Rainmakers Strategic Solutions, LLC
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Rainmakers Strategic Solutions, LLC Employees
Employee
Years
Job
Industry
Kelly Moran Riffey Kelly Moran Riffey's Rainmakers Strategic Solutions, LLC Experience January 2013 - January 2014
Job Senior Manager BPO Services at General Dynamics Information Technology
Industry Hospital & Health Care
Experience
General Dynamics Information Technology January 2014 - Present
Rainmakers Strategic Solutions, LLC January 2013 - January 2014
SCAN Health Plan 2010 - 2013
ChildHelp, Inc. 2009 - 2010
SCAN Health Plan 2007 - 2010
Aurora Behavioral Health System 2008 - 2009
Arizona Department of Health Services 2005 - 2008
Schaller Anderson 2004 - 2005
BlueCross BlueShield of Tennessee 2002 - 2004
Mountain States Health Alliance 1996 - 2002
Skills
Managed Care, Hospitals, Clinical Research, Healthcare Operations, Audits, Fraud Analytics, Advanced Analytics, Project Management, Total Quality Management, TQM, Advanced Statistical..., Data Mining, Root Cause Analysis, Quality Improvement, Model Development, OIG, GSA, Medicare Advantage Part..., Medicare Advantage, Medicare Prescription..., Medicaid Managed Care, FDR Compliance, FDR, SNP, HEDIS, NCQA, URAC, JCAHO, CPT, ICD-9, HCPCS, Special Inve, Policy Development, Fraud Detection, Healthcare Management, Healthcare Industry, Healthcare, HIPAA, Auditing, Case Managment, Healthcare Information..., Medicare, Health Policy, Utilization Review, Program Management, Policy, EHR, Utilization Management, Accreditation, Leadership
Education
Bristol College ETSU
Bachelor of Science (BS), Business Administration and Management, General
East Tennessee State University
Nursing Administration, College of Nursing
General Dynamics Information Technology January 2014 - Present
Rainmakers Strategic Solutions, LLC January 2013 - January 2014
SCAN Health Plan 2010 - 2013
ChildHelp, Inc. 2009 - 2010
SCAN Health Plan 2007 - 2010
Aurora Behavioral Health System 2008 - 2009
Arizona Department of Health Services 2005 - 2008
Schaller Anderson 2004 - 2005
BlueCross BlueShield of Tennessee 2002 - 2004
Mountain States Health Alliance 1996 - 2002
Skills
Managed Care, Hospitals, Clinical Research, Healthcare Operations, Audits, Fraud Analytics, Advanced Analytics, Project Management, Total Quality Management, TQM, Advanced Statistical..., Data Mining, Root Cause Analysis, Quality Improvement, Model Development, OIG, GSA, Medicare Advantage Part..., Medicare Advantage, Medicare Prescription..., Medicaid Managed Care, FDR Compliance, FDR, SNP, HEDIS, NCQA, URAC, JCAHO, CPT, ICD-9, HCPCS, Special Inve, Policy Development, Fraud Detection, Healthcare Management, Healthcare Industry, Healthcare, HIPAA, Auditing, Case Managment, Healthcare Information..., Medicare, Health Policy, Utilization Review, Program Management, Policy, EHR, Utilization Management, Accreditation, Leadership
Education
Bristol College ETSU
Bachelor of Science (BS), Business Administration and Management, General
East Tennessee State University
Nursing Administration, College of Nursing
Doug Black, CPF, PMP Doug Black, CPF, PMP's Rainmakers Strategic Solutions, LLC Experience June 2015 - Present
Job Principal at Rainmakers Strategic Solutions, LLC
Industry Management Consulting
Experience
Rainmakers Strategic Solutions, LLC June 2015 - Present
The Ambit Group October 2014 - May 2015
The Ambit Group June 2012 - September 2014
The Ambit Group March 2009 - June 2012
SRA International January 2003 - February 2009
Marasco Newton Group, Ltd. 2001 - 2003
MitStar December 2000 - August 2001
Weber Associates May 1999 - December 2000
Skills
