Vista Healthplan
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79 Vista Healthplan employees in database. Find out everything there's to know about Vista Healthplan employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Vista Healthplan Employees
Blue Shield of California July 2015 - Present
Cambria Solutions September 2014 - April 2015
Infiniti Consulting Group May 2011 - September 2014
Life & Specialty Ventures, LLC August 2007 - May 2011
AvMed Health Plans March 2002 - August 2007
Kemper Insurance July 2000 - September 2001
Vista Healthplan August 1997 - July 2000
Humana April 1993 - August 1997
United States Marine Corps February 1988 - November 1991
Skills
Business Intelligence, SharePoint, Visio, Business Analysis, SDLC, Vendor Management, Requirements Gathering, Microsoft SQL Server, Integration, Process Improvement, Software Project..., Training, IT Management, Data Analysis, PMP, Program Management
Education
Barry University 1993 — 1998
B.S., Management
VALIC March 2006 - Present
Vista Healthplan July 2005 - January 2006
Vista Healthplan April 2001 - June 2005
Vista Healthplan July 1998 - April 2001
Dep Corporation June 1996 - May 1998
Mattel July 1995 - June 1996
Dep Corporation April 1993 - July 1995
Skills
Microsoft Office, Access Database, Marketing, Employee Benefits, Analysis, Management, Quality Assurance, Presentations, Sales, Finance, Insurance, Access, Databases, Financial Analysis
Education
Los Angeles Harbor College 1989 — 1992
Associate of Science (AS), Office Administration / Office Automation, 3.73 GPA overall (4.0 in classes related to major)
Nathaniel Narbonne High School 1986 — 1989
AvMed May 2007 - Present
American InterContinental University January 2006 - May 2007
Vista Healthplan February 1995 - August 2005
Skills
Analytics, Account Reconciliation, Bookkeeping, Customer Service, Microsoft Excel, Food & Beverage, Health, Microsoft Word, Real Estate
Education
Margate School of Beauty Inc 2013 — 2013
Esthetician License, Aesthetician/Esthetician and Skin Care Specialist
New York Business School 1980 — 1982
Associate's degree, Accounting
Royal Caribbean Cruises, Ltd. March 2007 - Present
Royal Caribbean Cruises, Ltd. July 2006 - March 2007
Royal Caribbean Cruises, Ltd. November 2004 - July 2006
Vista Healthplan August 2003 - August 2004
Vista Healthplan September 2002 - August 2003
Humana June 1999 - September 2002
FPA Medical Management, Inc. July 1997 - June 1999
Skills
Analysis, Access, Business Analysis, Management, Visio, Project Management, SDLC, Requirements Analysis, Integration, IT Management, Systems Analysis, Business Intelligence, SQL, SOA, Agile Methodologies, Requirements Gathering, Business Process..., Business Relationship..., IT Operations, Security Management, User Acceptance Testing, Test Strategy, Software Implementation, IT Project..., Microsoft Excel, PowerPoint, ALM, BMC Remedy, Change Management, IT Service Delivery
Education
Florida International University 1989 — 1992
Bachelor's degree, Hospitality Administration/Management, 3.3
Florida International University 1989 — 1992
B.S. Hospitality Manangement
Medical Reimbursements of America, Inc. July 2014 - Present
MicroVu May 2011 - June 2014
Florida Department of Health March 2009 - May 2011
North Broward Hospital District September 2008 - March 2009
Impact Consulting April 2004 - March 2009
Northwest Medical Center August 2005 - December 2005
Vista Healthplan 1999 - 2004
Accenture (Andersen Consulting) September 1996 - September 1999
Wharton Small Business Development Center May 1995 - April 1996
Skills
Healthcare, Project Management, Hospital Billing, Managed Care Contracting, Legacy system..., Hospital rate modelling, VB, C#, HTML5, ASP.NET,..., Healthcare Information..., Health Policy, Medicaid, Hospitals, Medical Billing, Managed Care, Training, Program Management, Strategic Planning, Physicians, Business Analysis, Healthcare Consulting, Analysis
Education
University of Pennsylvania 1993 — 1996
BS, Economics, Business Administration
Florida Atlantic University 2006 — 2008
MPA, Public Administration
Broward College 2002 — 2004
Associates, Nursing
Actavis February 2013 - February 2015
Kaplan March 2012 - November 2012
Kaplan University August 2011 - March 2012
Vista Healthplan July 2006 - February 2010
The Answer Group (TAG) April 2003 - June 2006
PRC, LLC January 2000 - February 2003
Skills
Windows 7, Active Directory, Remote Desktop, Laptops, System Deployment, Help Desk Support, Microsoft Exchange, Windows XP Pro, SharePoint, Printers, Microsoft Office, Microsoft Excel, Android, Windows Server, Blackberry, Dell Computers, Microsoft Word, Social Networking, Customer Satisfaction, Level 2, Windows Mobile, Gmail, Google Docs, Desktop Deployment, Google Apps, LAN-WAN, Blackberry Enterprise..., Citrix, Router Configuration, Tablets, Cisco Routers, HP, Modems, Gateway, Video Conferencing, Project Coordination, TCP/IP, Google Analytics, Windows 2000, Account Creation, SQL, Desktop Computers, Desktop Environment, Apple, Web Support, Level 3 Support, Data Backup Solutions, Monitors, Citrix Xenapp, Avaya Site...
