QualMed Plans for Health
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QualMed Plans for Health Employees
Employee
Years
Job
Industry
Don Costa Don Costa's QualMed Plans for Health Experience 1991 - 1993
Job Chief Financial Officer at Oregon Medical Group
Industry Hospital & Health Care
Experience
Oregon Medical Group January 2014 - Present
Healthways November 2006 - September 2013
Perkins Coie LLP October 2004 - June 2005
PacifiCare of Washington & Oregon (acquired by UnitedHealthcare) 1997 - 2003
PacifiCare of California (acquired by UnitedHealthcare) 1993 - 1997
QualMed Plans for Health 1991 - 1993
Skills
Cash Management, Financial Reporting, Mergers & Acquisitions, Financial Accounting, Financial Analysis, Contract Negotiation, Operating Budgets, Operations Management, Consulting, Healthcare Management, Health Insurance, Medicare, Medicaid, Sales, Strategy, Employee Benefits, Forecasting, Accounting
Education
Indiana University, Bloomington
BS, Business (Accounting)
Oregon Medical Group January 2014 - Present
Healthways November 2006 - September 2013
Perkins Coie LLP October 2004 - June 2005
PacifiCare of Washington & Oregon (acquired by UnitedHealthcare) 1997 - 2003
PacifiCare of California (acquired by UnitedHealthcare) 1993 - 1997
QualMed Plans for Health 1991 - 1993
Skills
Cash Management, Financial Reporting, Mergers & Acquisitions, Financial Accounting, Financial Analysis, Contract Negotiation, Operating Budgets, Operations Management, Consulting, Healthcare Management, Health Insurance, Medicare, Medicaid, Sales, Strategy, Employee Benefits, Forecasting, Accounting
Education
Indiana University, Bloomington
BS, Business (Accounting)
Marilyn Wheeler Marilyn Wheeler's QualMed Plans for Health Experience August 1983 - October 1994
Job Freelance Editor/Proofreader/Business Writer
Industry Writing and Editing
Experience
Self-employed June 2012 - Present
QualMed, Inc. November 1994 - December 1998
QualMed Plans for Health August 1983 - October 1994
Skills
Edited and Proofread..., Edited and Proofread a..., Researched and wrote..., Wrote "How To" manuals..., Team member for..., Team member for..., Developed and taught..., Wrote innumerable..., Wrote innumerable..., Newsletters, Editing, Proofreading, Magazines
Education
Howard Payne University
South Fork Union High School, Miranda, California
Self-employed June 2012 - Present
QualMed, Inc. November 1994 - December 1998
QualMed Plans for Health August 1983 - October 1994
Skills
Edited and Proofread..., Edited and Proofread a..., Researched and wrote..., Wrote "How To" manuals..., Team member for..., Team member for..., Developed and taught..., Wrote innumerable..., Wrote innumerable..., Newsletters, Editing, Proofreading, Magazines
Education
Howard Payne University
South Fork Union High School, Miranda, California
Cathy Pirolo Cathy Pirolo's QualMed Plans for Health Experience August 1994 - August 1999
Job Pharmacy Operations Manager, Retail & Specialty Injectable Contract Administration
Industry Insurance
Experience
Health Net Pharmaceutical Services June 2007 - September 2011
Health Net Pharmaceutical Services August 1999 - June 2007
QualMed Plans for Health August 1994 - August 1999
Education
Pierce College at Puyallup
AAS / ACJ ongoing 2012
Health Net Pharmaceutical Services June 2007 - September 2011
Health Net Pharmaceutical Services August 1999 - June 2007
QualMed Plans for Health August 1994 - August 1999
Education
Pierce College at Puyallup
AAS / ACJ ongoing 2012
Chris du Laney Chris du Laney's QualMed Plans for Health Experience 1990 - 1999
Job Principal at Financial Management Strategies, Inc.
