Saint Mary's Health Plans
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Saint Mary's Health Plans Employees
Amerigroup January 2015 - Present
Carson Tahoe Regional Healthcare April 2013 - January 2015
Saint Mary's Health Plans July 2011 - April 2013
Blue Cross Blue Shield of North Carolina May 2005 - May 2011
Passport Health Plan May 2003 - November 2004
Renown Health September 1998 - April 2003
Skills
Healthcare, Hospitals, Process Improvement, HIPAA, Healthcare Information..., Healthcare Management, Revenue Cycle, Medicaid, Policy, Medicare, Managed Care, EHR, Software Documentation, Healthcare Consulting, Health Insurance
Education
Campolindo High School
Saint Mary's College of California
Bachelor of Arts (B.A.), Political Science/Communications
Lumeris June 2014 - Present
Carson Tahoe Regional Healthcare July 2013 - April 2014
Community Health Informations Systems November 2006 - June 2013
Saint Mary's Health Plans April 2002 - October 2006
Ubiquitel March 2001 - March 2002
OfficeMax July 2000 - February 2001
Qualex July 1999 - June 2000
Reno Color Lab October 1998 - June 1999
Silver State Camera and Frame May 1990 - September 1998
Skills
Insurance, Property & Casualty..., Actuarial Science, Business Analysis, Risk Management, Underwriting, Hospital Information..., Financial Analysis, Healthcare Information..., Finance, Training, Management, Budgets, Analysis, Access, Healthcare, Strategic Planning, Process Improvement, Leadership, Team Building
Education
University of Nevada-Reno 1985 — 1995
Bachelor of Arts, Math
Reno High School
University of Nevada Reno July 2013 - Present
Saint Mary's Health Plans November 2010 - June 2013
Skills
Customer Service, Office Administration, Data Analysis, Microsoft Office, Sales, Human Resources, Marketing, Management, Leadership, Public Relations
Education
Amberton University 2014 — 2017
Master's Degree, Business & Human Relations
University of Nevada-Reno 2012 — 2014
Bachelor's degree, Political Science and Government
Truckee Meadows Community College 2008 — 2010
Associate of Arts (A.A.), Political Science and Government
M Donald Kowitz & Associates LLC June 2014 - Present
Saint Mary's Health Plans August 1997 - May 2014
Skills
Health Insurance, Healthcare, Underwriting, Managed Care, Insurance, Claims Management, Human Resources, Process Improvement, Strategic Planning, Team Building, Customer Service, Medicare, Benefits Administration, Reinsurance, Management, Employee Relations
Education
Michigan State University
Bachelor's Degree, Mathematics and Accounting
Humana, Inc. November 2013 - Present
Saint Mary's Health Plans February 2011 - November 2013
IASIS Healthcare - Arizona/Nevada Markets October 2007 - February 2011
CIGNA Healthcare - Nevada Market 2006 - 2007
UnitedHealthcare - Nevada Market 2000 - 2007
Cedars-Sinai Medical Center 1998 - 2000
FPA Medical Management 1997 - 1998
Prudential Healthcare 1993 - 1997
Skills
Managed Care, Healthcare Management, Healthcare, Medicare, Provider Relations, HIPAA, Physician Relations, Medicaid, Healthcare Consulting, Healthcare Information..., Hospitals, Disease Management, EHR, EMR, HMO, Health Insurance, Health Policy, Healthcare Industry, Network Development, PPO, Physicians, Revenue Cycle, Utilization Management
Education
University of Phoenix 2000 — 2002
M.B.A., Health Care Management
California State University-Northridge 1991 — 1994
B.S., Health Administration
Heritage Bank of Nevada May 2003 - Present
Saint Mary's Health Plans March 2000 - May 2003
Saint Mary's Health Plans September 1999 - March 2000
Comstock Bank February 1994 - July 1999
First California Mortgage Company March 1990 - February 1994
Skills
Loans, Banking, Mortgage Lending, FHA, Mortgage Banking, Microsoft Excel, USDA, Residential Mortgages, Commercial Lending, Microsoft Office, Small Business Lending, Physician Credentialing, Credentialing
Education
University of Nevada-Reno 1989 — 1993
BS, University of Nevada, Reno
Churchill County High School
IGT May 2014 - August 2015
IGT June 2012 - May 2014
Providence Health & Services May 2011 - June 2012
Hometown Health May 2008 - May 2011
Hometown Health August 2004 - May 2008
PacifiCare February 2004 - August 2004
Saint Mary's Eye Institute January 2002 - October 2003
Saint Mary's Health Plans April 1996 - January 2002
Skills
Product Development, Strategic Planning, Account Management, Budgeting, Business Management, Product Marketing, Customer Service, Forecasting, Healthcare, Insurance, Contract Negotiation, Problem Solving, Team Leadership, Partner Relationship..., Marketing, Sales, New Business Development, Management, Team Building, Business Planning, Sales Management, Marketing Strategy, Negotiation, Budgets, Employee Benefits, Operations Management, Business Analysis, Cross-functional Team..., Risk Management, Partner Management, Strategy, Process Improvement, Project Management, Leadership
Education
University of Nevada-Reno 1994 — 2000
Bachelor of Science, Business Administration
Truckee Meadows Community College 1993 — 1996
