Texas True Choice
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Texas True Choice Employees
Employee
Years
Job
Industry
Sean McEnany Sean McEnany's Texas True Choice Experience June 2001 - February 2006
Job Data Entry Operator II
Industry Insurance
Experience
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas June 2015 - Present
HealthFitness August 2014 - January 2015
Service First Mortgage June 2013 - April 2014
MultiPlan October 2007 - February 2012
Texas A&M University-Commerce February 2006 - February 2007
Texas True Choice June 2001 - February 2006
Bakersfield Condors July 2000 - April 2001
Amarillo Rattlers August 1998 - April 2000
Texas A&M University-Commerce January 1996 - August 1998
KALK-FM July 1992 - December 1995
Skills
Customer Service, Outlook, Microsoft Excel, Insurance, Microsoft Office, Health Insurance, Risk Management, Leadership, Team Building, Access, Public Speaking, Management, Data Entry, Radio, Broadcast, Sports
Education
Sam Houston State University 1984 — 1988
Radio-Television-Film
Lake Highlands High School 1981 — 1984
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas June 2015 - Present
HealthFitness August 2014 - January 2015
Service First Mortgage June 2013 - April 2014
MultiPlan October 2007 - February 2012
Texas A&M University-Commerce February 2006 - February 2007
Texas True Choice June 2001 - February 2006
Bakersfield Condors July 2000 - April 2001
Amarillo Rattlers August 1998 - April 2000
Texas A&M University-Commerce January 1996 - August 1998
KALK-FM July 1992 - December 1995
Skills
Customer Service, Outlook, Microsoft Excel, Insurance, Microsoft Office, Health Insurance, Risk Management, Leadership, Team Building, Access, Public Speaking, Management, Data Entry, Radio, Broadcast, Sports
Education
Sam Houston State University 1984 — 1988
Radio-Television-Film
Lake Highlands High School 1981 — 1984
Christie Basaldua Christie Basaldua's Texas True Choice Experience November 2002 - April 2005
Job Aspiring Human Resources Team Member
Industry Information Technology and Services
Experience
Eman Bass, LLC 2005 - Present
Collin County Community College 2013 - 2013
Texas True Choice November 2002 - April 2005
State Farm Insurance June 1998 - October 2000
Skills
Organized Multi-tasker, Multi Tasking, Trust, Business Ethics, Handle Confidential..., Team-oriented, Observational, Close Attention to..., Sensitive Information
Education
The University of Texas at Arlington 1996 — 1997
Bachelor of Business Administration (B.B.A.), 3.684 GPA
Collin County Community College
Eman Bass, LLC 2005 - Present
Collin County Community College 2013 - 2013
Texas True Choice November 2002 - April 2005
State Farm Insurance June 1998 - October 2000
Skills
Organized Multi-tasker, Multi Tasking, Trust, Business Ethics, Handle Confidential..., Team-oriented, Observational, Close Attention to..., Sensitive Information
Education
The University of Texas at Arlington 1996 — 1997
Bachelor of Business Administration (B.B.A.), 3.684 GPA
Collin County Community College
Jason Ervin Jason Ervin's Texas True Choice Experience March 2008 - February 2011
Job Acquisitions Director at Settlement Capital Corporation
Industry Financial Services
Experience
Settlement Capital Corporation June 2014 - Present
Settlement Capital Corporation October 2011 - May 2014
Texas True Choice March 2008 - February 2011
Skills
Strategic Planning, Customer Service, Negotiation, Supply Management, Sales, Strategic Sourcing, Supplier Performance, Contract Negotiation, Team Building, Spend Analysis, Financial Analysis, Management, Insurance, Team Leadership, Mortgage Lending, Procurement
Education
University of North Texas 2003 — 2006
Bachelor of Arts, English, Sociology
Settlement Capital Corporation June 2014 - Present
Settlement Capital Corporation October 2011 - May 2014
Texas True Choice March 2008 - February 2011
Skills
Strategic Planning, Customer Service, Negotiation, Supply Management, Sales, Strategic Sourcing, Supplier Performance, Contract Negotiation, Team Building, Spend Analysis, Financial Analysis, Management, Insurance, Team Leadership, Mortgage Lending, Procurement
Education
University of North Texas 2003 — 2006
Bachelor of Arts, English, Sociology
Alan Scoggins Alan Scoggins's Texas True Choice Experience 1997 - 2007
Job President at Healthcare Highways
Industry Hospital & Health Care
Experience
Healthcare Highways 2014 - Present
MultiPlan 2010 - 2014
Viant 2007 - 2010
Texas True Choice 1997 - 2007
ProAmerica 1991 - 1997
Partners National Health Plans 1986 - 1991
Skills
