavioral Health June 2015 - Present
Preferred Medical Plan, Inc. March 2014 - May 2015
IOS Health Systems May 2012 - March 2014
IOS Health Systems August 2009 - May 2012
IOS Health Systems February 2008 - August 2009
Universidad de Granma September 2005 - July 2007
Skills
VB.NET, ASP.NET, MySQL, Agile Methodologies, Apache, Databases, UML, LAMP, JavaScript, SQL, jQuery, PHP, Object Oriented Design, XML, SOAP, Linux, Database Design, Doctrine, Web Services, Agile & Waterfall..., CSS, Zend Framework, AJAX, Object Oriented Modeling, Mac OS X, Data Warehousing, Data Modeling, Git, OpenGL, SOA, REST, HTML 5, Visual Studio, Enterprise Architecture, Data Mining, C/C++ STL, Objective-C, Pascal, CAD/CAM, Subversion, Microsoft SQL Server, Health Information..., EHR, Agile Project Management, Business Process Design, Requirements Analysis, Business Analysis, Team Leadership, Healthcare Information..., Web Applications
Education
Florida International University 2012 — 2013
Master's Degree, Management Information Systems, General
Universidad de Granma 2002 — 2007
Bachelor's degree, Information Technology Engineer, 4.8/5
Universidad de Oriente (CU) 2000 — 2002
Bachelor's degree, Telecommunications Engineering
RobinSon Insurance Enterprises July 2014 - Present
Eden Health Plans July 2014 - Present
Preferred Medical Plan, Inc. October 2012 - May 2014
Preferred Medical Plan, Inc. November 2011 - October 2012
AIDS Healthcare Foundation/Positive Healthcare Partners/Positive Healthcare Florida August 2008 - October 2011
New York Life Insurance Company November 2007 - January 2009
Access Health Solutions April 2007 - September 2007
Wellcare Health Plans, Inc October 2006 - April 2007
Wellcare Health Plan, Inc February 2005 - October 2006
Elmhurst Hospital Center September 1997 - May 2004
Skills
Coaching, Marketing Strategy, Marketing Management, Financial Sales, Medicare, medicaid, Provider Relations, Provider Contracting, Sales Management, Medicaid, Revenue Cycle Management, EMR, Practice Management, Healthcare Consulting, Healthcare, PPO, Process Improvement, HIPAA, Hospitals, Insurance, Marketing, Healthcare Industry, Sales, Leadership, Business Development, Healthcare Information..., Physician Relations, Healthcare Management, Revenue Cycle, Managed Care, Network Development, Health Insurance, Training, Physicians, Long-term Care, HMO, Community Outreach, Team Building, Management, Strategic Planning, Customer Service, Medicare Part D, Credentialing, Health Policy, Health Care Reform, EHR, Claim, Performance Improvement
Education
The New School 1995 — 1997
M.S, Health Services Management
State University of New York at Binghamton 1986 — 1991
B.S, Management, Marketing
Office Edge August 2015 - Present
Preferred Medical Plan, Inc. April 2015 - August 2015
Preferred Medical Plan, Inc. September 2014 - April 2015
Preferred Medical Plan, Inc. February 2014 - September 2014
Preferred Medical Plan, Inc August 2013 - January 2014
Preferred Medical Plan, Inc. January 2013 - August 2013
Alpex USA January 2007 - January 2013
Rodriguez Tramont PA January 2006 - March 2007
Skills
Health Insurance, Medicare, Customer Service, Microsoft Excel, Microsoft Word, Insurance, QuickBooks, Administrative..., Healthcare, Wordperfect, Spreadsheets, Marketing, Telephone Skills, Accounts Receivable, Accounts Payable, Outlook, Pleadings, Filing, Microsoft Office, PowerPoint, Medicaid, HIPAA, Payroll
Education
Florida International University 2006 — 2007
2007, Paralegal
Catamaran August 2007 - Present
Preferred Medical Plan, Inc. July 2006 - August 2007
Skills
Healthcare, Customer Service, Hospitals, HIPAA, Microsoft Excel, Clinical Research, Healthcare Information..., Leadership
Education
Everest Institute-North Miami 2014 — 2014
Bachelor's Degree, Registered Pharmacy Technician
CNA Training Academy 2013 — 2013
C.N.A, Certified Nursing Assintant
Florida Career College-Miami 2003 — 2005
