QualMed Company
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QualMed Employees
Pueblo County Sheriff's Office May 2006 - Present
Convergys October 2003 - September 2005
Qualmed May 1999 - September 2000
Education
Colorado State University-Pueblo 2001 — 2006
Bachelor's degree, Sociology/ Criminology
Parkview 2010 - Present
Summit Medical Technologies / Aprima January 2005 - July 2010
Physcal Practice Mgt / GE Centricity May 2001 - January 2005
Experior Corporation December 1997 - January 2001
QualMed February 1990 - December 1997
Skills
Microsoft Office, Microsoft Excel, Customer Service, Strategic Planning, Healthcare, Microsoft Word, Hospitals, Healthcare Information..., Leadership, CPOE, EHR, Epic Systems, Ambulatory, EMR, Software Documentation, HIPAA, Process Improvement, Healthcare Management, Informatics, Visio
Education
University of Colorado at Colorado Springs
H & R Block January 2015 - Present
Lowe's Companies, Inc. March 2014 - Present
Burns & McDonnell July 2011 - April 2013
Missouri S&T (formerly UMR) September 2009 - July 2011
NASA-Dryden January 2008 - May 2008
self employed part-time March 2006 - December 2007
GE Energy (formerly PMI)- Chicago September 1999 - June 2004
QualMed January 1998 - September 1999
Pikes Peak Broadcasting January 1996 - January 1998
Skills
Facilities Management, Electric Vehicles, Troubleshooting, Alternative Energy, Photovoltaics, Solar, UPS systems, Smart Grid, Crisis Management, Data Center, Energy, Electric Power, Electric Utility, Electrical Engineering, Problem Solving, Power Systems, Electrical Safety, Utilization, Scheduling, Research, Visio, MS Project, Excel, Microsoft Word, Outlook, Bentley Microstation, Engineering, Microsoft Excel, Testing, Electricity, Switchgear
Education
University of Missouri-Rolla 2009 — 2011
Master's degree, Engineering/Industrial Management, 4.0
Missouri S & T (formerly Univ of MO-Rolla) 2006 — 2009
BS, Electrical Engineering
Linn Technical College (now Linn State University) 1993 — 1995
Associate of Applied Science, Electronics Engineering Technology
Imperial College-London, England 1992 — 1992
Culture, Socialogy, and Psychology
Silicon Valley Bank June 2014 - December 2014
Our House December 2013 - June 2014
Charles Schwab September 2012 - December 2013
Charles Schwab April 2000 - September 2012
Freeman Sullivan & Co March 1994 - August 1999
QualMed 1988 - 1994
Federal Asset Disposition Association September 1986 - June 1988
Wells Fargo January 1981 - September 1986
Skills
Integrated Marketing, Product Marketing, Product Management, Analytics, Marketing Strategy, Marketing Research, Market Research, Strategy, Management, Competitive Analysis, Marketing, Leadership, Analysis, Marketing Communications, Program Management
Education
University of California, Berkeley - Walter A. Haas School of Business
Bachelor of Science (B.S.), Marketing
Rocky Mountain Eye Center April 2010 - Present
Verisma Systems, Inc. October 2005 - April 2010
QualMed 1990 - 2000
Education
California State University-Sacramento 1982 — 1984
Bachelor, Accounting
University of California, Berkeley 1979 — 1981
Evraz Inc NA March 2012 - Present
Loaf 'N Jug / Division of The Kroger Co January 2011 - March 2012
Loaf 'N Jug / Division of The Kroger Co October 2004 - January 2011
IBM July 1999 - July 2002
QualMed 1997 - 2000
Skills
