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
Employee
Years
Job
Industry
Lisa Kesselman Wells Lisa Kesselman Wells's TriWest Healthcare Alliance Experience 2006 - 2007
Job Quantitative Risk Analyst at USAA
Industry Information Services
Experience
Blue Cross Blue Shield of Arizona October 2009 - January 2010
Wolters Kluwer Pharma Solutions 2009 - 2009
Arizona Department of Health Services 2007 - 2009
TriWest Healthcare Alliance 2006 - 2007
National Council on Compensation Insurance Holdings, Inc 2001 - 2003
Standard & Poor's 1997 - 2000
DTCC 1994 - 1997
Industrial Bank of Japan 1992 - 1994
Millennium Management 1991 - 1992
IBM June 1987 - April 1990
Skills
Risk Management, SAS, Predictive Modeling, Data Governance, Statistical Modeling, Statistics, Applied Probability, Internet Safety, Analysis, Data Quality, Fraud Detection, SAS Programming, SQL, Financial Risk, Econometrics, Data Analysis, Time Series Analysis
Education
University of Pennsylvania - The Wharton School 1989 — 1991
Master of Business Administration (M.B.A.), Investment Finance
Stanford University 1984 — 1985
Master's Degree, Operations Research
Swarthmore College 1980 — 1984
Bachelor's Degree, Mathematics and Statistics
Blue Cross Blue Shield of Arizona October 2009 - January 2010
Wolters Kluwer Pharma Solutions 2009 - 2009
Arizona Department of Health Services 2007 - 2009
TriWest Healthcare Alliance 2006 - 2007
National Council on Compensation Insurance Holdings, Inc 2001 - 2003
Standard & Poor's 1997 - 2000
DTCC 1994 - 1997
Industrial Bank of Japan 1992 - 1994
Millennium Management 1991 - 1992
IBM June 1987 - April 1990
Skills
Risk Management, SAS, Predictive Modeling, Data Governance, Statistical Modeling, Statistics, Applied Probability, Internet Safety, Analysis, Data Quality, Fraud Detection, SAS Programming, SQL, Financial Risk, Econometrics, Data Analysis, Time Series Analysis
Education
University of Pennsylvania - The Wharton School 1989 — 1991
Master of Business Administration (M.B.A.), Investment Finance
Stanford University 1984 — 1985
Master's Degree, Operations Research
Swarthmore College 1980 — 1984
Bachelor's Degree, Mathematics and Statistics
Rokki Lewis Rokki Lewis's TriWest Healthcare Alliance Experience July 2011 - March 2013
Job Healthcare/Training Professional
Industry Hospital & Health Care
Experience
Qualis Health November 2014 - Present
Health Integrated, Inc. March 2014 - November 2014
Community Health Plan of Washington April 2013 - March 2014
TriWest Healthcare Alliance July 2011 - March 2013
TriWest Healthcare Alliance July 2010 - July 2011
TriWest Healthcare Alliance April 2007 - July 2010
Skills
Training, Employee Training, Call Centers, HIPAA, Healthcare, Data Entry, Quality Assurance, Microsoft Word, Medical Terminology, Customer Service..., Analysis, EHR, Training Program..., Healthcare Management, Microsoft Excel, Organization Skills, Data Management, Customer Service, Medical Coding, Management, Process Improvement, Software Documentation, Customer Satisfaction, Medicare, Power Point, Share Point, Excel, Program Development, Test Development, CPT, ICD-9, Data Analysis, Healthcare Information..., SharePoint, Medical Billing, Managed Care, Provider Relations, EMR, Health Information..., Visio, Supervisory Skills, Process Scheduler, System Administration, Hospitals, WebEx
Education
Tacoma Community College
Qualis Health November 2014 - Present
Health Integrated, Inc. March 2014 - November 2014
Community Health Plan of Washington April 2013 - March 2014
TriWest Healthcare Alliance July 2011 - March 2013
TriWest Healthcare Alliance July 2010 - July 2011
TriWest Healthcare Alliance April 2007 - July 2010
Skills
Training, Employee Training, Call Centers, HIPAA, Healthcare, Data Entry, Quality Assurance, Microsoft Word, Medical Terminology, Customer Service..., Analysis, EHR, Training Program..., Healthcare Management, Microsoft Excel, Organization Skills, Data Management, Customer Service, Medical Coding, Management, Process Improvement, Software Documentation, Customer Satisfaction, Medicare, Power Point, Share Point, Excel, Program Development, Test Development, CPT, ICD-9, Data Analysis, Healthcare Information..., SharePoint, Medical Billing, Managed Care, Provider Relations, EMR, Health Information..., Visio, Supervisory Skills, Process Scheduler, System Administration, Hospitals, WebEx
Education
Tacoma Community College
Gerry Smedinghoff's TriWest Healthcare Alliance Experience September 2001 - November 2007
Job Consulting Actuary
Industry Insurance
Experience
KPMG April 2013 - Present
Mercer Government Human Services Consulting December 2007 - March 2013
TriWest Healthcare Alliance September 2001 - November 2007
Education
University of Illinois at Urbana-Champaign
Bachelor of Science (BS), Mathematics and Computer Science
KPMG April 2013 - Present
Mercer Government Human Services Consulting December 2007 - March 2013
TriWest Healthcare Alliance September 2001 - November 2007
Education
University of Illinois at Urbana-Champaign
Bachelor of Science (BS), Mathematics and Computer Science
Doug MacLeod Doug MacLeod's TriWest Healthcare Alliance Experience March 2005 - March 2013
Job Business Analyst at Scripps Health
Industry Hospital & Health Care
Experience
Scripps Health September 2013 - Present
Vertari Information Systems April 2013 - September 2013
TriWest Healthcare Alliance March 2005 - March 2013
Vericare January 1999 - January 2007
Masonic Homes of California January 1999 - December 2003
Skills
Data Warehousing, Business Intelligence, Databases, Cognos, Healthcare, SQL, Access, Excel, Software Documentation, Business Analysis, Microsoft Excel, Microsoft SQL Server, HIPAA, ETL, SSIS, Analysis, Visual Basic, Oracle, DB2, Data Modeling, Visio, Crystal Reports, SharePoint, SDLC, SSRS, Requirements Gathering, Database Design, Cross-functional Team..., Data Analysis, Systems Analysis, Requirements Analysis, Integration
Education
University of California, San Diego 2012 — 2015
Master's degree, Leadership of HealthCare Organizations
University of California, San Diego 1993 — 2001
Bachelor of Science (B.S.), Computer Science/Engineering
Scripps Health September 2013 - Present
Vertari Information Systems April 2013 - September 2013
TriWest Healthcare Alliance March 2005 - March 2013
Vericare January 1999 - January 2007
Masonic Homes of California January 1999 - December 2003
Skills
Data Warehousing, Business Intelligence, Databases, Cognos, Healthcare, SQL, Access, Excel, Software Documentation, Business Analysis, Microsoft Excel, Microsoft SQL Server, HIPAA, ETL, SSIS, Analysis, Visual Basic, Oracle, DB2, Data Modeling, Visio, Crystal Reports, SharePoint, SDLC, SSRS, Requirements Gathering, Database Design, Cross-functional Team..., Data Analysis, Systems Analysis, Requirements Analysis, Integration
Education
University of California, San Diego 2012 — 2015
Master's degree, Leadership of HealthCare Organizations
University of California, San Diego 1993 — 2001
Bachelor of Science (B.S.), Computer Science/Engineering
Ann Griffith Ann Griffith's TriWest Healthcare Alliance Experience October 2001 - March 2006
Job INFORMATION TECHNOLOGY & BUSINESS SOLUTIONS DIRECTOR Organizational Development, Leadership, Project Management, Sales
Industry Information Technology and Services
Experience
Microsoft September 2013 - Present
Microsoft July 2008 - Present
Microsoft Corporation April 2006 - July 2008
TriWest Healthcare Alliance October 2001 - March 2006
Global Commerce, Inc. February 2000 - March 2001
ICG Communications, Inc. March 1998 - February 2000
MCI February 1992 - February 1998
Skills
SharePoint, Enterprise Software, Business Intelligence, SaaS, IT Strategy, Program Management, Cloud Computing, PMP, SDLC, Microsoft Technologies, Business Analysis, Integration, Enterprise Architecture, Software Project..., Solution Architecture, Business Process..., Software Development, Visio, Healthcare, Business Transformation, Management Consulting, People Development, Cross-functional Team..., Trusted Business Partner, Enterprise Solution..., Product Development, Vendor Management, Solution Selling, Change Management, Data Center, Project Portfolio..., Project Management, IT Service Management, Management, Pre-sales, Leadership, PMO, Mobile Devices, Telecommunications, Consulting, MS Project, Product Marketing, Project Planning, Unified Communications, Service Delivery
Education
University of Colorado Colorado Springs 1987 — 1991
B.S., Organizational Behavior
Microsoft September 2013 - Present
Microsoft July 2008 - Present
Microsoft Corporation April 2006 - July 2008
TriWest Healthcare Alliance October 2001 - March 2006
Global Commerce, Inc. February 2000 - March 2001
ICG Communications, Inc. March 1998 - February 2000
MCI February 1992 - February 1998
Skills
SharePoint, Enterprise Software, Business Intelligence, SaaS, IT Strategy, Program Management, Cloud Computing, PMP, SDLC, Microsoft Technologies, Business Analysis, Integration, Enterprise Architecture, Software Project..., Solution Architecture, Business Process..., Software Development, Visio, Healthcare, Business Transformation, Management Consulting, People Development, Cross-functional Team..., Trusted Business Partner, Enterprise Solution..., Product Development, Vendor Management, Solution Selling, Change Management, Data Center, Project Portfolio..., Project Management, IT Service Management, Management, Pre-sales, Leadership, PMO, Mobile Devices, Telecommunications, Consulting, MS Project, Product Marketing, Project Planning, Unified Communications, Service Delivery
Education
University of Colorado Colorado Springs 1987 — 1991
B.S., Organizational Behavior
Jim Griffith Jim Griffith's TriWest Healthcare Alliance Experience August 2007 - March 2013
Job Partner at Kona Kai Corporation
Industry Information Technology and Services
Experience
Kona Kai Corp. April 2013 - Present
TriWest Healthcare Alliance August 2007 - March 2013
TriWest Healthcare Alliance 2003 - 2007
Independent Contractor 2002 - 2003
WorldCom 1999 - 2002
Evolving Systems 1998 - 1999
MCI Telecommunication 1990 - 1998
Skills
Cross-functional Team..., Program Management, Strategy, Product Management, Change Management, Strategic Planning, Business Process..., Healthcare, Management, Process Improvement, Enterprise Software, Leadership, Vendor Management, Business Process..., Product Marketing, Product Development, Executive Management, Six Sigma, Customer Experience, Business Development, Software Documentation, Customer Satisfaction, Mobile Technology, Customer Experience..., Integration, Outsourcing, eBusiness Suite, Mobile Applications, Email Marketing, HIPAA, Professional Services, Call Centers, Project Portfolio..., Visio, Business Process, Healthcare Industry, Healthcare Information..., Healthcare Consulting, CRM, Marketing, Business Analysis, IT Strategy, SaaS, Business Process Design, PMP, Product Innovation, Business Technology, Managed Care
Education
University of Colorado at Colorado Springs
Bachelor of Arts
Kona Kai Corp. April 2013 - Present
TriWest Healthcare Alliance August 2007 - March 2013
TriWest Healthcare Alliance 2003 - 2007
Independent Contractor 2002 - 2003
WorldCom 1999 - 2002
Evolving Systems 1998 - 1999
MCI Telecommunication 1990 - 1998
Skills
Cross-functional Team..., Program Management, Strategy, Product Management, Change Management, Strategic Planning, Business Process..., Healthcare, Management, Process Improvement, Enterprise Software, Leadership, Vendor Management, Business Process..., Product Marketing, Product Development, Executive Management, Six Sigma, Customer Experience, Business Development, Software Documentation, Customer Satisfaction, Mobile Technology, Customer Experience..., Integration, Outsourcing, eBusiness Suite, Mobile Applications, Email Marketing, HIPAA, Professional Services, Call Centers, Project Portfolio..., Visio, Business Process, Healthcare Industry, Healthcare Information..., Healthcare Consulting, CRM, Marketing, Business Analysis, IT Strategy, SaaS, Business Process Design, PMP, Product Innovation, Business Technology, Managed Care
Education
University of Colorado at Colorado Springs
Bachelor of Arts
Gina Soza's TriWest Healthcare Alliance Experience November 2003 - April 2013
Job Prior Authorization & Referral Supervisor
Industry Hospital & Health Care
Experience
ARIZONA PRIORITY CARE June 2013 - Present
TriWest Healthcare Alliance November 2003 - April 2013
Pitney Bowes Management Services November 2000 - November 2001
Skills
Healthcare Management, HIPAA, Healthcare, Medical Terminology, Medical Records, Patient Safety, Healthcare Industry, ICD-9, Medical Coding, CPT, Medicare, 10 Key, Medicaid, Medical Billing
Education
United Education Institute-Huntington Park Campus 2002 — 2002
Medical/Clinical Assistant
ARIZONA PRIORITY CARE June 2013 - Present
TriWest Healthcare Alliance November 2003 - April 2013
Pitney Bowes Management Services November 2000 - November 2001
Skills
Healthcare Management, HIPAA, Healthcare, Medical Terminology, Medical Records, Patient Safety, Healthcare Industry, ICD-9, Medical Coding, CPT, Medicare, 10 Key, Medicaid, Medical Billing
Education
United Education Institute-Huntington Park Campus 2002 — 2002
Medical/Clinical Assistant
Lisa Craig Loomis Lisa Craig Loomis's TriWest Healthcare Alliance Experience April 2004 - March 2013
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance April 2004 - March 2013
Pennsylvania Higher Education Assistance Agency (PHEAA) 1983 - 1996
Skills
Correspondence Analyst..., DoD, Government military..., Microsoft Office 2007, Quality Assurance, Medical Records, Medical Transcription, Healthcare, HIPAA, Medical Terminology, Analysis, Medical Billing, Time Management
Education
At-Home Professions-Fort Collins CO-Medical Transcription 1996 — 1997
Certification
Slippery Rock University of Pennsylvania 1976 — 1980
Bachelor of Science (BS), Therapeutic Recreation/Recreational Therapy
TriWest Healthcare Alliance April 2004 - March 2013
Pennsylvania Higher Education Assistance Agency (PHEAA) 1983 - 1996
Skills
Correspondence Analyst..., DoD, Government military..., Microsoft Office 2007, Quality Assurance, Medical Records, Medical Transcription, Healthcare, HIPAA, Medical Terminology, Analysis, Medical Billing, Time Management
Education
At-Home Professions-Fort Collins CO-Medical Transcription 1996 — 1997
Certification
Slippery Rock University of Pennsylvania 1976 — 1980
Bachelor of Science (BS), Therapeutic Recreation/Recreational Therapy
Joanna Farwell Joanna Farwell's TriWest Healthcare Alliance Experience March 2015 - Present
Job Human Resources Professional
Industry Human Resources
Experience
TriWest Healthcare Alliance March 2015 - Present
iCrossing January 2007 - March 2015
Disneyland Resort May 1998 - May 2006
Skills
Human Resources, Employee Benefits, Onboarding, Training, Applicant Tracking..., Public Speaking, Personnel Management, HRIS, Organizational..., Employee Training, New Hire Orientations, Technical Recruiting, College Recruiting, Benefits Administration, Online Marketing, Online Advertising
Education
University of California Irvine - Extension
Cerificate, Human Resources Management
University of Arizona 1994 — 1998
Bachelor of Arts (B.A.), Media Arts & Communication
TriWest Healthcare Alliance March 2015 - Present
iCrossing January 2007 - March 2015
Disneyland Resort May 1998 - May 2006
Skills
Human Resources, Employee Benefits, Onboarding, Training, Applicant Tracking..., Public Speaking, Personnel Management, HRIS, Organizational..., Employee Training, New Hire Orientations, Technical Recruiting, College Recruiting, Benefits Administration, Online Marketing, Online Advertising
Education
University of California Irvine - Extension
Cerificate, Human Resources Management
University of Arizona 1994 — 1998
Bachelor of Arts (B.A.), Media Arts & Communication
Sandy Fry, MBA Sandy Fry, MBA's TriWest Healthcare Alliance Experience 1998 - 2013
Job Manager, Budget & Analysis at Grand Canyon University
Industry Hospital & Health Care
Experience
Grand Canyon University July 2013 - Present
TriWest Healthcare Alliance 1998 - 2013
Skills
Healthcare, HIPAA, Managed Care, Healthcare Industry, Healthcare Information..., Healthcare Management, Process Improvement
Education
University of Phoenix 2005 — 2007
Master of Business Administration (MBA)
Grand Canyon University July 2013 - Present
TriWest Healthcare Alliance 1998 - 2013
Skills
Healthcare, HIPAA, Managed Care, Healthcare Industry, Healthcare Information..., Healthcare Management, Process Improvement
Education
University of Phoenix 2005 — 2007
Master of Business Administration (MBA)
Richard Surber Richard Surber's TriWest Healthcare Alliance Experience February 2004 - Present
Job Senior Applications Developer at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance February 2004 - Present
AZ Department of Health Services (DHS) September 2001 - February 2004
BHHS 1985 - July 2001
Skills
Databases, Requirements Analysis, HIPAA, Visio, Healthcare Information..., Software Documentation, Database Design, Active Directory, Oracle, Medical Billing, Process Improvement, Data Warehousing, Troubleshooting, Project Management, Unix, Data Analysis, Security, SQL, Management, Healthcare, Windows Server, Program Management, Business Process, PL/SQL, Analysis, Requirements Gathering, SDLC
Education
The University of New Mexico 1973 — 1977
Bachelor's degree
TriWest Healthcare Alliance February 2004 - Present
AZ Department of Health Services (DHS) September 2001 - February 2004
BHHS 1985 - July 2001
Skills
Databases, Requirements Analysis, HIPAA, Visio, Healthcare Information..., Software Documentation, Database Design, Active Directory, Oracle, Medical Billing, Process Improvement, Data Warehousing, Troubleshooting, Project Management, Unix, Data Analysis, Security, SQL, Management, Healthcare, Windows Server, Program Management, Business Process, PL/SQL, Analysis, Requirements Gathering, SDLC
Education
The University of New Mexico 1973 — 1977
Bachelor's degree
Michelle York Pieterse, RN, BSN, MBA Michelle York Pieterse, RN, BSN, MBA's TriWest Healthcare Alliance Experience November 2007 - July 2009
Job Healthcare
Industry Hospital & Health Care
Experience
The University of Arizona Health Network March 2011 - May 2014
University Medical Center March 2010 - May 2011
TriWest Healthcare Alliance November 2007 - July 2009
Equinox January 2007 - July 2007
Smith & Nephew May 2006 - January 2007
PwC Consulting January 2006 - May 2006
King Faisal Specialist Hospital January 2003 - February 2005
Skills
Project Management, Negotiation, New Business Development, Process Improvement, Healthcare, Strategy, Management, Leadership, Hospitals, Analysis, Business Planning, Competitive Analysis, Customer Service, Forecasting, Training, Supply Chain, Team Building, Healthcare Information...
Education
American University in Dubai 2005 — 2006
MBA, Masters in Business Administration
The University of Texas at El Paso 1993 — 1997
BSN, Nursing
The University of Arizona Health Network March 2011 - May 2014
University Medical Center March 2010 - May 2011
TriWest Healthcare Alliance November 2007 - July 2009
Equinox January 2007 - July 2007
Smith & Nephew May 2006 - January 2007
PwC Consulting January 2006 - May 2006
King Faisal Specialist Hospital January 2003 - February 2005
Skills
Project Management, Negotiation, New Business Development, Process Improvement, Healthcare, Strategy, Management, Leadership, Hospitals, Analysis, Business Planning, Competitive Analysis, Customer Service, Forecasting, Training, Supply Chain, Team Building, Healthcare Information...
Education
American University in Dubai 2005 — 2006
MBA, Masters in Business Administration
The University of Texas at El Paso 1993 — 1997
BSN, Nursing
Denise Krupa's TriWest Healthcare Alliance Experience October 1996 - June 1998
Job ICD10 Onboarding Project Manager at Dignity Health
Industry Information Technology and Services
Experience
Dignity Health May 2015 - Present
Honeywell International August 2005 - December 2014
DMK Communications June 1998 - July 2005
TriWest Healthcare Alliance October 1996 - June 1998
Skills
Process Improvement, Project Management, Vendor Management, Analytic Problem Solving, Customer Service, Customer Relations, Tenacious Work Ethic, Perseverant, Self-management, Leadership, Organization Skills, Proposal Support, Time Management, Telecommunications, Telco, Troubleshooting, Knowledge Management, User Experience, ITIL, Green Belt, Start-ups, Federal Government..., Management, Workflow Management, Workflow Diagrams, Business Process..., Cross-functional Team..., Integration
Education
Southern Illinois University, Carbondale
Associate of Arts (AA), Court Reporting/Court Reporter
Dignity Health May 2015 - Present
Honeywell International August 2005 - December 2014
DMK Communications June 1998 - July 2005
TriWest Healthcare Alliance October 1996 - June 1998
Skills
Process Improvement, Project Management, Vendor Management, Analytic Problem Solving, Customer Service, Customer Relations, Tenacious Work Ethic, Perseverant, Self-management, Leadership, Organization Skills, Proposal Support, Time Management, Telecommunications, Telco, Troubleshooting, Knowledge Management, User Experience, ITIL, Green Belt, Start-ups, Federal Government..., Management, Workflow Management, Workflow Diagrams, Business Process..., Cross-functional Team..., Integration
Education
Southern Illinois University, Carbondale
Associate of Arts (AA), Court Reporting/Court Reporter
Renee Gardner Renee Gardner's TriWest Healthcare Alliance Experience April 2010 - February 2012
Job Marketing Analyst at VALIC
Industry Insurance
Experience
VALIC May 2015 - Present
Aetna July 2014 - April 2015
Basements, Decks, Etc. February 2013 - August 2013
Pediatrix Medical Group (MEDNAX) April 2012 - June 2012
TriWest Healthcare Alliance April 2010 - February 2012
TriWest Healthcare Alliance December 2008 - April 2010
TriWest Healthcare Alliance July 2006 - December 2008
Skills
Data Analysis, Data Management, Visio, Management, HTML, Networking, Leadership, Customer Service, Customer Service..., Microsoft Office, Website Creation, Website Building, Website Updating, Google Webmaster Tools, Healthcare Management, Provider Contracting, Credentialing, Reporting, Consult Tracking, DEERS (Defense..., CareRadius, Emptoris, Visual Cactus, Contract Coordination, Call Centers, PPO, Managed Care, Software Documentation, Healthcare, HIPAA, Healthcare Information..., Healthcare Industry, Medicare, Healthcare Consulting, Process Improvement
Education
The Art Institute of Pittsburgh-Online Division 2009 — 2010
Graphic Design
VALIC May 2015 - Present
Aetna July 2014 - April 2015
Basements, Decks, Etc. February 2013 - August 2013
Pediatrix Medical Group (MEDNAX) April 2012 - June 2012
TriWest Healthcare Alliance April 2010 - February 2012
TriWest Healthcare Alliance December 2008 - April 2010
TriWest Healthcare Alliance July 2006 - December 2008
Skills
Data Analysis, Data Management, Visio, Management, HTML, Networking, Leadership, Customer Service, Customer Service..., Microsoft Office, Website Creation, Website Building, Website Updating, Google Webmaster Tools, Healthcare Management, Provider Contracting, Credentialing, Reporting, Consult Tracking, DEERS (Defense..., CareRadius, Emptoris, Visual Cactus, Contract Coordination, Call Centers, PPO, Managed Care, Software Documentation, Healthcare, HIPAA, Healthcare Information..., Healthcare Industry, Medicare, Healthcare Consulting, Process Improvement
Education
The Art Institute of Pittsburgh-Online Division 2009 — 2010
Graphic Design
Thomas Waldron's TriWest Healthcare Alliance Experience May 2001 - July 2004
Job We should talk! Looking for a challenging Technology Leadership opportunity in an innovative organization.