Strategic Communications, Change Management, Government, Security Clearance, Strategic Planning, Program Management, Social Media, Government Relations, PMP, Public Relations, Leadership Development, Business Strategy, Governance, Management, Marketing Communications, Strategy, Project Management, IT Strategy, Project Planning, Business Process..., Process Improvement, Budgets, Team Leadership, Policy, Workshop Facilitation, Analysis, Integration, Team Building, Leadership, DoD, Organizational..., Management Consulting, Policy Analysis, Federal Government, Public Policy, Mergers & Acquisitions, Government Contracting, International Relations, Crisis Management, Business Development, Training, Risk Management, Business Transformation, Telecommunications, Nonprofits, Cross-functional Team..., Start-ups, Consulting, Internal Communications, Entrepreneurship
Education
Georgetown University 1996 — 2000
MA, Arab Studies
Trinity University 1990 — 1994
BA, History and Political Science
Maine Endwell High School 1986 — 1990
Rainmakers Strategic Solutions, LLC June 2015 - Present
The Ambit Group October 2014 - May 2015
The Ambit Group June 2012 - September 2014
The Ambit Group March 2009 - June 2012
SRA International January 2003 - February 2009
Marasco Newton Group, Ltd. 2001 - 2003
MitStar December 2000 - August 2001
Weber Associates May 1999 - December 2000
Skills
Strategic Communications, Change Management, Government, Security Clearance, Strategic Planning, Program Management, Social Media, Government Relations, PMP, Public Relations, Leadership Development, Business Strategy, Governance, Management, Marketing Communications, Strategy, Project Management, IT Strategy, Project Planning, Business Process..., Process Improvement, Budgets, Team Leadership, Policy, Workshop Facilitation, Analysis, Integration, Team Building, Leadership, DoD, Organizational..., Management Consulting, Policy Analysis, Federal Government, Public Policy, Mergers & Acquisitions, Government Contracting, International Relations, Crisis Management, Business Development, Training, Risk Management, Business Transformation, Telecommunications, Nonprofits, Cross-functional Team..., Start-ups, Consulting, Internal Communications, Entrepreneurship
Education
Georgetown University 1996 — 2000
MA, Arab Studies
Trinity University 1990 — 1994
BA, History and Political Science
Maine Endwell High School 1986 — 1990
Bob Mays bob-mays@comcast.net Bob Mays bob-mays@comcast.net's Rainmakers Strategic Solutions, LLC Experience January 2014 - December 2014
Job Staff Vice President, Special Investigations Unit at Anthem
Industry Security and Investigations
Experience
Anthem December 2014 - Present
Rainmakers Strategic Solutions, LLC January 2014 - December 2014
OptumInsight February 2012 - October 2013
Thomson Reuters February 2009 - February 2012
TriCenturion February 2001 - January 2009
Dover PD 1981 - 2001
Skills
Medicaid, Medicare, Fraud, Healthcare, Government, HIPAA, Program Management, Policy, Process Improvement, Data Analysis, Healthcare Information..., Strategic Planning, Project Management, Health Insurance, Private Investigations, Managed Care, Risk Assessment, Risk Management, Proposal Writing, Analysis, Management Consulting, Enforcement, Government Contracting, Background Checks, Investigation, Training, Police, Management, Leadership, Security, Executive Management, Governance, Healthcare Consulting, Change Management, Healthcare Industry, Law Enforcement
Education
Wilmington University 1993 — 1995
MS, Management
FBI National Academy 1993 — 1993
Executive Police Leadership, Executive Police Leadership
Delaware State University
BA, Sociology
Anthem December 2014 - Present
Rainmakers Strategic Solutions, LLC January 2014 - December 2014
OptumInsight February 2012 - October 2013
Thomson Reuters February 2009 - February 2012
TriCenturion February 2001 - January 2009
Dover PD 1981 - 2001
Skills
