United Healthcare Community Plan
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United Healthcare Community Plan Employees
Employee
Years
Job
Industry
Barbara West, LCSW Barbara West, LCSW's United Healthcare Community Plan Experience January 2010 - August 2014
Job Supervisor, BlueCare Tennessee CHOICES Program
Industry Insurance
Experience
United Healthcare Community Plan January 2010 - August 2014
Dickson Recovery Center 2008 - 2010
Skills
Medicare, HIPAA, Case Management, Health Insurance, Behavioral Health, Disease Management, Utilization Management, Healthcare, Mental Health, Crisis Intervention, Case Managment, Healthcare Management, Medicaid, Managed Care, Home Care
Education
University of Michigan
Master of Social Work (MSW)
United Healthcare Community Plan January 2010 - August 2014
Dickson Recovery Center 2008 - 2010
Skills
Medicare, HIPAA, Case Management, Health Insurance, Behavioral Health, Disease Management, Utilization Management, Healthcare, Mental Health, Crisis Intervention, Case Managment, Healthcare Management, Medicaid, Managed Care, Home Care
Education
University of Michigan
Master of Social Work (MSW)
Ann E. Beauchamp Ann E. Beauchamp's United Healthcare Community Plan Experience January 2014 - Present
Job Behavior Health Care Coordinator at United Healthcare Community Plan
Industry Mental Health Care
Experience
United Healthcare Community Plan January 2014 - Present
Optum August 2011 - December 2013
Marcia Owen Associates May 2010 - November 2010
Villa Maria Continuum September 2008 - May 2009
Outpatient Mental Health Clinic January 2008 - July 2008
Space Telescope Science Institute March 2000 - February 2006
Atapco (American Trading Real Estate Properties/Baltimore Management Services) October 1995 - December 1999
Skills
Mental Health, Psychology, Family Therapy, Group Therapy, Psychotherapy, Healthcare, Treatment, Crisis Intervention, Mental Health Counseling, Grief Counseling, Life Transitions, Training, Stress Management, Case Managment, Coaching, Adolescents, Young Adults, Motivational..., Case Management, Behavioral Health, Mindfulness, Social Services, Therapists, Counseling Psychology, Post Traumatic Stress, Anger Management
Education
Loyola College in Maryland 2004 — 2009
MS Pastoral Counseling
Union Theological Seminary, NYC 1977 — 1983
MDiv
Lafayette College 1973 — 1977
Bachelor of Arts, Religion/Religious Studies
Union Theological Seminary
Master of Divinity
United Healthcare Community Plan January 2014 - Present
Optum August 2011 - December 2013
Marcia Owen Associates May 2010 - November 2010
Villa Maria Continuum September 2008 - May 2009
Outpatient Mental Health Clinic January 2008 - July 2008
Space Telescope Science Institute March 2000 - February 2006
Atapco (American Trading Real Estate Properties/Baltimore Management Services) October 1995 - December 1999
Skills
Mental Health, Psychology, Family Therapy, Group Therapy, Psychotherapy, Healthcare, Treatment, Crisis Intervention, Mental Health Counseling, Grief Counseling, Life Transitions, Training, Stress Management, Case Managment, Coaching, Adolescents, Young Adults, Motivational..., Case Management, Behavioral Health, Mindfulness, Social Services, Therapists, Counseling Psychology, Post Traumatic Stress, Anger Management
Education
Loyola College in Maryland 2004 — 2009
MS Pastoral Counseling
Union Theological Seminary, NYC 1977 — 1983
MDiv
Lafayette College 1973 — 1977
Bachelor of Arts, Religion/Religious Studies
Union Theological Seminary
Master of Divinity
Jerry B. Mercado Jerry B. Mercado's United Healthcare Community Plan Experience September 2002 - November 2005
Job Practice Performance Manager at Optum Insight
Industry Management Consulting
Experience
Optum July 2014 - Present
United Healthcare September 2010 - July 2014
United Healthcare March 2008 - September 2010
United Healthcare November 2005 - March 2008
United Healthcare Community Plan September 2002 - November 2005
Horizon NJ Health September 1995 - July 2002
Skills
Healthcare, Medicare, Data Analysis, Strategic Planning, Outlook, Research, Microsoft Excel, Public Speaking, PowerPoint, Microsoft Word, Teaching, Managed Care, Customer Service, Leadership, Health Insurance, Microsoft Office, Windows, Grassroots Fundraising, Creative Problem Solving, Great Motivator, HIPAA, Medicaid, Healthcare Management, Political Campaigns, Politics, Community Organizing, Board of Directors, Nonprofits, Marketing Strategy, Sports Coaching, Job Coaching, Employee Training, Management, Insurance, Healthcare Industry, Process Improvement, Healthcare Information...
Education
Rutgers, The State University of New Jersey-New Brunswick 1989 — 1993
Bachelor's of Science, Industrial Engineering
Fairleigh Dickinson University-Metropolitan Campus 1987 — 1989
Industrial Engineering
Dr. Bonilla's Leadership Tomorrow
Optum July 2014 - Present
United Healthcare September 2010 - July 2014
United Healthcare March 2008 - September 2010
United Healthcare November 2005 - March 2008
United Healthcare Community Plan September 2002 - November 2005
Horizon NJ Health September 1995 - July 2002
Skills
Healthcare, Medicare, Data Analysis, Strategic Planning, Outlook, Research, Microsoft Excel, Public Speaking, PowerPoint, Microsoft Word, Teaching, Managed Care, Customer Service, Leadership, Health Insurance, Microsoft Office, Windows, Grassroots Fundraising, Creative Problem Solving, Great Motivator, HIPAA, Medicaid, Healthcare Management, Political Campaigns, Politics, Community Organizing, Board of Directors, Nonprofits, Marketing Strategy, Sports Coaching, Job Coaching, Employee Training, Management, Insurance, Healthcare Industry, Process Improvement, Healthcare Information...