Managed Care, Network Development, Medicare, Healthcare Consulting, Healthcare Industry, Medicaid, Provider Relations, Health Insurance, Healthcare, Insurance, HIPAA, Physicians, Medical Billing, Claim, Employee Benefits, Strategic Planning, Account Management, Physician Relations, Process Improvement, Leadership, Medicare Part D, Access, Healthcare Management, Practice Management, Executive Management, Health Care Reform, Revenue Cycle, Health Policy, HMO, PPO, Disease Management, Healthcare Information..., Pharmacy Benefit..., Revenue Cycle Management, Quality Improvement, EHR, Hospitals, Health Savings Accounts, EMR, Health Information..., Performance Improvement, Informatics, Workers Compensation, Claims Management, Long-term Care, Healthcare Reimbursement, Home Care, Brokers, Benefits Administration, EDI
Education
Southern Methodist University 1978 — 1982
Bachelor of Business Administration (B.B.A.), Emphasis in Accounting
Southern Methodist University 1977 — 1981
BA, Accounting
Healthcare Highways 2014 - Present
MultiPlan 2010 - 2014
Viant 2007 - 2010
Texas True Choice 1997 - 2007
ProAmerica 1991 - 1997
Partners National Health Plans 1986 - 1991
Skills
Managed Care, Network Development, Medicare, Healthcare Consulting, Healthcare Industry, Medicaid, Provider Relations, Health Insurance, Healthcare, Insurance, HIPAA, Physicians, Medical Billing, Claim, Employee Benefits, Strategic Planning, Account Management, Physician Relations, Process Improvement, Leadership, Medicare Part D, Access, Healthcare Management, Practice Management, Executive Management, Health Care Reform, Revenue Cycle, Health Policy, HMO, PPO, Disease Management, Healthcare Information..., Pharmacy Benefit..., Revenue Cycle Management, Quality Improvement, EHR, Hospitals, Health Savings Accounts, EMR, Health Information..., Performance Improvement, Informatics, Workers Compensation, Claims Management, Long-term Care, Healthcare Reimbursement, Home Care, Brokers, Benefits Administration, EDI
Education
Southern Methodist University 1978 — 1982
Bachelor of Business Administration (B.B.A.), Emphasis in Accounting
Southern Methodist University 1977 — 1981
BA, Accounting
Patrick McCall's Texas True Choice Experience 2004 - 2006
Job Digital Sales Representative, HPE Digital Experience Center at Hewlett Packard Enterprise
Industry Computer Software
Experience
Hewlett Packard Enterprise September 2015 - Present
HP Software February 2013 - Present
HP Software May 2012 - February 2013
WellPoint April 2006 - April 2011
Dearborn National 2011 - 2011
Texas True Choice 2004 - 2006
i-Promotions/Global Star Network 2002 - 2004
Dell Services 1998 - 2002
Skills
Microsoft Office, Adobe Photodeluxe, Customer Service, Insurance, Call Center, Health Insurance, Qualifying Prospects, Process Improvement, Microsoft Excel, PowerPoint, Research, Web Content Management, Solution Selling, Outlook, Sales, SQL, SEO, Customer Satisfaction, Call Centers, Sales Operations, Claim, Salesforce.com
Education
Kansas State University 1988 — 1989
Collin County Community College 2011 — 2012
Marmaton Valley High School 1984 — 1988
Hewlett Packard Enterprise September 2015 - Present
HP Software February 2013 - Present
HP Software May 2012 - February 2013
WellPoint April 2006 - April 2011
Dearborn National 2011 - 2011
Texas True Choice 2004 - 2006
i-Promotions/Global Star Network 2002 - 2004
Dell Services 1998 - 2002
Skills
Microsoft Office, Adobe Photodeluxe, Customer Service, Insurance, Call Center, Health Insurance, Qualifying Prospects, Process Improvement, Microsoft Excel, PowerPoint, Research, Web Content Management, Solution Selling, Outlook, Sales, SQL, SEO, Customer Satisfaction, Call Centers, Sales Operations, Claim, Salesforce.com
Education
Kansas State University 1988 — 1989
Collin County Community College 2011 — 2012
Marmaton Valley High School 1984 — 1988
Shari Medlyn-Long Shari Medlyn-Long's Texas True Choice Experience January 1997 - September 2007
Job Project Manager at Healthcare Highways
Industry Hospital & Health Care
Experience
Healthcare Highways January 2012 - Present
G Wear September 2011 - April 2013
Texas True Choice January 1997 - September 2007
Skills
Project Planning, Program Management, Process Improvement, Project Delivery, Vendor Management, Account Management, Team Building
Education
The University of Texas at Arlington 1988 — 1989
Bachelor of Business Communications, Communications, Marketing
Healthcare Highways January 2012 - Present
G Wear September 2011 - April 2013
Texas True Choice January 1997 - September 2007
Skills
Project Planning, Program Management, Process Improvement, Project Delivery, Vendor Management, Account Management, Team Building
Education
The University of Texas at Arlington 1988 — 1989
Bachelor of Business Communications, Communications, Marketing
Elizabeth Van Pelt Elizabeth Van Pelt's Texas True Choice Experience January 2004 - October 2006
Job Customer Service Manager at BabyEarth.com