Education
Broward Community College
Univita Health Inc August 2014 - August 2015
Trinity Health January 2012 - August 2014
ITT Technical Institute November 2011 - December 2013
Bayview Asset Management July 2010 - September 2011
Coventry Health Care October 2007 - September 2009
Vista Healthplan March 2005 - October 2007
Proxymed, Inc September 1999 - March 2005
Skills
Cisco, Microsoft Technologies, VMware, Citrix, ITIL, IP Networking, Telecommunications, Change Management, Disaster Recovery, Business Continuity, IT Management, Vendor Management, Process Improvement, Strategic Planning, Team Building, Data Center, Security, IT Strategy, VPN, Cisco Technologies, Management, Cloud Computing, SharePoint, Cost Reduction, Mergers, IT Governance, Storage Area Networks, Networking, Servers, Enterprise Software, Active Directory, Information Technology, Leadership, Program Management, Microsoft Exchange, Network Administration, Technical Support, Governance
Education
Nova Southeastern University 2007 — 2009
Master of Science, Leadership
University of Phoenix 2005 — 2007
Bachelor of Science, Health Administration
Cardinal Gibbons High School 1986 — 1988
Bass Pro Shops March 2012 - February 2014
Bass Pro Shops February 2005 - March 2012
Vista Healthplan August 2004 - February 2005
Rexall Sundown 2000 - 2004
Siemens September 1998 - November 2000
US Army September 1993 - August 1998
Skills
Disaster Recovery, IT Management, IT Service Management, Leadership, Project Management, Data Center, Infrastructure, Networking, Security, PCI DSS, Vendor Management, Cisco Technologies, VoIP, Windows Server, Help Desk Support, Wireless Networking, Active Directory, Telecommunications, Virtualization, Network Security, Network Administration, Technical Support, Servers, Microsoft Exchange, Information Technology, VPN, IT Operations, Cisco Routers, Firewalls, System Deployment, VMware, Troubleshooting, Cisco Call Manager, Group Policy, Citrix, VMware Infrastructure, VMware ESX, WAN, Cisco Routing &..., Information Security, DNS, Hardware
Education
American InterContinental University 2004 — 2005
Bachelors, IT
BERACHOTS March 2014 - Present
Independent Living Systems, LLC August 2008 - March 2014
Blue Ribbon Meats July 2005 - August 2008
Social Service Coordinators August 2004 - July 2005
Vista Healthplan July 2000 - July 2004
Skills
Call Centers, Training, Human Resources, Leadership, HIPAA, Customer Service, Healthcare, Team Leadership, Team Building, Microsoft Office, Recruiting, Employee Benefits, Quality Assurance, Coaching, Health Insurance, Customer Satisfaction, Teamwork, HMO, Customer Experience, Insurance, Management
Education
Hialeah Senior High 1998 — 2000
CELA International University
Associate's degree
St. Thomas University
American Express December 2011 - Present
Various law firms January 2008 - December 2011
Vista Healthplan March 2002 - December 2007
Various Corporate Headquarters and law firms October 1985 - March 2002
Skills
Process Improvement, Training, Analysis, Risk Management, Change Management, Policy, Budgets, Business Analysis, Internal Audit, Training & Development, Vendor Management, Strategy, Due Diligence
Education
Capella University 2004 — 2006
Masters Degree, Industrial and Organizational Psychology
X-eeto, inc. - U.S. Southern Command (Department of Defense) June 2010 - Present
HOPS/TRAP Systems December 2007 - April 2011
FHME February 2006 - December 2007
Vista Healthplan December 2000 - February 2006
HIP 2000 - 2003
Data Solutions Corporation 1998 - 2000
Skills
Agile Methodologies, Business Analysis, Business Intelligence, SharePoint, Microsoft SQL Server, XML, Program Management, Visio, Requirements Analysis, ASP.NET, Data Warehousing, Database Design, SDLC, SQL, SOA, Rom, Architecture, Integration, Enterprise Software, JavaScript, MS Project, Databases, Cloud Computing, Data Modeling, SSRS, SSIS, ETL, Management, Software Development, Software Project..., Process Improvement, .NET, Enterprise Architecture, Requirements Gathering, Vendor Management, HTML, Cross-functional Team..., Web Applications, Software Documentation, Agile Project Management, Disaster Recovery, Crystal Reports, IT Management, VB.NET, IIS, Scrum, ITIL, T-SQL, C#, Architectures
