Sloans Lake Managed Care
Industry: Company
DescriptionFounded: 1979 Parent organization: Cofinity, Inc Subsidiary: PPOM, L.L.C.
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Sloans Lake Managed Care Employees
Humana June 2011 - Present
Humana December 2003 - June 2011
Sloans Lake Managed Care May 2003 - December 2003
CIGNA February 2001 - April 2003
Pro Physical Therapy, PC October 1999 - November 2000
Planned Parenthood of the Rocky Mountains May 1999 - August 1999
Planned Parenthood Mid and South Michigan March 1997 - April 1999
Skills
Provider Relations, Health Insurance, Network Development, Medicare, Managed Care, Medicaid, Team Leadership, Strategic Planning, Operations Management, Healthcare Information..., HIPAA, Health Policy, Critical Thinking, Healthcare, Healthcare Management, EHR, Healthcare Industry, Credentialing, Hospitals, Strategy, PPO, Problem Solving, Process Optimization, Revenue Cycle, HMO, Healthcare Consulting, Medical Coding, Medical Billing, Physicians, Physician Relations, EMR, Positive Work..., Positive Employee..., Employee Engagement
Education
Eastern Michigan University 1990 — 1998
BS, Healthcare Administration
Pulmonary Associates Inc. September 2011 - Present
Federal Occupational Health (FOH) May 2002 - February 2011
Anthem Blue Cross December 2000 - April 2002
Sloan's Lake Managed Care December 1999 - December 2000
Skills
Public Speaking, Healthcare, Healthcare Information..., Health Promotion, Research, Budgets, Training, Public Health, PowerPoint, Customer Service, Program Management, Management, Project Management, Quality Assurance, Microsoft Office, Software Documentation, Teaching, Leadership, Hospitals, Strategic Planning, Process Improvement, Medicare, Team Building, Account Management, EMR, Healthcare Management, HIPAA, Documentation, Microsoft Word, Team Leadership, Microsoft Excel, Policy
Education
The University of Kansas 1984 — 1987
Bachelor of Science, Medical Record Administration
Tabor College 1983 — 1984
American Health Information Management Association
RHIA, Medical Record Administration / Health Information Management
American Association of Professional Coders
Certified Professional Coder (CPC), Medical Insurance Coding Specialist/Coder
ColorWerx January 2001 - Present
Emtec Inc. June 2012 - March 2015
Ethx August 2000 - June 2012
Sloans Lake Managed Care April 1999 - August 2000
ComCoTec June 1994 - July 1998
Cigna HealthCare of California May 1993 - May 1994
Aetna Health Plans January 1990 - October 1992
CIGNA Systems April 1988 - December 1989
Skills
Microsoft SQL Server, Visual Basic, C#, Crystal Reports, Access, .NET, Illustrator, Visual Studio, InstallShield, Showcase Query, Paradox, Camtasia, SSRS, SSIS, XML, Databases
Education
University of North Texas 1980 — 1985
Bachelor of Music, Jazz Studies
Kaiser Permanente June 2010 - Present
Mountain Vista June 2009 - July 2012
Temps, Inc November 2005 - July 2012
Vibra Hospital December 2008 - July 2009
Hallmark Care Center August 2007 - July 2009
Life Care Center of Evergreen March 2003 - November 2005
Tri-West August 2001 - August 2002
Spalding Rehab Hospital January 2001 - December 2001
Rocky Mountain Health Plan of the Rockies January 2000 - August 2001
Sloans Lake Managed Care January 1998 - March 2000
Skills
Complex wound care, Medication..., Medication Therapy..., Topical Medication, IV, Admissions, Discharges, Charge Nurse, Pediatric Nursing, Immunization, Long-term Care, Geriatric Rehabilitation, Long Term Acute Care, Acute Care, Home Health Agencies, Correctional Care..., Medical/Surgical, BCLS, Case Managment, Utilization Review, Underwriting, Title Insurance, Legal Support Services, Retail Sales, Wardrobe, Risk Management, Food & Beverage, Food Preparation, Assistant Manager, Executive..., Creative Writing, Writing, Painting, Modeling, Acting, Childcare, Mentoring, Assistant Teaching, Preceptor, Volunteering
Education
Community College of Denver 2003 — 2005
Non, Completed prerequisites to transition from an LPN to RN in 2005
Pickens Technical College 2004 — 2004
IV certification, intravenous placement, phlebotomy, IV medication administration, 4.0
ConCorde Career Institute Denver 1996 — 1997
Diploma, Licensed Practical/Vocational Nurse Training
Barbizon School of Modeling 1983 — 1983
Fashion Modeling
Sierra Data Systems June 2014 - Present
San Clemente Technologies April 2009 - June 2014
James Kinkade January 2006 - February 2011
Arial Software January 2001 - March 2009
Acheivement Computer Consulting January 2000 - December 2000
Sloans Lake Managed Care July 1999 - December 1999
Antero Health Plans January 1995 - July 1999
US Army October 1986 - October 1989
Skills
Email Marketing, Testing, Product Marketing, HTML, Marketing, Copywriting, Investigation, Evidence Collection, Stop Loss, Security, Research, Claim Investigation, Medical Staff...