Industry Insurance
Experience
www.babyearth.com September 2012 - Present
Texas True Choice January 2004 - October 2006
Castle Dental Centers May 2002 - December 2003
Great-West Life January 2001 - May 2002
Monarch Dental March 2000 - January 2001
SafeGuard Health Enterprises March 1998 - February 2000
Safeguard Health Plan 1994 - 2000
American Dental Corporation June 1994 - March 1998
Skills
Health Insurance, Insurance, Employee Benefits, Managed Care, Healthcare, Customer Service, Dentistry, Account Management, Process Improvement, Strategic Planning, Provider Relations, Contract Negotiation, HIPAA, Sales, Team Building, Microsoft Office, Leadership, Management, Medicaid
Education
Sam Houston State University 1991 — 1994
NHS
www.babyearth.com September 2012 - Present
Texas True Choice January 2004 - October 2006
Castle Dental Centers May 2002 - December 2003
Great-West Life January 2001 - May 2002
Monarch Dental March 2000 - January 2001
SafeGuard Health Enterprises March 1998 - February 2000
Safeguard Health Plan 1994 - 2000
American Dental Corporation June 1994 - March 1998
Skills
Health Insurance, Insurance, Employee Benefits, Managed Care, Healthcare, Customer Service, Dentistry, Account Management, Process Improvement, Strategic Planning, Provider Relations, Contract Negotiation, HIPAA, Sales, Team Building, Microsoft Office, Leadership, Management, Medicaid
Education
Sam Houston State University 1991 — 1994
NHS
Pastrano Daniel Pastrano Daniel's Texas True Choice Experience March 2007 - November 2007
Job Technical Trainer (Implementation Analyst)/Business Analyst at Quest Diagnostics
Industry Hospital & Health Care
Experience
Quest Diagnostics/AmeriPath February 2012 - Present
Sandlot, LLC September 2011 - February 2012
PDS Tech, Inc. July 2010 - June 2011
Emergency Medicine Billing and Coding Company December 2007 - March 2010
Texas True Choice March 2007 - November 2007
Odyssey HealthCare November 2002 - March 2007
Skills
Medicare, Healthcare, Software Documentation, Medicaid, Management, Training, Access, Managed Care, Accounts Receivable, CPT, Quality Assurance, Databases, Healthcare Information..., HIPAA, Troubleshooting, Revenue Cycle, HL7, Analysis, EMR, Revenue Cycle Management, Healthcare Consulting, Health Information..., Healthcare Industry, ICD-9, Medical Billing, Ambulatory, Practice Management, Healthcare Management
Education
The University of Texas at Austin
Bachelor of Science
Quest Diagnostics/AmeriPath February 2012 - Present
Sandlot, LLC September 2011 - February 2012
PDS Tech, Inc. July 2010 - June 2011
Emergency Medicine Billing and Coding Company December 2007 - March 2010
Texas True Choice March 2007 - November 2007
Odyssey HealthCare November 2002 - March 2007
Skills
Medicare, Healthcare, Software Documentation, Medicaid, Management, Training, Access, Managed Care, Accounts Receivable, CPT, Quality Assurance, Databases, Healthcare Information..., HIPAA, Troubleshooting, Revenue Cycle, HL7, Analysis, EMR, Revenue Cycle Management, Healthcare Consulting, Health Information..., Healthcare Industry, ICD-9, Medical Billing, Ambulatory, Practice Management, Healthcare Management
Education
The University of Texas at Austin
Bachelor of Science
James Biddle James Biddle's Texas True Choice Experience August 2003 - March 2008
Job Consumer Collections at Nissan Motor Company
Industry Automotive
Experience
Nissan Motor Company March 2008 - Present
Texas True Choice August 2003 - March 2008
HCA October 2000 - August 2003
Skills
Customer Service, Account Management, Strategic Planning, Marketing, Marketing Strategy, Team Building, Budgets, Sales, Leadership, Microsoft Word, New Business Development, Microsoft Office
Education
DeVry University-Texas 2005 — 2010
Bachelor of Science (BS), Accounting
Nissan Motor Company March 2008 - Present
Texas True Choice August 2003 - March 2008
HCA October 2000 - August 2003
Skills
Customer Service, Account Management, Strategic Planning, Marketing, Marketing Strategy, Team Building, Budgets, Sales, Leadership, Microsoft Word, New Business Development, Microsoft Office
Education
DeVry University-Texas 2005 — 2010
Bachelor of Science (BS), Accounting
Lacy Mattek Lacy Mattek's Texas True Choice Experience June 2005 - May 2008
Job Sales Rep at LONE STAR TPA
Industry Hospital & Health Care
Experience
Lone Star TPA June 2011 - Present
Healthfirst June 2009 - July 2011
East Texas Medical Center July 2008 - June 2010
Texas True Choice June 2005 - May 2008
Education
Southern Methodist University 2001 — 2005
BA, Political Science
Lone Star TPA June 2011 - Present
Healthfirst June 2009 - July 2011
East Texas Medical Center July 2008 - June 2010
Texas True Choice June 2005 - May 2008
Education