Business Management
California Polytechnic College 1989 — 1992
Microbiology
University of Nevada-Reno
Master of Business Administration (MBA)
Nevada Health Centers June 2014 - Present
Saint Mary's Health Plans January 2011 - June 2014
Saint Mary's Health Plans September 2008 - January 2011
Skills
Strategic Planning, Leadership, Cross-functional Team..., Healthcare, Management, Public Speaking, Strategy, Marketing Communications, Event Management, Social Media Marketing, Team Building, Event Planning, Healthcare Management, Customer Service, Organizational..., Sales, Fundraising, Marketing, Business Strategy
Education
University of Nevada-Reno
Bachelor of Arts (B.A.), Journalism Public Relations and Speech Communications
University of Nevada-Reno
Bachelor of Arts (BA), Journalism Public Relations and Speech Communications (Dual Major)
Nevada Health Centers June 2014 - Present
Saint Mary's Health Plans June 2012 - May 2014
Saint Mary's Regional Medical Center September 2010 - June 2012
Saint Mary's Regional Medical Center January 2009 - August 2010
Saint Mary's Regional Medical Center October 2006 - December 2008
Nevada Hospital Association July 2005 - September 2006
Nevada Hospital Association July 2002 - June 2005
Nevada Hospital Association July 1999 - June 2002
Skills
MS Office Suite, Adobe Creative Suite, Camtasia Studio, SharePoint, Public Relations, Press Releases, Microsoft Office, Microsoft Word, Event Planning, PowerPoint, Healthcare, Social Networking, Public Speaking, Editing, Email Marketing, Advertising, Blogging, Camtasia, Marketing Strategy, Social Media Marketing, Marketing, Technical Writing, Social Media, Marketing Communications, Newsletters, Customer Service, Community Outreach, Web Design, Project Management, Strategic Planning, Microsoft Excel, Leadership, Event Management, Media Relations, Nonprofits
Education
University of Nevada-Reno 1995 — 1999
BS, Criminal Justice
The TriZetto Group September 2012 - Present
Saint Mary's Health Plans January 2011 - August 2012
Saint Mary's Regional Medical Center February 2009 - January 2011
Saint Mary's Health Plans 2010 - 2011
Skills
HIPAA, Medicare, Managed Care, Medicaid, Healthcare Information..., Healthcare Management, Revenue Cycle, Hospitals, PowerPoint, Healthcare Consulting, QNXT, Requirements Analysis, CPT, EDI, EMR, Health Insurance, Healthcare Industry, ICD-9, Informatics, Medical Coding, Public Speaking, Requirements Gathering, Software Implementation
Education
Pima Community College 2005 — 2007
Associate of Arts (AA), Liberal Arts and Sciences/Liberal Studies
University of Arizona
Prominence Health Plan May 2014 - Present
Saint Mary's Health Plans January 2000 - June 2002
Saint Mary's Health Plans January 1994 - December 1999
Skills
Microsoft Excel, Microsoft Office, Microsoft Word, Customer Service, PowerPoint, Event Planning, Budgets, Leadership, Outstanding..., Early Childhood..., Child Development, Managed Care, Health Insurance, Research, Insurance, Management, Employee Benefits, Healthcare, Strategic Planning, Public Speaking, Team Building, HIPAA
Education
University of Nevada-Reno 2011 — 2013
Bachelor's degree, General Studies in Early Child Education/HDFS
Truckee Meadows Community College 2009 — 2010
Saint Mary's Health Plans July 2004 - Present
ICMA-RC December 1996 - June 2003
Skills
Financial Planning
Education
Boise State University
The University of New Mexico
Retired and enjoying Life. May 2015 - Present
Roundstone January 2014 - May 2015
Saint Mary's Health Plans August 2009 - February 2013
LifeWise Health Plan of Arizona August 2003 - June 2009
Schaefer-Smith-Ankeney 2000 - 2003
Skills
Health Policy, Health Insurance, Employee Benefits, HMO, Insurance, Customer Service, Brokers, Budgets, PPO, Healthcare Industry, Life Insurance, Underwriting, Health Savings Accounts, Disability Insurance, Medicare
Education
University of Phoenix 2004 — 2006
MBA, Business
California State University-Long Beach - College of Business Administration
Bachelor of Science, Business Management
Saint Mary's Health Plans
Education
University of Nevada-Reno
Bachelor of Arts (B.A.)
Prominence Health Plan, formerly Saint Mary's Health Plans June 2010 - Present
Saint Mary's Health Plans June 2010 - June 2014
Total Dental Administrators June 1993 - June 2002
Skills
Insurance, Strategic Planning, Brokers, Employee Benefits, Managed Care, Disability Insurance, Health Insurance, Health Savings Accounts, Underwriting, Medicare, Dentistry, Workers Compensation
Education
Kent State University 1966 — 1969
Business Administration, Management and Operations
Saint Mary's Health Plans 2002 - Present
CDS of Nevada 2000 - 2002
CDS of Nevada 1997 - 2000
CDS of Nevada 1995 - 1997
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, English, Windows, Research, Outlook, Teaching, Public Speaking
Education
California State University-Sacramento 1982 — 1984
Business/Corporate Communications
Homestead High School, Cupertino, CA 1978 — 1982
Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program