Sunshine Health
Industry: Company
DescriptionParent organization: Centene Corporation Subsidiaries: Access Health Solutions, LLC, Sunshine State Health Plan Inc, Sunshine Consulting Services, Inc
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38 Sunshine Health employees in database. Find out everything there's to know about Sunshine Health employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Sunshine Health Employees
Employee
Years
Job
Industry
Judy Rose Judy Rose's Sunshine Health Experience January 2015 - Present
Job Case Manager and Social Services Professional
Industry Individual & Family Services
Experience
Sunshine Health January 2015 - Present
Gulf Coast Jewish Family & Community Services September 1993 - November 2014
Pinellas County Public Health Department March 1992 - September 1993
Skills
Social Services, Case Management Services, Senior Services, Program Management, Program Development, Program Evaluation, Community Health, Public Health, Community Outreach, Supervisory Skills, Employee Training, Written & Oral..., Education, Microsoft Office, Interpersonal..., Case Management, Training, Nonprofits
Education
University of Massachusetts, Amherst
Master of Science (MS), Public Health Nutrition
State University of New York College at Plattsburgh
Bachelor of Science (BS), Education
Sunshine Health January 2015 - Present
Gulf Coast Jewish Family & Community Services September 1993 - November 2014
Pinellas County Public Health Department March 1992 - September 1993
Skills
Social Services, Case Management Services, Senior Services, Program Management, Program Development, Program Evaluation, Community Health, Public Health, Community Outreach, Supervisory Skills, Employee Training, Written & Oral..., Education, Microsoft Office, Interpersonal..., Case Management, Training, Nonprofits
Education
University of Massachusetts, Amherst
Master of Science (MS), Public Health Nutrition
State University of New York College at Plattsburgh
Bachelor of Science (BS), Education
Debbie Pettibone Debbie Pettibone's Sunshine Health Experience June 2015 - Present
Job Long Term Care Case Manager at Sunshine Health
Industry Hospital & Health Care
Experience
Sunshine Health June 2015 - Present
Brightstar July 2013 - Present
CSI, CRM, Healthforce, Summit Healthcare 2013 - Present
Market America, Inc. August 2011 - Present
Hope HealthCare Services December 2009 - July 2013
Nursefinders April 2002 - September 2009
Skills
Nutrition, Healthcare, Wellness, Clinical Research, Healthcare Management, Wound Care, Nursing, Home Care, Patient Safety, Medication..., BLS, CPR Certified, Pediatrics, Medical-Surgical, Patient Education, Health Education
Education
Madison Oneida BOCES - Practical Nursing Program 1997 — 1998
LPN, Nursing
Mohawk Valley Community College 1987 — 1989
Associate's degree in Human Services with Dev Dis
Sunshine Health June 2015 - Present
Brightstar July 2013 - Present
CSI, CRM, Healthforce, Summit Healthcare 2013 - Present
Market America, Inc. August 2011 - Present
Hope HealthCare Services December 2009 - July 2013
Nursefinders April 2002 - September 2009
Skills
Nutrition, Healthcare, Wellness, Clinical Research, Healthcare Management, Wound Care, Nursing, Home Care, Patient Safety, Medication..., BLS, CPR Certified, Pediatrics, Medical-Surgical, Patient Education, Health Education
Education
Madison Oneida BOCES - Practical Nursing Program 1997 — 1998
LPN, Nursing
Mohawk Valley Community College 1987 — 1989
Associate's degree in Human Services with Dev Dis
Debra Smyers Debra Smyers's Sunshine Health Experience February 2013 - Present
Job Sr. VP Health Services at Sunshine Health
Industry Insurance
Experience
Sunshine Health February 2013 - Present
UPMC Health Plan November 2004 - February 2013
Skills
Healthcare, HIPAA, Project Management, Program Development, Quality Management, Clinical Research, Process Improvement, Healthcare Management, Health Policy, Managed Care, Healthcare Information..., Disease Management, Strategic Planning, Hospitals, Program Management, Medicare, Healthcare Industry, Leadership, Medicaid, Medicine, Utilization Management, Health Insurance, Quality Improvement, Insurance, Management, Healthcare Consulting
Education
University of Pittsburgh 1971 — 1975
BSN, Registered Nursing/Registered Nurse
Sunshine Health February 2013 - Present
UPMC Health Plan November 2004 - February 2013
Skills
Healthcare, HIPAA, Project Management, Program Development, Quality Management, Clinical Research, Process Improvement, Healthcare Management, Health Policy, Managed Care, Healthcare Information..., Disease Management, Strategic Planning, Hospitals, Program Management, Medicare, Healthcare Industry, Leadership, Medicaid, Medicine, Utilization Management, Health Insurance, Quality Improvement, Insurance, Management, Healthcare Consulting
Education
University of Pittsburgh 1971 — 1975
BSN, Registered Nursing/Registered Nurse
Judith Daughty, RN, BS, LNC, CMCN Judith Daughty, RN, BS, LNC, CMCN's Sunshine Health Experience April 2014 - February 2015
Job Independent Legal Nurse Consultant
Industry Legal Services
Experience
Advocate Nurses, LLC May 2015 - Present
Lee Memorial Health System February 2015 - Present
Appeal Masters August 2013 - Present
Self Employed Contractor May 2013 - Present
Sunshine Health April 2014 - February 2015
StrategicHealthSolutions April 2011 - May 2013
Blue Cross Blue Sheild of Nebraska March 2007 - September 2010
Ancillary Care Management August 2006 - April 2007
Skills
Healthcare, Nursing, Home Care, Health, Medicaid, Medicare, Healthcare Information..., Hospitals, Medicine, HIPAA, Clinical Research, Medical Coding, Microsoft Office, Team Building, Acute Care, Utilization Management, Quality Improvement, Health Policy, ICU, Disease Management, Auditing, Claim, Public Speaking, Insurance, Healthcare Industry, Utilization Review, Health Insurance, Research, PowerPoint, Medical Terminology, Health Education, ICD-9, Medical Records, Physician Relations, Medical Billing, Inpatient, Patient Outcomes, Medicaid Managed Care, CPT, Meditech, Medical Case Management, Patient Advocacy, EMR, Case Managment, Credentialing, Physicians, EHR, Healthcare Consulting, Patient Safety, BLS
Education
Columbia Southern University 1998 — 2002
BS, Health Management
Highland Community College 1986 — 1992
AS/ADN, Science/Nursing
Career Step
Medical Billing and Coding
Advocate Nurses, LLC May 2015 - Present
Lee Memorial Health System February 2015 - Present
Appeal Masters August 2013 - Present
Self Employed Contractor May 2013 - Present
Sunshine Health April 2014 - February 2015
StrategicHealthSolutions April 2011 - May 2013
Blue Cross Blue Sheild of Nebraska March 2007 - September 2010
Ancillary Care Management August 2006 - April 2007
Skills
Healthcare, Nursing, Home Care, Health, Medicaid, Medicare, Healthcare Information..., Hospitals, Medicine, HIPAA, Clinical Research, Medical Coding, Microsoft Office, Team Building, Acute Care, Utilization Management, Quality Improvement, Health Policy, ICU, Disease Management, Auditing, Claim, Public Speaking, Insurance, Healthcare Industry, Utilization Review, Health Insurance, Research, PowerPoint, Medical Terminology, Health Education, ICD-9, Medical Records, Physician Relations, Medical Billing, Inpatient, Patient Outcomes, Medicaid Managed Care, CPT, Meditech, Medical Case Management, Patient Advocacy, EMR, Case Managment, Credentialing, Physicians, EHR, Healthcare Consulting, Patient Safety, BLS
Education
Columbia Southern University 1998 — 2002
BS, Health Management
Highland Community College 1986 — 1992
AS/ADN, Science/Nursing
Career Step
Medical Billing and Coding
Tammi Swan's Sunshine Health Experience March 2014 - Present
Job Supervisor, Long Term Care at Sunshine Health
Industry Health, Wellness and Fitness
Experience
Sunshine Health March 2014 - Present
Metro Behavioral Care December 2010 - September 2013
Hillsborough County Sheriffs Office 2006 - 2008
Florida Department of Children and Families 2000 - 2006
Skills