Medicaid, Medicare, Fraud, Healthcare, Government, HIPAA, Program Management, Policy, Process Improvement, Data Analysis, Healthcare Information..., Strategic Planning, Project Management, Health Insurance, Private Investigations, Managed Care, Risk Assessment, Risk Management, Proposal Writing, Analysis, Management Consulting, Enforcement, Government Contracting, Background Checks, Investigation, Training, Police, Management, Leadership, Security, Executive Management, Governance, Healthcare Consulting, Change Management, Healthcare Industry, Law Enforcement
Education
Wilmington University 1993 — 1995
MS, Management
FBI National Academy 1993 — 1993
Executive Police Leadership, Executive Police Leadership
Delaware State University
BA, Sociology
Sandra James Sandra James's Rainmakers Strategic Solutions, LLC Experience February 2013 - Present
Job Experienced, Highlyskilled Business Manager
Industry Information Technology and Services
Experience
Rainmakers Strategic Solutions, LLC February 2013 - Present
Maricom Systems August 2010 - February 2013
ViPS / GDIT November 2003 - August 2010
Nutramax Laboratories, Inc. 2005 - 2005
ViPS May 2002 - November 2003
ViPS January 1996 - May 2002
Skills
Office Management, Facilities Management, Office Administration, Administrative..., Executive Support, Team Management, Team Leadership, Transition Management, Process Improvement, Organizational..., Cross-functional Team..., Microsoft Office, Microsoft Office 2007, Goal Oriented, Communication Skills, Project Management, SDLC, FISMA, Team-oriented, Leadership, Innovativeness, Software Documentation, Management, Business Requirements, Human Resources, MS Project, Program Management, Requirements Gathering, CMMI, Requirements Analysis, Time Management, SharePoint, Operations Management
Education
University of Phoenix 2000 — 2005
Bachelor of Science (B.S.), Business Administration, Management and Operations
Overlea
Rainmakers Strategic Solutions, LLC February 2013 - Present
Maricom Systems August 2010 - February 2013
ViPS / GDIT November 2003 - August 2010
Nutramax Laboratories, Inc. 2005 - 2005
ViPS May 2002 - November 2003
ViPS January 1996 - May 2002
Skills
Office Management, Facilities Management, Office Administration, Administrative..., Executive Support, Team Management, Team Leadership, Transition Management, Process Improvement, Organizational..., Cross-functional Team..., Microsoft Office, Microsoft Office 2007, Goal Oriented, Communication Skills, Project Management, SDLC, FISMA, Team-oriented, Leadership, Innovativeness, Software Documentation, Management, Business Requirements, Human Resources, MS Project, Program Management, Requirements Gathering, CMMI, Requirements Analysis, Time Management, SharePoint, Operations Management
Education
University of Phoenix 2000 — 2005
Bachelor of Science (B.S.), Business Administration, Management and Operations
Overlea
Cara A. Lane, MS, CHES Cara A. Lane, MS, CHES's Rainmakers Strategic Solutions, LLC Experience January 2015 - Present
Job Senior Consultant at Rainmakers Strategic Solutions, LLC
Industry Government Administration
Experience
Rainmakers Strategic Solutions, LLC January 2015 - Present
American Institutes for Research December 2011 - January 2015
Howard County Government August 2011 - December 2011
U.S. Department of Health and Human Services, Office on Women's Health January 2011 - April 2011
Indiana University Bloomington 2009 - 2011
Indiana State Department of Health October 2010 - December 2010
University of Maryland Baltimore County November 2007 - August 2009
Skills
Public Health, Partnership Development, Infrastructure..., Product and Materials..., Content Development, Strategic Planning, Public Speaking, Qualitative Research, Editing, Community Outreach, Health Communication, Program Management, Health Education, Research, Nonprofits, Program Evaluation, Program Development
Education
Indiana University Bloomington 2009 — 2011
Master's Degree, Applied Health Science (Major: Health Promotion)
University of Maryland College Park 2000 — 2003
BA, Sociology
Temple University 1998 — 1999