Industry Financial Services
Experience
Financial Management Strategies, Inc. June 2012 - Present
Merrill Lynch October 2006 - June 2012
UBS May 2003 - October 2006
Kaiser Permanente Ohio 1999 - 2002
QualMed Plans for Health 1990 - 1999
Procter&Gamble;Tetley;AmericanHome;Knight Ridder;Goldome 1967 - 1990
United States Tea Association 1975 - 1978
Skills
Leadership, Strategic Planning, Insurance, Health Insurance, Process Improvement, Healthcare, Management, Healthcare Management, Team Building, Managed Care, Former Regional CEO..., Employee Benefits, Outplacement Certified..., Risk Management, Mergers & Acquisitions, Program Management, Strategy, Budgets, Customer Service, Personal Counseling
Education
Stanford University Graduate School of Business
Executive Program General Business
University of North Carolina at Chapel Hill - Kenan-Flagler Business School
Diploma, Advanced Leadership
Le Moyne College
Bachelor of Science (BS), English Language and Literature/Letters
St. Peters Prep
Greek Honors Course
Financial Management Strategies, Inc. June 2012 - Present
Merrill Lynch October 2006 - June 2012
UBS May 2003 - October 2006
Kaiser Permanente Ohio 1999 - 2002
QualMed Plans for Health 1990 - 1999
Procter&Gamble;Tetley;AmericanHome;Knight Ridder;Goldome 1967 - 1990
United States Tea Association 1975 - 1978
Skills
Leadership, Strategic Planning, Insurance, Health Insurance, Process Improvement, Healthcare, Management, Healthcare Management, Team Building, Managed Care, Former Regional CEO..., Employee Benefits, Outplacement Certified..., Risk Management, Mergers & Acquisitions, Program Management, Strategy, Budgets, Customer Service, Personal Counseling
Education
Stanford University Graduate School of Business
Executive Program General Business
University of North Carolina at Chapel Hill - Kenan-Flagler Business School
Diploma, Advanced Leadership
Le Moyne College
Bachelor of Science (BS), English Language and Literature/Letters
St. Peters Prep
Greek Honors Course
Kelly Komisor's QualMed Plans for Health Experience 1997 - 2001
Job A. Duie Pyle Executive Assistant to the CEO and Chairman
Industry Transportation/Trucking/Railroad
Experience
A. Duie Pyle, Inc. August 2015 - Present
Campbell Soup Company September 2008 - Present
Campbell Soup Company September 2008 - July 2015
Sentient Jet February 2008 - September 2008
QualMed Plans for Health 1997 - 2001
Skills
Inventory Management, Operations Management, Process Improvement, Logistics, Organization &..., Customer Service, People Skills, Budgets, Training, Flight Safety, Flights, Aircraft, Airlines, Human Factors, Charter, Transportation, Flight Planning, Aircraft Maintenance, Program Management
Education
Penn State University 2001 — 2005
Business/Corporate Communications
Flight Safety International
MedAire
In flight medical assesment and treatment
S.T.A.R.K. Survival School
A. Duie Pyle, Inc. August 2015 - Present
Campbell Soup Company September 2008 - Present
Campbell Soup Company September 2008 - July 2015
Sentient Jet February 2008 - September 2008
QualMed Plans for Health 1997 - 2001
Skills
Inventory Management, Operations Management, Process Improvement, Logistics, Organization &..., Customer Service, People Skills, Budgets, Training, Flight Safety, Flights, Aircraft, Airlines, Human Factors, Charter, Transportation, Flight Planning, Aircraft Maintenance, Program Management
Education
Penn State University 2001 — 2005
Business/Corporate Communications
Flight Safety International
MedAire
In flight medical assesment and treatment
S.T.A.R.K. Survival School
Brandy Dean Brandy Dean's QualMed Plans for Health Experience 1997 - 1998
Job Dedicated Certified Phlebotomist seeking employment
Industry Hospital & Health Care
Experience
HealthPort Technologies September 2013 - Present
Maxim Healthcare Services August 2013 - Present
Certified Phlebotomy Technologist March 2013 - Present
Volt Workforce Solutions January 2013 - March 2013
Rockport Granite Hills HealthCare & Wellness Centre July 2012 - October 2012
Scripps Mercy Chula Vista December 2011 - April 2012
Cox Communications 2011 - 2012
Target November 2006 - July 2011
GreenPoint Credit 2002 - 2003
QualMed Plans for Health 1997 - 1998
Skills
Data Entry, Healthcare, HIPAA, BLS Certified, Quality Patient Care, CPT, Clinics, Laboratory, Infection Control, Venipuncture, Blood Collection, Specimen Collection, Customer Service, Billing Systems, AS400 system, Oracle Applications, IRIS, Microsoft Word, Microsoft Excel, Microsoft Office, Multi-line Phones, Administrative..., Receptionist Duties, Medical Terminology, Phlebotomy, Medical Records, BLS, Clinical Research, Training
Education
Grossmont Health Occupations Center 2010 — 2012
CPT1, Phlebotomy Technician/Phlebotomist, B+
San Diego Mesa College 2008 — 2010
Health Services/Allied Health/Health Sciences, General
HealthPort Technologies September 2013 - Present
Maxim Healthcare Services August 2013 - Present
Certified Phlebotomy Technologist March 2013 - Present
Volt Workforce Solutions January 2013 - March 2013
Rockport Granite Hills HealthCare & Wellness Centre July 2012 - October 2012
Scripps Mercy Chula Vista December 2011 - April 2012
Cox Communications 2011 - 2012
Target November 2006 - July 2011
GreenPoint Credit 2002 - 2003
QualMed Plans for Health 1997 - 1998
Skills
