TriWest Healthcare Alliance
Industry: Corporation
DescriptionTriWest Healthcare Alliance is a Phoenix, Arizona based corporation that manages health benefits under the United States Department of Veterans Affairs VAPCCC program in Regions 3, 5, and 6. CEO: David J. McIntyre Jr (1996–) Headquarters: Phoenix, Arizona, United States Founded: 1996, Phoenix, Arizona, United States Type of business: Private
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TriWest Healthcare Alliance Employees
Humana September 2014 - Present
Community Health Plan August 2013 - August 2014
MultiCare Health System December 2012 - July 2013
TriWest Healthcare Alliance April 2004 - December 2012
Health Net August 2002 - April 2004
West Seattle Highline Eye Clinic February 2001 - May 2002
Skills
ICD-9, CPT, Medical Coding, HIPAA, HCPCS, Healthcare Management, Medical Terminology, Healthcare Industry, Managed Care, Health Insurance, Training, Process Improvement, TRICARE, Data Entry, HMO, 10 Key, ICD-9-CM, ICD-10, Physician Coding, Behavioral Health, Team Leadership, Staff Supervision, Call Centers, Outlook, Human Anatomy, Office Management, E/M coding, NCQA, Quality Improvement, Medicare, Medicaid, Compliance, Revenue Cycle, Microsoft Office, Software Documentation, Medical Compliance, Medicaid Managed Care, Policy, Epic Systems, Fax, Quality Auditing, Performance Improvement, Health Policy, Insurance, Leadership, Claim, Provider Education, Team Building, Claims Resolution, Prior Authorization
Education
Eastern Washington University 2013 — 2015
Bachelor's degree, Health/Health Care Administration/Management
Tacoma Community College 2012 — 2013
Associate of Arts and Sciences (AAS), General Studies
South Puget Sound Community College 2007 — 2008
Certificate, Medical Insurance Specialist/Medical Biller
Blue Cross Blue Shield of AZ Advantage November 2014 - Present
Davita HealthCare Partners of AZ May 2013 - November 2014
SCAN Health Plan 2011 - May 2013
TriWest Healthcare Alliance 2004 - 2011
Skills
Nursing, Utilization Management, Disease Management, Medicare, Medicaid, Utilization Review, ACLS, Management, HIPAA, Health Information..., Managed Care, Leadership, Case Managment, Healthcare Information..., Healthcare Management, EMR, Healthcare, Accreditation, Health Education, Patient Safety, Clinical Research, Healthcare Consulting, BLS, Healthcare Industry, Hospitals, Home Care
Education
Grand Canyon University 2008 — 2010
BSN, Nursing
The Care Project May 2014 - Present
Automotive Performance Specialists March 2013 - Present
Digitexx Data Systems August 2008 - January 2015
TriWest Healthcare Alliance February 2007 - December 2007
Retail Store Installations December 2002 - January 2007
Larry Miller Group May 1999 - November 2002
Skills
Quickbooks, MS Office Suite, Outlook, Employee Benefits, Procurement, Multitasker, Critical Thinking, Self Starter, Inventory Management, Creative Problem Solving, Travel Management, Accounts Payable, Accounts Receivable, Payroll Administration, Payroll Taxes, Multi-state Payroll, Invoice Processing, Financial Reporting, Data Entry, Project Coordination, Payroll, Human Resources
Education
Western International University 2010 — 2012
B.S., Business Administration, Human Resources
Glendale Community College 2006 — 2009
AA, Business Administration
IASIS Healthcare July 2015 - Present
Acuity Healthcare, LP December 2014 - July 2015
IASIS Healthcare May 2013 - December 2014
Scottsdale Healthcare 2003 - 2013
TriWest Healthcare Alliance July 2000 - January 2003
Morrison Senior Dining April 1999 - July 2000
University Physicians, Inc. 1989 - 1994
Skills
Healthcare, EHR, Healthcare Information..., Accounting, Process Improvement
Education
Grand Canyon University 2010 — 2011
Master's degree, Organizational Leadership
Regis University 1991 — 1994
Bachelor's degree, Accounting
TriWest Healthcare Alliance January 2015 - Present
K&A Marketing, LLC April 2013 - Present
TriWest Healthcare Alliance April 2013 - January 2015
TriWest Healthcare Alliance September 2008 - March 2013
TriWest Healthcare Alliance October 2005 - September 2008
TriWest Healthcare Alliance October 2002 - October 2005
Sun Health Care Center September 2003 - August 2004
TriWest Healthcare Alliance April 2002 - October 2002
Magellan Behavioral Health January 2001 - April 2002
Skills
Project Management, Budget, Corporate Communications, Process Improvement, Microsoft Office, Team Leadership, Administration, Social Services, Client Advocacy, Event Management, Budgets, Program Management, Government, Visio, Healthcare, Business Analysis, Business Process..., Project Planning, Managed Care, HIPAA, Leadership, Editing, Community Outreach, Contract Management, Change Management, Customer Service, Fundraising, Policy, Software Documentation, Team Building, Quality Assurance, SharePoint, Healthcare Management, Healthcare Information..., Training, Data Analysis, Case Management, Coaching, Management, Workshop Facilitation
Education
Arizona State University 2002 — 2004
Master of Social Work (M.S.W.), Gerontology
George Fox University 1997 — 2000
Bachelor of Science (B.S.), Social Work
Sprague High School
McKesson November 2014 - Present
CVS Caremark July 2013 - May 2014
TriWest Healthcare Alliance October 2006 - April 2013
Circl K May 2002 - June 2009
Circle K May 2002 - May 2009
Starving Students Movers Inc September 1999 - April 2001
Mailmen Inc. June 1980 - October 1992
Skills
HIPAA, Healthcare, Medical Terminology, Medicaid, Healthcare Management, Supervisory Experience, Medical Coding, Data Entry, ICD-9, Medical Records, Customer Service, Medicare
Education
Goodwill Computer and Customer Service Training Classes 2014 — 2014
Certificate, Computer and Customer Service
Everest College-Phoenix 2005 — 2006
Diploma, Medical Insurance Billing and coding
Central Islip NY 1971 — 1975
Diploma, General Studies
Sono Bello August 2015 - Present
Rural/Metro Corporation May 2015 - August 2015
TriWest Healthcare Alliance October 2014 - May 2015
Modis April 2014 - October 2014
Arizona Game and Fish Department May 2014 - June 2014
Redflex Traffic Systems October 2009 - May 2014
Blue Cross Blue Shield of Arizona October 2009 - October 2010
Amazon.com September 2008 - May 2009
Catholic Healthcare West April 2006 - August 2007
American Express April 2003 - April 2007
Skills
Active Directory, Antivirus, BMC Remedy, Cisco Technologies, Citrix, Clonezilla, Data Center, Databases, Computer Hardware, Disaster Recovery, DNS, Firewalls, Hardware, Help Desk Support, ITIL, IBM BigFix, IIS, IT Management, IT Operations, Process Improvement, Networking, Operating Systems, Network Administration, Integration, LAN-WAN, LENOVO, Network Security, Microsoft SQL Server, Microsoft Exchange, RBAC, Servers, Software Documentation, SharePoint, Software Installation, System Administration, System Deployment, Security, TCP/IP, Testing, Troubleshooting, Technical Support, Virtualization, VPN, Windows, Windows Server, Microsoft Office, VMware, ADFS 2.0, Windows XP
Education
Estrella Mountain Community College 2009 — 2011
Associates, Microsoft Network Engineering
Glendale Community College 1998 — 2004
Associates, Computer Science
Rio Salado Community College 1998 — 2001
Computer Science
Scentsy Independent Consultant November 2014 - Present
US Army April 2004 - Present
Blue Cross Blue Shield November 2008 - October 2010
TriWest Healthcare Alliance June 2006 - July 2008
Skills
Medical Billing, Medicare, HIPAA, Medicaid, Healthcare Management, Medical Terminology, ICD-9, Medical Coding, CPT, Medical Records, Healthcare, Healthcare Information..., Managed Care, HCPCS, Data Entry, Accounts Receivable, Credentialing, Medicare/Medicaid..., Medical Compliance, Inpatient, Patient Advocacy, Health Insurance, Spreadsheets, Healthcare Reimbursement, PeopleSoft, Invoicing, Customer Service, Hospitals, Outlook, Process Improvement, Physicians
Education
Kaplan University
US Navy September 2008 - Present
SAIC August 2005 - June 2008
TriWest Healthcare Alliance September 2004 - August 2005
UnitedHealth Group September 2001 - August 2004
Skills
Trauma Therapy, Family Therapy, Cognitive Therapy, Public Speaking, Crisis Intervention, Mental Health, Social Services, Behavioral Health, Psychology, Treatment, Counseling Psychology, Program Evaluation, Program Development, Community Outreach, Psychotherapy, Nonprofits, Volunteer Management, Leadership Development, Case Management, Case Managment, Group Therapy, Mental Health Counseling, Motivational..., Healthcare, CBT
Education
Syracuse University 1995 — 1998
Master's degree, Social Work
Hartwick College 1988 — 1992
Bachelor of Arts (B.A.), Psychology
TriWest Healthcare Alliance March 2015 - Present
TriWest Healthcare Alliance May 2014 - March 2015
LocalMed April 2013 - May 2014
Amerigroup Corporation of Louisiana November 2011 - March 2013
Humana Veterans Healthcare Services – Humana, Inc November 2007 - November 2011
Pinnacle Medicare Services - Arkansas Blue Cross Blue Shield, Baton Rouge July 2005 - November 2007
Blue Cross Blue Shield of Louisiana January 1992 - July 2005
Skills
Provider Relations, Healthcare Industry, Network Development, Medicaid, Healthcare, HIPAA, Medicare, Managed Care, Health Insurance, Healthcare Management, HMO, PPO, Healthcare Consulting, Credentialing, Insurance, Revenue Cycle Management, Strategic Planning, Health Policy, Healthcare Information..., Claim, Home Care, Nursing, Physician Relations, Utilization Management, Physicians, Healthcare Reimbursement, Informatics, Contract Negotiation, Medical Billing, Medical Coding, Medicaid Managed Care, Hospitals, ICD-10, Budgets, Revenue Cycle, Disease Management, EHR, Practice Management, EMR, ICD-9, Health Savings Accounts, Provider Network..., Medical Compliance, Health Care Reform, Healthcare Analytics, Medicare Part D, Quality Improvement, Performance Improvement, CPT, Pharmacy Benefit...