Southern Methodist University 2001 — 2005
BA, Political Science
Sondra Ferrill's Texas True Choice Experience 2001 - 2003
Job Independent Pharmacy Consultant
Industry Insurance
Experience
Hays Companies May 2013 - November 2013
The Plexus Groupe January 2009 - January 2013
Pharmaceutical Strategies Group 2006 - January 2009
CVS Caremark Corporation (formerly Pharmacare/EHS) 2003 - 2006
Texas True Choice 2001 - 2003
Skills
Managed Care, Pharmacy Benefit..., Account Management, Employee Benefits, Medicare Part D, Strategic Planning, Healthcare, Pharmacy, Health Insurance, Process Improvement, HIPAA, Medicare, Customer Service, Pharmaceutical Industry, Contract Negotiation, Insurance, Health Care Reform
Education
University of North Texas 1990 — 1993
BBA, Management & Human Resources
Hays Companies May 2013 - November 2013
The Plexus Groupe January 2009 - January 2013
Pharmaceutical Strategies Group 2006 - January 2009
CVS Caremark Corporation (formerly Pharmacare/EHS) 2003 - 2006
Texas True Choice 2001 - 2003
Skills
Managed Care, Pharmacy Benefit..., Account Management, Employee Benefits, Medicare Part D, Strategic Planning, Healthcare, Pharmacy, Health Insurance, Process Improvement, HIPAA, Medicare, Customer Service, Pharmaceutical Industry, Contract Negotiation, Insurance, Health Care Reform
Education
University of North Texas 1990 — 1993
BBA, Management & Human Resources
Jennifer G. Rich, MHA, CPCS's Texas True Choice Experience November 2004 - February 2006
Job Sr Project Manager at Parallon Business Solutions
Industry Hospital & Health Care
Experience
PMI Houston March 2015 - Present
Parallon Business Solutions January 2012 - Present
Texas Society for Medical Services Specialists April 2010 - April 2014
Parallon Business Solutions May 2009 - December 2011
Texas Society of Medical Services Specialists January 2008 - April 2010
South Texas Association of Medical Service Professionals January 2004 - January 2010
HCA Shared Services September 2008 - May 2009
UT Medicine May 2006 - September 2008
Texas True Choice November 2004 - February 2006
Health Net Federal Services, Inc. April 1999 - October 2004
Skills
Healthcare Management, Healthcare, Managed Care, Credentialing, Hospitals, HIPAA, JCAHO, Healthcare Consulting, Physician Relations, Project Management, Transition Management, Finance, Organization, Communication, Payor Relations, NCQA, Conference Planning, Non-profit Volunteer, Professional..., Timeline Development, Data Mapping, Written & Oral..., Rapid Process..., Provider Relations, Meeting Planning, Medicaid, Leadership, EMR, EHR
Education
Texas State University 1995 — 1998
MHA, Healthcare Administration
The University of Texas at Austin 1991 — 1995
BA, Sociology, Biological Sciences, & Business
PMI Houston March 2015 - Present
Parallon Business Solutions January 2012 - Present
Texas Society for Medical Services Specialists April 2010 - April 2014
Parallon Business Solutions May 2009 - December 2011
Texas Society of Medical Services Specialists January 2008 - April 2010
South Texas Association of Medical Service Professionals January 2004 - January 2010
HCA Shared Services September 2008 - May 2009
UT Medicine May 2006 - September 2008
Texas True Choice November 2004 - February 2006
Health Net Federal Services, Inc. April 1999 - October 2004
Skills
Healthcare Management, Healthcare, Managed Care, Credentialing, Hospitals, HIPAA, JCAHO, Healthcare Consulting, Physician Relations, Project Management, Transition Management, Finance, Organization, Communication, Payor Relations, NCQA, Conference Planning, Non-profit Volunteer, Professional..., Timeline Development, Data Mapping, Written & Oral..., Rapid Process..., Provider Relations, Meeting Planning, Medicaid, Leadership, EMR, EHR
Education
Texas State University 1995 — 1998
MHA, Healthcare Administration
The University of Texas at Austin 1991 — 1995
BA, Sociology, Biological Sciences, & Business
Kenneth Corallo, MS, LGPC's Texas True Choice Experience January 2003 - January 2004
Job Crisis Team Lead at Anchor Mental Health Children & Adolescent Mobile Psychiatric Service (CHAMPS)
Industry Mental Health Care
Experience
Anchor Mental Health - Children & Adolescent Mobile Psychiatric Service (CHAMPS) March 2013 - Present
Anchor Mental Health - Children & Adolescent Mobile Psychiatric Service (ChAMPS) June 2012 - Present
Frisco Police Department September 2011 - January 2012
The Resource Center of Dallas June 2011 - January 2012
Timberlawn Mental Health Hospital October 2008 - June 2011
Park Place Dealerships February 2008 - September 2008
Park Place Dealerships August 2006 - April 2008
The Point Group January 2005 - January 2006
Texas True Choice January 2003 - January 2004
Skills