Mental Health, Social Services, Case Managment, Adolescents, Crisis Intervention, Mental Health Counseling, Case Management, Group Therapy, CBT, Child Welfare, Behavioral Health, Family Services, Motivational..., Program Development, Child Advocacy, Child Development, Individual Counselling
Education
Indiana University-Purdue University at Indianapolis 1991 — 1996
BSW, Social Work
Sunshine Health March 2014 - Present
Metro Behavioral Care December 2010 - September 2013
Hillsborough County Sheriffs Office 2006 - 2008
Florida Department of Children and Families 2000 - 2006
Skills
Mental Health, Social Services, Case Managment, Adolescents, Crisis Intervention, Mental Health Counseling, Case Management, Group Therapy, CBT, Child Welfare, Behavioral Health, Family Services, Motivational..., Program Development, Child Advocacy, Child Development, Individual Counselling
Education
Indiana University-Purdue University at Indianapolis 1991 — 1996
BSW, Social Work
Joanne Alicea's Sunshine Health Experience December 2013 - Present
Job Case Manager with Sunshine Health
Industry Hospital & Health Care
Experience
Sunshine Health December 2013 - Present
St. Catherine Laboure Manor February 2006 - January 2014
The Chrysalis Center 2004 - 2006
East End Assembly of God 2002 - 2003
Jacksonville Youth Sanctuary 2001 - 2002
Child Guidance Center 2000 - 2001
Gold Coast Community Services 1998 - 2000
Skills
Social Services, Case Managment, Behavioral Health, Gerontology, Advocacy, Medicare, Medicaid, Transition Planning, Customer Service, Down Syndrome, Organization, Public Speaking, Community Outreach, Volunteer Management, Team Building, Event Planning, Worship, Nursing, Therapists, Treatment, Adolescents, Healthcare, Elder Care, Case Management, Psychotherapy, Program Development, Healthcare Management, Medical Social Work, Long-term Care, Psychosocial, Nonprofits, Care Planning, Case Management Services, End of Life, Life Transitions, Medical Case Management, Managed Care, Palliative Care, Interventions, Patient Safety, Home Care, Grief Counseling, Motivational..., Inpatient, Solution Focused, Biopsychosocial..., Child Welfare, Patient Advocacy, Medical/Surgical, Physician Relations
Education
Palm Beach Atlantic University 1995 — 1998
Bachelor of Science (BS), Psychology
Sunshine Health December 2013 - Present
St. Catherine Laboure Manor February 2006 - January 2014
The Chrysalis Center 2004 - 2006
East End Assembly of God 2002 - 2003
Jacksonville Youth Sanctuary 2001 - 2002
Child Guidance Center 2000 - 2001
Gold Coast Community Services 1998 - 2000
Skills
Social Services, Case Managment, Behavioral Health, Gerontology, Advocacy, Medicare, Medicaid, Transition Planning, Customer Service, Down Syndrome, Organization, Public Speaking, Community Outreach, Volunteer Management, Team Building, Event Planning, Worship, Nursing, Therapists, Treatment, Adolescents, Healthcare, Elder Care, Case Management, Psychotherapy, Program Development, Healthcare Management, Medical Social Work, Long-term Care, Psychosocial, Nonprofits, Care Planning, Case Management Services, End of Life, Life Transitions, Medical Case Management, Managed Care, Palliative Care, Interventions, Patient Safety, Home Care, Grief Counseling, Motivational..., Inpatient, Solution Focused, Biopsychosocial..., Child Welfare, Patient Advocacy, Medical/Surgical, Physician Relations
Education
Palm Beach Atlantic University 1995 — 1998
Bachelor of Science (BS), Psychology
Barbara Amstutz Barbara Amstutz's Sunshine Health Experience November 2011 - Present
Job Contract Negotiator
Industry Insurance
Experience
Sunshine Health November 2011 - Present
Advanced Nursing Concepts April 2006 - 2008
Interplan Health Group 2000 - 2005
One Call Medical 1998 - 2000
Humana 1996 - 1998
Leesburg Regional Medical Center 1995 - 1996
HealthPlus of Michigan 1988 - 1995
Skills
Healthcare, Provider Relations, Network Development, Health Insurance, Hospitals, Contract Negotiation, Healthcare Industry, Credentialing, Recruiting, Physicians, Managed Care, Medicare, Medicaid, PPO, Medicaid Managed Care, HIPAA
Education
Davenport University
Associate degree, Health Care Science
Sunshine Health November 2011 - Present
Advanced Nursing Concepts April 2006 - 2008
Interplan Health Group 2000 - 2005
One Call Medical 1998 - 2000
Humana 1996 - 1998
Leesburg Regional Medical Center 1995 - 1996
HealthPlus of Michigan 1988 - 1995
Skills
Healthcare, Provider Relations, Network Development, Health Insurance, Hospitals, Contract Negotiation, Healthcare Industry, Credentialing, Recruiting, Physicians, Managed Care, Medicare, Medicaid, PPO, Medicaid Managed Care, HIPAA
Education
Davenport University
Associate degree, Health Care Science
Kelly A. Minor's Sunshine Health Experience February 2014 - Present
Job Behavioral Health Specialist
Industry Health, Wellness and Fitness
Experience
Sunshine Health February 2014 - Present
Cenpatico 2011 - 2013
Health & Wellness 2008 - 2011
Skills
Mental Health, Psychotherapy, Family Therapy, Crisis Intervention, CBT, Oncology, Marketing Communications, Critical Incident..., Employee Training, Program Development
Education
Florida State University
Univesity of San Diego
Sunshine Health February 2014 - Present
Cenpatico 2011 - 2013
Health & Wellness 2008 - 2011
Skills
Mental Health, Psychotherapy, Family Therapy, Crisis Intervention, CBT, Oncology, Marketing Communications, Critical Incident..., Employee Training, Program Development
Education
Florida State University
Univesity of San Diego
Ana Best, MBA Ana Best, MBA's Sunshine Health Experience August 2015 - Present
Job Manager, STARS (Medicare)
Industry Insurance
Experience
Sunshine Health August 2015 - Present
Blue Cross Blue Shield (Florida Blue) September 2013 - July 2015
Humana Incorporated 2009 - 2013
Tionicon 2007 - 2009
Farmers Insurance 2001 - 2006
Skills
Portuguese, Health Insurance, Process Improvement, Management, Business Strategy, Competitive Analysis, Project Management, Forecasting, Business Development, Research, Medicare, Public Speaking, Strategic Planning, Managed Care, Cross-functional Team..., Marketing Strategy, Strategy, Team Building, Leadership, Analysis, Market Research, Healthcare, Program Management
Education
Thunderbird School of Global Management 2010 — 2012
Master's Degree, Global Business Management
Arizona State University 1997 — 2000
Bachelor's Degree, Business Management
Sunshine Health August 2015 - Present
Blue Cross Blue Shield (Florida Blue) September 2013 - July 2015
Humana Incorporated 2009 - 2013
Tionicon 2007 - 2009
Farmers Insurance 2001 - 2006
Skills
Portuguese, Health Insurance, Process Improvement, Management, Business Strategy, Competitive Analysis, Project Management, Forecasting, Business Development, Research, Medicare, Public Speaking, Strategic Planning, Managed Care, Cross-functional Team..., Marketing Strategy, Strategy, Team Building, Leadership, Analysis, Market Research, Healthcare, Program Management
Education
Thunderbird School of Global Management 2010 — 2012
Master's Degree, Global Business Management
Arizona State University 1997 — 2000
Bachelor's Degree, Business Management
Jill Hanson Jill Hanson's Sunshine Health Experience 2014 - Present
Job VP Pharmacy Operations at Sunshine Health
Industry Pharmaceuticals
Experience
Sunshine Health 2014 - Present
Magellan Health Services November 2009 - March 2014
Walgreens Health Initiatives May 2006 - October 2009
Aetna Pharmacy 2004 - 2006
Skills
Pharmacy Benefit..., Medicare Part D, Pharmacy, Healthcare Industry, Managed Care, Medication Therapy..., Pharmacy Automation, Disease Management, Healthcare, Medicare, Clinical Research, Utilization Management, Medicaid, Clinical Pharmacy, Diabetes, Health Policy, Pharmacoeconomics, Home Infusion, Clinical Pharmacology
Education
North Dakota State University 1992 — 1997
PharmD, Pharmacy
Arizona State University, W. P. Carey School of Business
Sunshine Health 2014 - Present
Magellan Health Services November 2009 - March 2014
Walgreens Health Initiatives May 2006 - October 2009
Aetna Pharmacy 2004 - 2006
Skills