Rainmakers Strategic Solutions, LLC January 2015 - Present
American Institutes for Research December 2011 - January 2015
Howard County Government August 2011 - December 2011
U.S. Department of Health and Human Services, Office on Women's Health January 2011 - April 2011
Indiana University Bloomington 2009 - 2011
Indiana State Department of Health October 2010 - December 2010
University of Maryland Baltimore County November 2007 - August 2009
Skills
Public Health, Partnership Development, Infrastructure..., Product and Materials..., Content Development, Strategic Planning, Public Speaking, Qualitative Research, Editing, Community Outreach, Health Communication, Program Management, Health Education, Research, Nonprofits, Program Evaluation, Program Development
Education
Indiana University Bloomington 2009 — 2011
Master's Degree, Applied Health Science (Major: Health Promotion)
University of Maryland College Park 2000 — 2003
BA, Sociology
Temple University 1998 — 1999
Denise Rainey's Rainmakers Strategic Solutions, LLC Experience July 2008 - Present
Job Owner, Rainmakers Government Solutions, LLC
Industry Management Consulting
Experience
Rainmakers Strategic Solutions LLC July 2008 - Present
Rainmakers Strategic Solutions, LLC September 2007 - Present
Booz Allen Hamilton April 2006 - September 2007
Perot Systems January 2005 - April 2006
KPMG/BearingPoint November 1997 - January 2005
Sierra Military Healthcare Services February 1997 - October 1997
Blue Cross and Blue Shield of Arizona, Inc September 1985 - January 1997
Skills
Program Management, Management Consulting, Change Management, Strategic Planning, Strategy, Healthcare, Government
Education
Boston University 1979 — 1983
BSBA, Marketing Management
Boston University 1979 — 1983
BSBA, Financial Management
Rainmakers Strategic Solutions LLC July 2008 - Present
Rainmakers Strategic Solutions, LLC September 2007 - Present
Booz Allen Hamilton April 2006 - September 2007
Perot Systems January 2005 - April 2006
KPMG/BearingPoint November 1997 - January 2005
Sierra Military Healthcare Services February 1997 - October 1997
Blue Cross and Blue Shield of Arizona, Inc September 1985 - January 1997
Skills
Program Management, Management Consulting, Change Management, Strategic Planning, Strategy, Healthcare, Government
Education
Boston University 1979 — 1983
BSBA, Marketing Management
Boston University 1979 — 1983
BSBA, Financial Management
Chris Lawhorn's Rainmakers Strategic Solutions, LLC Experience February 2015 - May 2015
Job Technical Support Engineer 3
Industry Information Technology and Services
Experience
Siemens Healthcare May 2015 - Present
HP Enterprise Services October 2007 - Present
HP Enterprise Services January 2013 - Present
Rainmakers Strategic Solutions, LLC February 2015 - May 2015
HP Enterprise Services June 2010 - December 2011
HP Enterprise Services October 2007 - May 2010
Skills
Training, Team Leadership, Microsoft Word, Microsoft Excel, Microsoft Power Point, Microsoft Outlook, Electronic Data..., EDI HIPAA Transactions, Highly detail oriented, Team-oriented, Medical Billing, Claims Processing, Vast knowledge in..., Subject Matter Expert..., Technical Documentation, Claims Resolution, Business Analysis, Data Analysis, Acceptance Testing, System Testing, Seminars, Presentations, Learning Quickly, EDI, Outlook, Healthcare, Requirements Analysis, Vendor Management, Change Management, Process Improvement, Business Process, HIPAA, Insurance, Analysis, Management, Medicaid, PowerPoint, Requirements Gathering, SDLC, Software Documentation, Testing, Troubleshooting
Education
Wake Technical Community College 2003 — 2005
Associate of Arts
North Carolina State University 2002 — 2003
Agricultural Business and Management
Siemens Healthcare May 2015 - Present
HP Enterprise Services October 2007 - Present
HP Enterprise Services January 2013 - Present