Associate's degree, Computer Science
Particular Andino 1993 — 1996
High Sschool, GED
Magna Life Settlements 2006 - Present
Preferred Medical Plan, Inc. October 2005 - September 2006
Emmett Insurance Group August 2000 - April 2005
Blue Cross Blue Shield of Florida June 1999 - August 2000
AvMed Health Plans September 1995 - June 1999
Travelers/Metropolitan August 1992 - September 1995
John Alden Life Insurance Company June 1983 - August 1992
Skills
Life Insurance, Account Management, Customer Service, Insurance, Budgets, Cross-functional Team..., Analysis, Term Life Insurance, Microsoft Office, Program Management, Call Centers, Financial Analysis, Long-term Care, Marketing, Health Insurance, Management, Disability Insurance, Underwriting, Strategic Planning, Fixed Annuities
Education
Miami Dade College 1982 — 1983
JMH HEALTH PLAN October 2007 - Present
Olympus Managed Health Care February 2005 - September 2007
Preferred Medical Plan, Inc. January 2002 - February 2005
Skills
Medical Terminology, Healthcare, Medicare, Medical Billing, HIPAA, Data Entry, Customer Service, CPT, Microsoft Excel, Microsoft Office, Outlook, Microsoft Word, Medicaid, ICD-9, Health Insurance
Education
Miami Dade College
Preferred Medical Plan, Inc. October 2014 - Present
Decowraps February 2014 - October 2014
American Medical Depot June 2013 - February 2014
The Wendys Company January 2007 - March 2013
Miami Dade College September 2005 - January 2007
Dr Weinstein DC PA August 2004 - August 2005
Education
Florida International University - College of Business Administration 2008 — 2011
Bachelor of Business Administration (B.B.A.)
Miami Dade College 2005 — 2008
Associate of Arts (A.A.)
Preferred Medical Plan, Inc. January 2013 - Present
Skills
Call Center..., Call Center Development, Cross-functional Team..., Customer Retention, Customer Satisfaction, Customer Service, Employee Training, HMO, Health Care Reform, Health Insurance, Healthcare Management, Hiring, Insurance, Managed Care, Management, Medicaid Managed Care, Quality Assurance, Sales, Staff Development, Team Building, Team Leadership, Team Management, Team Motivation, Healthcare, Leadership, Process Improvement, Strategic Planning, Training
Education
Nova Southeastern University 2002 — 2006
Bachelor's degree, Business Administration and Management, General
DST Health Solutions December 2014 - Present
Preferred Medical Plan, Inc. August 2004 - December 2014
Jackson Health System July 2000 - July 2004
FACTS Services Inc. February 1997 - July 2000
Skills
HIPAA, Process Improvement, Solution Implementation, Data Analysis, Healthcare Information..., Health Insurance, Project Management, Team Leadership, Systems Analysis, SharePoint, Software Documentation, PMP, Business Analysis, Requirements Gathering, Business Intelligence, Databases, Requirements Analysis, Healthcare
Education
Florida International University 2000 — 2001
Master of Science (MS), Management Information Systems
University of Miami 1992 — 1996
Bachelor of Science (BS), Computer Information Systems
Preferred Medical Plan, Inc. July 2013 - Present
Homeserve 2012 - 2013
Skills
Customer Service, Insurance, Call Centers, Health Insurance, Process Improvement, General Insurance, Microsoft Office, Claim, Data Entry, Healthcare, Medicare
Education
Miami Dade College 2009 — 2012
Associate's degree, Registered Nursing/Registered Nurse
Nova Southeastern University
Bachelor's Degree, Registered Nursing/Registered Nurse
The Grand Corporate Center January 2014 - January 2015
UPS 2014 - 2015
Preferred Medical Plan, Inc. June 2014 - August 2014
Miami Drive You January 2013 - January 2014
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Access, Customer Service, Outlook, Time Management, Inventory Management, Data Entry, Research
Education
Miami Dade College 2015 — 2019
Bachelor's Degree, Business Administration and Management, General