Simply Healthcare Plans
Industry: Company
DescriptionFounded: 2009 Parent organization: Simply Healthcare Holdings, Inc.
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Simply Healthcare Plans Employees
Simply Healthcare Plans April 2014 - Present
Argosy University December 2011 - January 2014
Nordstrom June 2006 - November 2011
CompUSA October 2004 - January 2006
Foot Locker May 2003 - September 2004
Skills
Sales, Retail, Merchandising, Customer Service, Management, Store Management, Human Resources, Leadership, Training, Leadership Development, Coaching, Recruiting, Public Speaking, Event Planning, Social Networking, Team Building, Microsoft Office
Education
Argosy University 2013 — 2015
Master of Business Administration (M.B.A.)
Texas Southern University 2006 — 2010
Bachelor of Business Administration (B.B.A.), Management
Simply Healthcare Plans December 2013 - February 2014
AIDS Healthcare Foundation October 2004 - November 2013
Broward County Health Department October 2007 - April 2013
Skills
Data Analysis, Excel, Research, Microsoft Office, Analysis, Data Management, Microsoft Excel, Statistics, Public Speaking, SPSS, Qualitative Research, Access, Coaching, PowerPoint, Program Evaluation, Teaching, Community Outreach, Healthcare, Program Management, Supervisory Skills, Customer Service, Public Health, Training, Nonprofits, Strategic Planning, Grant Writing
Education
Broward College 1982 — 1985
Simply Healthcare Plans March 2015 - Present
Simply Healthcare Plans June 2013 - March 2015
Simply Healthcare Plans December 2012 - June 2013
Simply Healthcare Plans February 2011 - December 2012
The Disney Store October 2006 - February 2011
McArdle & Perez Law Firm April 2010 - August 2010
Ram Claims August 2009 - August 2010
Kenwood K-8 center 2008 - 2009
Pediatric Office 2007 - 2008
Skills
Customer Service, Data Entry, Customer Satisfaction, Microsoft Excel, Microsoft Office, PowerPoint, Microsoft Word, Outlook, Team Leadership, Event Planning, Team Building, Sales Management, Retail, Public Speaking, Insurance, Loss Prevention, Sales, Visual Merchandising, Call Center, Merchandising, Retail Sales, Store Management, Medicaid Managed Care, Medicare Prescription..., Medicare, Health Care Compliance, Phone System..., Outreach Services, Customer Retention, Customer Engagement, Member Retention, Call Centers, Time Management, Healthcare, Training, Health Insurance, HMO, Teamwork, Telephone Skills, Coaching, Cashiering, HIPAA, Managed Care, Medicaid, Management, Process Improvement, Healthcare Information..., Leadership, Employee Benefits, Healthcare Industry
Education
Miami Palmetto High School
High School Diploma
Miami Dade College
Mass Communications and Journalism
The University of Kansas
Pre-Journalism
Independent Living Systems, LLC May 2014 - January 2015
Simply Healthcare Plans July 2013 - May 2014
Simply Healthcare Plans May 2010 - July 2013
Better Health LLC April 2009 - May 2010
Skills
Medicaid, Medicaid EDI, EDI, Medicaid Billing, Medical Terminology, Medicaid Managed Care, Medicare, Health Insurance, Microsoft Excel, Managed Care, HIPAA, Access, Microsoft Word, Claims Management, Healthcare, Call Centers, Outlook, Visio, CPT, Subrogation, Customer Service, PowerPoint, Microsoft Publisher
Education
Everest Institute-Kendall
Surgical Technology
Miami Killian Senior High 2003 — 2004
Archbishop Colman F. Carroll 2000 — 2003
Simply Healthcare Plans November 2014 - Present
Simply Healthcare Plans March 2014 - October 2014
Simply Healthcare Plans September 2013 - February 2014
Simply Healthcare Plans February 2012 - August 2013
United Health Group November 2010 - February 2012
Patient's Choice Home Health Care August 2008 - November 2010
Longcare Home Health October 2007 - August 2008
Home Care Software Solutions, Inc. August 2005 - October 2007
Skills
Medicare, Medicaid, Healthcare, Healthcare Management, Managed Care, HIPAA, Home Care, Hospitals, Healthcare Information..., HMO, EMR, Home Health Agencies, Utilization Management, EHR, Quality Improvement, Healthcare Consulting, Certified Case Manager, Informatics, Healthcare Industry, Physician Relations, Revenue Cycle Management, Revenue Cycle, Long-term Care, Health Policy, Training, Physicians, Patient Advocacy, Medicaid Managed Care, Network Development, Elder Care, Medical Billing, NCQA
Education
Florida International University 2007 — 2009
MHSA, Health Services Administration
Florida State University 2000 — 2004
Bachelor of Arts (B.A.), International Relations and Affairs
Simply Healthcare Plans May 2012 - Present
Centene Corporation October 2011 - May 2012
Pinal County October 2006 - September 2011
PGCCS / Head Start October 2005 - August 2006
Skills
Medicare, Case Managment, Case Management, Grants, CBT, Public Speaking, Community Outreach, Healthcare, Crisis Intervention, Home Care, Mental Health, Program Development, Nursing, Managed Care, Social Services
Education
Mission College 1999 — 2002
Early Childhood Development
Univita Health Inc March 2015 - Present
Univita Health Inc September 2014 - March 2015
Simply Healthcare Plans March 2014 - August 2014
Humana/CarePlus Health Plan November 2009 - March 2014
Miami Children's Hospital June 2007 - November 2009
Miami Children's Hospital May 2006 - August 2007
Miami Children's Hospital September 2005 - May 2006
Blue Cross Blue Shield of Florida March 2004 - July 2005
Blue Cross Blue Shield of Florida November 2001 - February 2004
Skills
Healthcare, Healthcare Management, Managed Care, Medicare, Utilization Management, Organizational..., Performance Management, Medicaid, Hospitals, Physician Relations, Revenue Cycle, Disease Management, Nursing, Health Insurance, HMO, Quality Improvement, Inpatient, HEDIS, Medicaid Managed Care, Budgets, Strategy, Medical Practice..., Network Development, Physicians, Management, Medicine, Accreditation, Home Care, Healthcare Information..., Insurance, Health Policy, Medicare Part D, Provider Relations, Analysis, Healthcare Industry, Process Improvement, Clinical Research, EHR, Strategic Planning, Performance Improvement, Long-term Care, Informatics, Business Process, Business Development, Access
Education
Barry University 2006 — 2008
MHSA, Health Services Administration
University of Miami 1984 — 1986
BSN, Nursing
Simply Healthcare Plans 2015 - Present
Aperio Group Inc. January 2013 - June 2015
Adriana Hoyos 2013 - 2015
Skills
Human Resources, Recruiting, Talent Management, Job Analysis, Customer Service, HR Consulting, Employee Benefits, Strategic HR, Career Development, Career Counseling, Strategic Planning, Employee Relations, Organizational..., Microsoft Office, Benefits Administration, Talent Acquisition
Education
Florida International University 2014 — 2014
Human Resource Management Certificate
Queens College 2007 — 2011
Master of Science (M.S.), Counselor Education/School Counseling and Guidance Services, 3.91
TracFone Wireless June 2014 - Present
Simply Healthcare Plans September 2012 - June 2014