Industry Financial Services
Experience
Token December 2014 - September 2015
Bank of America August 2013 - December 2014
Bank of America February 2012 - August 2013
Bank of America October 2010 - February 2012
Bank of America Merrill Lynch March 2010 - October 2010
Bank of America July 2009 - March 2010
Bank of America January 2006 - July 2009
TriWest Healthcare Alliance May 2001 - July 2004
Aanavrin Web Design October 2000 - April 2001
Skills
.NET, FinTech, Enterprise Architecture, Solution Architecture, Domain Modeling, Software Development, Payment Industry, Software Design Patterns, Mobile Payments, Team Leadership, Web Development, Payment Card Processing, Management, C#, Microsoft SQL Server, Start-ups, SOA, NoSQL, Azure, Java Enterprise Edition, System Architecture, Amazon Web Services..., Application Lifecycle..., Application Security, Web Application Security, Web Applications, TFS, Credit Cards, Bootstrap, Banking, Debit Cards, eCommerce, Payments, Bitcoin, jQuery, Integration, SDLC, SWIFT Payments, AKKA.NET, Agile Methodologies
Education
University of Colorado Boulder
University of North Carolina at Greensboro
Token December 2014 - September 2015
Bank of America August 2013 - December 2014
Bank of America February 2012 - August 2013
Bank of America October 2010 - February 2012
Bank of America Merrill Lynch March 2010 - October 2010
Bank of America July 2009 - March 2010
Bank of America January 2006 - July 2009
TriWest Healthcare Alliance May 2001 - July 2004
Aanavrin Web Design October 2000 - April 2001
Skills
.NET, FinTech, Enterprise Architecture, Solution Architecture, Domain Modeling, Software Development, Payment Industry, Software Design Patterns, Mobile Payments, Team Leadership, Web Development, Payment Card Processing, Management, C#, Microsoft SQL Server, Start-ups, SOA, NoSQL, Azure, Java Enterprise Edition, System Architecture, Amazon Web Services..., Application Lifecycle..., Application Security, Web Application Security, Web Applications, TFS, Credit Cards, Bootstrap, Banking, Debit Cards, eCommerce, Payments, Bitcoin, jQuery, Integration, SDLC, SWIFT Payments, AKKA.NET, Agile Methodologies
Education
University of Colorado Boulder
University of North Carolina at Greensboro
Jessi Gibson Jessi Gibson's TriWest Healthcare Alliance Experience January 2011 - October 2011
Job Recent University of Alaska Anchorage graduate
Industry Accounting
Experience
Laughlin, Ogle, and Rodgers June 2015 - Present
TriWest Healthcare Alliance January 2011 - October 2011
Non appropriated Funds- US Air Force April 2010 - January 2011
Security First Bank October 2003 - December 2009
Skills
PowerPoint, Microsoft Excel, Microsoft Word, Microsoft Office, Accounting, Customer Service, Public Speaking, Leadership
Education
University of Alaska Anchorage 2011 — 2015
Accounting
Laughlin, Ogle, and Rodgers June 2015 - Present
TriWest Healthcare Alliance January 2011 - October 2011
Non appropriated Funds- US Air Force April 2010 - January 2011
Security First Bank October 2003 - December 2009
Skills
PowerPoint, Microsoft Excel, Microsoft Word, Microsoft Office, Accounting, Customer Service, Public Speaking, Leadership
Education
University of Alaska Anchorage 2011 — 2015
Accounting
Larry Sutterer Larry Sutterer's TriWest Healthcare Alliance Experience 2003 - 2013
Job President at Capital Flow
Industry Military
Experience
Capital Flow February 2014 - Present
US Air Force Retired 1999 - Present
TriWest Healthcare Alliance 2003 - 2013
United States Air Force December 1968 - September 1999
Skills
Strategic Planning, Security Clearance, Emergency Management, Government, Management, Military, Procurement, Air Force, Program Management, National Security
Education
Trinity University
Master of Science (MS), Healthcare Administration
Capital Flow February 2014 - Present
US Air Force Retired 1999 - Present
TriWest Healthcare Alliance 2003 - 2013
United States Air Force December 1968 - September 1999
Skills
Strategic Planning, Security Clearance, Emergency Management, Government, Management, Military, Procurement, Air Force, Program Management, National Security
Education
Trinity University
Master of Science (MS), Healthcare Administration
Eric Coffey Eric Coffey's TriWest Healthcare Alliance Experience January 2006 - January 2008
Job
Industry Airlines/Aviation
Experience
Road Machinery (Mitsui & Co.) April 2014 - June 2015
Frontier Airlines September 2012 - March 2014
US Airways•Responsible for monthly fuel cash forecast, and comparing actual to budget October 2011 - September 2012
US Airways January 2008 - September 2011
TriWest Healthcare Alliance January 2006 - January 2008
Allied Tube & Conduit October 2004 - January 2006
Skills
Oil & Gas Industry, Accounting, Forecasting, Finance, Analysis, Jet Fuel, Management, Internal Audit, Hedge Accounting, Supply Chain Management, Supply Chain, Supply Chain..., Project Management, Microsoft Office, Microsoft Excel, Data Analysis, General Ledger, Budgets, Team Building, Financial Analysis, Process Improvement, Financial Reporting
Education
The Ohio State University - The Max M. Fisher College of Business 1998 — 2003
Bachelor of Science in Business Administration, Accounting
Road Machinery (Mitsui & Co.) April 2014 - June 2015
Frontier Airlines September 2012 - March 2014
US Airways•Responsible for monthly fuel cash forecast, and comparing actual to budget October 2011 - September 2012
US Airways January 2008 - September 2011
TriWest Healthcare Alliance January 2006 - January 2008
Allied Tube & Conduit October 2004 - January 2006
Skills
Oil & Gas Industry, Accounting, Forecasting, Finance, Analysis, Jet Fuel, Management, Internal Audit, Hedge Accounting, Supply Chain Management, Supply Chain, Supply Chain..., Project Management, Microsoft Office, Microsoft Excel, Data Analysis, General Ledger, Budgets, Team Building, Financial Analysis, Process Improvement, Financial Reporting
Education
The Ohio State University - The Max M. Fisher College of Business 1998 — 2003
Bachelor of Science in Business Administration, Accounting
Simon Estephan Simon Estephan's TriWest Healthcare Alliance Experience March 2008 - March 2013
Job Senior Oracle Developer
Industry Information Technology and Services
Experience
TriWest Healthcare Alliance March 2008 - March 2013
United Health Group February 2005 - March 2008
Best Western International November 1998 - February 2005
Skills
Databases, Data Warehousing, Oracle, SDLC, SQL, Database Design, PL/SQL, Software Documentation, SQL*Plus, Visio, Data Modeling, SQL Tuning, Microsoft SQL Server
Education
University of Oklahoma
Bachelor of Science (BS), Computer Sience/Mathematics, 3.4
TriWest Healthcare Alliance March 2008 - March 2013
United Health Group February 2005 - March 2008
Best Western International November 1998 - February 2005
Skills
Databases, Data Warehousing, Oracle, SDLC, SQL, Database Design, PL/SQL, Software Documentation, SQL*Plus, Visio, Data Modeling, SQL Tuning, Microsoft SQL Server
Education
University of Oklahoma
Bachelor of Science (BS), Computer Sience/Mathematics, 3.4
Susan Irons Susan Irons's TriWest Healthcare Alliance Experience July 2006 - March 2011
Job Administrative Specialist, Military Officer (ret)
Industry Health, Wellness and Fitness
Experience
Questar Assessment, Inc. April 2012 - June 2012
TriWest Healthcare Alliance July 2006 - March 2011
U.S. Air Force August 1991 - June 2005
Skills
Nursing, Disease Management, HEDIS, Medical Terminology, Customer Service, Public Speaking, Research, Patient Safety, Training, Direct Patient Care, Health Promotion, Auditing, Editing, Filing, Microsoft, Scheduling, Technical Writing, Speech writing, planning..., writing reports, maintaining accurate..., compiling statistics, screening telephone..., communicating with..., teaching/instructing/tra..., coaching individuals, Risk Management and..., planning/implementing/ev..., Patient Advocacy, Medical Records, Policy, Healthcare, Health Education, Wellness, Patient Education, HIPAA, ICD-9
Education
College of St Teresa
Bachelor of Science (BS), Registered Nursing/Registered Nurse
University of Arizona
Master's degree, Public Health/Health Promotion and Education
Questar Assessment, Inc. April 2012 - June 2012
TriWest Healthcare Alliance July 2006 - March 2011
U.S. Air Force August 1991 - June 2005
Skills
Nursing, Disease Management, HEDIS, Medical Terminology, Customer Service, Public Speaking, Research, Patient Safety, Training, Direct Patient Care, Health Promotion, Auditing, Editing, Filing, Microsoft, Scheduling, Technical Writing, Speech writing, planning..., writing reports, maintaining accurate..., compiling statistics, screening telephone..., communicating with..., teaching/instructing/tra..., coaching individuals, Risk Management and..., planning/implementing/ev..., Patient Advocacy, Medical Records, Policy, Healthcare, Health Education, Wellness, Patient Education, HIPAA, ICD-9
Education
College of St Teresa
Bachelor of Science (BS), Registered Nursing/Registered Nurse
University of Arizona
Master's degree, Public Health/Health Promotion and Education
John Sorensen John Sorensen's TriWest Healthcare Alliance Experience April 2010 - June 2012
Job Director Talent Management at Rural/Metro Corporation
Industry Hospital & Health Care
Experience
Rural/Metro Corporation May 2012 - Present
TriWest Healthcare Alliance April 2010 - June 2012
TriWest Healthcare Alliance May 2003 - March 2010
TriWest Healthcare Alliance January 2000 - January 2003
TriWest Healthcare Alliance January 2000 - January 2003
TriWest Healthcare Alliance January 1998 - January 2000
Skills
E-Learning, Training, Talent Management, Distance Learning, Leadership Development, Talent Acquisition, Human Resources, Employee Relations, Management, Program Management, PeopleSoft, Call Centers, Innovation, Video Production, Video Streaming, Video Editing, Learning Management, iCims, Compliance Training, Instructional Design, Recruiting, Leadership
Education
Institute for Applied Management and Law 2010 — 2010
Certificate, Certificate in Employee Relations Law Seminar
e-Learning Business Partnership Program – TraCorp Inc. 2000 — 2000
Internship, e-Learning Production and Management
US Air Force 1986 — 1996
Health Sciences Management
University of Phoenix 1992 — 1994
Bachelor of Science, Business Administration
Rural/Metro Corporation May 2012 - Present
TriWest Healthcare Alliance April 2010 - June 2012
TriWest Healthcare Alliance May 2003 - March 2010
TriWest Healthcare Alliance January 2000 - January 2003
TriWest Healthcare Alliance January 2000 - January 2003
TriWest Healthcare Alliance January 1998 - January 2000
Skills
E-Learning, Training, Talent Management, Distance Learning, Leadership Development, Talent Acquisition, Human Resources, Employee Relations, Management, Program Management, PeopleSoft, Call Centers, Innovation, Video Production, Video Streaming, Video Editing, Learning Management, iCims, Compliance Training, Instructional Design, Recruiting, Leadership
Education
Institute for Applied Management and Law 2010 — 2010
Certificate, Certificate in Employee Relations Law Seminar
e-Learning Business Partnership Program – TraCorp Inc. 2000 — 2000
Internship, e-Learning Production and Management
US Air Force 1986 — 1996
Health Sciences Management
University of Phoenix 1992 — 1994
Bachelor of Science, Business Administration
Don Kros Don Kros's TriWest Healthcare Alliance Experience 2007 - 2007
Job Health and Life Science Data Modeling and Analysis Expert
Industry Information Technology and Services
Experience
Evolent Health June 2014 - Present
Evolent Health March 2014 - June 2014
CIGNA Healthcare February 2013 - February 2014
Futrix Ltd April 2011 - March 2013
Humana March 2007 - April 2011
TriWest Healthcare Alliance 2007 - 2007
WellPoint 2003 - 2006
Anthem 2004 - 2005
Health Management Corporation 2002 - 2005
HMC 2001 - 2005
Skills
Production Support, Data Warehousing, Business Intelligence, Data Analysis, SAS, Business Analysis, Analytics, ETL, Business Objects, SQL, Project Management, Requirements Analysis, Data Mining, Microsoft SQL Server, Data Integration, SDLC, DB2, Databases, Data Modeling, Analysis, Data Marts, Dimensional Modeling, Logical Data Modeling, Data Administration, Enterprise Data Modeling, Enterprise Databases, ETL Tools, Train the Trainer, Virtual Training, Team Facilitation, Training Facilitation, Brainstorm Facilitation, Cognitive Walkthrough, Data Stewardship, Data Architects, Organizational..., Situational Leadership, Technical Vision, Hands-on Development, Leading Development..., Delivering projects on..., Exceeding Customer..., Passion for Success, Success Driven, Program Management, Cross-functional Team..., Predictive Modeling, Database Design, Strategy, IT Strategy
Education
University of Nebraska-Lincoln 1987 — 1992
Bachelor of Arts (B.A.), Cognitive Psychology and Psycholinguistics
Evolent Health June 2014 - Present
Evolent Health March 2014 - June 2014
CIGNA Healthcare February 2013 - February 2014
Futrix Ltd April 2011 - March 2013
Humana March 2007 - April 2011
TriWest Healthcare Alliance 2007 - 2007
WellPoint 2003 - 2006
Anthem 2004 - 2005
Health Management Corporation 2002 - 2005
HMC 2001 - 2005
Skills
Production Support, Data Warehousing, Business Intelligence, Data Analysis, SAS, Business Analysis, Analytics, ETL, Business Objects, SQL, Project Management, Requirements Analysis, Data Mining, Microsoft SQL Server, Data Integration, SDLC, DB2, Databases, Data Modeling, Analysis, Data Marts, Dimensional Modeling, Logical Data Modeling, Data Administration, Enterprise Data Modeling, Enterprise Databases, ETL Tools, Train the Trainer, Virtual Training, Team Facilitation, Training Facilitation, Brainstorm Facilitation, Cognitive Walkthrough, Data Stewardship, Data Architects, Organizational..., Situational Leadership, Technical Vision, Hands-on Development, Leading Development..., Delivering projects on..., Exceeding Customer..., Passion for Success, Success Driven, Program Management, Cross-functional Team..., Predictive Modeling, Database Design, Strategy, IT Strategy
Education
University of Nebraska-Lincoln 1987 — 1992
Bachelor of Arts (B.A.), Cognitive Psychology and Psycholinguistics
Donna (Rascona) Steele Donna (Rascona) Steele's TriWest Healthcare Alliance Experience September 1996 - December 1999
Job Freelance Editor/Writer at Blue Cross Blue Shield of Arizona
Industry Marketing and Advertising
Experience
Blue Cross Blue Shield of Arizona November 2012 - Present
KEY WORDS Writing Editing Copy Coaching January 2009 - Present
Enamor February 2010 - July 2012
Kronos Optimal Health June 2005 - December 2008
BankFirst Corporation 1999 - 2005
Donna B. Steele Inc. 1996 - 2005
TriWest Healthcare Alliance September 1996 - December 1999
Rascona Photographic 1987 - 1996
Patchen Brownfeld Advertising 1985 - 1987
Skills
Copywriting, Advertising, Marketing Strategy, Newsletters, Direct Marketing, Marketing, Editing, Brochures, Direct Mail, B2B, Copy Editing, Corporate Communications, Leadership, Management, Photography, Social Media Marketing, Web Content, Marketing Communications
Education
The University of Memphis
BA, Advertising & PR
Blue Cross Blue Shield of Arizona November 2012 - Present
KEY WORDS Writing Editing Copy Coaching January 2009 - Present
Enamor February 2010 - July 2012
Kronos Optimal Health June 2005 - December 2008
BankFirst Corporation 1999 - 2005
Donna B. Steele Inc. 1996 - 2005
TriWest Healthcare Alliance September 1996 - December 1999
Rascona Photographic 1987 - 1996
Patchen Brownfeld Advertising 1985 - 1987
Skills
Copywriting, Advertising, Marketing Strategy, Newsletters, Direct Marketing, Marketing, Editing, Brochures, Direct Mail, B2B, Copy Editing, Corporate Communications, Leadership, Management, Photography, Social Media Marketing, Web Content, Marketing Communications
Education
The University of Memphis
BA, Advertising & PR
Lara Smith Lara Smith's TriWest Healthcare Alliance Experience March 2010 - April 2013
Job Director of Internal Communications at Desert Schools Federal Credit Union
Industry Financial Services
Experience
Desert Schools Federal Credit Union April 2013 - Present
TriWest Healthcare Alliance March 2010 - April 2013
TriWest Healthcare Alliance February 2004 - February 2010
TriWest Healthcare Alliance May 2002 - February 2004
Arthur Andersen 2000 - 2002
Lifemark (now a part of United Healthcare) 1995 - 2000
Skills
Communication Training, Healthcare, Internal Communications, Corporate Communications, Web Content, Strategic Communications, Newsletters, Content Management, Editing, Public Relations, Managed Care, SharePoint, Marketing Communications, Public Speaking, Program Management, Project Management, Cross-functional Team..., Email Marketing, Marketing, Community Outreach, Leadership Development, Crisis Communications, Leadership, Media Relations, Social Media, Strategy, Internal & External..., Management, Creative Direction, Integrated Marketing, Messaging, Speech Writing, Copywriting, Press Releases
Education
University of Arizona 1989 — 1994
B.S., Communication
Desert Schools Federal Credit Union April 2013 - Present
TriWest Healthcare Alliance March 2010 - April 2013
TriWest Healthcare Alliance February 2004 - February 2010
TriWest Healthcare Alliance May 2002 - February 2004
Arthur Andersen 2000 - 2002
Lifemark (now a part of United Healthcare) 1995 - 2000
Skills
Communication Training, Healthcare, Internal Communications, Corporate Communications, Web Content, Strategic Communications, Newsletters, Content Management, Editing, Public Relations, Managed Care, SharePoint, Marketing Communications, Public Speaking, Program Management, Project Management, Cross-functional Team..., Email Marketing, Marketing, Community Outreach, Leadership Development, Crisis Communications, Leadership, Media Relations, Social Media, Strategy, Internal & External..., Management, Creative Direction, Integrated Marketing, Messaging, Speech Writing, Copywriting, Press Releases
Education
University of Arizona 1989 — 1994
B.S., Communication
Pamela Reynolds RN BSN CCM Pamela Reynolds RN BSN CCM's TriWest Healthcare Alliance Experience July 2011 - April 2013
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance July 2011 - April 2013
TriWest Healthcare Alliance March 2006 - July 2011
TriWest Healthcare Alliance July 2002 - March 2006
TriWest Healthcare Alliance May 1997 - July 2002
Skills
Registered Nurse, Certifed Case Manager, Managed Care, Clinical Educator -..., Clinical Educator- Case..., TRICARE, Nursing, Utilization Review, Disease Management, Case Managment, Case Management, Clinical Research, Medicaid, Home Care, Medicare, Patient Safety, Medical/Surgical, Medication..., Physician Relations, Utilization Management
Education
University of Phoenix
Bachelor of Science (BS) - Nursing, Registered Nursing/Registered Nurse
TriWest Healthcare Alliance July 2011 - April 2013
TriWest Healthcare Alliance March 2006 - July 2011
TriWest Healthcare Alliance July 2002 - March 2006
TriWest Healthcare Alliance May 1997 - July 2002
Skills
Registered Nurse, Certifed Case Manager, Managed Care, Clinical Educator -..., Clinical Educator- Case..., TRICARE, Nursing, Utilization Review, Disease Management, Case Managment, Case Management, Clinical Research, Medicaid, Home Care, Medicare, Patient Safety, Medical/Surgical, Medication..., Physician Relations, Utilization Management
Education
University of Phoenix
Bachelor of Science (BS) - Nursing, Registered Nursing/Registered Nurse
Samantha Dilyou Samantha Dilyou's TriWest Healthcare Alliance Experience June 2014 - Present
Job Administrative Professional/Customer Relations Expert/Problem Solver/Customer Service Consultant/Organizer
Industry Medical Practice
Experience
TriWest Healthcare Alliance June 2014 - Present
North Valley Surgical Associates May 2011 - April 2013
North Valley Surgical Associates May 2011 - April 2013
Siavash Sobhani M.D./Internal Medicine Fairfax September 2008 - November 2010
Signmasters of Yuma,LLC March 2007 - April 2008
Kelly Temporary Services June 2007 - October 2007
Option One November 2002 - August 2005
Skills
HIPAA, Medical Coding, Healthcare
Education
Arizona High School
Diploma
Strayer University (VA)
Accounting and Business/Management
TriWest Healthcare Alliance June 2014 - Present
North Valley Surgical Associates May 2011 - April 2013
North Valley Surgical Associates May 2011 - April 2013
Siavash Sobhani M.D./Internal Medicine Fairfax September 2008 - November 2010
Signmasters of Yuma,LLC March 2007 - April 2008
Kelly Temporary Services June 2007 - October 2007
Option One November 2002 - August 2005
Skills
HIPAA, Medical Coding, Healthcare
Education
Arizona High School
Diploma
Strayer University (VA)
Accounting and Business/Management
Robin Buchta Robin Buchta's TriWest Healthcare Alliance Experience August 2009 - June 2013
Job Sr. Business Analyst at CVS Caremark Corporation
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance August 2009 - June 2013
TriWest Healthcare Alliance August 2006 - August 2009
Wolters Kluwer October 1997 - August 2006
Skills
Root Cause Problem..., Software Implementation, Data Analysis, Troubleshooting, Change Management, Quality Assurance, Technical Support, Business Requirements, Technical Documentation, Project Management, Vendor Relationships, SQL, Healthcare, Software Documentation, Program Management, Healthcare Management, Management, Agile Methodologies, Software Development, Business Process, Healthcare Industry, Visio, HIPAA
Education
Central Missouri State University
Bachelor's degree, Elementary Education with a minor in Psychology
TriWest Healthcare Alliance August 2009 - June 2013
TriWest Healthcare Alliance August 2006 - August 2009
Wolters Kluwer October 1997 - August 2006
Skills
Root Cause Problem..., Software Implementation, Data Analysis, Troubleshooting, Change Management, Quality Assurance, Technical Support, Business Requirements, Technical Documentation, Project Management, Vendor Relationships, SQL, Healthcare, Software Documentation, Program Management, Healthcare Management, Management, Agile Methodologies, Software Development, Business Process, Healthcare Industry, Visio, HIPAA
Education
Central Missouri State University
Bachelor's degree, Elementary Education with a minor in Psychology
Rontai Cole Rontai Cole's TriWest Healthcare Alliance Experience September 2011 - January 2013
Job Tier 1 Technical Support Supervisor at Concentrix
Industry Hospital & Health Care
Experience
Corporate Health Resources July 2015 - Present
Concentrix November 2014 - July 2015
Banner Health January 2013 - October 2014
TriWest Healthcare Alliance September 2011 - January 2013
Chubb Insurance May 2005 - October 2010
Madison Simis Elementary School September 2004 - May 2005
Discovery Office Systems October 1999 - August 2004
Skills