Education
Penn Foster 2012 — 2013
Diploma, Private Investigation, A
University of Colorado at Denver 1990 — 1994
Bachelor of Arts (B.A.), History
Colorado Choice Health Plans January 2013 - Present
BlueCross BlueShield of South Carolina August 2011 - December 2012
ARCUS Bank August 2008 - July 2010
Anthem Blue Cross & Blue Shield December 2000 - August 2008
SLOANS LAKE MANAGED CARE October 1996 - December 2000
FHP, INC. December 1993 - October 1996
FHP, Inc. (now a part of UnitedHealth Group) July 1993 - December 1993
Skills
Strategic Planning, Marketing Communications, Product Development, Product Management, Marketing Strategy, Program Management, Health Insurance, Sales, Contract Negotiation, Management, Business Development, Cross-functional Team..., Insurance, Training, Marketing, Analysis, Healthcare, Leadership, Market Research, Managed Care, Health Policy, Process Improvement, Policy, Budgets, Strategy, Medicare
Education
Florida State University - College of Business 1991 — 1993
MBA, Health Services Administration
University of Wyoming
BS, Animal Science
New West Health Services March 2015 - Present
Somnus Healthcare, Inc. April 2014 - November 2014
Littleton Adventist Hospital April 2011 - January 2013
Sloans Lake Managed Care March 2001 - June 2004
Phylink January 1998 - March 2001
HealthONE 1997 - 1998
Centura Health July 1996 - June 1997
Littleton Hospital July 1988 - June 1996
Skills
Healthcare, Healthcare Information..., Healthcare Management, Hospitals, Managed Care, Budgets, Physician Relations, Project Planning, EMR, Healthcare Consulting, HIPAA, EHR, Medicare, Medicaid, Leadership, Process Improvement, Strategic Planning
Education
Union College (NE) 1978 — 1982
Bachelor of Science (BS), Accounting
Kaiser Permanente October 2013 - Present
Community Banks of Colorado October 2002 - June 2012
Sloans Lake Managed Care November 1999 - October 2002
Skills
Strategic Planning, Operations Management, Business Analysis, SDLC, Disaster Recovery, Windows, Project Management, Requirements Analysis, IT Management, Integration, Vendor Management, Microsoft Office, Terminal Services, Business Continuity..., IT Infrastructure..., Large Scale Deployments, Regulatory Guidelines, Symantec Endpoint..., Windows Desktop..., Backup Exec, Windows Server, Technical Staff..., Department Budget..., Managing Project Budgets, Managing Large Scale..., Strongly self-motivated, Oral & Written..., Change Management, Procedure Development, Microsoft Server Support, Active Directory, VPN, DNS, DHCP, Risk Management, Antivirus, Cost Reduction..., HP Procurve, SAN, Data Center, PMP, Telecommunications, Leadership
Education
Colorado State University
Bachelor of Science (BS), Major-Computer and Information Sciences and Support Services. Minor-Project Management, GPA 4.0
Community College of Aurora
AA, Computer and Information Sciences and Support Services, GPA 3.91, Magna Cum Laude
Connecticut Legal Services August 2013 - Present
Connecticut Legal Services April 2005 - July 2013
CT Affiliate of Susan G. Komen for the Cure November 2010 - June 2011
Chubb March 2004 - April 2005
Trimble, Tate, Nulan, and Evans May 2003 - December 2003
United States Department of Health and Human Services Offfice of the Chief Counsel May 2002 - May 2003
University of Colorado Health Sciences Center July 1997 - September 2000
Sloans Lake Managed Care July 1996 - July 1997
SCORE! Educational Centers 1996 - 1997
Heathright Inc. 1996 - 1996
Skills
