United Healthcare Community and State
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United Healthcare Community and State Employees
IlliniCare Health Plan, Inc. March 2015 - Present
United Healthcare - Community and State July 2012 - February 2015
Global Home Health, LLC April 2011 - July 2012
Multiplan January 2006 - April 2011
RRM Enterprises, Inc., Orland Park, IL. 2003 - 2005
Wellpoint, d/b/a UNICARE Health Plans of the Midwest, Chicago, IL 1997 - 2003
LaGrange Hospital, LaGrange, IL 1995 - 1997
Silver Cross Hospital, Joliet, IL 1993 - 1995
HMO Illinois – Blue Cross/Blue Shield, Chicago, IL 1972 - 1993
Skills
Managed Care, Network Development, PPO, Business Development, Negotiation, Market Planning, Leadership, Sales, Income Statement, Provider Relations, Healthcare Industry, Medicaid
Education
DePaul University 1978 — 1983
Master of Science, Health Care Administration
DePaul University
Bachelor of Arts, Business Administration
Children's Health December 2014 - Present
United Healthcare Community and State April 2014 - December 2014
United Healthcare Community and State March 2008 - April 2014
Home Health Resources August 2006 - March 2008
Katy ISD February 2000 - May 2004
Plano Medical Center September 1996 - December 2000
Massachusetts General Hospital August 1994 - January 1996
Stanford Medical center July 1992 - February 1993
Cheyenne Regional Medical Center August 1988 - June 1992
Parkland Hospital May 1987 - February 1988
Skills
Disease Management, Healthcare Management, Certified Case Manager, Nursing, Managed Care, Healthcare, Hospitals, HIPAA, Healthcare Information..., Case Managment, Informatics, Pediatrics, Health Promotion, Healthcare Industry, Home Care, Inpatient, Medicare, Healthcare Consulting, Medicaid
Education
Baylor University 1983 — 1987
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
United Healthcare, Community and State January 2015 - Present
Cordea Consulting January 2013 - June 2014
Vitalize Consulting Solutions March 2009 - January 2013
ACS Healthcare Solutions February 1994 - March 2009
ACS February 1994 - March 2009
Superior Consultant Holdings Corp 1994 - 2009
Superior Consultant Company 1994 - 2008
ACS Healthcare Solutions 1994 - 2008
McKesson 2004 - 2007
Providence Yakima February 1974 - February 1994
Skills
EHR, Cerner, HL7, Informatics, HIPAA, Healthcare, Process Improvement, Healthcare Consulting, Software Implementation, SDLC, Healthcare Management, Project Management, Visio, Healthcare Industry, Nursing, IT Strategy, Leadership, Software Project..., Management
Education
City University of Seattle 1989 — 1994
MBA, Health/Health Care Administration/Management
Fit and Fierce Wellness and Nutrition December 2011 - Present
United Healthcare Community and State September 2014 - Present
The Martial Arts University, Inc. December 2011 - Present
MedSolutions (became EviCore in 2015) August 2011 - September 2014
APS Healthcare September 2010 - July 2011
The Sanderson Group, Inc January 2005 - December 2010
AmeriChoice March 2008 - September 2010
Willowbrook Home Health Care October 2004 - March 2008
Skills
Certified Case Manager, American College of..., Six Sigma Yellow Belt..., Six Sigma Green Belt..., Transition of Care, Disease Management, Utilization Management, Home Health Management, Quality Management, Clinical Operations, training/education, Healthcare, Managed Care, Home Care, Hospitals, Wellness Coaching, Case Management, Health Education, Wellness, Clinical Research, Case Managment, Medicaid, Health Policy, Medicare, Quality Improvement, Leadership, Informatics, Acute Care
Education
Belmont University 2008 — 2010
Bachelors of Science in Nursing, Nursing
Mid-Michigan Community College
Associates Degree Nursing
United Healthcare Community and State March 2012 - Present
YWCA Houston May 2010 - May 2011