Pharmacy Benefit..., Medicare Part D, Pharmacy, Healthcare Industry, Managed Care, Medication Therapy..., Pharmacy Automation, Disease Management, Healthcare, Medicare, Clinical Research, Utilization Management, Medicaid, Clinical Pharmacy, Diabetes, Health Policy, Pharmacoeconomics, Home Infusion, Clinical Pharmacology
Education
North Dakota State University 1992 — 1997
PharmD, Pharmacy
Arizona State University, W. P. Carey School of Business
Doreen Smiley Doreen Smiley's Sunshine Health Experience December 2013 - December 2014
Job Experienced RN Case Manager
Industry Hospital & Health Care
Experience
Centene Corporation January 2015 - Present
Sunshine Health December 2013 - December 2014
Humana January 2011 - November 2013
MedAssurant September 2010 - December 2010
Health Dialog June 2003 - April 2010
Skills
Nursing, Clinical Research, Coaching, Customer Service, Healthcare Information..., EMR, Healthcare Management, HIPAA, EHR, Hospitals, Informatics, Cerner, Medicare, Utilization Management, Patient Advocacy, Managed Care, Health Education, Acute Care, Health Promotion, Process Improvement, Disease Management, Patient Safety, Home Care, Healthcare, Case Management, Patient Education, BLS, Medicaid, Nursing Education
Education
Broward College 2013 — 2017
Bachelor's degr, Registered Nursing/Registered Nurse
St. Mary's Schol of Nursing 1983 — 1986
Diploma, Registered Nursing/Registered Nurse
Centene Corporation January 2015 - Present
Sunshine Health December 2013 - December 2014
Humana January 2011 - November 2013
MedAssurant September 2010 - December 2010
Health Dialog June 2003 - April 2010
Skills
Nursing, Clinical Research, Coaching, Customer Service, Healthcare Information..., EMR, Healthcare Management, HIPAA, EHR, Hospitals, Informatics, Cerner, Medicare, Utilization Management, Patient Advocacy, Managed Care, Health Education, Acute Care, Health Promotion, Process Improvement, Disease Management, Patient Safety, Home Care, Healthcare, Case Management, Patient Education, BLS, Medicaid, Nursing Education
Education
Broward College 2013 — 2017
Bachelor's degr, Registered Nursing/Registered Nurse
St. Mary's Schol of Nursing 1983 — 1986
Diploma, Registered Nursing/Registered Nurse
Sharon Powell Sharon Powell's Sunshine Health Experience May 2014 - Present
Job Medical Case Manager
Industry Health, Wellness and Fitness
Experience
Sunshine Health May 2014 - Present
Florida Agency for Persons with Disabilities December 2006 - May 2014
Skills
Training, Nursing, Supervisory Skills, Staff Development, Teaching, HIPAA, Healthcare, Leadership, Medicaid, Program Development, Team Building, Health Education, Healthcare Management, Patient Safety, Treatment
Education
Florida International University 2006 — 2007
Bachelor of Science (BS); Masters, Registered Nursing/Registered Nurse; Public Health
University Hospital School of Nursing 1990 — 1993
Associate's degree, Registered Nursing/Registered Nurse
Sunshine Health May 2014 - Present
Florida Agency for Persons with Disabilities December 2006 - May 2014
Skills
Training, Nursing, Supervisory Skills, Staff Development, Teaching, HIPAA, Healthcare, Leadership, Medicaid, Program Development, Team Building, Health Education, Healthcare Management, Patient Safety, Treatment
Education
Florida International University 2006 — 2007
Bachelor of Science (BS); Masters, Registered Nursing/Registered Nurse; Public Health
University Hospital School of Nursing 1990 — 1993
Associate's degree, Registered Nursing/Registered Nurse
Shantel Day Shantel Day's Sunshine Health Experience April 2014 - Present
Job Provider Service Representative at Aetna
Industry Insurance
Experience
Sunshine health April 2014 - Present
Aetna October 2011 - April 2014
Volunteers of America of Florida, Inc. January 2009 - May 2013
Urban Jacksonville August 2005 - January 2009
Skills
Health Insurance, Medicare, Claim, HIPAA, HMO, Call Centers, Healthcare, Customer Service, Medical Terminology, Microsoft Office, Microsoft Excel, Outlook, Medicaid, Healthcare Industry, Health Policy, Data Entry, Telephone Skills, Insurance, Managed Care
Education
Barry University 2012 — 2013
Master of Public Administration (M.P.A.), Public Administration
University of Central Florida 2001 — 2005
bachelor of health service administration, Health Services Administration
Sunshine health April 2014 - Present
Aetna October 2011 - April 2014
Volunteers of America of Florida, Inc. January 2009 - May 2013
Urban Jacksonville August 2005 - January 2009
Skills
Health Insurance, Medicare, Claim, HIPAA, HMO, Call Centers, Healthcare, Customer Service, Medical Terminology, Microsoft Office, Microsoft Excel, Outlook, Medicaid, Healthcare Industry, Health Policy, Data Entry, Telephone Skills, Insurance, Managed Care
Education
Barry University 2012 — 2013
Master of Public Administration (M.P.A.), Public Administration
University of Central Florida 2001 — 2005
bachelor of health service administration, Health Services Administration
Tucker Adams's Sunshine Health Experience May 2015 - Present
Job Data Management Specialist at Sunshine Health
Industry Health, Wellness and Fitness
Experience
Sunshine Health May 2015 - Present
US Army September 2013 - April 2015
TeCaSe, LLC November 2012 - August 2013
Maine Sailing Adventures August 2012 - October 2012
Edward Jones August 2011 - August 2012
City of Murray, KY May 2010 - July 2011
Georgetown College 2009 - 2011
Kentucky Legislative Research Commission January 2010 - April 2010
Skills
Research, Management, Customer Service, State Government, Team Building, Data Analysis, Local Government, Editing, Retirement Planning, Leadership, Office Administration, Insurance, Investments, Data Collection, Marketing, Financial Planning, Microsoft Office, Inventory Management, Public Speaking, Technical Writing, Outlook, Event Planning, Financial Services, Life Insurance, Political Philosophy, Personnel Management, Personnel Selection, Exceed Sales Goals, Workplace Safety
Education
Murray State University 2013 — 2013
Post Baccalaureate
Georgetown College 2008 — 2011
Bachelor's Degree, Philosophy, 3.738, Magna cum Laude
University of Oxford 2010 — 2010
Philosophy
Saint John's University 2007 — 2008
Finance, General
Murray High School 2003 — 2007
Sunshine Health May 2015 - Present
US Army September 2013 - April 2015
TeCaSe, LLC November 2012 - August 2013
Maine Sailing Adventures August 2012 - October 2012
Edward Jones August 2011 - August 2012
City of Murray, KY May 2010 - July 2011
Georgetown College 2009 - 2011
Kentucky Legislative Research Commission January 2010 - April 2010
Skills
Research, Management, Customer Service, State Government, Team Building, Data Analysis, Local Government, Editing, Retirement Planning, Leadership, Office Administration, Insurance, Investments, Data Collection, Marketing, Financial Planning, Microsoft Office, Inventory Management, Public Speaking, Technical Writing, Outlook, Event Planning, Financial Services, Life Insurance, Political Philosophy, Personnel Management, Personnel Selection, Exceed Sales Goals, Workplace Safety
Education
Murray State University 2013 — 2013
Post Baccalaureate
Georgetown College 2008 — 2011
Bachelor's Degree, Philosophy, 3.738, Magna cum Laude
University of Oxford 2010 — 2010
Philosophy
Saint John's University 2007 — 2008
Finance, General
Murray High School 2003 — 2007
Peter Golbetz's Sunshine Health Experience January 2000 - April 2007
Job mental health counselor/case manager
Industry Mental Health Care
Experience
Baker Places January 2008 - Present
Sunshine Health January 2000 - April 2007
Oceanview Rehabilitation April 1994 - August 1995
Body Ballance Systems February 1992 - March 1994
Alan Cousins Oriental Art 1988 - 1992
Tansu Design Imports 1982 - 1988
Skills
Yoga, Stress Management, Psychotherapy, Counseling Psychology, Mental Health, Mindfulness, Therapists, Crisis Intervention, Therapeutic Massage, Community Outreach, National Certified..., SPSS, Fundraising, Public Speaking, Teaching, Nonprofits, Social Services, Case Management, Mental Health Resource...