Healthcare, Non-profits, Strategic Planning, Public Relations, Fundraising, Community Outreach, Social Media, Public Speaking, Program Development, Research, Event Planning, Corporate Law, Leadership Development, Strategic Leadership, Organizational..., Messaging, Strategic Communications, Alliance Formation, Strategic Alliances, Alliance-building, Adaptive Leadership, Systemic Change, Public Health
Education
Connecticut Health Foundation 2010 — 2011
University of Colorado School of Law 2000 — 2003
JD, Law
Wesleyan University 1991 — 1995
BA, Women's Studies
MedAssets, Advisory Solutions October 2011 - December 2014
MedAssets, Advisory Solutions April 2011 - October 2011
CIGNA Healthcare June 2010 - February 2011
CIGNA Healthcare August 2009 - June 2010
CIGNA Healthcare August 2005 - August 2009
CIGNA Healthcare December 2003 - August 2005
CIGNA Healthcare September 2001 - December 2003
Sloans Lake Managed Care June 1997 - September 2001
Skills
Data An, trending, Financial Reporting, Ad Hoc Reporting, Cost Reporting, Performance Reporting, Customer Service, Credentialing, Data Processing, SharePoint Designer, Procedural Documentation, Data Entry, HIPAA, Analysis, Insurance, Managed Care, Process Improvement, Call Center, HMO, Data Analysis, Microsoft Word, Analytics, Healthcare, Claim, Healthcare Management, Outlook, Health Insurance, Network Development, Software Documentation, Data, Employee Benefits, Access, Medicare, Microsoft Excel, Trending, Call Centers, Invoicing, Provider Relations, Business Analysis, Utilization Management, Vendor Management, Medicaid, Healthcare Information..., Visio, Coaching, Training
Education
University of Phoenix 2007 — 2009
Bachelor, Business Arts
Compleat Lifestyles September 2011 - Present
Trading 4 Treasures February 2009 - Present
Advantage Clinical Laboratories June 1995 - January 1997
Sloans Lake Managed Care January 1992 - June 1995
Shenkin, Kurtz, Baker & Co. January 1988 - January 1992
Deloitte & Touche August 1984 - January 1988
Education
University of Denver - Sturm College of Law 1985 — 1987
MT, Taxation
Iowa State University 1980 — 1984
BBA, Accounting
The Wright Group Services September 2014 - Present
USI Colorado LLC August 2007 - July 2014
Van Gilder Insurance August 2007 - August 2012
Lockton Companies 2005 - 2007
CNIC Health Solutions 2002 - 2005
Denver Health 2000 - 2003
Sloans Lake Managed Care 1999 - 2003
Skills
Disability Insurance, Health Insurance, Health Savings Accounts, Employee Benefits, Insurance, Underwriting, COBRA, Brokers, Workers Compensation, Account Management, Life Insurance, Benefits Administration
Education
Fitchburg State University 1987 — 1992
BS, Education
Kaiser Permanente September 2014 - Present
Perfectly Prissy March 2010 - Present
UnitedHealth Group January 2008 - September 2014
UnitedHealth Group January 2008 - 2008
Great-West Life & Annuity Insurance Company May 2007 - December 2007
Great-West Life & Annuity Insurance Company October 2005 - May 2007
Sloan's Lake Managed Care March 2004 - July 2004
The TriZetto Group July 2003 - March 2004
PacifiCare Health Systems February 1997 - October 2003
SourceCorp Data Entry & Information Services October 2002 - July 2003
Skills
Dynamic public speaker, Instructional Designer, Trainers, Results-driven, Medicaid, Training, Result Oriented, Employee Training, Adult Education, Process Improvement, Leadership, Medicare, Strategic Planning, Management, Sales, Customer Service
Education
Community College of Aurora 1994 — 1995
Pickens Technical College 1992 — 1994
Anthem August 2015 - Present
UnitedHealthcare September 2014 - Present
United Healthcare September 2009 - Present
UnitedHealthcare March 2006 - December 2009
United Healthcare April 2002 - March 2006
New England Financial April 2001 - April 2002
Sloans Lake Managed Care April 1999 - April 2001
Skills
