QualChoice health Plan
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QualChoice health Plan Employees
Employee
Years
Job
Industry
Carol Fyffe Carol Fyffe's QualChoice health Plan Experience March 1996 - February 2002
Job Independent Health Insurance Agent
Industry Insurance
Experience
Insurance Exchange Navigators - A strategic partner of Ohio Health Insurance LLC. January 2011 - Present
Slowey Insurance Agency, Ltd August 2008 - January 2011
UnitedHealthcare February 2002 - April 2005
QualChoice Health Plan March 1996 - February 2002
Skills
Health Insurance, Employee Benefits, Insurance, Insurance Brokerage, Disability Insurance, Brokers, Life Insurance, Long-term Care, Health Policy, Managed Care, Health Savings Accounts, PPO, Accident, Critical Illness, Underwriting, Term Life Insurance, Strategic Planning, Whole Life, Medicare, Health Care Reform, Management
Education
Bowling Green State University 1985 — 1989
Insurance Exchange Navigators - A strategic partner of Ohio Health Insurance LLC. January 2011 - Present
Slowey Insurance Agency, Ltd August 2008 - January 2011
UnitedHealthcare February 2002 - April 2005
QualChoice Health Plan March 1996 - February 2002
Skills
Health Insurance, Employee Benefits, Insurance, Insurance Brokerage, Disability Insurance, Brokers, Life Insurance, Long-term Care, Health Policy, Managed Care, Health Savings Accounts, PPO, Accident, Critical Illness, Underwriting, Term Life Insurance, Strategic Planning, Whole Life, Medicare, Health Care Reform, Management
Education
Bowling Green State University 1985 — 1989
Cheryl Zaidan Cheryl Zaidan's QualChoice health Plan Experience 1997 - 2001
Job Supervisor, Claims at Homesite Insurance
Industry Insurance
Experience
Homesite Insurance September 2012 - Present
Allstate Insurance May 2011 - September 2012
Allstate Insurance March 2010 - October 2010
Allstate November 2009 - March 2010
Allstate March 2009 - November 2009
Allstate Insurance July 2008 - March 2009
Allstate August 2007 - July 2008
Allstate Insurance September 2002 - August 2007
Summit Health Care 2001 - 2002
QualChoice Health Plan 1997 - 2001
Skills
Property & Casualty..., Insurance, Claim, Claims Management, Underwriting, General Insurance, Customer Service, Process Improvement, Leadership, Project Management, Business Analysis, Risk Management, Vendor Management, Negotiation, Coaching, Strategic Planning
Education
Bluffton University
English, Journalism
Kent State University
B.S. Secondary Education, English, Education
Homesite Insurance September 2012 - Present
Allstate Insurance May 2011 - September 2012
Allstate Insurance March 2010 - October 2010
Allstate November 2009 - March 2010
Allstate March 2009 - November 2009
Allstate Insurance July 2008 - March 2009
Allstate August 2007 - July 2008
Allstate Insurance September 2002 - August 2007
Summit Health Care 2001 - 2002
QualChoice Health Plan 1997 - 2001
Skills
Property & Casualty..., Insurance, Claim, Claims Management, Underwriting, General Insurance, Customer Service, Process Improvement, Leadership, Project Management, Business Analysis, Risk Management, Vendor Management, Negotiation, Coaching, Strategic Planning
Education
Bluffton University
English, Journalism
Kent State University
B.S. Secondary Education, English, Education
Racene Bolton-Gresham Racene Bolton-Gresham's QualChoice health Plan Experience 1998 - 2006
Job Sales Consultant at Humana
Industry Insurance
Experience
Humana September 2008 - Present
Kaiser Permanente 2004 - 2008
QualChoice Health Plan 1998 - 2006
Skills
Health Insurance, Employee Benefits, Insurance, Health Savings Accounts, Managed Care, Life Insurance, Disability Insurance
Education
Notre Dame College 1995 — 1999
Bachelor of Arts (B.A.), Human Resources Management and Services, Bachelors of Arts
Humana September 2008 - Present
Kaiser Permanente 2004 - 2008
QualChoice Health Plan 1998 - 2006
Skills
Health Insurance, Employee Benefits, Insurance, Health Savings Accounts, Managed Care, Life Insurance, Disability Insurance
Education
Notre Dame College 1995 — 1999
Bachelor of Arts (B.A.), Human Resources Management and Services, Bachelors of Arts
Owen Martin Owen Martin's QualChoice health Plan Experience 2004 - 2006
Job IT Specialist IV at FirstEnergy
Industry Information Technology and Services
Experience
FirstEnergy September 2012 - Present
Randstad Technologies US December 2011 - September 2012
Blue Chip Consulting Group June 2011 - December 2011
Crimson Consulting October 2010 - June 2011
Robert Half Technology August 2010 - October 2010
Premiere Medical Resources February 2010 - July 2010
YRC Worldwide, Inc. 2006 - February 2010
QualChoice health Plan 2004 - 2006
Affiliated Computer Services July 2002 - July 2004
University Hospitals of Cleveland February 2001 - July 2002
Skills
Active Directory, Citrix, Windows Server, VMware, Servers, Microsoft Exchange, SCCM, Troubleshooting, Workstations, Windows 7, Hyper-V, Virtualization, SharePoint, Citrix Metaframe, Operating Systems, Microsoft Certified..., Powershell, Project Management, Windows, Windows Server 2003, NetApp, VMware ESX, Security, DHCP, Linux, Computer Hardware, System Administration, Storage Area Networks, Windows Server 2008, SQL Server 2005/2000, Citrix Certified..., Microsoft Exchange..., Cisco ASA firewall, VBScript, SAN, Application Packaging, CA Unicenter, McAfee ePO, Deployment, XP, SCOM, SQL Server, HP, Blackberry Enterprise..., Clustering, Switches, VDI, Netscaler, Cisco IOS, Virtual Desktop...