Education
Rutgers, The State University of New Jersey-New Brunswick 1989 — 1993
Bachelor's of Science, Industrial Engineering
Fairleigh Dickinson University-Metropolitan Campus 1987 — 1989
Industrial Engineering
Dr. Bonilla's Leadership Tomorrow
Jennifer Elam Jennifer Elam's United Healthcare Community Plan Experience February 2014 - Present
Job Senior Clinical Coordinator LTSSHCBS MyCareOH
Industry Hospital & Health Care
Experience
United Healthcare Community Plan February 2014 - Present
Rodan+Fields Dermatologists May 2013 - Present
United Healthcare Community Plan September 2012 - January 2014
Chase Transcriptions, Inc. November 2011 - September 2012
M*Modal 1999 - 2011
Skills
Healthcare, Healthcare Management, HIPAA, Medicare, Healthcare Information..., Medicaid, Managed Care, Customer Service, Outlook, Microsoft Office, Microsoft Excel, Hospitals, Project Management, Microsoft Word, Provider Relations, PowerPoint, Medical Terminology, Insurance, Leadership, Medical Coding, Medical Records, EMR, Medical Billing, Medicine, Medical Transcription, Clinical Research, Health Information..., Radiology
Education
University of Northwestern Ohio 2012 — 2016
Bachelor's degree, Health/Health Care Administration/Management
University of Northwestern Ohio 1994 — 1996
Associate's degree, Health/Health Care Administration/Management
United Healthcare Community Plan February 2014 - Present
Rodan+Fields Dermatologists May 2013 - Present
United Healthcare Community Plan September 2012 - January 2014
Chase Transcriptions, Inc. November 2011 - September 2012
M*Modal 1999 - 2011
Skills
Healthcare, Healthcare Management, HIPAA, Medicare, Healthcare Information..., Medicaid, Managed Care, Customer Service, Outlook, Microsoft Office, Microsoft Excel, Hospitals, Project Management, Microsoft Word, Provider Relations, PowerPoint, Medical Terminology, Insurance, Leadership, Medical Coding, Medical Records, EMR, Medical Billing, Medicine, Medical Transcription, Clinical Research, Health Information..., Radiology
Education
University of Northwestern Ohio 2012 — 2016
Bachelor's degree, Health/Health Care Administration/Management
University of Northwestern Ohio 1994 — 1996
Associate's degree, Health/Health Care Administration/Management
Lisa Exum Lisa Exum's United Healthcare Community Plan Experience August 2010 - September 2011
Job Benefits counselor at Health Federation of Philadelphia
Industry Hospital & Health Care
Experience
Health Federation of Philadelphia March 2013 - Present
United health care September 2011 - March 2013
United healthcare community plan August 2010 - September 2011
Lenoir Community College January 2007 - May 2009
Skills
Training, Community Outreach, Program Management, Health Insurance, Medicare, Employee Benefits, Clinical Research, Time Management, Medicaid, Marketing, Coaching, Medicine, Process Scheduler, Healthcare, Public Speaking, Customer Service, Nonprofits, Microsoft Office, PowerPoint, Microsoft Excel
Education
Lenoir Community College 2006 — 2009
Associate of Arts and Sciences (A.A.S.), Culinary Science/Culinology
Edgecombe Community College 2005 — 2007
Health Federation of Philadelphia March 2013 - Present
United health care September 2011 - March 2013
United healthcare community plan August 2010 - September 2011
Lenoir Community College January 2007 - May 2009
Skills
Training, Community Outreach, Program Management, Health Insurance, Medicare, Employee Benefits, Clinical Research, Time Management, Medicaid, Marketing, Coaching, Medicine, Process Scheduler, Healthcare, Public Speaking, Customer Service, Nonprofits, Microsoft Office, PowerPoint, Microsoft Excel
Education
Lenoir Community College 2006 — 2009
Associate of Arts and Sciences (A.A.S.), Culinary Science/Culinology
Edgecombe Community College 2005 — 2007
Helen Brillakis Helen Brillakis's United Healthcare Community Plan Experience January 2012 - Present
Job Case Manager at United HealthCare Community Plan
Industry Health, Wellness and Fitness
Experience
United HealthCare Community Plan January 2012 - Present
Northern Arizona Regional Behavioral Health Authority October 2007 - December 2011
Esperanza Community Services 2000 - 2007
Skills
Quality Assurance, Case Managment, Developmental..., Mental Health, Program Development, Interventions
Education
Roosevelt University 1996 — 1999
Master of Arts, Human Services
University of Illinois at Chicago 1989 — 1993
Bachelor of Arts, Psychology
United HealthCare Community Plan January 2012 - Present
Northern Arizona Regional Behavioral Health Authority October 2007 - December 2011
Esperanza Community Services 2000 - 2007
Skills
Quality Assurance, Case Managment, Developmental..., Mental Health, Program Development, Interventions
Education
Roosevelt University 1996 — 1999
Master of Arts, Human Services
University of Illinois at Chicago 1989 — 1993
Bachelor of Arts, Psychology
Roberto Báez (1200+) Roberto Báez (1200+)'s United Healthcare Community Plan Experience January 2010 - Present
Job Medicare Benefits Consultant at United Healthcare Community Plan