Education
Florida State University
Bachelor of Science, Management
Florida State University
Bachelor of Science (B.S.), Finance
Menard
SkyTouch Technology October 2014 - January 2015
Best Western International November 2013 - October 2014
TriWest Healthcare Alliance April 2013 - November 2013
Arizona Department of Education January 2013 - April 2013
Global Water Resources June 2012 - January 2013
Insight Integrated Systems, a division of Insight Investments, LLC June 2011 - June 2012
Cole Real Estate Investments November 2008 - April 2011
Pearson August 2007 - November 2008
DHL December 2004 - August 2007
American Power Conversion August 1996 - August 2004
Skills
ITIL, PMP, Data Center, Business Process..., Vendor Relations, Team Building, Requirements Analysis, Vendor Management, IT Management, Process Improvement, SDLC, Program Management, Software Project..., Six Sigma, Change Management, Business Management, Project Portfolio..., Disaster Recovery, Business Analysis, IT Strategy, Process Engineering, Team Leadership, MS Project, Portfolio Management, Contract Negotiations, Business Process, IT Governance, Mentoring, Visio, Project Planning, Strategic Planning, Operations Management, IT Service Management, Customer Relations, SharePoint, Risk Management, Cloud Computing, SaaS, Project Management, Scrum, Customer Service, Budgets, PMO, Management, Governance, Information Technology, Integration, Training, E-commerce, CRM
Education
University of Rhode Island - College of Business Administration 2001 — 2003
Masters, Business Administration
Johnson and Wales University 1995 — 1999
BS, Management Information Systems
TriWest Healthcare Alliance October 2004 - Present
Washington State Ferries May 2003 - October 2004
Washington State Ferries May 1995 - May 2003
US Navy June 1991 - August 1994
US Navy June 1989 - May 1991
US Navy February 1975 - June 1989
Skills
Director of people,...
Education
Salve Regina University 1986 — 1987
Master of Science (MS), Management
U.S. Naval War College 1986 — 1987
Master of Arts (M.A.), National Security and Strategic Studies
Hartwick College 1970 — 1974
Bachelor of Arts (B.A.), Biology
HealthPoint (CHC) December 2014 - Present
TriWest Healthcare Alliance September 2014 - December 2014
ProLogistix June 2014 - September 2014
Sound Family Medicine July 2013 - March 2014
Community Health Care September 2012 - November 2012
Skills
Medication..., Medical Terminology, Medical Records, Prescription Drugs, Pediatrics, Obstetrics, Vital Signs, Patient Support, Patient Safety, Patient Education, Blood Collection, Vaccinations
Education
Tacoma Community College 2014 — 2016
Everest College-Tacoma 2012 — 2012
Medical Assistant certificate, Medical Assistant Certification
TriWest Healthcare Alliance August 2015 - Present
On-Demand Talent Management April 2014 - August 2015
US Army August 2008 - September 2009
Skills
Talent engagement,...
Education
ITT Technical Institute-Indianapolis 2015 — 2017
Associate of Science (A.S.), Legal Assistant/Paralegal
Ultimate Medical Academy 2013 — 2014
Health and Medical Administrative Services
South Tahoe High School 2004 — 2008
ProPath Pathology Services January 2015 - Present
Bostwick Laboratories January 2014 - December 2014
ADT Security Services April 2010 - January 2014
TriWest Healthcare Alliance September 2006 - March 2010
Northwestern Medical Faculty Foundation February 2006 - August 2006
Skills
Employee Benefits, Sales, Human Resources, Customer Service, Recruiting, Onboarding, Employee Relations, Healthcare, Selling, Training, Negotiation, Marketing, Employee Engagement, Benefits Administration, FMLA, Employee Training, New Hire Orientations, College Recruiting, Medical Devices, Medical Terminology, Cold Calling
Education
Eastern Michigan University 2001 — 2003
BS, Public Relations
Palencia Business Center July 2013 - September 2013
Department of Defense Education Activity November 2005 - April 2007
Department of Defense - Contractor October 2005 - April 2007
Home Daycare Provider October 2003 - October 2005
TriWest Healthcare Alliance April 2000 - June 2001
U.S. Department of Commerce February 2000 - April 2000
The Disney Store October 1996 - February 1997
Anthem Blue Cross and Blue Shield of Indiana November 1991 - November 1995
McDonald's Corporation June 1986 - November 1991
Skills
Microsoft Excel, Microsoft Office, Customer Service, Microsoft Word, Outlook, PowerPoint, Windows, English, Photoshop, Teaching, Public Speaking, Teamwork, Data Entry, Event Planning, Team Building, Inventory Management
Education
Greenfield Central High School
Indiana University-Purdue University at Indianapolis
Home April 2013 - Present
TriWest Healthcare Alliance February 2011 - 2013
Luke AFB 2008 - 2010
Dysart Unified School District 2006 - 2008
Banner Health 2005 - 2006
Tripler Army Hospital 2003 - 2005
Wainae Comprehensive Health 2001 - 2004
Kahi Mohala Hospital 2002 - 2003
Queens Medical Center 2000 - 2001
Department of Veterans Affairs 1998 - 2000
Skills
Nursing, Microsoft Word, PowerPoint, Outlook, BLS, Hospitals, Windows, ACLS, Cpr Certified, Healthcare Management, Medical Terminology, Nursing Education, Healthcare Information..., Treatment, Patient Safety, Healthcare Industry, Healthcare, Disease Management, Registered Nurses, Physician Relations, Telemetry, Emergency Room
Education
Hawaii Pacific University 1991 — 1997
Bachelor's degree, Registered Nursing/Registered Nurse
TriWest Healthcare Alliance April 2013 - Present
TriWest Healthcare Alliance July 2008 - March 2013
Pointe Hilton Squaw Peak Resort June 2005 - July 2008
Skills
Project Management, Educational Leadership, Data Analysis, Databases, Data Entry, Vector Illustration, Phlebotomy, Digital Photography, Illustration, Illustrator, Photoshop, Microsoft Excel, Microsoft Office, Microsoft Word, Customer Service, PowerPoint, Healthcare, Process Improvement
Education
Glendale Community College 2010 — 2014
Graphic Design
TriWest Healthcare Alliance 2015 - Present
Health Choice AZ June 2012 - 2015
CIGNA April 2009 - June 2012
InSight Health Corp. September 2007 - April 2009
United Healthcare December 2002 - August 2007
PacifiCare 2002 - 2007
trans union 1990 - 1995
Skills
Training, Leadership, HMO, Medicare, Medicaid, Claim, Process Improvement, Claims Management, Healthcare, Healthcare Information..., Coaching, Provider Relations, Public Speaking, Employee Benefits, Project Management, Health Insurance, Management, Department Budgeting, Hiring Personnel, Project Planning, Business Writing, Lean Management, Performance Management, Access, Team Leadership, Change Management, Healthcare Management, Customer Service, Claims Resolution, Managed Care, Healthcare Industry, HIPAA, Medicaid Managed Care, Network Development, Insurance, Revenue Cycle, Medicare Part D, Medical Billing, Medical Coding, PPO, Physician Relations, CPT, EHR, Health Policy, ICD-9, Healthcare Consulting, Problem Solving, Presentations
Education
Ottawa University-Phoenix 2010 — 2014
Healthcare Management
Glendale Community College 1996 — 1998
Freelance Writer March 2011 - Present
Sterling Health Plans October 2010 - February 2011
Centene Corporation November 2009 - October 2010
TriWest Healthcare Alliance July 2004 - October 2009
Skills
Medical Claims Review, Health Care Quality..., Utilization Management, Medicare, Medicaid, Managed Care, HIPAA, Healthcare Management, Healthcare Information..., Health Insurance, EMR, Hospitals, Health Policy, Nursing, Software Documentation, HEDIS
Education
Rio Salado Community College 2005 — 2008
Nursing
University of South Carolina-Columbia 1977 — 1979
Associate in Science with High Honors, Interdisciplinary Studies
Eastern New Mexico University 1975 — 1977
Certificate, Practical Nursing
Informa Exhibitions USA February 2014 - Present
La Valle Dei Templi February 2011 - Present
The Grand Season March 2008 - Present
Arizona Diamondbacks March 2008 - Present
Self - employed June 2004 - Present
CCMC May 2013 - January 2014
TriWest Healthcare Alliance April 2012 - March 2013
Charming Charlie October 2010 - March 2011
CAREFREE SALONS August 2008 - October 2010
The Vaudeville Youth Theater Company October 2006 - August 2008
Skills
Interviews, Public Speaking, Public Relations, PowerPoint, Microsoft Office, Customer Service, Long-term Customer..., Writing, Technical Writing, News Writing, Proposal Writing, DoD, Editorial, HIPAA, Music, Journalism, Military, Research, Sports, Theatre, Newsletters, Facebook, Fundraising, Press Releases, Storytelling, Feature Articles, Data Entry, Sports Writing, AP Style, Outlook, Copy Editing, Video Editing, Marketing, Advertising, Editing
Education
Kaplan University 2010 — 2011
Bachelor of Applied Science (BASc), Communications
Kaplan University Online 2010 — 2011
Bachelor's of Science scheduled 2011, Communications
Glendale Community College 1998 — 2008
Journalism, Marketing, Music
Thunderbird High School 1998 — 1999
Advanced Diploma
Paradise Valley Community College
no diploma, Journalism
The Academy of Radio and TV Broadcasting
TV Broadcasting diploma
Banner Health October 2013 - Present
All-American Insurance Agency, LLC July 2013 - October 2013
TriWest Healthcare Alliance March 2008 - March 2013
Pitney Bowes 2004 - 2008
Pitney Bowes Management Services 1989 - 2004
ASQ 2003 - 2003
Skills
Quality Assurance, Quality Management, Process Improvement, Six Sigma, Change Management, Cross-functional Team..., Healthcare, Continuous Improvement, Program Management, Project Management, Requirements Analysis, Game Management, Officiating, Golf Management, DMAIC, DMEDI, Call Centers, Software Documentation, Data Analysis, Business Process..., Training, Leadership Development, MS Project, Vendor Management, Lean Manufacturing, HIPAA, Visio, Quality Improvement, Project Planning, Analysis, Team Building, Process Engineering, Leadership, Performance Improvement, Operations Management, JCAHO, Utilization Management, Quality Auditing, Medical Compliance, Disease Management, Healthcare Information..., Medicare, Medicaid, Healthcare Management, Accreditation, Managed Care, Healthcare Industry, Healthcare Consulting, Human Resources, NCQA
Education
Grand Canyon University 2014 — 2018
Doctor of Education (Ed.D.), Organizational Leadership HCA
University of Phoenix 2003 — 2006
Master of Business Administration (MM), Organizational Management
Certified Manager of Quality Organizational Management
Certification, American Society of Quality
Certified Six Sigma Black Belt
Certified in DMAIC, DFSS, LEAN
UnitedHealth Group November 2013 - Present
United Healthcare Military & Veterans August 2012 - Present
Strategic HealthCare Solutions August 2011 - August 2012
Kindred Healthcare February 2009 - November 2010
United Healthcare 2007 - 2009
Schaller Anderson 2003 - 2005
Mercy Care Plan 2003 - 2005
TriWest Healthcare Alliance 2001 - 2005
Dell Computer 1996 - 2000
Skills
Managed Care, Medicare, Provider Relations, Network Development, Hospitals, Healthcare, Health Insurance, Healthcare Management, Contract Negotiation, Contract Negotiations, HIPAA, Strategic Planning, Insurance, Negotiation, Compliance, New Business Development, Physician Relations, Team Building, Process Improvement, Medical Billing, Healthcare Consulting, Utilization Management, Credentialing, Healthcare Industry, Home Care, Provider Network..., Healthcare Reimbursement, Medicaid Managed Care, Medical Terminology, Medicare/Medicaid..., PPO, Medicaid, Physicians, HMO, Healthcare Information..., Health Policy, Revenue Cycle Management, Quality Improvement, Practice Management, Medicare Part D, EHR, EMR, Health Information..., Medical Coding, CPT, Health Information..., ICD-9, Disease Management, Epic Systems, Pharmacy Benefit...