Education
University of Phoenix 2013 — 2013
Certificate of Cisco Networking Fundamentals, Information Technology, 3.89 GPA
ITT technical Institute 1997 — 1999
Associate's degree, Electrical and Electronics Engineering
FirstEnergy September 2012 - Present
Randstad Technologies US December 2011 - September 2012
Blue Chip Consulting Group June 2011 - December 2011
Crimson Consulting October 2010 - June 2011
Robert Half Technology August 2010 - October 2010
Premiere Medical Resources February 2010 - July 2010
YRC Worldwide, Inc. 2006 - February 2010
QualChoice health Plan 2004 - 2006
Affiliated Computer Services July 2002 - July 2004
University Hospitals of Cleveland February 2001 - July 2002
Skills
Active Directory, Citrix, Windows Server, VMware, Servers, Microsoft Exchange, SCCM, Troubleshooting, Workstations, Windows 7, Hyper-V, Virtualization, SharePoint, Citrix Metaframe, Operating Systems, Microsoft Certified..., Powershell, Project Management, Windows, Windows Server 2003, NetApp, VMware ESX, Security, DHCP, Linux, Computer Hardware, System Administration, Storage Area Networks, Windows Server 2008, SQL Server 2005/2000, Citrix Certified..., Microsoft Exchange..., Cisco ASA firewall, VBScript, SAN, Application Packaging, CA Unicenter, McAfee ePO, Deployment, XP, SCOM, SQL Server, HP, Blackberry Enterprise..., Clustering, Switches, VDI, Netscaler, Cisco IOS, Virtual Desktop...
Education
University of Phoenix 2013 — 2013
Certificate of Cisco Networking Fundamentals, Information Technology, 3.89 GPA
ITT technical Institute 1997 — 1999
Associate's degree, Electrical and Electronics Engineering
Edward J. Purcell Edward J. Purcell's QualChoice health Plan Experience September 2002 - May 2004
Job Assistant Vice President at Aon Risk Solutions
Industry Insurance
Experience
AON RISK SOLUTIONS November 2011 - Present
KAISER PERMANENTE OF OHIO June 2008 - November 2011
PROGRESSIVE CASUALTY INSURANCE COMPANY November 2007 - June 2008
KAISER PERMANENTE OF OHIO October 2004 - November 2007
QUALCHOICE HEALTH PLAN September 2002 - May 2004
Skills
Underwriting, Managed Care, Insurance, Employee Benefits, Healthcare, Contract Negotiation, Employee Engagement, Health Insurance, Employee Wellness, Vendor Management, Forecasting, Data Analysis, Team Building, Account Management, Management, Recruiting, Budgets, Sales Operations, Negotiation, Business Planning, Professional Liability, Health Savings Accounts, Disability Insurance, CRM, Strategy, Brokers, Medicare, Strategic Planning, Process Improvement, Leadership, Easily Adaptable
Education
The College of Wooster 1998 — 2002
Bachelor of Arts, Sociology
St. Edward High School 1994 — 1998
Diploma, College Prep
AON RISK SOLUTIONS November 2011 - Present
KAISER PERMANENTE OF OHIO June 2008 - November 2011
PROGRESSIVE CASUALTY INSURANCE COMPANY November 2007 - June 2008
KAISER PERMANENTE OF OHIO October 2004 - November 2007
QUALCHOICE HEALTH PLAN September 2002 - May 2004
Skills
Underwriting, Managed Care, Insurance, Employee Benefits, Healthcare, Contract Negotiation, Employee Engagement, Health Insurance, Employee Wellness, Vendor Management, Forecasting, Data Analysis, Team Building, Account Management, Management, Recruiting, Budgets, Sales Operations, Negotiation, Business Planning, Professional Liability, Health Savings Accounts, Disability Insurance, CRM, Strategy, Brokers, Medicare, Strategic Planning, Process Improvement, Leadership, Easily Adaptable
Education
The College of Wooster 1998 — 2002
Bachelor of Arts, Sociology
St. Edward High School 1994 — 1998
Diploma, College Prep
Robert Coode Robert Coode's QualChoice health Plan Experience March 1995 - December 1996
Job Partner / Financial Advisor at Skoda Minotti Financial Services
Industry Financial Services
Experience
Skoda Minotti Financial Services December 2001 - Present
Coode - Muscenti May 1995 - December 2001
QualChoice Health Plan March 1995 - December 1996
Skills
Personal Financial..., Retirement Planning, Asset Management, Asset Allocation, Estate Planning, College Education..., Insurance, Risk Management, Tax Planning, Investments, Strategic Financial..., Financial Planners, Wealth Management
Education
University of Dayton 1990 — 1994
Bachelor of Science, Education
John Carroll University 2002 — 2003
Certificate in Financial Planning
Mentor High School
Skoda Minotti Financial Services December 2001 - Present
Coode - Muscenti May 1995 - December 2001
QualChoice Health Plan March 1995 - December 1996
Skills
Personal Financial..., Retirement Planning, Asset Management, Asset Allocation, Estate Planning, College Education..., Insurance, Risk Management, Tax Planning, Investments, Strategic Financial..., Financial Planners, Wealth Management
Education
University of Dayton 1990 — 1994
Bachelor of Science, Education
John Carroll University 2002 — 2003
Certificate in Financial Planning
Mentor High School
Sue Kithcart, CHTS-IM Sue Kithcart, CHTS-IM's QualChoice health Plan Experience April 1998 - June 1999
Job Director, Clinical Business Operations at Western Reserve Health System
Industry Management Consulting
Experience
Western Reserve Health System August 2013 - Present
Western Reserve Health System January 2013 - August 2013
Nordonia Hills Clinic October 2009 - December 2012
Resource Ready, LLC June 2005 - October 2009
Health Design Plus 2004 - 2005
QualChoice Health Plan April 1998 - June 1999
Medical Mutual of Ohio 1990 - 1998
Blue Cross Blue Shield of Virginia 1982 - 1990
Skills
Microsoft Office 2007, Excel, Project Management, Microsoft Excel, Outlook, Process Improvement, Outsourcing, Microsoft Word, Business Analysis, Strategic Planning, Team Building, Program Management, PowerPoint, Customer Satisfaction, Business Process, Insurance, Account Management, Medicare, Certified Health..., HIPAA, Leadership, Organizational..., Healthcare, Health Insurance, Healthcare Management, Human Resources, Managed Care, Healthcare Industry, Data Analysis
