Quality Health Plans
Description
Address: 2805 E Veterans Memorial Hwy #17, Ronkonkoma, NY 11779 Phone: (877) 233-7058Category: : : Place name: : Website: : Hours: : : Website: http://qhpny.com/ Category: Medical clinic Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. · Own this business?Add missing informationAdd business hours Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a question See all questions (7) Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of Quality Health Plans of New York, Inc Posting publicly on the Web Write a review Reviews 5 Google reviews
Quality Health Plans List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Quality Health Plans. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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Quality Health Plans Employees
Employee
Years
Job
Industry
Cassandra (Sandi) Bianchi, CMCN Cassandra (Sandi) Bianchi, CMCN's Quality Health Plans Experience March 2008 - June 2010
Job Director of Managed Care at Consulate Management Company
Industry Hospital & Health Care
Experience
Consulate Management Company July 2010 - Present
Quality Health Plans March 2008 - June 2010
Skills
Director of Case..., Nursing Management, Director of Marketing, Director of Admissions, Nurse Liasion, Healthcare Management, Medicare, Managed Care, Medicaid, Nursing, Home Care, Physician Relations, Hospitals, Healthcare Industry, Disease Management, Healthcare Consulting, Case Management, Utilization Management, Healthcare, HIPAA, Team Building, Training, Leadership, Acute Care, Customer Service, EMR, Health Insurance, Healthcare Information..., Patient Advocacy, Strategic Planning
Education
Polk State College 1991 — 1992
Practical Nurse, Nursing Education
Consulate Management Company July 2010 - Present
Quality Health Plans March 2008 - June 2010
Skills
Director of Case..., Nursing Management, Director of Marketing, Director of Admissions, Nurse Liasion, Healthcare Management, Medicare, Managed Care, Medicaid, Nursing, Home Care, Physician Relations, Hospitals, Healthcare Industry, Disease Management, Healthcare Consulting, Case Management, Utilization Management, Healthcare, HIPAA, Team Building, Training, Leadership, Acute Care, Customer Service, EMR, Health Insurance, Healthcare Information..., Patient Advocacy, Strategic Planning
Education
Polk State College 1991 — 1992
Practical Nurse, Nursing Education
John E. Killett John E. Killett's Quality Health Plans Experience April 2004 - May 2007
Job Paralegal at Waller & Mitchell
Industry Law Practice
Experience
Waller & Mitchell July 2011 - April 2012
Fenner & Boles, LLC August 2010 - July 2011
Corless & Zinober August 2009 - August 2010
Waller & Mitchell May 2007 - July 2009
Quality Health Plans April 2004 - May 2007
Skills
Civil Litigation, Litigation, Legal Research, Personal Injury, Pleadings, Legal Assistance, Trials, Legal Writing, Courts, Medical Malpractice, PACER, Westlaw, Real Estate, Lexis, Courtlink, HotDocs, CaseMap, TimeMap, Loislaw, PCLaw, Juris, Time Matters, AbacusLaw, Real Estate Transactions, Appeals, Personal Injury..., Hearings, Criminal Defense, Motions, Wrongful Death, Depositions, Immigration Law, Legal Discovery, Legal Documents, Document Review, Torts, Social Security..., Paralegals
Education
Florida Metropolitan University 1993 — 1995
AS, Paralegal
Waller & Mitchell July 2011 - April 2012
Fenner & Boles, LLC August 2010 - July 2011
Corless & Zinober August 2009 - August 2010
Waller & Mitchell May 2007 - July 2009
Quality Health Plans April 2004 - May 2007
Skills
Civil Litigation, Litigation, Legal Research, Personal Injury, Pleadings, Legal Assistance, Trials, Legal Writing, Courts, Medical Malpractice, PACER, Westlaw, Real Estate, Lexis, Courtlink, HotDocs, CaseMap, TimeMap, Loislaw, PCLaw, Juris, Time Matters, AbacusLaw, Real Estate Transactions, Appeals, Personal Injury..., Hearings, Criminal Defense, Motions, Wrongful Death, Depositions, Immigration Law, Legal Discovery, Legal Documents, Document Review, Torts, Social Security..., Paralegals
Education
Florida Metropolitan University 1993 — 1995
AS, Paralegal
Eugene Vais's Quality Health Plans Experience August 2009 - September 2011
Job Director of Infrastructure at Highway Toll Administration, LLC
Industry Information Technology and Services
Experience
Highway Toll Administration, LLC February 2014 - Present
Highway Toll Administration, LLC July 2012 - February 2014
Ambulatory Vascular Care Management, LLC October 2011 - July 2012
Quality Health Plans August 2009 - September 2011
Zibiz April 2007 - April 2009
Skills
Web Design, Graphic Design, Healthcare IT, Help Desk Management, Network Administration, Healthcare Information..., Help Desk Support, Troubleshooting, Data Analysis, Windows, Windows Server, Active Directory, Data Center, Network Security, Technical Support, Networking, Software Installation, Visio, System Administration, Microsoft SQL Server, Infrastructure, SQL, Cloud Computing, HTML, Testing, Project Management, Systems Analysis, Leadership, SharePoint, Requirements Analysis, VoIP, Management, Process Improvement, Program Management, Strategic Planning
Education
Clarkson University 2002 — 2006
BS, Engineering & Management
Highway Toll Administration, LLC February 2014 - Present
Highway Toll Administration, LLC July 2012 - February 2014
Ambulatory Vascular Care Management, LLC October 2011 - July 2012
Quality Health Plans August 2009 - September 2011
Zibiz April 2007 - April 2009
Skills
Web Design, Graphic Design, Healthcare IT, Help Desk Management, Network Administration, Healthcare Information..., Help Desk Support, Troubleshooting, Data Analysis, Windows, Windows Server, Active Directory, Data Center, Network Security, Technical Support, Networking, Software Installation, Visio, System Administration, Microsoft SQL Server, Infrastructure, SQL, Cloud Computing, HTML, Testing, Project Management, Systems Analysis, Leadership, SharePoint, Requirements Analysis, VoIP, Management, Process Improvement, Program Management, Strategic Planning
Education
Clarkson University 2002 — 2006
BS, Engineering & Management
April Gardner April Gardner's Quality Health Plans Experience February 2005 - September 2005
Job Software Developer at FairWarning, Inc
Industry Information Services
Experience
Verizon Wireless July 2015 - Present
FairWarning, Inc July 2012 - May 2015
BayCare Health System September 2007 - March 2011
MedOp, Inc. September 2005 - July 2007
Quality Health Plans February 2005 - September 2005
Byram Healthcare February 2001 - February 2005
Skills
HTML, Windows, Visio, Java, MySQL, Databases, Outlook, SQL, SharePoint, Microsoft Office, PowerPoint, Customer Service, Management, Microsoft Excel, Microsoft Word, Linux, C#, Microsoft SQL Server, Visual Studio, Access, Research, Photoshop, English, Teaching, NetBeans, Dreamweaver, XHTML, SQLyog, Notepad++, Central Desktop, OneNote, Troubleshooting, XML, Software Development, Tomcat, Salesforce.com, Web Applications, Database Administration, Unix, HIPAA, Oracle, Healthcare Information..., FairWarning Patient...