Education
Apollo Medical College 1988 — 1990
RRT, Respiratory
Glendale Community College 1971 — 1981
Bachelor of Business Administration (B.B.A.), Business
TriWest Healthcare Alliance May 2015 - Present
SB Nation 2009 - Present
Vestige Consulting, LLC October 2012 - April 2015
Vestige Consulting, LLC October 2012 - December 2014
RVM, Inc June 2012 - October 2012
Fishbeyn & Briskin January 2011 - February 2012
US Attorneys Office for the Northern District of Georgia August 2009 - April 2010
Lowenstein Sandler PC May 2009 - July 2009
Georgia Innocence Project August 2008 - November 2008
Goldwater Institute May 2008 - July 2008
Skills
Legal Research, Program Management, Legal Writing, Legal Advice, Public Speaking, Contract Negotiation, Contract Drafting, Contract Law, Training, Research, Government Contracting, Litigation, Public Relations, Contract Management, Procurement, Negotiation, Strategic Sourcing, Writing, Microsoft Excel, Acquisitions, PowerPoint, Microsoft Office, Microsoft Word, Leadership, Marketing, Editing, Metrics Reporting, Analysis, Excel, Marketing Communications, Customer Service, Management, Consulting, Problem Solving, Customer Relations, Word, Intellectual Property
Education
Emory University School of Law 2007 — 2010
Juris Doctor
Villanova University 2003 — 2006
Bachelor of Arts
The University of Edinburgh 2005 — 2005
Christian Brothers Academy 1998 — 2002
High School Diploma
TriWest Healthcare Alliance April 2015 - Present
TriWest Healthcare Alliance 2004 - April 2015
Emeritus 2011 - 2013
TriWest Healthcare Alliance 2003 - 2004
TriWest Healthcare Alliance 2002 - 2003
TriWest Healthcare Alliance 2000 - 2002
Skills
Credentialing, Nursing, Utilization Review, Utilization Management, Medical Terminology, Long-term Customer..., TRICARE, NCQA, Supervisory Experience, Quality Auditing, Cpr Certified, URAC, Wellness Program..., LPN, CPR Certified, Home Care, Disease Management, Healthcare
Education
Gateway Community College 2009 — 2010
Nursing Science
Arizona Bridge to Independent Living- ABIL December 2009 - Present
United Healhcare September 2013 - September 2014
TriWest Healthcare Alliance September 2008 - November 2009
Vangent, Inc. June 2007 - April 2008
Skills
Communication, Interpersonal Skill, Rapport-Building, Process Efficiency, Organizational..., Team Building, Claims Resolution, Healthcare Reimbursement
Education
Glendale Community College 2012 — 2014
In Progress, Behavioral Sciences
Southern California Physicians Managed Care Services November 2006 - Present
Southern California Physicians Managed Care Services November 2006 - Present
Southern California Physicians Managed Care Services October 2006 - Present
TriWest Healthcare Alliance October 2004 - November 2006
Triwest Health Alliance October 2004 - November 2006
Triwest Health Alliance October 2004 - November 2006
Education
Mowbray School of Midwifery 1976 — 1978
Midwifery, Midwifery
Mowbray Maternity Hospital
Diploma, Midwifery
Mowbray Maternity Hospital
Diploma, Midwifery
BG Alexander School of Nursing 1971 — 1974
Nursing, General Nuring
BG Alexander School of Nursing
Diploma, Nursing
BG Alexander School of Nursing
Diploma, Nursing
Grossmont College
Computer Science
Grossmont College
Computer Science
UCSD Extension
UCSD Extension
Diabetic and neuropathy Clinic October 2013 - Present
Circle k Arizona August 2011 - Present
Pizza Hut May 2008 - November 2009
TriWest Healthcare Alliance July 2007 - November 2007
Education
Everest College-Phoenix 2010 — 2011
Provant July 2015 - Present
HealthSouth September 2013 - March 2015
Lifestyle Evolve July 2013 - August 2013
TriWest Healthcare Alliance January 2005 - 2013
TriWest Healthcare Alliance January 2007 - October 2011
UPMC McKeesport May 2002 - May 2004
UPMC McKeesport May 1997 - May 2002
UPMC McKeesport June 1993 - May 1997
Tuomey Regional Medical Center June 1990 - June 1993
Skills
Healthcare, Wellness, Disease Management, Healthcare Management, Diabetes, Certified Diabetes..., Nutrition Education, Health Education, Healthcare Consulting, Hospitals, HIPAA, Clinical Research, Motivational..., Healthcare Information..., Pediatrics, Treatment, Program Development, Clinical Nutrition, Health Promotion, Public Health, Medical Nutrition..., Dietetics, Nursing, Patient Education, Nutrition, Managed Care, Home Care, Nutritional Counseling, Wellness Coaching, Prevention, Medical Terminology, Employee Wellness, Healthcare Industry, Weight Management, Critical Care, EMR, Management, Leadership, ICU, Public Speaking
Education
Penn State University 1998 — 2000
M.Ed, Adult Education
Edinboro University of Pennsylvania 1984 — 1988
BSSN, Dietetics
Atlantic Strategies Group February 2013 - Present
Hurt Norton & Associates February 2013 - Present
Hurt Norton & Associates January 2008 - January 2013
TriWest Healthcare Alliance January 2006 - January 2008
BRAC Cpmmission April 2005 - January 2006
Senator Mikulski January 2002 - April 2005
Education
University of Baltimore 2004 — 2006
M.P.A., Public Administration
Towson University 1997 — 1999
B.A., Political Science
Eastern Illinois University 1995 — 1997
Political Science
TriWest Healthcare Alliance October 2009 - July 2013
Securitas June 2006 - September 2009
DZ Atlantic March 2005 - March 2006
US Army July 1996 - March 2005
Skills
Active Directory, SCCM, HIPAA, SharePoint, Visio, Software Documentation, Windows Server, Microsoft Exchange, Troubleshooting, Computer Hardware, Windows 7, Virtual Desktop, iOS, Mac OS X, VMware, OS X, Technical Support, Operating Systems, Access, Disaster Recovery, Microsoft Technologies, Windows, System Administration, Blackberry, Software Installation, Security, Network Security, Help Desk Support, Unix, Networking, Laptops, TCP/IP, Call Centers, Citrix, Hardware, Patch Management, Healthcare Information..., Data Center, Server Administration, DHCP, XP, Servers, Server Architecture, Cisco Technologies, Process Improvement, Training, IIS, DNS, System Deployment, VMware ESX
Education
Glendale Community College 2005 — 2009
Associate's degree, General Studies
Meritus Health Partners (Axis Employment Services) November 2013 - February 2014
Meritus Health Partners (Axis Employment Services) September 2013 - November 2013
Sonora Quest Laboratories June 2013 - August 2013
TriWest Healthcare Alliance December 2009 - March 2013
TriWest Healthcare Alliance May 2007 - December 2009
1st National Bank of Arizona November 2005 - May 2007
1st National Bank of Arizona June 2004 - November 2005
Skills
Microsoft Office, PeopleSoft Financial, Microsoft Excel, Accounting, Operating Budgets, Capital Budgeting, Account Reconciliation, Budget Reconciliation, Budget Forecasts, Reforestation, General Ledger, Contract Management, Financial Software..., Internal Audit, Mortgage Analytics, Reporting & Analysis, Data Analysis, Variance Analysis, Budgets, Analysis, Financial Analysis, Software Documentation, Leadership, Management, Outlook, PeopleSoft, Access, HIPAA, Process Improvement
Education
Western International University 2005 — 2007
Bachelor of Science (B.S.), Business/Accounting
Everest College-Phoenix 2002 — 2004
Associate of Science (A.S.), Accounting
Retired February 2015 - Present
Arizona Premier Realty Homes & Land LLC September 2002 - Present
Bank of America February 2014 - February 2015
Bank of America July 2011 - February 2014
Wells Fargo Bank November 2009 - April 2011
American Express October 2009 - November 2009
American Express April 2005 - July 2009
Wells Fargo June 2003 - June 2005
TriWest Healthcare Alliance May 2002 - May 2003
United States Air Force June 1971 - August 1994
Skills
Service Delivery, Vendor Management, Resource Management, SDLC, Program Management, Six Sigma, Project Management, Process Improvement, Integration, Risk Management, Visio, Strategy, Business Requirements, Requirements Analysis, Business Analysis, IT Strategy, Governance, Management, Disaster Recovery, ITIL, Leadership, PMP, Quality Assurance, IT Management, Business Process, Project Planning, Security, Enterprise Software, Software Development, Project Portfolio..., Testing, Training, PMO, Business Process..., Networking, Access, Team Building, SharePoint, Requirements Gathering, CRM, Information Technology, Business Intelligence, Project Delivery, Software Project..., Software Documentation, Outsourcing, Enterprise Architecture, MS Project, Consulting, IT Service Management
Education
University of Nebraska at Omaha 1980 — 1984
BS, Computer Information Systems
Gannon University 1968 — 1970
School of Engineering & Computer Science
Aetna April 2013 - Present
Intel Corporation July 2011 - Present
Jawa, Eye Level Holdings January 2011 - May 2011
TriWest Healthcare Alliance December 2006 - December 2010
BlueCross BlueShield of Arizona August 2003 - June 2005
Emdeon (n.k.a. WebMD Physician Services) January 1999 - May 2003
Skills
ArcView, MapPoint, Excel and Access, SQL/TSQL, Benthic Golden, Business Objects, BO..., Cognos Report Studio, Crystal Reports, Medstat Advantage Suite, Access, Cognos ReportNet, Microsoft Excel, Business Objects, Telecommunications, Business Intelligence, Data Analysis, Data Warehousing, Cognos, Data Mining, Analytics, ETL, Analysis
Education
Drexel University 2006 — 2007
Post graduate studies, Epidemeology
University of Arizona
B.A, Economics
University of Phoenix
M.B.A, M.B.A.