Mental Health, Crisis Intervention, Customer Service, PowerPoint, Microsoft Office, Microsoft Word, Outlook, Microsoft Excel, Research, Team Building
Education
Southern Methodist University 2009 — 2011
Masters of Science in Counseling (2012), Mental Health Counseling/Counselor
The University of Texas at Arlington 2004 — 2006
BFA, Communication Design
Anchor Mental Health - Children & Adolescent Mobile Psychiatric Service (CHAMPS) March 2013 - Present
Anchor Mental Health - Children & Adolescent Mobile Psychiatric Service (ChAMPS) June 2012 - Present
Frisco Police Department September 2011 - January 2012
The Resource Center of Dallas June 2011 - January 2012
Timberlawn Mental Health Hospital October 2008 - June 2011
Park Place Dealerships February 2008 - September 2008
Park Place Dealerships August 2006 - April 2008
The Point Group January 2005 - January 2006
Texas True Choice January 2003 - January 2004
Skills
Mental Health, Crisis Intervention, Customer Service, PowerPoint, Microsoft Office, Microsoft Word, Outlook, Microsoft Excel, Research, Team Building
Education
Southern Methodist University 2009 — 2011
Masters of Science in Counseling (2012), Mental Health Counseling/Counselor
The University of Texas at Arlington 2004 — 2006
BFA, Communication Design
Melody Parlett's Texas True Choice Experience August 2004 - December 2005
Job Director Of Operations at Irving Bible Church
Industry Religious Institutions
Experience
Irving Bible Church November 2011 - Present
University of North Texas August 2008 - November 2011
Kay Granger Campaign July 2007 - August 2008
U.S. House of Representatives January 2006 - July 2007
Texas True Choice August 2004 - December 2005
Sincerely Yours June 2001 - August 2004
Skills
Public Administration, Non-profit Leadership, Volunteer Management, Event Planning, Resource Management, Community Development, Public Policy, Political Science, Research, Conflict Resolution, Program Coordination, Recruiting, Office Administration, Data Management, Operations Management, Connecting People, Public Speaking, Procedure Development, Budgets, Project Management, Training, Political Campaigns, Fundraising, Mediation, Strategic Planning, Team Leadership, Databases, Teaching, Nursery Management, Customer Service, Nonprofits, Leadership, Leadership Development, Public Relations, Strategic Communications
Education
University of North Texas 2009 — 2011
Master of Public Administration (MPA), Local Government Management
University of North Texas 2000 — 2005
Bachelor's degree, Political Science, International Relations
Pantego Christian Academy 1998 — 2000
Irving Bible Church November 2011 - Present
University of North Texas August 2008 - November 2011
Kay Granger Campaign July 2007 - August 2008
U.S. House of Representatives January 2006 - July 2007
Texas True Choice August 2004 - December 2005
Sincerely Yours June 2001 - August 2004
Skills
Public Administration, Non-profit Leadership, Volunteer Management, Event Planning, Resource Management, Community Development, Public Policy, Political Science, Research, Conflict Resolution, Program Coordination, Recruiting, Office Administration, Data Management, Operations Management, Connecting People, Public Speaking, Procedure Development, Budgets, Project Management, Training, Political Campaigns, Fundraising, Mediation, Strategic Planning, Team Leadership, Databases, Teaching, Nursery Management, Customer Service, Nonprofits, Leadership, Leadership Development, Public Relations, Strategic Communications
Education
University of North Texas 2009 — 2011
Master of Public Administration (MPA), Local Government Management
University of North Texas 2000 — 2005
Bachelor's degree, Political Science, International Relations
Pantego Christian Academy 1998 — 2000
Willie Toombs, Jr's Texas True Choice Experience April 2006 - November 2006
Job Associate at World Financial Group
Industry Financial Services
Experience
World Financial Group November 2003 - Present
Wingspan Portfolio Advisors May 2011 - September 2011
Bank of America August 2010 - February 2011
Perry Ellis International November 2008 - April 2010
Stonebridge Life Insurance August 2007 - November 2009
United American Insurance February 2007 - August 2007
Texas True Choice April 2006 - November 2006
Skills
General life insurance, General Health Insurance, Budgeting, Management, Supervisory Skills, Customer Service, Customer Presentations, Client Education, Client Development, Time Management, Organizational, Mortgage Servicing, Residential Mortgages, Loan Modifications, Leadership Development, Strategy, Insurance, Budgets
Education
Dallas County Community College 2010 — 2012
AA, Science
Little Rock Central High
The University of Memphis
World Financial Group November 2003 - Present