Education
University of South Florida - College of Business Administration 2008 — 2011
Bachelor of Science (B.S.), Management Information Systems
Pasco-Hernando Community College 2005 — 2007
Associate of Arts (A.A.), Business
Verizon Wireless July 2015 - Present
FairWarning, Inc July 2012 - May 2015
BayCare Health System September 2007 - March 2011
MedOp, Inc. September 2005 - July 2007
Quality Health Plans February 2005 - September 2005
Byram Healthcare February 2001 - February 2005
Skills
HTML, Windows, Visio, Java, MySQL, Databases, Outlook, SQL, SharePoint, Microsoft Office, PowerPoint, Customer Service, Management, Microsoft Excel, Microsoft Word, Linux, C#, Microsoft SQL Server, Visual Studio, Access, Research, Photoshop, English, Teaching, NetBeans, Dreamweaver, XHTML, SQLyog, Notepad++, Central Desktop, OneNote, Troubleshooting, XML, Software Development, Tomcat, Salesforce.com, Web Applications, Database Administration, Unix, HIPAA, Oracle, Healthcare Information..., FairWarning Patient...
Education
University of South Florida - College of Business Administration 2008 — 2011
Bachelor of Science (B.S.), Management Information Systems
Pasco-Hernando Community College 2005 — 2007
Associate of Arts (A.A.), Business
Mike Worley Mike Worley's Quality Health Plans Experience June 2004 - December 2011
Job Owner and Chief Designer at Symboc Designs
Industry Internet
Experience
Virtual Health Group, PLLC January 2012 - Present
Symboc Web Design January 2009 - Present
Quality Health Plans June 2004 - December 2011
Business Presentation Graphics January 1996 - May 2004
Private Industry Council of Pasco County January 1982 - April 1996
Skills
Web Development, Graphic Design, Windows 95, 98, XP and 7, Microsoft Office, Expression Web, Adobe Creative Suite, Visio, Technical Writing, Total Quality Management, Sales Presentation..., Web Training Development, Purchasing (Public and..., Competitive Grant..., Planning and Forecasting, Audit Resolution, Data Analysis, Windows, Auditing, Website Development, Software Documentation, Training, Leadership, Sales Presentations, Marketing, Team Building, Web Design, Analysis, TQM, Customer Service, Nonprofits
Education
Florida State University
Post Graduate Studies, Physical Anthropology
University of Tennessee-Knoxville
BA, Anthropology
Virtual Health Group, PLLC January 2012 - Present
Symboc Web Design January 2009 - Present
Quality Health Plans June 2004 - December 2011
Business Presentation Graphics January 1996 - May 2004
Private Industry Council of Pasco County January 1982 - April 1996
Skills
Web Development, Graphic Design, Windows 95, 98, XP and 7, Microsoft Office, Expression Web, Adobe Creative Suite, Visio, Technical Writing, Total Quality Management, Sales Presentation..., Web Training Development, Purchasing (Public and..., Competitive Grant..., Planning and Forecasting, Audit Resolution, Data Analysis, Windows, Auditing, Website Development, Software Documentation, Training, Leadership, Sales Presentations, Marketing, Team Building, Web Design, Analysis, TQM, Customer Service, Nonprofits
Education
Florida State University
Post Graduate Studies, Physical Anthropology
University of Tennessee-Knoxville
BA, Anthropology
Amber Clements's Quality Health Plans Experience July 2008 - November 2011
Job Manager, Provider Network Services
Industry Insurance
Experience
Quality Health Plans of New York, Inc. September 2014 - Present
Quality Health Plans of New York, Inc. 2014 - 2015
Care Wisconsin November 2013 - August 2014
RR Donnelley November 2012 - November 2013
Quality Health Plans July 2008 - November 2011
Medical Funding Services April 2007 - December 2007
Quality Health Plans April 2000 - April 2007
WellCare 1995 - 1998
Skills
Sales Management, New Business Development, Strategic Planning, Managed Care, Account Management, Contracting & Network..., Provider Relations, Sales, Healthcare, Process Improvement, Insurance, Employee Benefits, Leadership, HIPAA, Team Building, Training, Medicare, Health Insurance, Healthcare Industry, Medicaid, Healthcare Management
Education
St. Petersburg College 1995 — 1996
Quality Health Plans of New York, Inc. September 2014 - Present
Quality Health Plans of New York, Inc. 2014 - 2015
Care Wisconsin November 2013 - August 2014
RR Donnelley November 2012 - November 2013
Quality Health Plans July 2008 - November 2011
Medical Funding Services April 2007 - December 2007
Quality Health Plans April 2000 - April 2007
WellCare 1995 - 1998
Skills
Sales Management, New Business Development, Strategic Planning, Managed Care, Account Management, Contracting & Network..., Provider Relations, Sales, Healthcare, Process Improvement, Insurance, Employee Benefits, Leadership, HIPAA, Team Building, Training, Medicare, Health Insurance, Healthcare Industry, Medicaid, Healthcare Management
Education
St. Petersburg College 1995 — 1996
Brian Bachman's Quality Health Plans Experience March 2010 - August 2010
Job Account Manager at EnvisonRx Options
Industry Pharmaceuticals
Experience
EnvisionRxOptions July 2014 - Present