Call Centers, Customer Service, Data Entry, Software Documentation, Quality Assurance, Outlook, Employee Relations, Training
Education
University of Phoenix 2007 — 2011
Elementary Education, Elementary Education and Teaching
Sanoma State University 1995 — 1997
Corporate Health Resources July 2015 - Present
Concentrix November 2014 - July 2015
Banner Health January 2013 - October 2014
TriWest Healthcare Alliance September 2011 - January 2013
Chubb Insurance May 2005 - October 2010
Madison Simis Elementary School September 2004 - May 2005
Discovery Office Systems October 1999 - August 2004
Skills
Call Centers, Customer Service, Data Entry, Software Documentation, Quality Assurance, Outlook, Employee Relations, Training
Education
University of Phoenix 2007 — 2011
Elementary Education, Elementary Education and Teaching
Sanoma State University 1995 — 1997
Erica Childers Erica Childers's TriWest Healthcare Alliance Experience September 2011 - February 2013
Job Call Quality Analyst at United Military and Veterans
Industry Hospital & Health Care
Experience
United Military and Veterans February 2013 - Present
TriWest Healthcare Alliance September 2011 - February 2013
Skills
Healthcare Management, Leadership, HIPAA, Quality Assurance, Process Improvement, Healthcare Industry, Healthcare, CPT, Managed Care, Healthcare Information..., Medicaid, Healthcare Consulting, EMR, Medicare, Hospitals, ICD-9, Medical Terminology, Medical Records
Education
University of Phoenix 2012 — 2014
Master of Business Administration (M.B.A.), Business Administration and Management, General
University of Phoenix 2008 — 2013
Bachelor's degree, Healthcare Administration
Peoria High School 1991 — 1995
High School Diploma
United Military and Veterans February 2013 - Present
TriWest Healthcare Alliance September 2011 - February 2013
Skills
Healthcare Management, Leadership, HIPAA, Quality Assurance, Process Improvement, Healthcare Industry, Healthcare, CPT, Managed Care, Healthcare Information..., Medicaid, Healthcare Consulting, EMR, Medicare, Hospitals, ICD-9, Medical Terminology, Medical Records
Education
University of Phoenix 2012 — 2014
Master of Business Administration (M.B.A.), Business Administration and Management, General
University of Phoenix 2008 — 2013
Bachelor's degree, Healthcare Administration
Peoria High School 1991 — 1995
High School Diploma
Max Bullis's TriWest Healthcare Alliance Experience 2007 - 2007
Job Systems Engineer II at CopperPoint/SCF Arizona
Industry Information Technology and Services
Experience
CopperPoint/SCF Arizona October 2013 - Present
Genworth Financial June 2013 - October 2013
Technisource - Genworth Financial October 2010 - June 2013
Technisource October 2009 - October 2010
APSC December 2007 - August 2009
FocusIT December 2005 - March 2007
TriWest Healthcare Alliance 2007 - 2007
Star HRG March 2003 - December 2005
Suntrust Banks Inc. January 2002 - June 2002
Walt Disney World January 1999 - January 2002
Skills
Microsoft Exchange, VPN, Active Directory, VMware ESX, Blackberry Enterprise..., LeftHand, VMware, Server 2000-2008, iSCSI, IIS, Troubleshooting, Antivirus, Hardware, HP Storage, FTP, Symantec Endpoint..., McAfee, Vendor Management, Project Management, Process Improvement, Business Analysis, HP, Technical Support
Education
University of Central Florida 1998 — 2000
CopperPoint/SCF Arizona October 2013 - Present
Genworth Financial June 2013 - October 2013
Technisource - Genworth Financial October 2010 - June 2013
Technisource October 2009 - October 2010
APSC December 2007 - August 2009
FocusIT December 2005 - March 2007
TriWest Healthcare Alliance 2007 - 2007
Star HRG March 2003 - December 2005
Suntrust Banks Inc. January 2002 - June 2002
Walt Disney World January 1999 - January 2002
Skills
Microsoft Exchange, VPN, Active Directory, VMware ESX, Blackberry Enterprise..., LeftHand, VMware, Server 2000-2008, iSCSI, IIS, Troubleshooting, Antivirus, Hardware, HP Storage, FTP, Symantec Endpoint..., McAfee, Vendor Management, Project Management, Process Improvement, Business Analysis, HP, Technical Support
Education
University of Central Florida 1998 — 2000
Julian Huff Julian Huff's TriWest Healthcare Alliance Experience February 2004 - March 2013
Job Client Services Manager at US Foods
Industry Information Technology and Services
Experience
US Foods July 2013 - Present
TriWest Healthcare Alliance February 2004 - March 2013
PetSmart July 2000 - June 2002
ON Semiconductor 1994 - July 2000
Skills
IT Management, HIPAA, Healthcare Information..., Active Directory, Process Improvement, Disaster Recovery, Visio, Vendor Management, Business Analysis, Server Architecture, Data Center, SCCM, Software Documentation, Windows Server, iOS Development, ITIL v3 Certified, iOS Design, System Administration, Security, Microsoft Exchange, Integration, Help Desk Support, Windows 7, ITIL Certified, IIS, iOS development, Outsourcing, ITIL, SharePoint, VMware, Windows, Enterprise Software, Management, Microsoft Technologies, Troubleshooting, Leadership, Databases, DNS, Virtualization, Information Technology, Hardware, IT Operations, Cisco Technologies, Network Security, Servers, SDLC, VMware ESX, Requirements Analysis, Technical Support, Server Administration
Education
University of Phoenix
US Foods July 2013 - Present
TriWest Healthcare Alliance February 2004 - March 2013
PetSmart July 2000 - June 2002
ON Semiconductor 1994 - July 2000
Skills
IT Management, HIPAA, Healthcare Information..., Active Directory, Process Improvement, Disaster Recovery, Visio, Vendor Management, Business Analysis, Server Architecture, Data Center, SCCM, Software Documentation, Windows Server, iOS Development, ITIL v3 Certified, iOS Design, System Administration, Security, Microsoft Exchange, Integration, Help Desk Support, Windows 7, ITIL Certified, IIS, iOS development, Outsourcing, ITIL, SharePoint, VMware, Windows, Enterprise Software, Management, Microsoft Technologies, Troubleshooting, Leadership, Databases, DNS, Virtualization, Information Technology, Hardware, IT Operations, Cisco Technologies, Network Security, Servers, SDLC, VMware ESX, Requirements Analysis, Technical Support, Server Administration
Education
University of Phoenix
Donna McNamara Donna McNamara's TriWest Healthcare Alliance Experience July 2004 - December 2005
Job
Industry Consumer Services
Experience
Maricopa County Elections Dept May 2007 - August 2013
Discover Card December 2005 - May 2007
TriWest Healthcare Alliance July 2004 - December 2005
American Express August 2000 - July 2004
Skills
Customer Service, Team Building, Microsoft Word, Call Centers, Data Entry, Outlook, Microsoft Excel, Sales, Process Improvement, Customer Experience, PowerPoint, Microsoft Office, Customer Retention, Payroll, Customer Relations, Social Services
Education
The Bryman School of Arizona 1995 — 1995
PTR
St Rita Grammar School
Maricopa County Elections Dept May 2007 - August 2013
Discover Card December 2005 - May 2007
TriWest Healthcare Alliance July 2004 - December 2005
American Express August 2000 - July 2004
Skills
Customer Service, Team Building, Microsoft Word, Call Centers, Data Entry, Outlook, Microsoft Excel, Sales, Process Improvement, Customer Experience, PowerPoint, Microsoft Office, Customer Retention, Payroll, Customer Relations, Social Services
Education
The Bryman School of Arizona 1995 — 1995
PTR
St Rita Grammar School
Rich D'Ambrosio Rich D'Ambrosio's TriWest Healthcare Alliance Experience August 1998 - May 2001
Job D'Ambrosio Law Firm LLC
Industry Hospital & Health Care
Experience
D'Ambrosio Law Firm LLC August 2015 - Present
Memorial Hospital System, University of Colorado Health July 2013 - July 2015
Cheyenne Regional Medical Center July 2010 - July 2013
Exempla Healthcare December 2009 - July 2010
Colorado Heritage Camps 2005 - 2010
Centura Health May 2001 - December 2009
TLC Meals on Wheels 2008 - 2009
TriWest Healthcare Alliance August 1998 - May 2001
Long & Jaudon, PC November 1994 - August 1998
US District Court for the District of Colorado August 1992 - November 1994
Skills
Employment Law, Healthcare, Medicaid, Health Law, HIPAA, Hospitals, Physicians, Non-profits, Medicare, TRICARE, University Teaching, Charity Governance, Corporate Governance, Contract Negotiation, Regulatory Requirements, Public Health, Community Health, Community Hospitals, Affordable Care Act, Stark, Anti-Kickback Statute, Governance, Health Care Systems, Business Ethics, Corporate Law, Mergers & Acquisitions, Divestitures, Staff Management, Business Writing, Speech Communications, Presentations, Government Contracting, Contract Law, Risk Management, Management Of Outside..., Legal Compliance, Nonprofits, Policy, Managed Care, Revenue Cycle, Physician Relations, Litigation Management, FCPA, Healthcare Consulting, Healthcare Management, Healthcare Information..., Legal Writing
Education
University of Illinois College of Law 1989 — 1992
JD, Law
Cambridge University, Fitzwilliam College 1990 — 1990
none, Law
University of Illinois at Urbana-Champaign 1985 — 1989
BS, Accountancy
University of Illinois at Urbana-Champaign - College of Business 1985 — 1989
BS, Accountancy
D'Ambrosio Law Firm LLC August 2015 - Present
Memorial Hospital System, University of Colorado Health July 2013 - July 2015
Cheyenne Regional Medical Center July 2010 - July 2013
Exempla Healthcare December 2009 - July 2010
Colorado Heritage Camps 2005 - 2010
Centura Health May 2001 - December 2009
TLC Meals on Wheels 2008 - 2009
TriWest Healthcare Alliance August 1998 - May 2001
Long & Jaudon, PC November 1994 - August 1998
US District Court for the District of Colorado August 1992 - November 1994
Skills
Employment Law, Healthcare, Medicaid, Health Law, HIPAA, Hospitals, Physicians, Non-profits, Medicare, TRICARE, University Teaching, Charity Governance, Corporate Governance, Contract Negotiation, Regulatory Requirements, Public Health, Community Health, Community Hospitals, Affordable Care Act, Stark, Anti-Kickback Statute, Governance, Health Care Systems, Business Ethics, Corporate Law, Mergers & Acquisitions, Divestitures, Staff Management, Business Writing, Speech Communications, Presentations, Government Contracting, Contract Law, Risk Management, Management Of Outside..., Legal Compliance, Nonprofits, Policy, Managed Care, Revenue Cycle, Physician Relations, Litigation Management, FCPA, Healthcare Consulting, Healthcare Management, Healthcare Information..., Legal Writing
Education
University of Illinois College of Law 1989 — 1992
JD, Law
Cambridge University, Fitzwilliam College 1990 — 1990
none, Law
University of Illinois at Urbana-Champaign 1985 — 1989
BS, Accountancy
University of Illinois at Urbana-Champaign - College of Business 1985 — 1989
BS, Accountancy
Jasper Simonds Jasper Simonds's TriWest Healthcare Alliance Experience January 2010 - January 2013
Job Multimedia Developer at Pearson
Industry Computer Games
Experience
Pearson January 2013 - Present
TriWest Healthcare Alliance January 2010 - January 2013
Rainbow studios November 2005 - November 2009
thomson netg 1999 - 2005
netg 1999 - 2005
knowledge net 1999 - 2005
knowledgenet 1999 - 2005
Skills
Flash, Maya, Premiere, Animation, After Effects, 3D Studio Max, ActionScript, Game Design, Video Games, Photoshop, 3D, Texturing
Education
University of Advancing Technology 1998 — 2002
Pearson January 2013 - Present
TriWest Healthcare Alliance January 2010 - January 2013
Rainbow studios November 2005 - November 2009
thomson netg 1999 - 2005
netg 1999 - 2005
knowledge net 1999 - 2005
knowledgenet 1999 - 2005
Skills
Flash, Maya, Premiere, Animation, After Effects, 3D Studio Max, ActionScript, Game Design, Video Games, Photoshop, 3D, Texturing
Education
University of Advancing Technology 1998 — 2002
Eric M. Hancock, HCS's TriWest Healthcare Alliance Experience July 2005 - May 2013
Job HR Business Partner, Memorial Hospital UCHealth South
Industry Human Resources
Experience
Memorial Hospital - UCHealth South June 2013 - Present
TriWest Healthcare Alliance July 2005 - May 2013
Target January 2001 - July 2005
3Com/MSL October 1997 - December 2000
Emerson Electric 1989 - 1997
Skills
Personnel Management, Recruiting, Talent Management, Employee Relations, Human Resources, Curriculum Development, Written & Oral..., Employment Law, Workforce Planning, Onboarding, Employee Engagement, FMLA, Leadership, Policy, Succession Planning, Talent Acquisition
Education
University of Colorado at Colorado Springs 1990 — 1996
BA, Communication, Magna Cum Laude
Human Capital Institute
Human Capital Strategist Certification, Nov 2012
Memorial Hospital - UCHealth South June 2013 - Present
TriWest Healthcare Alliance July 2005 - May 2013
Target January 2001 - July 2005
3Com/MSL October 1997 - December 2000
Emerson Electric 1989 - 1997
Skills
Personnel Management, Recruiting, Talent Management, Employee Relations, Human Resources, Curriculum Development, Written & Oral..., Employment Law, Workforce Planning, Onboarding, Employee Engagement, FMLA, Leadership, Policy, Succession Planning, Talent Acquisition
Education
University of Colorado at Colorado Springs 1990 — 1996
BA, Communication, Magna Cum Laude
Human Capital Institute
Human Capital Strategist Certification, Nov 2012
Tammy Shetley Tammy Shetley's TriWest Healthcare Alliance Experience January 2003 - Present
Job
Industry
Experience
TriWest Healthcare Alliance January 2003 - Present
AOL April 2002 - January 2003
Mountain Home AFB Chaplain Fund July 1999 - February 2002
DynCorp International March 1989 - February 1999
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, English, Windows, Research, Outlook, Photoshop, Teaching, Budgets, HTML
Education
The University of North Dakota 1982 — 1986
Bachelor of Public Administration, Business Administration and Management, General Minor: Computer Science
Cavalier Public High School 1978 — 1982
TriWest Healthcare Alliance January 2003 - Present
AOL April 2002 - January 2003
Mountain Home AFB Chaplain Fund July 1999 - February 2002
DynCorp International March 1989 - February 1999
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, English, Windows, Research, Outlook, Photoshop, Teaching, Budgets, HTML
Education
The University of North Dakota 1982 — 1986
Bachelor of Public Administration, Business Administration and Management, General Minor: Computer Science
Cavalier Public High School 1978 — 1982
Lori Highberger, M.D.'s TriWest Healthcare Alliance Experience August 2015 - Present
Job Medical Director at TriWest Healthcare Alliance
Industry Mental Health Care
Experience
TriWest Healthcare Alliance August 2015 - Present
BPS Integrated Medical PLLC August 2006 - Present
Department of Veterans Affairs February 2003 - August 2015
American Physicians Inc. August 2002 - February 2003
Good Samaritan Regional Medical Center June 1997 - June 2002
Skills
Internal Medicine, Treatment, Psychiatry, Mental Health, Post Traumatic Stress, Medicine, Wellness, Board Certified, Healthcare Management, Healthcare, Healthcare Information..., Leadership, Mental Health Counseling, Patient Safety, Program Development, Program Evaluation, Program Management, Psychology, Public Speaking
Education
University of Kansas Medical Center 1993 — 1997
M.D., Medicine
The University of Kansas 1990 — 1993
B.A., Psychology
TriWest Healthcare Alliance August 2015 - Present
BPS Integrated Medical PLLC August 2006 - Present
Department of Veterans Affairs February 2003 - August 2015
American Physicians Inc. August 2002 - February 2003
Good Samaritan Regional Medical Center June 1997 - June 2002
Skills
Internal Medicine, Treatment, Psychiatry, Mental Health, Post Traumatic Stress, Medicine, Wellness, Board Certified, Healthcare Management, Healthcare, Healthcare Information..., Leadership, Mental Health Counseling, Patient Safety, Program Development, Program Evaluation, Program Management, Psychology, Public Speaking
Education
University of Kansas Medical Center 1993 — 1997
M.D., Medicine
The University of Kansas 1990 — 1993
B.A., Psychology
Debra Cavanaugh Debra Cavanaugh's TriWest Healthcare Alliance Experience April 2002 - Present
Job VP Executive Operations at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance April 2002 - Present
US Air Force 1978 - 2002
Air Force MSC 1975 - 2002
Education
University of Southern California 1987 — 1989
MS, Systems Management
University of New Hampshire 1975 — 1977
BS, Business Administration
St. Mary's University 1969 — 1971
Law Enforcement, Finance
TriWest Healthcare Alliance April 2002 - Present
US Air Force 1978 - 2002
Air Force MSC 1975 - 2002
Education
University of Southern California 1987 — 1989
MS, Systems Management
University of New Hampshire 1975 — 1977
BS, Business Administration
St. Mary's University 1969 — 1971
Law Enforcement, Finance
Carol Sachs Carol Sachs's TriWest Healthcare Alliance Experience August 2005 - Present
Job ECHO Case Manager at United Healtcare Military and Veterans
Industry Hospital & Health Care
Experience
United Healtcare Military and Veterans April 2013 - Present
TriWest Healthcare Alliance August 2005 - Present
Skills
Utilization Management, Case Managment, Disease Management, Crisis Intervention, Utilization Review, Medication..., Hospitals, Health Education, Nursing, Motivational..., Medicaid, Certified Case Manager, Managed Care, Patient Advocacy, Behavioral Health, Healthcare Management
Education
Troy State University 1983 — 1985
Master's of Science, Business Administration and Management, General
University of Colorado Boulder 1970 — 1975
Bachelor of Science (BS), Registered Nursing/Registered Nurse
United Healtcare Military and Veterans April 2013 - Present
TriWest Healthcare Alliance August 2005 - Present
Skills
Utilization Management, Case Managment, Disease Management, Crisis Intervention, Utilization Review, Medication..., Hospitals, Health Education, Nursing, Motivational..., Medicaid, Certified Case Manager, Managed Care, Patient Advocacy, Behavioral Health, Healthcare Management
Education
Troy State University 1983 — 1985
Master's of Science, Business Administration and Management, General
University of Colorado Boulder 1970 — 1975
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Amy Kearney Amy Kearney's TriWest Healthcare Alliance Experience May 2010 - March 2013
Job Director, Research and Analysis Team at Health Services Advisory Group, Inc. (HSAG)
Industry Hospital & Health Care
Experience
Health Services Advisory Group, Inc. (HSAG) July 2014 - Present
Health Services Advisory Group April 2013 - June 2014
TriWest Healthcare Alliance May 2010 - March 2013
TriWest Healthcare Alliance 2003 - 2010
TriWest Healthcare Alliance 2002 - 2003
Skills
HIPAA, Healthcare Information..., Healthcare, Managed Care, Healthcare Management, ICD-10, Cross-functional Team..., Analysis, Leadership, Project Planning, Team Leadership, Project Management, SDLC, Medicare, Process Improvement, Visio, Provider Relations, Medicaid, EMR, Software Documentation, Business Analysis, EHR, Vendor Management, Healthcare Industry, Access, Disease Management, Quality Assurance, Data Analysis, Health Policy, ICD-9, Informatics, CPT, Health Insurance, Medical Compliance, Hospitals, Health Information..., Medical Coding, Medical Terminology, Quality Improvement, Revenue Cycle, Utilization Management, Healthcare Analytics, Clinical Research
Education
The University of New Mexico - Robert O. Anderson School of Management 1990 — 1996
Bachelor of Arts (B.A.), Business Administration and Management, General
Health Services Advisory Group, Inc. (HSAG) July 2014 - Present
Health Services Advisory Group April 2013 - June 2014
TriWest Healthcare Alliance May 2010 - March 2013
TriWest Healthcare Alliance 2003 - 2010
TriWest Healthcare Alliance 2002 - 2003
Skills
HIPAA, Healthcare Information..., Healthcare, Managed Care, Healthcare Management, ICD-10, Cross-functional Team..., Analysis, Leadership, Project Planning, Team Leadership, Project Management, SDLC, Medicare, Process Improvement, Visio, Provider Relations, Medicaid, EMR, Software Documentation, Business Analysis, EHR, Vendor Management, Healthcare Industry, Access, Disease Management, Quality Assurance, Data Analysis, Health Policy, ICD-9, Informatics, CPT, Health Insurance, Medical Compliance, Hospitals, Health Information..., Medical Coding, Medical Terminology, Quality Improvement, Revenue Cycle, Utilization Management, Healthcare Analytics, Clinical Research
Education
The University of New Mexico - Robert O. Anderson School of Management 1990 — 1996
Bachelor of Arts (B.A.), Business Administration and Management, General
Teresa Hull Teresa Hull's TriWest Healthcare Alliance Experience June 2005 - April 2007
Job Excellent Data Entry
Industry Accounting
Experience
RemX Staffing - Contract Position - Mutual of Omaha Bank December 2014 - February 2015
SVS Group - Contract at Secure One Data Solutions November 2013 - June 2014
Siegel Suites August 2013 - October 2013
Lucas Group February 2011 - June 2012
Apollo Professional Solutions/Managed Staffing August 2010 - February 2011
Vangent (Census 2010 Program) January 2010 - July 2010
Manpower February 2008 - December 2009
Kelly Services December 2007 - April 2008
TriWest Healthcare Alliance June 2005 - April 2007
Skills
Customer Service, Call Center, Customer Satisfaction, Access, PeopleSoft, Outlook, Microsoft Office, Team Leadership, Microsoft Excel, Data Entry, Spreadsheets, Databases, Accounting, Lotus Notes, Microsoft Word, QuickBooks, Fax, Accounts Receivable, TriZetto QXNT, Invoicing, Cash Handling Experience, Rental Experience
Education
University of Phoenix 2013 — 2014
Bachelor of Science (BS), Accounting, 3.92 GPA
Western International University 2004 — 2006
Accounting
Strayer University
Bachelor's Degree, Accounting
RemX Staffing - Contract Position - Mutual of Omaha Bank December 2014 - February 2015
SVS Group - Contract at Secure One Data Solutions November 2013 - June 2014
Siegel Suites August 2013 - October 2013
Lucas Group February 2011 - June 2012
Apollo Professional Solutions/Managed Staffing August 2010 - February 2011
Vangent (Census 2010 Program)
Manpower February 2008 - December 2009
Kelly Services December 2007 - April 2008
TriWest Healthcare Alliance June 2005 - April 2007
Skills
Customer Service, Call Center, Customer Satisfaction, Access, PeopleSoft, Outlook, Microsoft Office, Team Leadership, Microsoft Excel, Data Entry, Spreadsheets, Databases, Accounting, Lotus Notes, Microsoft Word, QuickBooks, Fax, Accounts Receivable, TriZetto QXNT, Invoicing, Cash Handling Experience, Rental Experience
Education
University of Phoenix 2013 — 2014
Bachelor of Science (BS), Accounting, 3.92 GPA
Western International University 2004 — 2006
Accounting
Strayer University
Bachelor's Degree, Accounting
Yesica Hernandez-Perez Yesica Hernandez-Perez's TriWest Healthcare Alliance Experience June 2011 - August 2012
Job Graduate student in seach of a job in the Criminal Justice field.