The Retail Outsource August 2011 - August 2012
ADP January 2011 - March 2011
Skills
Microsoft Excel, Microsoft Word, Microsoft SQL Server, QNXT, Microsoft Office, PowerPoint, Contract Pricing, Revenue Analysis, Account Reconciliation, Market Analysis, Membership Growth, P&L Analysis, Contract Negotiation, stop loss reports, Prescription drug..., Commissions..., Ad Hoc Reporting
Education
Florida International University 2007 — 2010
Bachelor of Business Administration (BBA), Finance, General
Miami Killian Senior High School
High School Diploma, Finance, General
Simply Healthcare Plans October 2013 - Present
Elite Care at Home/Integrity Health Services August 2013 - Present
South Dade Nursing and Rehabilitation April 2011 - March 2013
Skills
Medical/Surgical, ACLS, Geriatric Nursing, Long-term Care, Research, BLS, Human Physiology, Bilingual, Alzheimer's Care, Diabetes Care, ECG interpretation, Cardiac Care, Home Health Agencies, Medicaid, Medicare
Education
Florida International University 2010 — 2013
Bachelor's degree, Registered Nursing/Registered Nurse
Universy of Havana 2005 — 2008
Bachelor's degree, Biology/Human Physiology
Simply Healthcare Plans August 2015 - Present
Simply Healthcare Plans October 2014 - Present
Haven Hospice October 2011 - September 2014
Miami Children's Hospital 2009 - 2011
Florida Blue 1986 - 2007
Skills
Healthcare, Healthcare Management, Hospitals, Home Care, Managed Care, Clinical Research, Nursing, EMR, Medicare, Medicaid, Team Building, Public Speaking, Customer Service, Strategic Planning, Management, Marketing, Nonprofits, Elder Care, Sales, Event Planning, HIPAA, Community Outreach, Marketing Strategy, Physician Relations, Coaching, New Business Development, Account Management, Healthcare Industry, Case Management, Critical Care, Health Insurance, Long-term Care
Education
Northwestern University - Kellogg School of Management 2005 — 2006
Sales, Distribution, and Marketing Operations, General
Miami Dade College 1984 — 1989
Undergraduate
Simply Healthcare Plans July 2014 - Present
Simply Healthcare Plans January 2014 - July 2014
Simply Healthcare Plans February 2012 - January 2014
Medica Healthcare Plans Inc. 2009 - 2012
Dragonfly Expeditions, Inc. 2007 - 2008
Skills
Provider Relations, Health Insurance, Managed Care, Healthcare Management, Healthcare Information..., Event Planning, Healthcare, Healthcare Industry, Physician Relations, Strategic Planning, Medicare, HIPAA, Microsoft Office, Microsoft Excel, Medicaid, Network Development, HMO, Quality Improvement, Access, Cardiology, Customer Service, Data Entry, EMR, Health Policy, Home Care, Long-term Care, Medical Billing, Medical Coding, Medical Terminology, Neurology, Policy, Revenue Cycle, Sales Force Development, Visio, HEDIS, MRA, Risk Contracts
Education
Florida International University - College of Business Administration 2008 — 2009
MBA, International Business
University of Florida 2004 — 2007
BS, Tourism and Hospitality Management
Simply Healthcare Plans August 2015 - Present
Freedom Health August 2014 - August 2015
Simply Healthcare Plans September 2013 - May 2014
Premier health July 2010 - September 2013
Orlando Family Physicians June 2010 - September 2013
Orlando Family Physicians/Premier Health Network July 2010 - May 2012
Skills
Marketing, Microsoft Office, Marketing Strategy, Social Media Marketing, Marketing Communications, Research, PowerPoint, Advertising, Event Planning, Marketing Management, Online Marketing, Event Management, Email Marketing, Microsoft Word, Microsoft Excel, Social Networking, Market Research, Digital Marketing, Teamwork, Photoshop, Direct Marketing, Salesforce.com, Strategic Planning, Sales, Project Planning, Bilingual-English/Spanis..., Medicare, HMO, MSO, Health Insurance, Public Relations, Social Media, Leadership, Healthcare Industry, Community Outreach, CRM, Data Analysis
Education
Liberty University 2010 — 2014
Bachelor of Business Administration (B.B.A.), Marketing
Colegio Universitario de San Juan 1998 — 2000
Computer programming, Computer Engineering
Brooks Foot & Ankle Associates May 2013 - January 2015
Simply Healthcare Plans 2014 - 2014
Simply Healthcare Plans 2014 - 2014
Simply Healthcare Plans 2014 - 2014
Bupa Worldwide Corporation October 2011 - May 2013
Perfect Speech March 2009 - October 2011
Perfumania March 2005 - December 2010
Skills
Microsoft Excel, Customer Service, Microsoft Word, PowerPoint, Business Analysis, Microsoft Office, QuickBooks, Windows 7, Windows Vista, Mac OS X, Claims Handling, Claims Management, Mental Health, Mental Health Counseling, Nuclear Medicine, Organization, Public Relations, Judgment, Outlook, Typing, Medical Coding, Medical Billing, Operations Management, Sales Management, Project Management, Clerical Skills, Clerical, Administrative..., Office Administration, Business, Small Business, Medical Terminology, Psychology, Counseling Psychology, Social Skills, Sales, Sales Presentations, Data Entry, Insurance, Employee Benefits, Retail, Health Insurance, Administrative..., Management, Healthcare, Strategic Planning, Leadership, Training, Team Building
Education
Nova Southeastern University 2012 — 2015
Master's of Science, Mental Health Counseling
Nova Southeastern University 2010 — 2012
Bachelor's of Science, Psychology
Keiser University-Ft Lauderdale 2008 — 2010
Associate of Science (AS), Nuclear Medicine Technology
Felix Varela Senior High School 2002 — 2006
High School Diploma, High School/Secondary Diplomas and Certificates
Media Technology Services at Boston College September 2013 - Present
The United Way of Miami Dade June 2014 - August 2014
Simply Healthcare Plans June 2013 - August 2013
Skills
Microsoft Word, PowerPoint, Microsoft Excel, Stata, Work Ethic, Leadership, Integrity, Teamwork, Spanish, Management
Education
Boston College 2012 — 2016
Economics
Carrollton School of the Sacred Heart 2009 — 2012
TJMAXX May 2011 - Present
Simply Healthcare Plans May 2008 - May 2011
Skills
Customer Service, Inventory Management, Retail, Merchandising, Microsoft Office, PowerPoint, Outlook, Store Management, Event Planning, Loss Prevention, Human Resources, Teamwork, Customer Satisfaction, Lotus Notes, Recruiting, Administrative..., Health Insurance, Healthcare, Healthcare Information..., Hospitals, Medicaid, Medicare, Team Building
Education
Miami Dade College 1995 — 1999
Associate of Arts (AA)AS, Elementary Education and Teaching
Simply Healthcare Plans May 2015 - Present
VSBrooks Advertising 2007 - January 2014
Accentmarketing 2005 - 2007
Estefan Enterprises 2001 - 2003
Skills
Building Brand Awareness, Advertising, Creative Strategy, Brand Management, Marketing Communications, Brand Development, Customer Insight, Corporate Branding, Brand Awareness, Marketing Strategy, Integrated Marketing, Relationship Marketing, Outdoor Advertising, Direct Marketing, Online Advertising, comScore, Digital Strategy, Digital Media, Interactive Advertising, Digital Marketing, Creative Direction, Interactive Marketing, Advertising Sales, Media Planning, Direct Mail, Marketing Research, Social Media Marketing, New Media