Health Insurance, New Business Development, Employee Benefits, Sales, Product Management, Brokers, Customer Service, Managed Care, Insurance, Life Insurance, Underwriting, Health Savings Accounts, Medicare, Strategic Planning, Leadership, Self-funded, Account Management, Disability Insurance, Management
Education
Metropolitan State University of Denver 1997 — 2003
Bachelor's Degree, Psychology Major/ English Minor
CIGNA (GREAT WEST LIFE & ANNUITY) April 2010 - Present
CIGNA (GREAT WEST LIFE & ANNUITY) April 2007 - April 2010
CIGNA (GREAT WEST LIFE & ANNUITY) April 2005 - April 2007
CIGNA (GREAT WEST LIFE & ANNUITY) December 2003 - April 2005
Sloans Lake Managed Care 1996 - 2002
Ernst and Young 1998 - 2000
Blue Cross Blue Shield 1996 - 1998
Skills
Business Analysis, Process Improvement, Project Management, Data Analysis, SDLC, Business Process, Data Governance, Requirements Analysis, Business Intelligence, Change Management, Data Warehousing, Vendor Management, Analysis, Management, Requirements Gathering, Business Process..., Business Process..., Healthcare Information..., Six Sigma, Operations Management, Sarbanes-Oxley Act, Strategic Planning, IT Management, Healthcare, Visio, Business Process Design, Auditing, Reporting & Analysis, Dedication to..., SQL, Databases, Business Requirements
Education
University of Phoenix 1992 — 1995
Master of Science (M.S.), Computer Information Systems
University of Colorado at Boulder - Leeds School of Business 1985 — 1990
Bachelor of Science (B.S.), Accounting and Information Systems
Arisant, LLC July 2013 - Present
MarkWest Energy Partners, L.P. 2013 - 2015
GHX July 2009 - July 2013
Stratavia May 2006 - July 2009
Stratavia 2006 - 2008
Sloans Lake Managed Care 2000 - 2003
Skills
Databases, SQL, Enterprise Software, High Availability, Cloud Computing, Agile Methodologies, Disaster Recovery, Unix, Software Development, Oracle RAC, Professional Services, Oracle, Database Design, Scrum, Integration, Testing, Software Quality..., Solaris, Performance Tuning, Data Warehousing, Oracle E-Business Suite, Oracle PL/SQL..., Relational Databases, PL/SQL
Education
University of Colorado at Colorado Springs 1995 — 1999
Bachelor's of Science, CIS
Catonsville Sr. High 1979 — 1983
Oracle America May 2010 - Present
Oracle America, Inc January 2010 - May 2010
Sun Microsystems February 2008 - January 2010
Sun Microsystems December 1999 - January 2007
Sloans Lake Managed Care May 1994 - December 1999
Skills
Team Building, Invoicing, Accounts Receivable, Social Media, Microsoft Office, Business Process
Education
Marymount University 2012 — 2013
Master of Arts (M.A.), English Language and Literature/Letters
University of Colorado Boulder 2005 — 2007
Bachelor's, English, History
Front Range Community College 2002 — 2005
Associates, General
Jefferson County Dept. of Health 2001 - Present
Sloans Lake Managed Care 1998 - 2001
Education
University of Illinois at Chicago 1966 — 1970
BA, Political Science
CareFusion July 2009 - October 2010
Cardinal Health 2005 - June 2009
The TriZetto Group 2003 - 2004
Parson Consulting January 2001 - October 2002
BoldTech Systems 2000 - 2002
Sloans Lake Managed Care 1999 - 2001
Education
University of Colorado Denver 1999 — 2002
MS, Information Systems, Healthcare Administration
University of Northern Colorado 1991 — 1995
Select Health February 2011 - February 2011
SELECT HEALTH NETWORK January 2006 - May 2007
ASU GROUP/RECOVERY UNLIMITED January 2001 - January 2005
iMcKesson January 1998 - January 2000
SLOANS LAKE MANAGED CARE January 1995 - January 1998
CASES COORDINATION SERVICES January 1992 - January 1994
KAYE CONSULTANTS January 1990 - January 1992
Skills