Abengoa April 2012 - Present
Veolia Transportation November 2006 - April 2012
TriWest Healthcare Alliance June 2004 - November 2006
The Home Depot November 2002 - June 2004
US Airways October 1987 - November 2002
US Airways October 1987 - November 2002
US Airways January 1995 - January 2002
Southwest Airlines July 1985 - October 1987
Skills
Labor Relations, Employee Relations, Deferred Compensation, HRIS, Benefits Administration, Performance Management, FMLA, Succession Planning, Onboarding, Workforce Planning, Employee Benefits, Union Avoidance, Talent Management, Organizational..., Human Resources, Recruiting, Policy, HR Policies, EEOC, Collective Bargaining, Budgets, Program Management, Training, Workers Compensation, Leadership, FLSA, Talent Acquisition, Union, Grievances, Performance Appraisal, New Hire Orientations, Employee Engagement, Management, Employment Law, Hiring, Compensation & Benefit, Taleo, Personnel Management, College Recruiting, Strategy, ADP Payroll
Education
Penn State University 1978 — 1980
Masters Program
Illinois State University 1973 — 1976
Bachelor of Science, Business/Education
Hickman's Family Farms February 2015 - Present
Safeway Inc January 2014 - February 2015
TriWest Healthcare Alliance October 2010 - March 2013
Liberty Mutual Insurance June 2010 - October 2010
LMI Solutions 2008 - 2009
Aztec West 2007 - 2008
AmSafe Aviation 2004 - 2007
Skills
Medical Claims, Medical..., DOD Clearance, Anatomy..., MS Office Word,..., Conflict Resolution,..., Outlook, Call Centers, Data Entry, Program Management, Team Building, Customer Service, Management, Change Management, Operations Management, HIPAA, Payroll, Process Scheduler, Recruiting, Policy
Education
Mattoon High School
Training to You
Glendale Community College
LakeLand College
Edgenuity Inc. September 2013 - Present
TriWest Healthcare Alliance March 2012 - March 2013
Chandler Air Service, Inc. April 2009 - January 2012
Jobing.com April 2007 - December 2007
Interactive Sites, Inc. October 2006 - March 2007
JDA Software Group October 2006 - January 2007
Travel Solutions, Inc. January 2006 - August 2006
M2NS Corporation March 1999 - January 2006
Skills
JavaScript, CSS, Microsoft SQL Server, Web Applications, AJAX, User Interface Design, Wordpress, Web Development, ColdFusion, MySQL, HTML, SEO, Email Marketing, XML, PHP, SQL, jQuery, C#, Software Development, User Experience, Requirements Analysis, CMS, ASP, .NET, WordPress
Education
DeVry 1994 — 1998
Computer and Information Sciences, General
Jackson Community College 1993 — 1994
Music Theory and Composition
Asurion August 2014 - Present
Specialized Loan Servicing November 2012 - August 2014
TriWest Healthcare Alliance March 2011 - November 2012
Verizon Wireless November 2008 - August 2010
APS Healthcare September 2007 - June 2008
Dairy Queen December 2006 - September 2007
Brown & Brown RV Center March 2005 - December 2006
CIGNA Healthcare January 1999 - January 2005
Wal-Mart June 1995 - June 1998
Skills
Healthcare Management, Customer Service, Customer Satisfaction, Call Center, Training, Sales, Team Building, Outlook, Microsoft Office, Leadership, Data Entry, Employee Relations, Time Management, 10 Key, Software Documentation, Healthcare, Recruiting, Project Management, PowerPoint, Customer Retention, Microsoft Word, Employee Benefits, Insurance, Public Speaking, Telephone Skills, Customer Experience, Employee Training, Management, CRM, Troubleshooting, Hiring, Call Centers
Education
Olivet Nazarene University 2004 — 2005
Olivet Nazarene University 2004 — 2005
Associate of Arts, Business
Kankakee Community College 2001 — 2003
Business
Insight January 2013 - Present
TriWest Healthcare Alliance December 2009 - January 2013
TriWest Healthcare Alliance March 2008 - December 2009
TERROS May 2004 - February 2008
Skills
Cisco Technologies, UCCE, VoIP, ICM Scripting, Calabrio Call Recording, Cisco Call Manager, Cisco UCS, Cisco Routers, Troubleshooting, Windows Server, Call Centers, Networking, Operating Systems, Routers, Servers, Software Installation, Technical Support, CCNA, Computer Hardware, DNS, DHCP, Hardware, Help Desk Support, Integration, LAN-WAN, Microsoft Technologies, Network Administration, SIP, Server Administration, Switches, System Deployment, Telephony, WAN
Education
Glendale Community College 2000 — 2004
A.A.S., Cisco Networking
TriWest Healthcare Alliance September 2015 - Present
KC Cleaning, LLC August 2015 - Present
Apria Healthcare January 2011 - March 2015
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop, English
Education
Penn Foster 2015 — 2016
Career Diploma, Medical Billing & Coding
Heritage College-Kansas City 2009 — 2011
Associates of Occupational Studies, Hospital and Health Care Facilities Administration/Management
DeVry University 1995 — 1999
Bachelor of Science, Computer Information Systems
TriWest Healthcare Alliance August 2015 - Present
Paradise Valley Community College November 2014 - August 2015
Whole Foods Market October 2014 - December 2014
Albertsons June 2013 - October 2014
TOYS "R" US October 2012 - December 2012
Skills
Troubleshooting, Windows 7, Cisco Networking, Computer Networking, Foreign Languages, Cultural Anthropology, Computer Security, Psychology, Computer Hardware..., Virus Removal, Translation, Technical Support, Microsoft Office, Software Installation, Laptops, Windows, Windows 8, Customer Service, Cisco IOS, HTML5, SQL, Computer Maintenance, Office 365, Operating Systems, Computer Hardware, Computer Repair, Networking, Microsoft Word, Data Entry, Time Management, Hardware, Information Technology, Mobile Devices, TCP/IP, Routers, Problem Solving
Education
Glendale Community College
Information Security and Linux Network Administatrion
Paradise Valley Community College
CRF Maria Sardinas Wellness and Rehabilitation Center April 2015 - Present
CRF Halcyon Crisis House July 2014 - Present
Community Research Foundation August 2013 - June 2014
TriWest Healthcare Alliance May 2004 - September 2011
Skills
Social Services, Case Management, Crisis Intervention, Program Development, Public Speaking, Mental Health, Group Therapy, Mental Health Counseling, Treatment, Motivational..., Event Planning, Conflict Resolution, CBT, Fundraising, Behavioral Health, Counseling Psychology, Career Counseling, Therapists, Prevention, Community Outreach, Crisis, Compassion, Psychology, Administration, Education, Planning, Training, Leadership, Psychotherapy, Family Therapy, Team Building, Customer Service, Adolescents, Nonprofits, Research
Education
Argosy University-San Diego 2012 — 2014
Master of Arts (MA), Counseling Psychology/Marriage and Family Therapy
National University 2010 — 2011
Bachelor of Arts (BA), Criminal Justice/Law Enforcement Administration
National University 2008 — 2011
Bachelor of Arts (BA), Clinical, Counseling and Applied Psychology
San Diego City College 2005 — 2008
Associate of Science (AS), Behavioral and Social Work
Kaplan College-San Diego 2003 — 2004
Vocational, Medical Administrative Assistant
CareCentrix July 2015 - Present
University of Phoenix January 2013 - April 2015
ECS, Inc July 2012 - December 2012
TriWest Healthcare Alliance September 2006 - May 2012
TriWest Healthcare Alliance July 2005 - September 2006
Medical Staffing Services April 2001 - October 2001
Cal Worthington Dodge January 1994 - January 1996
Julie, Inc February 1987 - June 1987
Domino?s Pizza July 1984 - April 1985
Skills
CNA, Medical Coding, Medical Terminology, Medical Records, Medical Billing, Healthcare, Data Entry, Managed Care, Utilization Management, EMR, Fax, HIPAA
Education
University of Phoenix 2013 — 2015
Master's degree, Health/Health Care Administration/Management
University of Phoenix 2007 — 2011
BS, Healthcare Administration
MiraCosta College 2000 — 2001
Joliet Junior College 1984 — 1987
Joliet Central High School 1980 — 1984
High School Diploma, College Prep
TriWest Healthcare Alliance June 2015 - Present
State of Alaska November 2009 - May 2012
United States Marine Corps September 2003 - September 2007
Skills
Microsoft Office, Customer Service, Microsoft Excel, Time Management, Data Entry, PowerPoint, Public Speaking, Microsoft Word, Research, Event Planning, Outlook, Social Media
Education
University of Arizona 2015 — 2016
Master of Arts (M.A.), International Security Studies
Southern Illinois University, Carbondale 2012 — 2014
B.A. Political Science, Political Science
Harper College 2007 — 2009
Mary Kay Inc. February 2015 - Present
Stars & Spades Vapors, LLC February 2012 - Present
US Army January 2000 - Present
Austin Ear, Nose and Throat Clinic September 2013 - May 2014
Planned Parenthood Mar Monte February 2012 - October 2012
TriWest Healthcare Alliance December 2010 - October 2011
Sound Family Medicine February 2009 - June 2010
Ear Nose Throat & Plastic Surgery Associates July 2006 - February 2009
Austin Regional Clinic May 2005 - April 2006
Skills
Vital Signs, Direct Patient Care, EMT, Military Training, BLS, ACLS, IV, Medication..., Triage, Combat Lifesaver, OB/GYN, Emergency Nursing, Dermatology, Women's Health, Pediatric Nursing, ENT, Plastic Surgery, Management, Staff Supervision, Clinical Development, Venipuncture, Thermage, Laser Hair Removal, Marketing, Organization, HIV, First Aid, Computer Proficiency, Centricity, EMR, Employee Training, Instructor, Telephone Triage, Patient Safety, Patient Education, Patient Advocacy, Flow Monitoring, Drawing Blood, Mixology, Healthcare Management, Health Education, Healthcare, Beauty Industry, Skin Care Products, Makeovers, Flavor Chemistry, Training
Education
Excelsior College 2015 — 2017
Associate of Science (A.S.), Registered Nursing/Registered Nurse, 4.0
Academy of Health Sciences 2003 — 2005
Associate's degree, Licensed Practical/Vocational Nurse Training
Stephen F. Austin State University 2001 — 2002
Not Completed, Pre-Medicine/Pre-Medical Studies
Blue Cross Blue Shield of Arizona August 2014 - Present
Children's Healthcare of Atlanta December 2012 - Present
Reports and Data Integration December 2008 - December 2012
TriWest Healthcare Alliance October 2005 - October 2008
TriWest Healthcare Alliance October 2004 - October 2005
TriWest Healthcare Alliance October 2002 - October 2004
Skills
SQL Plus, IBM FAMS, Polonious, DB2/SQL, Pega TACC, Westlaw, CareRadius, SIRIS, Cognos, Microsoft Office, Data Analysis, Cactus, Valence, Process Improvement, Business Analysis, Program Management, Data Mining, Analysis, Healthcare, Team Building, Management, Change Management, SQL*Plus, HIPAA, Databases, Analytics, Business Process, Policy, Managed Care, HEDIS, Pay for Performance, Healthcare Information..., Software Documentation, Healthcare Industry, Hospitals, Access, Informatics, Strategy, Medicaid, Business Intelligence, Vendor Management, Data Modeling, Health Insurance, Leadership, Training
Education
Grand Canyon University 2012 — 2013
Master of Science Leadership (MSL), Organizational Leadership, 3.9
Grand Canyon University
BAS, Interdisciplinary
National Bank of Arizona July 2014 - Present
Arizona's First Choice Legal Signing Service November 2004 - Present
PSCU September 2012 - June 2014
TriWest Healthcare Alliance November 2007 - September 2012
Peoria Police Dept. December 1997 - December 2004
Skills