Education
Florida International University 2000 — 2004
BA, Business
Simply Healthcare Plans 2013 - Present
Total Quality Logistics February 2013 - December 2013
LADENBURG THALMANN & Co. INC June 2012 - December 2012
NEWBRIDGE SECURITIES CORP January 2006 - January 2012
Skills
Management, Microsoft Excel, Microsoft Office, PowerPoint, Customer Service, Managed Care, Contract Negotiation, Medicare, Medicaid, Healthcare Management, HIPAA, Leadership, Analysis, Portfolio Management, Finance, Marketing, Bilingual-English/Spanis..., Social Networking, Public Speaking, Time Management, Bloomberg, Equities, Social Media, Sales, Financial Analysis
Education
University of Alabama 2008 — 2012
Bachelor of Business Administration (BBA), Business/Commerce, General
Simply Healthcare Plans Pre-Cert Nurse, LPNUniversal HealthcareApril 2012 - April 2013
Innovative Reseach July 2011 - April 2012
The Heart & Vascular Institute of Florida September 2009 - July 2011
Florida Cardiovascular Institute February 2005 - September 2009
Skills
Healthcare, Hospitals, Healthcare Management, Managed Care, Case Managment, Home Care, Medicare, HIPAA, Healthcare Information..., EMR, Inpatient, Microsoft Office, Clinical Research, Nursing, Disease Management
Education
Pinellas Technical Education Center-Clearwater 1998 — 2000
LPN
Simply HealthCare Plans December 2013 - Present
American Express 2005 - 2013
American Express January 1998 - 2013
Skills
Operations Management, Employee Relations, Employee Engagement, Employee Training, Customer Service, Call Centers, Budgets, Customer Satisfaction, Customer Experience, Customer Retention, Curriculum Development, HR Policies, Human Resources, Performance Management, Project Management, Strategic Planning, Leadership Development, Outsourcing, Onboarding, Internal Communications, Marketing Communications, Corporate Communications, Brand Management, Managerial Finance, Credit Risk, Cross-functional Team..., Internal Audit, Business Process..., Management, Leadership, Relationship Management, Credit, Strategy, Sales, Credit Cards, B2B, Marketing, Program Management, Vendor Management, Process Improvement, CRM, Mergers & Acquisitions, Financial Services, Team Management, Talent Management, Change Management, Business Analysis, Business Development, Banking, Analytics
Education
University of Miami - School of Business
Masters of Business Administration, Business Administration, Management and Operations
University of Miami - School of Business
Bachelor of Business Administration (B.B.A.), Marketing
Simply Healthcare Plans August 2013 - Present
Universal Health Care March 2012 - May 2013
Skills
Utilization Management, Healthcare, Provider Relations, Disease Management, Medicare, Managed Care, Home Care, Long-term Care, Case Managment, ICD-9, HMO, CPT, Utilization Review, Cpr Certified, Medication..., Health Insurance, Medicare Part D
Education
Galen School of Nursing-Tampa Bay
Lakewood High School
Northeast High School
Simply Healthcare Plans March 2015 - Present
Skills
SQL, Data Mining, SAP R/3, Order Management, Microsoft Office, Project Management, Systems Analysis, Requirements Gathering, Metrics, Quality Improvement, User Acceptance Testing, Business Minded, Process Improvement, Business Development, Analysis, Strategic Financial..., Marketing, Business Planning, Start-ups, Budgets, Nonprofits, Copy Editing, Leadership, Team Leadership, Microsoft Word, Microsoft Project, Market Research, Marketing Strategy, Public Speaking, Investor Relations, Statistical Modeling, Mathematical Analysis, Financial Planning, Vantive, SAP MM Module, SAP SD Module, Management, Social Media, Analytics, Strategy, Program Management
Education
Nova Southeastern University
Bachelor of Science (B.S.), Finance
Simply Healthcare Plans April 2014 - Present
Sunshine State Health Plan (a subsidiary of Centene Corp.) January 2012 - April 2014
Ideal & Universal Medical Centers November 2010 - January 2012
Resource Management Holdings, LLC January 2010 - January 2012
United Healthcare May 2009 - January 2010
HIP Administrators August 2007 - May 2009
Vista Healthplan 2000 - 2007
AvMed Health Plans 1989 - 2000
Skills
Analysis, Analytics, Call Centers, Claim, Contract Management, EHR, EMR, Employee Training, Global Sourcing, HIPAA, HMO, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Healthcare Management, Insurance, Leadership, Managed Care, Management, Medicaid, Medicare, Process Engineering, Process Improvement, Project Planning, SDLC, Staff Development, Team Building, Training, Turn Around Management, Vendor Management
Education
St. Thomas University 1999 — 2001
BA, Organizational Leadership
Simply Healthcare Plans May 2014 - Present
Health Care District of Palm Beach County May 2011 - Present
Emblem Health October 2006 - October 2008
GoodHealth Worldwide March 2004 - October 2005
Risk Based Solutions, RBS RE May 1996 - July 2003
John Alden Life Insurance Company March 1991 - April 1996
Skills
Medicaid, Claim, Insurance, Medicare, Policy, Strategic Planning, Claims Management, Medical Billing, Healthcare, Team Building, Risk Management, Underwriting, Healthcare Management, Managed Care, HIPAA, Health Insurance, Medicare/Medicaid..., Medicaid Managed Care, Microsoft Office
Education
Barry University 2002 — 2006
BS, Information Technology
Florida Healthcare Plus, Inc March 2014 - December 2014
Simply Healthcare Plans 2012 - 2014
The Arc of South Florida 2001 - 2012
Miami Behavioral Health Center 2000 - 2001
Department of Health, Children's Medical Services 1995 - 2000
Education
Florida International University
Bachelor's Degree, Social Work
Simply Healthcare Plans May 2015 - Present
(contracted design work) August 2002 - Present
Simply Healthcare Plans December 2013 - May 2015
Private MD Practice of Gastroenterology April 2009 - December 2013
Webgate Inc. March 2011 - March 2013
Luna Designs January 2008 - September 2009
(contracted catering work) May 2004 - June 2009
Heidi’s Bakery May 2006 - May 2007
Univision 2004 - 2004
WVFS Tallahassee - 89.7FM January 2002 - December 2003
Skills
Graphic Design, Visual Arts, Illustration, Sculpture, Photography, Digital Photography, Customer Service, Microsoft Word, Fine Art, Painting, Drawing, Craft, Acrylic, Social Media, Teaching, Ceramic, Collage, Book Covers, Photo Editor, Layout, Posters, Graphics, Visual Communication, Acrylic Painting, Mixed Media, Typography, Art Education, Sketching, Image Editing, Adobe Creative Suite, Photoshop, Art Direction, Advertising, Illustrator, Mac, Logo Design, Vector Illustration, Public Relations, Marketing Communications, Sales, InDesign, Art, Brochures, QuarkXPress, Television, Editing, Web Design, Color Theory, Digital Illustration, Social Networking
Education
Florida State University 1999 — 2003
Bachelor of Science (B.S.)