Bachman Insurance August 2013 - Present
Humana August 2010 - March 2013
Quality Health Plans March 2010 - August 2010
First Health Services Corp January 2008 - December 2009
Agency for Healthcare Administration March 2005 - August 2005
Tampa General Hospital March 2004 - December 2004
Walgreens Pharmacy August 2000 - November 2003
Skills
Medicare Part D, Insurance, Medicaid, Training, Medicare, Management, Pharmacy, Sales, Account Management, Customer Service, Health Insurance
Education
Florida State University 2006 — 2008
B.S., Social Science
miami palmetto
EnvisionRxOptions July 2014 - Present
Bachman Insurance August 2013 - Present
Humana August 2010 - March 2013
Quality Health Plans March 2010 - August 2010
First Health Services Corp January 2008 - December 2009
Agency for Healthcare Administration March 2005 - August 2005
Tampa General Hospital March 2004 - December 2004
Walgreens Pharmacy August 2000 - November 2003
Skills
Medicare Part D, Insurance, Medicaid, Training, Medicare, Management, Pharmacy, Sales, Account Management, Customer Service, Health Insurance
Education
Florida State University 2006 — 2008
B.S., Social Science
miami palmetto
Leslie Ziegler, CPhT, RPhT Leslie Ziegler, CPhT, RPhT's Quality Health Plans Experience July 2006 - April 2010
Job CPhT, RPhT
Industry Hospital & Health Care
Experience
Trinity Medical Pharmacy June 2014 - July 2015
SouthEastern Guide Dogs 2003 - July 2015
The Medicine Shoppe Pharmacy February 2012 - June 2014
Sun Healthcare Group February 2011 - January 2012
Quality Health Plans July 2006 - April 2010
WellCare March 2006 - June 2006
Eckerd Drugs/CVS Drugs March 2001 - May 2006
Nielsen Media Research June 1985 - July 1998
Skills
Healthcare, Medicaid, Pharmacy, HIPAA, Managed Care, Microsoft Excel, Data Analysis, Provider Relations, Microsoft Office, Pharmacy Benefit..., Medicare Part D, Customer Service, Medicare, Health Insurance, Pharmacy Automation, Data Entry, Healthcare Management, Medical Terminology, Medication Therapy..., Outlook
Education
St. Petersburg College
AA, Customer Service, Communication Skills, Pharmacy Technician
Trinity Medical Pharmacy June 2014 - July 2015
SouthEastern Guide Dogs 2003 - July 2015
The Medicine Shoppe Pharmacy February 2012 - June 2014
Sun Healthcare Group February 2011 - January 2012
Quality Health Plans July 2006 - April 2010
WellCare March 2006 - June 2006
Eckerd Drugs/CVS Drugs March 2001 - May 2006
Nielsen Media Research June 1985 - July 1998
Skills
Healthcare, Medicaid, Pharmacy, HIPAA, Managed Care, Microsoft Excel, Data Analysis, Provider Relations, Microsoft Office, Pharmacy Benefit..., Medicare Part D, Customer Service, Medicare, Health Insurance, Pharmacy Automation, Data Entry, Healthcare Management, Medical Terminology, Medication Therapy..., Outlook
Education
St. Petersburg College
AA, Customer Service, Communication Skills, Pharmacy Technician
Charrelle Thomas Charrelle Thomas's Quality Health Plans Experience October 2008 - November 2010
Job Supervisor, HR Operations at Warner Bros. Entertainment Group of Companies
Industry Human Resources
Experience
Warner Bros. Entertainment Group of Companies December 2014 - Present
Warner Bros. Entertainment Group of Companies December 2012 - December 2014
WilsonHCG January 2011 - March 2012
Quality Health Plans October 2008 - November 2010
Prince William County Schools August 2007 - August 2008
Creative Wellness Holistic Health Center June 2005 - July 2007
Michigan State University - Virtual University Design & Technology May 2003 - June 2005
Skills
RPO, Health Insurance, Strategy, Recruiting, Applicant Tracking..., Talent Acquisition, Marketing, Human Resources, Onboarding, Sales, PeopleSoft, College Recruiting, Administrative Work
Education
Golden Gate University 2009 — 2011
Master of Science, Human Resource Management
Michigan State University 2002 — 2006
Bachelor of Science, Child Development
Warner Bros. Entertainment Group of Companies December 2014 - Present
Warner Bros. Entertainment Group of Companies December 2012 - December 2014
WilsonHCG January 2011 - March 2012
Quality Health Plans October 2008 - November 2010
Prince William County Schools August 2007 - August 2008
Creative Wellness Holistic Health Center June 2005 - July 2007
Michigan State University - Virtual University Design & Technology May 2003 - June 2005
Skills
RPO, Health Insurance, Strategy, Recruiting, Applicant Tracking..., Talent Acquisition, Marketing, Human Resources, Onboarding, Sales, PeopleSoft, College Recruiting, Administrative Work
Education
Golden Gate University 2009 — 2011
Master of Science, Human Resource Management
Michigan State University 2002 — 2006
Bachelor of Science, Child Development
Raymond Mills Raymond Mills's Quality Health Plans Experience November 2010 - December 2010
Job Property Accountant
Industry Accounting
Experience
Progress Residential LP November 2014 - Present
Feld Entertainment August 2013 - November 2014
America II Electronics September 2011 - August 2013
H&R Block January 2012 - April 2012
Old Castle Southern Group July 2011 - July 2011