Project Management, Management, Leadership, Microsoft Excel, Retail, Merchandising, Marketing, Customer Service, Microsoft Office, Team Leadership, Cross-functional Team..., Inventory Management, Sales, Team Building, Negotiation, Strategic Planning, Forecasting, Operations Management, Contract Negotiation, Budgets, Pricing, Process Improvement, Purchasing, Time Management, Analysis, PowerPoint, Sales Management
Education
University of Colorado at Colorado Springs 1986 — 1989
Bachelors, Accounting (major), Computer Science (minor)
University of Florida
Accounting
any Healthcare or Insurance oriented business. July 2010 - Present
NuView Partners February 2009 - July 2010
Pacificare of AZ January 2000 - July 2005
PacifiCare Health Systems 1998 - 2005
PACIFICARE HEALTH SYSTEMS (formerly FHP Healthcare) 1998 - 2005
PacifiCare of AZ June 1998 - December 1999
QualMed March 1996 - May 1998
Education
Truman State University 1968 — 1972
BSE, Education
Warner Pacific Insurance Services January 2006 - Present
Prudential Health Care 1993 - 2000
QualMed July 1992 - May 1993
Ochsner Health Plan 1989 - 1992
Skills
Health Insurance, Employee Benefits, Health Savings Accounts, Group Medical, Group Benefits, Disability Insurance, Dental, Strategic Planning, Dentistry, Self-funded, Brokers, COBRA, Insurance, Managed Care, Customer Service, Health Care Reform, Sales, Benefits Administration, Workers Compensation, Account Management, Life Insurance, Small Business, Underwriting, Term Life Insurance, Group Insurance, Medicare, PPO, Sales Operations, Long-term Care, 401k, Accident, Property & Casualty..., HMO, General Insurance, Liability, Flexible Spending..., Medicare Part D, Critical Illness, Commercial Insurance, Insurance Brokerage, Whole Life, Fixed Annuities
Education
University of Denver 1994 — 1997
M.A., Communication
University of Colorado Boulder 1985 — 1989
B.A., Communication, Psych (emphasis in Astrogeophysics)
University of Pennsylvania Health System April 2010 - Present
NMS Labs March 2008 - June 2009
MOH Consulting Group September 2007 - March 2008
Gemalto North America 2001 - 2007
Medex 1999 - 2001
Medex 1998 - 2001
QualMed 1996 - 1998
USAF 1992 - 1996
Skills
Project Management
Education
Florida Institute of Technology 2008 — 2012
M.S., Information Technology
Bloomsburg University of Pennsylvania 1988 — 1991
St. Anastasia
AmberLeaf June 2015 - Present
Walmart eCommerce July 2014 - May 2015
Oracle September 2012 - August 2014
LexisNexis September 2011 - September 2012
LexisNexis November 2008 - October 2011
ACN 2011 - 2011
ChoicePoint June 2005 - November 2008
Positive Systems December 2004 - February 2005
Whitefish Community Church of God June 2000 - December 2004
QualMed February 1998 - December 1998
Skills
Software Implementation, Enterprise Software, Project Management, Troubleshooting, Management, Leadership, SaaS, CRM, Customer Service, Telecommunications, SQL, Training, Team Leadership, Integration, HTML, Databases, Requirements Analysis, Windows, Software Documentation, Business Analysis, Software Project..., Public Speaking, SharePoint, Professional Services, Cloud Computing, Vendor Management, Program Management, Microsoft SQL Server, Requirements Gathering, Analysis, XML, Change Management, Percussion, Business Intelligence, Home Based Business, SDLC, Process Improvement, Software Development, Quality Assurance, Business Process, PHP, CSS, Coaching, Knowledge Base, Customer Relations, User Acceptance Testing, Agile Methodologies, Scrum, RightNow
Education
Montana State University-Bozeman 2006 — 2007
Music Performance
Warner Pacific College 1994 — 1996
Music and Youth Ministry