Ringling College of Art & Design 1998 — 1998
Summer Program
Capital Culinary Institute of Keiser College Tallahassee 2004 — 2006
Associate in Arts in Baking and Pastry Arts, 2006
Florida International University 2008 — 2011
Florida International University 2008 — 2011
Graphic Design & Pastry Arts
Ceramic League of Miami
Miami Dade College 2009 — 2009
Gulliver Preparatory School 1995 — 1999
High School Diploma
Simply Healthcare Plans November 2014 - Present
Simply Health Care Plans June 2012 - November 2014
Jackson Health System January 2013 - June 2013
Total Wine & More August 2010 - June 2012
Sports Authority January 2008 - August 2010
Med Place Staffing Solutions April 2010 - June 2010
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Outlook, English, Windows, Photoshop, Public Speaking, Teaching, Budgets, Customer Satisfaction, Healthcare Management, Sales, Strategic Planning, Administration, Negotiation, Hospitals, Team Building
Education
Florida International University 2015 — 2016
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Florida International University 2011 — 2013
Bachelor of Science (BS), Health/Health Care Administration/Management
Simply Healthcare Plans August 2014 - Present
Self-employed April 2012 - Present
Miracle Blessed Care ,Enterprises,Inc. April 1994 - Present
NDOLA HOSPITAL 1990 - 1992
Skills
Healthcare, Hospitals, Healthcare Management, Home Care, Microsoft Office, Microsoft Word, Nursing, Strategic Planning, Customer Service, Healthcare Information..., Practice Management, Inpatient, BLS, Outlook, Process Improvement, HIPAA, Budgets, Managed Care, PowerPoint, Critical Care, ACLS, Public Speaking, Patient Safety, Leadership, Acute Care, Ambulatory, Physician Relations, JCAHO, Quality Improvement
Education
Florida International University 2010 — 2013
Bachelor of Science (BS), Family Practice Nurse/Nursing
victoria de Giron,school of medicine,Havana,Cuba 1982 — 1989
Doctor of Medicine (MD), Medicine
Simply Healthcare Plans September 2013 - Present
CarePlus Health Plan April 1999 - September 2013
FPA Medical Management January 1995 - March 1999
Grove Med Plus, Inc January 1992 - March 1998
Skills
Hospitals, Medicaid, Healthcare Information..., Revenue Cycle, Nursing, Provider Relations, Healthcare Consulting, Team Building, Data Analysis, Healthcare Industry, Credentialing, Medical Records, Medical Coding, Physician Relations, HMO, Practice Management
Education
Strayer University-Florida 2008 — 2013
Bachlors In Science, Computer Security & Forensics
Florida Risk Management 2003 — 2003
Case Management Specialist, Certification
Simply Healthcare Plans July 2015 - Present
The Health Center, Plainfield, VT 2009 - February 2015
State of Vermont 2006 - 2009
Central Vermont Home Health & Hospice 1998 - 2006
Skills
Medical Home, EMR Training, Quality Management, Long-term Care, Primary Health Care, NCQA, FQHC, HEDIS, jcaho, STAR, UDS, Health Information..., Healthcare Information..., EHR, Writing, Self-management, Outreach Services, HIV Prevention, Substance Abuse..., Telemedicine, Customer Relations, Microsoft Office, Centricity, eClinical Works, Patient Education, Patient Advocacy, Patient Satisfaction, Patient Outcomes, Staff Supervision, Workflow Management, Software Implementation, Public Speaking, Management, Nonprofits, managed care, research, patient satusfaction, patient centered..., person centered planning, Training, Customer Service, Strategic Planning, Leadership, Hospitals
Education
State University of New York College at Brockport 1979 — 1983
Bachelor's degree, Business Administration and Management, General
Argus Dental & Vision, Inc. July 2015 - Present
Simply Healthcare Plans March 2014 - June 2015
Coordinated benefits plan April 2013 - November 2013
Universal Health Care October 2012 - April 2013
Universal Health Care January 2012 - October 2012
Universal Health Care August 2011 - January 2012
Universal Health Care April 2010 - August 2011
Skills
Claim, Medicaid, Medicare, Health Insurance, Call Centers, HMO, HIPAA, Provider Relations, Healthcare, Insurance, Access, Spanish, Process Improvement, Analysis, Claims Resolution, Customer Service, Outlook, Quality Assurance, Call Center, Data Entry, Data Analysis, Microsoft Excel, Microsoft Office, Microsoft Word, SharePoint, Medical Billing, Team Leadership, PowerPoint, Claims Handling, Training, Policy, Healthcare Industry, Managed Care, Coaching, Software Documentation, Team Building, Leadership, Healthcare Management, English, Customer Retention, 2-15 license
Education
St. Petersburg College 1999 — 2004
Simply Healthcare Plans March 2014 - Present
ixes USA, LLC January 2005 - Present
Raltron Electronics March 2003 - January 2005
Raltron Electronics April 2001 - March 2003
Raltron Electronics March 2000 - April 2001
Universal Semiconductor, Inc. (now USI Electronics an Avnet company) January 1996 - March 2000
Skills
Manufacturing, Supply Chain Management, Contract Negotiation, International Sales, Procurement, Purchasing, Inventory Management, Supply Chain, Semiconductors, Electronics, Sales, Supply Management, Strategic Sourcing, Forecasting, Global Sourcing, Negotiation, Cross-functional Team..., Competitive Analysis, Lean Manufacturing, Team Building, Process Improvement, Six Sigma, Sales Operations, Business Process..., Lean Thinking, Lean Tools, Lean Management, DMAIC, Sales Management, Operations Management, Management, Sales Process, Direct Sales, Continuous Improvement, Channel Partner..., Channel Sales, Product Marketing
Education
Florida International University
Bachelor of Arts Degree, International Business & Marketing
Berufsakademie Mannheim
Royal Caribbean Cruises, Ltd. March 2015 - Present
Simply Healthcare Plans April 2014 - March 2015
Midtown Realty Group LLC April 2013 - April 2014
Accountemps November 2011 - April 2013
P.F. Chang's China Bistro June 2009 - December 2011
University of Miami April 2002 - April 2007
Skills
Bank Reconciliation, Accounts Payable, Accounts Receivable, Payroll, Tax Return Preparation, Budget Preparation, Invoicing, General Ledger, Accounting, Quickbooks, Journal Entries, GAAP, Cost Accounting, Cash Flow, Bookkeeping, QuickBooks, Budgets, Tax Preparation, Tax
Education
Nova Southeastern University 2014 — 2015
Master, Accounting
Florida Atlantic University 2009 — 2011
Bachelor's of Arts, Accounting
Simply Healthcare Plans August 2015 - Present
Simply Healthcare Plans January 2015 - Present
Simply Health Care Plans November 2012 - January 2015
Simply Health Care Plans March 2012 - November 2012
Simply Health Care Plans January 2010 - March 2012
Skills
Medicare, Healthcare Information..., Medicaid, Managed Care, Hospitals, Insurance, Healthcare Management, HIPAA, Healthcare Industry, Health Insurance, Healthcare, Long-term Care, Credentialing, Utilization Management, Data Analysis, Team Building, Network Development, Revenue Cycle, HMO, Healthcare Consulting, Physician Relations, Medical Billing, Physicians
Education
Florida International University 2013 — 2015
MBA, Healthcare
St. Thomas University 2008 — 2012
Bachelor of Business Administration (BBA), Business Administration and Management, General
UnitedHealth Group July 2015 - Present
Simply Healthcare Plans November 2013 - December 2014
Leon Medical Centers October 2011 - November 2013
Skills
Microsoft Excel, Healthcare, Microsoft Word, Medicaid, HIPAA, Healthcare Information..., Customer Service, Trizetto, NextGen, QNXT, Fimmis, Mevsnet, Documentation, Medicare, Health Insurance, Healthcare Industry, Healthcare Management, Managed Care, Leadership, Process Improvement, Healthcare Consulting, Medical Billing, Hospitals, Data Analysis, EHR, Software Documentation, Medical Terminology, Team Building, Business Analysis, Access, EMR, Data Entry
