Universal Health Care Group
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Universal Health Care Group Employees
Ceridian February 2015 - Present
Citi January 2012 - Present
Citi January 2012 - September 2014
Universal Health Care Group 2010 - 2011
SuperMedia LLC(Formally Verizon Superpages) 2008 - 2010
Fidelity National Information Services 2004 - 2008
Skills
Financial Risk, Sales, Risk Management, OFAC, Process Improvement, Anti Money Laundering, AML, Bank Secrecy Act, KYC, USA PATRIOT Act, Web Analytics, Marketing Strategy, Marketing Communications, Customer Service, Policy, Team Building, Compliance, Six Sigma, Terrorist Financing, Web Services, Business Development, Cold Calling, Payroll Processing, CRM, Human Capital Management, Leadership, Training, Management
Education
Capella University
MBA Finance
Bethune-Cookman University
Bachelor's degree, Business Administration
WellCare Health Plans September 2015 - Present
Walmart September 2013 - September 2015
Universal Health Care Group April 2011 - May 2013
Universal Health Care October 2009 - May 2011
Skills
HIPAA, Medicare, Medicaid, Health Insurance, Provider Relations, Medicare Part D, Managed Care, Process Improvement, Insurance, Software Documentation, Call Centers, Training, Healthcare, HMO, Claim, Business Analysis, Visio, Team Building, Healthcare Management, Quality Assurance, Healthcare Consulting, Access, Healthcare Information..., PPO, Medical Billing, Long-term Care, Leadership, Outlook, SharePoint, Customer Service, Strategic Planning, Management, Project+, Project Management, Vendor Management, Analysis, Microsoft Excel, Sales, Business Process..., Hospitals, Data Analysis, Team Leadership, Account Management, Health Policy, PowerPoint, EHR, Employee Benefits, Healthcare Industry, Network Development
Education
St. Petersburg College
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
St. Petersburg College
Health Services Administartion, Health/Health Care Administration/Management
Universal Health Care Group 2011 - 2013
The Wyckoff Group 2006 - 2011
Qualcare, Inc 2005 - 2006
AmeriChoice of NJ 2003 - 2005
Centene Corporation d/b/a University Health Plans 2001 - 2003
Horizon Mercy 2000 - 2001
formerly FOHP now HealthNet 1996 - 2000
HIP of NJ 1994 - 1996
Pilgrim Health Care 1986 - 1994
The New England 1981 - 1986
Skills
Operations Management, Project Management, Healthcare, Insurance, Medicare, Process Improvement, Contract Negotiation, Medicaid, Managed Care, Team Building, Health Insurance, Healthcare Management, Compliance, Internal Audit, Solution Implementation, Medicare Advantage, Long term disability..., Short term disability..., Group health claims, Coordination of Benefits, Subrogation, Third Party Liability..., Enrollment, Enrollment Services, Customer Service, Corporate Communications, Microsoft Office, Newsletters, Office Management, Organization, Problem Solving, Quality Auditing, Recruiting, User Acceptance Testing, Visio, Real Estate, HIPAA, Provider Relations, Strategic Planning, Claim, Sales, Training, Call Center, Management, Analysis, Team Leadership, Budgets, Change Management, Cross-functional Team..., Credentialing
Education
Mary Washington College 1976 — 1980
BA, History and Sociology
Freehold Regional 1972 — 1975
Cognizant Technology Solutions January 2014 - Present
Cognizant Technology Solutions July 2012 - Present
WellPoint June 2010 - January 2014
Universal Health Care Group July 2011 - December 2011
WellMed Medical Management May 2009 - June 2010
Independence Blue Cross 2008 - 2009
Veridign Health Solutions 2007 - 2009
Patni Computer Services 2004 - 2006
Patni Americas Inc 2004 - 2006
Skills
Healthcare, Trizetto Implementations, Ika implementations, Business Process Design, Medicare, Medicaid, Medicare Supplements, Medicare Part D, Medicare claims..., Medicare enrollment, Business Requirements, Business Analysis, Data Analysis, Project Implementation, Project Planning, Healthcare Consulting
Education
Colorado Technical University 1995 — 1999
DR, CS
Colorado Technical University 1993 — 1995
MS, CS
University of Colorado at Boulder 1978 — 1982
BS, Engineering Physics
US Script May 2014 - Present
Bruce R. Hoffman & Associates January 2012 - May 2014
EDIWatch, Inc. September 2010 - May 2012
Universal Health Care Group June 2006 - July 2010
MedAssist, Inc July 2005 - June 2006