Waste Management March 2011 - April 2011
H&R Block January 2011 - April 2011
Quality Health Plans November 2010 - December 2010
Alpha Graphics October 2010 - November 2010
LifeTalk Radio April 2009 - July 2010
Skills
QuickBooks, Accounts Payable, Account Reconciliation, Accounts Receivable, Tax Returns, Journal Entries, Fixed Assets, Cash, Tax Preparation, Peachtree, Bookkeeping, 10 Key, Microsoft Office, General Ledger, Data Entry, Microsoft Excel, Bank Reconciliation, Accruals, Tax, GAAP, Year End Accounts, Internal Controls, Financial Statements
Education
Saint Leo University 2012 — 2013
Master of Business Administration (MBA), Accounting
Southern Adventist University 2005 — 2009
Bachelors, Business Administration; Accounting
Progress Residential LP November 2014 - Present
Feld Entertainment August 2013 - November 2014
America II Electronics September 2011 - August 2013
H&R Block January 2012 - April 2012
Old Castle Southern Group July 2011 - July 2011
Waste Management March 2011 - April 2011
H&R Block January 2011 - April 2011
Quality Health Plans November 2010 - December 2010
Alpha Graphics October 2010 - November 2010
LifeTalk Radio April 2009 - July 2010
Skills
QuickBooks, Accounts Payable, Account Reconciliation, Accounts Receivable, Tax Returns, Journal Entries, Fixed Assets, Cash, Tax Preparation, Peachtree, Bookkeeping, 10 Key, Microsoft Office, General Ledger, Data Entry, Microsoft Excel, Bank Reconciliation, Accruals, Tax, GAAP, Year End Accounts, Internal Controls, Financial Statements
Education
Saint Leo University 2012 — 2013
Master of Business Administration (MBA), Accounting
Southern Adventist University 2005 — 2009
Bachelors, Business Administration; Accounting
Tinuke A Fadairo's Quality Health Plans Experience January 2010 - February 2012
Job JD & MPA Candidate, Class of 2015 (Expected)
Industry Law Practice
Experience
Visiting Nurse Service of New York February 2012 - August 2012
Quality Health Plans January 2010 - February 2012
Excellence Realty Consultants Inc May 2004 - August 2009
Skills
Medicare, Healthcare, Managed Care, Prior Authorization, Health Insurance, Claim, Utilization Management, Provider Relations, PPO, HMO, CPT, Medical Terminology, Outlook, Medical Manager, ICD-9, Customer Service, Software Documentation, Medical Coding
Education
Florida Institute of Technology 2013 — 2016
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Western New England College 2005 — 2009
Bachelor of Arts, Interdisciplinary Studies (Pre-Med & English)
Visiting Nurse Service of New York February 2012 - August 2012
Quality Health Plans January 2010 - February 2012
Excellence Realty Consultants Inc May 2004 - August 2009
Skills
Medicare, Healthcare, Managed Care, Prior Authorization, Health Insurance, Claim, Utilization Management, Provider Relations, PPO, HMO, CPT, Medical Terminology, Outlook, Medical Manager, ICD-9, Customer Service, Software Documentation, Medical Coding
Education
Florida Institute of Technology 2013 — 2016
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Western New England College 2005 — 2009
Bachelor of Arts, Interdisciplinary Studies (Pre-Med & English)
Alissa Judge Alissa Judge's Quality Health Plans Experience January 2006 - December 2011
Job Systems Analyst at BayCare Health System
Industry Hospital & Health Care
Experience
BayCare Behavioral Health December 2012 - Present
Quality Health Plans NY December 2011 - December 2012
Virtual Health Group, PLLC December 2011 - October 2012
Quality Health Plans January 2006 - December 2011
Skills
Procedure Development, Policy Analysis, Procedure Manuals, System Testing, Utilization Management, Business Process..., Strategic Planning, Resource Allocation, Leadership, Project Coordination, Problem Analysis, Problem Solving, Communication Skills, Managed Care, SWOT analysis, Organizational..., Time Management, Clerical Skills, Detailed Organization, Operations Management, Quality Operations, Data Analysis, Executive Reporting, Hiring Practices, Performance Management, Operations Training, Regulatory Guidelines, Departmental Development, Analysis, Claim, Customer Service, HIPAA, Health Insurance, Healthcare, Insurance, Management, Medicaid, Policy, Software Documentation, Team Building, Visio
Education
Hodges University 2008 — 2010
Bachelor's (BSM), Business Management
Pasco Hernando Community College 2005 — 2008
Associate of Arts (AA), Business
BayCare Behavioral Health December 2012 - Present
Quality Health Plans NY December 2011 - December 2012
Virtual Health Group, PLLC December 2011 - October 2012
Quality Health Plans January 2006 - December 2011
Skills
Procedure Development, Policy Analysis, Procedure Manuals, System Testing, Utilization Management, Business Process..., Strategic Planning, Resource Allocation, Leadership, Project Coordination, Problem Analysis, Problem Solving, Communication Skills, Managed Care, SWOT analysis, Organizational..., Time Management, Clerical Skills, Detailed Organization, Operations Management, Quality Operations, Data Analysis, Executive Reporting, Hiring Practices, Performance Management, Operations Training, Regulatory Guidelines, Departmental Development, Analysis, Claim, Customer Service, HIPAA, Health Insurance, Healthcare, Insurance, Management, Medicaid, Policy, Software Documentation, Team Building, Visio