Data Entry, Healthcare, HIPAA, BLS Certified, Quality Patient Care, CPT, Clinics, Laboratory, Infection Control, Venipuncture, Blood Collection, Specimen Collection, Customer Service, Billing Systems, AS400 system, Oracle Applications, IRIS, Microsoft Word, Microsoft Excel, Microsoft Office, Multi-line Phones, Administrative..., Receptionist Duties, Medical Terminology, Phlebotomy, Medical Records, BLS, Clinical Research, Training
Education
Grossmont Health Occupations Center 2010 — 2012
CPT1, Phlebotomy Technician/Phlebotomist, B+
San Diego Mesa College 2008 — 2010
Health Services/Allied Health/Health Sciences, General
jennifer Diehl jennifer Diehl's QualMed Plans for Health Experience 1993 - 1994
Job Health, Wellness and Fitness Professional
Industry Health, Wellness and Fitness
Experience
United Healthcare 1995 - 1997
Qualmed Plans for Health 1993 - 1994
Skills
Customer Service, Public Speaking
Education
UC Davis 1980 — 1982
Bachelor of Arts, International Relations
United Healthcare 1995 - 1997
Qualmed Plans for Health 1993 - 1994
Skills
Customer Service, Public Speaking
Education
UC Davis 1980 — 1982
Bachelor of Arts, International Relations
Marnie Iorio's QualMed Plans for Health Experience February 1993 - March 1999
Job Chief Financial Officer, Centura Health Physician Group (CHPG)
Industry Medical Practice
Experience
Centura Health Physician Group (CHPG) VP of Finance, Health NetworksSisters of Charity of Leavenworth Health SystemNovember 2011 - June 2015
ALN Medical Management May 2010 - November 2011
RIA/Invision Sally Jobe March 2007 - April 2010
Colorado Springs Health Partners June 2001 - March 2007
Cottage Consultants March 1999 - June 2001
QualMed Plans for Health February 1993 - March 1999
Skills
Healthcare, Healthcare Information..., Healthcare Consulting, Healthcare Management, EMR, Revenue Cycle, EHR, Managed Care, Physician Relations, Practice Management, Medicare, Revenue Cycle Management, Medical Billing, Healthcare Industry
Education
Colorado State University-Pueblo 1988 — 1992
BSBA, Accounting; Minor Speech Comm
Centura Health Physician Group (CHPG) VP of Finance, Health NetworksSisters of Charity of Leavenworth Health SystemNovember 2011 - June 2015
ALN Medical Management May 2010 - November 2011
RIA/Invision Sally Jobe March 2007 - April 2010
Colorado Springs Health Partners June 2001 - March 2007
Cottage Consultants March 1999 - June 2001
QualMed Plans for Health February 1993 - March 1999
Skills
Healthcare, Healthcare Information..., Healthcare Consulting, Healthcare Management, EMR, Revenue Cycle, EHR, Managed Care, Physician Relations, Practice Management, Medicare, Revenue Cycle Management, Medical Billing, Healthcare Industry
Education
Colorado State University-Pueblo 1988 — 1992
BSBA, Accounting; Minor Speech Comm
Barbara Williams, CFA Barbara Williams, CFA's QualMed Plans for Health Experience January 1988 - June 1994
Job Managing Director at Bridgebay Financial, Inc.
Industry Financial Services
Experience
Bridgebay Financial, Inc. January 1997 - Present
Moldaw Family Office January 1996 - January 1997
Gymboree Corporation July 1994 - December 1995
QualMed Plans for Health January 1988 - June 1994
Kingsley Jennison McNulty & Morse, Inc. January 1983 - December 1987
Wells Fargo & Co January 1979 - December 1982
Skills
Chartered Financial..., Investments, Equities, Securities, Management, Capital Markets, Investment Banking, Fixed Income, Portfolio Management, Valuation, Corporate Finance, Financial Modeling, Hedge Funds
Education
University of California, Berkeley 1973 — 1975
Master of Business Administration (MBA), Finance
Stanford University 1969 — 1972
Bachelor of Arts (BA), Economics
Bridgebay Financial, Inc. January 1997 - Present
Moldaw Family Office January 1996 - January 1997
Gymboree Corporation July 1994 - December 1995
QualMed Plans for Health January 1988 - June 1994
Kingsley Jennison McNulty & Morse, Inc. January 1983 - December 1987
Wells Fargo & Co January 1979 - December 1982
Skills
Chartered Financial..., Investments, Equities, Securities, Management, Capital Markets, Investment Banking, Fixed Income, Portfolio Management, Valuation, Corporate Finance, Financial Modeling, Hedge Funds
Education
University of California, Berkeley 1973 — 1975
Master of Business Administration (MBA), Finance
Stanford University 1969 — 1972
Bachelor of Arts (BA), Economics
Scott Winterhoff Scott Winterhoff's QualMed Plans for Health Experience 1995 - 1996
Job Director at Crystal & Company
Industry Insurance
Experience
Crystal & Company September 2000 - Present
CIGNA Healthcare - NYC August 1999 - September 2000
CIGNA Healthcare Of Colorado 1996 - July 1999
Qualmed Plans For Health 1995 - 1996
Skills
Insurance, Health Insurance, Employee Benefits, Brokers, Underwriting, Property & Casualty..., Disability Insurance, Professional Liability, Risk Management, Life Insurance, Commercial Insurance, Strategic Planning, Casualty, Claim, Legal Liability, 401k, Account Management, Analysis, Benefits Administration, Brokerage, D, Dentistry, Directors, Employment Practices..., Enterprise Risk..., Financial Services, General Insurance, Health Savings Accounts, Investments, Liability, Long-term Care, Managed Care, Medicare, Negotiation, New Business Development, Reinsurance, Retirement, Strategic Financial..., Term Life Insurance, Workers Compensation
Education
State University of New York College at Plattsburgh 1991 — 1993
Bachelor of Arts (B.A.)