Education
UCLA
Bachelor's degree, Economics, 3.4
Berkeley Acupressure Institute
Certified acupressure technician, Traditional Chinese Medicine and Chinese Herbology
PALO ALTO JUDO/ UNITED STATES JUDO FEDERATION
1ST degree black belt (United States Judo federation), Judo
Baker Places January 2008 - Present
Sunshine Health January 2000 - April 2007
Oceanview Rehabilitation April 1994 - August 1995
Body Ballance Systems February 1992 - March 1994
Alan Cousins Oriental Art 1988 - 1992
Tansu Design Imports 1982 - 1988
Skills
Yoga, Stress Management, Psychotherapy, Counseling Psychology, Mental Health, Mindfulness, Therapists, Crisis Intervention, Therapeutic Massage, Community Outreach, National Certified..., SPSS, Fundraising, Public Speaking, Teaching, Nonprofits, Social Services, Case Management, Mental Health Resource...
Education
UCLA
Bachelor's degree, Economics, 3.4
Berkeley Acupressure Institute
Certified acupressure technician, Traditional Chinese Medicine and Chinese Herbology
PALO ALTO JUDO/ UNITED STATES JUDO FEDERATION
1ST degree black belt (United States Judo federation), Judo
Adriana Peralta MSW, BA, LPN's Sunshine Health Experience September 2015 - Present
Job Long Term Care Case Manager at Sunshine Health🌞
Industry Health, Wellness and Fitness
Experience
Sunshine Health September 2015 - Present
Trusted Nurse Staffing December 2013 - Present
Independent Contractor October 2000 - Present
Caregiver Services Incorporated July 2008 - November 2014
Skills
School Social Work, Child Advocacy, Elder Care, Wellness Coaching, Patient Advocacy, Health Education, Fitness, Customer Service, Nutrition, Healthcare, Event Planning, Public Speaking, Adult Education, Teamwork, Microsoft Word, PowerPoint, Microsoft Office, Microsoft Excel, Research, Social Media, Policy, Home Care, Management, Nursing, CPR Certified, Case Management
Education
Barry University 2013 — 2015
Master's degree, in progress
Florida International University 2009 — 2011
Bachelor's degree, Psychology / Health Services Administration, 3.86 GPA
Sunshine Health September 2015 - Present
Trusted Nurse Staffing December 2013 - Present
Independent Contractor October 2000 - Present
Caregiver Services Incorporated July 2008 - November 2014
Skills
School Social Work, Child Advocacy, Elder Care, Wellness Coaching, Patient Advocacy, Health Education, Fitness, Customer Service, Nutrition, Healthcare, Event Planning, Public Speaking, Adult Education, Teamwork, Microsoft Word, PowerPoint, Microsoft Office, Microsoft Excel, Research, Social Media, Policy, Home Care, Management, Nursing, CPR Certified, Case Management
Education
Barry University 2013 — 2015
Master's degree, in progress
Florida International University 2009 — 2011
Bachelor's degree, Psychology / Health Services Administration, 3.86 GPA
Frank Florian Frank Florian's Sunshine Health Experience June 2015 - Present
Job Consumer Services Professional
Industry Hospital & Health Care
Experience
MDLIVE, Inc. December 2014 - Present
Sunshine Health June 2015 - Present
Logimedix October 2011 - October 2014
United HealthCare Corporation July 2010 - January 2011
American Medical Depot October 2007 - January 2010
United American Insurance June 2006 - July 2007
Skills
Insurance, Employee Benefits, Data Entry, Customer Service, Accounting, Analysis, Team Building, Sales, Policy, Invoicing, Budgets, Pricing, Access, Management, Outlook, Process Improvement, Microsoft Excel, Leadership, Microsoft Word
Education
Florida International University
Finance, General
MDLIVE, Inc. December 2014 - Present
Sunshine Health June 2015 - Present
Logimedix October 2011 - October 2014
United HealthCare Corporation July 2010 - January 2011
American Medical Depot October 2007 - January 2010
United American Insurance June 2006 - July 2007
Skills
Insurance, Employee Benefits, Data Entry, Customer Service, Accounting, Analysis, Team Building, Sales, Policy, Invoicing, Budgets, Pricing, Access, Management, Outlook, Process Improvement, Microsoft Excel, Leadership, Microsoft Word
Education
Florida International University
Finance, General
Beverly (Toney) Karraker, MBA's Sunshine Health Experience December 2013 - Present
Job Realtor
Industry Real Estate
Experience
Keller Williams Realty, Inc. May 2015 - Present
Sunshine Health December 2013 - Present
LSSI June 2011 - Present
Bluegrass Drug Testing December 2008 - June 2011
Cabinet for Health & Family Services August 1996 - December 2008
Skills
Case Managment, Social Services, Psychotherapy, Employee Relations, Mediation, Policy, Training, Courts, Management, Organizational..., Team Building, Leadership
Education
Morehead State University 2005 — 2007
Master of Business Administration, (MBA)
Spalding University 2003 — 2004
Master of Arts, Social Work (MSW)
University of Kentucky
Bachelor of Arts, dual; BA, Social Work and Psychology
Keller Williams Realty, Inc. May 2015 - Present
Sunshine Health December 2013 - Present
LSSI June 2011 - Present
Bluegrass Drug Testing December 2008 - June 2011
Cabinet for Health & Family Services August 1996 - December 2008
Skills
Case Managment, Social Services, Psychotherapy, Employee Relations, Mediation, Policy, Training, Courts, Management, Organizational..., Team Building, Leadership
Education
Morehead State University 2005 — 2007
Master of Business Administration, (MBA)
Spalding University 2003 — 2004
Master of Arts, Social Work (MSW)
University of Kentucky
Bachelor of Arts, dual; BA, Social Work and Psychology
Jalinette Metayer, MSLS, BHIM's Sunshine Health Experience June 2014 - November 2014
Job Director of Quality Improvement at Broward Guardian LLC
Industry Hospital & Health Care
Experience
Broward Guardian LLC December 2014 - Present
Sunshine Health June 2014 - November 2014
Univita Health Inc July 2013 - June 2014
Molina Healthcare October 2008 - June 2013
Westat September 2002 - February 2012
Borinquen Healthcare Center October 2005 - October 2008
Skills
Highly skilled..., EMR, Healthcare Management, Healthcare Information..., Healthcare, Quality Improvement, Medicaid Managed Care, Medicare, Health Information..., Clinical Research, HIPAA, HEDIS, CAHPS, ICD-9-CM, CPT, EHR, Medicaid, Training, Healthcare Industry, Healthcare Consulting, Managed Care, Informatics, Health Insurance, Health Policy, Disease Management, Utilization Management, Medicine, NCQA, Physicians, Medical Records, Home Care, Credentialing, STARS, Health Law, Risk Management, Patient Safety, Medical Coding, Physician Relations, Revenue Cycle, ICD-9, Provider Relations, Performance Improvement, Medical Billing, Meditech, Practice Management, Hospitals, Epic Systems, Medical Terminology, Nursing, Inpatient
Education
Kaplan University 2009 — 2011
Master of Science (MS), Legal Studies, General
Florida International University 2001 — 2003
Bachelor of Arts (B.A.), Health Information/Medical Records Administration/Administrator
Miami Dade College 1995 — 1999
Associate of Arts (AA), Nursing Science
Broward Guardian LLC December 2014 - Present
Sunshine Health June 2014 - November 2014