Employee Relations, HRIS, Employee Benefits, Benefits Administration, Talent Management, Workforce Planning, FMLA, Employee Engagement, Deferred Compensation, Staffing Services, Performance Management, Executive Search, Management, Coaching, Call Centers, College Recruiting, Internet Recruiting, Talent Acquisition, Onboarding, Interviews, Human Resources, Recruiting, Hiring
Education
Grand Canyon University 1998 — 1999
Bachelor of Science (BS), Human Resources Management and Services
Rio Salado College
Associate of Arts (AA), Business Administration and Management, General
McKesson Health Solutions September 2013 - Present
TriWest Healthcare Alliance June 2001 - July 2013
American Express January 1996 - May 2001
Skills
Healthcare, HIPAA, Healthcare Management, EMR, Healthcare Information..., Managed Care, Medical Terminology, Provider Relations, Utilization Management, Hospitals, Medicare, Process Improvement, TRICARE Certified, Customer Service, Call Center, Microsoft Office, Microsoft Word, Microsoft Excel, Internet, Leadership, Office Management, Organization, PowerPoint, Problem Solving, Quality Assurance, Writing, Web Design, Web Applications, Creative Writing
Education
Glendale Community College
Caban Resources March 2015 - Present
Diamond Solutions, Inc. October 2012 - August 2015
Peak Health Solutions May 2012 - September 2012
TriWest Healthcare Alliance March 2009 - May 2012
Children's Hospital of The King's Daughters March 2005 - November 2008
Skills
Healthcare, Hospitals, Healthcare Management, Microsoft Excel, HIPAA, Microsoft Word, EMR, Healthcare Information..., Medical Terminology, PowerPoint
Education
Jones College-Jacksonville 1994 — 1996
Associate of Arts and Sciences (A.A.S.), Allied Health and Medical Assisting Services
Town Of Florence Police Department October 2012 - March 2013
Liberty Mutual Insurance May 2011 - October 2012
Maricopa County Sheriff's Office October 2010 - April 2011
TriWest Healthcare Alliance July 2006 - October 2010
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Outlook, Photoshop, HTML, Public Speaking, Strategic Planning, Insurance, Data Entry, Account Management, Team Building, Management, Training, Sales
Education
Cactus High School 1999 — 2002
Diploma, General Studies
Estrella Mountain Community College
2009 to 2010, Nursing, Psychology
TriWest Healthcare Alliance 2011 - 2012
Banner SunHealth Research Institute 2010 - 2010
Children's Hospital & Research Center 2009 - 2010
US Oncology 2006 - 2008
Kaiser Permanente 2005 - 2006
Kaiser Permanente Division of Research 2002 - 2005
Skills
Cancer, Healthcare, Clinical Research, Oncology, Clinical Trials, Leadership, Analysis, Training, Informatics, Data Management, Interdepartmental..., Cross-functional..., Biostatistics, Critical Thinking, Data Reporting, Statistical Data..., Communication
Education
University of California, Berkeley 1982 — 1985
Master's degree, Nutritional Sciences
Kansas State University 1974 — 1978
Bachelor's degree, Food Science and Technology
TriWest Healthcare Alliance 2004 - 2009
John L Scott Real Estate 2001 - 2003
Skills
HIPAA, Contract Negotiation, Competitive Analysis, Real Estate, Referrals, Customer Service, Healthcare, Leadership, Marketing, Negotiation, Sales, Team Building, Training, Program Management
Education
University of Phoenix 2007 — 2012
Bachelor's degree, Business Administration and Management, General
Eastern Oregon University 1999 — 2000
Blue Cross/Blue Shield of Arizona July 2013 - Present
TriWest Healthcare Alliance August 1998 - June 2013
Bank One October 1996 - July 1998
Bank One April 1992 - October 1996
Bank One/Valley National Bank May 1990 - April 1992
Valley National Bank May 1983 - May 1990
Valley National Bank June 1978 - May 1983
Skills
Analyze Bid Proposals, Evaluate Vendor..., Inventory Planning &..., Supply Chain, Strategic Sourcing, Supply Management, Contract Management, Spend Analysis, Communication Skills, Critical Thinking, Customer Service, Highly detail oriented, Organization &..., Problem Solving
Education
Glendale Community College 1988 — 1990
Glendale High School 1974 — 1978
Independent Adminitrative AssistantAdecco GroupJanuary 2014 - March 2014
Adecco Group October 2013 - December 2013
TriWest Healthcare Alliance 2009 - 2011
Caraustar November 2008 - September 2009
International Paper July 2008 - October 2008
Weyerhaeuser June 2008 - June 2008
Macy's September 2004 - November 2007
Mary Lyon Elementary, Tacoma Public Schools September 2004 - June 2005
Expedia May 2002 - August 2004
Skills
Customer-focused, Organization, Communication, Integrity, Customer Satisfaction, Team Mentoring, Secretarial Skills, DoD public trust..., Multi-tasked, Order Tracking, Data Entry, Keyboardist, internet research, Cash Operations, Administrative..., Receptionist Duties, Sales, Teller Operations, Tutoring, Travel Arrangements, Retail Sales, Outlook, Customer Service, 10 Key, Security Clearance
Education
Pierce College at Puyallup 2008 — 2008
Certificate, Career Exploration/Awareness Skills
Green River Community College 1984 — 1987
credits towards AA degree, Associate in Arts
United Healthcare Military & Veterans March 2013 - Present
TriWest Healthcare Alliance June 2005 - March 2013
TriWest Healthcare Alliance 2005 - 2013
American Express June 1989 - December 2000
Skills
Healthcare Management, Medical Terminology, HIPAA, Healthcare, Managed Care, Patient Safety, Healthcare Information..., BLS, Medical Records, Case Managment, ACLS, Medical Billing, Clinical Research, ICD-9, EHR, Disease Management, Case Management, Healthcare Consulting
Education
Glendale Community College 1988 — 2010
Buriness, Business/Commerce, General
Greenway High School
Business, Business/Commerce, General
Avera McKennan Hospital & University Health Center March 2015 - Present
Avera McKennan Hospital & University Health Center February 2014 - March 2015
Sanford Research/USD November 2009 - February 2014
On Your Weigh, LLC July 2009 - December 2010
Health Care Medical Technology, Inc January 2008 - October 2009
Avera Health- Avera Health Plans, Inc August 2004 - January 2008
Health Care Medical Technology, Inc January 1999 - August 2004
Avera Prince of Peace July 1998 - January 1999
Access Health January 1998 - June 1998
TriWest Healthcare Alliance January 1997 - January 1998
Skills
25+ years experience in..., Project Management, Compliance/Quality..., Healthcare, Hospitals, Managed Care, Clinical Research, Surgery, Clinical Trials, Software Documentation, Cardiology, Neurology, Medicare, Treatment, Healthcare Management, Healthcare Information..., Medicine, HIPAA, Leadership, Process Improvement
Education
University of Sioux Falls 2011 — 2013
Master of Business Administration (M.B.A.), Concentration Healthcare Management
University of Sioux Falls 2008 — 2010
BA, Business Management
Glendale Community College 1989 — 1991
ADN, Nursing-RN
Southeast Technical Institute 1984 — 1985
General, Surgical Technology
Canistota High School 1980 — 1984
United Military and Veterans, United Healthcare Group July 2013 - Present
United States Air Force May 2007 - Present
TriWest Healthcare Alliance January 2011 - March 2013
TriWest Healthcare Alliance 1997 - January 2011
United States Air Force December 2001 - May 2007
United States Air Force January 1988 - June 1996
Skills
Medicare, Medicaid, Healthcare Industry, Healthcare, Healthcare Consulting, Managed Care, HIPAA, Healthcare Management, Healthcare Information..., Hospitals, Medical Records, Patient Safety, Nursing, Medical Terminology, Case Management, Clinical Research, EMR, Public Health, Health Education, JCAHO, Software Documentation, Process Improvement, Leadership, Program Management, Team Building, Customer Service, Management, Training, Military
Education
Air University 2009 — 2010
Master's degree, Military Operational Art and Science/Studies
Fort Hays State University 1981 — 1985
BSN, Nursing
Kellogg high school
Pratt High School
Blue Cross Blue Shield of Arizona October 2014 - Present
Hospice of the Valley January 2013 - October 2014
TriWest Healthcare Alliance December 2008 - January 2013
Laboratory Sciences or Arizona/Sonora Quest Laboratories June 2003 - November 2008
Laboratory Sciences of Arizona/Sonora Quest Laboratories December 1997 - May 2003
Banner Health September 1982 - December 1997
Skills
Project Management, Healthcare, Process Improvement, Change Management, Program Management, Microsoft Office, Strategic Planning, Business Analysis, Healthcare Information..., Project Planning, Microsoft Excel, Budgets, Visio, HIPAA, Team Building, MS Project, Business Process..., Data Analysis, SharePoint, PowerPoint, Quality Assurance, Microsoft Word, Outlook, Business Process, Healthcare Industry, Vendor Management, Customer Service, Analysis, Software Documentation, Managed Care, Medicaid, Six Sigma, Leadership, Hospitals, EHR, Access, Management, Cross-functional Team..., Healthcare Management, EMR, Healthcare Consulting, Training, Policy, Clinical Research, Revenue Cycle, SDLC, Medicare, PeopleSoft, PMP, Informatics
Education
University of Phoenix 2007 — 2008
Master of Business Administration (M.B.A.), Business
Long Technical College 2003 — 2004
Certificate, Paralegal
University of Phoenix 1998 — 2002
Bachelor of Science (BS), Project Management
Glendale Community College 1982 — 1984
General Studies, Paralegal
Blue Cross Blue Shield of Arizona May 2014 - Present
TriWest Healthcare Alliance August 2004 - May 2014
AHCCCS January 2003 - August 2004
Adult & Pediatric Allergy Associates February 1997 - January 2003
Skills
Utilization Management, EMR, ACLS, Hospitals, Managed Care, Physician Relations, Case Managment, Healthcare Consulting, Provider Relations, HIPAA, Wound Care, Medical Terminology, EHR, Critical Care, Healthcare Industry, Medical Records, Epic Systems, Clinical Research, Nursing Education, Health Education, Case Management, Nursing, Pediatrics, Medical Billing, Quality Improvement, Medicare, Medicaid, Medical Coding, JCAHO, Medication..., Medical/Surgical, Health Care Systems, CPT, HCPCS, ICD-9, Patient Education, Home Care, Emergency Medicine, Informatics, Health Policy, Accreditation, Health Insurance, Medical Compliance, Health Information..., Acute Care, Behavioral Health, HMO, Inpatient, TRICARE, Revenue Cycle
Education
Eastern Michigan University
B.S.N., Registered Nursing/Registered Nurse
TriWest Healthcare Alliance 2011 - Present
TriWest Healthcare Alliance August 2007 - 2011
Thomson NETg (Skillsoft) October 2004 - May 2007
KnowledgeNet – The Live Learning Company November 1999 - October 2004
Engineering Animation, Inc. June 1998 - November 1999
Skills
E-Learning, Captivate, Needs Analysis, Instructional Design, Management, Multimedia, Learning Management, ADDIE, Flash, Training, Instructor-led Training, Technical Writing, Adult Education, Training Delivery, Distance Learning, Workshop Facilitation, Employee Training, Curriculum Design, Blended Learning, Software Documentation, Staff Development, Curriculum Development, Leadership, Technical Training, Analysis, Camtasia, CRM, Project Management, Performance Improvement, SharePoint, Hands-on Training, Program Management, SCORM, Job Aids, SnagIt, WebEx, Coaching, Content Development, Learning Management..., Talent Management, Storyboarding, Adobe Creative Suite, Adobe Acrobat, Training Facilitation, Visio, Leadership Development, Employee Engagement, Instructional Technology, Adult Learning Theory, Organizational...