Gordon College 1989 — 1991
Crystal & Company September 2000 - Present
CIGNA Healthcare - NYC August 1999 - September 2000
CIGNA Healthcare Of Colorado 1996 - July 1999
Qualmed Plans For Health 1995 - 1996
Skills
Insurance, Health Insurance, Employee Benefits, Brokers, Underwriting, Property & Casualty..., Disability Insurance, Professional Liability, Risk Management, Life Insurance, Commercial Insurance, Strategic Planning, Casualty, Claim, Legal Liability, 401k, Account Management, Analysis, Benefits Administration, Brokerage, D, Dentistry, Directors, Employment Practices..., Enterprise Risk..., Financial Services, General Insurance, Health Savings Accounts, Investments, Liability, Long-term Care, Managed Care, Medicare, Negotiation, New Business Development, Reinsurance, Retirement, Strategic Financial..., Term Life Insurance, Workers Compensation
Education
State University of New York College at Plattsburgh 1991 — 1993
Bachelor of Arts (B.A.)
Gordon College 1989 — 1991
Jackie Penrod Jackie Penrod's QualMed Plans for Health Experience June 1997 - March 1998
Job Senior Counsel at The AmeriHealth Caritas Family of Companies
Industry Law Practice
Experience
AmeriHealth Caritas December 2011 - Present
Semanoff Ormsby Greenberg & Torchia, LLC January 2011 - December 2011
Reed Smith LLP September 2006 - December 2010
United States District Court for the Eastern District of Pennsylvania July 2004 - September 2006
Duane Morris LLP September 2002 - July 2004
Abington Memorial Hospital March 1998 - September 1999
QualMed Plans for Health June 1997 - March 1998
Ernst & Young 1994 - 1997
Skills
Legal Research, Health Law, Commercial Litigation, Courts, Contract Negotiation, Medicaid, Privacy Law, Legal Writing, Bankruptcy, Civil Litigation, Healthcare, Legal Issues, Managed Care, writing, Technical Writing, News Writing, Information Privacy, behavioral health law
Education
Temple University - James E. Beasley School of Law 1999 — 2002
Juris Doctor, Law
Temple University 1988 — 1993
MBA, Finance
AmeriHealth Caritas December 2011 - Present
Semanoff Ormsby Greenberg & Torchia, LLC January 2011 - December 2011
Reed Smith LLP September 2006 - December 2010
United States District Court for the Eastern District of Pennsylvania July 2004 - September 2006
Duane Morris LLP September 2002 - July 2004
Abington Memorial Hospital March 1998 - September 1999
QualMed Plans for Health June 1997 - March 1998
Ernst & Young 1994 - 1997
Skills
Legal Research, Health Law, Commercial Litigation, Courts, Contract Negotiation, Medicaid, Privacy Law, Legal Writing, Bankruptcy, Civil Litigation, Healthcare, Legal Issues, Managed Care, writing, Technical Writing, News Writing, Information Privacy, behavioral health law
Education
Temple University - James E. Beasley School of Law 1999 — 2002
Juris Doctor, Law
Temple University 1988 — 1993
MBA, Finance
Scott Peterman's QualMed Plans for Health Experience June 1997 - March 1999
Job Senior Network Engineer at Level 3 Communications
Industry Telecommunications
Experience
Level 3 Communications December 2014 - Present
tw telecom April 2013 - December 2014
Cricket Communications February 2012 - April 2013
Cricket Communications November 2008 - February 2012
Avaya, Inc. May 2007 - November 2008
Fiserv Health 2002 - 2007
Sunset Learning / CCTI March 1999 - April 2002
QualMed Plans for Health June 1997 - March 1999
Lewan & Associates April 1994 - June 1997
Skills
BGP, Cisco Technologies, OSPF, Data Center, MPLS, EIGRP, Routers, Switches, Cisco Nexus, IPv6, Routing, VPN, Network Engineering, Juniper, Network Design, IP, WAN, QoS, Firewalls, VoIP, CCNP, Ethernet, Frame Relay, Disaster Recovery, MPLS VPN, LAN-WAN, Security, Juniper Technologies
Education
Colorado State University-Pueblo 1990 — 1994
BS, Computer Science Technology
Level 3 Communications December 2014 - Present
tw telecom April 2013 - December 2014
Cricket Communications February 2012 - April 2013
Cricket Communications November 2008 - February 2012
Avaya, Inc. May 2007 - November 2008
Fiserv Health 2002 - 2007
Sunset Learning / CCTI March 1999 - April 2002
QualMed Plans for Health June 1997 - March 1999
Lewan & Associates April 1994 - June 1997
Skills