Univita Health Inc July 2013 - June 2014
Molina Healthcare October 2008 - June 2013
Westat September 2002 - February 2012
Borinquen Healthcare Center October 2005 - October 2008
Skills
Highly skilled..., EMR, Healthcare Management, Healthcare Information..., Healthcare, Quality Improvement, Medicaid Managed Care, Medicare, Health Information..., Clinical Research, HIPAA, HEDIS, CAHPS, ICD-9-CM, CPT, EHR, Medicaid, Training, Healthcare Industry, Healthcare Consulting, Managed Care, Informatics, Health Insurance, Health Policy, Disease Management, Utilization Management, Medicine, NCQA, Physicians, Medical Records, Home Care, Credentialing, STARS, Health Law, Risk Management, Patient Safety, Medical Coding, Physician Relations, Revenue Cycle, ICD-9, Provider Relations, Performance Improvement, Medical Billing, Meditech, Practice Management, Hospitals, Epic Systems, Medical Terminology, Nursing, Inpatient
Education
Kaplan University 2009 — 2011
Master of Science (MS), Legal Studies, General
Florida International University 2001 — 2003
Bachelor of Arts (B.A.), Health Information/Medical Records Administration/Administrator
Miami Dade College 1995 — 1999
Associate of Arts (AA), Nursing Science
Selena Martinez's Sunshine Health Experience November 2013 - Present
Job Executive Administrative Assistant at Sunshine Health
Industry Legal Services
Experience
Sunshine Health November 2013 - Present
PINKERTON CONSULTING & INVESTIGATIONS April 2011 - August 2013
TLO December 2010 - April 2011
Consumer Mortgage Audit Center October 2009 - December 2010
Skills
Legal Research, Case Managment, Litigation, Litigation Support, Legal Assistance, Courts, Nonprofits, Public Speaking, Microsoft Office, Microsoft Word, Microsoft Excel, PowerPoint, Webinars, Investigation, Background Checks, Account Management, Management, Software Documentation, Security, Customer Service, Private Investigations, Policy, Fraud, Networking, Training
Education
Everest University-Pompano Beach
Bachelors of Science, Criminal Justice
Sunshine Health November 2013 - Present
PINKERTON CONSULTING & INVESTIGATIONS April 2011 - August 2013
TLO December 2010 - April 2011
Consumer Mortgage Audit Center October 2009 - December 2010
Skills
Legal Research, Case Managment, Litigation, Litigation Support, Legal Assistance, Courts, Nonprofits, Public Speaking, Microsoft Office, Microsoft Word, Microsoft Excel, PowerPoint, Webinars, Investigation, Background Checks, Account Management, Management, Software Documentation, Security, Customer Service, Private Investigations, Policy, Fraud, Networking, Training
Education
Everest University-Pompano Beach
Bachelors of Science, Criminal Justice
Kizzy Alleyne Kizzy Alleyne's Sunshine Health Experience ParalegalSunshine HealthMay 2014 - Present
Job Paralegal
Industry Hospital & Health Care
Experience
Sunshine Health ParalegalSunshine HealthMay 2014 - Present
Sunshine Health February 2013 - May 2014
UnitedHealthcare South Florida April 2009 - October 2012
NHP/UnitedHealthcare of South Florida January 2007 - January 2009
Neighborhood Health Partnership January 2005 - January 2007
Skills
Office Administration, Paralegals, Billing Solutions, Microsoft Office, Project Management, Customer Service, Internal Audit, Fraud, Time Management, Management, Managed Care, HIPAA, Leadership, Strategic Planning, Process Improvement, Healthcare Management, Health Insurance, Healthcare
Education
American InterContinental University 2012 — 2014
Bachelor of Science, Healthcare Administration
University of Miami 2008 — 2009
Certification, Paralegal
Sunshine Health ParalegalSunshine HealthMay 2014 - Present
Sunshine Health February 2013 - May 2014
UnitedHealthcare South Florida April 2009 - October 2012
NHP/UnitedHealthcare of South Florida January 2007 - January 2009
Neighborhood Health Partnership January 2005 - January 2007
Skills
Office Administration, Paralegals, Billing Solutions, Microsoft Office, Project Management, Customer Service, Internal Audit, Fraud, Time Management, Management, Managed Care, HIPAA, Leadership, Strategic Planning, Process Improvement, Healthcare Management, Health Insurance, Healthcare
Education
American InterContinental University 2012 — 2014
Bachelor of Science, Healthcare Administration
University of Miami 2008 — 2009
Certification, Paralegal
Gay Kerwit Gay Kerwit's Sunshine Health Experience November 2013 - Present
Job Eligibility Specialist at Sunshine Health
Industry Hospital & Health Care
Experience
Sunshine Health November 2013 - Present
Bug Blasters of Coral Springs August 2009 - Present
CopySource, Inc. October 2012 - October 2013
American Express May 2000 - August 2011
American Express January 1998 - May 2000
American Express April 1985 - January 1998
Skills
Captivate, Management, Process Improvement, Instructor-led Training, Call Center, Change Management, Credit Cards, Blended Learning, Needs Analysis, Instructional Design, Credit, Call Centers, Sales, Financial Services, Budgets, Finance, Training, Learning Management..., Customer Satisfaction, Vendor Management
Education
University of Florida 1978 — 1980
none, business
Sunshine Health November 2013 - Present
Bug Blasters of Coral Springs August 2009 - Present
CopySource, Inc. October 2012 - October 2013
American Express May 2000 - August 2011
American Express January 1998 - May 2000
American Express April 1985 - January 1998
Skills
Captivate, Management, Process Improvement, Instructor-led Training, Call Center, Change Management, Credit Cards, Blended Learning, Needs Analysis, Instructional Design, Credit, Call Centers, Sales, Financial Services, Budgets, Finance, Training, Learning Management..., Customer Satisfaction, Vendor Management
Education
University of Florida 1978 — 1980
none, business
Nadine Klein's Sunshine Health Experience May 2014 - Present
Job A New PartTime Venture
Industry Hospital & Health Care
Experience
RE/MAX Advisors July 2015 - Present
Sunshine Health May 2014 - Present
Centene Corporation September 2005 - June 2014
Keller & Heckman LLP August 2002 - September 2005
Georgetown University July 2000 - August 2002
Arizona State University July 1997 - July 2000
Securities and Exchange Commission October 1984 - September 1986
Skills
Microsoft Office, Public Speaking, PowerPoint, Research, Microsoft Excel, Microsoft Word, Litigation Support
Education
University of Maryland University College 2005 — 2010
BS, Legal Studies/Paralegal
Arizona State University
Arizona State University
Arizona State University
RE/MAX Advisors July 2015 - Present
Sunshine Health May 2014 - Present
Centene Corporation September 2005 - June 2014
Keller & Heckman LLP August 2002 - September 2005
Georgetown University July 2000 - August 2002
Arizona State University July 1997 - July 2000
Securities and Exchange Commission October 1984 - September 1986
Skills
Microsoft Office, Public Speaking, PowerPoint, Research, Microsoft Excel, Microsoft Word, Litigation Support
Education
University of Maryland University College 2005 — 2010
BS, Legal Studies/Paralegal
Arizona State University