Education
Cuyahoga Community College 2012 — 2012
Pro-Implementation Manager, Health Information Technology - Electronic Medical Records
Malone College
BA, Project Management
Western Reserve Health System August 2013 - Present
Western Reserve Health System January 2013 - August 2013
Nordonia Hills Clinic October 2009 - December 2012
Resource Ready, LLC June 2005 - October 2009
Health Design Plus 2004 - 2005
QualChoice Health Plan April 1998 - June 1999
Medical Mutual of Ohio 1990 - 1998
Blue Cross Blue Shield of Virginia 1982 - 1990
Skills
Microsoft Office 2007, Excel, Project Management, Microsoft Excel, Outlook, Process Improvement, Outsourcing, Microsoft Word, Business Analysis, Strategic Planning, Team Building, Program Management, PowerPoint, Customer Satisfaction, Business Process, Insurance, Account Management, Medicare, Certified Health..., HIPAA, Leadership, Organizational..., Healthcare, Health Insurance, Healthcare Management, Human Resources, Managed Care, Healthcare Industry, Data Analysis
Education
Cuyahoga Community College 2012 — 2012
Pro-Implementation Manager, Health Information Technology - Electronic Medical Records
Malone College
BA, Project Management
Cathy Dorocak Cathy Dorocak's QualChoice health Plan Experience 1991 - 1997
Job Senior Account Manager at Delta Dental of Ohio
Industry Insurance
Experience
Delta Dental of Ohio May 2008 - Present
Kaiser Permanente 2005 - 2008
CIGNA Healthcare July 1997 - August 2005
QualChoice Health Plan 1991 - 1997
Skills
Employee Benefits, Account Management, Dental Insurance, Health Insurance, Consulting, Key Account Management, Negotiation, Benefits Administration, Insurance, PPO, Managed Care, Healthcare, Leadership, Customer Service, Medicare
Education
Cleveland State University 1985 — 1987
MBA, Marketing/Finance
Cleveland State University 1976 — 1980
BBA, Accounting
Delta Dental of Ohio May 2008 - Present
Kaiser Permanente 2005 - 2008
CIGNA Healthcare July 1997 - August 2005
QualChoice Health Plan 1991 - 1997
Skills
Employee Benefits, Account Management, Dental Insurance, Health Insurance, Consulting, Key Account Management, Negotiation, Benefits Administration, Insurance, PPO, Managed Care, Healthcare, Leadership, Customer Service, Medicare
Education
Cleveland State University 1985 — 1987
MBA, Marketing/Finance
Cleveland State University 1976 — 1980
BBA, Accounting
Cheri Riddle Cheri Riddle's QualChoice health Plan Experience 2005 - 2007
Job Senior Manager, Health Plans, Deloitte Consulting
Industry Hospital & Health Care
Experience
Deloitte Consulting 2011 - Present
Deloitte 2007 - Present
Blue Cross Blue Shield of Nebraska 2007 - Present
Aetna 2011 - 2014
Aetna 2011 - 2014
BCBSNE 1998 - 2009
QualChoice October 1998 - August 2007
QualChoice Health Plan 2005 - 2007
Education
Weatherhead School of Management at Case Western Reserve University 1995 — 1997
MBA, Finance, Healthcare
Pennsbury HS
University of Pennsylvania
Deloitte Consulting 2011 - Present
Deloitte 2007 - Present
Blue Cross Blue Shield of Nebraska 2007 - Present
Aetna 2011 - 2014
Aetna 2011 - 2014
BCBSNE 1998 - 2009
QualChoice October 1998 - August 2007
QualChoice Health Plan 2005 - 2007
Education
Weatherhead School of Management at Case Western Reserve University 1995 — 1997
MBA, Finance, Healthcare
Pennsbury HS
University of Pennsylvania
Denton Stusek Denton Stusek's QualChoice health Plan Experience May 1998 - October 2002
Job Senior Health & Group Benefits Consultant at Towers Watson
Industry Insurance
Experience
Towers Watson May 2014 - Present
The Fine Arts Association December 2011 - Present
Oswald Companies October 2010 - May 2014
BGS Associates, LLC October 2006 - October 2010
Britton Gallagher 2006 - October 2010
United Healthcare October 2002 - October 2006
QualChoice Health Plan May 1998 - October 2002
QualChoice Healthplan May 1998 - October 2002
Anthem Blue Cross & Blue Shield April 1993 - November 1997
Vantage Financial Group, Inc. 1995 - 1997
Skills
Employee Benefits, Strategic Consulting, Healthcare Consulting, Health Insurance, Strategic Planning, Health Care Reform, Underwriting, Insurance, Employee Benefits Design, Employee Wellness..., Benefits Analysis, Managed Care, Group Benefit Plans, Self-funded, Disease Management, Benefits Administration, Disability Insurance, Health Savings Accounts, COBRA, Life Insurance, Term Life Insurance, Employee Wellness, Defined Benefit, Risk Management, Medicare, Long-term Care, 401k, HIPAA, Healthcare, Section 125 Plans, Insurance Brokerage, Benefit Communication, High Deductible Health..., Voluntary Employee..., Health & Welfare..., Group Insurance, Critical Illness, FMLA, Open Enrollment, Flexible Spending..., Group Medical, HRA, Benefits Design, Ancillary Benefits, Market Analysis, Sales, Affordable Care Act, HR Consulting, Strategic Thinking, Client Development
Education
Bowling Green State University 1985 — 1989
BA in Communications, Statistical Analysis & Research
Wickliffe High School 1982 — 1985
Towers Watson May 2014 - Present
The Fine Arts Association December 2011 - Present
Oswald Companies October 2010 - May 2014
BGS Associates, LLC October 2006 - October 2010
Britton Gallagher 2006 - October 2010
United Healthcare October 2002 - October 2006
QualChoice Health Plan May 1998 - October 2002
QualChoice Healthplan May 1998 - October 2002
Anthem Blue Cross & Blue Shield April 1993 - November 1997
Vantage Financial Group, Inc. 1995 - 1997
Skills