Industry Insurance
Experience
United Healthcare Community Plan January 2010 - Present
Latino Integral MultiServices January 2008 - Present
WellCare Health Plan 2007 - 2007
MetroPlus Health Plan 2006 - 2007
BERTL 2004 - 2005
HealthFirst NY 2004 - 2005
Pitney Bowes/Imagistics/Océ 2003 - 2003
Global Imaging/CBS 2001 - 2002
Ricoh Corp. 1999 - 2001
ABNH Holographics 1997 - 1999
Skills
Spanish, Public Speaking, Public Relations, Public Health, Public Sector, Translation, Change Management, Sales Management, Program Management, Project Management, Account Management, Musicians, Notary, Medicare, Medicaid, People Skills, People-oriented, Bongo, Business Coaching, Event Photography, Executive Coaching, Executive Management, Training, Management, B2B, Marketing, Selling, New Business Development, Sales Operations, Coaching, Recruiting, Health Insurance, Sales, Healthcare, Strategic Planning, Leadership, Business Planning, Direct Sales, Insurance, Customer Retention, Marketing Communications, Business Strategy, Employee Benefits, Strategy, Human Resources, Customer Satisfaction, Organizational..., Marketing Management, Analysis, Market Research
Education
Marymount College Tarrytown 1993 — 1996
Bachelor of Science, Business
New York University 1980 — 1982
Liberal Arts
Colegio Santa Marta 1977 — 1980
HS, General
BTW54 1974 — 1977
JHS, Middle School Diploma
United Healthcare Community Plan January 2010 - Present
Latino Integral MultiServices January 2008 - Present
WellCare Health Plan 2007 - 2007
MetroPlus Health Plan 2006 - 2007
BERTL 2004 - 2005
HealthFirst NY 2004 - 2005
Pitney Bowes/Imagistics/Océ 2003 - 2003
Global Imaging/CBS 2001 - 2002
Ricoh Corp. 1999 - 2001
ABNH Holographics 1997 - 1999
Skills
Spanish, Public Speaking, Public Relations, Public Health, Public Sector, Translation, Change Management, Sales Management, Program Management, Project Management, Account Management, Musicians, Notary, Medicare, Medicaid, People Skills, People-oriented, Bongo, Business Coaching, Event Photography, Executive Coaching, Executive Management, Training, Management, B2B, Marketing, Selling, New Business Development, Sales Operations, Coaching, Recruiting, Health Insurance, Sales, Healthcare, Strategic Planning, Leadership, Business Planning, Direct Sales, Insurance, Customer Retention, Marketing Communications, Business Strategy, Employee Benefits, Strategy, Human Resources, Customer Satisfaction, Organizational..., Marketing Management, Analysis, Market Research
Education
Marymount College Tarrytown 1993 — 1996
Bachelor of Science, Business
New York University 1980 — 1982
Liberal Arts
Colegio Santa Marta 1977 — 1980
HS, General
BTW54 1974 — 1977
JHS, Middle School Diploma
Joseph Chiarella Joseph Chiarella's United Healthcare Community Plan Experience July 2011 - Present
Job Chief Medical Officer at United Healthcare Community Plan
Industry Hospital & Health Care
Experience
United Healthcare Community Plan July 2011 - Present
Health Net, Inc. May 2001 - June 2011
New York Medical Group, PC March 1990 - December 2000
Skills
Healthcare, Managed Care, Medicaid, Utilization Management, HMO, Pharmacy Policy, Appeals and Grievances, Healthcare Management, Medicare, Physicians, Hospitals, Policy, Pharmacy, Health Policy, Health Insurance, Quality Improvement, Medicine, Healthcare Industry, Medical Coding, Internal Medicine, Disease Management, Provider Relations, Healthcare Consulting
Education
Baruch College, City University of New York (CUNY) 2002 — 2005
M.B.A., Health Care Administration
Saint John Fisher College
M.S., Biology, English
Universidad Central del Este, School of Medicine
M.D., Medicine
Bayside High School
High School
United Healthcare Community Plan July 2011 - Present
Health Net, Inc. May 2001 - June 2011
New York Medical Group, PC March 1990 - December 2000
Skills
Healthcare, Managed Care, Medicaid, Utilization Management, HMO, Pharmacy Policy, Appeals and Grievances, Healthcare Management, Medicare, Physicians, Hospitals, Policy, Pharmacy, Health Policy, Health Insurance, Quality Improvement, Medicine, Healthcare Industry, Medical Coding, Internal Medicine, Disease Management, Provider Relations, Healthcare Consulting
Education
Baruch College, City University of New York (CUNY) 2002 — 2005
M.B.A., Health Care Administration
Saint John Fisher College
M.S., Biology, English
Universidad Central del Este, School of Medicine
M.D., Medicine
Bayside High School
High School
Richard Jones, Jr., MBA, MPA Richard Jones, Jr., MBA, MPA's United Healthcare Community Plan Experience May 2011 - September 2013
Job Network Account Director at Healthfirst
Industry Insurance
Experience
Healthfirst July 2015 - Present
Healthfirst April 2015 - July 2015
EmblemHealth October 2013 - March 2015
United Healthcare Community Plan May 2011 - September 2013
Bronx Lebanon Hospital Center February 2010 - April 2011
Bronx Lebanon Hospital Center October 2008 - February 2010
St. Vincent Catholic Medical Centers November 2007 - October 2008
Health Plus November 2005 - November 2007