BGP, Cisco Technologies, OSPF, Data Center, MPLS, EIGRP, Routers, Switches, Cisco Nexus, IPv6, Routing, VPN, Network Engineering, Juniper, Network Design, IP, WAN, QoS, Firewalls, VoIP, CCNP, Ethernet, Frame Relay, Disaster Recovery, MPLS VPN, LAN-WAN, Security, Juniper Technologies
Education
Colorado State University-Pueblo 1990 — 1994
BS, Computer Science Technology
Tammy Stokan Tammy Stokan's QualMed Plans for Health Experience July 1999 - November 1999
Job AVP, Government Programs at MultiPlan, Inc.
Industry Hospital & Health Care
Experience
MultiPlan, Inc. April 2013 - Present
MultiPlan May 2010 - March 2013
Beech Street, a Viant Network 2005 - May 2010
Viant October 2005 - April 2010
Capital Surgeons Group, PLLC May 2001 - October 2005
Southwest Bariatric Surgeons/Capital Surgeons Group 2001 - 2005
Community Health Plan of the Rockies November 1999 - October 2000
QualMed Plans for Health July 1999 - November 1999
Beech Street Corporation May 1997 - March 1999
Medical Control, Inc. October 1994 - April 1997
Skills
Building Relationships, Product Development, Provider Relations, Managed Care, PPO, Network Development, HMO, Healthcare, Contract Negotiation, Credentialing, Medicare, Physicians, Medicaid, Health Insurance, Healthcare Industry, Insurance, Health Policy, Revenue Cycle, Leadership, Healthcare Information..., Healthcare Consulting, HIPAA, Training, Healthcare Management
Education
University of North Texas 1988 — 1993
BA, Mass Media Communications
MultiPlan, Inc. April 2013 - Present
MultiPlan May 2010 - March 2013
Beech Street, a Viant Network 2005 - May 2010
Viant October 2005 - April 2010
Capital Surgeons Group, PLLC May 2001 - October 2005
Southwest Bariatric Surgeons/Capital Surgeons Group 2001 - 2005
Community Health Plan of the Rockies November 1999 - October 2000
QualMed Plans for Health July 1999 - November 1999
Beech Street Corporation May 1997 - March 1999
Medical Control, Inc. October 1994 - April 1997
Skills
Building Relationships, Product Development, Provider Relations, Managed Care, PPO, Network Development, HMO, Healthcare, Contract Negotiation, Credentialing, Medicare, Physicians, Medicaid, Health Insurance, Healthcare Industry, Insurance, Health Policy, Revenue Cycle, Leadership, Healthcare Information..., Healthcare Consulting, HIPAA, Training, Healthcare Management
Education
University of North Texas 1988 — 1993
BA, Mass Media Communications
Jim Arslan's QualMed Plans for Health Experience 1993 - 1998
Job at RPM Direct
Industry Marketing and Advertising
Experience
RPM Direct March 2010 - Present
Masada Group Technologies January 2006 - December 2009
TransUnion 1998 - 2006
Qualmed Plans for Health 1993 - 1998
Skills
Database Marketing, Direct Marketing, Customer Acquisition, Executive Management, Direct Mail, Marketing Strategy, Analytics, Segmentation, Multi-channel Marketing, New Business Development, Lead Generation, Strategic Planning, Sales Management, Email Marketing, Business Development, Financial Services, Marketing
Education
Bloomsburg University of Pennsylvania 1989 — 1993
Bachelor of Science (BS), Accounting
RPM Direct March 2010 - Present
Masada Group Technologies January 2006 - December 2009
TransUnion 1998 - 2006
Qualmed Plans for Health 1993 - 1998
Skills
Database Marketing, Direct Marketing, Customer Acquisition, Executive Management, Direct Mail, Marketing Strategy, Analytics, Segmentation, Multi-channel Marketing, New Business Development, Lead Generation, Strategic Planning, Sales Management, Email Marketing, Business Development, Financial Services, Marketing
Education
Bloomsburg University of Pennsylvania 1989 — 1993
Bachelor of Science (BS), Accounting
Derrick Harris's QualMed Plans for Health Experience 1989 - 1999
Job Network Services Representative at Health Choice Arizona
Industry Insurance
Experience
Health Choice AZ December 2007 - August 2014
Valley Christian Center April 2012 - April 2013
MAXIMUS December 2003 - December 2007
Arizona Physicians IPA March 2001 - December 2003
Tuality Healthcare 2000 - 2000
QualMed Plans for Health 1989 - 1999
First FarWest Insurance Companies... 1985 - 1988
Skills