Employee Benefits, Strategic Consulting, Healthcare Consulting, Health Insurance, Strategic Planning, Health Care Reform, Underwriting, Insurance, Employee Benefits Design, Employee Wellness..., Benefits Analysis, Managed Care, Group Benefit Plans, Self-funded, Disease Management, Benefits Administration, Disability Insurance, Health Savings Accounts, COBRA, Life Insurance, Term Life Insurance, Employee Wellness, Defined Benefit, Risk Management, Medicare, Long-term Care, 401k, HIPAA, Healthcare, Section 125 Plans, Insurance Brokerage, Benefit Communication, High Deductible Health..., Voluntary Employee..., Health & Welfare..., Group Insurance, Critical Illness, FMLA, Open Enrollment, Flexible Spending..., Group Medical, HRA, Benefits Design, Ancillary Benefits, Market Analysis, Sales, Affordable Care Act, HR Consulting, Strategic Thinking, Client Development
Education
Bowling Green State University 1985 — 1989
BA in Communications, Statistical Analysis & Research
Wickliffe High School 1982 — 1985
Randy Richmond Randy Richmond's QualChoice health Plan Experience January 2001 - January 2003
Job Care Coordinator at The Cleveland Clinic
Industry Hospital & Health Care
Experience
The Cleveland Clinic May 2013 - Present
NEOCMN 2000 - Present
SelectCare Connect February 2013 - January 2014
Southwest General Health Center November 2012 - April 2013
University Hospitals Richmond Medical Center, A Campus of UH Regional Hospitals November 2011 - November 2012
University Hospitals Geneva Medical Center January 2008 - November 2011
University Hospitals CompCare 2003 - 2007
Qualchoice Health Plan January 2001 - January 2003
HCR-ManorCare January 2000 - January 2001
Physician WebLink January 1999 - January 2000
Skills
Case Management, Healthcare, Managed Care, Supervisory Skills, Microsoft Office, Customer Relations, Excel, Public Speaking, Event Planning, Team Building, Word, Writing, Coaching, Case Managment, Customer Service, Healthcare Management, Home Care, Microsoft Excel, Microsoft Word, Nursing, Teaching
Education
Lake Erie College 2008 — 2010
MBA, Health Care Administration
Ursuline College 2004 — 2007
BA, Health Care Administration
Kent State University 1981 — 1984
ASN, Nursing
The Cleveland Clinic May 2013 - Present
NEOCMN 2000 - Present
SelectCare Connect February 2013 - January 2014
Southwest General Health Center November 2012 - April 2013
University Hospitals Richmond Medical Center, A Campus of UH Regional Hospitals November 2011 - November 2012
University Hospitals Geneva Medical Center January 2008 - November 2011
University Hospitals CompCare 2003 - 2007
Qualchoice Health Plan January 2001 - January 2003
HCR-ManorCare January 2000 - January 2001
Physician WebLink January 1999 - January 2000
Skills
Case Management, Healthcare, Managed Care, Supervisory Skills, Microsoft Office, Customer Relations, Excel, Public Speaking, Event Planning, Team Building, Word, Writing, Coaching, Case Managment, Customer Service, Healthcare Management, Home Care, Microsoft Excel, Microsoft Word, Nursing, Teaching
Education
Lake Erie College 2008 — 2010
MBA, Health Care Administration
Ursuline College 2004 — 2007
BA, Health Care Administration
Kent State University 1981 — 1984
ASN, Nursing
Alice Comer Alice Comer's QualChoice health Plan Experience April 2006 - March 2015
Job Medical Risk Assessment Analyst at QualChoice
Industry Health, Wellness and Fitness
Experience
QualChoice Insurance March 2015 - Present
QualChoice Health Plan April 2006 - March 2015
Wake up Women 2008 - January 2015
EZHealthCare 2008 - 2013
Baptist Medical Center 1978 - 2005
Skills
Coaching, Training, Team Building, Leadership, Healthcare, Management, Case Managment, Case Management, Public Speaking
Education
University of Arkansas for Medical Sciences 1984 — 1989
Masters Degree, Nursing
University of Central Arkansas 1974 — 1978
Bachelor of Science (B.S.), Nursing
QualChoice Insurance March 2015 - Present
QualChoice Health Plan April 2006 - March 2015
Wake up Women 2008 - January 2015
EZHealthCare 2008 - 2013
Baptist Medical Center 1978 - 2005
Skills
Coaching, Training, Team Building, Leadership, Healthcare, Management, Case Managment, Case Management, Public Speaking
Education
University of Arkansas for Medical Sciences 1984 — 1989
Masters Degree, Nursing
University of Central Arkansas 1974 — 1978
Bachelor of Science (B.S.), Nursing
Amy (Amy Vasch) Pyke Amy (Amy Vasch) Pyke's QualChoice health Plan Experience 1998 - 2000
Job Health Economics & Reimbursement Health Policy Market Access Strategy
Industry Pharmaceuticals
Experience
GE Healthcare 2013 - Present
Novartis 2011 - 2013
Apria Healthcare 2006 - 2011
EBI, L.P 2000 - 2006
QualChoice Health Plan 1998 - 2000
Anthem Blue Cross and Blue Shield 1995 - 1998
Skills
Healthcare Industry, Managed Care, Sales Management, Healthcare, Medicare, Medicaid, Hospitals, Medical Devices, Leadership, Health Policy, Sales Operations, Provider Relations, Physicians, Orthopedic, Training, Medical Coding, Home Care
Education
Ohio University 1991 — 1995
Bachelor’s Degree, Health Care Administration, Cum Laude
Padua Franciscan High School 1987 — 1991
High School, College/University Preparatory and Advanced High School/Secondary Diploma Program
GE Healthcare 2013 - Present
Novartis 2011 - 2013
Apria Healthcare 2006 - 2011
EBI, L.P 2000 - 2006
QualChoice Health Plan 1998 - 2000
Anthem Blue Cross and Blue Shield 1995 - 1998
Skills
Healthcare Industry, Managed Care, Sales Management, Healthcare, Medicare, Medicaid, Hospitals, Medical Devices, Leadership, Health Policy, Sales Operations, Provider Relations, Physicians, Orthopedic, Training, Medical Coding, Home Care
Education
Ohio University 1991 — 1995
Bachelor’s Degree, Health Care Administration, Cum Laude
Padua Franciscan High School 1987 — 1991
High School, College/University Preparatory and Advanced High School/Secondary Diploma Program
Cheryl Sullivan Cheryl Sullivan's QualChoice health Plan Experience August 1997 - March 1998
Job President Lakewood Hospital Volunteer Assoication at Lakewood Hospital a Cleveland Clinic Hospital
Industry Consumer Services
Experience
Lakewood Hospital a Cleveland Clinic Hospital January 2001 - Present