Wingspan Portfolio Advisors May 2011 - September 2011
Bank of America August 2010 - February 2011
Perry Ellis International November 2008 - April 2010
Stonebridge Life Insurance August 2007 - November 2009
United American Insurance February 2007 - August 2007
Texas True Choice April 2006 - November 2006
Skills
General life insurance, General Health Insurance, Budgeting, Management, Supervisory Skills, Customer Service, Customer Presentations, Client Education, Client Development, Time Management, Organizational, Mortgage Servicing, Residential Mortgages, Loan Modifications, Leadership Development, Strategy, Insurance, Budgets
Education
Dallas County Community College 2010 — 2012
AA, Science
Little Rock Central High
The University of Memphis
Nancy Connaway's Texas True Choice Experience 2003 - 2005
Job President at Value Grades Incorporated
Industry Insurance
Experience
Value Grades Incorporated November 2011 - Present
National Care Network July 2005 - October 2011
NCN 2005 - October 2011
Texas True Choice 2003 - 2005
ProAmerica Managed Care 1991 - 2001
Skills
Employment Law, Negotiation, Healthcare, Contract Negotiation, Insurance, Managed Health Care, Compliance, Strategic Planning, Business Strategy, Managed Care
Education
Lyndon Institute
Southern Methodist University
JD, Law
Texas Woman's University
MS, Nursing
University of Vermont
BS, Nursing
Value Grades Incorporated November 2011 - Present
National Care Network July 2005 - October 2011
NCN 2005 - October 2011
Texas True Choice 2003 - 2005
ProAmerica Managed Care 1991 - 2001
Skills
Employment Law, Negotiation, Healthcare, Contract Negotiation, Insurance, Managed Health Care, Compliance, Strategic Planning, Business Strategy, Managed Care
Education
Lyndon Institute
Southern Methodist University
JD, Law
Texas Woman's University
MS, Nursing
University of Vermont
BS, Nursing
William (Rob) Fort's Texas True Choice Experience September 2001 - November 2001
Job Senior Consultant at AXIOM Systems Inc.
Industry Management Consulting
Experience
AXIOM Systems Inc. October 2011 - Present
IBM March 2008 - October 2011
AXIOM System Inc. November 2001 - March 2008
Texas True Choice September 2001 - November 2001
ppoONE August 2000 - September 2001
Perot Systems April 1995 - August 2000
Skills
Business Analysis, SDLC, Integration, Requirements Analysis, IT Strategy, Healthcare Information..., Change Management, Program Management, Requirements Gathering, Process Improvement, Software Project..., Business Process..., Consulting, PMP, Project Management, Business Process, Management, Enterprise Architecture, Software Development, Vendor Management
Education
Stephen F. Austin State University 1988 — 1992
BBA, General Business
AXIOM Systems Inc. October 2011 - Present
IBM March 2008 - October 2011
AXIOM System Inc. November 2001 - March 2008
Texas True Choice September 2001 - November 2001
ppoONE August 2000 - September 2001
Perot Systems April 1995 - August 2000
Skills
Business Analysis, SDLC, Integration, Requirements Analysis, IT Strategy, Healthcare Information..., Change Management, Program Management, Requirements Gathering, Process Improvement, Software Project..., Business Process..., Consulting, PMP, Project Management, Business Process, Management, Enterprise Architecture, Software Development, Vendor Management
Education
Stephen F. Austin State University 1988 — 1992
BBA, General Business
Helen Gagliano's Texas True Choice Experience June 1998 - September 2002
Job Manager, Affiliate Networks at HealthSmart
Industry Insurance
Experience
HealthSmart October 2010 - Present
HealthSmart April 2008 - January 2011
HealthSmart January 2009 - October 2010
HealthSmart (formerly American Administrative Group) April 2008 - January 2009
Viant February 2003 - April 2008
Viant (formerly ppoNEXT) February 2003 - April 2008
ppoNEXT 2003 - 2008
Texas True Choice June 1998 - September 2002
TEXAS TRUE CHOICE, INC January 1998 - January 2002
CENTRA January 1996 - January 1998
Skills
PPO, Account Management, PowerPoint, Insurance, Health Insurance, Access, Excel, Word, Microsoft Office, Salesforce.com, Windows, Outlook, Event Management, Problem Solving, Team Leadership, Hospitals, Employee Benefits, Customer Service, Healthcare, Microsoft Word, Microsoft Excel, Analysis, Software Documentation, Visio, Leadership, Business Analysis, Medicare, Program Management, Project Management, Team Building, Budgets, Management, Sales, CRM, Provider Relations, New Business Development, Process Improvement, HMO, Managed Care, Health Savings Accounts, Medicaid, Healthcare Industry, HIPAA, Pharmacy Benefit..., Call Centers, Network Development, Disease Management, Healthcare Consulting, Data Analysis, Medical Billing
Education
DELGADO COMMUNITY COLLEGE
Dallas County Community College