Medicare, Negotiation, Analysis, Program Management, Medicaid, Healthcare, HIPAA, Contract Negotiation, Process Improvement, Healthcare Management, Insurance, Team Building, Strategic Planning, Data Analysis, Health Insurance, Account Management, Customer Service
Education
Portland State University - School of Business 1983 — 1987
BS, Business Administration
Portland Community College 1979 — 1982
Associate of Science, Business Administration
Health Choice AZ December 2007 - August 2014
Valley Christian Center April 2012 - April 2013
MAXIMUS December 2003 - December 2007
Arizona Physicians IPA March 2001 - December 2003
Tuality Healthcare 2000 - 2000
QualMed Plans for Health 1989 - 1999
First FarWest Insurance Companies... 1985 - 1988
Skills
Medicare, Negotiation, Analysis, Program Management, Medicaid, Healthcare, HIPAA, Contract Negotiation, Process Improvement, Healthcare Management, Insurance, Team Building, Strategic Planning, Data Analysis, Health Insurance, Account Management, Customer Service
Education
Portland State University - School of Business 1983 — 1987
BS, Business Administration
Portland Community College 1979 — 1982
Associate of Science, Business Administration
steven brad wolff's QualMed Plans for Health Experience October 1997 - June 2000
Job Director of Medicare Sales Administration at Care1st Health Plan Yes, its all about you.
Industry Insurance
Experience
Care1st Health Plan - Yes, its all about you. March 2014 - Present
HMSA November 2011 - September 2013
Northeast Delta Dental September 2010 - April 2011
Kaiser Foundation Health Plan January 2005 - November 2007
Kaiser Permanente January 2005 - November 2007
Health Net July 2000 - May 2001
QualMed Plans for Health October 1997 - June 2000
Qual Med Plans for Health October 1997 - June 2000
Oxford Health Plans September 1995 - July 1997
Oxford Health Plans September 1995 - July 1997
Skills
Leadership, Management, Business Development, Competitive Analysis, Start-ups, Strategic Planning, Account Management, Marketing, Sales, Insurance, Employee Benefits, Budgets, Healthcare, Sales Management, Medicare
Education
UCLA Anderson School of Management 1987 — 1989
mba, marketing
Tufts University School of Medicine 1979 — 1982
Vanderbilt University 1975 — 1979
B.A., Biology; pre-Med
Care1st Health Plan - Yes, its all about you. March 2014 - Present
HMSA November 2011 - September 2013
Northeast Delta Dental September 2010 - April 2011
Kaiser Foundation Health Plan January 2005 - November 2007
Kaiser Permanente January 2005 - November 2007
Health Net July 2000 - May 2001
QualMed Plans for Health October 1997 - June 2000
Qual Med Plans for Health October 1997 - June 2000
Oxford Health Plans September 1995 - July 1997
Oxford Health Plans September 1995 - July 1997
Skills
Leadership, Management, Business Development, Competitive Analysis, Start-ups, Strategic Planning, Account Management, Marketing, Sales, Insurance, Employee Benefits, Budgets, Healthcare, Sales Management, Medicare
Education
UCLA Anderson School of Management 1987 — 1989
mba, marketing
Tufts University School of Medicine 1979 — 1982
Vanderbilt University 1975 — 1979
B.A., Biology; pre-Med
Denise Liburd's QualMed Plans for Health Experience March 1997 - February 1999
Job Manager at Mitchell &Titus
Industry Accounting
Experience
Mitchell &Titus December 2000 - Present
Oak tree Health Plans, Philadelphia, PA March 1999 - December 2000
QualMed Plans for Health, March 1997 - February 1999
Prudential Insurance Company of America February 1995 - March 1997
Xerox Corporation June 1979 - March 1989
Education
University of Phoenix 2003 — 2005
MA, Organizational Management
Connecticut College
BA, Education
Mitchell &Titus December 2000 - Present
Oak tree Health Plans, Philadelphia, PA March 1999 - December 2000
QualMed Plans for Health, March 1997 - February 1999
Prudential Insurance Company of America February 1995 - March 1997
Xerox Corporation June 1979 - March 1989
Education
University of Phoenix 2003 — 2005
MA, Organizational Management
Connecticut College
BA, Education
Yolanda Romero's QualMed Plans for Health Experience April 1993 - June 1998
Job Director of Workers' Compensation at Southeastern PA Transportation Authority
Industry Transportation/Trucking/Railroad
Experience
Southeastern PA Transportation Authority July 1998 - February 2014