Education
Miami Dade College 2011 — 2012
Associate's degree, N/A
American academy of pinecrest
High school diploma
Baroma Health Partners September 2014 - Present
Simply Healthcare Plans April 2012 - August 2012
CarePlus Health Plan August 2011 - February 2012
Skills
Healthcare, HIPAA, Managed Care, Medicare, Outlook, Data Entry, Customer Service, Medicaid, Health Insurance, Process Improvement, Healthcare Industry, Microsoft Excel, Provider Relations, PowerPoint, Public Speaking
Education
Florida International University 2007 — 2014
Bachelor's Degree, Health Services Administration
American Medical Academy January 2015 - Present
Florida National University September 2014 - Present
Hospital October 2014 - Present
Healthcare Consultant January 2009 - Present
Simply Healthcare Plans November 2013 - March 2014
HCA / KENDALL REGIONAL MEDICAL CENTER September 2011 - September 2013
Florida National University April 2011 - December 2012
Palmetto General Hospital / Healthcare January 2008 - September 2011
Hialeah Hospital / Tenet Healthcare October 2004 - January 2008
Florida National University January 2005 - April 2006
Skills
Public Speaking, Customer Service, Strategic Planning, Healthcare, Team Building, Budgets, Staff Development, Hospitals, Healthcare Management, Leadership Development, Employee Relations, Leadership, Physician Relations, Policy, Process Improvement, EMR, Managed Care, EHR, Revenue Cycle, Quality Improvement, Healthcare Consulting, Cerner, Revenue Cycle Management, Healthcare Industry, Medicare, Physicians, Critical Care, Healthcare Information..., Performance Improvement, Meditech, Informatics, HIPAA, Nursing, Utilization Management, Patient Safety, JCAHO, Acute Care, Medical/Surgical, ICU, BLS, CPOE, Medicaid, Credentialing, Accreditation, Emergency Room, Home Care, ACLS, Inpatient, Nursing Education, Clinical Research
Education
Florida Atlantic University 2011 — 2015
Doctor of Nursing Practice, Nursing Administration
Florida Atlantic University 2009 — 2013
Master of Nursing, Nursing Administration
Nova Southeastern University 2005 — 2009
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Nova Southeastern University 2004 — 2009
Doctor of Health Sciences, Health Sciences
Florida International University 2002 — 2003
Bachelors of Science in Nursing (BSN), Registered Nursing/Registered Nurse
Broward College 2001 — 2002
Associate Degree in Nursing, Registered Nursing/Registered Nurse
Barry University 1989 — 1992
Bachelor of Science in Biomedical Sciences, Biology/Biological Sciences, General
Dekalb Technical College 1987 — 1989
Practical Nurse, Practical Nursing, Vocational Nursing and Nursing Assistants
Simply Healthcare Plans April 2013 - Present
Skills
Microsoft Office
Education
Florida International University 2009 — 2012
Simply Healthcare Plans June 2014 - Present
Simply Health Care Plans October 2013 - May 2014
DHI Title of Florida September 2012 - October 2013
Humana February 2012 - September 2012
The Children's Place March 2010 - November 2011
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Bilingual-English/Spanis..., Medical Terminology, Notary Public, Spreadsheets, Healthcare, Customer Service, Outlook, HIPAA, CPR Certified, First Aid Certified, AED Certified, Yoga Instruction
Education
University of Central Florida 2007 — 2013
Bachelor of Science (B.S.), Psychology
Simply Healthcare Plans December 2014 - Present
Florida Health Care Plus 2014 - Present
Comprehensive Family Dentistry January 2011 - March 2014
Global Dental Group January 2008 - January 2011
Education
Florida National University 2014 — 2015
Bachelor of Science in Nursing, Registered Nursing/Registered Nurse
Florida National University 2012 — 2013
Associate of Science in Nursing; Magna Cum Laude, Deans List., Registered Nursing/Registered Nurse
Simply Healthcare Plans October 2014 - Present
PrimeNet Medical Management, Inc June 2000 - March 2014
Foundation Health of Florida, Inc March 1997 - January 2000
Foundation Health of Florida, Inc. November 1995 - February 1997
Foundation Health of Florida, Inc. January 1995 - October 1995
Foundation Health of Florida, Inc. May 1994 - December 1994
South Miami Hospital, Inc. January 1991 - June 1993
South Miami Hospital, Inc. November 1986 - December 1990
Skills
Managerial Finance, Healthcare, Financial Reporting, Bank Reconciliation, Financial Analysis, Budgets, Revenue Cycle, Accounting, Forecasting, Strategic Planning, Cash Management, Accounts Receivable, Cash Flow, Cost Accounting, Healthcare Management, Physicians, Healthcare Consulting, Practice Management, Management, Policy, Finance, Analysis, Medicaid, Managed Care, Leadership, Medicare, Healthcare Information..., Training, Executive Management, Healthcare Industry, Hospitals, Revenue Cycle Management, Physician Relations, Process Improvement, Medical Billing, HIPAA, HMO, EHR, EMR, Healthcare Reimbursement, Strategic Financial..., Project Management, Medicare/Medicaid..., Performance Improvement, Variance Analysis, Health Insurance, Business Planning
Education
Florida International University 1983 — 1986
B.A., Finance
Miami Dade Community College 1981 — 1983
A.A., Accounting
Culmo Trial Attorneys December 2014 - Present
Simply Healthcare Plans April 2014 - December 2014
Florida Health Care Plus February 2013 - April 2014
Skills
Customer Service, Insurance, Microsoft Excel, Microsoft Office, Team Building, Health Insurance, Medicare, Healthcare, HIPAA, Managed Care, Healthcare Information..., Claim, Healthcare Industry, Medicaid, Leadership
Education
Florida National University
Bachelor's degree, Legal Studies, General
U.S. Gas & Electric June 2015 - Present
Boulevard Investment Group April 2015 - Present
SMU Cox School of Business August 2013 - Present
Southern Methodist University September 2014 - Present
Apollo Tutors August 2013 - Present
mustangconsulting March 2015 - Present
Boulevard Investment Group October 2014 - April 2015
Simply Healthcare Plans June 2014 - August 2014
Horizon Management May 2013 - August 2013
Skills
Microsoft Excel, Public Speaking, Accounting, Finance, Leadership, Investments, Microsoft Word, Teaching, Research, Financial Analysis, Data Analysis, Financial Planning, Financial Modeling, PowerPivot
Education
Southern Methodist University - Cox School of Business 2013 — 2017
Gulliver Preparatory High School 2009 — 2013
CBRE May 2015 - Present
Cushman & Wakefield July 2014 - December 2014
Corinthian Colleges, Inc. September 2013 - July 2014
Hartman & Tyner, Inc. July 2013 - September 2013
Simply Healthcare Plans October 2012 - April 2013
Package Realty Corporation February 2005 - August 2012
Gulf Coast Tubulars April 2011 - June 2011
McGuyer Homebuilders, Inc. September 2009 - March 2010
Eagle Global Logistics January 2006 - November 2006
SPACEHAB, Inc. March 2004 - May 2004
Skills
Real Estate License, Real Estate, Investment Properties, Contract Negotiation, Customer Service, Purchasing, Relocation, Buyers, Real Estate Transactions, Sellers, Commercial Real Estate, Selling, Management, Sales, New Home Sales, Negotiation, Healthcare, Real Estate Marketing, FHA, Leadership, Budgets, Sales Management, Contract Management, Real Property, Business Development, Entrepreneurship, Residential Homes, Property Management, Leases, Advertising, Marketing, Property, Referrals, Condos, Townhomes, Single Family Homes, First Time Home Buyers, Foreclosures, Online Marketing, Finance, Market Research
Education