Mt. Hood Community College 1991 — 1993
Music, General Studies
David Douglas High School 1988 — 1991
Diploma, General Studies
Premera Blue Cross Blue Shield of Alaska April 2014 - Present
Premera Blue Cross February 1999 - Present
LifeWise Assurance Company 1999 - Present
LifeWise Health Plan of Oregon 1999 - Present
Health Net 1995 - 1999
QualMed 1995 - 1999
Ernst & Young 1993 - 1994
Value Behavioral Health 1993 - 1994
CareFirst BlueCross and BlueShield 1987 - 1993
Skills
Health, Employee Benefits, Underwriting, P&L responsibility, Profit & Loss Management, Managed Care, P&L Management, Medicaid, Sales Growth, Profitable Growth, Healthcare, Health Insurance, P&L Responsibility, Strategic Planning, Medicare Advantage, Medicare Part D, Medicaid Managed Care, Health Care Reform, Affordable Care Act, Board of Director..., Sales Management
Education
The George Washington University 1989 — 1992
MBA, Health Services Administration
John Carroll University 1983 — 1986
BS, Mathematics
SummaCare March 2012 - Present
SummaCare October 2010 - March 2012
SummaCare, Inc June 2009 - October 2010
SummaCare December 2008 - June 2009
FirstEnergy September 2007 - December 2008
SummaCare, Inc November 1999 - May 2005
QualMed 1996 - 1999
Colorado Otolaryngology Associates 1995 - 1998
Skills
Certified Project..., Medicare, Health Plans, Healthcare Compliance, HIPAA, Healthcare, PMP, Health Insurance, Healthcare IT, EHR, Healthcare Information..., Health Policy, Medical Compliance, Process Improvement, Project Management, Visio, SharePoint, Software Documentation, Insurance, Strategic Planning, Business Analysis
Education
Colorado Christian University 1997 — 1999
BS, Computer Info Sys Mgmt
Vestas Towers A/S September 2009 - Present
Trane June 2004 - September 2009
MCI Corporation June 1998 - June 2004
Qualmed May 1996 - June 1998
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Teaching, HTML, Public Speaking, Budgets, Training, Troubleshooting, Project Management, Process Improvement, Engineering, 5S, Continuous Improvement, Problem Solving, Microsoft Project, Management, Leadership, Quality Assurance, Business Process
Education
Colorado State University-Pueblo 1999 — 2003
Bachelor's degree, Computer and Information Sciences, General
Pueblo Community College 1983 — 1985
Associate's degree, Industrial Electronics Technology/Technician
AXIOM Systems, Inc. June 2000 - Present
Moda Health April 2013 - Present
Blue Shield of California December 2009 - March 2013
The ODS Companies November 2006 - October 2009
The Regence Group 2000 - 2005
The Regence Group 2000 - 2005
QualMed 1997 - 1998
Blue Cross Blue Shield of Connecticut 1988 - 1996
Skills
IT Strategy, Business Analysis, Requirements Gathering, Integration, Databases, Healthcare, Healthcare Information..., Agile Methodologies, Process Improvement, Healthcare Consulting, Business Intelligence, HIPAA, SDLC, Business Process, Software Documentation, Data Warehousing, Requirements Analysis, Software Project..., Business Process..., Health Insurance, EDI, Visio, SharePoint, Systems Analysis, Software Implementation, Program Management, Business Requirements, SQL, Enterprise Architecture, Vendor Management, PMO
Education
The University of Connecticut 1983 — 1987
Bachelor of Arts (BA), Political Science and Government
University of New Haven
Prosum Integrated Physician Partners, Inc. June 2011 - Present
Symmetry Health Partners 2003 - June 2011
Medisphere Health Partners January 2000 - October 2003
QualMed January 1999 - January 2000