Industry Law Enforcement
Experience
TriWest Healthcare Alliance June 2011 - August 2012
Trinity Health (Trinity Riverside Out Patient Mental Health) March 2011 - June 2011
Yale University Consultation Center May 2010 - November 2010
Apple May 2010 - November 2010
Best Buy June 2008 - March 2010
Bridgeport Police Department June 2009 - October 2009
Skills
Customer Service, Microsoft Office, Inventory Management, Microsoft Excel, Retail, PowerPoint, Computer Repair, Mac OS X, Loss Prevention, Merchandising, Microsoft Word, Computer Hardware, Outlook, Windows 7
Education
Walden University 2011 — 2014
Master of Science (MS), Criminal Justice, 3.75
University of New Haven 2006 — 2010
BS, Criminal Justice- Investigative Services
TriWest Healthcare Alliance June 2011 - August 2012
Trinity Health (Trinity Riverside Out Patient Mental Health) March 2011 - June 2011
Yale University Consultation Center May 2010 - November 2010
Apple May 2010 - November 2010
Best Buy June 2008 - March 2010
Bridgeport Police Department June 2009 - October 2009
Skills
Customer Service, Microsoft Office, Inventory Management, Microsoft Excel, Retail, PowerPoint, Computer Repair, Mac OS X, Loss Prevention, Merchandising, Microsoft Word, Computer Hardware, Outlook, Windows 7
Education
Walden University 2011 — 2014
Master of Science (MS), Criminal Justice, 3.75
University of New Haven 2006 — 2010
BS, Criminal Justice- Investigative Services
Patricia Sommervold, MBA Patricia Sommervold, MBA's TriWest Healthcare Alliance Experience January 2011 - Present
Job at USAA
Industry Insurance
Experience
USAA August 2013 - Present
TriWest Healthcare Alliance January 2011 - Present
Bank of America March 2010 - January 2011
Vangent, Inc. November 2009 - March 2010
USAA January 2001 - February 2004
USAA June 1997 - January 2001
USAA January 1996 - June 1997
Skills
Management, Leadership, Negotiation, Process Improvement, Sales, Operations Management, Team Building, Call Center, Project Management, Customer Service, Program Management, Team Leadership, Vendor Management, Strategic Planning, Six Sigma, Budgets, Training, Cross-functional Team..., Customer Satisfaction, Change Management, Healthcare, Access, Performance Management, Contract Management, Analysis, Business Analysis, Coaching, Visio, Logistics, Microsoft Excel, Call Centers, Contract Negotiation, Outlook, Data Analysis, Insurance, Quality Assurance
Education
University of South Florida 1998 — 2000
MBA, Management
The Ohio State University 1978 — 1982
Bachelor of Science, Business Administration
USAA August 2013 - Present
TriWest Healthcare Alliance January 2011 - Present
Bank of America March 2010 - January 2011
Vangent, Inc. November 2009 - March 2010
USAA January 2001 - February 2004
USAA June 1997 - January 2001
USAA January 1996 - June 1997
Skills
Management, Leadership, Negotiation, Process Improvement, Sales, Operations Management, Team Building, Call Center, Project Management, Customer Service, Program Management, Team Leadership, Vendor Management, Strategic Planning, Six Sigma, Budgets, Training, Cross-functional Team..., Customer Satisfaction, Change Management, Healthcare, Access, Performance Management, Contract Management, Analysis, Business Analysis, Coaching, Visio, Logistics, Microsoft Excel, Call Centers, Contract Negotiation, Outlook, Data Analysis, Insurance, Quality Assurance
Education
University of South Florida 1998 — 2000
MBA, Management
The Ohio State University 1978 — 1982
Bachelor of Science, Business Administration
Lori Wieters, MBA, Ph.D. Lori Wieters, MBA, Ph.D.'s TriWest Healthcare Alliance Experience November 2003 - March 2010
Job Industrial/Organizational Psychologist
Industry Management Consulting
Experience
The Predictive Group, Inc. June 2010 - Present
Purposeful Leadership Consulting January 2003 - Present
StreetLightUSA December 2013 - Present
Grand Canyon University May 2010 - Present
Ashford University May 2010 - Present
Rio Salado College January 2001 - Present
Triumphant Women, LLC January 2009 - Present
Western International University January 2002 - July 2013
Toastmasters International 1993 - 2011
TriWest Healthcare Alliance November 2003 - March 2010
Skills
Leadership Development, Executive Coaching, Coaching, Instructional Design, Talent Management, Leadership, Public Speaking, Team Building, E-Learning, Employee Engagement, Emotional Intelligence, Curriculum Development, Adult Education, Blended Learning, Analysis, Career Counseling, Career Development, Change Management, Conflict Resolution, Curriculum Design, Employee Relations, Employee Training, Higher Education, Interviews, Learning Management, Management, Management Consulting, Management Development, Non-profits, Mentoring, Organizational..., Organizational..., Performance Improvement, Performance Management, Personal Development, Policy, Process Improvement, Program Development, Program Management, Project Management, Recruiting, Research, Resume Writing, Small Business, Staff Development, Succession Planning, Strategic Planning, Teaching, Team Leadership, Training
Education
Capella University 2003 — 2007
PhD, Organization and Management - Human Resource Mgmt
Western International University, Arizona 1997 — 1999
Post-Masters Certificate, Marketing
Western International University, Arizona 1997 — 1999
Master of Business Administration, Management
University of Dubuque
BS - Education, Physical Education/Biology
The Predictive Group, Inc. June 2010 - Present
Purposeful Leadership Consulting January 2003 - Present
StreetLightUSA December 2013 - Present
Grand Canyon University May 2010 - Present
Ashford University May 2010 - Present
Rio Salado College January 2001 - Present
Triumphant Women, LLC January 2009 - Present
Western International University January 2002 - July 2013
Toastmasters International 1993 - 2011
TriWest Healthcare Alliance November 2003 - March 2010
Skills
Leadership Development, Executive Coaching, Coaching, Instructional Design, Talent Management, Leadership, Public Speaking, Team Building, E-Learning, Employee Engagement, Emotional Intelligence, Curriculum Development, Adult Education, Blended Learning, Analysis, Career Counseling, Career Development, Change Management, Conflict Resolution, Curriculum Design, Employee Relations, Employee Training, Higher Education, Interviews, Learning Management, Management, Management Consulting, Management Development, Non-profits, Mentoring, Organizational..., Organizational..., Performance Improvement, Performance Management, Personal Development, Policy, Process Improvement, Program Development, Program Management, Project Management, Recruiting, Research, Resume Writing, Small Business, Staff Development, Succession Planning, Strategic Planning, Teaching, Team Leadership, Training
Education
Capella University 2003 — 2007
PhD, Organization and Management - Human Resource Mgmt
Western International University, Arizona 1997 — 1999
Post-Masters Certificate, Marketing
Western International University, Arizona 1997 — 1999
Master of Business Administration, Management
University of Dubuque
BS - Education, Physical Education/Biology
Jacqueline DeLeon Jacqueline DeLeon's TriWest Healthcare Alliance Experience December 2012 - Present
Job Referral and Eligibility Coordinator at Arizona Kidney Disease & Hypertension Center
Industry Hospital & Health Care
Experience
Arizona Kidney Disease & Hypertension Center December 2013 - Present
TriWest Healthcare Alliance December 2012 - Present
Skills
Microsoft Excel, PowerPoint, Microsoft Office, Microsoft Word, Customer Service, Healthcare, HIPAA, Medical Terminology, Outlook, Behavioral Health, Team Leadership, Multi Tasking, Contact Centers, Medical Coding, Healthcare Information..., Healthcare Industry, Healthcare Management, Medical Authorizations..., TRICARE, Staff Supervision, Health Insurance, ICD-9, ICD-10, CPT, HCPCS, Medicare, Medical Records, Medical Billing, Revenue Cycle, EHR, Managed Care, EMR, Physicians, Home Care, Direct Patient Care, Epic Systems
Education
University of Phoenix 2012 — 2014
Bachelor's degree, Health/Health Care Administration/Management
University of Phoenix 2010 — 2014
Associate of Arts and Sciences (A.A.S.), Health/Health Care Administration/Management
Arizona Kidney Disease & Hypertension Center December 2013 - Present
TriWest Healthcare Alliance December 2012 - Present
Skills
Microsoft Excel, PowerPoint, Microsoft Office, Microsoft Word, Customer Service, Healthcare, HIPAA, Medical Terminology, Outlook, Behavioral Health, Team Leadership, Multi Tasking, Contact Centers, Medical Coding, Healthcare Information..., Healthcare Industry, Healthcare Management, Medical Authorizations..., TRICARE, Staff Supervision, Health Insurance, ICD-9, ICD-10, CPT, HCPCS, Medicare, Medical Records, Medical Billing, Revenue Cycle, EHR, Managed Care, EMR, Physicians, Home Care, Direct Patient Care, Epic Systems
Education
University of Phoenix 2012 — 2014
Bachelor's degree, Health/Health Care Administration/Management
University of Phoenix 2010 — 2014
Associate of Arts and Sciences (A.A.S.), Health/Health Care Administration/Management
Veronica Leiataua Veronica Leiataua's TriWest Healthcare Alliance Experience December 2013 - May 2015
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance December 2013 - May 2015
TriWest Healthcare Alliance August 2011 - March 2013
ChipSmith, LLC May 2011 - August 2011
Hawaii State Department of Education August 2010 - December 2010
Park Place Assisted Living January 2009 - August 2009
Customer Research, Inc. October 2007 - August 2009
Skills
Customer Service, Healthcare, Telephone Skills, Medical Records, Vital Signs, Fax, Call Centers, Administration, Data Entry, Medication..., Scheduling, Medicare, Medical Terminology, Microsoft Office, Project Management, Project Planning, Problem Solving, Youth Leadership, Outlook, Referrals, Prior Authorization, Appointment Scheduling, Insurance Claims, Auto Claims, Caregiving
Education
South Seattle College 2006 — 2008
Associate of Arts (AA), General Studies
TriWest Healthcare Alliance December 2013 - May 2015
TriWest Healthcare Alliance August 2011 - March 2013
ChipSmith, LLC May 2011 - August 2011
Hawaii State Department of Education August 2010 - December 2010
Park Place Assisted Living January 2009 - August 2009
Customer Research, Inc. October 2007 - August 2009
Skills
Customer Service, Healthcare, Telephone Skills, Medical Records, Vital Signs, Fax, Call Centers, Administration, Data Entry, Medication..., Scheduling, Medicare, Medical Terminology, Microsoft Office, Project Management, Project Planning, Problem Solving, Youth Leadership, Outlook, Referrals, Prior Authorization, Appointment Scheduling, Insurance Claims, Auto Claims, Caregiving
Education
South Seattle College 2006 — 2008
Associate of Arts (AA), General Studies
Mavis Okihara Mavis Okihara's TriWest Healthcare Alliance Experience April 2004 - April 2013
Job Community Relations Leader at Humana
Industry Insurance
Experience
Humana April 2015 - Present
United Healthcare Military & Veterans April 2013 - March 2015
TriWest Healthcare Alliance April 2004 - April 2013
Health Net Federal Services November 2001 - April 2004
Kaiser Permanente 1989 - 2000
University Health Services 1986 - 1989
Hawaii Medical Service Association 1985 - 1986
Skills
Healthcare Marketing, Account Management, Health Plan Education, Health Promotion..., Program Development, Claims Resolution, Communication, Teamwork, Team Leadership, Microsoft Office, Customer Relations, Scheduling, Budgets, Resource Management, Health Education, Surveying, Program Management, Program Implementation, Health Promotion, Screening, Collaborative Problem..., HMO, Community Health, Project Development, Education, Health Insurance, Healthcare Industry, Healthcare Management, Healthcare Consulting, Physician Relations, HIPAA, Health Policy, Marketing, Networking, Marketing Communications, Client Relations, Customer Satisfaction, Customer Satisfaction..., Customer Retention, Creative Problem Solving, Relationship Management, Risk Management, Sales, Financial Analysis, Financial Reporting, Policy, Policy Analysis, Sales Presentations, Benefits Administration, Strategic Planning
Education
University Health Services
Master of Public Health, Health/Health Care Administration
University of Hawaii at Manoa
Bachelor of Arts (B.A.), Public Relations/Marketing
Humana April 2015 - Present
United Healthcare Military & Veterans April 2013 - March 2015
TriWest Healthcare Alliance April 2004 - April 2013
Health Net Federal Services November 2001 - April 2004
Kaiser Permanente 1989 - 2000
University Health Services 1986 - 1989
Hawaii Medical Service Association 1985 - 1986
Skills
Healthcare Marketing, Account Management, Health Plan Education, Health Promotion..., Program Development, Claims Resolution, Communication, Teamwork, Team Leadership, Microsoft Office, Customer Relations, Scheduling, Budgets, Resource Management, Health Education, Surveying, Program Management, Program Implementation, Health Promotion, Screening, Collaborative Problem..., HMO, Community Health, Project Development, Education, Health Insurance, Healthcare Industry, Healthcare Management, Healthcare Consulting, Physician Relations, HIPAA, Health Policy, Marketing, Networking, Marketing Communications, Client Relations, Customer Satisfaction, Customer Satisfaction..., Customer Retention, Creative Problem Solving, Relationship Management, Risk Management, Sales, Financial Analysis, Financial Reporting, Policy, Policy Analysis, Sales Presentations, Benefits Administration, Strategic Planning
Education
University Health Services
Master of Public Health, Health/Health Care Administration
University of Hawaii at Manoa
Bachelor of Arts (B.A.), Public Relations/Marketing
Patricia Conte's TriWest Healthcare Alliance Experience May 2000 - May 2004
Job Marketing Communications Writer/Editor at Patricia Conte, LLC
Industry Marketing and Advertising
Experience
Patricia Conte, LLC July 2010 - Present
Esser Design March 2008 - July 2010
Thunderbird School of Global Management December 2006 - March 2008
Self Employed May 2004 - 2006
TriWest Healthcare Alliance May 2000 - May 2004
Skills
Marketing Communications, Corporate Communications, Copywriting, Newsletters, SEO copywriting, Web Content, Healtcare, Higher Education, Non-profits, Foundations, Consumer Products, Social Media, Strategic Communications, Food & Beverage, Public Relations, Online Communications, Content Development, Editing, Blogging, Wordpress, Marketing Strategy, Marketing, Press Releases, Social Media Marketing, Management, Event Planning, Nonprofits
Education
The University of Akron
BA, Political Science
Patricia Conte, LLC July 2010 - Present
Esser Design March 2008 - July 2010
Thunderbird School of Global Management December 2006 - March 2008
Self Employed May 2004 - 2006
TriWest Healthcare Alliance May 2000 - May 2004
Skills
Marketing Communications, Corporate Communications, Copywriting, Newsletters, SEO copywriting, Web Content, Healtcare, Higher Education, Non-profits, Foundations, Consumer Products, Social Media, Strategic Communications, Food & Beverage, Public Relations, Online Communications, Content Development, Editing, Blogging, Wordpress, Marketing Strategy, Marketing, Press Releases, Social Media Marketing, Management, Event Planning, Nonprofits
Education
The University of Akron
BA, Political Science
Brittany Gray's TriWest Healthcare Alliance Experience June 2012 - February 2013
Job Experienced Customer Service Professional
Industry Retail
Experience
Sound Health Medical Supply July 2015 - Present
L.A.Tan Corporate 2014 - Present
TriWest Healthcare Alliance June 2012 - February 2013
Claire's Accessories 2013 - 2013
Circuit City Stores Inc January 2007 - March 2009
Skills
Typing, CPT coding, ICD-9, HCPCS, Microsoft Office, Microsoft Technologies, Customer Service, Phone Etiquette, Face to Face Sales, Sales, Sales Management, Interviews, Inventory Management, Loss Prevention
Education
Strayer University
Bachelor of Science (B.S.), Homeland Security and Emergency Management
Sound Health Medical Supply July 2015 - Present
L.A.Tan Corporate 2014 - Present
TriWest Healthcare Alliance June 2012 - February 2013
Claire's Accessories 2013 - 2013
Circuit City Stores Inc January 2007 - March 2009
Skills
Typing, CPT coding, ICD-9, HCPCS, Microsoft Office, Microsoft Technologies, Customer Service, Phone Etiquette, Face to Face Sales, Sales, Sales Management, Interviews, Inventory Management, Loss Prevention
Education
Strayer University
Bachelor of Science (B.S.), Homeland Security and Emergency Management
Eric Jay Toll Eric Jay Toll's TriWest Healthcare Alliance Experience April 2011 - December 2011
Job ReporterEconomy: Economic Development, Banking and Finance, Transportation, Infrastructure at Phoenix Business Journal
Industry Writing and Editing
Experience
Phoenix Business Journal September 2014 - Present
Freelance February 2009 - September 2014
Arizona Builders Exchange March 2012 - August 2014
Words Work USA November 2008 - August 2014
EricJayToll.com April 2008 - August 2014
TriWest Healthcare Alliance April 2011 - December 2011
Otak January 2008 - December 2010
David Evans and Associates, Inc. July 2004 - November 2008
County of Mariposa July 2000 - June 2004
City of Logan July 1994 - May 2000
Skills
Journalism, Marketing Communications, Newspaper, Magazines, Editing, Copywriting, Technical Writing, Business Communications, Web Content, PowerPoint, Writing, Microsoft Office, Excel, Word, Proofreading, Research, Copy Editing, Brochures, Stories, Corporate Communications, Proposal Writing, Creative Writing, Newsletters, White Papers, Marketing Materials, Publications, Case Studies, GPS, GIS software, GIS analysis, Travel Writing, Internal Communications, Blogging, Social Media Marketing, Marketing Strategy, Planning, Public Speaking, Versatile Writer, Engaging Content, Camping, Project Planning, Zoning, Community Development, Feature Articles, Marketing, Microsoft Excel, Storytelling, Advertising, Freelance Writing, Content Development
Education
Paradise Valley Community College 2012 — 2014
AAS
Sonoma State University 1979 — 1980
Southern Illinois University, Carbondale 1969 — 1972
Rich East High School 1965 — 1969
Phoenix Business Journal September 2014 - Present
Freelance February 2009 - September 2014
Arizona Builders Exchange March 2012 - August 2014
Words Work USA November 2008 - August 2014
EricJayToll.com April 2008 - August 2014
TriWest Healthcare Alliance April 2011 - December 2011
Otak January 2008 - December 2010
David Evans and Associates, Inc. July 2004 - November 2008
County of Mariposa July 2000 - June 2004
City of Logan July 1994 - May 2000
Skills
Journalism, Marketing Communications, Newspaper, Magazines, Editing, Copywriting, Technical Writing, Business Communications, Web Content, PowerPoint, Writing, Microsoft Office, Excel, Word, Proofreading, Research, Copy Editing, Brochures, Stories, Corporate Communications, Proposal Writing, Creative Writing, Newsletters, White Papers, Marketing Materials, Publications, Case Studies, GPS, GIS software, GIS analysis, Travel Writing, Internal Communications, Blogging, Social Media Marketing, Marketing Strategy, Planning, Public Speaking, Versatile Writer, Engaging Content, Camping, Project Planning, Zoning, Community Development, Feature Articles, Marketing, Microsoft Excel, Storytelling, Advertising, Freelance Writing, Content Development
Education
Paradise Valley Community College 2012 — 2014
AAS
Sonoma State University 1979 — 1980
Southern Illinois University, Carbondale 1969 — 1972
Rich East High School 1965 — 1969
Linda Wenger Linda Wenger's TriWest Healthcare Alliance Experience August 2004 - January 2013
Job TRICARE Clinical Referral Management Consultant at UnitedHealth Care Military & Veterans
Industry Hospital & Health Care
Experience
UnitedHealth Group Military &Veterans January 2013 - Present
TriWest Healthcare Alliance August 2004 - January 2013
TriWest Healthcare Alliance March 1999 - August 2004
RMCH Hospital September 1990 - January 1999
Skills
13 Years TRICARE..., Public Trust position,..., Management and..., Practice Oversight,..., Budget development and..., Healthcare Management, Healthcare, Customer Service, Medical Terminology, Home Care, Managed Care, Nursing, Clinical Research, HIPAA, Healthcare Information..., Disease Management, Medicare, Health Policy, Physician Relations, Medicaid, Healthcare Consulting, EMR, Provider Relations, Patient Safety, EHR, Utilization Management, Medical Records, ICD-9, Hospitals, Quality Improvement, Medical Billing, Health Education, Case Management, Medical Coding, Patient Advocacy, Healthcare Industry, Patient Education, ACLS, JCAHO, CPT, Health Insurance, Revenue Cycle, Informatics, Public Health, Medical Compliance, TRICARE, Credentialing, Health Care Systems, Behavioral Health, PPO
Education
The University of New Mexico 1987 — 1991
Bachelor's degree, Nursing Science
Allen Memorial Hospital Lutheran School of Nursing 1967 — 1970
Diploma, Nursing
UnitedHealth Group Military &Veterans January 2013 - Present
TriWest Healthcare Alliance August 2004 - January 2013
TriWest Healthcare Alliance March 1999 - August 2004
RMCH Hospital September 1990 - January 1999
Skills
13 Years TRICARE..., Public Trust position,..., Management and..., Practice Oversight,..., Budget development and..., Healthcare Management, Healthcare, Customer Service, Medical Terminology, Home Care, Managed Care, Nursing, Clinical Research, HIPAA, Healthcare Information..., Disease Management, Medicare, Health Policy, Physician Relations, Medicaid, Healthcare Consulting, EMR, Provider Relations, Patient Safety, EHR, Utilization Management, Medical Records, ICD-9, Hospitals, Quality Improvement, Medical Billing, Health Education, Case Management, Medical Coding, Patient Advocacy, Healthcare Industry, Patient Education, ACLS, JCAHO, CPT, Health Insurance, Revenue Cycle, Informatics, Public Health, Medical Compliance, TRICARE, Credentialing, Health Care Systems, Behavioral Health, PPO
Education
The University of New Mexico 1987 — 1991
Bachelor's degree, Nursing Science
Allen Memorial Hospital Lutheran School of Nursing 1967 — 1970
Diploma, Nursing
Portia Dionne Smith's TriWest Healthcare Alliance Experience November 2003 - March 2009
Job Visionary Owner Of My Big Feet Divas Looking For Shoe Manufacturers to Bring Great Shoes to My Big Feet Divas
Industry Retail
Experience
My Big Feet Divas October 2011 - Present
UC San Diego Health System October 2014 - Present
Sharp Chula Vista Hospital June 2014 - 2015
UnitedHealth Group 2009 - 2012
TriWest Healthcare Alliance November 2003 - March 2009
Skills
Women shoes, Retail Sales, Customer Service, Sales, Fashion, Retail, Footwear, Shoes, Fashion Design, Social Media Marketing, Microsoft Word, Strategic Planning, Microsoft Excel, Microsoft Office, Marketing Strategy, Recruiting, Entrepreneurship, Public Speaking, Marketing, Management, Sourcing, Trend Analysis, Merchandising, Team Building, Leadership, Visual Merchandising
Education
University of Phoenix 2012 — 2014
Bachelor of Science (B.S.), Global Management
The Union Institute and University 2010 — 2012
Social Work
My Big Feet Divas October 2011 - Present
UC San Diego Health System October 2014 - Present
Sharp Chula Vista Hospital June 2014 - 2015
UnitedHealth Group 2009 - 2012
TriWest Healthcare Alliance November 2003 - March 2009
Skills
Women shoes, Retail Sales, Customer Service, Sales, Fashion, Retail, Footwear, Shoes, Fashion Design, Social Media Marketing, Microsoft Word, Strategic Planning, Microsoft Excel, Microsoft Office, Marketing Strategy, Recruiting, Entrepreneurship, Public Speaking, Marketing, Management, Sourcing, Trend Analysis, Merchandising, Team Building, Leadership, Visual Merchandising
Education
University of Phoenix 2012 — 2014
Bachelor of Science (B.S.), Global Management
The Union Institute and University 2010 — 2012
Social Work
Todamekia Pinson Todamekia Pinson's TriWest Healthcare Alliance Experience 2006 - 2013
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Matrix Absence Management November 2013 - Present
TriWest Healthcare Alliance 2006 - 2013
Skills
Claims Resolution, Customer Service, Microsoft Office, Records Management, HIPAA, Medical Terminology, Health Insurance, Data Entry, Healthcare, Claim, Policy, Administrative..., CPT, Healthcare Industry, ICD-9, Administrative..., Healthcare Information..., Hospitals, Managed Care, Medicaid, Medical Billing, Medical Coding, Training, Medical Records, Medicare
Education
University of Phoenix 2011 — 2013
Bachelor of Science (B.S.), Health/Health Care Administration/Management
University of Phoenix 2009 — 2011
Associate of Arts and Sciences (A.A.S.), Health/Health Care Administration/Management
Pontotoc High School 1999 — 2003
Matrix Absence Management November 2013 - Present
TriWest Healthcare Alliance 2006 - 2013
Skills
Claims Resolution, Customer Service, Microsoft Office, Records Management, HIPAA, Medical Terminology, Health Insurance, Data Entry, Healthcare, Claim, Policy, Administrative..., CPT, Healthcare Industry, ICD-9, Administrative..., Healthcare Information..., Hospitals, Managed Care, Medicaid, Medical Billing, Medical Coding, Training, Medical Records, Medicare
Education
University of Phoenix 2011 — 2013
Bachelor of Science (B.S.), Health/Health Care Administration/Management
University of Phoenix 2009 — 2011
Associate of Arts and Sciences (A.A.S.), Health/Health Care Administration/Management
Pontotoc High School 1999 — 2003
Chris Swain Chris Swain's TriWest Healthcare Alliance Experience June 2009 - September 2010
Job Certified Xamarin CrossPlatform Mobile Developer
Industry Computer Software
Experience
Solarity, LLC January 2009 - Present
MyAllergyAssistant.com April 2015 - Present
Starz Entertainment March 2014 - May 2015
Rovi August 2012 - January 2014
A Different Engine August 2013 - October 2013
Medapoint September 2013 - September 2013
WellMed Medical Management August 2011 - August 2012
Summit Data Services LLC March 2010 - July 2011
TriWest Healthcare Alliance June 2009 - September 2010
KeyCentrix May 2008 - October 2009
Skills
Xamarin, Xamarin.Android, Xamarin.iOS, Xamarin.Forms, C#, .NET, Xbox One, Azure Mobile Services, WebAPI, Windows Azure, OAuth 2.0, WPF, WCF, Xbox 360, HTML 5, AngularJS, JavaScript, WinJS, XboxJS, ASP.NET MVC WebAPI, OWIN, LESS, Agile Methodologies, Software Design, Software Design Patterns, SOLID Principles, ASP.NET MVC, Scrum, Visual Studio, Web Services, Software Project..., Sql Server, DDD, jQuery, Entity Framework, RavenDB, Unity, Prism, SDLC, Software Development, N-tier, Design Patterns, WinRT, Windows 8, Architectures, Architecture, HTML5, Web Applications, Mobile Applications
Education
The University of Texas at Austin - The Red McCombs School of Business 1995 — 1999
Bachelor of Business Administration (B.B.A.), Management Information Systems, General
Xamarin University
Solarity, LLC January 2009 - Present
MyAllergyAssistant.com April 2015 - Present
Starz Entertainment March 2014 - May 2015
Rovi August 2012 - January 2014
A Different Engine August 2013 - October 2013
Medapoint September 2013 - September 2013
WellMed Medical Management August 2011 - August 2012
Summit Data Services LLC March 2010 - July 2011
TriWest Healthcare Alliance June 2009 - September 2010
KeyCentrix May 2008 - October 2009
Skills
Xamarin, Xamarin.Android, Xamarin.iOS, Xamarin.Forms, C#, .NET, Xbox One, Azure Mobile Services, WebAPI, Windows Azure, OAuth 2.0, WPF, WCF, Xbox 360, HTML 5, AngularJS, JavaScript, WinJS, XboxJS, ASP.NET MVC WebAPI, OWIN, LESS, Agile Methodologies, Software Design, Software Design Patterns, SOLID Principles, ASP.NET MVC, Scrum, Visual Studio, Web Services, Software Project..., Sql Server, DDD, jQuery, Entity Framework, RavenDB, Unity, Prism, SDLC, Software Development, N-tier, Design Patterns, WinRT, Windows 8, Architectures, Architecture, HTML5, Web Applications, Mobile Applications
Education
The University of Texas at Austin - The Red McCombs School of Business 1995 — 1999
Bachelor of Business Administration (B.B.A.), Management Information Systems, General
Xamarin University
Carol Morse Carol Morse's TriWest Healthcare Alliance Experience May 2004 - March 2009
Job Lead Analytics Consultant at Highmark Blue Cross Blue Shield
Industry Insurance
Experience
Highmark Blue Cross Blue Shield August 2011 - Present
Highmark Blue Cross Blue Shield March 2009 - August 2011
TriWest Healthcare Alliance May 2004 - March 2009
Skills
Healthcare Information..., HIPAA, Health Insurance, Healthcare, Managed Care, Informatics, Healthcare Management, Medicaid, Medicare, Visio, Healthcare Industry, Healthcare Consulting, Insurance, Clinical Research, EHR, Requirements Gathering, Process Improvement, Disease Management
Education
University of Phoenix 1999 — 1999
None, Masters in Healthcare Management
The Ohio State University 1991 — 1995
Bachelors of Science, Nursing
Highmark Blue Cross Blue Shield August 2011 - Present
Highmark Blue Cross Blue Shield March 2009 - August 2011
TriWest Healthcare Alliance May 2004 - March 2009
Skills
Healthcare Information..., HIPAA, Health Insurance, Healthcare, Managed Care, Informatics, Healthcare Management, Medicaid, Medicare, Visio, Healthcare Industry, Healthcare Consulting, Insurance, Clinical Research, EHR, Requirements Gathering, Process Improvement, Disease Management
Education
University of Phoenix 1999 — 1999
None, Masters in Healthcare Management
The Ohio State University 1991 — 1995
Bachelors of Science, Nursing
Gloria Barrera-Smith's TriWest Healthcare Alliance Experience May 2004 - February 2006
Job Registered Nurse at Aetna
Industry Hospital & Health Care
Experience
Aetna June 2010 - Present
Aetna June 2010 - Present
US Federal Government September 2008 - June 2010
State Farm Agent September 2005 - May 2008
TriWest Healthcare Alliance May 2004 - February 2006
HCA Del Sol Hospital February 2003 - January 2004
TriWest Healthcare Alliance March 1997 - May 2003
VNA of El Paso, Inc. January 1997 - August 1997
City of San Antonio September 1995 - January 1997
Sierra Medical Center June 1994 - July 1995
Skills
Certified Case Manager, Nursing, Case Managment, Critical Care, Healthcare, Public Health, Disease Management, ICU, Case Management, Home Care, Utilization Management, Managed Care, Pediatrics, Medicare, Treatment, Clinical Research, Healthcare Management, Hospitals
Education
University of Phoenix
Master of Arts, Organizational Management
University of Texas 1992 — 1994
Bachelor of Science, Nursing
Aetna June 2010 - Present
Aetna June 2010 - Present
US Federal Government September 2008 - June 2010
State Farm Agent September 2005 - May 2008
TriWest Healthcare Alliance May 2004 - February 2006
HCA Del Sol Hospital February 2003 - January 2004
TriWest Healthcare Alliance March 1997 - May 2003
VNA of El Paso, Inc. January 1997 - August 1997
City of San Antonio September 1995 - January 1997
Sierra Medical Center June 1994 - July 1995
Skills
Certified Case Manager, Nursing, Case Managment, Critical Care, Healthcare, Public Health, Disease Management, ICU, Case Management, Home Care, Utilization Management, Managed Care, Pediatrics, Medicare, Treatment, Clinical Research, Healthcare Management, Hospitals
Education
University of Phoenix
Master of Arts, Organizational Management
University of Texas 1992 — 1994
Bachelor of Science, Nursing
Kimberly Howell LVN/BSHA/MBA Kimberly Howell LVN/BSHA/MBA's TriWest Healthcare Alliance Experience May 2002 - April 2013
Job Health Care Professional Managed care and Uilization Review
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance May 2002 - April 2013
Skills
Managed Care, Team Leadership, Leadership, Management, Health Insurance, Business Process, Computer Proficiency, HMO/PPO, Oral & Written..., Written & Oral..., Crystal Reports, Creative Problem Solving, Policy Analysis, Organizational..., Organizational..., Compliance, Internal Audit, Staff Development, Staff Management, Quality Improvement..., Utilization Management, Medicare, Medicaid, Training, Policy, Clinical Research, Disease Management, Quality Improvement, Provider Relations, PPO, JCAHO, Medicaid Managed Care, Healthcare Industry, Healthcare Consulting, Physician Relations, Network Development, HMO, Credentialing, HIPAA, Medical Compliance, ICD-9, CPT, Medical Records, Health Policy, Healthcare Management, Healthcare, Nursing, Hospitals, Healthcare Information..., Patient Safety
Education
University of Phoenix
Master of Business Administration (M.B.A.)