Rainmakers Strategic Solutions, LLC February 2015 - May 2015
HP Enterprise Services June 2010 - December 2011
HP Enterprise Services October 2007 - May 2010
Skills
Training, Team Leadership, Microsoft Word, Microsoft Excel, Microsoft Power Point, Microsoft Outlook, Electronic Data..., EDI HIPAA Transactions, Highly detail oriented, Team-oriented, Medical Billing, Claims Processing, Vast knowledge in..., Subject Matter Expert..., Technical Documentation, Claims Resolution, Business Analysis, Data Analysis, Acceptance Testing, System Testing, Seminars, Presentations, Learning Quickly, EDI, Outlook, Healthcare, Requirements Analysis, Vendor Management, Change Management, Process Improvement, Business Process, HIPAA, Insurance, Analysis, Management, Medicaid, PowerPoint, Requirements Gathering, SDLC, Software Documentation, Testing, Troubleshooting
Education
Wake Technical Community College 2003 — 2005
Associate of Arts
North Carolina State University 2002 — 2003
Agricultural Business and Management
Athy Conigliaro's Rainmakers Strategic Solutions, LLC Experience February 2014 - January 2015
Job Program Director at CNSI
Industry Information Technology and Services
Experience
CNSI January 2015 - Present
Rainmakers Strategic Solutions, LLC February 2014 - January 2015
Acentia June 2010 - February 2014
SAIC December 2006 - June 2010
ViPS 1999 - 2006
Baltimore Medical System Incorporated 1996 - 1999
CareFirst BlueCross BlueShield 1985 - 1996
McGrow Pridgeon 1983 - 1984
Deloitte 1983 - 1984
Boeing 1979 - 1983
Skills
Program Management, SDLC, IT Strategy, Project Management, Integration, PMO, SharePoint, PMP, Enterprise Architecture, Requirements Analysis, Process Improvement, Business Analysis, Medicare, DB2, Management Consulting, Leadership, Strategy, CRM, Proposal Writing, Risk Management, Management
Education
Loyola University Maryland 1987 — 1992
MBA, Emphasis in Information Systems
Penn State University 1975 — 1979
BS, Computer Science/Accounting
CNSI January 2015 - Present
Rainmakers Strategic Solutions, LLC February 2014 - January 2015
Acentia June 2010 - February 2014
SAIC December 2006 - June 2010
ViPS 1999 - 2006
Baltimore Medical System Incorporated 1996 - 1999
CareFirst BlueCross BlueShield 1985 - 1996
McGrow Pridgeon 1983 - 1984
Deloitte 1983 - 1984
Boeing 1979 - 1983
Skills
Program Management, SDLC, IT Strategy, Project Management, Integration, PMO, SharePoint, PMP, Enterprise Architecture, Requirements Analysis, Process Improvement, Business Analysis, Medicare, DB2, Management Consulting, Leadership, Strategy, CRM, Proposal Writing, Risk Management, Management
Education
Loyola University Maryland 1987 — 1992
MBA, Emphasis in Information Systems
Penn State University 1975 — 1979
BS, Computer Science/Accounting
Kari Bothwell's Rainmakers Strategic Solutions, LLC Experience 2014 - 2014
Job Instructional Design and Technical Writing Professional
Industry E-Learning
Experience
Customer Value Partners July 2014 - Present
Rainmakers Strategic Solutions, LLC 2014 - 2014
ANCILE Solutions, Inc. January 2013 - September 2013
Laureate Education May 2009 - December 2012
Shire Pharmaceuticals June 2006 - January 2009
Becton Dickinson 2003 - 2006
Supervalu 1997 - 2002
State of Nebraska 1990 - 1997
Skills
Technical Training, E-learning, Instructional Design, Technical Writing, Microsoft Office, Customer Service, Outlook, PowerPoint, Word, Public Speaking, Excel, Mentoring, Documentation, Team Building, Captivate, E-Learning, Software Documentation, Distance Learning, Leadership, Quality Assurance, Adult Education, Needs Analysis, ADDIE, Blended Learning, Microsoft Excel, Higher Education, SnagIt, Employee Training, Hands-on Training, Staff Development, Training Delivery, Instructional Technology, Instructor-led Training, SharePoint, Leadership Development, Curriculum Development, Workshop Facilitation, Learning Management..., Training Facilitation, uPerform, Onboarding, Curriculum Design, Adult Learning Theory, Project Management, Learning Management, Cross-functional Team..., Webinars, Educational Technology