Elderplan, Inc. May 2000 - November 2005
Skills
Healthcare, Auditing, Employee Benefits, Managed Care, Medicare, Provider Relations, HIPAA, Healthcare Management, Medicaid, Network Development, Health Insurance, Credentialing, Healthcare Information..., PPO, HMO, Contract Management, Management, Training, Health Policy, Claim, Healthcare Industry, Performance Improvement, Hospitals, Insurance, Customer Service, Team Building, Healthcare Consulting, Recruiting, Medical Billing, Leadership, Physician Relations, Medicare Part D, Quality Improvement, Account Management, Medicaid Managed Care, Revenue Cycle, Executive Management, Analysis, Physicians, Practice Management, Revenue Cycle Management, Process Improvement, Home Care, Medical Coding, Software Documentation, Medical Records, EMR, EHR
Education
Walden University 2015 — 2018
Doctor of Philosophy (Ph.D.), Healthcare Administration
Walden University 2004 — 2006
MPA, Public Administration
Keller Graduate School of Management of DeVry University 2002 — 2004
MBA, General Administration
City University of New York City College 1990 — 1999
B.A., Economics
Healthfirst July 2015 - Present
Healthfirst April 2015 - July 2015
EmblemHealth October 2013 - March 2015
United Healthcare Community Plan May 2011 - September 2013
Bronx Lebanon Hospital Center February 2010 - April 2011
Bronx Lebanon Hospital Center October 2008 - February 2010
St. Vincent Catholic Medical Centers November 2007 - October 2008
Health Plus November 2005 - November 2007
Elderplan, Inc. May 2000 - November 2005
Skills
Healthcare, Auditing, Employee Benefits, Managed Care, Medicare, Provider Relations, HIPAA, Healthcare Management, Medicaid, Network Development, Health Insurance, Credentialing, Healthcare Information..., PPO, HMO, Contract Management, Management, Training, Health Policy, Claim, Healthcare Industry, Performance Improvement, Hospitals, Insurance, Customer Service, Team Building, Healthcare Consulting, Recruiting, Medical Billing, Leadership, Physician Relations, Medicare Part D, Quality Improvement, Account Management, Medicaid Managed Care, Revenue Cycle, Executive Management, Analysis, Physicians, Practice Management, Revenue Cycle Management, Process Improvement, Home Care, Medical Coding, Software Documentation, Medical Records, EMR, EHR
Education
Walden University 2015 — 2018
Doctor of Philosophy (Ph.D.), Healthcare Administration
Walden University 2004 — 2006
MPA, Public Administration
Keller Graduate School of Management of DeVry University 2002 — 2004
MBA, General Administration
City University of New York City College 1990 — 1999
B.A., Economics
Leslie Paulus Leslie Paulus's United Healthcare Community Plan Experience September 2008 - Present
Job Medical Director at UnitedHealthCare
Industry Insurance
Experience
UNITED HEALTHCARE COMMUNITY PLAN September 2008 - Present
Evercare/Ovations/UnitedHealth Group January 2006 - September 2008
Skills
JCAHO, Ambulatory, Preventive Medicine, Clinical Operations, Healthcare Analytics, Health Policy, Medicare, Managed Care, Healthcare, Clinical Research, Hospitals, Health Insurance, Medicaid, Healthcare Management, EMR, Medicine, Revenue Cycle, Healthcare Information..., Inpatient, HIPAA, Physicians, Patient Safety, Utilization Management, Physician Relations, Healthcare Consulting, Quality Improvement, Pediatrics, Case Management, Case Managment, Disease Management, NCQA, PPO, Network Development, Credentialing, Practice Management, Pharmacy Benefit..., Provider Relations, Family Medicine, Healthcare Industry, Medicaid Managed Care, Utilization Review, Informatics, EHR, HEDIS, Internal Medicine, Board Certified, HMO
Education
UNC Chapel Hill 1981 — 1985
MD, Medicine
Bowman Gray School of Medicine, Wake Forest University 1978 — 1982
PhD, Microbiology and Immunology
UNITED HEALTHCARE COMMUNITY PLAN September 2008 - Present
Evercare/Ovations/UnitedHealth Group January 2006 - September 2008
Skills
JCAHO, Ambulatory, Preventive Medicine, Clinical Operations, Healthcare Analytics, Health Policy, Medicare, Managed Care, Healthcare, Clinical Research, Hospitals, Health Insurance, Medicaid, Healthcare Management, EMR, Medicine, Revenue Cycle, Healthcare Information..., Inpatient, HIPAA, Physicians, Patient Safety, Utilization Management, Physician Relations, Healthcare Consulting, Quality Improvement, Pediatrics, Case Management, Case Managment, Disease Management, NCQA, PPO, Network Development, Credentialing, Practice Management, Pharmacy Benefit..., Provider Relations, Family Medicine, Healthcare Industry, Medicaid Managed Care, Utilization Review, Informatics, EHR, HEDIS, Internal Medicine, Board Certified, HMO
Education
UNC Chapel Hill 1981 — 1985
MD, Medicine
Bowman Gray School of Medicine, Wake Forest University 1978 — 1982
PhD, Microbiology and Immunology
Ann (Ciotoli) Soroka's United Healthcare Community Plan Experience February 2011 - June 2015
Job Professional Organizer
Industry Professional Training & Coaching
Experience
Discover Organizing Inc. March 2014 - Present