Unversity Of Phoenix
Bachelors of Science Healthcare Administration, Business Administration and Management, General
TriWest Healthcare Alliance May 2002 - April 2013
Skills
Managed Care, Team Leadership, Leadership, Management, Health Insurance, Business Process, Computer Proficiency, HMO/PPO, Oral & Written..., Written & Oral..., Crystal Reports, Creative Problem Solving, Policy Analysis, Organizational..., Organizational..., Compliance, Internal Audit, Staff Development, Staff Management, Quality Improvement..., Utilization Management, Medicare, Medicaid, Training, Policy, Clinical Research, Disease Management, Quality Improvement, Provider Relations, PPO, JCAHO, Medicaid Managed Care, Healthcare Industry, Healthcare Consulting, Physician Relations, Network Development, HMO, Credentialing, HIPAA, Medical Compliance, ICD-9, CPT, Medical Records, Health Policy, Healthcare Management, Healthcare, Nursing, Hospitals, Healthcare Information..., Patient Safety
Education
University of Phoenix
Master of Business Administration (M.B.A.)
Unversity Of Phoenix
Bachelors of Science Healthcare Administration, Business Administration and Management, General
Laura Buman Laura Buman's TriWest Healthcare Alliance Experience January 2009 - January 2012
Job Premier Healthcare Exchange, Inc
Industry Professional Training & Coaching
Experience
Premier Healthcare Exchange, Inc. October 2014 - Present
Abrazo Advantage Health Plan August 2012 - October 2014
TriWest Healthcare Alliance January 2009 - January 2012
TriWest Healthcare Alliance January 2000 - January 2008
Skills
Managed Care, Claims Management, Data Analysis, Outlook, Microsoft Office, Customer Service, Claims Resolution, Medical Coding, Adult Education, Medical Terminology, ICD-9, Medical Billing, Invoicing, Insurance, CPT, Health Insurance, Medicaid, Medicare, Healthcare Management, PeopleSoft, EMR, Healthcare Consulting, Healthcare Industry, Provider Relations, Claim, Clinical Research, Accounts Payable, Hospitals, Team Building, Process Improvement, Healthcare Information..., Call Centers, Data Entry, Accounts Receivable, TRICARE, EHR, Training, Revenue Cycle, Medical Records, Analysis, HCPCS, Policy, Benefits Administration, Medicare/Medicaid..., System Administration, Confidentiality, Team Leadership, HMO, Goal Oriented, Physician Relations
Education
University of Phoenix 2002 — 2012
Phoenix College 2007 — 2008
Premier Healthcare Exchange, Inc. October 2014 - Present
Abrazo Advantage Health Plan August 2012 - October 2014
TriWest Healthcare Alliance January 2009 - January 2012
TriWest Healthcare Alliance January 2000 - January 2008
Skills
Managed Care, Claims Management, Data Analysis, Outlook, Microsoft Office, Customer Service, Claims Resolution, Medical Coding, Adult Education, Medical Terminology, ICD-9, Medical Billing, Invoicing, Insurance, CPT, Health Insurance, Medicaid, Medicare, Healthcare Management, PeopleSoft, EMR, Healthcare Consulting, Healthcare Industry, Provider Relations, Claim, Clinical Research, Accounts Payable, Hospitals, Team Building, Process Improvement, Healthcare Information..., Call Centers, Data Entry, Accounts Receivable, TRICARE, EHR, Training, Revenue Cycle, Medical Records, Analysis, HCPCS, Policy, Benefits Administration, Medicare/Medicaid..., System Administration, Confidentiality, Team Leadership, HMO, Goal Oriented, Physician Relations
Education
University of Phoenix 2002 — 2012
Phoenix College 2007 — 2008
Sarah Meske Sarah Meske's TriWest Healthcare Alliance Experience June 2004 - April 2013
Job Director of Corporate Communications, United States and Canada at Western Union
Industry Financial Services
Experience
Western Union September 2014 - Present
Health Services Advisory Group May 2013 - August 2014
Splendid Media Group, LLC 2008 - April 2014
TriWest Healthcare Alliance June 2004 - April 2013
Skills
Strategic Communications, Healthcare, Website Development, Public Relations, Online Marketing, Marketing Strategy, Marketing Communications, Marketing Management, Creative Writing, Creative Direction, Editing, Change Management, Event Management, Project Execution, Project Planning, Project Management, Newsletters, Social Media Marketing, Email Marketing, Digital Marketing, SEO, Marketing, Internal Communications, Advertising, Web Design, WordPress, Strategy, Management, Integrated Marketing, Team Leadership, Analytics, Corporate Communications, Corporate Branding, Program Management, Content Marketing, Budgets, Social Media, Copywriting, Video, Event Planning, Brand Management, Social Networking, Media Relations, Content Strategy, Leadership, Publications, Editorial, Content Management, Press Releases
Education
University of Arizona 1998 — 2002
BA, English Literature and Journalism
Grafton High School 1994 — 1998
Western Union September 2014 - Present
Health Services Advisory Group May 2013 - August 2014
Splendid Media Group, LLC 2008 - April 2014
TriWest Healthcare Alliance June 2004 - April 2013
Skills
Strategic Communications, Healthcare, Website Development, Public Relations, Online Marketing, Marketing Strategy, Marketing Communications, Marketing Management, Creative Writing, Creative Direction, Editing, Change Management, Event Management, Project Execution, Project Planning, Project Management, Newsletters, Social Media Marketing, Email Marketing, Digital Marketing, SEO, Marketing, Internal Communications, Advertising, Web Design, WordPress, Strategy, Management, Integrated Marketing, Team Leadership, Analytics, Corporate Communications, Corporate Branding, Program Management, Content Marketing, Budgets, Social Media, Copywriting, Video, Event Planning, Brand Management, Social Networking, Media Relations, Content Strategy, Leadership, Publications, Editorial, Content Management, Press Releases
Education
University of Arizona 1998 — 2002
BA, English Literature and Journalism
Grafton High School 1994 — 1998
Jeff Pulker Jeff Pulker's TriWest Healthcare Alliance Experience May 2010 - January 2012
Job Sr. Functional Consultant at Concur
Industry Computer Software
Experience
Concur January 2015 - Present
Concur January 2012 - December 2014
TriWest Healthcare Alliance May 2010 - January 2012
360 Enterprises, Inc. April 2009 - April 2010
Clear Channel Radio April 2008 - April 2009
HJ Heinz June 2007 - August 2007
Skills
Word, Excel, PowerPoint, Access, Visio, Visual Studio, Axure, Adobe CS5, HTML, CSS, XML, PHP, JavaScript, jQuery, ActionScript, .NET, SQL, Oracle, Adobe Creative Suite, Google Analytics, Web Design, User Interface Design, Web Applications, Web Development, SEO, Dreamweaver, User Experience, SharePoint, Content Management, Microsoft Excel, WordPress, Business Process, User Interface, Microsoft Word
Education
University of Michigan 2002 — 2007
BA, Design
Concur January 2015 - Present
Concur January 2012 - December 2014
TriWest Healthcare Alliance May 2010 - January 2012
360 Enterprises, Inc. April 2009 - April 2010
Clear Channel Radio April 2008 - April 2009
HJ Heinz June 2007 - August 2007
Skills
Word, Excel, PowerPoint, Access, Visio, Visual Studio, Axure, Adobe CS5, HTML, CSS, XML, PHP, JavaScript, jQuery, ActionScript, .NET, SQL, Oracle, Adobe Creative Suite, Google Analytics, Web Design, User Interface Design, Web Applications, Web Development, SEO, Dreamweaver, User Experience, SharePoint, Content Management, Microsoft Excel, WordPress, Business Process, User Interface, Microsoft Word
Education
University of Michigan 2002 — 2007
BA, Design
Cindy Morin Cindy Morin's TriWest Healthcare Alliance Experience May 2012 - April 2013
Job Web Designer
Industry Internet
Experience
Morin Web Design June 2008 - Present
TriWest Healthcare Alliance May 2012 - April 2013
Take Charge America, Inc. July 2011 - May 2012
Skills
SEO, Dreamweaver, Photoshop, HTML 5, XHTML, Web Design, JavaScript, CSS, Online Marketing, Website Development, Marketing Communications, CMS, Web Development, E-commerce SEO, User Experience, Content Management, Newsletters, Web Applications, Advertising
Education
Paradise Valley Community College
M. S; S. I
Syracuse University
M.S., Communications
University of California, Los Angeles
B.A., History
Morin Web Design June 2008 - Present
TriWest Healthcare Alliance May 2012 - April 2013
Take Charge America, Inc. July 2011 - May 2012
Skills
SEO, Dreamweaver, Photoshop, HTML 5, XHTML, Web Design, JavaScript, CSS, Online Marketing, Website Development, Marketing Communications, CMS, Web Development, E-commerce SEO, User Experience, Content Management, Newsletters, Web Applications, Advertising
Education
Paradise Valley Community College
M. S; S. I
Syracuse University
M.S., Communications
University of California, Los Angeles
B.A., History
William Zoph William Zoph's TriWest Healthcare Alliance Experience July 2009 - Present
Job Director of Enrollment at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance July 2009 - Present
TriWest Healthcare Alliance March 2006 - November 2011
TriWest Healthcare Alliance April 2003 - May 2006
United States Air Force August 1978 - May 2001
Skills
HIPAA, Managed Care, Healthcare, Medicare, Healthcare Information..., Strategy, Cross-functional Team..., Management, Medicaid, Leadership, Networking, Training, Process Improvement, Call Centers, Healthcare Industry, Human Resources, Strategic Planning, Healthcare Consulting, Project Planning, Health Policy, Healthcare Management, Revenue Cycle, EMR, Health Insurance
Education
Southern Illinois University, Carbondale 1984 — 1986
Bachelor's degree, Education
TriWest Healthcare Alliance July 2009 - Present
TriWest Healthcare Alliance March 2006 - November 2011
TriWest Healthcare Alliance April 2003 - May 2006
United States Air Force August 1978 - May 2001
Skills
HIPAA, Managed Care, Healthcare, Medicare, Healthcare Information..., Strategy, Cross-functional Team..., Management, Medicaid, Leadership, Networking, Training, Process Improvement, Call Centers, Healthcare Industry, Human Resources, Strategic Planning, Healthcare Consulting, Project Planning, Health Policy, Healthcare Management, Revenue Cycle, EMR, Health Insurance
Education
Southern Illinois University, Carbondale 1984 — 1986
Bachelor's degree, Education
Maureen (Craig) Harding Maureen (Craig) Harding's TriWest Healthcare Alliance Experience December 2003 - 2004
Job Business Project Manager at Cigna
Industry Hospital & Health Care
Experience
Cigna January 2015 - Present
Optum Health February 2014 - Present
Martins Point HealthCare 2014 - 2014
Dignity Health July 2013 - December 2013
Blue Shield of California January 2009 - July 2013
Blue Shield of California January 2009 - August 2010
Wolters Kluwer Health February 2008 - September 2008
Health Net Senior Products Division October 2005 - February 2008
TriWest Healthcare Alliance December 2003 - 2004
DHL February 2002 - September 2003
Skills
Program Management, PMO, Project Portfolio..., Project Management, SDLC, PMP, Requirements Analysis, Business Analysis, Process Improvement, Business Process..., Change Management, Vendor Management, Software Project..., Requirements Gathering, Resource Management, Project Delivery, IT Management, Management, Business Intelligence, Enterprise Architecture, Financial Analysis, Cross-functional Team..., Integration, Business Requirements, Visio, Business Process, ITIL, Business Process..., Risk Management, Agile Project Management, Siebel 7.x, ICD-10, Strategic Financial..., Business Transformation, Outsourcing, Governance, MS Project, SharePoint, Project Planning, RFP-based sourcing, Contract Management, Large Budget Management, Organizational Change..., HP PPM, Team Building, Internal Communications, Dependency Management, C-Level Presentations, Preparation of Business..., Agile Methodologies
Education
University of Houston
Bachelor of Science (B.S.), Computer Science and Mathematics
University of Houston
Cigna January 2015 - Present
Optum Health February 2014 - Present
Martins Point HealthCare 2014 - 2014
Dignity Health July 2013 - December 2013
Blue Shield of California January 2009 - July 2013
Blue Shield of California January 2009 - August 2010
Wolters Kluwer Health February 2008 - September 2008
Health Net Senior Products Division October 2005 - February 2008
TriWest Healthcare Alliance December 2003 - 2004
DHL February 2002 - September 2003
Skills
Program Management, PMO, Project Portfolio..., Project Management, SDLC, PMP, Requirements Analysis, Business Analysis, Process Improvement, Business Process..., Change Management, Vendor Management, Software Project..., Requirements Gathering, Resource Management, Project Delivery, IT Management, Management, Business Intelligence, Enterprise Architecture, Financial Analysis, Cross-functional Team..., Integration, Business Requirements, Visio, Business Process, ITIL, Business Process..., Risk Management, Agile Project Management, Siebel 7.x, ICD-10, Strategic Financial..., Business Transformation, Outsourcing, Governance, MS Project, SharePoint, Project Planning, RFP-based sourcing, Contract Management, Large Budget Management, Organizational Change..., HP PPM, Team Building, Internal Communications, Dependency Management, C-Level Presentations, Preparation of Business..., Agile Methodologies
Education
University of Houston
Bachelor of Science (B.S.), Computer Science and Mathematics
University of Houston
Alison Zybak, CHES Alison Zybak, CHES's TriWest Healthcare Alliance Experience January 2012 - September 2012
Job Certified Health Education Specialist
Industry Health, Wellness and Fitness
Experience
Virginia Beach City Public Schools March 2014 - Present
TriWest Healthcare Alliance January 2012 - September 2012
Optima Health April 2011 - October 2011
The Planning Council September 2010 - April 2011
Technisource September 2008 - July 2010
Association for Supportive Child Care December 2006 - March 2008
Skills
Community Outreach, Healthcare, Public Health, Case Managment, Public Speaking, Health Education, Program Development, Non-profits, Program Evaluation, Workshop Facilitation, Social Services, Customer Service, Nonprofits
Education
University of Illinois at Urbana-Champaign 1999 — 2003
Bachelor of Science, Community Health
Virginia Beach City Public Schools March 2014 - Present
TriWest Healthcare Alliance January 2012 - September 2012
Optima Health April 2011 - October 2011
The Planning Council September 2010 - April 2011
Technisource September 2008 - July 2010
Association for Supportive Child Care December 2006 - March 2008
Skills
Community Outreach, Healthcare, Public Health, Case Managment, Public Speaking, Health Education, Program Development, Non-profits, Program Evaluation, Workshop Facilitation, Social Services, Customer Service, Nonprofits
Education
University of Illinois at Urbana-Champaign 1999 — 2003
Bachelor of Science, Community Health
India Carson, RN, MSN India Carson, RN, MSN's TriWest Healthcare Alliance Experience January 2005 - September 2006
Job Clinical Application Specialist at TCS Healthcare Technologies
Industry Hospital & Health Care
Experience
TCS Healthcare Technologies May 2013 - Present
Correct Care Solutions November 2011 - February 2013
The University of Arizona Health Network November 2006 - November 2011
TriWest Healthcare Alliance January 2005 - September 2006
Gentiva CareCentrix June 2004 - October 2004
Cor Solutions December 2003 - June 2004
Pima Health System July 2001 - December 2003
Pima Medical Institute July 2001 - January 2003
HEARTLAND HOME HEALTH CARE & HOSPICE April 1999 - January 2001
HOMECARE OF SOUTHERN ARIZONA October 1993 - December 1995
Skills
Clinical Informatics, Managed Care, Utilization Management, Healthcare Information..., Healthcare, Healthcare Management, Medicaid, Nursing, EMR, HIPAA, Medicare, Disease Management, Staff Development, Program Development, Program Evaluation, Microsoft Excel, Medical Coding, Informatics, Training, Home Care, Quality Improvement, Medicine, Medical Records, Software Documentation
Education
University of Phoenix 2008 — 2010
Masters Degree, Nursing Informatics (MSN)
University of Arizona 1989 — 1993
Bachelors Degree, Nursing (BSN)
University of Illinois 1973 — 1977
Bachelors Degree; BS, Psychology
TCS Healthcare Technologies May 2013 - Present
Correct Care Solutions November 2011 - February 2013
The University of Arizona Health Network November 2006 - November 2011
TriWest Healthcare Alliance January 2005 - September 2006
Gentiva CareCentrix June 2004 - October 2004
Cor Solutions December 2003 - June 2004
Pima Health System July 2001 - December 2003
Pima Medical Institute July 2001 - January 2003
HEARTLAND HOME HEALTH CARE & HOSPICE April 1999 - January 2001
HOMECARE OF SOUTHERN ARIZONA October 1993 - December 1995
Skills
Clinical Informatics, Managed Care, Utilization Management, Healthcare Information..., Healthcare, Healthcare Management, Medicaid, Nursing, EMR, HIPAA, Medicare, Disease Management, Staff Development, Program Development, Program Evaluation, Microsoft Excel, Medical Coding, Informatics, Training, Home Care, Quality Improvement, Medicine, Medical Records, Software Documentation
Education
University of Phoenix 2008 — 2010
Masters Degree, Nursing Informatics (MSN)
University of Arizona 1989 — 1993
Bachelors Degree, Nursing (BSN)
University of Illinois 1973 — 1977
Bachelors Degree; BS, Psychology
Eric Sweeney's TriWest Healthcare Alliance Experience December 2004 - May 2013
Job Lead Systems Engineer at Blue Cross Blue Shield of Arizona
Industry Hospital & Health Care
Experience
Blue Cross Blue Shield of Arizona December 2013 - Present
PF Chang's China Bistro May 2013 - December 2013
Triwest Healthcare Alliance December 2004 - May 2013
Best Western International January 1998 - December 2004
Adroit Systems 1992 - 1995
SAIC 1989 - 1992
USAF September 1981 - July 1989
Skills
Active Directory, SCCM, Windows Server, Disaster Recovery, Windows, SharePoint, Data Center, Microsoft Exchange, VMware, Virtualization, Software Documentation, Microsoft Technologies, System Administration, Troubleshooting, Security, DHCP, CommVault, IIS, Integration, Computer Security, Technical Support, IT Management, Information Security, DIACAP, Scripting, Backup Solutions, Mentoring, Security Audits, Project Management, Windows 7, DNS, Server Architecture, System Deployment, Visio, VMware Infrastructure, VMware ESX, Storage Area Networks, Network Security, IT Operations, Cisco Technologies, HP, SAN
Education
State University of New York at Albany 1991 — 1995
Bachelor of Science (BS), Sociology
Blue Cross Blue Shield of Arizona December 2013 - Present
PF Chang's China Bistro May 2013 - December 2013
Triwest Healthcare Alliance December 2004 - May 2013
Best Western International January 1998 - December 2004
Adroit Systems 1992 - 1995
SAIC 1989 - 1992
USAF September 1981 - July 1989
Skills
Active Directory, SCCM, Windows Server, Disaster Recovery, Windows, SharePoint, Data Center, Microsoft Exchange, VMware, Virtualization, Software Documentation, Microsoft Technologies, System Administration, Troubleshooting, Security, DHCP, CommVault, IIS, Integration, Computer Security, Technical Support, IT Management, Information Security, DIACAP, Scripting, Backup Solutions, Mentoring, Security Audits, Project Management, Windows 7, DNS, Server Architecture, System Deployment, Visio, VMware Infrastructure, VMware ESX, Storage Area Networks, Network Security, IT Operations, Cisco Technologies, HP, SAN
Education
State University of New York at Albany 1991 — 1995
Bachelor of Science (BS), Sociology
Dorothy Bunting's TriWest Healthcare Alliance Experience February 2008 - March 2013
Job Business Analyst at Southwest Behavioral Health Services
Industry Consumer Services
Experience
Southwest Behavioral Health Services June 2013 - Present
TriWest Healthcare Alliance February 2008 - March 2013
MCI Telecommunications July 1988 - August 1996
Skills
Microsoft Excel, Microsoft Word, Access, Problem Solving, Data Analysis, Project Management, Troubleshooting, Requirements Analysis, Process Improvement, Software Documentation, Visio, Call Centers, SharePoint, Customer Service, Analysis, Quality Assurance
Education
University of Montana
Bachelor of Science, Business Administration
Southwest Behavioral Health Services June 2013 - Present
TriWest Healthcare Alliance February 2008 - March 2013
MCI Telecommunications July 1988 - August 1996
Skills
Microsoft Excel, Microsoft Word, Access, Problem Solving, Data Analysis, Project Management, Troubleshooting, Requirements Analysis, Process Improvement, Software Documentation, Visio, Call Centers, SharePoint, Customer Service, Analysis, Quality Assurance
Education
University of Montana
Bachelor of Science, Business Administration
Brenda Logan's TriWest Healthcare Alliance Experience January 2011 - February 2013
Job Community Education Manager at Horizon Health
Industry Health, Wellness and Fitness
Experience
Horizon Health June 2015 - Present
Semi -retired October 2014 - May 2015
UnitedHealthcare February 2013 - October 2014
TriWest Healthcare Alliance January 2011 - February 2013
TriWest Healthcare Alliance April 2010 - January 2011
TriWest Healthcare Alliance March 2006 - May 2010
Force 3 2005 - 2006
TriWest Healthcare Alliance September 2001 - December 2003
Skills
Training, HIPAA, Healthcare, Coaching, Military, Microsoft Office, PowerPoint, Claim, Managed Care, Medicare, Provider Relations, E-Learning, Healthcare Industry, Healthcare Management, Health Insurance, Medical Terminology, Call Centers, Network Development, Medical Billing, Change Management, Community Outreach, Customer Service, HMO, Hospitals, Human Resources, Management, Medicaid, Microsoft Excel, Software Documentation, Team Building
Education
University of Phoenix 2008 — 2010
AA, Business
University of Phoenix 2008 — 2010
Associate's degree, Business
Horizon Health June 2015 - Present
Semi -retired October 2014 - May 2015
UnitedHealthcare February 2013 - October 2014
TriWest Healthcare Alliance January 2011 - February 2013
TriWest Healthcare Alliance April 2010 - January 2011
TriWest Healthcare Alliance March 2006 - May 2010
Force 3 2005 - 2006
TriWest Healthcare Alliance September 2001 - December 2003
Skills
Training, HIPAA, Healthcare, Coaching, Military, Microsoft Office, PowerPoint, Claim, Managed Care, Medicare, Provider Relations, E-Learning, Healthcare Industry, Healthcare Management, Health Insurance, Medical Terminology, Call Centers, Network Development, Medical Billing, Change Management, Community Outreach, Customer Service, HMO, Hospitals, Human Resources, Management, Medicaid, Microsoft Excel, Software Documentation, Team Building
Education
University of Phoenix 2008 — 2010
AA, Business
University of Phoenix 2008 — 2010
Associate's degree, Business
Adrian Lupola's TriWest Healthcare Alliance Experience October 2005 - December 2008
Job Senior Voice Network Engineer
Industry Industrial Automation
Experience
OneSource Distributors January 2009 - Present
TriWest Healthcare Alliance October 2005 - December 2008
Skills
VMware, Cisco Call Manager, VoIP, Security, Troubleshooting, Windows, Networking, IVR, Cisco Technologies, Visio, Project Management, Data Center, Vendor Management, Active Directory, Telecommunications, Servers
Education
University of Guam 1990 — 1993
OneSource Distributors January 2009 - Present
TriWest Healthcare Alliance October 2005 - December 2008
Skills
VMware, Cisco Call Manager, VoIP, Security, Troubleshooting, Windows, Networking, IVR, Cisco Technologies, Visio, Project Management, Data Center, Vendor Management, Active Directory, Telecommunications, Servers
Education
University of Guam 1990 — 1993
Emilio Lujan's TriWest Healthcare Alliance Experience February 2008 - November 2009
Job Project Manager at American Express/Open Systems Technologies
Industry Information Technology and Services
Experience
American Express/Open Systems Technologies March 2014 - Present
State of Arizona Department of Economic Security/Insight Global April 2013 - Present
TekOneIT 2013 - 2015
TekOneIT 2013 - 2015
Kona Kai Corp/US Foods April 2012 - October 2012
Collabera February 2011 - March 2012
ASU Website Search 1998 - 2012
Advantage Technical Resourcing/Wells Fargo January 2010 - April 2011
TriWest Healthcare Alliance February 2008 - November 2009
Mercer Advisors February 2006 - March 2007
Skills
Business Analysis, Project Management, Visio, PMP, Data Center, Telecommunications, Management, Cross-functional Team..., Outsourcing, Managed Services, Networking, VoIP, SDLC, Security, Information Technology, Disaster Recovery, Vendor Management, SharePoint
Education
L.A. Trade Technical College
A.S., Computer Comp.