University of Houston-Clear Lake 1999 — 2002
B.A., Communications
Alief Hastings 1987 — 1990
Grad, Spanish, Advanced Program
Simply Healthcare Plans 2012 - 2015
Skills
Customer Service, Microsoft Office, Microsoft Excel, Process Improvement, Outlook, Healthcare, Management, Sales, Strategic Planning, Team Building
Education
Florida National University 2008 — 2012
Bachelor’s Degree, Business Administration and Management, General
Floridad National Univesity 2008 — 2012
Bachelor's degree, Business Administration and Management, General
Simply Healthcare Plans July 2014 - Present
Carrefour 2011 - 2011
Skills
Servicio de atención al..., Microsoft Office, Ventas, Microsoft Excel, Microsoft Word
Education
Universidad de Vigo 2008 — 2012
Relaciones laborales
Florida Insurance Marketplace September 2014 - Present
Simply Healthcare Plans September 2013 - Present
Cocoa Beach Marketing March 2013 - Present
Universal Health Care August 2011 - February 2013
Cariera's January 2011 - July 2011
Duct Detectives Inc. July 2010 - January 2011
Tews Company November 2007 - January 2010
City Beverages August 2005 - June 2007
Skills
Event Management, Marketing Communications, Product Marketing, Multi Tasking, Trade Show..., Clerical Skills, Community Outreach, Microsoft Excel, Microsoft Office, Coordinating Events, Healthcare, Building Relationships, Networking, Brand Awareness, Branding & Identity, Organizational..., Health Insurance, Medicare, Managed Care, Event Planning, Public Speaking, Marketing, PowerPoint, Provider Relations, Salesforce.com, HMO, Healthcare Industry, Data Entry, PPO, Office Management, Insurance, Outlook, HIPAA
Education
Valencia Community College 2007 — 2010
Technical Certification, Web Page, Digital/Multimedia and Information Resources Design
University of Central Florida 2001 — 2005
Bachelor's degree, Organizational Communication
Simply Healthcare Plans April 2014 - Present
Zoological Wildlife Foundation January 2014 - Present
University of Miami Hospital August 2013 - April 2014
Baptist Health South Florida July 2011 - January 2013
The Biltmore Hotel October 2006 - June 2011
Zoo Miami January 2010 - August 2010
Skills
Healthcare, Healthcare Management, Health Insurance, Authorization, Prior Authorization, Customer Experience, Customer Service, Medicare, Medicaid, Accounts Receivable, Administrative Work, Accounts Payable, Hospitality Industry, ADP Payroll, Security, Office Administration, Hospitality, Animal Husbandry, Animal Nutrition, Animal Behavior, Exotic Animals, Import/Export Operations, Aquaculture, Aquatics, Herpetology, Human Resources, Payroll
Education
Miami Dade College 2012 — 2016
Associate of Science (A.S.), Biology, General
Miami Coral Park Senior High 1998 — 2002
H.S Diploma
Americaribe November 2014 - Present
Bouygues Civil Works Florida - Tunnel Project August 2013 - Present
Simply Healthcare Plans June 2012 - June 2013
University of Miami, Miller School of Medicine January 2011 - June 2012
Skills
Microsoft Office, Cpr Certified, Healthcare, Healthcare Management, Clinical Research, Construction Safety, Risk Management, Patient Advocacy, Patient Education, Research, Education, Health Education, First Aid, Case Managment, Medical Case Management, Managed Care, Care Coordination, Case Management Services, Safety Case Management, Workers Compensation, Advocacy, Customer Service, Customer Satisfaction, Conflict Resolution, Conflict Management, Health Insurance, OSHA 30-Hour, OSHA Certified, OSHA Record Keeping, Supervisory Skills, Staff Supervision, Liaison, Administrative..., Executive..., Cancer Research, Cancer Treatment, Cancer Screening, Cancer Prevention, Case Management, Administrative..., Outlook, PowerPoint, Contract Management, Microsoft Excel, Microsoft Word, Construction Management, Construction, Training, CPR Certified, Management
Education
Columbia Southern University 2015 — 2017
Master's degree, Occupational Safety & Health
Florida International University 1998 — 2005
Bachelor's degree, Psychology
Simply Healthcare Plans Assisant PlannerBroward Regional Health Planning CouncilJanuary 1995 - January 2005
DDB January 1980 - July 1991
Skills
Medicare, Term Life Insurance, Long-term Care, Fixed Annuities, Medicaid, Managed Care, Insurance, Health Insurance, Employee Benefits
Education
Baruch College, City University of New York (CUNY)
Bachelor of Applied Science (B.A.Sc.), Business, Management, Marketing, and Related Support Services
Simply Healthcare Plans March 2013 - Present
BeHoelscherFit September 2012 - Present
Carnival Cruise Lines June 2011 - July 2012
Publix June 2008 - June 2011
Skills
Cruises, Vacation, Tourism, Leisure Travel, Travel Management, Hospitality, Honeymoons, Hotels, Travel Planning, Resorts, Sales, Leisure, Customer Service, Sales Management, Event Management, Direct Sales, Hospitality Management, Customer Satisfaction, Event Planning, Account Management, Training, Social Networking, Time Management, Hospitality Industry
Education
Miami Dade College 2012 — 2016
Chaminade-Madonna College Preparatory 2005 — 2009
Simply Healthcare Plans July 2015 - Present
Univita Health Inc March 2012 - June 2015
All-Med Services of Florida May 2009 - February 2012
Merrill Lynch December 2008 - May 2009
Adidas Group August 2005 - January 2008
ELCI Engineering, Inc. May 2003 - July 2005
Skills
Financial Reporting, Financial Analysis, Internal Controls, General Ledger, Forecasting, Accounting, GAAP, Managerial Finance, Financial Accounting, Cash Management, Auditing, Budgets, Department Budgeting, ERP Implementations, Mergers & Acquisitions, Tax Preparation, Analysis, Finance, Internal Audit, Management, Process Improvement, Strategic Planning
Education
Moscow Finance and Law Academy (MFUA) 2003 — 2006
Master of Finance, Financial Management
Smolensk State Pedagogical University 1998 — 2003
Bachelor of Arts (B.A.), Linguistics, Suma Cum Laude
Simply Healthcare Plans November 2013 - Present
Simply Healthcare Plans, Inc. April 2012 - Present
Skills
Behavioral Health, Clinical Supervision, Mental Health Counseling, Mental Health, Group Therapy, Psychotherapy, Crisis Intervention, Adolescents, Adults, Motivational..., Healthcare, Spanish, Coordination of Care, Integration of Care, Compliance, Medicaid Managed Care, Social Services, Healthcare Management, Medicaid, Utilization Management, Managed Care, Case Managment, Disease Management, Medicare, NCQA, Therapists, HEDIS, HIPAA, HMO, Health Policy, Case Management, Quality Improvement, Health Care Systems
Education
Carlos Albizu University - Miami Campus 1983 — 1997
MS, Psychology
Carlos Albizu University - Miami Campus 1984 — 1994
MS, Clinical Psychology
St. Thomas University 1984 — 1990
BA, Psychology
Simply Healthcare Plans July 2013 - Present
Preferred Care Partners 2004 - 2011
Amedex/USA Medical Services April 1997 - January 2004
Skills
Customer Service, Skin Care, Team Building, Training, Gifts, Fragrance, Sales, Outlook, Home Based Business, Microsoft Office, Microsoft Excel, Microsoft Word
Education
St. Thomas University 1999 — 2003
Bachelor of Business Administration (BBA), Business Administration and Management, General
BayCare Health System March 2015 - Present
Simply Healthcare Plans October 2012 - March 2015
Universal Health Care April 2012 - October 2012
BayCare Health System January 2003 - October 2012
Skills
Healthcare, Disease Management, Healthcare Management, Hospitals, Nursing, Utilization Management
Education
St. Petersburg College 2013 — 2015
Bachelor of Applied Science (BASc), Health/Health Care Administration/Management
St. Petersburg College 2005 — 2007
Associate of Science (AS), Registered Nursing/Registered Nurse