QualMed Plans for Health April 1993 - June 1998
Thomas Jefferson University December 1981 - April 1993
Skills
Workers Compensation, Risk Management, Claims Management, Claim, Claim Investigation, Litigation Management, Transportation, Subrogation, Strategic Planning, Legal Liability, Operations Management, Customer Service, Background Checks, Managed Care, Investigation, Private Investigations, Fraud, Employee Benefits, Human Resources, Claims Resolution, Medicare, Deferred Compensation, Casualty, FMLA, Employee Relations, Accident, Commercial Lines, Benefits Administration, Brokers, Financial Risk, General Insurance, Program Management, Management, Property Damage, Risk Assessment, Administration, Workers' Compensation..., Professional Liability, Budgets, Courts, Executive Management, Health Insurance, Commercial Insurance, Underwriting, Excess, Claims Handling, Disability Insurance, Labor Relations, Disability Management, Policy
Education
Philadelphia University 1996 — 1999
MBA, Management
Philadelphia University 1986 — 1992
B.S., Management
Southeastern PA Transportation Authority July 1998 - February 2014
QualMed Plans for Health April 1993 - June 1998
Thomas Jefferson University December 1981 - April 1993
Skills
Workers Compensation, Risk Management, Claims Management, Claim, Claim Investigation, Litigation Management, Transportation, Subrogation, Strategic Planning, Legal Liability, Operations Management, Customer Service, Background Checks, Managed Care, Investigation, Private Investigations, Fraud, Employee Benefits, Human Resources, Claims Resolution, Medicare, Deferred Compensation, Casualty, FMLA, Employee Relations, Accident, Commercial Lines, Benefits Administration, Brokers, Financial Risk, General Insurance, Program Management, Management, Property Damage, Risk Assessment, Administration, Workers' Compensation..., Professional Liability, Budgets, Courts, Executive Management, Health Insurance, Commercial Insurance, Underwriting, Excess, Claims Handling, Disability Insurance, Labor Relations, Disability Management, Policy
Education
Philadelphia University 1996 — 1999
MBA, Management
Philadelphia University 1986 — 1992
B.S., Management
Dory Hicks's QualMed Plans for Health Experience 1993 - 1998
Job Interim CIO/Executive Consultant at Central California Alliance for Health
Industry Management Consulting
Experience
Central California Alliance for Health July 2015 - Present
Swiftcurrent Healthcare Consulting Group June 2010 - Present
Attac Consulting 2005 - Present
Santa Clara Family Health Plan June 2014 - June 2015
Santa Clara Family 2014 - 2014
New West Health Services January 2005 - June 2011
L.A Care Health Plan October 2002 - January 2005
The Pace Group 1997 - 2003
Amerigroup Corporation 1999 - 2001
QualMed Plans for Health 1993 - 1998
Skills
Executive Management, Operations Management, IT Management, CIO, Medicare Advantage and..., Government Pilot..., Acquisition Integration, System Assessments, System Selection, Medicare Advantage, Program Management, Government, Health Policy, Management Consulting, Billing Systems, Pharmacy Benefit..., Medicare Part D, ICD-10, Strategy, Change Management, Process Improvement, Business Process..., Healthcare, Healthcare Information..., EDI, Managed Care, Outsourcing, Project Management, Project Portfolio..., SDLC, Strategic Planning, Vendor Management, Business Analysis, Medicaid, Medicare, Leadership, HIPAA, Consulting, Healthcare Management, Healthcare Consulting, Healthcare Industry
Education
Arizona State University
Archaeology/Anthropology
Colorado State University
Central California Alliance for Health July 2015 - Present
Swiftcurrent Healthcare Consulting Group June 2010 - Present
Attac Consulting 2005 - Present
Santa Clara Family Health Plan June 2014 - June 2015
Santa Clara Family 2014 - 2014
New West Health Services January 2005 - June 2011
L.A Care Health Plan October 2002 - January 2005
The Pace Group 1997 - 2003
Amerigroup Corporation 1999 - 2001
QualMed Plans for Health 1993 - 1998
Skills