Education
DePaul University 2005 — 2007
Master, Computer Sciences
State University of New York College at Oneonta 1989 — 1993
BS, Business Economics
Pediatrix Medical Group October 2013 - August 2014
Broadspire Services, Inc. November 2004 - November 2012
Social Service Coordinators October 2002 - April 2003
Vista Healthplan October 2001 - October 2002
HIP Administrators of Florida December 2000 - October 2001
Skills
Detail-Oriented, Bilingual (Fluent) in..., Outlook, Excel, PowerPoint, Microsoft Office Suite, WordPerfect, Access, Effective in business..., Efficient Time-Manager, Assertive Problem Solver, Structured Complaint..., Dependable &..., Supervised & Directed..., Excellent at follow-up..., Proficient at..., Provider Networks, Provider Relations, Managed Care, HMO, Provider Enrollment, Heathcare Administration, Medicare, PPO, Provider Network..., Medicaid, Insurance, Health Insurance, Workers Compensation, Healthcare, Healthcare Industry
Education
Florida Atlantic University 1998 — 2000
Bachelor of Arts, Health Services Administration
Broward Community College 1993 — 1997
Associate of Arts, Business Administration
Capital Health Plan 2004 - Present
Vista Healthplan 2000 - 2003
Skills
Database Design, T-SQL, Databases, Crystal Reports, VB.NET, Access, SQL, Microsoft SQL Server, HTML, ASP, Visual Basic, ASP.NET, VBScript, Visual Studio, .NET, CSS, Web Applications, Stored Procedures, Analysis, SQL Server Management..., JavaScript, HEDIS, Software Documentation, Reporting & Analysis, Healthcare Information..., Microsoft Office
Education
Lively Technical Center 1997 — 1998
Computer Programming
Adele Eva Austin September 2004 - Present
St. Basil Catholic Church 2013 - 2013
Ivax Pharmaceuticals August 2002 - September 2004
Work America August 2001 - August 2002
Sam's TV / Beyond 2006 August 1989 - October 2001
University of Miami April 1997 - February 2001
Vista Healthplan September 1994 - April 1997
CAREERXCHANGE August 1993 - November 1994
University of Miami August 1991 - September 1994
Kelly Services June 1992 - January 1994
Skills
Program Management, Strategic Planning, Microsoft Office, Change Management, Project Management, Process Improvement, Team Building, Microsoft Excel, Customer Service, Troubleshooting, Project Planning, Budgets, Windows, Microsoft Word, Sales, Marketing, Social Networking, Data Analysis, Fundraising, PowerPoint, Access, Advertising, Team Management, Management, Teaching, System Administration, Editing, Leadership Development, Nonprofits, Business Analysis, Team Leadership, Social Media Marketing, Online Marketing, Research, Leadership, HTML, Teamwork, Photoshop, Public Speaking, Visio, Marketing Communications, Event Planning, Quality Assurance, Software Documentation, Public Relations, SAP, Time Management, Negotiation, Training, Community Outreach
Education
Florida International University 2005 — 2008
Business Administration, Management and Operations
University of Miami - School of Business 1997 — 2001
Marketing/Marketing Management, General
University of Miami 1991 — 1994
Biology / BiomedicalEngineering
Miami Edison Senior High 1987 — 1991
Smilebuilderz Dental Health Campus, Lancaster PA 17601 December 2011 - Present
Lancaster General Health July 2007 - September 2011
Vista Healthplan May 2000 - June 2006
Skills
Customer Retention, Healthcare, Account Management, Customer Service, Data Entry, Employee Benefits, Marketing, Outlook, Research, Team Building, Time Management, Event Planning, Human Resources, Leadership, Management, Teamwork
Education
National Council on Interpreting in Health Care 2014 — 2014
Certification, Language Interpretation and Translation
American Council on the Teaching of Foreign Languages 2011 — 2011