Arizona State University
Arizona State University
Rosa Castro-Rosario's Sunshine Health Experience September 2015 - Present
Job Force Desk Supervisor at íQor
Industry Outsourcing/Offshoring
Experience
Sunshine Health September 2015 - Present
iQor August 2011 - September 2015
Walgreens February 2009 - September 2011
Walgreens 2009 - 2010
Hewitt Associates January 1998 - February 2008
TIAA-CREF 2008 - 2008
Skills
Time Management, Process Improvement, Performance Management, Call Centers, Operations Management, Call Center, Customer Service, Workforce Management, Analytics, Outsourcing, Customer Satisfaction, Vendor Management
Education
University of Puerto Rico
Bachelor of Arts, Labor Relations
Sunshine Health September 2015 - Present
iQor August 2011 - September 2015
Walgreens February 2009 - September 2011
Walgreens 2009 - 2010
Hewitt Associates January 1998 - February 2008
TIAA-CREF 2008 - 2008
Skills
Time Management, Process Improvement, Performance Management, Call Centers, Operations Management, Call Center, Customer Service, Workforce Management, Analytics, Outsourcing, Customer Satisfaction, Vendor Management
Education
University of Puerto Rico
Bachelor of Arts, Labor Relations
David Switzer's Sunshine Health Experience June 2014 - Present
Job Social work and mental health professional now working for Centene Corporation/Sunshine Health in Palm Beach County.
Industry Mental Health Care
Experience
Sunshine Health June 2014 - Present
United Healthcare Community Plan February 2007 - July 2012
Mental Health Cooperative September 2006 - February 2007
TN Voices for Children July 2006 - September 2006
MA Department of Mental Health January 2003 - June 2006
MA Department of Mental Health October 1992 - December 2002
Skills
Non-profits, Case Managment, Social Services, Community Outreach, Nonprofits, Training, Crisis Intervention, Adolescents, Medicare, Prevention, Mental Health, Managed Care, Behavioral Health, Healthcare, Medicaid, Case Management, Healthcare Management, Psychotherapy, Mental Health Counseling, Treatment
Education
Springfield College 1989 — 1992
Master of Social Work (MSW), Social Work, graduate study
Kenyon College 1975 — 1979
Bachelor of Arts (B.A.), English, undergraduate
Sunshine Health June 2014 - Present
United Healthcare Community Plan February 2007 - July 2012
Mental Health Cooperative September 2006 - February 2007
TN Voices for Children July 2006 - September 2006
MA Department of Mental Health January 2003 - June 2006
MA Department of Mental Health October 1992 - December 2002
Skills
Non-profits, Case Managment, Social Services, Community Outreach, Nonprofits, Training, Crisis Intervention, Adolescents, Medicare, Prevention, Mental Health, Managed Care, Behavioral Health, Healthcare, Medicaid, Case Management, Healthcare Management, Psychotherapy, Mental Health Counseling, Treatment
Education
Springfield College 1989 — 1992
Master of Social Work (MSW), Social Work, graduate study
Kenyon College 1975 — 1979
Bachelor of Arts (B.A.), English, undergraduate
Amarilis Amie Fernandez, RN, BSN, CCM's Sunshine Health Experience April 2015 - Present
Job Director, Operations LTC
Industry Health, Wellness and Fitness
Experience
Sunshine Health April 2015 - Present
Centene Corporation, Sunshine State Health Plan March 2013 - April 2015
Centene Corp. Sunshine State Health Plan March 2010 - March 2013
Skills
Long-term Care, Medicaid Managed Care, Medicare Advantage, Healthy Kids Product, Case Managment, Home Care, Liver Transplant, Program Development, Disease Management, Utilization Management, Medicare, Healthcare Management, Health Insurance, HIPAA, Managed Care, Quality Improvement, Case Management, Nursing, Utilization Review, Medicaid, Healthcare, Provider Relations, Clinical Research, Healthcare Industry, Healthcare Consulting
Education
University of Miami 1983 — 1985
BSN, Nursing
Miami Dade College 1981 — 1983
Associate of Arts (AA), Nursing
Sunshine Health April 2015 - Present
Centene Corporation, Sunshine State Health Plan March 2013 - April 2015
Centene Corp. Sunshine State Health Plan March 2010 - March 2013
Skills
Long-term Care, Medicaid Managed Care, Medicare Advantage, Healthy Kids Product, Case Managment, Home Care, Liver Transplant, Program Development, Disease Management, Utilization Management, Medicare, Healthcare Management, Health Insurance, HIPAA, Managed Care, Quality Improvement, Case Management, Nursing, Utilization Review, Medicaid, Healthcare, Provider Relations, Clinical Research, Healthcare Industry, Healthcare Consulting
Education
University of Miami 1983 — 1985
BSN, Nursing
Miami Dade College 1981 — 1983
Associate of Arts (AA), Nursing
Louis Knigin's Sunshine Health Experience March 2014 - Present
Job Regional EHR Specialist at Sunshine Health
Industry Medical Practice
Experience
Sunshine Health March 2014 - Present
South Florida Regional Extension Center (SFREC) October 2011 - February 2014
Delta Surgical Supply May 2009 - September 2011
Airgas Puritan Medical April 2007 - January 2009
Organon Pharmaceuticals April 2005 - September 2006
Hospice by the Sea November 2004 - March 2005
Biovail Pharmaceuticals January 2000 - March 2004
Skills
Healthcare Information..., Pharmaceutical Industry, EHR, Customer Service, Consultative Sales..., Physicians, Professional Experience, EMR, Sales Operations, Managed Care, HIPAA, Healthcare, CPOE, Health Information..., Sales, Healthcare Management
Education
Broward Community College
Health Information Management Program, Implementation Management
University of South Florida
Bachelor of Arts, Marketing
Sunshine Health March 2014 - Present
South Florida Regional Extension Center (SFREC) October 2011 - February 2014
Delta Surgical Supply May 2009 - September 2011
Airgas Puritan Medical April 2007 - January 2009
Organon Pharmaceuticals April 2005 - September 2006
Hospice by the Sea November 2004 - March 2005
Biovail Pharmaceuticals January 2000 - March 2004
Skills
Healthcare Information..., Pharmaceutical Industry, EHR, Customer Service, Consultative Sales..., Physicians, Professional Experience, EMR, Sales Operations, Managed Care, HIPAA, Healthcare, CPOE, Health Information..., Sales, Healthcare Management
Education
Broward Community College
Health Information Management Program, Implementation Management
University of South Florida
Bachelor of Arts, Marketing
Julia Lespier's Sunshine Health Experience March 2014 - October 2014
Job Director, Case Management at Sunshine Health
Industry Health, Wellness and Fitness
Experience
Sunshine Health March 2014 - October 2014
Simply Health Care Plans October 2012 - January 2014
Health Integrated July 2011 - October 2012
Universal Healthcare October 2008 - July 2011
Universal Health Care Group, Inc. October 2008 - July 2011
Wellcare Health Plan 2008 - 2008
HIMS 1997 - 2000
Skills
Utilization Management, Medicaid, Disease Management, Managed Care, Medicare, NCQA, Healthcare Management, Healthcare, Provider Relations, Case Managment, Health Insurance, HIPAA, Utilization Review, Network Development, Healthcare Industry, Hospitals, Medicare Part D, HMO, Health Policy, Process Improvement, Quality Improvement, Healthcare Consulting, Emergency Room, Informatics