Skills
Strategic Planning, Process Improvement, Vendor Management, Hospitals, Business Strategy, Team Building, Leadership, Healthcare, New Business Development, Healthcare Management, Managed Care
Education
Gonzaga University - School of Business Administration 1997 — 1999
MBA
Michigan Technological University 1989 — 1993
BS, Operations Management
HCRM, Inc. 1999 - Present
Qualmed 1994 - 1999
Skills
Employee Benefits, Health Savings Accounts, Health Insurance, Insurance, Disability Insurance, Medicare, Brokers, Managed Care, 401k, Underwriting, Benefits Administration, COBRA, Small Business, HIPAA, Healthcare, ERISA, Health Policy, Medicaid, Term Life Insurance, Workers Compensation, Claim
Education
Penn State University 1980 — 1984
BA, Communications
Mitchell & Titus December 2000 - January 2015
QUALMED 1997 - 2000
Prudential 1995 - 1997
Health Partners Plans 1992 - 1995
Education
University of Phoenix 2003 — 2005
MA Organizatinal Management
Connecticut College
BA Liberal Arts - Sociology
DST Health Solutions July 1999 - Present
Health Net 1991 - 1999
QualMed 1991 - 1999
Foundation Health Systems 1991 - 1999
Partners National Health Plans 1986 - 1991
Skills
Software Implementation, EDI, HIPAA, Healthcare Information..., Requirements Analysis, Healthcare Industry, Software Project..., Health Insurance, Business Process, Business Analysis, Medicare, Visio, Healthcare, Managed Care, Physicians, Software Documentation, Requirements Gathering, Process Improvement
Education
University of Northern Colorado 1969 — 1973
BA, Mass Communications/Secondary Education
Providence Health Plan July 2014 - Present
LifeWise Health Plan of Oregon August 2008 - June 2014
Regence 2000 - 2008
QualMed 1994 - 1998
Skills
Insurance, Employee Benefits, Health Insurance, Underwriting, Analysis, Negotiation, Excel, Data Analysis, Contract Negotiation, Supervisory Skills, Pricing, Risk Management, Business Analysis, Brokers, Microsoft Excel, Team Building, Strategic Planning, Disability Insurance, Process Improvement, Budgets, Commercial Insurance, Customer Service, Coaching, Leadership, Health Savings Accounts, General Insurance, Training, Sales, Claim, Life Insurance, Term Life Insurance, Small Business, Reinsurance, New Business Development, Sales Management, Healthcare, Managed Care, Medicare, COBRA
Education
Marylhurst University 2010 — 2014
MBA
DeVry University 1991 — 1994
Bachelors, Accounting
Digial/Ecommerce 2011 - Present
CompuCom 2012 - Present
CompuCom August 2012 - April 2015
Global Knowledge May 1999 - August 2012
GeoTrain September 1998 - May 1999
U S WEST January 1998 - September 1998
Qualmed March 1994 - January 1998
Skills
EIGRP, MCT, CCNA, OSPF, Cisco IOS, Switches, Instructor-led Training, CCNP, Cisco Technologies, Routing, Network Security, E-Learning, CompTIA, BGP, TCP/IP, Firewalls, CCDA, MPLS, Distance Learning, Cisco Certified
Education
University of Arkansas at Fayetteville 1979 — 1982
none
none
none
LJS Healthcare Consulting LLC April 2009 - Present
Amerigroup Corporation October 1999 - March 2009
AMERIGROUP Community Care January 2007 - May 2008
Amerigroup Corporation May 2005 - January 2007
Amerigroup Corporation March 2002 - May 2005
Amerigroup Corporation October 1999 - March 2002
QualMed 1993 - 1999
Omni Health Care 1991 - 1993
KPMG 1986 - 1991
Skills