Certification, Language Interpretation and Translation
Miami Dade College 2007 — 2008
Individual, Group, Life, Health & Variable Annuity
Consolidated School of Business, Lancaster, PA 1989 — 1991
Associate Diploma, Legal
Select Health of South Carolina June 2012 - Present
UnitedHealth Group April 2011 - March 2012
WellMed Medical Management January 2009 - April 2011
Managed Care March 2008 - December 2008
Vista Healthplan January 2007 - February 2008
Andrx Pharmaceuticals 2002 - 2005
Cybear January 2000 - December 2001
Caremark January 1991 - December 1998
HIP of Greater NY June 1975 - December 1990
Skills
Managed Care, Pharmaceutical Industry, Pharmacy Benefit..., Product Development, Utilization Management, Management, Medicaid, Healthcare Management, Medicare, Medical Devices, Provider Relations, Healthcare Information..., Pharmacists, Oncology, Diabetes, HIPAA, Clinical Research, Medicare Part D
Education
Columbia University in the City of New York 1971 — 1976
BS, Pharmacy
UnitedHealthcare Community Plan December 2010 - Present
UnitedHealthcare of Florida 2007 - 2010
Vista Healthplan January 2001 - October 2007
American General Life Companies August 1998 - January 2001
Skills
Marketing Strategy, Forecasting, Operating Budgets, Medicaid Managed Care, Medicare, Childrens Health..., Commercial Insurance, Blue Ocean Strategy, Sales Management, Account Management, Brokers, Business Development, Call Centers, Claim, Cross-functional Team..., Customer Retention, Executive Management, HIPAA, HMO, Health Insurance, Healthcare, Healthcare Management, Insurance, Leadership, Long-term Care, Managed Care, Management, Marketing, Medicaid, Medicare Part D, Network Development, PPO, Pricing, Process Improvement, Provider Relations, Sales, Strategic Planning, Strategy, Team Building, Training
Education
Wharton School, University of Pennsylvania 2012 — 2012
Certificate of Executive Development
Ashford University
Business Administration
MHG Insurance Brokers February 2014 - Present
Independent Insurance Professional April 2012 - Present
Insurance Sales Operations Project Management Leadership in the Miami/Fort Lauderdale Area 2012 - Present
Teleperformance July 2012 - January 2014
Coventry Health Care September 2007 - March 2012
Vista Healthplan January 2000 - August 2007
Foundation Health June 1996 - December 1999
Skills
PPO, HMO, Individual Health..., Health Insurance, Managed Care, HIPAA, Help Desk Support, Insurance, Customer Support, Customer Service..., Customer Service..., Project Management, Project Coordination, Project Planning, Consultant Selling, Call Center Management, Licensed Life & Health..., Medical Underwriting, Healthcare Management, Building Relationships, Communication Skills, Call Center
Education
New York University
Bachelor of Fine Arts (B.F.A.), Communications
Rider University
Communication and Media Studies
Insuring Sources, Inc. Healthcare and Consulting Firm July 2013 - Present
Medica Health Plans of Florida, Inc. April 2008 - July 2013
Vista Healthplan April 1999 - April 2009
Principal Financial Group January 1996 - April 1999
PCA Health Plans of Florida January 1989 - December 1995
Skills
Management Consulting, Product Development, Marketing Strategy, Medicare, Medicaid, Healthcare Management, Health Insurance, Healthcare, Physicians, Managed Care, EHR, Revenue Cycle, Team Building, Disability Insurance, Healthcare Consulting, Employee Benefits, Insurance, Business Development, Health Policy, Marketing, Hospitals, HMO, Program Management, HIPAA, Medical Billing, EMR, Healthcare Information..., Long-term Care, Sales Management, Disease Management, Provider Relations, Training, Healthcare Industry, Physician Relations, Home Care, Revenue Cycle Management, Sales, Informatics, Medicare Part D, Process Improvement, Utilization Management, Network Development, PPO, Credentialing, Pharmacy Benefit..., Practice Management, Health Care Reform, Healthcare Reimbursement, Claim, Health Information...