Business Administration
NORTHLAKE COMMUNITY COLLEGE
HealthSmart October 2010 - Present
HealthSmart April 2008 - January 2011
HealthSmart January 2009 - October 2010
HealthSmart (formerly American Administrative Group) April 2008 - January 2009
Viant February 2003 - April 2008
Viant (formerly ppoNEXT) February 2003 - April 2008
ppoNEXT 2003 - 2008
Texas True Choice June 1998 - September 2002
TEXAS TRUE CHOICE, INC January 1998 - January 2002
CENTRA January 1996 - January 1998
Skills
PPO, Account Management, PowerPoint, Insurance, Health Insurance, Access, Excel, Word, Microsoft Office, Salesforce.com, Windows, Outlook, Event Management, Problem Solving, Team Leadership, Hospitals, Employee Benefits, Customer Service, Healthcare, Microsoft Word, Microsoft Excel, Analysis, Software Documentation, Visio, Leadership, Business Analysis, Medicare, Program Management, Project Management, Team Building, Budgets, Management, Sales, CRM, Provider Relations, New Business Development, Process Improvement, HMO, Managed Care, Health Savings Accounts, Medicaid, Healthcare Industry, HIPAA, Pharmacy Benefit..., Call Centers, Network Development, Disease Management, Healthcare Consulting, Data Analysis, Medical Billing
Education
DELGADO COMMUNITY COLLEGE
Dallas County Community College
Business Administration
NORTHLAKE COMMUNITY COLLEGE
Elvin Keeney's Texas True Choice Experience March 2008 - May 2009
Job Manager of Managed Care at University Health System
Industry Insurance
Experience
University Health System & Community Medicine Associates November 2014 - Present
United Healthcare March 2011 - October 2014
MultiPlan May 2009 - March 2011
Texas True Choice March 2008 - May 2009
Texas True Choice January 2007 - March 2008
Fiserv July 2007 - December 2007
Fiserv January 2000 - June 2007
Benefit Planners January 1999 - December 1999
Benefit Planners December 1996 - December 1997
Aetna December 1990 - December 1996
Skills
HIPAA, Microsoft Word, Account Management, Microsoft Office, Outlook, PowerPoint, Contract Negotiation, Strategic Planning, SQL, Process Improvement, Windows, Business Development, Network Development, PPO, Budgets, Medicare, Healthcare, Managed Care, Health Insurance, Medicaid, Insurance, Healthcare Industry, Healthcare Information...
Education
Texas Lutheran 1985 — 1990
BA, Mathematics, Kinesiology, Secondary Education
University Health System & Community Medicine Associates November 2014 - Present
United Healthcare March 2011 - October 2014
MultiPlan May 2009 - March 2011
Texas True Choice March 2008 - May 2009
Texas True Choice January 2007 - March 2008
Fiserv July 2007 - December 2007
Fiserv January 2000 - June 2007
Benefit Planners January 1999 - December 1999
Benefit Planners December 1996 - December 1997
Aetna December 1990 - December 1996
Skills
HIPAA, Microsoft Word, Account Management, Microsoft Office, Outlook, PowerPoint, Contract Negotiation, Strategic Planning, SQL, Process Improvement, Windows, Business Development, Network Development, PPO, Budgets, Medicare, Healthcare, Managed Care, Health Insurance, Medicaid, Insurance, Healthcare Industry, Healthcare Information...
Education
Texas Lutheran 1985 — 1990
BA, Mathematics, Kinesiology, Secondary Education
Mike Diel's Texas True Choice Experience January 2006 - April 2010
Job Sr. Vice President, Network Development and Contracting
Industry Hospital & Health Care
Experience
Superior HealthPlan May 2010 - Present
Texas True Choice January 2006 - April 2010
Nix Healthcare System September 2004 - January 2006
Warm Springs Rehabilitation System January 1998 - September 2004
HCA February 1992 - January 1998
Skills
Hospitals, PPO, Credentialing, Network Development, Provider Relations, Managed Care, HMO, Medicaid, Physician Relations
Education
Trinity University 1999 — 2001
Masters, Healthcare Administration
Kansas State University 1988 — 1991
Bachelor, Psychology
Superior HealthPlan May 2010 - Present
Texas True Choice January 2006 - April 2010
Nix Healthcare System September 2004 - January 2006
Warm Springs Rehabilitation System January 1998 - September 2004
HCA February 1992 - January 1998
Skills
Hospitals, PPO, Credentialing, Network Development, Provider Relations, Managed Care, HMO, Medicaid, Physician Relations
Education
Trinity University 1999 — 2001
Masters, Healthcare Administration
Kansas State University 1988 — 1991
Bachelor, Psychology
Nathan Key's Texas True Choice Experience 2004 - 2005
Job Health Insurance
Industry Insurance
Experience
IMS PPO September 2014 - Present
Amazon Fulfillment Center October 2013 - February 2014
AllCare Health Service, Inc. October 2012 - March 2013
Blue Cross Blue Shield of Tennessee January 2010 - August 2012
Volunteer State Health Plan January 2010 - August 2012