Managed Care, Internal Audit, Management Consulting, Program Management, Accounting, Medicaid, Medicare, Health Plans, HMO, Health Policy, Process Improvement, Healthcare Consulting, Mergers & Acquisitions, Healthcare, Strategic Planning, Business Process..., Healthcare Information..., HIPAA, Healthcare Management, Management, Healthcare Industry, Leadership, Executive Management, Budgets, Risk Management, Integration, Health Insurance, Disease Management, Claim, Physician Relations
Education
San Diego State University-California State University 1982 — 1986
Bachelor of Science, Accounting
Providence Health & Services Washington/Montana March 2008 - Present
CorVel Corporation July 2005 - March 2008
Premera Blue Cross August 2001 - August 2006
QualMed 1994 - 1997
Medical Service Corp 1974 - 1984
Skills
Healthcare Industry, Provider Relations, Medicare, Healthcare Management, Leadership, Change Management, Management, Process Improvement, Negotiation, Managed Care, Medicaid, Healthcare, Team Building, Contract Negotiation, Analytical Skills, Hospitals
Education
Eastern Washington University 1978 — 1980
MBA, Health Care and Economics
Eastern Washington University 1975 — 1978
BA, Health Service Administration
Spokane Community College 1971 — 1972
Associate, Nursing
Medical Lake High School 1967 — 1970
Texas Children's Hospital October 2014 - Present
FirstCare Health Plans 2008 - March 2014
SummaCare July 2006 - August 2008
primary health 2003 - 2006
Davis Transport, Inc. September 2002 - June 2003
The State of Alaska: Department of Natural Resources January 2002 - August 2002
The Oath of Alabama 2000 - 2001
Northwest Washington Medical Bureau July 1999 - October 2000
Commemorative Brands Inc April 1998 - June 1999
Qualmed April 1996 - April 1998
Skills
EDI, Visio, SDLC, Requirements Analysis, SQL, Databases, Microsoft SQL Server, Business Intelligence, Mainframe, Software Development, T-SQL, Data Analysis, BizTalk, Project Management, COBOL, Database Design, Program Management, Analysis, Healthcare, Programming, ANSII Formats: 837P,..., Agile Methodologies, Amisys Advance, C#, Crystal Reports 10.0, HP Unix, MS Access, MS Excel, MS Powerpoint, MS Project, MS SQL, Micro Focus COBOL, Oracle PL/SQL..., Perl Script, Pervasive Data..., SAS70, SQL Data Transformation..., Suprtool, VB.NET, Requirements Gathering, Crystal Reports, Microsoft Excel, Access, Microsoft Project
Education
Boeing Computer Services 1987 — 1988
Business Programmer Certificate, 10 Month Business Programmer Course, 4.0
Seattle Pacific University 1987 — 1988
n/a, Computer Science, 4.0
University of Alaska Anchorage 1984 — 1987
n/a, calculus, computer programming
Community College of the Air Force 1981 — 1986
n/a
Laramie County Community College 1982 — 1982
n/a, English Language and Literature/Letters
Delta Dental June 2010 - Present
Humana/Compbenefits January 2006 - April 2010
Humana April 2004 - December 2005
Blue Cross Blue Shield of Missouri ( Wellpoint) May 2000 - April 2003
QualMed July 1996 - April 2000
Great West Life Denver July 1988 - July 1996
Skills
Health Insurance, Employee Benefits, Underwriting, Managed Care, Insurance, Leadership, Brokers, Process Improvement, Disability Insurance, Account Management, Management, Health Savings Accounts, Claim, Medicare, Strategy, Sales, Self-funded, Life Insurance
Education
Eastern Illinois University 1965 — 1969
BS in Educ, English
Elgin High School 1961 — 1965
The TPA August 1998 - December 1998
Qualmed April 1993 - July 1998
Syncrude Canada Ltd. 1989 - 1992
Skills
Business Analysis, Process Improvement, Business Intelligence, SDLC, Visio, Software Documentation, Project Management, Healthcare Information...