Lakewood Hospital a Cleveland Clinic Hospital September 2013 - Present
NPTI Certified Personal Trainer October 2012 - Present
Lakewood City Schools August 2000 - April 2014
Bryant & Stratton College December 2006 - August 2009
Remington College July 2004 - December 2006
Emerald Health Network February 1998 - July 1999
QualChoice Health Plan August 1997 - March 1998
Health Benefits of America September 1996 - May 1997
United Healthcare Corporation May 1993 - September 1996
Skills
Director Health..., Sales Health & Life, Education Management, Research, Management, Administration, Staff Development, Tutoring, Teaching, Educational Leadership, Leadership Development, Classroom, Student Affairs, Customer Service, Leadership, Training, Education, Program Development, Higher Education, Public Speaking, Curriculum Design
Education
Baldwin Wallace University 2001 — 2004
Master of Arts, Administration & Education, 3.8
Chancellor University 1982 — 1988
Bachelor of Science, Business Administration, 3.5
Lakewood Hospital a Cleveland Clinic Hospital January 2001 - Present
Lakewood Hospital a Cleveland Clinic Hospital September 2013 - Present
NPTI Certified Personal Trainer October 2012 - Present
Lakewood City Schools August 2000 - April 2014
Bryant & Stratton College December 2006 - August 2009
Remington College July 2004 - December 2006
Emerald Health Network February 1998 - July 1999
QualChoice Health Plan August 1997 - March 1998
Health Benefits of America September 1996 - May 1997
United Healthcare Corporation May 1993 - September 1996
Skills
Director Health..., Sales Health & Life, Education Management, Research, Management, Administration, Staff Development, Tutoring, Teaching, Educational Leadership, Leadership Development, Classroom, Student Affairs, Customer Service, Leadership, Training, Education, Program Development, Higher Education, Public Speaking, Curriculum Design
Education
Baldwin Wallace University 2001 — 2004
Master of Arts, Administration & Education, 3.8
Chancellor University 1982 — 1988
Bachelor of Science, Business Administration, 3.5
Dave Darnell's QualChoice health Plan Experience January 2008 - January 2009
Job Process, Project, and IT Management
Industry Information Technology and Services
Experience
Weltman, Weinberg & Reis March 2008 - Present
QualChoice Health Plan January 2008 - January 2009
Wellpoint, Qualchoice Health Plans of Cleveland September 2002 - 2008
Various product support and sales inquiries 1985 - 2006
KAISER-PERMANENTE IT, Clinical Information Systems, Aurora, Colorado April 2001 - July 2002
DISTRIBUTION RESOURCES COMPANY, Englewood, Colorado January 2000 - March 2001
FRI, various clients 1997 - 2001
Compass Minerals 1997 - 1998
BEST CONSULTING, INC., Boise, Idaho October 1994 - August 1997
LOCKHEED-MARTIN ASTRONAUTICS, Denver, Colorado March 1987 - July 1994
Skills
Documentation, Continuous Improvement, Health Insurance, SCADA, Distribution Systems, Process Management, Analysis, Business Analysis, Programming, Requirements Analysis, EDI, Microsoft Office, Integration, Databases, COBOL, SQL Server, Healthcare, Access, SQL, Problem Solving, Administration, Team Building, SDLC, Software Development, Planning, Excel, Research, Change Management, Strategic Planning, Testing, Visual Basic, Process Improvement, Customer Service, ITIL, Negotiation, Quality Assurance, Fortran, MPE, Software Documentation, Microsoft SQL Server, Management, Microsoft Excel, Project Planning, Project Management, System Administration, Troubleshooting, Training, MS Project, Leadership, vendor selection
Education
University of Idaho 1979 — 1983
BSCS & BSBus, Data Processing; Finance
Weltman, Weinberg & Reis March 2008 - Present
QualChoice Health Plan January 2008 - January 2009
Wellpoint, Qualchoice Health Plans of Cleveland September 2002 - 2008
Various product support and sales inquiries 1985 - 2006
KAISER-PERMANENTE IT, Clinical Information Systems, Aurora, Colorado April 2001 - July 2002
DISTRIBUTION RESOURCES COMPANY, Englewood, Colorado January 2000 - March 2001
FRI, various clients 1997 - 2001
Compass Minerals 1997 - 1998
BEST CONSULTING, INC., Boise, Idaho October 1994 - August 1997
LOCKHEED-MARTIN ASTRONAUTICS, Denver, Colorado March 1987 - July 1994
Skills
Documentation, Continuous Improvement, Health Insurance, SCADA, Distribution Systems, Process Management, Analysis, Business Analysis, Programming, Requirements Analysis, EDI, Microsoft Office, Integration, Databases, COBOL, SQL Server, Healthcare, Access, SQL, Problem Solving, Administration, Team Building, SDLC, Software Development, Planning, Excel, Research, Change Management, Strategic Planning, Testing, Visual Basic, Process Improvement, Customer Service, ITIL, Negotiation, Quality Assurance, Fortran, MPE, Software Documentation, Microsoft SQL Server, Management, Microsoft Excel, Project Planning, Project Management, System Administration, Troubleshooting, Training, MS Project, Leadership, vendor selection
Education
University of Idaho 1979 — 1983
BSCS & BSBus, Data Processing; Finance
Heidi Seibert, PMP Heidi Seibert, PMP's QualChoice health Plan Experience 2000 - 2006
Job Global IT Project Manager, Reporting and Analytics at Eaton
Industry Information Technology and Services
Experience
Eaton Global IT Project Manager, Reporting and AnalyticsEaton2014 - Present
CVS Caremark Corporation 2013 - 2014
Health Data & Management Solutions, Inc. (HDMS) 2010 - 2013
Health Data & Management Solutions, Inc. (HDMS) 2006 - 2010
Qualchoice Health Plan 2000 - 2006
Skills