University of California, Los Angeles
Business Administration
University of Phoenix
American Express/Open Systems Technologies March 2014 - Present
State of Arizona Department of Economic Security/Insight Global April 2013 - Present
TekOneIT 2013 - 2015
TekOneIT 2013 - 2015
Kona Kai Corp/US Foods April 2012 - October 2012
Collabera February 2011 - March 2012
ASU Website Search 1998 - 2012
Advantage Technical Resourcing/Wells Fargo January 2010 - April 2011
TriWest Healthcare Alliance February 2008 - November 2009
Mercer Advisors February 2006 - March 2007
Skills
Business Analysis, Project Management, Visio, PMP, Data Center, Telecommunications, Management, Cross-functional Team..., Outsourcing, Managed Services, Networking, VoIP, SDLC, Security, Information Technology, Disaster Recovery, Vendor Management, SharePoint
Education
L.A. Trade Technical College
A.S., Computer Comp.
University of California, Los Angeles
Business Administration
University of Phoenix
Diane Rockett's TriWest Healthcare Alliance Experience January 2006 - July 2012
Job Staff Development and Training
Industry Law Enforcement
Experience
Arizona Department of Corrections July 2012 - Present
TriWest Healthcare Alliance January 2006 - July 2012
Maricopa County Attorney's Office 2001 - 2005
Skills
Program Management, Organizational..., Performance Management, Leadership Development, Leadership, Public Speaking, Training, Talent Management, Strategy, Change Management, Human Resources, Management, Team Building, Instructional Design, Team Leadership
Education
University of St. Francis
Master of Science, Training and Development
University of Maine
B.A., International Affairs and Spanish
Arizona Department of Corrections July 2012 - Present
TriWest Healthcare Alliance January 2006 - July 2012
Maricopa County Attorney's Office 2001 - 2005
Skills
Program Management, Organizational..., Performance Management, Leadership Development, Leadership, Public Speaking, Training, Talent Management, Strategy, Change Management, Human Resources, Management, Team Building, Instructional Design, Team Leadership
Education
University of St. Francis
Master of Science, Training and Development
University of Maine
B.A., International Affairs and Spanish
Karen Puehler, RN's TriWest Healthcare Alliance Experience March 2007 - 2013
Job Vice President, Clinical Business Process Integration
Industry Hospital & Health Care
Experience
UnitedHealthcare Military & Veterans January 2014 - Present
TriWest Healthcare Alliance March 2007 - 2013
Health Net of Arizona, Inc. 2001 - 2007
Phoenix Children's Hospital March 2000 - March 2001
Intergroup of AZ/ Health Net of AZ February 1996 - March 2000
Arizona Physicians, IPA September 1994 - February 1996
Skills
Managed Care, Case Management, Healthcare, Utilization Management, Health, TRICARE, Medicaid Managed Care, Medicare Managed Care, Maternal-Child Health, Medicare, Case Managment, Clinical Research, Hospitals, Disease Management, Utilization Review, Healthcare Consulting, Healthcare Management, Nursing, Patient Safety, HEDIS, Medical Compliance, Medical Coding, Provider Relations, EMR, Medical Terminology, NCQA, CPT, Healthcare Industry, Medicaid, Health Insurance, Home Care, EHR, Medical Records, ICD-9, Revenue Cycle, Health Policy, HIPAA, Healthcare Information..., JCAHO, Credentialing, Health Care Systems, Pediatrics, Network Development, Medical Billing, Public Health, Informatics, Health Education, PPO, Physician Relations, Certified Case Manager
Education
University of Cincinnati 1978 — 1982
Bachelor of Science (B.S.), Nursing
UnitedHealthcare Military & Veterans January 2014 - Present
TriWest Healthcare Alliance March 2007 - 2013
Health Net of Arizona, Inc. 2001 - 2007
Phoenix Children's Hospital March 2000 - March 2001
Intergroup of AZ/ Health Net of AZ February 1996 - March 2000
Arizona Physicians, IPA September 1994 - February 1996
Skills
Managed Care, Case Management, Healthcare, Utilization Management, Health, TRICARE, Medicaid Managed Care, Medicare Managed Care, Maternal-Child Health, Medicare, Case Managment, Clinical Research, Hospitals, Disease Management, Utilization Review, Healthcare Consulting, Healthcare Management, Nursing, Patient Safety, HEDIS, Medical Compliance, Medical Coding, Provider Relations, EMR, Medical Terminology, NCQA, CPT, Healthcare Industry, Medicaid, Health Insurance, Home Care, EHR, Medical Records, ICD-9, Revenue Cycle, Health Policy, HIPAA, Healthcare Information..., JCAHO, Credentialing, Health Care Systems, Pediatrics, Network Development, Medical Billing, Public Health, Informatics, Health Education, PPO, Physician Relations, Certified Case Manager
Education
University of Cincinnati 1978 — 1982
Bachelor of Science (B.S.), Nursing
Matt Handke's TriWest Healthcare Alliance Experience July 2006 - Present
Job Manager IT Communications at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance July 2006 - Present
TriWest Healthcare Alliance January 2010 - July 2011
Syntellect 2003 - 2005
AGCS 2000 - 2004
Skills
Call Centers, Cisco Technologies, Data Center, Disaster Recovery, HIPAA, Healthcare Information..., Human Resources, IVR, Integration, Java, VoIP
Education
University of Phoenix 2001 — 2003
Masters Degree, Technology Management
TriWest Healthcare Alliance July 2006 - Present
TriWest Healthcare Alliance January 2010 - July 2011
Syntellect 2003 - 2005
AGCS 2000 - 2004
Skills
Call Centers, Cisco Technologies, Data Center, Disaster Recovery, HIPAA, Healthcare Information..., Human Resources, IVR, Integration, Java, VoIP
Education
University of Phoenix 2001 — 2003
Masters Degree, Technology Management
Alonso Arriaga's TriWest Healthcare Alliance Experience April 2007 - April 2012
Job Applications Developer at Xerox State and Local Solutions
Industry Information Technology and Services
Experience
Xerox State and Local Solutions May 2012 - Present
TriWest Healthcare Alliance April 2007 - April 2012
Skills
OOP, WCF, SSIS, jQuery, SDLC, T-SQL, SSRS, .NET, LINQ, SQL, Database Design, MVC, Microsoft SQL Server, ASP.NET MVC, SharePoint, ASP.NET, Web Applications, C#, Scrum, Databases, Active Directory, Agile Methodologies, Business Analysis, IIS, Visual Studio, JavaScript, Healthcare Information..., Data Warehousing, Visio
Education
University of Arizona 1995 — 1999
BSBA, MIS
Xerox State and Local Solutions May 2012 - Present
TriWest Healthcare Alliance April 2007 - April 2012
Skills
OOP, WCF, SSIS, jQuery, SDLC, T-SQL, SSRS, .NET, LINQ, SQL, Database Design, MVC, Microsoft SQL Server, ASP.NET MVC, SharePoint, ASP.NET, Web Applications, C#, Scrum, Databases, Active Directory, Agile Methodologies, Business Analysis, IIS, Visual Studio, JavaScript, Healthcare Information..., Data Warehousing, Visio
Education
University of Arizona 1995 — 1999
BSBA, MIS
Larry Bridge's TriWest Healthcare Alliance Experience May 2003 - January 2006
Job Treasury Director at True Companies
Industry Oil & Energy
Experience
True Companies January 2006 - Present
TriWest Healthcare Alliance May 2003 - January 2006
Kempes, Inc. November 2000 - May 2003
Scottsdale Insurance Company November 1999 - November 2000
Fremont General Corporation January 1999 - October 1999
Fremont Indemnity Company June 1992 - January 1999
Skills
Corporate Treasury, Corporate Finance, Financial Accounting, Treasury Management, Variance Analysis, Oracle E-Business Suite, Financial Reporting, Financial Analysis, Accounting, Auditing, Management, Risk Management, Internal Controls
Education
University of Arizona 1987 — 1991
Bachelors
True Companies January 2006 - Present
TriWest Healthcare Alliance May 2003 - January 2006
Kempes, Inc. November 2000 - May 2003
Scottsdale Insurance Company November 1999 - November 2000
Fremont General Corporation January 1999 - October 1999
Fremont Indemnity Company June 1992 - January 1999
Skills
Corporate Treasury, Corporate Finance, Financial Accounting, Treasury Management, Variance Analysis, Oracle E-Business Suite, Financial Reporting, Financial Analysis, Accounting, Auditing, Management, Risk Management, Internal Controls
Education
University of Arizona 1987 — 1991
Bachelors
Debbie Funk's TriWest Healthcare Alliance Experience May 2006 - January 2013
Job Owner/President at DF Communications Group, LLC
Industry Government Relations
Experience
DF Communications Group LLC January 2013 - Present
TriWest Healthcare Alliance May 2006 - January 2013
Army Times Publishing Company 1996 - 2006
The Capital Newspaper 1988 - 1994
Skills
Governmental Affairs, Public Relations, Media Relations, Journalism, News Writing, Speech Writing, Editing, Building Relationships, Social Media, Government, Community Outreach, Marketing Communications, Public Affairs, Public Policy, Strategic Communications, Crisis Communications, Press Releases, Strategic Planning, Fundraising, Policy, Community Development, Newsletters, Crisis Management, Internal Communications, Corporate Communications, Legislation, Spokesperson, Nonprofits, Policy Analysis, Legislative Relations, Message Development
Education
University of Maryland Baltimore County
Bachelor of Arts (B.A.)
DF Communications Group LLC January 2013 - Present
TriWest Healthcare Alliance May 2006 - January 2013
Army Times Publishing Company 1996 - 2006
The Capital Newspaper 1988 - 1994
Skills
Governmental Affairs, Public Relations, Media Relations, Journalism, News Writing, Speech Writing, Editing, Building Relationships, Social Media, Government, Community Outreach, Marketing Communications, Public Affairs, Public Policy, Strategic Communications, Crisis Communications, Press Releases, Strategic Planning, Fundraising, Policy, Community Development, Newsletters, Crisis Management, Internal Communications, Corporate Communications, Legislation, Spokesperson, Nonprofits, Policy Analysis, Legislative Relations, Message Development
Education
University of Maryland Baltimore County
Bachelor of Arts (B.A.)
T Dianne Macpherson, LCSW, CAS, CCM, SAP's TriWest Healthcare Alliance Experience April 2009 - March 2013
Job Licensed Clinical Social Worker Private Practice
Industry Mental Health Care
Experience
T. Dianne Macpherson, LCSW, LISW-CP,CAS, CCM, SAP September 2013 - Present
SAP Return to Duty Solutions August 2013 - Present
professionalofficehours.com January 2005 - Present
TriWest Healthcare Alliance April 2009 - March 2013
Magellan Health Services 1997 - 2004
Skills
Managed Care, Case Management, Healthcare, Medicaid, Behavioral Health, Medicare, Clinical Research, Treatment, Mental Health
Education
University at Buffalo 1979 — 1981
Master’s Degree, Clinical/Medical Social Work
T. Dianne Macpherson, LCSW, LISW-CP,CAS, CCM, SAP September 2013 - Present
SAP Return to Duty Solutions August 2013 - Present
professionalofficehours.com January 2005 - Present
TriWest Healthcare Alliance April 2009 - March 2013
Magellan Health Services 1997 - 2004
Skills
Managed Care, Case Management, Healthcare, Medicaid, Behavioral Health, Medicare, Clinical Research, Treatment, Mental Health
Education
University at Buffalo 1979 — 1981
Master’s Degree, Clinical/Medical Social Work
Bill Vandenbosch's TriWest Healthcare Alliance Experience October 2006 - Present
Job Advisor to President & CEO at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance October 2006 - Present
TriWest Healthcare 2002 - Present
TriWest Healthcare Alliance August 2003 - October 2006
Education
University of Toledo 1969 — 1972
MA, Political Science
State University of New York College at Oneonta 1967 — 1969
BA, Political Science
TriWest Healthcare Alliance October 2006 - Present
TriWest Healthcare 2002 - Present
TriWest Healthcare Alliance August 2003 - October 2006
Education
University of Toledo 1969 — 1972
MA, Political Science
State University of New York College at Oneonta 1967 — 1969
BA, Political Science
Libby Pitre's TriWest Healthcare Alliance Experience 2005 - Present
Job Associate General Counsel at TriWest Healthcare Alliance
Industry Law Practice
Experience
TriWest Healthcare Alliance 2005 - Present
U-Haul International, Inc. 1998 - 2005
U-Haul International, Inc. 1993 - 1998
Crowe & Scott, P.A. 1989 - 1993
Skills
Employment Law, Legal Research, Mediation, Westlaw, Employee Benefits, Legislation, Health Law, Risk Management, Union Avoidance, Employee Relations...
Education
The John Marshall Law School 1986 — 1989
Doctor of Law (J.D.)
Saint Mary’s College 1981 — 1985
Bachelor of Arts (B.A.), English
TriWest Healthcare Alliance 2005 - Present
U-Haul International, Inc. 1998 - 2005
U-Haul International, Inc. 1993 - 1998
Crowe & Scott, P.A. 1989 - 1993
Skills
Employment Law, Legal Research, Mediation, Westlaw, Employee Benefits, Legislation, Health Law, Risk Management, Union Avoidance, Employee Relations...
Education
The John Marshall Law School 1986 — 1989
Doctor of Law (J.D.)
Saint Mary’s College 1981 — 1985
Bachelor of Arts (B.A.), English
Eric Kelly, PMP's TriWest Healthcare Alliance Experience September 2002 - February 2004
Job Project Control
Industry Information Services
Experience
Leidos February 2004 - Present
TriWest Healthcare Alliance September 2002 - February 2004
Skills
PMP, Risk Management, Pricing Strategy, Forecasting, PMO, Analysis, Procurement, Process Improvement, Program Management, Energy, Integration, MS Project, Budgets, Project Control
Education
University of California, San Diego 1998 — 2002
BA, Economics
Project Management Institute
Certification, Project Management Professional (PMP)
Leidos February 2004 - Present
TriWest Healthcare Alliance September 2002 - February 2004
Skills
PMP, Risk Management, Pricing Strategy, Forecasting, PMO, Analysis, Procurement, Process Improvement, Program Management, Energy, Integration, MS Project, Budgets, Project Control
Education
University of California, San Diego 1998 — 2002
BA, Economics
Project Management Institute
Certification, Project Management Professional (PMP)
Joyce Van Sciver's TriWest Healthcare Alliance Experience August 2014 - Present
Job Medical Clerk at TriWest Healthcare Alliance
Industry Publishing
Experience
TriWest Healthcare Alliance August 2014 - Present
Thomson Reuters March 1984 - February 2010
Thomson Reuters March 1984 - February 2010
Thomson Reuters March 1983 - February 2010
Thomson Reuters March 1983 - February 2010
Skills
PeopleSoft, Deferred Compensation, HR Transformation, Talent Management, Onboarding, Business Analysis, Change Management, Succession Planning, Performance Management, Decision Support, Personnel Management, Talent Acquisition, Employee Engagement, Organizational Design, Workforce Planning, Vendor Management, Employee Benefits, Employee Relations
Education
Southern Illinois University, Carbondale 1965 — 1969
Bachelor's, Business - Human Resources
TriWest Healthcare Alliance August 2014 - Present
Thomson Reuters March 1984 - February 2010
Thomson Reuters March 1984 - February 2010
Thomson Reuters March 1983 - February 2010
Thomson Reuters March 1983 - February 2010
Skills
PeopleSoft, Deferred Compensation, HR Transformation, Talent Management, Onboarding, Business Analysis, Change Management, Succession Planning, Performance Management, Decision Support, Personnel Management, Talent Acquisition, Employee Engagement, Organizational Design, Workforce Planning, Vendor Management, Employee Benefits, Employee Relations
Education
Southern Illinois University, Carbondale 1965 — 1969
Bachelor's, Business - Human Resources
Greg Cole's TriWest Healthcare Alliance Experience April 2007 - October 2013
Job Corporate Counsel at Integrated Medical Services
Industry Hospital & Health Care
Experience
Integrated Medical Services November 2013 - Present
TriWest Healthcare Alliance April 2007 - October 2013
Health Net of Arizona 2002 - 2007
Governor's Office of Drug Policy 1994 - 1995
Skills
Medicare, HIPAA, Healthcare, Medicaid, Managed Care, Medical Compliance, Health Law, Healthcare Industry, Privacy Law, Legal Writing, Health Insurance, Employee Benefits, Training, Insurance, Healthcare Management, Policy, Claim, Health Policy, Legislation, Network Development, Healthcare Consulting, Provider Relations, PPO, HMO, Medicare Part D, Medicaid Managed Care, Healthcare Reimbursement, Medicare/Medicaid..., Disease Management, Credentialing, Physicians, Physician Relations, Health Care Reform, Health Care Systems, Litigation Management, Healthcare Information..., Utilization Management, Pharmacy Benefit...
Education
University of Arizona 1995 — 1998
J.D., Law
Brophy College Prep
Integrated Medical Services November 2013 - Present
TriWest Healthcare Alliance April 2007 - October 2013
Health Net of Arizona 2002 - 2007
Governor's Office of Drug Policy 1994 - 1995
Skills
Medicare, HIPAA, Healthcare, Medicaid, Managed Care, Medical Compliance, Health Law, Healthcare Industry, Privacy Law, Legal Writing, Health Insurance, Employee Benefits, Training, Insurance, Healthcare Management, Policy, Claim, Health Policy, Legislation, Network Development, Healthcare Consulting, Provider Relations, PPO, HMO, Medicare Part D, Medicaid Managed Care, Healthcare Reimbursement, Medicare/Medicaid..., Disease Management, Credentialing, Physicians, Physician Relations, Health Care Reform, Health Care Systems, Litigation Management, Healthcare Information..., Utilization Management, Pharmacy Benefit...