Pinellas County Health Department February 2000 - July 2005
Agency for Health Care Administration (AHCA) August 1997 - February 2000
Academy of Design and Technology September 1991 - June 1998
Gulf Coast Community Care January 1995 - August 1997
Mental Health Care, Inc January 1993 - January 1995
Skills
Medicaid, Medicare, Claim, Fraud, Managed Care, Healthcare Management, HIPAA, Health Insurance, Healthcare, Insurance, Medicare Part D, Policy, Strategic Planning, Team Building, Analysis, Leadership, Program Management, Hospitals, Healthcare Consulting, Disease Management, Provider Relations, Auditing, System Administration, Medical Compliance, Training, Workers Compensation, Network Development, Process Improvement, Budgets, Call Centers, Claims Management, Physicians, Health Policy, Executive Management, Software Documentation, Data Analysis, Practice Management, Access, Healthcare Industry, EMR, Physician Relations, Healthcare Information..., Revenue Cycle, Business Process, Medical Billing, Employee Benefits, Credentialing, Long-term Care, Revenue Cycle Management, EHR
Education
Florida Metropolitan University 2003 — 2005
MBA, Organizational Development
Eckerd College 1995 — 1997
BA, Organizational Management
Conifer Health Solutions June 2014 - Present
Bank of America March 2013 - May 2014
Universal Health Care Group August 2012 - February 2013
Pinellas County Urban League November 2009 - April 2012
Ceridian Benefits Services July 2007 - October 2009
Skills
Nonprofits, Resume Writing, New Hire Orientations, Coaching, Training, Analysis, Performance Management, Executive Management, Team Leadership, Public Speaking, Marketing, Community Outreach, Project Planning, PowerPoint, Strategic Planning, Public Relations, Leadership Development, Fundraising, Team Building, Customer Service, Leadership, Event Planning, Time Management, Microsoft Excel, Microsoft Word, Sales
Education
Erie Community College 1993 — 1994
Business Administration and Management, General
Bennett High School 1989 — 1993
Computer science/English Honors, Computer Science and English Honors
USPTO December 2010 - Present
University of South Florida January 2010 - December 2010
Universal Health Care Group June 2009 - January 2010
Complete Running, Puma North America/Venture Sports Inc March 2008 - September 2008
Fila USA Inc August 2006 - August 2007
The Running Center August 2005 - August 2006
University of South Florida August 2005 - August 2006
Skills
Chemistry, Research, Teaching, Microsoft Office, PowerPoint, Public Speaking, Analysis, Networking, Microsoft Excel, Microsoft Word, Data Analysis, Chemical Engineering, Process Improvement, Management, Training, Leadership
Education
University of South Florida 2009 — 2010
Master of Engineering, Chemical Engineering
Florida Southern College 2001 — 2005
Bachelor of Science, Mathematics and Chemistry
Franklin Templeton Investments June 2013 - Present
CareCentrix August 2012 - June 2013
Universal Health Care Group July 2011 - August 2012
Universal Health Care Group July 2011 - August 2012
CCS Medical April 2002 - July 2011
CCS Medical April 2002 - July 2011
GTE Telecom July 1999 - May 2001
Skills
Team Building, Medicaid, Medicare, Managed Care, HIPAA, Software Documentation, Access, Health Insurance, Healthcare, Process Improvement, Visio, Call Center, Certified SCRUM Master
Education
Assumption College 1973 — 1977
BA, History
Accenture June 2012 - Present
Universal Health Care Group December 2010 - June 2012
Care1st Health Plan Arizona, ONECare by Care1st Healthplan November 2008 - October 2010
SHPS CareWise - Health Management Solutions January 2007 - March 2009
Heritage Health Systems Texas Management, SelectCare of Texas April 2005 - January 2007
Blue Cross Blue Shield of Louisiana January 2001 - March 2005
Skills
CMS 5 Star Quality..., Decision Support..., Medical Management..., Pay-for-performance, Milliman Optimal..., CareEnhance Clinical..., CareEnhance Resource..., Stata, SAS, Dimensional Insight DI..., ImpactPro Predictive..., TreeAge - Data, Public speaking, Case Mix and Risk..., Social Marketing..., Epidemiology, Total Population Health..., Computer Program, Public Speaking, Payments, Data, STAR, Medicine, Utilization Management, Performance Improvement, Decision Support, Informatics, Strategic Planning, Managed Care, Medicaid, Management, Healthcare, Medicare, Healthcare Industry, Physicians, Analysis, HIPAA, Healthcare Management, Analytics, Cross-functional Team..., Leadership, Pay for Performance, Quality Assurance, Provider Relations, Program Management, Clinical Research, EMR, Healthcare Consulting, Policy, EHR