Education
Hodges University 2008 — 2010
Bachelor's (BSM), Business Management
Pasco Hernando Community College 2005 — 2008
Associate of Arts (AA), Business
David Sherwin David Sherwin's Quality Health Plans Experience June 2004 - December 2011
Job Chief Financial Officer at PIMS
Industry Health, Wellness and Fitness
Experience
PIMS February 2014 - Present
Quality Health Plans June 2004 - December 2011
Progressus Therapy December 2000 - March 2004
Webhealthy.com June 1997 - September 2000
Skills
Accounting, Auditing, Financial Reporting, Internal Controls, Finance, Management, Analysis, Human Resources, Leadership, Payroll, Financial Analysis, Operations Management, Regulatory Reporting, Entrepreneurial..., Early-stage Startups, Healthcare Industry, Regulatory Compliance, Legal Documents
Education
University of Florida 1978 — 1980
Bachelor of Science (BS), Accounting
St. Petersburg College 1975 — 1977
Associate of Arts (AA), Accounting
PIMS February 2014 - Present
Quality Health Plans June 2004 - December 2011
Progressus Therapy December 2000 - March 2004
Webhealthy.com June 1997 - September 2000
Skills
Accounting, Auditing, Financial Reporting, Internal Controls, Finance, Management, Analysis, Human Resources, Leadership, Payroll, Financial Analysis, Operations Management, Regulatory Reporting, Entrepreneurial..., Early-stage Startups, Healthcare Industry, Regulatory Compliance, Legal Documents
Education
University of Florida 1978 — 1980
Bachelor of Science (BS), Accounting
St. Petersburg College 1975 — 1977
Associate of Arts (AA), Accounting
Erika Wilkins Erika Wilkins's Quality Health Plans Experience September 2004 - August 2008
Job Ancillary Contract Executive at Humana
Industry Insurance
Experience
Humana August 2008 - Present
Quality Health Plans September 2004 - August 2008
St Petersburg General Hospital September 2002 - September 2004
Wellspan Behavioral Health February 1999 - September 2002
Quest Behavioral Health March 1997 - February 1999
Skills
Managed Care, Healthcare, Provider Relations, Medicare, Medicaid, Healthcare Industry, HMO, HIPAA, PPO, Network Development, Health Insurance, Credentialing, Utilization Management, Health Policy, Disease Management
Education
Penn State University 1995 — 1996
BS, Health Policy & Administration
York College of Pennsylvania 1992 — 1994
Nursing
Penns Valley Area High School
Humana August 2008 - Present
Quality Health Plans September 2004 - August 2008
St Petersburg General Hospital September 2002 - September 2004
Wellspan Behavioral Health February 1999 - September 2002
Quest Behavioral Health March 1997 - February 1999
Skills
Managed Care, Healthcare, Provider Relations, Medicare, Medicaid, Healthcare Industry, HMO, HIPAA, PPO, Network Development, Health Insurance, Credentialing, Utilization Management, Health Policy, Disease Management
Education
Penn State University 1995 — 1996
BS, Health Policy & Administration
York College of Pennsylvania 1992 — 1994
Nursing
Penns Valley Area High School
Ashly Terlizzi Ashly Terlizzi's Quality Health Plans Experience October 2009 - May 2010
Job Senior Benefit Specialist at Corporate Synergies
Industry Insurance
Experience
Corporate Synergies July 2011 - Present
State Farm® December 2010 - May 2011
GEICO May 2010 - December 2010
Quality Health Plans October 2009 - May 2010
Independence Blue Cross September 2005 - October 2009
Skills
Health Insurance, Health Savings Accounts, Insurance, Brokers, Disability Insurance, Underwriting, Employee Benefits, HRA, COBRA, Medicare, Dentistry, Salesforce.com, Account Management, Benefits Administration, Term Life Insurance
Education
Saint Joseph's University
Corporate Synergies July 2011 - Present
State Farm® December 2010 - May 2011
GEICO May 2010 - December 2010
Quality Health Plans October 2009 - May 2010
Independence Blue Cross September 2005 - October 2009
Skills
Health Insurance, Health Savings Accounts, Insurance, Brokers, Disability Insurance, Underwriting, Employee Benefits, HRA, COBRA, Medicare, Dentistry, Salesforce.com, Account Management, Benefits Administration, Term Life Insurance
Education
Saint Joseph's University
Yeliz Gulturk, CFE Yeliz Gulturk, CFE's Quality Health Plans Experience June 2009 - May 2010
Job Senior | Assurance Services | Fraud Investigation & Dispute Services at Ernst & Young
Industry Accounting
Experience
Ernst & Young September 2012 - Present
Rafael Collection May 2010 - September 2012
Quality Health Plans June 2009 - May 2010
Weintraub & Traub, CPA's March 2009 - June 2009
Skills
Quickbooks, Excel, PowerPoint, Outlook
Education
State University of New York College at Old Westbury 2005 — 2009
Bachelor of Science, Accounting
Ernst & Young September 2012 - Present
Rafael Collection May 2010 - September 2012