Requirements Analysis, Business Analysis, Vendor Management, Project Management, SDLC, Visio, Requirements Gathering, Business Intelligence, Software Project..., Client Relations Skills, Client Liaison, Manage Client..., Communication, Corporate Communications, Instructor-led Training, Hands-on Training, Employee Training, Internal Audit, Health Insurance, Presentation Coaching, Proofreading, Claims Resolution, Provider Relations, Provider Network..., Writing, Communication Skills, Analytics, Healthcare Information..., Software Development, HIPAA, Process Improvement, Data Warehousing, Data Analysis, Data Modeling, Management, Leadership, Analysis, Training, Quality Assurance, Cross-functional Team..., Integration, Program Management, Information Technology, Software Documentation
Education
John Carroll University
Bachelor of Arts (BA), Major - English; Minor Communications
Eaton Global IT Project Manager, Reporting and AnalyticsEaton2014 - Present
CVS Caremark Corporation 2013 - 2014
Health Data & Management Solutions, Inc. (HDMS) 2010 - 2013
Health Data & Management Solutions, Inc. (HDMS) 2006 - 2010
Qualchoice Health Plan 2000 - 2006
Skills
Requirements Analysis, Business Analysis, Vendor Management, Project Management, SDLC, Visio, Requirements Gathering, Business Intelligence, Software Project..., Client Relations Skills, Client Liaison, Manage Client..., Communication, Corporate Communications, Instructor-led Training, Hands-on Training, Employee Training, Internal Audit, Health Insurance, Presentation Coaching, Proofreading, Claims Resolution, Provider Relations, Provider Network..., Writing, Communication Skills, Analytics, Healthcare Information..., Software Development, HIPAA, Process Improvement, Data Warehousing, Data Analysis, Data Modeling, Management, Leadership, Analysis, Training, Quality Assurance, Cross-functional Team..., Integration, Program Management, Information Technology, Software Documentation
Education
John Carroll University
Bachelor of Arts (BA), Major - English; Minor Communications
Bertha Boykin Bertha Boykin's QualChoice health Plan Experience July 1996 - April 2007
Job Real Estate Professional
Industry Real Estate
Experience
Developers Diversified Realty 2007 - 2009
QualChoice Health Plan July 1996 - April 2007
Kaiser Permanente March 1989 - February 1994
Skills
Accounts Receivable, Accounts Payable, Account Reconciliation, Customer Relations, Excel, Word, Access, J.D. Edwards, Depoist, Quickbooks, Service Providers, Problem Solving, Cash Receipts, Collections, QuickBooks, Customer Service
Education
Cuyahoga Community College 1992 — 1993
None, Accounting
Developers Diversified Realty 2007 - 2009
QualChoice Health Plan July 1996 - April 2007
Kaiser Permanente March 1989 - February 1994
Skills
Accounts Receivable, Accounts Payable, Account Reconciliation, Customer Relations, Excel, Word, Access, J.D. Edwards, Depoist, Quickbooks, Service Providers, Problem Solving, Cash Receipts, Collections, QuickBooks, Customer Service
Education
Cuyahoga Community College 1992 — 1993
None, Accounting
Chris Corum's QualChoice health Plan Experience July 1996 - February 2000
Job Vice President, Technology and Operations at Randstad Healthcare
Industry Computer & Network Security
Experience
Randstad Healthcare March 2012 - Present
Locum Medical Group October 2003 - March 2012
CKIntegrations February 2002 - October 2004
HealthSync February 2000 - February 2002
QualChoice Health Plan July 1996 - February 2000
United States Army June 1991 - June 1996
Skills
Recruiting, Healthcare Information..., .NET, JavaScript, HTML, Operations Management, SQL, Microsoft SQL Server, Oracle SQL, ASP.NET AJAX, CSS, Telecommunications, Network Administration, Network Security, MPE, Software Development, Project Management, Business Analysis, Business Strategy, CRM, Healthcare, Temporary Placement, Process Improvement, Visio, ASP, Vendor Management, Web Applications, Team Leadership, Cloud Computing, Account Management, Disaster Recovery, SEO, Access, Business Intelligence, SharePoint, Team Building, ITIL, New Business Development, Software Project..., Integration, SDLC, Strategic Planning, Enterprise Software, Leadership, SSRS, Talent Acquisition, Security, SaaS, IT Management, Management
Education
Kent State University 1996 — 2001
University of Maryland, Europe 1993 — 1996
Computer Sciences
Randstad Healthcare March 2012 - Present
Locum Medical Group October 2003 - March 2012
CKIntegrations February 2002 - October 2004
HealthSync February 2000 - February 2002
QualChoice Health Plan July 1996 - February 2000
United States Army June 1991 - June 1996
Skills
Recruiting, Healthcare Information..., .NET, JavaScript, HTML, Operations Management, SQL, Microsoft SQL Server, Oracle SQL, ASP.NET AJAX, CSS, Telecommunications, Network Administration, Network Security, MPE, Software Development, Project Management, Business Analysis, Business Strategy, CRM, Healthcare, Temporary Placement, Process Improvement, Visio, ASP, Vendor Management, Web Applications, Team Leadership, Cloud Computing, Account Management, Disaster Recovery, SEO, Access, Business Intelligence, SharePoint, Team Building, ITIL, New Business Development, Software Project..., Integration, SDLC, Strategic Planning, Enterprise Software, Leadership, SSRS, Talent Acquisition, Security, SaaS, IT Management, Management
Education
Kent State University 1996 — 2001
University of Maryland, Europe 1993 — 1996
Computer Sciences
Lorna Pate's QualChoice health Plan Experience 1998 - 2005
Job Director, Compliance and Grievance and Appeals at Denver Health Medical Plan, Inc.
Industry Insurance
Experience
Denver Health Medical Plan, Inc. January 2012 - Present
Essence Healthcare, Inc. November 2007 - January 2012
UPMC Health Plan, Inc. September 2005 - November 2007
QualChoice Health Plan 1998 - 2005
Skills
Medicare, Managed Care, Medicaid, Health Insurance, Provider Relations, HIPAA, Healthcare, Healthcare Management, Insurance, Medicare Part D, Health Policy, Healthcare Information..., Claim, Healthcare Industry, HMO, Process Improvement, PPO, Employee Benefits, Utilization Management, Pharmacy Benefit...