Education
Tulane University 1999 — 2009
Doctor of Science, Health Systems Management/Cost-Effectiveness Research, 3.8975
Tulane University 1997 — 1999
MSHA, Science of Health Systems Administration, emphasis on Biostatistics and Decision Science, 3.892
Florida State University 1989 — 1992
BScN, Cum Laude, Nursing
Florida State University 1982 — 1987
BA -Music, Music/Liberal Arts
City of Clearwater January 2015 - Present
Paws and Print August 2013 - Present
TechHealth 2009 - September 2013
Universal Health Care Group June 2010 - March 2013
Camgroup Automotive Marketing April 2007 - May 2009
Countryside Publishing Company, Inc. March 2002 - April 2007
Visual Communications International October 2001 - February 2002
The Tampa Tribune January 1989 - July 2001
Skills
Graphic Design, Advertising, InDesign, Photoshop, Branding & Identity, Image Manipulation, Adobe Acrobat, Web Design, Art Direction, Pre-press, Marketing, Marketing Communications, Publishing, Multimedia, Adobe Creative Suite, Graphics, Copywriting, Management, Direct Mail, Logo Design, Brochures, Layout, Photography, Digital Photography, Typography, Corporate Branding, Flyers, Creative Services, Creative Direction, Corporate Identity
Education
University of South Florida
Bachelor of Fine Arts, Photography
Superior Human Resources Consulting, LLC March 2010 - Present
Universal Health Care Group July 2010 - March 2013
Mississippi Valley State University January 2007 - May 2009
Virginia College August 2006 - January 2007
Virginia College at Jackson September 2006 - December 2006
Holmes Community College Workforce Training Center April 2006 - August 2006
City of Jackson July 2005 - December 2005
Aaron E. Henry Foundation of Jackson, Inc. , Jackson Mississippi (Formerly TV-3,Inc. Foundation) December 2000 - December 2005
Lextron Corporation December 2004 - July 2005
Virginia College of Jackson January 2004 - December 2004
Skills
Excellent Employee..., Employee Relations, Recruiting, Performance Management, Onboarding, HRIS, Human Resources, Benefits Administration, Employee Benefits
Education
Mississippi State University 1995 — 1996
Human Resource Management Certification Preparation Course
Belhaven University 1989 — 1993
Bachelor of Science, Business Administration
Mississippi College
Post; Masters Degree, Communications
Centene Corporation September 2011 - Present
Universal Health Care Group March 2004 - September 2011
Empire Blue Cross / Blue Shield June 1997 - January 2003
HIP Health Plan of New Jersey January 1993 - June 1997
Skills
Contract Management, Contract Negotiation, Contract Negotiations, Operations Management, Insurance, Health Insurance, Strategy Development, Strategic Analysis, Network Development, Operational Risk..., Program Management, New Business Development, National Account..., Healthcare Management, Health Economics, Network Analysis, CMS, Government Contracts, Team Building, Team Leadership, Team Management, Healthcare, Strategic Planning, Managed Care, Process Improvement, Medicaid, Medicare, Negotiation, Budgeting, Business Strategy, Compliance, Product Development, Analysis, Management Consulting, Start-ups, Planning, Vendor Management, Cross-functional Team..., Organizational..., Risk Management, Data Analysis, HMO, Budgets, Credentialing, Provider Relations, Executive Management, Healthcare Industry, Claims Resolution, Government Procurement, Project Planning
Education
Argosy University Tampa 2007 — 2009
MBA, Healthcare
Kean University 1992 — 1996
Bachelors, Health Information Management
Brookdale Community College 1990 — 1992
Associates, Business and History
University of New Hampshire 1987 — 1988
Civil Engineering
Valley Forge Military Academy & College 1984 — 1987
High School, Engineering Prep
Flores Trucking March 2012 - Present
Universal Health Care Group 2008 - 2010
Skills
Claims Management, Property & Casualty..., Medicare, Health Insurance, Claim, Insurance
Education
Tarrant County College 1982 — 1987
Paschal High School 1978 — 1981
Health Occupations, Physical Therapy Aid, Dental Lab, Eleventh & twelve grade