Houston OASIS August 1998 - May 2009
Jewish Community Center of Houston August 1991 - April 1998
Bishop Byrne Regional Wellness Center September 1988 - July 1991
Skills
Public Speaking, Non-profits, Volunteer Management, Grants, Fundraising, Community Outreach, Strategic Planning, Program Development, Community Relations, Event Planning, Special Events, Strategic Communications, Wellness, Community Development, Project Planning, Event Management, Training, Motivational..., Program Management, Press Releases, Staff Development, Coaching, Grant Writing, Social Services, Nonprofits, Budgets, Teaching, Healthcare, Program Evaluation, Proposal Writing, Social Media, Customer Service, Microsoft Office, Leadership, Research, Marketing Communications, Editing, Case Managment, Policy, Newsletters, Public Relations, Organizational..., Marketing, Leadership Development, Philanthropy, Interviews
Education
The University of Texas at Austin 1970 — 1972
B. A., Sociology and Social Work
University of Houston 1968 — 1970
Psycholgy and Sociology
Physician's Health Network March 2014 - Present
United HealthCare - Community and State April 2011 - 2013
HealthMarkets 2007 - 2010
Wausau Benefits 2002 - 2007
Accountable Health Plans 1998 - 2001
CRL Insurance 1996 - 1998
Emphysis 1989 - 1996
Blue and blue shield of Indiana 1971 - 1987
Skills
Claims Consulting, Claims Management, Customer Satisfaction, Provider Relations, Service Provider..., Provider Networks, New Business Development, Health Insurance, Vendor Management, PPO, Contract Negotiation, Insurance, Medicare, Network Monitoring Tools, Customer Service, Managed Care, HMO, Medicaid, Management, Healthcare, HIPAA, Health Policy, Operations Management, Healthcare Industry, Healthcare Consulting, Sales Management, Claim, Process Improvement, Credentialing, Network Development, Leadership, Healthcare Information..., Team Leadership, Physician Relations, Revenue Cycle, Executive Management, Healthcare Management, Business Development, Quality Improvement, Hospitals, Medicare Part D, Disease Management, EHR, Informatics, Strategic Planning, Team Building, Marketing, Training, Program Management
Education
Indiana University-Purdue University at Indianapolis 1969 — 1978
BS Marketing, management
UAFI -Air Force 1963 — 1967
general studies, Business Administration and Management, General, B+
United Healthcare Community and State March 2011 - Present
Millennium Pharmacy Systems December 2010 - March 2011
Millennium Pharmacy Systems February 2010 - December 2010
Millennium Pharmacy Systems January 2008 - February 2010
Rite Aid Pharmacy 2003 - 2008
Unison Health Plan March 2005 - May 2007
Skills
Pharmacists, Managed Care, Clinical Pharmacy, Pharmacy Automation, Medication Therapy..., Pharmacy Benefit..., Healthcare, Pharmacy, Prior Authorization, Patient Counseling, Immunization, Medicare Part D, Ambulatory Care, Informatics, Community Pharmacy, Clinical Research, Disease Management, Clinical Pharmacology, Compounding, Diabetes, Utilization Management, Medicaid, Certified Immunizer, Healthcare Management, Hospital Pharmacy, Medicare, Patient Safety, Pharmacy Practice
Education
Duquesne University 1996 — 2003
PharmD, Pharmacy
United Healthcare Community and State October 2010 - Present
Executive Health Resources April 2008 - September 2010
Lourdes Medical Center of Burlington County December 2003 - January 2008
Skills
Healthcare Management, Utilization Management, Hospitals, Healthcare, Quality Management, Internal Medicine, Healthcare Consulting, Healthcare Information..., EMR, Medical Education, EHR, Disease Management, Physician Relations, Physicians, Health Policy, Patient Safety, Medicine, Quality Improvement, Informatics, Medicare, Managed Care, Emergency Medicine, Family Medicine, Board Certified
Education
State University of New York Upstate Medical University 1966 — 1970