Education
Baldwin-Wallace College
B.A., Business and Political Science
The University of Akron
M.B.A., Healthcare Services Administration
University of Akron School of Law
Denver Health Medical Plan, Inc. January 2012 - Present
Essence Healthcare, Inc. November 2007 - January 2012
UPMC Health Plan, Inc. September 2005 - November 2007
QualChoice Health Plan 1998 - 2005
Skills
Medicare, Managed Care, Medicaid, Health Insurance, Provider Relations, HIPAA, Healthcare, Healthcare Management, Insurance, Medicare Part D, Health Policy, Healthcare Information..., Claim, Healthcare Industry, HMO, Process Improvement, PPO, Employee Benefits, Utilization Management, Pharmacy Benefit...
Education
Baldwin-Wallace College
B.A., Business and Political Science
The University of Akron
M.B.A., Healthcare Services Administration
University of Akron School of Law
Kevin Armbruster's QualChoice health Plan Experience 2002 - 2007
Job Operations Director, LiveHealth OnLine at WellPoint
Industry Hospital & Health Care
Experience
WellPoint October 2012 - Present
Anthem November 2006 - Present
Anthem Blue Cross and Blue Shield 2006 - Present
WellPoint November 2006 - November 2012
QualChoice Health Plan 2002 - 2007
QualChoice 2002 - 2006
SummaCare 1996 - 2002
Prudential Group Health 1982 - 1996
Skills
Managed Care, Process Improvement, Healthcare, EDI, Medicare, Medicaid, Strategic Planning, Program Management, Insurance, Healthcare Management, Health Insurance, Customer Relations, Change Management, Business Process..., Customer Service, Six Sigma, Team Building, HIPAA, Provider Relations, Management
Education
The University of Akron
Bachelor's degree
WellPoint October 2012 - Present
Anthem November 2006 - Present
Anthem Blue Cross and Blue Shield 2006 - Present
WellPoint November 2006 - November 2012
QualChoice Health Plan 2002 - 2007
QualChoice 2002 - 2006
SummaCare 1996 - 2002
Prudential Group Health 1982 - 1996
Skills
Managed Care, Process Improvement, Healthcare, EDI, Medicare, Medicaid, Strategic Planning, Program Management, Insurance, Healthcare Management, Health Insurance, Customer Relations, Change Management, Business Process..., Customer Service, Six Sigma, Team Building, HIPAA, Provider Relations, Management
Education
The University of Akron
Bachelor's degree
Tanaya Clinger's QualChoice health Plan Experience 1999 - 2006
Job Supervisor at Healthfirst
Industry Information Services
Experience
Healthfirst April 2013 - Present
Healthfirst July 2008 - April 2013
Affinity Health Plan March 2006 - July 2008
QualChoice August 1999 - February 2006
QualChoice Health Plan 1999 - 2006
Family Health Plan June 1997 - July 1999
Skills
Business Analysis, SQL, Integration, SDLC, Software Documentation, Requirements Analysis, Healthcare Information..., Requirements Gathering, Testing, Business Requirements, Analysis, Systems Analysis, Process Improvement, SharePoint
Education
Bowling Green State University 1991 — 1995
Healthfirst April 2013 - Present
Healthfirst July 2008 - April 2013
Affinity Health Plan March 2006 - July 2008
QualChoice August 1999 - February 2006
QualChoice Health Plan 1999 - 2006
Family Health Plan June 1997 - July 1999
Skills
Business Analysis, SQL, Integration, SDLC, Software Documentation, Requirements Analysis, Healthcare Information..., Requirements Gathering, Testing, Business Requirements, Analysis, Systems Analysis, Process Improvement, SharePoint
Education
Bowling Green State University 1991 — 1995
Eric Rihtar's QualChoice health Plan Experience January 2001 - April 2005
Job Technical Support Specialist at Lake Health
Industry Hospital & Health Care
Experience
Lake Health June 2011 - Present
Flight Services & Systems June 2009 - July 2011
Capstone Realty Advisors May 2005 - May 2009
QualChoice Health Plan January 2001 - April 2005
Education
Cleveland State University 2003 — 2008
Computer Science, Business
Lake Health June 2011 - Present
Flight Services & Systems June 2009 - July 2011
Capstone Realty Advisors May 2005 - May 2009
QualChoice Health Plan January 2001 - April 2005
Education
Cleveland State University 2003 — 2008
Computer Science, Business
Frederick Thorpe's QualChoice health Plan Experience March 2002 - April 2005
Job Retired at this time
Industry Writing and Editing
Experience
Accenture May 2010 - March 2014
First Service Administrators, Inc. July 2009 - February 2010
WellCare Health Plan September 2005 - May 2009
QualChoice Health Plan March 2002 - April 2005
Perot Systems March 1997 - August 2001
Skills
Response, EDI, Claim, Outsourcing, Insurance, Process Improvement, Integration, HIPAA, Business Process..., Healthcare, Health Insurance, Business Analysis
Education
Marshall University 1970 — 1974
MS, Education
Bliss Business College 1968 — 1969
BC, Accounting
Accenture May 2010 - March 2014
First Service Administrators, Inc. July 2009 - February 2010
WellCare Health Plan September 2005 - May 2009
QualChoice Health Plan March 2002 - April 2005
Perot Systems March 1997 - August 2001
Skills
Response, EDI, Claim, Outsourcing, Insurance, Process Improvement, Integration, HIPAA, Business Process..., Healthcare, Health Insurance, Business Analysis
Education
Marshall University 1970 — 1974
MS, Education
Bliss Business College 1968 — 1969
BC, Accounting
Laura Mendise's QualChoice health Plan Experience 2001 - 2005
Job Account Executive at EnvisionRX Options
Industry Pharmaceuticals
Experience
EnvisionRX Options October 2011 - Present
CGI October 2007 - October 2011
Watson Wyatt Worldwide 2005 - 2007
QualChoice Health Plan 2001 - 2005
Skills
Healthcare, Managed Care, Employee Benefits, Analysis, PBM, Pharmacy Benefit..., Key Account Management, Management, Account Management
Education
Cleveland State University
MBA
Ohio University
Bachelor of Science
EnvisionRX Options October 2011 - Present
CGI October 2007 - October 2011
Watson Wyatt Worldwide 2005 - 2007
QualChoice Health Plan 2001 - 2005
Skills
Healthcare, Managed Care, Employee Benefits, Analysis, PBM, Pharmacy Benefit..., Key Account Management, Management, Account Management