Education
Iowa State University 1995 — 1999
Bachelor's degree
Iowa State University
Ovation Corporate Travel October 2011 - January 2015
TriWest Healthcare Alliance February 2004 - October 2010
Select Entertainment April 2001 - February 2004
Various January 2000 - April 2001
Bowman's Bungalow September 1999 - April 2001
WorldTravel BTI September 1997 - September 1999
American Express Business Travel April 1997 - September 1997
Avenues of Travel January 1996 - April 1997
Bowers Travel June 1995 - January 1996
Time Travel November 1994 - May 1995
Skills
Travel Management, Business Travel, Customer Service, Contract Negotiation, Online Travel, Management, Negotiation, Training, Sales, Hotels, Hospitality Industry, Meeting Planning, Sabre, Revenue Analysis, Budgets, Concur Online Booking..., Rearden Deem Online..., CAS (2001), CTE (2006), ARC Qualifier, Onsite..., Animal Rescue, Non-profit Volunteering, Non-profit..., Non-profit Leadership, Event Planning, Marketing, Social Media Marketing, Project Management, Program Management, Strategic Planning
Education
Glendale Community College
Phoenix College
TriWest Healthcare Alliance March 2002 - Present
Baptist Hospitals & Health Systems May 1982 - January 2002
Skills
PeopleSoft, Pega PRPC, HRIS, Healthcare, Financials, Budget Management, Purchasing, Inventory Management, Medical Management -..., Technology Contracts, Hospital Information..., HIPAA, Leadership, Access, SDLC, Software Documentation, Budgets, System Administration, Process Improvement, Business Process..., Visio, Data Warehousing, Program Management, Software Implementation, Managed Care, Healthcare Industry, Medicare, Cross-functional Team..., Business Analysis, Business Process..., Enterprise Software, Team Building, Healthcare Information..., Healthcare Consulting, Vendor Management, Healthcare Management, Change Management, Provider Relations, EMR, Integration, Crystal Reports, Requirements Gathering, Business Intelligence
Education
Hofstra University
Bachelor of Business Administration (BBA), Business Administration and Management, General
Maricopa Integrated Health System April 2014 - Present
P.F. Chang's China Bistro October 2013 - April 2014
Charles Schwab May 2013 - October 2013
TriWest Healthcare Alliance July 2012 - March 2013
TriWest Healthcare Alliance September 2009 - July 2012
Cole Capital September 2008 - September 2009
Nautilus Insurance Group February 2008 - September 2008
Tony Robbins Graduate Activation Model (Volunteer) January 2007 - 2008
eFunds Corporation August 2000 - January 2007
PrePaid Legal Services March 2003 - June 2005
Skills
Technical Support, Public Speaking, Windows Server, SCCM, Desktop Administration, System Administration, Leadership, Training, Team Leadership, Customer Service, Coaching, Leadership Development, Personal Development, Active Directory, Troubleshooting, System Deployment, Windows, Servers, Software Documentation, Security, Microsoft Exchange, Vendor Management, Blackberry Enterprise..., Operating Systems, Scripting, ITIL, SharePoint, VMware, Disaster Recovery, Windows 7, VMware ESX, Help Desk Support, DHCP, XP, Microsoft Technologies, Visio, IIS, Data Center, DNS, Cisco Technologies, Group Policy, IT Operations, Virtualization, Server Administration, Blackberry, Computer Hardware, Windows XP, VMware Infrastructure, Server Architecture
Education
Glendale Community College 2003 — 2006
Associates, General Studies, General Business, Global Business, Arts
Shrewsbury High School 1991 — 1995
High School
Omnis Consulting 1999 - Present
Garvin Promotion Group May 2012 - August 2013
Universal Technical Institute March 2010 - May 2012
Lumension Security January 2009 - March 2010
Buck Consultants June 2008 - December 2008
TriWest Healthcare Alliance February 2006 - February 2008
Terralever 2004 - 2006
Integrated Information Systems 2002 - 2004
CashX 1999 - 2002
Crowe Chizek 1997 - 1999
Skills
.NET, Scrum, C#, ASP.NET MVC, Microsoft SQL Server, SOA, Agile Project Management, Web Services, ASP.NET, Web Applications, Databases, WCF, Agile Methodologies, Object Oriented Design, LINQ, Design Patterns, Enterprise Software, MVC, Visual Studio, Database Design, Requirements Analysis, T-SQL, Software Engineering, BizTalk, IIS, Test Driven Development, HTML, JavaScript, Integration, Unit Testing, SQL, Entity Framework, VB.NET, jQuery, XML, SSRS, Software Design, Application Architecture, TFS, AJAX, WinForms, Windows Azure, Telerik, SQL Server, Architecture, OOP, Virtual Teams, DDD, Microsoft Dynamics, AngularJS
Education
Indiana University Bloomington 1992 — 1997
B.S., CIS, Marketing, Psychology
Clay High School 1988 — 1992
Kona Kai Corporation October 2013 - Present
Tech One June 2013 - November 2013
TriWest Healthcare Alliance April 2012 - June 2013
TriWest Healthcare Alliance June 2007 - April 2012
TriWest Healthcare Alliance May 2005 - June 2007
TriWest Healthcare Alliance September 2004 - May 2005
TriWest Healthcare Alliance December 2003 - September 2004
TriWest Healthcare Alliance November 2002 - December 2003
TriWest Healthcare Alliance January 1999 - November 2002
TriWest Healthcare Alliance January 1998 - January 1999
Skills
Integration, IVR, Call Centers, Vendor Management, Software Documentation, Business Analysis, CTI, Program Management, Workforce Management, Process Improvement, Telephony, Cisco Technologies, Contact Centers, Visio, Business Process..., Call Center, Management, VoIP, Software Development, Telecommunications, Analysis, HIPAA, Testing, Troubleshooting, Unified Communications, Active Directory, Team Leadership, Leadership, Quality Assurance, SDLC, Disaster Recovery, Problem Solving, IT Management, System Deployment, IT Operations, Life Coaching, Coaching, Transformational Life..., Guided Imagery, Hypnotherapy
Education
Southwest Institute of Healing Arts 2013 — 2015
Certificate of Completion, Life Coaching, Guided Imagery
Keller Graduate School of Management of DeVry University 2002 — 2005
Masters of Information Systems Management, Information Systems
University of South Alabama 1993 — 1997
Bachelor of Arts, Psychology
Scottrade March 2014 - Present
Triwest Healthcare Alliance March 2003 - March 2013
TriWest Healthcare Alliance November 2000 - March 2003
Entex Information Systems April 1996 - June 2000
Entex Information Systems July 1995 - April 1996
ACCRAM, Inc. 1993 - 1995
Avnet Computers 1990 - 1992
Skills
HIPAA, DHCP, Troubleshooting, Security, Software Documentation, Servers, Network Monitoring Tools, Network Administration, Infrastructure..., Technical Support, DNS, SCCM, WAN, Network Security, Virtualization, Microsoft Technologies, Data Center, Windows 7, Cisco Routers, Help Desk Support, Networking, Unix, Windows, Active Directory, Computer Hardware, Cisco Technologies, Switches, VPN, Routers, Firewalls
Education
Kofa High School 1971 — 1975
3 years electronics, Grade average B+
Gateway Community College 1981 — 1981
none, microprocessors & assembly language, 4.0
Mesa Community College 1981 — 1982
none, Math for Electronics, Pascal, Basic, 3.7
Blue Cross Blue Shield of Arizona October 2012 - Present
TriWest Healthcare Alliance February 2008 - October 2012
AHCCCS December 2004 - February 2008
U.S. House of Representatives Office of the CAO 1999 - July 2003
Skills
IIS, Windows Server, Active Directory, HIPAA, Email Archiving, Email Encryption, Exchange 2010/2007/2003, Microsoft Cluster, Change Management, Microsoft DNS, WINS, Microsoft Forefront, Microsoft Office..., Microsoft Sytems Center..., Barracuda Spam Firewall, SCCM, Forefront, Microsoft Exchange, Software Documentation, Troubleshooting, Security, Blackberry, Office Communications..., Windows, SharePoint, VMware ESX, Disaster Recovery, VMware, Network Security, Server Architecture, DNS, Data Center, Microsoft Technologies, Cisco Technologies, vSphere, Windows 7, Server Administration, Visio, Servers, DHCP, System Administration, Virtualization, TCP/IP, IT Operations, Network Administration, SAN, HP, Blackberry Enterprise..., CommVault, Group Policy
Education
Essex Community College 1975 — 1977
U.S. Department of Veterans Affairs September 2013 - Present
Lennon Equine Therapy June 2006 - Present
TriWest Healthcare Alliance June 2009 - March 2013
TriWest Healthcare Alliance March 2009 - March 2013
advanced urgentcare November 2000 - April 2008
Skills
IV certification, Medical assistant..., Patient Triage skills, case management and..., current CPR..., injections, EKGs,..., EKG, Triage, Injectable, EMR, Cpr Certified, BLS, ACLS, Utilization Management, IV, Patient Safety, Nursing, Medical/Surgical, Medication..., Direct Patient Care, Patient Education, Acute Care, Healthcare Management, Epic Systems, Wound Care, Disease Management, Medical Terminology, Inpatient, Hospitals, Home Care, Medicare, Medical Records, Healthcare Information..., Healthcare, Managed Care, Medical Billing, Clinical Research, ICD-9, JCAHO, Registered Nurses, Telephone Triage, Medicaid, Healthcare Industry, Physician Relations, Healthcare Consulting, CPT, Utilization Review, Patient Advocacy, Health Insurance, Surgery
Education
Gateway Community College 2000 — 2001
Licensed Practical nurse, Nursing Education
gateway community college 2000 — 2001
licensed practical nurse diploma, nursing
Charles Schwab April 2012 - Present
Charles Schwab November 2010 - April 2012
MFS Investment Management March 2006 - October 2010
TriWest Healthcare Alliance August 2004 - March 2006
Arizona Medical Clinic February 2003 - August 2004
Skills
Alternative Investments, Mutual Funds, Investments, Series 7, Portfolio Management, Equities, Wealth Management, Financial Analysis, Retirement Planning, Asset Management, Financial Services, Series 63, Fixed Income, Securities, Financial Modeling, Strategic Financial..., Risk Management, Asset Allocation, Banking, Retirement
Education
Skin and Makeup Institute of Arizona 2015 — 2016
Licensed Aesthetician, Aesthetician/Esthetician and Skin Care Specialist
Glendale Community College 2003 — 2005
Charter Communications November 2014 - Present
Blood Systems Inc. January 2014 - November 2014
Blood Systems Inc. August 2012 - January 2014
TriWest Healthcare Alliance January 2008 - July 2012
Ferguson Enterprises, Inc January 2006 - January 2008
Northrop Grumman January 2001 - January 2006
Education
James Madison University
B.S, Organizational Communication
Northern Arizona University
Masters of Administration, Leadership
TriWest Healthcare Alliance Senior Vice President & General CounselTriWest Healthcare AllianceJanuary 2015 - Present
TriWest Healthcare Alliance June 2013 - Present
US Senator Larry Craig 2005 - 2007
U.S. Senate Committee on Veterans' Affairs 1997 - 2007
U.S. Senate 1997 - 2007
Education
Georgetown University Law Center 1999 — 2003
Blue Cross Blue Shield of Kansas City June 2009 - Present
Blue Advantage Plus January 2015 - Present
Cobalt Ventures November 2014 - Present
TriWest Healthcare Alliance September 2014 - Present
Blue Venture Fund June 2009 - Present
Blue Cross Blue Shield of Kansas City January 2008 - May 2009