Education
Walden University 2010 — 2012
M.S., Media Psychology
Temple University 2007 — 2011
MS, QA/RA
University of Nebraska-Lincoln 1985 — 1989
BS, Criminal Justice
Lincoln East High School
Customer Value Partners July 2014 - Present
Rainmakers Strategic Solutions, LLC 2014 - 2014
ANCILE Solutions, Inc. January 2013 - September 2013
Laureate Education May 2009 - December 2012
Shire Pharmaceuticals June 2006 - January 2009
Becton Dickinson 2003 - 2006
Supervalu 1997 - 2002
State of Nebraska 1990 - 1997
Skills
Technical Training, E-learning, Instructional Design, Technical Writing, Microsoft Office, Customer Service, Outlook, PowerPoint, Word, Public Speaking, Excel, Mentoring, Documentation, Team Building, Captivate, E-Learning, Software Documentation, Distance Learning, Leadership, Quality Assurance, Adult Education, Needs Analysis, ADDIE, Blended Learning, Microsoft Excel, Higher Education, SnagIt, Employee Training, Hands-on Training, Staff Development, Training Delivery, Instructional Technology, Instructor-led Training, SharePoint, Leadership Development, Curriculum Development, Workshop Facilitation, Learning Management..., Training Facilitation, uPerform, Onboarding, Curriculum Design, Adult Learning Theory, Project Management, Learning Management, Cross-functional Team..., Webinars, Educational Technology
Education
Walden University 2010 — 2012
M.S., Media Psychology
Temple University 2007 — 2011
MS, QA/RA
University of Nebraska-Lincoln 1985 — 1989
BS, Criminal Justice
Lincoln East High School
Vernell Labaj's Rainmakers Strategic Solutions, LLC Experience September 2009 - Present
Job Insurance Professional
Industry Insurance
Experience
Rainmakers Strategic Solutions, LLC September 2009 - Present
Scott & White Health Plan September 2000 - June 2009
Scott & White Health Plan April 1995 - September 2000
Skills
Insurance, Health Insurance, Commercial Lines, Healthcare, Healthcare Management, Fraud Detection, Special Investigations, Insurance Fraud, CMS, Medicare Advantage, Medicare Part D, Educational Outreach, Claims Management, Subrogation, Reinsurance, Third Party Claims, Trade Show Exhibitor, Workshop Facilitation, Claims Handling, Dental Insurance, Senior Services, Life Insurance, Provider Relations, Claims Resolution
Education
Texas State University-San Marcos 1974 — 1977
Bachelor of Science (BS)
Rainmakers Strategic Solutions, LLC September 2009 - Present
Scott & White Health Plan September 2000 - June 2009
Scott & White Health Plan April 1995 - September 2000
Skills
Insurance, Health Insurance, Commercial Lines, Healthcare, Healthcare Management, Fraud Detection, Special Investigations, Insurance Fraud, CMS, Medicare Advantage, Medicare Part D, Educational Outreach, Claims Management, Subrogation, Reinsurance, Third Party Claims, Trade Show Exhibitor, Workshop Facilitation, Claims Handling, Dental Insurance, Senior Services, Life Insurance, Provider Relations, Claims Resolution
Education
Texas State University-San Marcos 1974 — 1977
Bachelor of Science (BS)
Linda Cortese, MS, RPh, FASHP's Rainmakers Strategic Solutions, LLC Experience 2011 - 2013
Job Pharmacy Consultant
Industry Hospital & Health Care
Experience
Genoa, a QoL Healthcare Company 2014 - Present
Rainmakers Strategic Solutions, LLC 2011 - 2013
Skills
Health Communication, Healthcare Consulting, Pharmacy Education
Education
The Ohio State University
MS, Residency, Pharmacy
University of Toledo
Bachelor of Science (BS), Pharmacy
Genoa, a QoL Healthcare Company 2014 - Present
Rainmakers Strategic Solutions, LLC 2011 - 2013
Skills
Health Communication, Healthcare Consulting, Pharmacy Education
Education
The Ohio State University
MS, Residency, Pharmacy
University of Toledo
Bachelor of Science (BS), Pharmacy