Quality Health Plans June 2009 - May 2010
Weintraub & Traub, CPA's March 2009 - June 2009
Skills
Quickbooks, Excel, PowerPoint, Outlook
Education
State University of New York College at Old Westbury 2005 — 2009
Bachelor of Science, Accounting
Dhanaraj Kabali's Quality Health Plans Experience July 2011 - December 2011
Job Vice President at Medicare Compliance Solutions
Industry Health, Wellness and Fitness
Experience
Medicare Compliance Solutions August 2013 - Present
First Carolina Care April 2014 - December 2014
BeneCard PBF July 2013 - October 2013
Global TPA Freedom Health, Optimum Health, Americas 1st Choice of NC SC and Easy Choice of NY December 2011 - September 2013
Quality Health Plans July 2011 - December 2011
Perform Rx September 2010 - July 2011
Capital BlueCross / Keystone Health Plan Central April 2001 - April 2010
Keystone Health Plan Central April 2000 - November 2004
HIP Health Plan March 1998 - May 2000
NYU Langone Medical Center 1980 - 1994
Skills
Managed Care, Pharmacy Benefit..., Medicare Part D, Medicaid, Medicare, Utilization Management, Healthcare, Pharmacy, HMO, Oncology, Healthcare Management, Provider Relations, Health Policy, Clinical Research, Disease Management, Pharmaceutical Industry, Healthcare Industry, Insurance, Health Insurance, Software Documentation, Healthcare Consulting, HIPAA, Pharmacy Automation, Pharmacists, Leadership, Informatics, Healthcare Information..., Medication Therapy..., Home Infusion, Physicians, Medicine, Quality Improvement, PPO, EHR, Hospitals, Diabetes, Medicaid Managed Care, Pharmaceutics, EMR, Home Care, Health Economics
Education
University of Phoenix
R.Ph MBA, MBA
Medicare Compliance Solutions August 2013 - Present
First Carolina Care April 2014 - December 2014
BeneCard PBF July 2013 - October 2013
Global TPA Freedom Health, Optimum Health, Americas 1st Choice of NC SC and Easy Choice of NY December 2011 - September 2013
Quality Health Plans July 2011 - December 2011
Perform Rx September 2010 - July 2011
Capital BlueCross / Keystone Health Plan Central April 2001 - April 2010
Keystone Health Plan Central April 2000 - November 2004
HIP Health Plan March 1998 - May 2000
NYU Langone Medical Center 1980 - 1994
Skills
Managed Care, Pharmacy Benefit..., Medicare Part D, Medicaid, Medicare, Utilization Management, Healthcare, Pharmacy, HMO, Oncology, Healthcare Management, Provider Relations, Health Policy, Clinical Research, Disease Management, Pharmaceutical Industry, Healthcare Industry, Insurance, Health Insurance, Software Documentation, Healthcare Consulting, HIPAA, Pharmacy Automation, Pharmacists, Leadership, Informatics, Healthcare Information..., Medication Therapy..., Home Infusion, Physicians, Medicine, Quality Improvement, PPO, EHR, Hospitals, Diabetes, Medicaid Managed Care, Pharmaceutics, EMR, Home Care, Health Economics
Education
University of Phoenix
R.Ph MBA, MBA
Brett Bogo's Quality Health Plans Experience June 2008 - June 2010
Job Healthcare Plan Senior Financial Analyst at Amerigroup Corporation
Industry Wholesale
Experience
Amerigroup Corporation June 2010 - Present
Safe Workplace LLC January 2006 - Present
Quality Health Plans June 2008 - June 2010
Florida Suncoast Affiliate of Susan G Komen for the Cure May 2006 - October 2008
Tech Data 1999 - 2008
Skills
Microsoft Office, Budgeting, SQL, Financial Modeling, Financial Accounting, IT Audit, Budgets, Cash Management, Financial Analysis, Visio, Accounting, Accounts Receivable, Finance, Business Planning, Oracle, Leadership, Data Analysis, Management, Analysis, Business Analysis, Team Leadership, Business Process..., SIPOC, Competitive Intelligence, Financial Reporting, Forecasting, Credit, Risk Management, Process Improvement, Cash Flow, Credit Analysis, Access, Variance Analysis, Account Reconciliation, QuickBooks
Education
Louisiana State University 2012 — 2012
Accounting
University of South Florida - College of Business Administration 2004 — 2012
Bachelors of Science, Accounting Fifth Year
University of South Florida 2002 — 2005
MBA, Business Administration
University of South Florida 1994 — 1998
Bachelors of Science, Finance
Amerigroup Corporation June 2010 - Present
Safe Workplace LLC January 2006 - Present
Quality Health Plans June 2008 - June 2010
Florida Suncoast Affiliate of Susan G Komen for the Cure May 2006 - October 2008
Tech Data 1999 - 2008
Skills
Microsoft Office, Budgeting, SQL, Financial Modeling, Financial Accounting, IT Audit, Budgets, Cash Management, Financial Analysis, Visio, Accounting, Accounts Receivable, Finance, Business Planning, Oracle, Leadership, Data Analysis, Management, Analysis, Business Analysis, Team Leadership, Business Process..., SIPOC, Competitive Intelligence, Financial Reporting, Forecasting, Credit, Risk Management, Process Improvement, Cash Flow, Credit Analysis, Access, Variance Analysis, Account Reconciliation, QuickBooks
Education
Louisiana State University 2012 — 2012
Accounting
University of South Florida - College of Business Administration 2004 — 2012
Bachelors of Science, Accounting Fifth Year