Simply Healthcare Plans October 2013 - Present
Simply Healthcare Plans March 2012 - October 2013
Daleo Trattoria Restaurant August 2010 - November 2011
Juvia Miami Beach April 2010 - May 2011
Biltmore Hotel January 2010 - April 2010
Skills
Microsoft Excel, Outlook, Visio, Customer Service, Event Planning, Recruiting, Six Signma, Microsoft Word, Budgets, PowerPoint, Medicaid, Medicare, HIPAA, Leadership, Healthcare, Strategic Planning, Managed Care, Process Improvement, Team Building
Education
Six Sigma- Yellow Belt Certification 2014 — 2014
Le Cordon Bleu College of Culinary Arts-Miami 2009 — 2011
Associates Degree
MCNA Dental: Managed Care of North America, Inc. September 2013 - Present
Simply Healthcare Plans July 2012 - 2013
UnitedHealth Group January 2010 - July 2012
Simply Healthcare Plans July 2012 - 2012
UnitedHealth Group May 2007 - October 2010
UnitedHealth Group June 2006 - May 2007
United Healthcare Group October 2005 - June 2006
Weichert Realtors November 2003 - October 2005
Blue Cross & Blue Shield October 1999 - December 2002
Skills
Healthcare, Healthcare Information..., Contract Negotiation, Healthcare Management, Program Management, Data Analysis, Training, HIPAA, Insurance, Business Analysis, Team Building, Medicaid, Health Insurance, Visio, Access, Medicare, Analysis, Leadership, Management
Education
Capella University 2012 — 2013
Masters, Health/Health Care Administration/Management
Simply Healthcare Plans March 2015 - Present
Acclivity Healthcare/Advance Medical Specialties February 2013 - November 2013
Med Eye Associates December 2010 - February 2013
Nordstromrack.com February 2010 - December 2010
Arrhythmia Management Institute of South FL November 2008 - February 2010
Med Eye Associates February 2007 - April 2008
Skills
Management, English, Medical Records, Strategic Planning, Medical Terminology, Microsoft Excel, Spanish, Microsoft Office, Microsoft Word, Medical Billing, PowerPoint, Customer Service, Teaching, Process Improvement
Education
Florida International University 2010 — 2014
Bachelor's Degree, Bachelor of Arts in French
Florida International University 2010 — 2014
Minor, Education
Florida International University 2010 — 2014
Certificate, Legal translation and court interpretation
Florida International University 2010 — 2014
Certificate, Translation Studies
Miami Dade College 2012 — 2014
Certificate, Administrative Medical Specialist with Medical Billing and Coding Plus Medical Terminology
Univita Health Inc December 2014 - Present
Miami-Dade Chamber of Commerce, Inc. June 2014 - December 2014
Simply Healthcare Plans September 2013 - May 2014
Miami Dolphins & Sun Life Stadium July 1999 - August 2013
Fleming International January 1995 - July 1999
Skills
Customer Retention, Customer Service, Event Planning, Project Planning, Inspiring People, Leadership Initiatives, Customer Satisfaction, Sponsorship, Program Management
Education
Charron Williams College
Associate's Degree, Business Administration and Management, General
Miami Dade College
Simply Healthcare Plans November 2012 - Present
Seminole Tribe of Florida May 2012 - November 2012
Terremark July 2010 - May 2012
Miccosukee Resort & Gaming June 2008 - July 2010
Children's Home Society of Florida May 2003 - June 2008
Skills
VoIP, Networking, Cisco Technologies
Education
Bowling Green State University 1998 — 2003
Pam Gadinsky Communications April 2014 - Present
Simply Healthcare Plans April 2011 - September 2013
Lexicom February 2008 - May 2011
Mount Sinai Medical Center December 2007 - June 2008
Vista Healthplans, Inc. 2003 - 2006
Humana Inc. February 1999 - August 2003
Education
University of Florida
BSJ, Public Relations
Simply Healthcare Plans April 2013 - Present
Centene Corporation April 2005 - April 2013
Skills
Provider Relations, Health Insurance, Healthcare Industry, Revenue Cycle, HIPAA, Customer Service, Healthcare Consulting, Healthcare Information..., Healthcare Management, Hospitals, Insurance, Leadership, Process Improvement, Strategic Planning, Team Building
Education
Georgia State University 1986 — 1990
Bachelor's Degree, Criminal Justice
Simply Healthcare Plans August 2013 - Present
United Nations August 2002 - August 2013
Education
Barry University
Independent Purchasing Cooperative January 2015 - Present
Simply Healthcare Plans September 2013 - December 2014
US Gas and Electric Inc. January 2012 - September 2013
Bayview Financial March 2000 - January 2012
Bayview Financial 2004 - 2006
Skills
VB.NET, T-SQL, SSIS, Microsoft SQL Server, Visual Basic, Oracle, Databases, SSRS, Database Design, Disaster Recovery, SQL, SDLC, Database Administration, Access, Data Warehousing, Citrix, ETL, Data Modeling, Performance Tuning, Data Migration, Business Intelligence
Education
Universidad Tecnológica de Panamá 1987 — 1989
Computer Programming
Independent Contractor June 2013 - Present
Jackson Health Plans December 2012 - Present
Configuration Concepts, LLC December 2011 - Present
Simply Healthcare Plans April 2011 - December 2011
Jackson Health Plan October 2006 - April 2011
Perot Systems 2003 - 2005
Magellan Health Services 1998 - 2000
John Alden Life Ins. Co. 1984 - 1997
Skills
Healthcare Information..., Healthcare, Medicare, SDLC, Health Insurance, Data Analysis, Business Analysis, Process Improvement, Healthcare Management, Requirements Analysis, Healthcare Industry, Project Management, Managed Care, Business Intelligence, Program Management, Software Documentation, Healthcare Consulting, Medicaid
Education
Florida International University 1997 — 2000
Business, MIS
Coral Park Sr. High
MDFlow Systems January 2015 - September 2015
Florida Healthcare Plus October 2013 - January 2015
Simply Healthcare Plans July 2011 - October 2013
Medica Healthcare Plans, Inc September 2009 - July 2011
InsurePro Technologies April 2008 - September 2009
HealthSun Health Plans, Inc September 2006 - April 2008
Global Medical Management January 2006 - September 2006
Bunch & Associates June 2005 - December 2005
The Gainsco Companies September 1998 - September 2005
Skills
MS Visual Studio 2010,..., .Net Framework, C#,..., HTML, CSS, JavaScript,..., Microsoft SQL Server, Reporting Services, Healthcare Information..., QNXT & EAM, Medicare, SDLC, SharePoint, .NET, Business Intelligence, C#, HIPAA, Health Insurance, ASP.NET, SQL, SSRS, Software Development, XML, Access, Business Analysis, Healthcare, Integration, Software Documentation, Visio
Education
Broward College 2010 — 2011
Implementation Manager, Health Information/Medical Records Technology/Technician
Universidad Nacional Pedro Henríquez Ureña 1983 — 1988
Computer Science Degree, Computer Science
Simply Healthcare Plans April 2012 - Present
IPC January 2007 - April 2012
Hospitalists Of America 2007 - 2008
ProMED 2005 - 2007
Education
Florida International University - College of Business 2008 — 2008
Graduate, Masters of Science, Management Information Systems
Florida International University - College of Business 1999 — 2002
BAchelors Of Business Administration, Management Information Systems
Amerigroup March 2012 - Present
WellCare Health Plans October 2010 - March 2012
Simply Healthcare Plans November 2009 - March 2012
WellCare Health Plans March 2006 - November 2009
Skills
Network Development, Provider Relations, Provider Contracting, HMO, Medicaid, Healthcare, Medicare, Hospital Contracting, PPO, Healthcare Consulting, Revenue Cycle, Healthcare Management, Credentialing, Physician Relations, Medical Billing, Healthcare Industry, Health Insurance, HIPAA, Managed Care, Medicare Part D, Long-term Care, Healthcare Information...