United Healthcare Community Plan February 2011 - June 2015
HealthSouth Hospitals of Pittsburgh February 2004 - October 2010
HealthSouth Hospitals of Pittsburgh August 2001 - February 2004
HealthSouth Harmarville Rehabilitation Hospital April 1999 - September 2001
HealthSouth Hospitals of Pittsburgh May 1993 - April 1999
Skills
Licensed in Health and..., Event Planning, Health, Public Relations, Project Management, Leadership, Marketing, Budgets, Strategic Planning, Healthcare, Public Speaking, Advertising, Management, Community Outreach, Customer Service, Analysis, Program Management, Community Development, Training
Education
Indiana University of Pennsylvania 1977 — 1980
BA, Sociology and Criminology
Mercyhurst University
Discover Organizing Inc. March 2014 - Present
United Healthcare Community Plan February 2011 - June 2015
HealthSouth Hospitals of Pittsburgh February 2004 - October 2010
HealthSouth Hospitals of Pittsburgh August 2001 - February 2004
HealthSouth Harmarville Rehabilitation Hospital April 1999 - September 2001
HealthSouth Hospitals of Pittsburgh May 1993 - April 1999
Skills
Licensed in Health and..., Event Planning, Health, Public Relations, Project Management, Leadership, Marketing, Budgets, Strategic Planning, Healthcare, Public Speaking, Advertising, Management, Community Outreach, Customer Service, Analysis, Program Management, Community Development, Training
Education
Indiana University of Pennsylvania 1977 — 1980
BA, Sociology and Criminology
Mercyhurst University
Rhoda Hernandez Rhoda Hernandez's United Healthcare Community Plan Experience May 1998 - Present
Job
Industry
Experience
United healthcare community plan May 1998 - Present
Skills
Microsoft Word, Microsoft Office, Microsoft Excel, Management, Outlook, Leadership, English, Customer Service, Sales, Strategic Planning, Public Speaking, Photoshop, Team Building, Research
Education
Arizona Western College
Human Services, General
United healthcare community plan May 1998 - Present
Skills
Microsoft Word, Microsoft Office, Microsoft Excel, Management, Outlook, Leadership, English, Customer Service, Sales, Strategic Planning, Public Speaking, Photoshop, Team Building, Research
Education
Arizona Western College
Human Services, General
Ginger DeFilippo Ginger DeFilippo's United Healthcare Community Plan Experience June 2013 - Present
Job Relationship Specialist at UnitedHealthcare Community Plan
Industry Insurance
Experience
United Healthcare Community Plan June 2013 - Present
Skills
Public Speaking, Marketing, Event Planning, Marketing Strategy, New Business Development, Fundraising, Nonprofits, Community Outreach, Public Relations, Coaching, Social Networking, Customer Service, Fitness, direct sales b2b, Marketing Event Planning, Provider Outreach, Leadership
Education
Excelsior College
Bachelor of Science (B.S.), Liberal Arts and Sciences/Liberal Studies
United Healthcare Community Plan June 2013 - Present
Skills
Public Speaking, Marketing, Event Planning, Marketing Strategy, New Business Development, Fundraising, Nonprofits, Community Outreach, Public Relations, Coaching, Social Networking, Customer Service, Fitness, direct sales b2b, Marketing Event Planning, Provider Outreach, Leadership
Education
Excelsior College
Bachelor of Science (B.S.), Liberal Arts and Sciences/Liberal Studies
Angela Crowe's United Healthcare Community Plan Experience February 2011 - March 2012
Job Director, Network ProgramsCommunity Plan at UnitedHealthcare
Industry Hospital & Health Care
Experience
UnitedHealthcare February 2012 - Present
United Healthcare Community Plan February 2011 - March 2012
New York-Presbyterian Community Health Plan 2007 - April 2011
Community Premier Plus 2004 - 2007
Atlantis Health Plan 2004 - 2004
US Family Health Plan 2002 - 2003
CSC Healthcare Group 2000 - 2002
Blue Cross Blue Shield of AL 1996 - 2000
Skills
Leadership, Team Building, Management, Process Improvement, Healthcare, Networking, Change Management, Strategic Planning, Training, Insurance, Program Management, Customer Service, Project Management, Data Analysis, Access, Healthcare Management, Medicaid, Medicare
Education
Birmingham-Southern College 1999 — 2002
MPPM, Healthcare Management
Birmingham-Southern College 1990 — 1994
Muscle Shoals High School 1986 — 1990
UnitedHealthcare February 2012 - Present
United Healthcare Community Plan February 2011 - March 2012
New York-Presbyterian Community Health Plan 2007 - April 2011
Community Premier Plus 2004 - 2007
Atlantis Health Plan 2004 - 2004
US Family Health Plan 2002 - 2003
CSC Healthcare Group 2000 - 2002
Blue Cross Blue Shield of AL 1996 - 2000
Skills
Leadership, Team Building, Management, Process Improvement, Healthcare, Networking, Change Management, Strategic Planning, Training, Insurance, Program Management, Customer Service, Project Management, Data Analysis, Access, Healthcare Management, Medicaid, Medicare
Education
Birmingham-Southern College 1999 — 2002
MPPM, Healthcare Management
Birmingham-Southern College 1990 — 1994