Case Management, Case Management Services, School Nursing, Utilization Management, Case Managment
Education
University of Colorado Boulder
BSN, Nursing
University of Colorado Health Sciences Center, Denver, CO
B.S, Nursing
Aetna 2007 - Present
sloans Lake Managed Care June 2001 - June 2006
Skills
Healthcare, Provider Relations, Medicare, Claim, HIPAA, Managed Care, Healthcare Consulting, EHR, Health Policy, EMR, Medicaid, Strategic Planning, Network Development, Health Insurance, Credentialing, Healthcare Information..., Medical Billing, Hospitals, Insurance, Business Analysis, Process Improvement
Education
Lawrence Technological University
Architeture
Ave Maria Catholic School August 2002 - Present
Meritor Academy May 1998 - June 2002
Visiting Nurse Association November 1996 - May 1998
Bramalea Inc. September 1991 - April 1996
Substitute Teacher September 1990 - September 1991
Sloan's Lake Managed Care August 1989 - September 1990
Target July 1986 - August 1989
Skills
Behavior Management, Classroom Management, Curriculum Design, Curriculum Development, Customer Service, Differentiated..., Early Childhood..., Educational Leadership, Educational Technology, Elementary Education, Human Resources, Instructional Design, Instructional Technology, Lesson Planning, Microsoft Office, RTI, Teaching
Education
University of Northern Colorado 1984 — 1988
Bachelor's degree, Elementary Education and Teaching
UnitedHealthcare January 2009 - Present
UnitedHealthcare May 2004 - December 2008
Sloans Lake Managed Care April 2000 - May 2004
Skills
PowerPoint, Customer Service, Microsoft Excel, Microsoft Office, Outlook, Research, Public Speaking, Strategic Planning, Teaching, Healthcare, Windows, Healthcare Management, English, Hospitals, Data Entry, Team Building, Medical Terminology, Photoshop, HTML
Education
University of Kansas 1993 — 1996
Master of Health Administration, Health/Health Care Administration/Management, 3.8
Centers for Mobility Prosthetics February 2015 - Present
FasTrak Rehabilitation December 2013 - Present
Pinnacol Assurance February 2001 - January 2014
Sloans Lake Managed Care March 1995 - January 2001
Vocational Rehabilitation 1987 - 1995
Parent Resource Center. Inc. 1989 - 1993
Developmental Services, Inc. 1988 - 1993
Skills
Vocational..., Case Managment, Claims Management, Policy, Personal Injury, Workers' Compensation..., Return to Work, Rehabilitation, Social Security..., Workers Compensation, Insurance, Claim, Americans with..., Rehabilitation..., Employee Benefits, Vocational Education, Leadership Development, Training, Risk Management, Case Management, Health Insurance, Healthcare, Vocation, General Insurance, Team Building, Disability Management, Term Life Insurance, Medical Case Management
Education
University of Colorado at Colorado Springs
MA
University of Northern Iowa
BA
Sky Ridge Medical Center July 2013 - Present
Swedish Medical Center 2005 - 2013
Karen Karen Craig, RN 2005 - 2013
Sloans Lake Managed Care 2002 - 2004
Skills
Social Services, Mental Health, Case Management, Group Therapy, Crisis Intervention, Community Outreach, Psychotherapy, Adolescents, Program Development, Healthcare, Treatment, Nonprofits, Nursing, Mental Health Counseling, Motivational..., Home Care, Family Therapy, Psychology, Healthcare Management, DBT, Therapists, Clinical Supervision, Behavioral Health, Medical Social Work, Grief Counseling, Psychosocial, Inpatient, Prevention, Elder Care, Patient Advocacy
Education
University of Northern Colorado 1987 — 1988
Masters, Counseling Psychology
Metropolitan State University of Denver 1978 — 1980
Bachelor of Science, Health/Health Care Administration/Management and Nursing