Education
Galen Health Institue 2007 — 2008
ASN, Nursing
D G Erwin Technical Center 1983 — 1984
ASN, Nursing
Sunshine Health March 2014 - October 2014
Simply Health Care Plans October 2012 - January 2014
Health Integrated July 2011 - October 2012
Universal Healthcare October 2008 - July 2011
Universal Health Care Group, Inc. October 2008 - July 2011
Wellcare Health Plan 2008 - 2008
HIMS 1997 - 2000
Skills
Utilization Management, Medicaid, Disease Management, Managed Care, Medicare, NCQA, Healthcare Management, Healthcare, Provider Relations, Case Managment, Health Insurance, HIPAA, Utilization Review, Network Development, Healthcare Industry, Hospitals, Medicare Part D, HMO, Health Policy, Process Improvement, Quality Improvement, Healthcare Consulting, Emergency Room, Informatics
Education
Galen Health Institue 2007 — 2008
ASN, Nursing
D G Erwin Technical Center 1983 — 1984
ASN, Nursing
Gail Daley's Sunshine Health Experience December 2011 - Present
Job Director at Sunshine Health, a Centene Corporation subsidiary
Industry Insurance
Experience
Sunshine Health December 2011 - Present
Skills
Healthcare, Managed Care, Process Improvement, HIPAA, Health Insurance, Medicare, Leadership, Team Building, Management
Education
Barry University
Bachelor of Business Administration (B.B.A.), Health/Health Care Administration/Management
Florida International University
Masters in Health Services Administration
Sunshine Health December 2011 - Present
Skills
Healthcare, Managed Care, Process Improvement, HIPAA, Health Insurance, Medicare, Leadership, Team Building, Management
Education
Barry University
Bachelor of Business Administration (B.B.A.), Health/Health Care Administration/Management
Florida International University
Masters in Health Services Administration
David Rosemond's Sunshine Health Experience October 2013 - Present
Job Outreach Specialist at Sunshine Health
Industry Government Administration
Experience
Sunshine Health October 2013 - Present
UNIDAD of Miami Beach Inc. November 2010 - March 2012
City of Miami January 2004 - January 2010
Skills
Community Development, Project Planning, Team Building, Non-profits, Nonprofits, Team Leadership, Community Outreach, Research, Customer Service, Fundraising, Program Management, Policy Analysis, Public Relations, Grants, Economic Development, System Administration, Strategic Planning, Public Administration, Public Speaking, Budgets, Spanish, Local Government, Program Development, Government, Policy, Grant Writing, Change Management, Emergency Management, Contract Negotiation, Project Management, Public Sector, Proposal Writing, Event Planning, Public Policy, Leadership Development, Volunteer Management, Training
Education
University of Florida 1973 — 1978
Zoology and Psychology
Sunshine Health October 2013 - Present
UNIDAD of Miami Beach Inc. November 2010 - March 2012
City of Miami January 2004 - January 2010
Skills
Community Development, Project Planning, Team Building, Non-profits, Nonprofits, Team Leadership, Community Outreach, Research, Customer Service, Fundraising, Program Management, Policy Analysis, Public Relations, Grants, Economic Development, System Administration, Strategic Planning, Public Administration, Public Speaking, Budgets, Spanish, Local Government, Program Development, Government, Policy, Grant Writing, Change Management, Emergency Management, Contract Negotiation, Project Management, Public Sector, Proposal Writing, Event Planning, Public Policy, Leadership Development, Volunteer Management, Training
Education
University of Florida 1973 — 1978
Zoology and Psychology
Donald Canofari's Sunshine Health Experience September 2014 - Present
Job Director of Encounters, Sunshine Health, Sunrise FL
Industry Insurance
Experience
Sunshine Health September 2014 - Present
UPMC Health Plan March 2006 - August 2014
Skills
Health Insurance, Medicare, Insurance, HIPAA, Managed Care, Process Improvement, Healthcare, Medicaid, Healthcare Information..., Visio, Business Analysis, Access, Data Analysis, Software Documentation, Claim, Requirements Gathering, Medicare Part D, HMO, Health Policy, Provider Relations, Requirements Analysis, Healthcare Management, Systems Analysis
Education
Central Catholic High School 1972 — 1976
Academic
Point Park University
BS Business Management
Sunshine Health September 2014 - Present
UPMC Health Plan March 2006 - August 2014
Skills
Health Insurance, Medicare, Insurance, HIPAA, Managed Care, Process Improvement, Healthcare, Medicaid, Healthcare Information..., Visio, Business Analysis, Access, Data Analysis, Software Documentation, Claim, Requirements Gathering, Medicare Part D, HMO, Health Policy, Provider Relations, Requirements Analysis, Healthcare Management, Systems Analysis
Education
Central Catholic High School 1972 — 1976
Academic
Point Park University
BS Business Management
Ruth Guerrero's Sunshine Health Experience November 2013 - Present
Job Operations Auditor at Sunshine Health
Industry Health, Wellness and Fitness
Experience
Sunshine Health November 2013 - Present
Aging True February 2010 - November 2013
Hector's Heroes 2012 - 2013
MPS Group September 2007 - February 2010
Citi December 1998 - April 2007
Skills
PeopleSoft, Call Centers, Process Improvement, Applicant Tracking..., Training, Customer Retention, SharePoint, Customer Service, Quality Auditing
Education
University of Phoenix 2007 — 2009
Master of Business Administration (MBA), Business Administration and Management, General
Sunshine Health November 2013 - Present
Aging True February 2010 - November 2013
Hector's Heroes 2012 - 2013
MPS Group September 2007 - February 2010
Citi December 1998 - April 2007
Skills
PeopleSoft, Call Centers, Process Improvement, Applicant Tracking..., Training, Customer Retention, SharePoint, Customer Service, Quality Auditing
Education
University of Phoenix 2007 — 2009
Master of Business Administration (MBA), Business Administration and Management, General
Paula Fletcher's Sunshine Health Experience September 2012 - February 2015
Job Concurrent Review Nurse/ Utilization Review
Industry Insurance
Experience
Sunshine Health September 2012 - February 2015
Dane Street March 2012 - June 2012
Coventry Health June 2007 - September 2011
Jupiter Care Center January 2007 - May 2007
Darcy Hall of Lifecare February 2006 - August 2006
JFK Medical Center November 2003 - February 2006
Blue Cross Blue Shield October 2000 - September 2005
Florida Healthcare Management July 1998 - September 2000
Alterna Healing Arts July 1997 - June 1998
Chrysalis Healthcare March 1997 - July 1997
Skills
Wound Care, Case Managment, Utilization Review, Marketing, Admissions, Internet Friendly, Computer Proficiency, CPR Certified, IV Certified, Medicare, Healthcare, Nursing, Hospitals, Disease Management, Long-term Care, Acute Care, Clinical Research, Managed Care, Insurance, HIPAA, Home Care, Medicaid, Healthcare Information...