Education
Cleveland State University
MBA
Ohio University
Bachelor of Science
Doug Statzer's QualChoice health Plan Experience August 1992 - February 1998
Job Computer Software Professional
Industry Computer Software
Experience
MyriadHealth (Gables Search Group) September 2007 - December 2008
Camp Barnabas May 2007 - August 2007
MyriadHealth January 2007 - May 2007
Camp Barnabas May 2006 - August 2006
Ernst & Young July 2002 - April 2006
CSC Healthcare February 1998 - August 2001
CSC Healthcare February 1989 - August 2001
QualChoice Health Plan August 1992 - February 1998
Star Bank of Preble County January 1988 - January 1991
Education
Bowling Green State University 1987 — 1992
Bachelor of Science, Business Administration, Management Information Systems
MyriadHealth (Gables Search Group) September 2007 - December 2008
Camp Barnabas May 2007 - August 2007
MyriadHealth January 2007 - May 2007
Camp Barnabas May 2006 - August 2006
Ernst & Young July 2002 - April 2006
CSC Healthcare February 1998 - August 2001
CSC Healthcare February 1989 - August 2001
QualChoice Health Plan August 1992 - February 1998
Star Bank of Preble County January 1988 - January 1991
Education
Bowling Green State University 1987 — 1992
Bachelor of Science, Business Administration, Management Information Systems
Brian Worthington's QualChoice health Plan Experience February 2001 - August 2004
Job Competitive Intelligence Analyst at Progressive Insurance
Industry Hospital & Health Care
Experience
Progressive Insurance June 2015 - Present
Healthspan Integrated Care (Formerly Kaiser Permanente) July 2012 - June 2015
Kaiser Permanente August 2004 - July 2012
Qualchoice Health Plan February 2001 - August 2004
Rural/Metro Corporation April 1994 - January 2001
Skills
Underwriting, Insurance, Compliance, Excel, Healthcare, Team Building, Salesforce.com..., Project Management, Management, Sales Compensation..., Reporting & Analysis, Managed Care, Employee Benefits, Access, Health Insurance, Microsoft Excel, Training, Leadership, Process Improvement
Education
Cleveland State University
Progressive Insurance June 2015 - Present
Healthspan Integrated Care (Formerly Kaiser Permanente) July 2012 - June 2015
Kaiser Permanente August 2004 - July 2012
Qualchoice Health Plan February 2001 - August 2004
Rural/Metro Corporation April 1994 - January 2001
Skills
Underwriting, Insurance, Compliance, Excel, Healthcare, Team Building, Salesforce.com..., Project Management, Management, Sales Compensation..., Reporting & Analysis, Managed Care, Employee Benefits, Access, Health Insurance, Microsoft Excel, Training, Leadership, Process Improvement
Education
Cleveland State University
Kathie Mancini's QualChoice health Plan Experience 1995 - 1996
Job Regional Vice President at Molina Healthcare
Industry Hospital & Health Care
Experience
Molina Healthcare 2011 - Present
Molina Healthcare 2008 - 2011
Molina Healthcare 2006 - 2008
Mount Carmel Health Plan 2005 - 2006
SummaCare Health Plan 1996 - 2005
QualChoice Health Plan 1995 - 1996
Aetna 1994 - 1995
Skills
Microsoft Office, Business Process, Strategic Planning, Process Improvement, Medicaid, Training, Healthcare, Network Development, HIPAA, SharePoint, Medicare, Operations Management, Program Management, Managed Care, Hospitals, Access, Provider Relations, Leadership, HMO, Project Management, Business Analysis, Data Analysis, Healthcare Management, Team Building, Government Procurement, Analysis, Health Insurance, Change Management
Education
Ohio University 1987 — 1991
Communications, BSC
Molina Healthcare 2011 - Present
Molina Healthcare 2008 - 2011
Molina Healthcare 2006 - 2008
Mount Carmel Health Plan 2005 - 2006
SummaCare Health Plan 1996 - 2005
QualChoice Health Plan 1995 - 1996
Aetna 1994 - 1995
Skills
Microsoft Office, Business Process, Strategic Planning, Process Improvement, Medicaid, Training, Healthcare, Network Development, HIPAA, SharePoint, Medicare, Operations Management, Program Management, Managed Care, Hospitals, Access, Provider Relations, Leadership, HMO, Project Management, Business Analysis, Data Analysis, Healthcare Management, Team Building, Government Procurement, Analysis, Health Insurance, Change Management
Education
Ohio University 1987 — 1991
Communications, BSC
Ernesto DiGennaro's QualChoice health Plan Experience 2005 - 2007
Job IS&T Professional EDI
Industry Information Technology and Services
Experience
Open Text September 2013 - Present
Weltman, Weinberg & Reis 2009 - 2011
Qualchoice Health Plan 2005 - 2007
Cleveland State University August 2004 - May 2005
Quadax, Inc. February 1999 - August 2002
Skills
Help Desk Support, Disaster Recovery, Active Directory, Windows 7, SharePoint, Access, Windows Server, VMware, Visio, Microsoft Office, Business Analysis, Customer Service, Training, Outlook, Leadership, System Administration, Analysis, Windows, Windows XP, Microsoft Excel, Team Building, Virtualization, Business Process..., Microsoft Word, Technical Support, SQL, IT Strategy, Business Intelligence, EDI, Software Documentation, Troubleshooting, Process Improvement, Networking, Servers, Databases, Unix, IT Operations, Linux, HTML
Education
Cleveland State University
Open Text September 2013 - Present
Weltman, Weinberg & Reis 2009 - 2011
Qualchoice Health Plan 2005 - 2007
Cleveland State University August 2004 - May 2005
Quadax, Inc. February 1999 - August 2002
Skills
Help Desk Support, Disaster Recovery, Active Directory, Windows 7, SharePoint, Access, Windows Server, VMware, Visio, Microsoft Office, Business Analysis, Customer Service, Training, Outlook, Leadership, System Administration, Analysis, Windows, Windows XP, Microsoft Excel, Team Building, Virtualization, Business Process..., Microsoft Word, Technical Support, SQL, IT Strategy, Business Intelligence, EDI, Software Documentation, Troubleshooting, Process Improvement, Networking, Servers, Databases, Unix, IT Operations, Linux, HTML
Education
Cleveland State University