MD, Cum Laude, Medicine
Carnegie Mellon University
Masters in Medical Management, Medical Managerment
United Healthcare - Community and State June 2015 - Present
United Health Care Community and State September 2011 - Present
Clarian North Medical Center September 2009 - June 2010
Anchor Behavioral Counseling September 2009 - June 2010
The Christ Hospital March 2003 - February 2005
Skills
Healthcare, Public Health, Case Managment, Hospitals, Mental Health, Patient Advocacy, Medicaid, Social Services, Health Education, Clinical Research, Nursing, Healthcare Management
Education
Tulane School of Public Health and Tropical Medicine 1996 — 1997
Master in Public Health, Maternal/Child Health Administration
Tulane University 1996 — 1997
MSW, Master in Social Work
Illinois Wesleyan University 1987 — 1991
BS, Business Admin
United HealthCare-Community and State March 2011 - Present
SearchMasters, Inc. 2011 - Present
United HealthCare-Community and State February 2009 - March 2011
Your “other” Warehouse July 2005 - December 2007
Wholesale Printables October 2003 - June 2005
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Teaching, Minitab, Visio
Education
Louisiana State University 1997 — 2002
Bachelor of Science (BS), Human Development, Family Studies, and Related Services
Louisiana State University
B.S, Family, Child and Consumer Sciences; Human Services Management
St. Joseph's Academy 1992 — 1996
High School
San Diego, CA 2014 - Present
United HealthCare, Community and State 2011 - 2014
RLS Health Policy Consultants 2010 - 2011
VHA Health Care 2009 - 2011
San Diego State University 2006 - 2009
Institute for Public Health, San Diego State University Research Foundation 2005 - 2009
San Diego State University 2004 - 2005
Kaiser Permanente 1993 - 2003
Skills
Program Management, Project Management, Analysis, Data Analysis, Program Evaluation, Project Planning, Program Development, Training, Teaching, Team Building, Coaching, Community Outreach, Workshop Facilitation, Change Management, Pain Management, Qualitative Research, Process Improvement, Strategic Planning, Healthcare, Public Health, SPSS, Microsoft Office, Research
Education
San Diego State University-California State University
MPH, Health Administration
Oklahoma State University
MS, Consumer Economics
United Healthcare Community and State September 2010 - Present
Southeast Lancaster Health Services October 2000 - September 2010
Franklin and Marshall College October 1993 - September 1999
Skills
Health Insurance, Insurance, Employee Benefits, Medicare, Managed Care, Business Analysis, SDLC, Claim, Disability Insurance, Process Improvement, Underwriting, Life Insurance, Healthcare, Brokers, HIPAA, Requirements Gathering, Visio, Business Process..., Requirements Analysis, Medicaid
Education
Hershey Medical Center, Pennsylvania State University 1978 — 1980
Physician Assistant Program
University of Pittsburgh-Johnstown 1975 — 1978
Pre-Physical Therapy Studies
United Healthcare Community and State January 2014 - Present
OptumHealth New Mexico June 2009 - Present
Counseling Associates, Inc, July 2006 - June 2009
Richmond Behavioral Health Authority March 2004 - June 2006
Skills
Family Therapy, Group Therapy, Mental Health, Case Management Services, Behavioral Health, Crisis Intervention, Medicaid Managed Care, Case Managment, Psychotherapy, Psychology, Collaboration, Microsoft Excel, Social Services, Integrity, Motivational..., Chemical Dependency, Post Traumatic Stress, Case Management, Mental Health Counseling, DBT, Clinical Supervision, Addiction Recovery, Dual Diagnosis, Play Therapy, Grief Counseling, Adolescents, Therapists
Education
Texas A&M University 1975 — 1978
Bachelor of Arts (BA), Journalism
Northern Montana College
Master of Education (M.Ed.), Counselor Education/School Counseling and Guidance Services