Education
Florida Risk Management Institute
Case management
North Technical Educational Center 1977 — 1978
LPN
Palm Beach State College
Nursing Education
Sunshine Health September 2012 - February 2015
Dane Street March 2012 - June 2012
Coventry Health June 2007 - September 2011
Jupiter Care Center January 2007 - May 2007
Darcy Hall of Lifecare February 2006 - August 2006
JFK Medical Center November 2003 - February 2006
Blue Cross Blue Shield October 2000 - September 2005
Florida Healthcare Management July 1998 - September 2000
Alterna Healing Arts July 1997 - June 1998
Chrysalis Healthcare March 1997 - July 1997
Skills
Wound Care, Case Managment, Utilization Review, Marketing, Admissions, Internet Friendly, Computer Proficiency, CPR Certified, IV Certified, Medicare, Healthcare, Nursing, Hospitals, Disease Management, Long-term Care, Acute Care, Clinical Research, Managed Care, Insurance, HIPAA, Home Care, Medicaid, Healthcare Information...
Education
Florida Risk Management Institute
Case management
North Technical Educational Center 1977 — 1978
LPN
Palm Beach State College
Nursing Education
Tom shaffer's Sunshine Health Experience May 2015 - Present
Job Data Analyst IV at Sunshine Health
Industry Hospital & Health Care
Experience
Sunshine Health May 2015 - Present
Gateway Health System November 1998 - May 2015
Gateway health plan June 2007 - September 2008
Gateway health Plan May 2002 - June 2007
Gateway Health Plan November 1998 - May 2002
UPMC Health Plan February 1998 - November 1998
Magee-Womens Hospital October 1996 - February 1998
Skills
Healthcare Information..., Data Analysis, Healthcare, Access, Visio, Business Intelligence, HIPAA, Process Improvement, Business Analysis, Microsoft Office, SQL, Project Management, Data Management, Healthcare Industry, Databases, Microsoft Excel, Cognos, Microsoft SQL Server, EHR, Healthcare Management, Software Documentation, SDLC, Database Administration, Crystal Reports, Analysis, Hospitals, PowerPoint, Requirements Analysis, Microsoft Word, Strategic Planning, Data Warehousing, Health Insurance, Leadership, Oracle, Vendor Management, Change Management, Requirements Gathering, Medicaid, Business Requirements, Healthcare Consulting, Medicare, Troubleshooting, Managed Care, Information Technology, Quality Assurance, SSRS, Medicare Part D, SharePoint
Education
Indiana University of Pennsylvania 1985 — 1989
Business Administration Major IS
Sunshine Health May 2015 - Present
Gateway Health System November 1998 - May 2015
Gateway health plan June 2007 - September 2008
Gateway health Plan May 2002 - June 2007
Gateway Health Plan November 1998 - May 2002
UPMC Health Plan February 1998 - November 1998
Magee-Womens Hospital October 1996 - February 1998
Skills
Healthcare Information..., Data Analysis, Healthcare, Access, Visio, Business Intelligence, HIPAA, Process Improvement, Business Analysis, Microsoft Office, SQL, Project Management, Data Management, Healthcare Industry, Databases, Microsoft Excel, Cognos, Microsoft SQL Server, EHR, Healthcare Management, Software Documentation, SDLC, Database Administration, Crystal Reports, Analysis, Hospitals, PowerPoint, Requirements Analysis, Microsoft Word, Strategic Planning, Data Warehousing, Health Insurance, Leadership, Oracle, Vendor Management, Change Management, Requirements Gathering, Medicaid, Business Requirements, Healthcare Consulting, Medicare, Troubleshooting, Managed Care, Information Technology, Quality Assurance, SSRS, Medicare Part D, SharePoint
Education
Indiana University of Pennsylvania 1985 — 1989
Business Administration Major IS
Lisa Pugh's Sunshine Health Experience July 2013 - Present
Job Volunteer Coordinator at Hospice of Palm Beach
Industry Higher Education
Experience
Hospice of Palm Beach County May 2014 - Present
Sunshine Health July 2013 - Present
Memorial Health System October 2011 - May 2012
University of South Florida 2012 - 2012
Skills
Community Outreach, Project Coordination, Program Management, Project Planning, Research, Microsoft Office, Nonprofits, Event Planning, Program Evaluation, Grant Writing, Qualitative Research, Strategic Planning, Healthcare, Budgets
Education
Barry University 2009 — 2011
Master of Public Health (MPH) and Masters of Health Services Administration, Public Health
Barry University 2006 — 2008
Bachelor of Science (BS), Nulear Medicine
Hospice of Palm Beach County May 2014 - Present
Sunshine Health July 2013 - Present
Memorial Health System October 2011 - May 2012
University of South Florida 2012 - 2012
Skills
Community Outreach, Project Coordination, Program Management, Project Planning, Research, Microsoft Office, Nonprofits, Event Planning, Program Evaluation, Grant Writing, Qualitative Research, Strategic Planning, Healthcare, Budgets
Education
Barry University 2009 — 2011
Master of Public Health (MPH) and Masters of Health Services Administration, Public Health
Barry University 2006 — 2008
Bachelor of Science (BS), Nulear Medicine
×Denise Degolyer's Sunshine Health Experience November 2014 - Present
Job Credentialing Specialist I at Sunshine Health
Industry Insurance
Experience
Sunshine Health November 2014 - Present
Education
Indiana University-Purdue University at Indianapolis 1987 — 1988
Healthcare Administration
Sunshine Health November 2014 - Present
Education
Indiana University-Purdue University at Indianapolis 1987 — 1988
Healthcare Administration
Barbara Getz's Sunshine Health Experience March 2015 - Present
Job Back home in Florida
Industry Insurance
Experience
Sunshine Health March 2015 - Present
Centene Corporation/Sunshine Health February 2015 - Present
Gateway Health July 2013 - Present
Preferred Care Partners, Inc./UnitedHealthcare August 2010 - July 2013
Humana Inc. August 2004 - August 2008
LA BioMed at Harbor-UCLA Medical Center September 2000 - October 2002
INAMED Corporation March 1998 - August 2000
QUEST DIAGNOSTICS INC January 1996 - December 1997
PDS MARKETING & COMMUNICATIONS, Inc January 1980 - January 1996
Skills
marketing comm, business development, public affairs public...
Education
University of Miami
Bachelors of Arts, Communications
Sunshine Health March 2015 - Present
Centene Corporation/Sunshine Health February 2015 - Present
Gateway Health July 2013 - Present
Preferred Care Partners, Inc./UnitedHealthcare August 2010 - July 2013
Humana Inc. August 2004 - August 2008
LA BioMed at Harbor-UCLA Medical Center September 2000 - October 2002
INAMED Corporation March 1998 - August 2000
QUEST DIAGNOSTICS INC January 1996 - December 1997
PDS MARKETING & COMMUNICATIONS, Inc January 1980 - January 1996
Skills
marketing comm, business development, public affairs public...
Education
University of Miami
Bachelors of Arts, Communications
Deloitte
PwC
Ernst & Young
Walgreens
Procter & Gamble
KPMG
PricewaterhouseCoopers
EY