Education
University of Phoenix 1999 — 2003
BSHCS, Healtcare Management
University of Phoenix 1999 — 2003
Health/Health Care Administration/Management
Simply Healthcare Plans February 2015 - Present
Simply Healthcare Plans January 2013 - February 2015
Simply Healthcare Plans September 2010 - January 2013
DentaQuest January 2010 - September 2010
Doral Dental March 2009 - January 2010
Atlantic Dental, Inc February 2007 - March 2009
Bruce Oakley 2003 - 2006
Education
University of Central Arkansas 1998 — 2003
BBA, Accounting
Simply Healthcare Plans August 2014 - Present
Mission1st Group, Inc. November 2013 - June 2014
Nisga'a Data Systems, LLC June 2013 - November 2013
Raytheon February 2012 - June 2013
Raytheon August 2010 - September 2011
ITT Systems December 2009 - August 2010
Cox Media Group AJC June 2006 - December 2009
Radical Networks Inc. August 2005 - May 2006
United States Air Force February 2002 - September 2004
Skills
VMware, Virtualization, Data Center, Active Directory, SAN, NetApp, Windows Server, Servers, System Administration, Enterprise Architecture, Network Security, Storage Management, Microsoft Exchange, Network Administration, Integration, Cisco Technologies, Information Assurance, SCCM, IT Management, Technical Support, Windows System..., Cisco UCS, 3PAR
Education
University of Phoenix
BS, Information Technology
Community College of the US Air Force
Maintenance Production Management
Simply Healthcare Plans 2012 - Present
FHRC 2009 - 2012
Bayview Financial 2002 - 2009
Morgan Stanley 1998 - 2001
Skills
Leadership, Management, Mergers, Process Improvement, Risk Management, Strategic Planning, Strategy, Change Management, Business Development, Analysis, Finance, Mergers, Start-ups
Education
University of Miami
Master of Business Administration (MBA), Healthcare Management & Policy
University of Miami
B.S., Industrial Engineering
Simply Healthcare Plans November 2013 - Present
Simply Healthcare Plans November 2013 - Present
United Health Care December 2005 - November 2013
BCBSFL 1994 - 2005
Blue Cross Blue Shield of Florida 1994 - 2005
Skills
Managed Care, Utilization Management, HMO, Healthcare, Clinical Research, HIPAA, Health Policy, Health Insurance, Healthcare Consulting, Healthcare Industry, Hospitals, Healthcare Management, Insurance, Medicaid, Medicare, Medicine, PPO, Physicians, Process Improvement, Physician Relations, Revenue Cycle, Risk Management, Strategic Planning, Team Building, Training, Healthcare Information..., Management
Education
University of Miami 1984 — 1988
BSN, Nursing
Simply Healthcare Plans September 2014 - Present
MAPFRE ASISTENCIA August 2011 - September 2014
Loews Hotels October 2009 - March 2011
Bank of America May 2008 - February 2010
Marriott International September 2004 - June 2008
Skills
Spanish, Tourism, Customer Service, Team Management, Logistics, Property Management..., Medicare Advantage, Medicaid Managed Care, Call Center..., Health Insurance, International Relations, Financial Reporting, Internal Audit, Travel Management, Hotel Reservations, Food & Beverage, Travel Insurance, Case Management, English, Portuguese, Budgets, Event Management
Education
University of South Florida 2007 — 2009
Bachelor of Arts (B.A.), Political Science and Government
Santa Fe College 2006 — 2007
Associate of Arts (A.A.), Journalism
Miami Dade College 2003 — 2005
Business Administration and Management, General
Simply Healthcare Plans September 2014 - Present
Simply Healthcare Plans November 2013 - Present
Simply Health Care Plans November 2012 - Present
Bupa Worldwide Corporation March 2011 - November 2012
AvMed Health Plans September 2008 - March 2011
UnitedHealth Group January 2006 - August 2008
Neighborhood Health Partnership April 2003 - May 2005
UnitedHealth Group October 1997 - April 2003
Skills
Health Insurance, Insurance, Medicare, Employee Benefits, Medicaid, Managed Care, HMO, Utilization Management, Healthcare, HIPAA, Claim, Process Improvement, Provider Relations, Call Center, Data Analysis, Benefits Administration, Risk Management, Business Analysis, Network Development, Performance Management, Vendor Management, Team Building, Strategic Planning, Medicare Part D, Leadership, Healthcare Industry, Coaching, Claims Management, Call Centers, Analysis, Access
Education
Keller Graduate School of Management of DeVry University 2009 — 2014
Masters, MBA
Trinity International University 2004 — 2009
Bachelors, Communications and Organizational Leadership
Isotx LLC May 2014 - Present
Simply Healthcare Plans October 2013 - May 2014
Preferred Care Partners December 2006 - October 2013
Isota LLC June 2003 - December 2006
Pygmy Computer Systems, Inc September 1988 - June 2003
AmeriFirst Federal Savings and Loan Association August 1984 - September 1985
AmeriFirst Federal Savings and Loan Association August 1983 - August 1984
Southeast Banks, N.A April 1980 - August 1983
Skills
FrameMaker, Online Help, Visio, Software Documentation, Training, Manuals, Proposal Writing, Newsletters, Instructional Design, Web Content, Technical Documentation, Editing, Technical Writing, Technical Communication, Leadership
Education
Florida International University 1986 — 1991
Theatre/Theater
University of Miami 1975 — 1978
Bachelor of Science, Computer Science
CareCloud June 2014 - Present
Simply Healthcare Plans February 2013 - April 2014
Avisena July 2010 - February 2013
Preferred Care Partners July 2007 - May 2010
Medica Healthcare plan July 2002 - December 2006
Skills
Practice Management, Revenue Cycle, Healthcare, Healthcare Consulting, Healthcare Management, Credentialing, Process Improvement, Physician Relations, Revenue Cycle Management, Medical Coding, CPT, Software Implementation, Provider Relations, Physicians, ICD-9, EHR, EMR, HIPAA
Education
Keiser University
Keiser University-Ft Lauderdale
Healthcare Services Management
Simply Healthcare Plans September 2012 - October 2013
Palmetto GBA September 2011 - April 2012
Health Integrity, LLC February 2010 - September 2011
Palmetto GBA July 1998 - July 2007
Education
Florida International University
Bachelor of Applied Science (B.A.Sc.), Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing
Simply Healthcare Plans August 2015 - Present
Univita Health Inc September 2005 - July 2015
Skills
Customer Service, Functional Testing, Leadership, Healthcare, Process Improvement, Team Building, User Acceptance Testing, Hospitals, Program Management, Healthcare Management, Clinical Research, Business Analysis
Education
Barry University 2015 — 2018
Bachelor of Science (B.S.), Health Services Administration
Simply Healthcare Plans October 2011 - Present
Skills
Medicaid, Managed Care
Education
University of Phoenix
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Simply Healthcare Plans March 2015 - Present
Simply Healthcare Plans March 2013 - March 2015
Simply Healthcare Plans June 2010 - March 2013
Skills
Health Insurance
Education
Kaplan University-Davenport Campus 2014 — 2018
BS in Education, Education
Miami Springs Senior High School