Education
State University of New York College at Oneonta 1967 — 1974
Bachelor's degree; Masters degree, Psychology; Counseling
Kaiser Associates March 2013 - August 2013
Trasn First April 2012 - August 2012
Elavon, Inc. August 2009 - April 2012
VerizonBusiness November 1999 - February 2009
MCI Worldcom 1999 - 2008
MCI Worldcom 1999 - 2000
United Bank & Trust June 1998 - November 1999
QualMed July 1996 - October 1998
Skills
Analysis, Business Analysis, PowerPoint, Employee Relations, Team Leadership, Microsoft Office, Software Documentation, Team Building, Data Entry, Technical Recruiting, Credit Cards, Customer Service, Call Center, Outlook, Customer Satisfaction, Access, Account Reconciliation, Coaching, Sales Management, Project Planning, Quality Assurance, Time Management, Forecasting, Accounting, Sales, Invoicing, Customer Retention, Process Scheduler, Networking, Inventory Management, Human Resources, Program Management, Project Management, Leadership, Accounts Receivable, Teamwork, Accounts Payable, Administrative..., Cold Calling, Management, Call Centers
Education
Pueblo Community College 1989 — 1991
certificate, Surgical Tech /science
Pueblo Community College
Associate's degree, Surgical Technology/Technologist
University of Phoenix
Business Management
University of Phoenix
Business Administration and Management, General
Arkansas Blue Cross Blue Shield February 2006 - Present
The TriZetto Group March 2000 - February 2005
Centene Corporation 2005 - 2005
QUALMED 1995 - 1996
Skills
Requirements Analysis, HIPAA, SDLC, Business Analysis, Troubleshooting, IT Strategy, Software Documentation, Requirements Gathering, SQL, Enterprise Architecture, IT Management, Visio, Databases, Oracle, Testing, Systems Analysis, Process Improvement, Business Requirements, Business Intelligence, Crystal Reports, Program Management, Integration, Software Development, Quality Assurance, COBOL, Software Implementation, EDI, Healthcare Information..., Vendor Management, Unix, Access, Data Warehousing, SharePoint, Disaster Recovery, Microsoft SQL Server, PMO
Education
Colorado State University-Pueblo 1994 — 1995
BS, Computer Science Technology
Pikes Peak Community College 1991 — 1993
AAS, Information System
UnitedHealthcare 2005 - Present
HealthAmerica 2004 - 2005
Qualmed 1995 - 1998
Education
La Salle University 1981 — 1985
Bachelor of Science, Marketing, Business and Health Care Administration
Archbishop Wood
Bravo Health December 2001 - Present
Bravo Health 2001 - Present
QualMed March 1989 - May 2001
Skills
Medicare, Managed Care, Healthcare, Provider Relations, Medicaid, Hospitals, Utilization Management, HIPAA, Healthcare Management, Disease Management, Healthcare Consulting, Health Policy, Healthcare Industry, Home Care, Healthcare Information..., Case Management, Physicians, Nursing, Quality Improvement, Customer Engagement
Education
Drexel University 1980 — 1982
no, Economics
Temple University 1966 — 1968
Galorath Federal July 2015 - Present
Reed Integration, Inc. July 2014 - June 2015
The Millennium Group International March 2013 - June 2014
LinQuest November 2011 - February 2013
Tecolote Research, Inc. September 2008 - November 2011
Booz Allen Hamilton October 2001 - September 2008
Spanish Peaks Regional Health Center February 2001 - October 2001
Benesight September 1999 - November 2000
QualMed/Foundation Health Systems November 1995 - August 1999
QualMed August 1994 - October 1995
Skills
Cost Estimating, Cost Risk Analysis, Earned Value Management, Financial Analysis, Economic Analysis, Proposal Preparation, Cost Analysis, Project Management, Proposal Writing, Cost Benefit, Project Estimation, Finance, FAR, Air Force, Defense
Education
Touro University 2005 — 2007
ABD (All But Dissertation - PhD Business), Organizational Development
Chapman University 1993 — 1995
MHA, Healthcare Administration
National University 1986 — 1987
MBA, Operations Managment/Quantitative Analysis
Southern Illinois University, Carbondale 1982 — 1985
BS, Industrial Technology
Clinton Community College 1983 — 1984
AS, Math/Science
Communicty College of the Air Force 1983 — 1984
AAS, Electronic Engineering Technology
Community College of the Air Force 1982 — 1983
AAS, Avionic Systems Technology