Education
University of Arizona 1995 — 1998
J.D., Law
Brophy College Prep
William Pokorny's TriWest Healthcare Alliance Experience 2006 - 2013
Job VP Health Care Services, BizFlow Corporation
Industry Health, Wellness and Fitness
Experience
TriWest Healthcare Alliance 2006 - 2013
Scottsdale Community College 2004 - 2005
USAA 1993 - 2004
United States Army 1973 - 1993
Skills
Data Analysis, Process Improvement, Project Management, Leadership, Healthcare Information..., Managed Care, Team Building, Six Sigma, Operations Management, Cross-functional Team..., Program Management, Healthcare Management, Healthcare, Change Management, HIPAA, Vendor Management, Strategic Planning, Team Leadership, Customer Service, Military, Quality Assurance, Healthcare Industry, Strategy, Visio, Training, Analysis, Software Documentation, Project Planning, Business Process..., Insurance, Management, Medicare, Policy, Call Centers, Medicaid, Access, Leadership Development, MS Project, Healthcare Consulting, Budgets
Education
University of South Carolina-Columbia 2003 — 2004
MEd, Personnel Services
United States Military Academy at West Point 1969 — 1973
BS, General Engineering
TriWest Healthcare Alliance 2006 - 2013
Scottsdale Community College 2004 - 2005
USAA 1993 - 2004
United States Army 1973 - 1993
Skills
Data Analysis, Process Improvement, Project Management, Leadership, Healthcare Information..., Managed Care, Team Building, Six Sigma, Operations Management, Cross-functional Team..., Program Management, Healthcare Management, Healthcare, Change Management, HIPAA, Vendor Management, Strategic Planning, Team Leadership, Customer Service, Military, Quality Assurance, Healthcare Industry, Strategy, Visio, Training, Analysis, Software Documentation, Project Planning, Business Process..., Insurance, Management, Medicare, Policy, Call Centers, Medicaid, Access, Leadership Development, MS Project, Healthcare Consulting, Budgets
Education
University of South Carolina-Columbia 2003 — 2004
MEd, Personnel Services
United States Military Academy at West Point 1969 — 1973
BS, General Engineering
Shenoa Robinson's TriWest Healthcare Alliance Experience May 2010 - February 2013
Job TRICARE Service Center Manager at UnitedHealth Group
Industry Hospital & Health Care
Experience
UnitedHealth Group February 2013 - Present
TriWest Healthcare Alliance May 2010 - February 2013
TriWest Healthcare Alliance May 2004 - May 2010
Skills
Healthcare, Managed Care, HIPAA, Hospitals, Healthcare Information..., Healthcare Management, Medicare, Customer Service, Case Management, Data Entry, Medical Terminology, Process Improvement
Education
Stanford University 1991 — 1995
BA, Psychology
UnitedHealth Group February 2013 - Present
TriWest Healthcare Alliance May 2010 - February 2013
TriWest Healthcare Alliance May 2004 - May 2010
Skills
Healthcare, Managed Care, HIPAA, Hospitals, Healthcare Information..., Healthcare Management, Medicare, Customer Service, Case Management, Data Entry, Medical Terminology, Process Improvement
Education
Stanford University 1991 — 1995
BA, Psychology
Lisa Steirer's TriWest Healthcare Alliance Experience September 2011 - July 2013
Job Corporate Administrator, Arizona Gastrointestinal Associates, PLC
Industry Hospital & Health Care
Experience
Arizona Gastrointestinal Associates, PLC January 2014 - Present
TriWest Healthcare Alliance September 2011 - July 2013
TriWest Healthcare Alliance 2007 - 2010
Mayo Clinic 2005 - 2006
Skills
Managed Care, Healthcare, Healthcare Management, Healthcare Information..., HIPAA, Medicare, Healthcare Consulting, Provider Relations, Software Documentation, Hospitals, Process Improvement, PPO, Medical Terminology, ICD-9, Health Insurance, Revenue Cycle, Medicaid, Healthcare Industry, Data Analysis, Patient Safety, Medical Billing, CPT, Network Development, Medical Records, EMR, Health Policy, Informatics, Team Building, Case Managment, Physician Relations, Credentialing, EHR, Physicians, Medical Coding, Health Information..., Home Care, Management
Education
The University of Connecticut 1999 — 2003
Bachelor of Science, Healthcare Administration
University of Phoenix
MBA
Arizona Gastrointestinal Associates, PLC January 2014 - Present
TriWest Healthcare Alliance September 2011 - July 2013
TriWest Healthcare Alliance 2007 - 2010
Mayo Clinic 2005 - 2006
Skills
Managed Care, Healthcare, Healthcare Management, Healthcare Information..., HIPAA, Medicare, Healthcare Consulting, Provider Relations, Software Documentation, Hospitals, Process Improvement, PPO, Medical Terminology, ICD-9, Health Insurance, Revenue Cycle, Medicaid, Healthcare Industry, Data Analysis, Patient Safety, Medical Billing, CPT, Network Development, Medical Records, EMR, Health Policy, Informatics, Team Building, Case Managment, Physician Relations, Credentialing, EHR, Physicians, Medical Coding, Health Information..., Home Care, Management
Education
The University of Connecticut 1999 — 2003
Bachelor of Science, Healthcare Administration
University of Phoenix
MBA
Dawne Henry's TriWest Healthcare Alliance Experience December 2004 - January 2008
Job at
Industry Hospital & Health Care
Experience
HMS January 2015 - Present
Nevada HAND July 2013 - July 2014
HAND Senior Living July 2013 - July 2014
Brookdale Senior Living August 2012 - June 2013
LHC Group August 2011 - May 2012
Bonaventure Senior Living May 2010 - August 2011
Total Care, INC November 2008 - June 2011
TriWest Healthcare Alliance December 2004 - January 2008
Skills
Healthcare Management, Nursing, Teaching, Mental Health, Healthcare, Home Care, Elder Care, Medication..., Community Outreach, Training
Education
University of Phoenix 2009 — 2011
AAHCA, Healthcare Administration
Hartsville Practical Nursing Program 1990 — 1991
diploma, Practical Nursing, Vocational Nursing and Nursing Assistants
HMS January 2015 - Present
Nevada HAND July 2013 - July 2014
HAND Senior Living July 2013 - July 2014
Brookdale Senior Living August 2012 - June 2013
LHC Group August 2011 - May 2012
Bonaventure Senior Living May 2010 - August 2011
Total Care, INC November 2008 - June 2011
TriWest Healthcare Alliance December 2004 - January 2008
Skills
Healthcare Management, Nursing, Teaching, Mental Health, Healthcare, Home Care, Elder Care, Medication..., Community Outreach, Training
Education
University of Phoenix 2009 — 2011
AAHCA, Healthcare Administration
Hartsville Practical Nursing Program 1990 — 1991
diploma, Practical Nursing, Vocational Nursing and Nursing Assistants
Allan Davis's TriWest Healthcare Alliance Experience August 2006 - May 2007
Job Mises Institute
Industry Information Technology and Services
Experience
Ludwig von Mises Institute March 2014 - Present
Resource Insurance Consultants January 2014 - March 2014
Nelnet Diversified Solutions March 2012 - January 2014
Cosentry September 2011 - March 2012
Terrascan March 2011 - August 2011
Kiewit December 2009 - March 2011
PayPal July 2009 - February 2010
Kenexa May 2007 - May 2009
TriWest Healthcare Alliance August 2006 - May 2007
TPC Enterprises February 2006 - July 2006
Skills
Databases, Microsoft SQL Server, SQL, SharePoint, Crystal Reports, Database Administration, Data Warehousing, Voiceovers, Narrator, Fiction Writing, Science Fiction, Fantasy Fiction, Horror Fiction, Political Writing, Photography, Digital Photography, Animal Portraits, Storytelling, Technical Support
Education
University of Advancing Technology
Master's Degree, Emerging Technology
University of Advancing Technology 1995 — 1998
Bachelor of Applied Science, CAD Technology
University of Advancing Computer Technology (formerly CAD Institute)
Associate of Applied Science, CAD Technology
Hartnell Community College
Associates
Ludwig von Mises Institute March 2014 - Present
Resource Insurance Consultants January 2014 - March 2014
Nelnet Diversified Solutions March 2012 - January 2014
Cosentry September 2011 - March 2012
Terrascan March 2011 - August 2011
Kiewit December 2009 - March 2011
PayPal July 2009 - February 2010
Kenexa May 2007 - May 2009
TriWest Healthcare Alliance August 2006 - May 2007
TPC Enterprises February 2006 - July 2006
Skills
Databases, Microsoft SQL Server, SQL, SharePoint, Crystal Reports, Database Administration, Data Warehousing, Voiceovers, Narrator, Fiction Writing, Science Fiction, Fantasy Fiction, Horror Fiction, Political Writing, Photography, Digital Photography, Animal Portraits, Storytelling, Technical Support
Education
University of Advancing Technology
Master's Degree, Emerging Technology
University of Advancing Technology 1995 — 1998
Bachelor of Applied Science, CAD Technology
University of Advancing Computer Technology (formerly CAD Institute)
Associate of Applied Science, CAD Technology
Hartnell Community College
Associates
Albert Jennings's TriWest Healthcare Alliance Experience UM SupervisorMolina HealthcareMarch 2002 - July 2006
Job Clinical Reviewer at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance UM SupervisorMolina HealthcareMarch 2002 - July 2006
US Army September 1975 - January 1996
Skills
Healthcare Management, Healthcare, Utilization Management, Clinical, Nursing
Education
Southern Illinois University, Carbondale 1999 — 2004
Bachelor of Science, Curriculum design
TriWest Healthcare Alliance UM SupervisorMolina HealthcareMarch 2002 - July 2006
US Army September 1975 - January 1996
Skills
Healthcare Management, Healthcare, Utilization Management, Clinical, Nursing
Education
Southern Illinois University, Carbondale 1999 — 2004
Bachelor of Science, Curriculum design
Heather Jameson's TriWest Healthcare Alliance Experience September 2009 - April 2013
Job Supervisor, Consult Tracking at TriWest Healthcare Alliance
Industry Motion Pictures and Film
Experience
TriWest Healthcare Alliance September 2009 - April 2013
The Screening Room February 2008 - August 2009
Skills
Healthcare Information..., Theatre, Healthcare, HIPAA, Microsoft Office, Customer Service
Education
University of Arizona 2006 — 2009
B.A., Media Arts, Classics
TriWest Healthcare Alliance September 2009 - April 2013
The Screening Room February 2008 - August 2009
Skills
Healthcare Information..., Theatre, Healthcare, HIPAA, Microsoft Office, Customer Service
Education
University of Arizona 2006 — 2009
B.A., Media Arts, Classics
Gwen Miller's TriWest Healthcare Alliance Experience November 2003 - February 2010
Job TRICARE Senior Specialty Network Manager at OptumHealth
Industry Hospital & Health Care
Experience
OptumHealth December 2012 - Present
UnitedHealthcare August 2010 - Present
Vanguard June 2010 - July 2010
TriWest Healthcare Alliance November 2003 - February 2010
CIGNA Healthcare of Arizona January 1991 - November 2003
Skills
Leadership, Managed Care, Medicare, Network Development, Medicaid, Provider Relations, HIPAA, Healthcare Industry, PPO, HMO, Health Insurance, Healthcare, Insurance, Program Management, Contract Negotiation, Health Policy, Healthcare Consulting, Healthcare Management, Revenue Cycle
Education
The University of North Dakota
B.S.B.A., Business Administration
OptumHealth December 2012 - Present
UnitedHealthcare August 2010 - Present
Vanguard June 2010 - July 2010
TriWest Healthcare Alliance November 2003 - February 2010
CIGNA Healthcare of Arizona January 1991 - November 2003
Skills
Leadership, Managed Care, Medicare, Network Development, Medicaid, Provider Relations, HIPAA, Healthcare Industry, PPO, HMO, Health Insurance, Healthcare, Insurance, Program Management, Contract Negotiation, Health Policy, Healthcare Consulting, Healthcare Management, Revenue Cycle
Education
The University of North Dakota
B.S.B.A., Business Administration
Sharon O'Toole RN BSN CCM's TriWest Healthcare Alliance Experience 1997 - 2000
Job Clinical Education Consultant at McKesson Health Solutions
Industry Hospital & Health Care
Experience
McKesson Health Solutions 2008 - Present
Cyberonics 2005 - 2008
AEGIS Care Management, INC 2004 - 2005
AEGIS Care Management, INC 2003 - 2004
AEGIS Care Management, INC 2001 - 2003
INTELISTAF HEALTHCARE 2000 - 2001
TriWest Healthcare Alliance 1997 - 2000
Education
University of Phoenix 2002 — 2004
BSN, Nursing
Wesley Hospital School of Nursing 1975 — 1976
RN, nursing
McKesson Health Solutions 2008 - Present
Cyberonics 2005 - 2008
AEGIS Care Management, INC 2004 - 2005
AEGIS Care Management, INC 2003 - 2004
AEGIS Care Management, INC 2001 - 2003
INTELISTAF HEALTHCARE 2000 - 2001
TriWest Healthcare Alliance 1997 - 2000
Education
University of Phoenix 2002 — 2004
BSN, Nursing
Wesley Hospital School of Nursing 1975 — 1976
RN, nursing
Marlene Wolsieffer's TriWest Healthcare Alliance Experience December 2009 - March 2013
Job HEDIS/Population Health Program Specialist In Transition
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance December 2009 - March 2013
TriWest Healthcare Alliance October 2005 - December 2009
Cigna Healthcare of Arizona May 1975 - July 2005
Skills
Healthcare, Process Improvement, HIPAA, Analysis, Managed Care, Healthcare Management, Data Analysis, Training, Healthcare Information..., HEDIS, Healthcare Consulting, Customer Service, Healthcare Industry, Disease Management, EMR, Medicaid, Medicare, Program Management, Utilization Management, Informatics, Insurance, EHR, Software Documentation, Access, Physician Relations, Provider Relations, Revenue Cycle
Education
University of Phoenix 1995 — 1997
BSBM, Business
TriWest Healthcare Alliance December 2009 - March 2013
TriWest Healthcare Alliance October 2005 - December 2009
Cigna Healthcare of Arizona May 1975 - July 2005
Skills
Healthcare, Process Improvement, HIPAA, Analysis, Managed Care, Healthcare Management, Data Analysis, Training, Healthcare Information..., HEDIS, Healthcare Consulting, Customer Service, Healthcare Industry, Disease Management, EMR, Medicaid, Medicare, Program Management, Utilization Management, Informatics, Insurance, EHR, Software Documentation, Access, Physician Relations, Provider Relations, Revenue Cycle
Education
University of Phoenix 1995 — 1997
BSBM, Business
Harold McCracken's TriWest Healthcare Alliance Experience June 2006 - Present
Job Vice President Internal Audit & Corporate Compliance at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance June 2006 - Present
United Space Alliance May 1996 - June 2006
Lockheed Martin 1987 - 1996
Skills
Certified Public..., Certified Compliance &..., Internal Audit, Auditing, Quality Auditing, CPA, Process Improvement, Sarbanes-Oxley Act, Internal Controls, Ethics & Compliance, Government Ethics, Compliance, HIPAA, Risk Management, Accounting, Management, PeopleSoft
Education
University of Houston-Clear Lake 1978 — 1980
BS, Accounting, Cum Laude
TriWest Healthcare Alliance June 2006 - Present
United Space Alliance May 1996 - June 2006
Lockheed Martin 1987 - 1996
Skills
Certified Public..., Certified Compliance &..., Internal Audit, Auditing, Quality Auditing, CPA, Process Improvement, Sarbanes-Oxley Act, Internal Controls, Ethics & Compliance, Government Ethics, Compliance, HIPAA, Risk Management, Accounting, Management, PeopleSoft
Education
University of Houston-Clear Lake 1978 — 1980
BS, Accounting, Cum Laude
Kathleen Fliehler's TriWest Healthcare Alliance Experience October 2006 - May 2013
Job Managed Care Consultant
Industry Hospital & Health Care
Experience
KF & Associates April 2013 - Present
TriWest Healthcare Alliance October 2006 - May 2013
APS Healthcare May 2005 - October 2006
Encompass Health Management October 1991 - May 2005
Skills
Managed Care, Healthcare, Disease Management, Medicare, Healthcare Management, Utilization Management, Medicaid, Healthcare Information..., Provider Relations, HIPAA, Healthcare Consulting, Process Improvement, Case Managment, Mental Health, Accreditation, Program Management, Health Insurance, Program Development, Health Education, Social Services, Health Policy, EMR, Revenue Cycle, Team Building, Physician Relations, Patient Safety, Quality Improvement, Data Analysis, Hospitals, Visio, Medical Terminology, Leadership, Home Care, Project Management, Healthcare Industry, EHR, Change Management, Software Documentation, ICD-9, Quality Management, Nursing, Strategic Planning, Employee Benefits, Clinical Research, Medical Billing, JCAHO, Network Development, CPT, Physicians, Policy
Education
University of Nebraska at Omaha 1976 — 1979
MA, Public Administration
Wartburg College
Bachelor of Arts (B.A.), Social Work
KF & Associates April 2013 - Present
TriWest Healthcare Alliance October 2006 - May 2013
APS Healthcare May 2005 - October 2006
Encompass Health Management October 1991 - May 2005
Skills
Managed Care, Healthcare, Disease Management, Medicare, Healthcare Management, Utilization Management, Medicaid, Healthcare Information..., Provider Relations, HIPAA, Healthcare Consulting, Process Improvement, Case Managment, Mental Health, Accreditation, Program Management, Health Insurance, Program Development, Health Education, Social Services, Health Policy, EMR, Revenue Cycle, Team Building, Physician Relations, Patient Safety, Quality Improvement, Data Analysis, Hospitals, Visio, Medical Terminology, Leadership, Home Care, Project Management, Healthcare Industry, EHR, Change Management, Software Documentation, ICD-9, Quality Management, Nursing, Strategic Planning, Employee Benefits, Clinical Research, Medical Billing, JCAHO, Network Development, CPT, Physicians, Policy
Education
University of Nebraska at Omaha 1976 — 1979
MA, Public Administration
Wartburg College
Bachelor of Arts (B.A.), Social Work
Phil Roszak's TriWest Healthcare Alliance Experience January 2003 - April 2007
Job
Industry Information Technology and Services
Experience
US Foods May 2007 - December 2012
TriWest Healthcare Alliance January 2003 - April 2007
US Foods March 2001 - December 2002
Leapsource January 2000 - March 2001
US Foods May 1988 - December 1999
Skills
Process Improvement, Forecasting, Business Intelligence, Business Analysis, Change Management, Strategic Planning, Inventory Management, Management, Vendor Management, Team Building, SDLC, Food Industry, Integration, SharePoint, Disaster Recovery, ERP, Software Development, IT Strategy, IT Management, Enterprise Architecture
Education
Southern Illinois University, Carbondale 1978 — 1979
Lyons Town High School 1973 — 1978
US Foods May 2007 - December 2012
TriWest Healthcare Alliance January 2003 - April 2007
US Foods March 2001 - December 2002
Leapsource January 2000 - March 2001
US Foods May 1988 - December 1999
Skills
Process Improvement, Forecasting, Business Intelligence, Business Analysis, Change Management, Strategic Planning, Inventory Management, Management, Vendor Management, Team Building, SDLC, Food Industry, Integration, SharePoint, Disaster Recovery, ERP, Software Development, IT Strategy, IT Management, Enterprise Architecture
Education
Southern Illinois University, Carbondale 1978 — 1979
Lyons Town High School 1973 — 1978
Amy Torchinsky's TriWest Healthcare Alliance Experience 2008 - 2013
Job
Industry Mental Health Care
Experience
TriWest Healthcare Alliance 2008 - 2013
Memorial Hospital, University of CO, Colorado Springs co 2001 - 2008
Skills
Microsoft Excel, Customer Service, PowerPoint, Windows, Outlook, Public Speaking, Strategic Planning
Education
Univeristy of Arkansas, Little Rock AR 1993 — 1996
Master of Social Work (MSW), Soial Work
University of Arkansas at Fayetteville 1986 — 1990
BA, Psychology
TriWest Healthcare Alliance 2008 - 2013
Memorial Hospital, University of CO, Colorado Springs co 2001 - 2008
Skills
Microsoft Excel, Customer Service, PowerPoint, Windows, Outlook, Public Speaking, Strategic Planning
Education
Univeristy of Arkansas, Little Rock AR 1993 — 1996
Master of Social Work (MSW), Soial Work
University of Arkansas at Fayetteville 1986 — 1990
BA, Psychology
Diane Steele-Smith's TriWest Healthcare Alliance Experience July 2007 - October 2009
Job Business Owner of SteeleSmith Consulting, LLC
Industry Insurance
Experience
Steele-Smith Consulting, LLC January 2010 - Present
TriWest Healthcare Alliance July 2007 - October 2009
Blue Cross Blue Shield of Arizona 2002 - 2006
PacifiCare of Arizona 1997 - 2001
Skills
Healthcare Information..., Strategic Planning, Customer Service, Conflict Resolution, HIPAA, Process Improvement, Business Analysis, Systems Analysis, Training, Healthcare, Management, Team Building, Managed Care, Program Management, Analysis, Software Documentation, Federal & State Health..., Provider Education, Provider Relations, Client Liaison, English, Microsoft Office, Windows, Microsoft Word
Education
University of Phoenix 2003 — 2004
BSB/M, Business Management, 3.93
Steele-Smith Consulting, LLC January 2010 - Present
TriWest Healthcare Alliance July 2007 - October 2009
Blue Cross Blue Shield of Arizona 2002 - 2006
PacifiCare of Arizona 1997 - 2001
Skills
Healthcare Information..., Strategic Planning, Customer Service, Conflict Resolution, HIPAA, Process Improvement, Business Analysis, Systems Analysis, Training, Healthcare, Management, Team Building, Managed Care, Program Management, Analysis, Software Documentation, Federal & State Health..., Provider Education, Provider Relations, Client Liaison, English, Microsoft Office, Windows, Microsoft Word
Education
University of Phoenix 2003 — 2004
BSB/M, Business Management, 3.93
Celso Santiago's TriWest Healthcare Alliance Experience November 2007 - March 2013
Job Independent PeopleSoft TechnoFunctional Consultant
Industry Information Technology and Services
Experience
Independent PeopleSoft Consultant July 2014 - Present
Texas Health Resources April 2013 - June 2014
TriWest Healthcare Alliance November 2007 - March 2013
Maricopa County 2007 - 2008
Team Abacus 2006 - 2006
IBM 2003 - 2005
PricewaterhouseCoopers 1998 - 2003
CSC 1997 - 1998
PriceWaterhouse 1995 - 1997
Skills
PeopleCode, SDLC, Requirements Analysis, PeopleSoft, Analysis, Oracle SQL, Production Support, SQL, Benefits, SQR, Testing, Payroll, PeopleTools, Fit/Gap Analysis, Process Scheduler, Data Conversion, Application Development, Conversions, Data Mapping, Documentation, Requirements Gathering, Business Process..., Software Documentation, Software Development, Employee Benefits, Vendor Management, Visio, Business Process, Human Resources, Training, Business Analysis, Personnel Management, Crystal Reports, ERP, Recruiting, PeopleSoft Financial
Education
United States Military Academy at West Point 1984 — 1988
Operations Research, Major
Independent PeopleSoft Consultant July 2014 - Present
Texas Health Resources April 2013 - June 2014
TriWest Healthcare Alliance November 2007 - March 2013
Maricopa County 2007 - 2008
Team Abacus 2006 - 2006
IBM 2003 - 2005
PricewaterhouseCoopers 1998 - 2003
CSC 1997 - 1998
PriceWaterhouse 1995 - 1997
Skills
PeopleCode, SDLC, Requirements Analysis, PeopleSoft, Analysis, Oracle SQL, Production Support, SQL, Benefits, SQR, Testing, Payroll, PeopleTools, Fit/Gap Analysis, Process Scheduler, Data Conversion, Application Development, Conversions, Data Mapping, Documentation, Requirements Gathering, Business Process..., Software Documentation, Software Development, Employee Benefits, Vendor Management, Visio, Business Process, Human Resources, Training, Business Analysis, Personnel Management, Crystal Reports, ERP, Recruiting, PeopleSoft Financial
Education
United States Military Academy at West Point 1984 — 1988
Operations Research, Major
Colleen Maguire's TriWest Healthcare Alliance Experience June 2008 - August 2008
Job at
Industry Marketing and Advertising
Experience
GRP Media February 2015 - Present
GRP Media June 2014 - January 2015
GRP Media September 2012 - May 2014
GRP Media September 2011 - August 2012
University of Arizona Foundation June 2010 - May 2011
Zion & Zion May 2009 - August 2009
TriWest Healthcare Alliance June 2008 - August 2008
Skills
Social Media, Digital Media, Digital Strategy, Press Releases, Social Media Marketing, Advertising, Email Marketing, Marketing, Integrated Marketing, Public Relations, Online Advertising, Media Planning, Digital Marketing
Education
University of Arizona, Eller College of Management 2007 — 2011
BSBA, Marketing, Spanish
GRP Media February 2015 - Present
GRP Media June 2014 - January 2015
GRP Media September 2012 - May 2014
GRP Media September 2011 - August 2012
University of Arizona Foundation June 2010 - May 2011
Zion & Zion May 2009 - August 2009
TriWest Healthcare Alliance June 2008 - August 2008
Skills
Social Media, Digital Media, Digital Strategy, Press Releases, Social Media Marketing, Advertising, Email Marketing, Marketing, Integrated Marketing, Public Relations, Online Advertising, Media Planning, Digital Marketing
Education
University of Arizona, Eller College of Management 2007 — 2011
BSBA, Marketing, Spanish
Lu Ramirez's TriWest Healthcare Alliance Experience February 1997 - Present
Job Behavioral Health Provider and Claims Administrator at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance February 1997 - Present
Skills
Medicare, Medical Billing, Insurance, Medicaid, Medical Terminology, HIPAA, Healthcare, CPT, Data Entry
Education
University of Northern Colorado 1972 — 1976
TriWest Healthcare Alliance February 1997 - Present
Skills
Medicare, Medical Billing, Insurance, Medicaid, Medical Terminology, HIPAA, Healthcare, CPT, Data Entry
Education
University of Northern Colorado 1972 — 1976
Dorothy Bunting's TriWest Healthcare Alliance Experience July 2011 - Present
Job Behavioral Health Operations Analyst at TriWest Healthcare Alliance
Industry Human Resources
Experience
TriWest Healthcare Alliance July 2011 - Present
TriWest Healthcare Alliance February 2008 - June 2012
MCI Telecommunications July 1988 - August 1996
Skills
Microsoft Excel, Microsoft Word, Access, Visio
Education
The University of Montana 1976 — 1980
BS, Business Admin
TriWest Healthcare Alliance July 2011 - Present
TriWest Healthcare Alliance February 2008 - June 2012
MCI Telecommunications July 1988 - August 1996
Skills
Microsoft Excel, Microsoft Word, Access, Visio
Education
The University of Montana 1976 — 1980
BS, Business Admin
Rasan Aycox's TriWest Healthcare Alliance Experience February 2006 - March 2013
Job Client Relationship Specialist at j2 Cloud Systems
Industry Telecommunications
Experience
j2 Global March 2014 - Present
TriWest Healthcare Alliance February 2006 - March 2013
American Specialty Health May 2005 - December 2005
GEICO July 2002 - April 2004
Skills
Process Improvement, HIPAA, Training, Provider Relations, Healthcare Industry, Management, Medicare, Healthcare Information..., Healthcare, Medical Coding, Medical Billing, Managed Care, Customer Service, Software Documentation, ICD-9, Medical Terminology, Call Centers, Utilization Management, EHR, Healthcare Management, Medicaid, Healthcare Consulting, CPT, EMR, Medical Records, TRICARE, PPO, Physician Relations, Insurance, Outlook, Coaching, SharePoint, PeopleSoft, Team Building, Troubleshooting, Employee Benefits, Supervisory Experience, Interviewing Skills, Visio, Revenue Cycle, Health Insurance
Education
University of Phoenix 2014 — 2016
Bachelor’s Degree, Communications
Southwestern Community College 1998 — 2001
Communications
j2 Global March 2014 - Present
TriWest Healthcare Alliance February 2006 - March 2013
American Specialty Health May 2005 - December 2005
GEICO July 2002 - April 2004
Skills
Process Improvement, HIPAA, Training, Provider Relations, Healthcare Industry, Management, Medicare, Healthcare Information..., Healthcare, Medical Coding, Medical Billing, Managed Care, Customer Service, Software Documentation, ICD-9, Medical Terminology, Call Centers, Utilization Management, EHR, Healthcare Management, Medicaid, Healthcare Consulting, CPT, EMR, Medical Records, TRICARE, PPO, Physician Relations, Insurance, Outlook, Coaching, SharePoint, PeopleSoft, Team Building, Troubleshooting, Employee Benefits, Supervisory Experience, Interviewing Skills, Visio, Revenue Cycle, Health Insurance
Education
University of Phoenix 2014 — 2016
Bachelor’s Degree, Communications
Southwestern Community College 1998 — 2001
Communications
Cindy Glenn's TriWest Healthcare Alliance Experience February 2007 - October 2012
Job Project Manager, UHC Networks Policies and Guides Team
Industry Insurance
Experience
UnitedHealth Group October 2012 - Present
TriWest Healthcare Alliance February 2007 - October 2012
TriWest Healthcare Alliance February 2007 - January 2009
United Services Automobile Assn November 1999 - October 2006
Skills
SharePoint, Writing, Training & Development, Compliance, Customer Service, Quality Assurance, Training Delivery, Project Implementation, Internal Communications, Microsoft Office, Virtual Teams, Collaboration, Document Review, Document Management, Software Documentation, Employee Training, Project Management, Change Management, Healthcare Industry
Education
Texas State University-San Marcos 1996 — 2000
UnitedHealth Group October 2012 - Present
TriWest Healthcare Alliance February 2007 - October 2012
TriWest Healthcare Alliance February 2007 - January 2009
United Services Automobile Assn November 1999 - October 2006
Skills
SharePoint, Writing, Training & Development, Compliance, Customer Service, Quality Assurance, Training Delivery, Project Implementation, Internal Communications, Microsoft Office, Virtual Teams, Collaboration, Document Review, Document Management, Software Documentation, Employee Training, Project Management, Change Management, Healthcare Industry
Education
Texas State University-San Marcos 1996 — 2000
Dick Zatarga's TriWest Healthcare Alliance Experience 1994 - 1998
Job Independent Computer Networking Professional
Industry Computer Networking
Experience
TriWest Healthcare Alliance 1994 - 1998
Education
University of New Haven 1978 — 1980
Master of Science, Computer and Information Science, Computer and Information Sciences and Support Services
University of New Haven
Master of Computer & Info Science, Computer Science
TriWest Healthcare Alliance 1994 - 1998
Education
University of New Haven 1978 — 1980
Master of Science, Computer and Information Science, Computer and Information Sciences and Support Services
University of New Haven
Master of Computer & Info Science, Computer Science
Jared Lininger's TriWest Healthcare Alliance Experience August 2006 - April 2007
Job Manager, Application Development at Coventry Health Care
Industry Insurance
Experience
Coventry Health Care April 2007 - Present
TriWest Healthcare Alliance August 2006 - April 2007
Strategic Vision Consulting February 2001 - June 2006
Skills
SDLC, Insurance, Strategic Planning, Business Intelligence, Requirements Analysis, Management, Business Process...