Blue Cross Blue Shield of Tennessee January 2009 - January 2010
Blue Cross Blue Shield of Tennessee September 2007 - January 2009
Texas True Choice 2004 - 2005
Cariten Healthcare 2001 - 2004
Skills
Long Term Care, Medicaid, Provider Relations, Network Development, Claim Analysis, Claims, Contract Negotiation, Health Insurance, Healthcare, Managed Care, Insurance, Customer Service, Customer Relations, Negotiation, Analysis, PowerPoint, Word, Strategic Planning, Process Improvement, Excel, Microsoft Office, Contract Management, Access, Financial Analysis, Problem Solving, Compliance, Healthcare Management, Public Speaking, Research, Data Analysis, Team Building, Team Leadership, Microsoft Excel, Claim, HIPAA, Healthcare Reimbursement, Healthcare Consulting, Healthcare Industry, Systems Analysis, Training Facilitation, Training Delivery, Policy, Long-term Care, Microsoft Word, HMO, PPO, Healthcare Information..., Business Analysis, Physician Relations, Medical Terminology
Education
University of Alabama in Huntsville 1997 — 2000
BSBA, MIS
Northeast Alabama Community College 1995 — 1997
AS, Business Administration and Management, General
North Sand Mountain High School 1991 — 1995
Advanced Diploma, College Prep Courses
IMS PPO September 2014 - Present
Amazon Fulfillment Center October 2013 - February 2014
AllCare Health Service, Inc. October 2012 - March 2013
Blue Cross Blue Shield of Tennessee January 2010 - August 2012
Volunteer State Health Plan January 2010 - August 2012
Blue Cross Blue Shield of Tennessee January 2009 - January 2010
Blue Cross Blue Shield of Tennessee September 2007 - January 2009
Texas True Choice 2004 - 2005
Cariten Healthcare 2001 - 2004
Skills
Long Term Care, Medicaid, Provider Relations, Network Development, Claim Analysis, Claims, Contract Negotiation, Health Insurance, Healthcare, Managed Care, Insurance, Customer Service, Customer Relations, Negotiation, Analysis, PowerPoint, Word, Strategic Planning, Process Improvement, Excel, Microsoft Office, Contract Management, Access, Financial Analysis, Problem Solving, Compliance, Healthcare Management, Public Speaking, Research, Data Analysis, Team Building, Team Leadership, Microsoft Excel, Claim, HIPAA, Healthcare Reimbursement, Healthcare Consulting, Healthcare Industry, Systems Analysis, Training Facilitation, Training Delivery, Policy, Long-term Care, Microsoft Word, HMO, PPO, Healthcare Information..., Business Analysis, Physician Relations, Medical Terminology
Education
University of Alabama in Huntsville 1997 — 2000
BSBA, MIS
Northeast Alabama Community College 1995 — 1997
AS, Business Administration and Management, General
North Sand Mountain High School 1991 — 1995
Advanced Diploma, College Prep Courses
Susan Dryden-Hogan's Texas True Choice Experience December 1999 - December 2001
Job
Industry Government Administration
Experience
Hartland Township May 2002 - Present
Texas True Choice December 1999 - December 2001
Corporate Health Plans of America December 1999 - December 2001
Skills
PowerPoint, Public Speaking, Finance, Contract Negotiation, Customer Service, Microsoft Excel, Talent Management, Government Accounting, Policy
Education
Saint Mary's College 1982 — 1986
Bachelor of Business Administration, Accounting
Hartland Township May 2002 - Present
Texas True Choice December 1999 - December 2001
Corporate Health Plans of America December 1999 - December 2001
Skills
PowerPoint, Public Speaking, Finance, Contract Negotiation, Customer Service, Microsoft Excel, Talent Management, Government Accounting, Policy
Education
Saint Mary's College 1982 — 1986
Bachelor of Business Administration, Accounting
Cynthia Kinsel's Texas True Choice Experience January 2010 - December 2010
Job Front End Transaction Processor at Xerox State Healthcare LLC
Industry Accounting
Experience
Xerox State Healthcare LLC February 2013 - Present
MultiPlan April 2011 - February 2012
Texas True Choice January 2010 - December 2010
MAXIMUS April 2006 - July 2008
Skills
Microsoft Office, Calculator, Office Equipment, Answering Phones, Phone Etiquette, Customer Relations, Customer Service, Outlook, Research, Telephone Skills
Education
Southern Careers Institute-San Antonio 1998 — 1999
Certificate, Adminstration
San Antonio College 1973 — 1974
none, Business
Xerox State Healthcare LLC February 2013 - Present
MultiPlan April 2011 - February 2012
Texas True Choice January 2010 - December 2010
MAXIMUS April 2006 - July 2008
Skills
Microsoft Office, Calculator, Office Equipment, Answering Phones, Phone Etiquette, Customer Relations, Customer Service, Outlook, Research, Telephone Skills
Education
Southern Careers Institute-San Antonio 1998 — 1999
Certificate, Adminstration
San Antonio College 1973 — 1974
none, Business