Executive Management, Operations Management, IT Management, CIO, Medicare Advantage and..., Government Pilot..., Acquisition Integration, System Assessments, System Selection, Medicare Advantage, Program Management, Government, Health Policy, Management Consulting, Billing Systems, Pharmacy Benefit..., Medicare Part D, ICD-10, Strategy, Change Management, Process Improvement, Business Process..., Healthcare, Healthcare Information..., EDI, Managed Care, Outsourcing, Project Management, Project Portfolio..., SDLC, Strategic Planning, Vendor Management, Business Analysis, Medicaid, Medicare, Leadership, HIPAA, Consulting, Healthcare Management, Healthcare Consulting, Healthcare Industry
Education
Arizona State University
Archaeology/Anthropology
Colorado State University
Pamela Harrington's QualMed Plans for Health Experience October 1994 - July 1998
Job MITA Business Analyst II
Industry Information Services
Experience
Molina Healthcare August 2011 - Present
United Healthcare Group through AllMed Staffing March 2010 - October 2010
Adaptis, Inc May 2009 - September 2009
Adaptis, Inc November 2007 - September 2009
Adaptis, Inc November 2007 - May 2009
Presbyterian Health Plan July 1998 - October 2007
Presbyterian Health Plans 1998 - 2007
QualMed Plans for Health October 1994 - July 1998
QualMed Plans for Health June 1990 - October 1994
Sutter General Hospital October 1982 - June 1990
Skills
Software Documentation, Healthcare Information..., Project Planning, Business Analysis, EDI, Claim, Medicaid, HIPAA, Medicare, Microsoft Office, Management, Health Policy, Healthcare, Insurance, SDLC, ICD-10, Process Improvement, Employee Benefits, Quality Assurance, Managed Care, Leadership, Visio, SharePoint
Education
Murray State University 1967 — 1969
Nursing
Champaign Senior High School
Molina Healthcare August 2011 - Present
United Healthcare Group through AllMed Staffing March 2010 - October 2010
Adaptis, Inc May 2009 - September 2009
Adaptis, Inc November 2007 - September 2009
Adaptis, Inc November 2007 - May 2009
Presbyterian Health Plan July 1998 - October 2007
Presbyterian Health Plans 1998 - 2007
QualMed Plans for Health October 1994 - July 1998
QualMed Plans for Health June 1990 - October 1994
Sutter General Hospital October 1982 - June 1990
Skills
Software Documentation, Healthcare Information..., Project Planning, Business Analysis, EDI, Claim, Medicaid, HIPAA, Medicare, Microsoft Office, Management, Health Policy, Healthcare, Insurance, SDLC, ICD-10, Process Improvement, Employee Benefits, Quality Assurance, Managed Care, Leadership, Visio, SharePoint
Education
Murray State University 1967 — 1969
Nursing
Champaign Senior High School
Katalina Gwinn's QualMed Plans for Health Experience January 1994 - January 1996
Job Financial/Pricing Analyst at FlightSafety International
Industry Financial Services
Experience
CH2M HILL Engineers, Inc. January 2001 - December 2014
CH2MHill Inc January 2001 - December 2014
Lockheed Martin Missions Systems March 1998 - January 2001
PacifiCare January 1996 - January 1998
Qualmed Plans for Health January 1994 - January 1996
General Dynamics January 1985 - January 1993
Skills
Analysis, Forecasting, Finance, Variance Analysis, Budgets, Proposal Pricing, Hyperion Essbase, Cost Accounting, FAR/DAR, Audit Support, Training, Process Improvement, Oracle Applications, Microsoft Excel, Microsoft SQL Server, Excel Dashboards
Education
New Mexico State University 1980 — 1984
Bachelor of Business Administration (BBA), Accounting and Finance
New Mexico State University
Business Administration; Computer Information Systems and Accounting
CH2M HILL Engineers, Inc. January 2001 - December 2014
CH2MHill Inc January 2001 - December 2014
Lockheed Martin Missions Systems March 1998 - January 2001
PacifiCare January 1996 - January 1998
Qualmed Plans for Health January 1994 - January 1996
General Dynamics January 1985 - January 1993
Skills
Analysis, Forecasting, Finance, Variance Analysis, Budgets, Proposal Pricing, Hyperion Essbase, Cost Accounting, FAR/DAR, Audit Support, Training, Process Improvement, Oracle Applications, Microsoft Excel, Microsoft SQL Server, Excel Dashboards
Education
New Mexico State University 1980 — 1984
Bachelor of Business Administration (BBA), Accounting and Finance
New Mexico State University
Business Administration; Computer Information Systems and Accounting