Blue Cross Blue Shield of Kansas City March 2005 - December 2007
Blue Cross Blue Shield of Kansas City September 1999 - March 2005
Blue Cross Blue Shield of Kansas City July 1993 - September 1999
Ernst & Young 1989 - 1992
Skills
Executive Management, Profit/Loss..., Strategic Planning, Problem Solving, Healthcare, Corporate Finance, Board of Director..., Risk Management, Strategy, Forecasting, Organizational..., Change Management, Contract Negotiation, Process Improvement, Leadership Development, Employee Benefits, Budgets, Business Strategy, Internal Controls, Vendor Management, Auditing, Cross-functional Team..., Financial Analysis, Insurance, Human Resources, Board of Directors, Leadership, New Business Development, Management Consulting, Business Development, Analysis, Financial Reporting, Business Process..., HIPAA, Mergers & Acquisitions, Finance, Project Management, Managerial Finance, Health Insurance, Business Analysis, Performance Management, Business Process, Financial Services, Provider Relations, Investments, Medicaid, Governance, Medicare, Recruiting, Management
Education
Kansas State University 1985 — 1989
BSBA, Accounting & Pre-Law
Valley of the Sun Human Resource Association 2008 - 2013
Gatestone & Co. International March 2009 - February 2012
HR Wings AZ December 2006 - February 2009
TriWest Healthcare Alliance April 2007 - May 2008
Cold Stone Creamery November 2004 - June 2006
Saint Joseph Regional Medical Center November 1990 - September 1997
Skills
Contract Negotiation, Training & Development, HRIS & PeopleSoft, Technical Writing, Corporate Communications, Employment Law, Employment Litigation, Employment Contracts, Employee Relations, Labor Relations, Compensation & Benefits..., ADP Payroll, Expert Trainer, Internal & External..., Employee Training, Employee Engagement, Applicant Tracking..., Deferred Compensation, Subject Matter Experts, Leadership, Training, Human Resources, Employee Benefits, Internal Audit, Workers Compensation, Recruiting
Education
Indiana University Bloomington
MBA cum laude, Human Resources / Organizational Development & Finance
University of Michigan
Bachelor of Arts (B.A.) summa cum laude, Psychology
TriWest Healthcare Alliance August 2015 - Present
Colonial Life April 2015 - July 2015
Aurora Bank FSB and Everhome Mortgage November 2010 - April 2014
Convergys Corporation February 2009 - November 2010
MasterCard International February 2008 - February 2009
Maritz, Inc November 2004 - February 2008
Thumbs-Up Telemarketing Inc June 2000 - November 2004
Skills
Call Center Management, Vendor Management, Client Services, IVR Design, Customer Relations, Intensive Team Building, Project Management, Process Improvement, Analytics, Business Analysis, Call Center, Strategy, Call Centers, Cross-functional Team..., Customer Service, Business Development, Customer Experience, Financial Services, CRM, Leadership, Program Management, Team Building, Strategic Planning, IVR, Operations Management, Management
Education
Jefferson College 1987 — 1989
Associate of Arts, Liberal Arts, 3.75
TriWest Healthcare Alliance June 2009 - April 2013
Banner Medisun June 2002 - November 2008
Liberty Mutual Insurance Company June 2000 - June 2002
St. Joseph's Hospital and Medical Center January 1997 - June 2000
Skills
Healthcare, Case Management, Healthcare Management, Nursing, Hospitals, Health Education, HIPAA, Utilization Management, Managed Care, Medicare
Education
Massena School of Practical Nursing 1970 — 1971
Diploma, Practical Nursing
Roche Pharmaceuticals
Certificate, Diabetes Education
Gateway Community College
Certificate, Management for Healthcare Professionals
Gateway Community College
Certificate, IV Administration and Medication
City of Mesa ApplicationDriveTimeDecember 2005 - March 2006
TriWest Healthcare Alliance April 2001 - December 2005
Skills
T-SQL, IIS, Web Development, Microsoft SQL Server, JavaScript, SQL, C#, .NET, Business Analysis, SharePoint
Education
Keene State College 1995 — 2000
BS, Applied Computer Science
TriWest Healthcare Alliance February 2015 - Present
TriWest Healthcare Alliance January 2014 - February 2015
TriWest Healthcare Alliance May 2010 - December 2013
TriWest Healthcare Alliance August 2008 - May 2010
Ward Law Offices, PLLC 2007 - 2008
Skills
MS Project, Process Improvement, Lean Sigma, Writing, Editing, Microsoft Office, Project Server, Visio, Healthcare, Six Sigma, Data Analysis, Project Management, HIPAA, SharePoint, Process Scheduler, Microsoft Excel, Microsoft Word, Vendor Management, Healthcare Industry, Leadership, PeopleSoft, Access, Change Management, Quality Assurance, Healthcare Consulting, Managed Care
Education
Grand Canyon University 2009 — 2010
Master of Business Administration (M.B.A.), Accounting
Northern Arizona University, College of Business Administration 2004 — 2007
Bachelor of Business Administration (BBA), Management
American Society for Quality
Certified Lean Six Sigma Green Belt
Banner Health HIM Business System AnalystPerot Systems2005 - 2006
Triwest Healthcare Alliance 2004 - 2005
Education
Indiana University School of Medicine 1973 — 1977
BS, Health Information Management
Ohio University
MBA
Trifecta Communications June 2013 - Present
TriWest Healthcare Alliance February 2003 - June 2013
Office of Governor Jane Dee Hull 1998 - 2003
Maricopa County 1997 - 1998
Office of U.S. Senator Jon Kyl 1994 - 1997
Office of U.S. Senator John McCain 1989 - 1994
Skills
Strategic Communications, Corporate Communications, Community Outreach, Internal Communications, Marketing Communications, Public Speaking, Public Relations, Public Affairs, Charity Marketing, Connecting People, Regional Policy, Strategy, Government, Internal & External..., Fundraising, Leadership, Program Management, Public Policy, Disease Management, Nonprofits, Speech Writing, Reputation Management, Policy, Community Development
Education
George Fox University
Bachelor of Arts (B.A.), History/Political Science
Maricopa Integrated Health System April 2014 - Present
Good Night Pediatrics October 2009 - April 2014
Banner Health October 2005 - September 2009
CorSolutions Medical 2003 - 2005
SHPS 2003 - 2003
CorSolutions 2000 - 2002
TriWest Healthcare Alliance 1998 - 2000
IHS Homecare (formerly Signature Homecare) 1994 - 1998
St. Joseph's Hospital 1993 - 1993
Maricopa Medical Center 1979 - 1993
Skills
Pediatrics, Quality Assurance, Quality Management
Education
Grand Canyon University 2006 — 2008
BSN, Nursing
Phoenix College 1976 — 1978
Associate's degree, Registered Nursing/Registered Nurse
Coram Home Infusion March 2009 - Present
TriWest Healthcare Alliance April 2004 - September 2008
HealthNet Federal Services October 2003 - April 2004
Education
M-TEC 2007 — 2008
Certificate, Medical Transcription
Bates Technical College 2002 — 2003
Certificate, Administrative Medical Assistant
Humboldt State University 1987 — 1991
BA, English Literature
School name:
TriWest Healthcare Alliance May 2005 - November 2012
The Journey Home January 1990 - December 2005
Kenosha Area Group Homes 1976 - 1977
Skills
Therapists, Mental Health, Clinical Research, Case Managment, Behavioral Health, Crisis Intervention, Personal Development, Nursing
Education
Fort Hays State University 1956 — 1960
Gen Sc/Nsing, Nursing in a general science setting
Ottawa Jr/Sr High 1950 — 1956
Arizona Care Network February 2014 - Present
TriWest Healthcare Alliance August 2012 - March 2013
TriWest Healthcare Alliance July 2009 - August 2012
TriWest Healthcare Alliance March 2008 - July 2009
TriWest Healthcare Alliance June 2004 - July 2009
TriWest Healthcare Alliance August 2004 - June 2006
Skills
Policy, Training, HIPAA, Healthcare, Leadership, Process Improvement, Analysis, Software Documentation, Healthcare Information..., Security Training, New Hire Orientations, Access, Visio, Management, Health AND Safety..., Team Leadership, Teamwork, Team Management, Outlook, Employee Benefits, Team Building, Microsoft Office, Microsoft Word, Data Analysis, Data Entry, Quality Assurance, Insurance, Microsoft Excel, PowerPoint, Hospitals, Healthcare Consulting, Health Information..., Business Analysis, Strategic Planning, Public Speaking, Interviews, Project Planning, Disease Management, Medicaid, Healthcare Management, Managed Care, EMR, Program Management, Customer Service, EHR
Education
Alpha Pacific Institute 2012 — 2012
Glendale Community College
Academic Excellence, Inc. January 2015 - Present
Christian Educational Supply Company November 2011 - Present
Burrei Consulting June 2011 - Present
Rulesware July 2006 - June 2011
TriWest Healthcare Alliance 2009 - 2010
SunTrust Bank 2007 - 2010
Mellon Bank 2007 - 2007
Allstate Insurance July 2001 - July 2006
Christian Liberty 1998 - 2001
Skills
SOA, Business Process..., SDLC, Enterprise Architecture, Database Design, Business Process Design, Requirements Gathering, Business Analysis, IT Strategy, Requirements Analysis, Enterprise Software, Data Transformation, Project Management, Business Intelligence, Business Process
Education
Judson University 1996 — 1998
BS, Computer Science, Pre-Law
TriWest Healthcare Alliance May 2008 - June 2013
Coventry Healthcare January 2008 - May 2008
CIGNA Healthcare August 2007 - January 2008
TriWest Healthcare Alliance January 2005 - August 2007
PacifiCare of Arizona, INC May 2001 - December 2004
Skills
Managed Care, Network Development, Medicare, Medicaid, PPO, HIPAA, Healthcare, Healthcare Management, Healthcare Industry, Healthcare Consulting, Health Insurance, Provider Relations
Education
East Los Angeles College
Business Administration and Management, General
Massage Envy Franchising LLC May 2010 - Present
Wolters Kluwer Pharma Solutions 2006 - May 2010
Richmond American Homes 2005 - 2006
UNITED HEALTHGROUP January 1998 - January 2004
TriWest Healthcare Alliance 2004 - 2004
UNITED HEALTHGROUP December 1996 - January 1998
Skills
Analysis, Data Analysis, Product Management, Process Improvement, Six Sigma, Customer Service, Contract Management, Business Analysis, Software Documentation, Training, Budgets, Quality Assurance, System Administration, Vendor Management, Access, Analytics, Project Management, Program Management
Education
AMERICAN INSTITUTE FOR PARALEGAL STUDIES 1991 — 1992
Certificate, Law
Elgin Community College
Associate of Science Degree Program, Business Management and Communication
United Healthcare Military and Veterans April 2013 - August 2013
TriWest Healthcare Alliance June 2006 - March 2013
Evercare Select, United Healthcare May 2003 - May 2006
Banner Thunderbird Medical Center January 2000 - May 2003
Skills
Utilization Management, Utilization Review, Disease Management, Case Managment, Healthcare Management, Nursing, Managed Care, Healthcare, Hospitals, Medicare, Adults
Education
Kansas City Kansas Community College 1981 — 1984
Associate Degree, Registered Nursing/Registered Nurse
Dreamkeeper Photography June 2011 - Present
TriWest Healthcare Alliance 2004 - 2013
Education
Humboldt State University