University of South Florida 2002 — 2005
MBA, Business Administration
University of South Florida 1994 — 1998
Bachelors of Science, Finance
Diane Boyd-Kosarich's Quality Health Plans Experience January 2010 - December 2011
Job Clinical Review
Industry Hospital & Health Care
Experience
Emdeon November 2014 - Present
Medical Audit Solutions, Inc. February 2004 - September 2014
CareCentrix August 2012 - November 2012
Quality Health Plans January 2010 - December 2011
Citrus Health Plans January 2009 - January 2010
Amerigroup Corporation February 2004 - October 2008
WellCare 2000 - 2004
Skills
Contract Negotiation, Health Insurance, Microsoft Office, Healthcare, Excel, Medicare, Compliance, Managed Care, Auditing, Process Improvement, Word, Strategic Planning, PowerPoint, Claims, Data Analysis, Problem Solving, Hospitals, Negotiation, Documentation, Billing, Outlook
Education
AAPC - American Association of Professional Coders 2007 — 2008
Certification - CPC - Certified Professional Coder, Medical Insurance Coding Specialist/Coder, Passed Exam for Certification
Univeristy of Central Florida 2006 — 2006
Certificate, Legal Nurse Consultant, 4.0
University of Tampa 1992 — 1994
Bachelor's of Science Degree, Nursing
Allegany College of Maryland 1981 — 1984
AA Degree, Nursing
Emdeon November 2014 - Present
Medical Audit Solutions, Inc. February 2004 - September 2014
CareCentrix August 2012 - November 2012
Quality Health Plans January 2010 - December 2011
Citrus Health Plans January 2009 - January 2010
Amerigroup Corporation February 2004 - October 2008
WellCare 2000 - 2004
Skills
Contract Negotiation, Health Insurance, Microsoft Office, Healthcare, Excel, Medicare, Compliance, Managed Care, Auditing, Process Improvement, Word, Strategic Planning, PowerPoint, Claims, Data Analysis, Problem Solving, Hospitals, Negotiation, Documentation, Billing, Outlook
Education
AAPC - American Association of Professional Coders 2007 — 2008
Certification - CPC - Certified Professional Coder, Medical Insurance Coding Specialist/Coder, Passed Exam for Certification
Univeristy of Central Florida 2006 — 2006
Certificate, Legal Nurse Consultant, 4.0
University of Tampa 1992 — 1994
Bachelor's of Science Degree, Nursing
Allegany College of Maryland 1981 — 1984
AA Degree, Nursing
Elizabeth Muller's Quality Health Plans Experience 2004 - 2006
Job Manager LTC FL Network Claims UnitedHealthcare
Industry Insurance
Experience
UnitedHealthcare Community Plan February 2013 - Present
United Health Care April 2008 - February 2013
Quality Health Plans 2004 - 2006
American Express Financial Advisors 1997 - 1999
Prudential Insurance January 1988 - 1997
Skills
Provider Relations, Medicare/Medicaid..., Long-term Care, Managed Care, Health Insurance, Medicare, Medicaid, Healthcare, Healthcare Management, Elder Care, Home Care, Physician Relations, Public Speaking
Education
University of North Florida
BA
University of Florida 1984 — 1987
Appalachian State University 1981 — 1982
UnitedHealthcare Community Plan February 2013 - Present
United Health Care April 2008 - February 2013
Quality Health Plans 2004 - 2006
American Express Financial Advisors 1997 - 1999
Prudential Insurance January 1988 - 1997
Skills
Provider Relations, Medicare/Medicaid..., Long-term Care, Managed Care, Health Insurance, Medicare, Medicaid, Healthcare, Healthcare Management, Elder Care, Home Care, Physician Relations, Public Speaking
Education
University of North Florida
BA
University of Florida 1984 — 1987
Appalachian State University 1981 — 1982
Leslie Donovan, CPA's Quality Health Plans Experience 2008 - July 2012
Job Director, Domestic & International Accounting at PwC
Industry Insurance
Dara Johnson's Quality Health Plans Experience July 2007 - June 2009
Job Independent Consultant at The Pampered Chef
Industry Hospital & Health Care
Experience
The Pampered Chef July 2013 - Present
Banfield Pet Hospital June 2013 - Present
AIDS Healthcare Foundation July 2009 - July 2011
Quality Health Plans July 2007 - June 2009
JSA Healthcare Corporation December 1999 - June 2007
Skills
Pharmacy, Healthcare, Medical Terminology, Pharmacy Practice, Medicare, HIPAA, Medicine, Hospitals, Epic Systems, Patient Education
Education
Pasco-Hernando Community College 2010 — 2014
Associate of Arts (AA), Biology/Biological Sciences, General
Hudson High School 1995 — 1999
The Pampered Chef July 2013 - Present
Banfield Pet Hospital June 2013 - Present
AIDS Healthcare Foundation July 2009 - July 2011
Quality Health Plans July 2007 - June 2009
JSA Healthcare Corporation December 1999 - June 2007
Skills
Pharmacy, Healthcare, Medical Terminology, Pharmacy Practice, Medicare, HIPAA, Medicine, Hospitals, Epic Systems, Patient Education
Education
Pasco-Hernando Community College 2010 — 2014
Associate of Arts (AA), Biology/Biological Sciences, General
Hudson High School 1995 — 1999
Kristy Dalbec's Quality Health Plans Experience April 2008 - February 2011
Job Community Representative at American Cancer Society
Industry Nonprofit Organization Management
Experience
American Cancer Society August 2011 - Present