Muscle Shoals High School 1986 — 1990
Elliott Sparks's United Healthcare Community Plan Experience August 2013 - May 2015
Job Director, of Clinical Systems at The Next Door
Industry Insurance
Experience
The Next Door August 2015 - Present
United Healthcare Community Plan August 2013 - May 2015
United Healthcare Community Plan March 2011 - August 2013
United Healthcare Community Plan February 2007 - March 2011
Skills
Management, Healthcare, Accountable Care, Leadership, Strategic Planning, Matrix Management, Innovation Development, Innovation Management, Microsoft Word, Microsoft Excel, Microsoft Powerpoint, Data Analysis, Interdepartmental..., Customer Service, Project Management, Interdepartmental..., Behavioral Health, Medicare, Healthcare Management
Education
University of Tennessee-Knoxville 2005 — 2006
Master of Social Work (MSSW), Social Work
Middle Tennessee State University 2003 — 2005
Bachelor's Degree, Social Work, Minor Economics/Finance
ITT Technical Institute-Nashville 1988 — 1990
Associate of Science (AS), Electronics
Tennessee Temple University 1984 — 1986
Studied Administrative Management
The Next Door August 2015 - Present
United Healthcare Community Plan August 2013 - May 2015
United Healthcare Community Plan March 2011 - August 2013
United Healthcare Community Plan February 2007 - March 2011
Skills
Management, Healthcare, Accountable Care, Leadership, Strategic Planning, Matrix Management, Innovation Development, Innovation Management, Microsoft Word, Microsoft Excel, Microsoft Powerpoint, Data Analysis, Interdepartmental..., Customer Service, Project Management, Interdepartmental..., Behavioral Health, Medicare, Healthcare Management
Education
University of Tennessee-Knoxville 2005 — 2006
Master of Social Work (MSSW), Social Work
Middle Tennessee State University 2003 — 2005
Bachelor's Degree, Social Work, Minor Economics/Finance
ITT Technical Institute-Nashville 1988 — 1990
Associate of Science (AS), Electronics
Tennessee Temple University 1984 — 1986
Studied Administrative Management
David Switzer's United Healthcare Community Plan Experience February 2007 - July 2012
Job Social work and mental health professional now working for Centene Corporation/Sunshine Health in Palm Beach County.
Industry Mental Health Care
Experience
Sunshine Health June 2014 - Present
United Healthcare Community Plan February 2007 - July 2012
Mental Health Cooperative September 2006 - February 2007
TN Voices for Children July 2006 - September 2006
MA Department of Mental Health January 2003 - June 2006
MA Department of Mental Health October 1992 - December 2002
Skills
Non-profits, Case Managment, Social Services, Community Outreach, Nonprofits, Training, Crisis Intervention, Adolescents, Medicare, Prevention, Mental Health, Managed Care, Behavioral Health, Healthcare, Medicaid, Case Management, Healthcare Management, Psychotherapy, Mental Health Counseling, Treatment
Education
Springfield College 1989 — 1992
Master of Social Work (MSW), Social Work, graduate study
Kenyon College 1975 — 1979
Bachelor of Arts (B.A.), English, undergraduate
Sunshine Health June 2014 - Present
United Healthcare Community Plan February 2007 - July 2012
Mental Health Cooperative September 2006 - February 2007
TN Voices for Children July 2006 - September 2006
MA Department of Mental Health January 2003 - June 2006
MA Department of Mental Health October 1992 - December 2002
Skills
Non-profits, Case Managment, Social Services, Community Outreach, Nonprofits, Training, Crisis Intervention, Adolescents, Medicare, Prevention, Mental Health, Managed Care, Behavioral Health, Healthcare, Medicaid, Case Management, Healthcare Management, Psychotherapy, Mental Health Counseling, Treatment
Education
Springfield College 1989 — 1992
Master of Social Work (MSW), Social Work, graduate study
Kenyon College 1975 — 1979
Bachelor of Arts (B.A.), English, undergraduate
Jody Dobrin's United Healthcare Community Plan Experience September 2008 - Present
Job Licensed Professional Counselor
Industry Mental Health Care
Experience
United Healthcare-Community Plan September 2008 - Present
Magellan Behavioral Health April 2005 - July 2008
Education
The University of Kansas 1982 — 1986
MS.Ed, Counseling Psychology
Alfred University 1979 — 1982
Bachelor of Arts (B.A.), Liberal Arts and Sciences/Liberal Studies
United Healthcare-Community Plan September 2008 - Present
Magellan Behavioral Health April 2005 - July 2008
Education
The University of Kansas 1982 — 1986
MS.Ed, Counseling Psychology
Alfred University 1979 — 1982
Bachelor of Arts (B.A.), Liberal Arts and Sciences/Liberal Studies
Pasquale Celli's United Healthcare Community Plan Experience September 2007 - Present
Job President
Industry Hospital & Health Care
Experience
United Healthcare Community Plan September 2007 - Present
AmeriChoice of NJ/United Healthcare 2004 - 2007
AmeriChoice 1999 - 2004
Skills
Medicaid, Managed Care, Healthcare Management, Health Insurance, HIPAA, Hospitals, Credentialing, Claim, Healthcare, Healthcare Industry, Insurance, Healthcare Consulting, Medicare, Network Development, Long-term Care, Disease Management, Policy, Health Policy