Education
UCLA 1994 — 1998
Bachelor of Arts, Business Economics
Coventry Health Care April 2007 - Present
TriWest Healthcare Alliance August 2006 - April 2007
Strategic Vision Consulting February 2001 - June 2006
Skills
SDLC, Insurance, Strategic Planning, Business Intelligence, Requirements Analysis, Management, Business Process...
Education
UCLA 1994 — 1998
Bachelor of Arts, Business Economics
JEANNIE VELDHUIS's TriWest Healthcare Alliance Experience January 2005 - February 2009
Job Office AssistantReceptionist
Industry Photography
Experience
Gans Ink and Supply Company 2010 - 2011
TriWest Healthcare Alliance January 2005 - February 2009
Skills
Process Improvement, Customer Service, Healthcare, Enrollment Management, Employee Benefits
Education
University of Phoenix 2008 — 2011
Bachelor of Science, Management
University of Phoenix 2006 — 2008
Associates Degree, Criminal Justice
Gans Ink and Supply Company 2010 - 2011
TriWest Healthcare Alliance January 2005 - February 2009
Skills
Process Improvement, Customer Service, Healthcare, Enrollment Management, Employee Benefits
Education
University of Phoenix 2008 — 2011
Bachelor of Science, Management
University of Phoenix 2006 — 2008
Associates Degree, Criminal Justice
Laurie Medina's TriWest Healthcare Alliance Experience January 2006 - Present
Job Direct Contracting Manager at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance January 2006 - Present
Aetna Health Inc. May 2000 - January 2006
Liberty Mutual Insurance October 1990 - May 2000
Skills
Physician Relations, Customer Service, Healthcare, Healthcare Reimbursement, Medicare, Provider Relations, Healthplan Contract..., Provider Network..., Provider Medical..., Computer Experience, Healthcare Management, CPT, Medicaid, HIPAA, PPO, Network Development, Healthcare Consulting, Credentialing, Health Policy, Training, Revenue Cycle, Utilization Management, Medical Billing, Disease Management, Health Insurance, Medical Coding, ICD-9, Case Management, EMR, HMO, JCAHO, Medicaid Managed Care, Medical Compliance, Medical Records, Patient Safety
Education
South Mountain Community College 1988 — 1989
1 year of classes, Business Administration and Management, General
Tempe Union High School
TriWest Healthcare Alliance January 2006 - Present
Aetna Health Inc. May 2000 - January 2006
Liberty Mutual Insurance October 1990 - May 2000
Skills
Physician Relations, Customer Service, Healthcare, Healthcare Reimbursement, Medicare, Provider Relations, Healthplan Contract..., Provider Network..., Provider Medical..., Computer Experience, Healthcare Management, CPT, Medicaid, HIPAA, PPO, Network Development, Healthcare Consulting, Credentialing, Health Policy, Training, Revenue Cycle, Utilization Management, Medical Billing, Disease Management, Health Insurance, Medical Coding, ICD-9, Case Management, EMR, HMO, JCAHO, Medicaid Managed Care, Medical Compliance, Medical Records, Patient Safety
Education
South Mountain Community College 1988 — 1989
1 year of classes, Business Administration and Management, General
Tempe Union High School
Darlene Ceccarelli's TriWest Healthcare Alliance Experience June 2015 - Present
Job Clinical Quality Manager at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance June 2015 - Present
UnitedHealth Group April 2013 - Present
Banner Health November 2011 - March 2013
Skills
Healthcare Information..., Healthcare, Patient Safety, Healthcare Management, Hospitals, EMR, Medical/Surgical, HIPAA, EHR, Nursing
Education
University of Michigan-Flint
Bachelor's Degree, Registered Nursing/Registered Nurse, Summa Cum Laude
TriWest Healthcare Alliance June 2015 - Present
UnitedHealth Group April 2013 - Present
Banner Health November 2011 - March 2013
Skills
Healthcare Information..., Healthcare, Patient Safety, Healthcare Management, Hospitals, EMR, Medical/Surgical, HIPAA, EHR, Nursing
Education
University of Michigan-Flint
Bachelor's Degree, Registered Nursing/Registered Nurse, Summa Cum Laude
April Cherry's TriWest Healthcare Alliance Experience 2009 - 2011
Job Customer Relations Specialist
Industry Consumer Services
Experience
TriWest Healthcare Alliance 2009 - 2011
Education
Tacoma Community College 2001 — 2002
Customer Relations Specialitst, Customer Service Support/Call Center/Teleservice Operation
TriWest Healthcare Alliance 2009 - 2011
Education
Tacoma Community College 2001 — 2002
Customer Relations Specialitst, Customer Service Support/Call Center/Teleservice Operation
Jana Blaine-Wiles's TriWest Healthcare Alliance Experience 1996 - 1999
Job Payroll Specialist II at Liquidity Services, Inc
Industry Internet
Experience
Liquidity Services, Inc March 2009 - Present
Insight 2000 - November 2008
TriWest Healthcare Alliance 1996 - 1999
Skills
Microsoft Excel, ADP Payroll, ADP ReportSmith, ADP Payforce, Outlook, Bookkeeping, Microsoft Word, Payroll, Benefits Administration, Employee Benefits, Human Resources, HRIS, Onboarding, FMLA, Employee Relations, Applicant Tracking..., PeopleSoft, Employee Recognition, Performance Management, Recruiting, Interviews, Accounts Payable, Accounts Receivable, Garnishments, Employee Training, System Administration, Workforce Planning, Employment Law, Leadership, Screening, Succession Planning, Talent Management, Legal Compliance, New Hire Orientations, Cold Calling, Management, Sourcing, Account Management, Team Building, Process Improvement, Inventory Control
Education
MCCC 1984 — 1985
AA, Computer Programing & Accounting
Sandia High School
The University of New Mexico
Biology
UCLA
Pre Med
Liquidity Services, Inc March 2009 - Present
Insight 2000 - November 2008
TriWest Healthcare Alliance 1996 - 1999
Skills
Microsoft Excel, ADP Payroll, ADP ReportSmith, ADP Payforce, Outlook, Bookkeeping, Microsoft Word, Payroll, Benefits Administration, Employee Benefits, Human Resources, HRIS, Onboarding, FMLA, Employee Relations, Applicant Tracking..., PeopleSoft, Employee Recognition, Performance Management, Recruiting, Interviews, Accounts Payable, Accounts Receivable, Garnishments, Employee Training, System Administration, Workforce Planning, Employment Law, Leadership, Screening, Succession Planning, Talent Management, Legal Compliance, New Hire Orientations, Cold Calling, Management, Sourcing, Account Management, Team Building, Process Improvement, Inventory Control
Education
MCCC 1984 — 1985
AA, Computer Programing & Accounting
Sandia High School
The University of New Mexico
Biology
UCLA
Pre Med
Patricia Plank's TriWest Healthcare Alliance Experience July 2007 - March 2013
Job Registered Nurse
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance July 2007 - March 2013
Cleveland Clinic Specialty Center August 2004 - July 2007
Memorial Hospital of Colorado Springs April 1993 - August 2004
Skills
Microsoft Word, Microsoft Excel, Healthcare, Healthcare Management, Medical Terminology, Cpr Certified, Hospitals
Education
University of Colorado Colorado Springs 2013 — 2014
RN Refresher Program, Bth El College of Nursing, Registered Nurse
College of St Francis
Bachelor's Science Degree of Health Arts, Registered Nurse
Samaritan Hospital School of Nursing Ashland Ohio
Diploma Degree in Nursing, Registered Nursing/Registered Nurse
TriWest Healthcare Alliance July 2007 - March 2013
Cleveland Clinic Specialty Center August 2004 - July 2007
Memorial Hospital of Colorado Springs April 1993 - August 2004
Skills
Microsoft Word, Microsoft Excel, Healthcare, Healthcare Management, Medical Terminology, Cpr Certified, Hospitals
Education
University of Colorado Colorado Springs 2013 — 2014
RN Refresher Program, Bth El College of Nursing, Registered Nurse
College of St Francis
Bachelor's Science Degree of Health Arts, Registered Nurse
Samaritan Hospital School of Nursing Ashland Ohio
Diploma Degree in Nursing, Registered Nursing/Registered Nurse
Carolyn Jewell's TriWest Healthcare Alliance Experience 2005 - 2008
Job Clinic Manager at Department of Veterans Affairs
Industry Government Administration
Experience
United Military and Veterans February 2015 - Present
TriWest Healthcare Alliance 2005 - 2008
Bristol Park Medical Group 1992 - 1994
Education
Texas Woman's University 1997 — 2000
Master's degree, Health/Health Care Administration/Management
United Military and Veterans February 2015 - Present
TriWest Healthcare Alliance 2005 - 2008
Bristol Park Medical Group 1992 - 1994
Education
Texas Woman's University 1997 — 2000
Master's degree, Health/Health Care Administration/Management
Tracey Hunt, MSW, LICSW's TriWest Healthcare Alliance Experience December 2007 - April 2013
Job Psychotherapist /Owner of Upside Counseling Center and Marriage and Family Therapist in Private Practice
Industry Mental Health Care
Experience
Upside Counseling Center October 2008 - Present
Multicultural Family Services February 2012 - April 2014
TriWest Healthcare Alliance December 2007 - April 2013
Good Samaritan Hospital December 2000 - December 2007
Skills
Crisis Intervention, Motivational..., Healthcare, Hospitals, Social Services, Mental Health, Case Managment, Behavioral Health, Family Therapy, Adolescents, Group Therapy, Foster Care, Child Development, Psychotherapy, Medicaid, Mental Health Counseling, Program Development, Treatment, Healthcare Management, Managed Care, Health Education, Community Outreach, Prevention, Wellness, Anger Management, HIPAA, Physician Relations, Nonprofits, Interventions, Therapists, Program Evaluation, Elder Care, Behavior Modification, DBT, Developmental..., Medical Social Work, Couples Counseling, Parenting Skills..., Adolescent Therapy, Cognitive Behavioral..., Life Coaching, Play Therapy, Clinical Supervision, Conflict Resolution, Counseling Psychology, Self-esteem, Life Transitions, Young Adults, Medicare, Grief Counseling
Education
University of Washington 1995 — 1997
Master's in Social Work, Social Work - Mental Health Concentration
UCLA 1987 — 1991
Bachelor of Arts (B.A.), History
Upside Counseling Center October 2008 - Present
Multicultural Family Services February 2012 - April 2014
TriWest Healthcare Alliance December 2007 - April 2013
Good Samaritan Hospital December 2000 - December 2007
Skills
Crisis Intervention, Motivational..., Healthcare, Hospitals, Social Services, Mental Health, Case Managment, Behavioral Health, Family Therapy, Adolescents, Group Therapy, Foster Care, Child Development, Psychotherapy, Medicaid, Mental Health Counseling, Program Development, Treatment, Healthcare Management, Managed Care, Health Education, Community Outreach, Prevention, Wellness, Anger Management, HIPAA, Physician Relations, Nonprofits, Interventions, Therapists, Program Evaluation, Elder Care, Behavior Modification, DBT, Developmental..., Medical Social Work, Couples Counseling, Parenting Skills..., Adolescent Therapy, Cognitive Behavioral..., Life Coaching, Play Therapy, Clinical Supervision, Conflict Resolution, Counseling Psychology, Self-esteem, Life Transitions, Young Adults, Medicare, Grief Counseling
Education
University of Washington 1995 — 1997
Master's in Social Work, Social Work - Mental Health Concentration
UCLA 1987 — 1991
Bachelor of Arts (B.A.), History
Jane Yaws's TriWest Healthcare Alliance Experience November 2009 - Present
Job Clinical Director at TriWest Healthcare Alliance
Industry Hospital & Health Care
Experience
TriWest Healthcare Alliance November 2009 - Present
TriWest Healthcare Alliance June 2000 - October 2009
Evans U.S. Army Community Hospital December 1998 - January 2000
Evans U.S. Army Community Hospital April 1995 - November 1998
Evans U.S. Army Community Hospital July 1993 - March 1995
Office of The Army Surgeon General September 1990 - June 1993
Skills
Leadership, Cross-functional Team..., Healthcare, Healthcare Management, Managed Care, Performance Improvement, Quality Management, Utilization Management, Case Managment, Disease Management, Patient Safety, Nursing, Hospitals, Clinical Research, TRICARE
Education
University of Maryland Baltimore
Bachelor's degree, Nursing
Vanderbilt University
Master's degree, Nursing, 4.0
TriWest Healthcare Alliance November 2009 - Present
TriWest Healthcare Alliance June 2000 - October 2009
Evans U.S. Army Community Hospital December 1998 - January 2000
Evans U.S. Army Community Hospital April 1995 - November 1998
Evans U.S. Army Community Hospital July 1993 - March 1995
Office of The Army Surgeon General September 1990 - June 1993
Skills
Leadership, Cross-functional Team..., Healthcare, Healthcare Management, Managed Care, Performance Improvement, Quality Management, Utilization Management, Case Managment, Disease Management, Patient Safety, Nursing, Hospitals, Clinical Research, TRICARE
Education
University of Maryland Baltimore
Bachelor's degree, Nursing
Vanderbilt University
Master's degree, Nursing, 4.0
LaDonna Walters's TriWest Healthcare Alliance Experience August 2007 - August 2008
Job Utilization Review Nurse at Trusted Health Plans
Industry Hospital & Health Care
Experience
Trusted Health Plans June 2014 - Present
Korak Healthsource Group January 2014 - June 2014
Queen of Apostles Catholic School August 2013 - January 2014
Benefis Health System August 2010 - May 2013
ActiveHealth Management October 2008 - June 2010
TriWest Healthcare Alliance August 2007 - August 2008
Chief of Central Referral Center December 2004 - May 2007
Vandenberg Air Force Base January 2002 - December 2004
U. S. Air Force Academy August 1999 - January 2002
United Medical Center West, Cheyenne, Wyoming September 1998 - August 1999
Education
Webster University-Colorado Springs 2004 — 2006
Master's Degree, Human Resources Management/Personnel Administration, General
Southern Illinois University, Edwardsville 1991 — 1997
Bachelor's Degree, Registered Nursing/Registered Nurse
Trusted Health Plans June 2014 - Present
Korak Healthsource Group January 2014 - June 2014
Queen of Apostles Catholic School August 2013 - January 2014
Benefis Health System August 2010 - May 2013
ActiveHealth Management October 2008 - June 2010
TriWest Healthcare Alliance August 2007 - August 2008
Chief of Central Referral Center December 2004 - May 2007
Vandenberg Air Force Base January 2002 - December 2004
U. S. Air Force Academy August 1999 - January 2002
United Medical Center West, Cheyenne, Wyoming September 1998 - August 1999
Education
Webster University-Colorado Springs 2004 — 2006
Master's Degree, Human Resources Management/Personnel Administration, General
Southern Illinois University, Edwardsville 1991 — 1997
Bachelor's Degree, Registered Nursing/Registered Nurse
Shawna Robles-Scritchfield's TriWest Healthcare Alliance Experience February 2003 - February 2007
Job Child Support Enforcement Officer II Debts at State of Arizona
Industry Government Administration
Experience
State of Arizona June 2013 - Present
Cabela's March 2013 - August 2013
Interim HealthCare February 2007 - January 2013
TriWest Healthcare Alliance February 2003 - February 2007
Skills
Data Entry, HIPAA, Customer Service, Outlook, Microsoft Office, Microsoft Excel, Healthcare, Microsoft Word, Medical Billing, Accounts Receivable, Payroll, Telephone Skills, Accounts Payable, Spreadsheets, Fax, QuickBooks, Training, 10 Key, Accounting, Filing, Human Resources, Event Planning, Administrative..., Office Management, Invoicing, Time Management, Inventory Management, Bookkeeping, Account Reconciliation, Teamwork, PowerPoint, Employee Benefits, General Ledger, Employee Relations, Medical Terminology, Bank Reconciliation, Team Building, Financial Statements, Medical Records, Appointment Scheduling, Multi-line Phone, Cash Flow
Education
Trevor G Browne High School 1988 — 1992
Diploma
University of Phoenix
Core Classes
State of Arizona June 2013 - Present
Cabela's March 2013 - August 2013
Interim HealthCare February 2007 - January 2013
TriWest Healthcare Alliance February 2003 - February 2007
Skills
Data Entry, HIPAA, Customer Service, Outlook, Microsoft Office, Microsoft Excel, Healthcare, Microsoft Word, Medical Billing, Accounts Receivable, Payroll, Telephone Skills, Accounts Payable, Spreadsheets, Fax, QuickBooks, Training, 10 Key, Accounting, Filing, Human Resources, Event Planning, Administrative..., Office Management, Invoicing, Time Management, Inventory Management, Bookkeeping, Account Reconciliation, Teamwork, PowerPoint, Employee Benefits, General Ledger, Employee Relations, Medical Terminology, Bank Reconciliation, Team Building, Financial Statements, Medical Records, Appointment Scheduling, Multi-line Phone, Cash Flow
Education
Trevor G Browne High School 1988 — 1992
Diploma
University of Phoenix
Core Classes
Tracy Lenartz's TriWest Healthcare Alliance Experience May 2008 - September 2010
Job President, Lenartz Consulting LLC
Industry Research
Experience
Lenartz Consulting, LLC January 2008 - Present
Arizona Department of Health Services January 2007 - Present
South Mountain Community College January 2011 - Present
TriWest Healthcare Alliance May 2008 - September 2010
Skills
Healthcare Consulting, Training, Webinars, Data Analysis, Project Management, Public Health Education, Non-profit Program..., GIS Application, Grant Writing, Program Evaluation, Health Workforce, Needs Analysis, Healthcare, Program Development, Public Speaking, Program Management, Public Health, Nonprofits, Community Outreach, Grants, Research, Teaching, Strategic Planning
Education
University of Minnesota-Twin Cities
Master of Public Health (MPH), Community Health Education
University of Minnesota-Twin Cities
Bachelor of Arts (B.A.), Child Psychology
Lenartz Consulting, LLC January 2008 - Present
Arizona Department of Health Services January 2007 - Present
South Mountain Community College January 2011 - Present
TriWest Healthcare Alliance May 2008 - September 2010
Skills
Healthcare Consulting, Training, Webinars, Data Analysis, Project Management, Public Health Education, Non-profit Program..., GIS Application, Grant Writing, Program Evaluation, Health Workforce, Needs Analysis, Healthcare, Program Development, Public Speaking, Program Management, Public Health, Nonprofits, Community Outreach, Grants, Research, Teaching, Strategic Planning
Education
University of Minnesota-Twin Cities
Master of Public Health (MPH), Community Health Education
University of Minnesota-Twin Cities
Bachelor of Arts (B.A.), Child Psychology
Anissa Brown's TriWest Healthcare Alliance Experience March 2008 - January 2013
Job
Industry
Experience
Woodbury Technologies, Inc./Military Health Systems January 2013 - Present
TriWest Healthcare Alliance March 2008 - January 2013
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop, HIPAA, CHCS, AHLTA
Education
University of Phoenix 2004 — 2007
Master's degree, Business Administration and Management, General
Woodbury Technologies, Inc./Military Health Systems January 2013 - Present
TriWest Healthcare Alliance March 2008 - January 2013
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop, HIPAA, CHCS, AHLTA
Education
University of Phoenix 2004 — 2007
Master's degree, Business Administration and Management, General
Denise Gandy's TriWest Healthcare Alliance Experience November 2005 - January 2008
Job Claims Liason II at Centene Corporation
Industry Insurance
Experience
Centene Corporation August 2015 - Present
Humana July 2011 - February 2015
Humana January 2009 - July 2011
UnitedHealth Group January 2008 - January 2009
TriWest Healthcare Alliance November 2005 - January 2008
UnitedHealth Group March 2004 - November 2005
Skills
Subject Matter Experts, Six Sigma, Lean Six Sigma, Lean Thinking, Project Management, Business Process..., Health Insurance, Team Leadership, Claims Resolution, Quality Auditing, Communication, Critical Thinking, Root Cause Analysis, Escalation Resolution, Benefits Administration, Group Presentations, Data Migration, Business Analysis, Customer Support, Business Writing, Provider Network..., Medical Coding, Medical Terminology, ICD-10, ICD-9-CM, HCPCS, Coding Standards, User Acceptance Testing, Microsoft Excel, MS Excel Pivot Tables, Access, Macro, Microsoft Word, InfoPath Forms, Outlook, Lync, PowerPoint, OneNote, Oracle SQL Developer, Oracle Discoverer, PL/SQL, Data Analysis, Ad Hoc Reporting, Reporting & Analysis, Medicare/Medicaid..., Healthcare Reimbursement, Appeals, Medical Compliance
Education
University of Phoenix 2005 — 2007
Healthcare Information Technology, 3.0
University of New Orleans
Accounting and Business/Management
Centene Corporation August 2015 - Present
Humana July 2011 - February 2015
Humana January 2009 - July 2011
UnitedHealth Group January 2008 - January 2009
TriWest Healthcare Alliance November 2005 - January 2008
UnitedHealth Group March 2004 - November 2005
Skills
Subject Matter Experts, Six Sigma, Lean Six Sigma, Lean Thinking, Project Management, Business Process..., Health Insurance, Team Leadership, Claims Resolution, Quality Auditing, Communication, Critical Thinking, Root Cause Analysis, Escalation Resolution, Benefits Administration, Group Presentations, Data Migration, Business Analysis, Customer Support, Business Writing, Provider Network..., Medical Coding, Medical Terminology, ICD-10, ICD-9-CM, HCPCS, Coding Standards, User Acceptance Testing, Microsoft Excel, MS Excel Pivot Tables, Access, Macro, Microsoft Word, InfoPath Forms, Outlook, Lync, PowerPoint, OneNote, Oracle SQL Developer, Oracle Discoverer, PL/SQL, Data Analysis, Ad Hoc Reporting, Reporting & Analysis, Medicare/Medicaid..., Healthcare Reimbursement, Appeals, Medical Compliance
Education
University of Phoenix 2005 — 2007
Healthcare Information Technology, 3.0
University of New Orleans
Accounting and Business/Management
Xerox
ExxonMobil
Kimberly-Clark
Xerox Corporation
Micron Technology
Parker Hannifin
Tennessee Valley Authority
Apollo Group