Southwestern College
TriWest Healthcare Alliance August 2009 - January 2011
T-Mobile May 2004 - May 2009
Skills
Medical Terminology, Data Entry, Software Documentation, Customer Service, Call Center, PeopleSoft, Outlook, Microsoft Office, Microsoft Excel
Education
Pikes Peak Community College 2012 — 2014
Associate of Science (A.S.), Water Quality and Wastewater Treatment Management and Recycling Technology/Technician
Pikes Peak Community College 2011 — 2013
Associate of Arts (A.A.), Early Childhood Education and Teaching
University of Colorado Health Sciences Center 2002 — 2005
Bachelor of Applied Science (B.A.Sc.), Registered Nursing/Registered Nurse
Intellitec Medical Institute 2001 — 2003
Associate of Science (A.S.), Allied Health and Medical Assisting Services
TriWest Healthcare Alliance November 2011 - Present
AZ's Top Karaoke October 2011 - Present
Skills
Creative Writing, Editing, Social Media, Research, Microsoft Office, Microsoft Word, PowerPoint, Photoshop, Public Speaking, Journalism, Microsoft Excel, Access
Education
Glendale Community College 2009 — 2010
USAA September 2014 - Present
USAA July 2013 - October 2014
TriWest Healthcare Alliance April 2007 - July 2013
UnitedHealthcare April 2004 - April 2007
Research International June 2002 - April 2004
Luke AFB, Iceland and March AFB 1984 - 1994
Skills
Quality Assurance, Process Improvement, Quality Control, Troubleshooting, Technical Writing, Client Billing, Communication Skills, Data Entry, Timely Decision Making, Microsoft Excel, Microsoft Word, PowerPoint, Office Management, Event Planning, Organization &..., Recieving, Adobe eLearning Suite, Training Delivery, Time Management, Answering Telephones, Records Management, Purchasing, Teamwork, Bookkeeping, Call Centers, HIPAA, Customer Service, Access, Analysis, Healthcare, PeopleSoft, Telephone Skills, Training
Education
Glendale Community College
Rio Salado College
Thomas Jefferson High School
TriWest Healthcare Alliance October 2012 - Present
Master Block June 2011 - July 2011
Brookline College September 2010 - February 2011
JESCO 2010 - 2010
USA Managed Care Organization January 2007 - June 2009
NUCA 2005 - 2006
Education
Brookline 2010 — 2011
Phlebotomy, 4.0
Hibbing Community College-A Technical and Community College
General Associate of Arts academics, 4.0
Shadow Mountain High School
Diploma
University of Minnesota-Duluth
Associate of Arts academic requirements, 4.0
John C. Lincoln Health Network March 2013 - Present
TriWest Healthcare Alliance February 2011 - March 2013
Mercer August 2004 - January 2011
Skills
Agile Project Management, SDLC, Requirements Gathering, Scrum, PMP, Requirements Analysis, Program Management, Software Project..., PMO, Waterfall, SharePoint, Agile Methodologies, Business Requirements, Project Portfolio..., Vendor Management, Visio, MS Project, Resource Management
Education
Iona College
Master of Business Administration (MBA)
TriWest Healthcare Alliance Clerk VJohn H. Stroger, Jr. Hospital of Cook CountySeptember 1998 - February 2006
Skills
Customer Service, Healthcare, Team Building, Insurance, Team Leadership, Teamwork, Usability Testing, Word, Windows
Education
Kaplan University 2010 — 2011
Medical Coding Certificate, Medical Billing and Coding
TriWest Healthcare Alliance October 2011 - Present
TriWest Healthcare Alliance August 2008 - October 2011
TriWest Healthcare Alliance June 2006 - August 2008
TriWest Healthcare Alliance July 2002 - June 2006
Skills
Healthcare, Healthcare Management, Managed Care, Hospitals, Nursing, Disease Management, HIPAA, Utilization Management, Healthcare Information..., Crucial Conversations, Perdictive Index..., Team Building
Education
Ivy Tech Community College
Associate of Science (A.S.), Licensed Practical/Vocational Nurse Training
University of Phoenix
Master of Business Administration (MBA), Business Administration and Management, General
University of Phoenix
Bachelor of Healthcare Administration, Health/Health Care Administration/Management
TriWest Healthcare Alliance 2002 - Present
TriWest Healthcare Alliance 2002 - Present
United States Air Force 1970 - 2002
Skills
Healthcare Management, HIPAA, Managed Care, Healthcare, Process Improvement, Team Building
Education
Golden Gate University 1979 — 1981
Master of Public Administration (M.P.A.), Public Administration
T. Rowe Price November 2009 - April 2011
T. Rowe Price 2006 - 2009
TriWest Healthcare Alliance February 2005 - February 2006
Skills
Retail Accounting, Mutual Funds, Account Management, Compliance, Data Quality, Quality Assurance
Education
BCTI
Everett Community College
Xerox August 2012 - Present
TriWest Healthcare Alliance March 2009 - August 2012
Net Fusion Services March 2007 - February 2009
CVS Caremark Corporation 2008 - 2008
JDA Software July 2003 - December 2007
Skills
C#, ASP.NET MVC, Windows Azure, ASP.NET, WCF Services, jQuery, JavaScript, Agile Methodologies, CSS, T-SQL, Microsoft SQL Server, Crystal Reports, SDLC, IIS, LINQ, Entity Framework, SharePoint, Healthcare Information..., HIPAA, SSRS, SSIS, SQL, .NET, Microsoft Technologies, SharePoint Designer, Software Documentation, WCF, AJAX, Visual Studio, Quality Assurance, Visio, Database Design, Web Applications
Education
Glendale Community College 2000 — 2002
Associate's degree, Computer Science
Saurashtra University 1987 — 1990
Master of Science (MS), Food Science and Technology
TriWest Healthcare Alliance July 2007 - Present
CIGNA October 2006 - July 2007
Pacific Life March 1999 - July 2006
Premier Healthcare Group 1997 - 1999
Skills
Claims Resolution, Team Leadership, Process Improvement, Guideline Development, Coaching Staff, Oral & Written..., Creation Of Training..., Development & delivery..., Quality Assurance, Medical Coding, Medical Terminology, Medicaid, Medical Compliance, HCPCS, CPT, Employee Benefits, HIPAA, Medicare, Insurance, Training, ICD-9, Claim, HMO, Medical Records, Health Insurance, Managed Care, PPO, Provider Relations, Healthcare, Medical Billing
Education
Glendale Community College 1996 — 1997
Northern Arizona University 1995 — 1996
Wilson County Health Department February 2008 - Present
Wilson County Health Department November 2012 - May 2013
Peak Health September 2005 - January 2008
TriWest Healthcare Alliance 2002 - July 2005
Internal Medicine Associates, Anchorage, Alaska August 2000 - January 2003
Skills
Public Health Emergency..., Infectious Diseases, Hepatitis C, Disaster Response, Public Health
Education
Georgia College and State University 1996 — 1998
Bachelor's degree, Registered Nursing/Registered Nurse
TriWest Healthcare Alliance 2007 - 2009
Memorial Hospital 2001 - 2002
Naval Hospital Guantanamo Bay, Cuba December 1999 - June 2001
Naval Medical Center Portsmouth, Va June 1997 - December 1999
Education
Husson College 1993 — 1997
Bachelor of Science (BS), Registered Nursing/Registered Nurse
TriWest Healthcare Alliance December 2003 - Present
Water Department July 1999 - April 2003
Skills
Microsoft Excel, Discrepancy Resolution, Accounts Receivable, Credit Card Transaction..., Payments, System Testing, Electronic Funds..., Account Reconciliation, 10-key
Education
Tolleson High School 1984 — 1988
Everest College-Phoenix
Accounting
Technical Support Analyst April 2014 - Present
PatientKeeper June 2013 - December 2013
TriWest Healthcare Alliance March 2008 - March 2013
Eastern Bank March 2004 - March 2007
Skills
MS Office Suite, MS Visio, HP ServiceCenter, Active Directory..., CareRadius, CareAffiliate, EDI/278 Processing, Barr Systems, HTML/XHTML/CSS, SQL query writing, Benthic Golden, Windows-Vista/XP/7, Server-NT/2003, Remote User Support, EPO, Backup Exec, CompTIA Network+..., LAN-WAN, CIW, SQL, HIPAA, Visio, HP, Microsoft Office, CPT, Technical Support, Security, Software Documentation, Troubleshooting, Network Security, Networking, Active Directory, Analysis, Training, Process Improvement, SharePoint, Healthcare Information...
Education
Fisher College
Bachelor of Science (B.S.), Business, Management, Marketing, and Related Support Services
Fisher College
Associate of Science (AS), Computer Science
TriWest Healthcare Alliance Data EntryTriWest Healthcare Alliance2005 - 2013
Skills
Data Entry
Education
Holy Angel University 1984 — 1988
Bachelor of science in business administration, Accounting
San Diego State University-California State University
Pharmacy Technician
TriWest Healthcare Alliance October 2011 - March 2013
TriWest Healthcare Alliance April 2005 - September 2011
Healthnet Federal Services August 1998 - May 2004
Health Management Strategies November 1991 - May 1998
Skills
Managed Care, Utilization Management, Healthcare, Medical Billing, Nursing, Behavioral Health, Medical Records, Health Policy
Education
Chapman University Tacoma Wa
Master's in Healthcare Administration, Healthcare Administration
George Mason University
Bachelor's degree, Public Administration
Washington County Hospital School of Nursing--Maryland
RN Diploma, RN nursing
TriWest Healthcare Alliance August 2015 - Present
GE Capital June 2014 - June 2015
Walgreens March 2008 - September 2014
Walgreens September 2006 - September 2013
Skills
Customer Service, Microsoft Word, Microsoft Excel, PowerPoint, Teamwork, Time Management, Microsoft Office, Outlook, Leadership, Photoshop, Strategic Planning, English, Research, Social Media, Training, Retail, Team Building, Windows, Sales, Inventory Management, Teaching, Data Entry, Social Networking, HTML, Customer Satisfaction, Editing, Team Leadership, Merchandising, Coaching, Cashiering, Insurance, Critical Thinking, Inventory Control, Access, Retail Sales, Healthcare, Process Improvement, Customer Experience, Risk Management
Education
Elgin Community College 2008 — 2014
NA, General/Nursing
Spokane Community College 2010 — 2011
Nursing
Saint Charles East High School 2003 — 2007
High School Diploma, General Studies
TriWest Healthcare Alliance August 2015 - Present
SkyTouch Technology October 2014 - August 2015
United States Air Force August 2006 - September 2014
United States Air Force August 2004 - August 2006
United States Air Force August 2001 - August 2004
Skills
Project Management, Leadership, Requirements Analysis, Security, Integration, Networking, Program Management, SharePoint, Testing, Enterprise Architecture, Military Experience, DoD, Network Infrastructure, IT Management, IT Project & Program..., Data Center Operations, Computer Network..., Information Assurance, Network Security, Vendor Management
Education
Grand Canyon University 2014 — 2015
Master of Science (M.S.), Organizational Leadership
Grantham University 2006 — 2012
Bachelor of Science (B.S.), Computer Science
TriWest Healthcare Alliance January 2014 - October 2014
United Healthcare Military & Veterans March 2013 - January 2014
Right Source Pharmacy, Humana Pharmacy Solutions June 2011 - February 2013
Theracom, a CVS/Caremark Company September 2006 - January 2011
Skills
ICD-9, Healthcare
Education
Jackson Community College 2004 — 2006
Associate's Degree, Medical Transcriptionist/Medical Receptionist