Quality Health Plans April 2008 - February 2011
St. Lukes Cataract & Laser Institute January 1997 - January 2008
Skills
Volunteer Management, Convio, Fundraising, Volunteer Recruiting, Community Outreach, Non-profits, Volunteer Training, Grassroots Fundraising, Grant Writing, Program Development, Community Organizing, Board Development, Event Planning, Volunteering
Education
Southeastern University
St. Petersburg College
American Cancer Society August 2011 - Present
Quality Health Plans April 2008 - February 2011
St. Lukes Cataract & Laser Institute January 1997 - January 2008
Skills
Volunteer Management, Convio, Fundraising, Volunteer Recruiting, Community Outreach, Non-profits, Volunteer Training, Grassroots Fundraising, Grant Writing, Program Development, Community Organizing, Board Development, Event Planning, Volunteering
Education
Southeastern University
St. Petersburg College
Brenda Gates's Quality Health Plans Experience March 2010 - Present
Job RN Team Lead for Member outreach at Quality Health Plans
Industry Insurance
Experience
Quality Health Plans March 2010 - Present
Good Shepherd Hospice August 2007 - May 2009
South Florida Baptist hospital in Plant City FL February 2002 - February 2007
Education
University of Phoenix Tampa Fl 2006 — 2008
Bachelors in Nursing, Nursing
Mohawk Valley Community College-Utica Branch 1989 — 1991
Associates in Nursing, Nursing
Quality Health Plans March 2010 - Present
Good Shepherd Hospice August 2007 - May 2009
South Florida Baptist hospital in Plant City FL February 2002 - February 2007
Education
University of Phoenix Tampa Fl 2006 — 2008
Bachelors in Nursing, Nursing
Mohawk Valley Community College-Utica Branch 1989 — 1991
Associates in Nursing, Nursing
Heather Linthicum's Quality Health Plans Experience 2005 - 2011
Job Senior Staff Accountant at Cale America
Industry Accounting
Experience
Cale America January 2012 - Present
Quality Health Plans 2005 - 2011
Skills
Accounting, Analysis, US GAAP, Account Reconciliation, Budgets, Auditing, SEC filings, Cash Flow, Internal Controls, GAAP, Accounts Receivable, External Audit, Sarbanes-Oxley Act, General Ledger, Accruals, Internal Audit, Financial Accounting, QuickBooks, Accounts Payable, Invoicing, Financial Analysis, Payroll, Microsoft Excel, Financial Reporting
Education
Pinellas Technical Education Center-Clearwater 1994 — 1994
Certificate in Accounting Operations, Accounting
FMU
Working Towards A.S., Accounting
Cale America January 2012 - Present
Quality Health Plans 2005 - 2011
Skills
Accounting, Analysis, US GAAP, Account Reconciliation, Budgets, Auditing, SEC filings, Cash Flow, Internal Controls, GAAP, Accounts Receivable, External Audit, Sarbanes-Oxley Act, General Ledger, Accruals, Internal Audit, Financial Accounting, QuickBooks, Accounts Payable, Invoicing, Financial Analysis, Payroll, Microsoft Excel, Financial Reporting
Education
Pinellas Technical Education Center-Clearwater 1994 — 1994
Certificate in Accounting Operations, Accounting
FMU
Working Towards A.S., Accounting
Gina Palladino's Quality Health Plans Experience July 2011 - December 2011
Job ACU Clinic Manager at University of Florida
Industry Health, Wellness and Fitness
Experience
University of Florida April 2013 - Present
Indian River County Health Department October 2012 - April 2013
Indian River County Health Department December 2011 - October 2012
Quality Health Plans July 2011 - December 2011
Education
Everest University-Tampa 2007 — 2012
Master of Business Administration (MBA), Small Business Administration/Management
University of Florida April 2013 - Present
Indian River County Health Department October 2012 - April 2013
Indian River County Health Department December 2011 - October 2012
Quality Health Plans July 2011 - December 2011
Education
Everest University-Tampa 2007 — 2012
Master of Business Administration (MBA), Small Business Administration/Management
Jeff Ludy's Quality Health Plans Experience May 2002 - December 2004
Job Executive Consultant
Industry
Experience
Self Employed November 2012 - Present
Universal July 2009 - November 2012
WellCare December 2004 - May 2009
Quality Health PLANS May 2002 - December 2004
Humana January 1997 - April 2002
Skills
Managed Care, Medicare, Medicaid, Marketing, Network Development, Sales Operations, Operations Management, Strategic Planning, Insurance, Healthcare Industry, Health Policy, Leadership, Process Improvement, Health Insurance
Education
University of Central Florida
Business, Management, Marketing, and Related Support Services
Self Employed November 2012 - Present
Universal July 2009 - November 2012
WellCare December 2004 - May 2009
Quality Health PLANS May 2002 - December 2004
Humana January 1997 - April 2002
Skills
Managed Care, Medicare, Medicaid, Marketing, Network Development, Sales Operations, Operations Management, Strategic Planning, Insurance, Healthcare Industry, Health Policy, Leadership, Process Improvement, Health Insurance
Education
University of Central Florida
Business, Management, Marketing, and Related Support Services