Education
Saint John's University 1971 — 1975
BS, Accounting
St. John's University, The Peter J. Tobin College of Business 1971 — 1975
BS, Accounting
Manhattan Prep
United Healthcare Community Plan September 2007 - Present
AmeriChoice of NJ/United Healthcare 2004 - 2007
AmeriChoice 1999 - 2004
Skills
Medicaid, Managed Care, Healthcare Management, Health Insurance, HIPAA, Hospitals, Credentialing, Claim, Healthcare, Healthcare Industry, Insurance, Healthcare Consulting, Medicare, Network Development, Long-term Care, Disease Management, Policy, Health Policy
Education
Saint John's University 1971 — 1975
BS, Accounting
St. John's University, The Peter J. Tobin College of Business 1971 — 1975
BS, Accounting
Manhattan Prep
Sam Gutwillig's United Healthcare Community Plan Experience August 2009 - September 2011
Job Vendor Operations Management Consultant at Amerigroup
Industry Hospital & Health Care
Experience
Amerigroup Corporation May 2014 - Present
UnitedHealthcare September 2011 - November 2013
United Healthcare Community Plan August 2009 - September 2011
Hudson Health Plan January 2001 - March 2008
Hudson Health Plan January 1998 - January 2001
Hudson Health Plan June 1996 - January 1998
American Progressive Life & Health Insurance Company of New York August 1994 - June 1996
Health Plan Administrators, Inc. September 1992 - August 1994
Empire Blue Cross Blue Shield March 1989 - September 1992
Skills
Medicaid, Healthcare, Healthcare Information..., Medicare, HEDIS, Claim, HIPAA, Managed Care, Hospitals, Insurance, Customer Service, Process Improvement, Data Analysis, Health Insurance, HMO, Health Policy, Utilization Management, PPO, Healthcare Consulting, Healthcare Industry, Pharmacy Benefit..., Revenue Cycle, Medicaid Managed Care, Physicians, Medical Billing, Quality Improvement, EHR, Training, Revenue Cycle Management, Healthcare Analytics, Physician Relations, Informatics, Medicare Part D, NCQA, Accountable Care, Strategy, Public Health, Healthcare Management
Education
Rockhurst University CEC 2000 — 2002
2000: Team Leadership, 2002: Project Management
Marymount Manhattan College 1997 — 1998
Fund Raising and Development
Christopher Columbus High School, Bronx NY
Amerigroup Corporation May 2014 - Present
UnitedHealthcare September 2011 - November 2013
United Healthcare Community Plan August 2009 - September 2011
Hudson Health Plan January 2001 - March 2008
Hudson Health Plan January 1998 - January 2001
Hudson Health Plan June 1996 - January 1998
American Progressive Life & Health Insurance Company of New York August 1994 - June 1996
Health Plan Administrators, Inc. September 1992 - August 1994
Empire Blue Cross Blue Shield March 1989 - September 1992
Skills
Medicaid, Healthcare, Healthcare Information..., Medicare, HEDIS, Claim, HIPAA, Managed Care, Hospitals, Insurance, Customer Service, Process Improvement, Data Analysis, Health Insurance, HMO, Health Policy, Utilization Management, PPO, Healthcare Consulting, Healthcare Industry, Pharmacy Benefit..., Revenue Cycle, Medicaid Managed Care, Physicians, Medical Billing, Quality Improvement, EHR, Training, Revenue Cycle Management, Healthcare Analytics, Physician Relations, Informatics, Medicare Part D, NCQA, Accountable Care, Strategy, Public Health, Healthcare Management
Education
Rockhurst University CEC 2000 — 2002
2000: Team Leadership, 2002: Project Management
Marymount Manhattan College 1997 — 1998
Fund Raising and Development
Christopher Columbus High School, Bronx NY
Paulette Calloway's United Healthcare Community Plan Experience January 2014 - Present
Job United Healthcare Community
Industry Hospital & Health Care
Experience
United Healthcare Community Plan January 2014 - Present
MedAssurant October 2010 - September 2011
Blue Cross Blue Shield of Michigan March 1984 - November 2008
Skills
Registered Nurse -..., Windows 7, Outlook Express, PowerPoint, McKesson Software, InterQual Criteria, BCBSM claims and..., Access, Facility Audit..., Medicare Advantage, MedAssurant databases, Inquiries, Software, Audit Reports, HIPAA, EMR, Medicare, CPT, Medical Coding, Outlook, Microsoft Office, Medicaid, ICD-9, Medical Records, Managed Care, Human Resources, Hospitals, Utilization Management, Medical Billing, Healthcare, Team Building
Education
CPC Code Breakers, LLC 2012 — 2012
Certified Professional Coder - (CPC), AAPC Professional Medical Coding
Siena Heights University 1998 — 2002
Bachelor of Applied Science (BASc), Health/Health Care Administration/Management
Wayne County Community College District 1974 — 1977
Associate's degree, Registered Nursing/Registered Nurse
United Healthcare Community Plan January 2014 - Present
MedAssurant October 2010 - September 2011
Blue Cross Blue Shield of Michigan March 1984 - November 2008
Skills
Registered Nurse -..., Windows 7, Outlook Express, PowerPoint, McKesson Software, InterQual Criteria, BCBSM claims and..., Access, Facility Audit..., Medicare Advantage, MedAssurant databases, Inquiries, Software, Audit Reports, HIPAA, EMR, Medicare, CPT, Medical Coding, Outlook, Microsoft Office, Medicaid, ICD-9, Medical Records, Managed Care, Human Resources, Hospitals, Utilization Management, Medical Billing, Healthcare, Team Building
Education
CPC Code Breakers, LLC 2012 — 2012
Certified Professional Coder - (CPC), AAPC Professional Medical Coding
Siena Heights University 1998 — 2002
Bachelor of Applied Science (BASc), Health/Health Care Administration/Management
Wayne County Community College District 1974 — 1977
Associate's degree, Registered Nursing/Registered Nurse
Edward Risser's United Healthcare Community Plan Experience September 2013 - Present
Job BH Complex Care and Crisis Services Manager at UHC
Industry Mental Health Care
Experience
United Healthcare Community Plan September 2013 - Present
OptumHealth New Mexico July 2012 - January 2014
Tresco, Inc. TOTS December 2004 - January 2014
OptumHealth New Mexico July 2009 - July 2012
ValueOptions New Mexico October 2007 - June 2009
Skills
Behavioral Health, Mental Health, Clinical Supervision, Case Management, Healthcare, Health Care Systems, Program Development, Medicaid, Managed Care, Medicaid Managed Care, Utilization Management, Healthcare Industry, NCQA, Quality Improvement, HIPAA, Crisis Intervention, Crisis Management, Therapeutic Modalities, Mental Health Counseling, Psychotherapy, Motivational..., Group Therapy, Adolescents, CBT, Life Transitions, Family Therapy, Chemical Dependency, Conflict Resolution, Provider Relations, Stress Management, Disease Management, Public Speaking, Organizing Meetings, Healthcare Consulting
Education
New Mexico State University 2002 — 2004
MA, Counseling Psychology
Union Theological Seminary 1994 — 1995
Graceland University 1992 — 1994
Bachelor of Arts (BA), Liberal Arts and Sciences/Liberal Studies
The University of Texas at Austin 1987 — 1991
United Healthcare Community Plan September 2013 - Present
OptumHealth New Mexico July 2012 - January 2014
Tresco, Inc. TOTS December 2004 - January 2014
OptumHealth New Mexico July 2009 - July 2012
ValueOptions New Mexico October 2007 - June 2009
Skills
Behavioral Health, Mental Health, Clinical Supervision, Case Management, Healthcare, Health Care Systems, Program Development, Medicaid, Managed Care, Medicaid Managed Care, Utilization Management, Healthcare Industry, NCQA, Quality Improvement, HIPAA, Crisis Intervention, Crisis Management, Therapeutic Modalities, Mental Health Counseling, Psychotherapy, Motivational..., Group Therapy, Adolescents, CBT, Life Transitions, Family Therapy, Chemical Dependency, Conflict Resolution, Provider Relations, Stress Management, Disease Management, Public Speaking, Organizing Meetings, Healthcare Consulting
Education
New Mexico State University 2002 — 2004
MA, Counseling Psychology
Union Theological Seminary 1994 — 1995
Graceland University 1992 — 1994
Bachelor of Arts (BA), Liberal Arts and Sciences/Liberal Studies
The University of Texas at Austin 1987 — 1991
Eddy Rogers's United Healthcare Community Plan Experience June 2014 - Present
Job Regional Sales Manager at United Health Care
Industry Health, Wellness and Fitness
Experience
United HealthCare Community Plan June 2014 - Present
HealthPlus Amerigroup June 2011 - August 2013
United Healthcare October 2010 - June 2011
WellCare August 2008 - February 2010
Skills
Medicare, Network Development, Health Insurance, Managed Care, HIPAA, HMO, Provider Relations, Healthcare, Healthcare Management, Team Building, Strategic Planning, Customer Service, Sales Process, Healthcare Industry, Leadership, Insurance, Health Policy, Process Improvement, EHR, Medicare Part D, Hospitals, Disease Management, PPO, Employee Benefits, Utilization Management, Long-term Care, Credentialing, Healthcare Consulting, Health Care Reform, Disability Insurance, Healthcare Information..., Health Savings Accounts, Medical Compliance, Pharmacy Benefit..., Physician Relations, Revenue Cycle, Training, Home Care, Physicians
Education
Mercy College 2001 — 2006
Business Administration, Concentration Management
United HealthCare Community Plan June 2014 - Present
HealthPlus Amerigroup June 2011 - August 2013
United Healthcare October 2010 - June 2011
WellCare August 2008 - February 2010
Skills
Medicare, Network Development, Health Insurance, Managed Care, HIPAA, HMO, Provider Relations, Healthcare, Healthcare Management, Team Building, Strategic Planning, Customer Service, Sales Process, Healthcare Industry, Leadership, Insurance, Health Policy, Process Improvement, EHR, Medicare Part D, Hospitals, Disease Management, PPO, Employee Benefits, Utilization Management, Long-term Care, Credentialing, Healthcare Consulting, Health Care Reform, Disability Insurance, Healthcare Information..., Health Savings Accounts, Medical Compliance, Pharmacy Benefit..., Physician Relations, Revenue Cycle, Training, Home Care, Physicians
Education
Mercy College 2001 — 2006
Business Administration, Concentration Management