Education
University of Miami 2008 — 2014
BGS
Miami Dade College 1977 — 1979
Self-employed 2013 - Present
Tyco Fire Protection 2012 - 2013
ADT 2007 - 2012
Radiology Corporation of America 2005 - 2007
AllianceCare 2003 - 2005
Vista Healthplan 2001 - 2003
Skills
Data Analysis, Databases, Electronic Data..., EDI Coordinator, Software Implementation, SAP Implementation, Oracle E-Business Suite, Oracle Applications, Oracle Reports, Oracle Discoverer, Qualitative Research, Accounts Payable, Cost Accounting, Cost Planning, Requirements Analysis
Education
Florida Atlantic University 2009 — 2012
Bachelor of Business Administration (BBA), Accounting
Georgia Southern University 1994 — 1996
Premier, Inc. September 2013 - Present
Premier, Inc. March 1988 - Present
Vista HealthPlan April 2007 - February 2008
The Babcock & Wilcox Company September 1999 - February 2007
Skills
Pharmacy Contract...
Education
Malone College 1999 — 2000
Bacheclor's Degree, Business Administration and Management, General
The University of Akron 1985 — 1987
Associate's degree, Sales & Marketing
Advantica Administrative Services, Inc. August 2014 - Present
Argus Dental & Vision, Inc. February 2013 - August 2014
Tom James Company April 2012 - October 2012
AvMed Health Plans August 2007 - March 2012
Scheib Consulting Group June 2006 - August 2007
UnitedHealthcare April 2004 - June 2006
Vista Healthplan February 2000 - April 2004
Skills
Sales Management, Marketing Strategy, Managed Care, Health Insurance, Client Retention, Sales Training, Ancillary Insurance..., Business Planning &..., Segmentation Strategies, Communication Excellence, Core Technology..., Managing Distribution..., Insurance, Strategy, Selling Skills, Customer Retention, Direct Sales, Account Management, Negotiation, New Business Development, Cold Calling, Leadership, Customer Service, Coaching, Training, Team Building, Team Leadership, Employee Benefits, Marketing, Strategic Planning, Sales Presentations, B2B, Management, Recruiting, Sales Operations, Social Networking, Contract Negotiation, Health Savings Accounts, Selling, CRM, Small Business, Customer Satisfaction, Budgets, Sales, Product Development, Program Management, Team Management, Pricing, Healthcare, Salesforce.com
Education
Michigan State University
BA, Communications Arts & Sciences
Whitmer High School
American Express October 2010 - Present
Vista Healthplan January 2002 - August 2010
HIP August 1998 - January 2002
AutoNation June 1994 - August 1998
Certified Vacations March 1993 - June 1994
Mutual of America August 1989 - March 1993
Skills
SOA, COBOL, Business Analysis, JCL, Enterprise Architecture, Mainframe, IT Strategy, ETL, Healthcare Information..., HIPAA, SSRS, Program Management, SharePoint, Microsoft SQL Server, Project Management, Business Intelligence, DB2, Software Development, Data Warehousing
Education
Florida Atlantic University 1983 — 1985
Broward College 1981 — 1982
AA, Computer Science
DCRX Infusion January 2013 - Present
DCRX Infusion November 2007 - Present
Apothecary Consultant Group November 2007 - Present
Central Admixture Pharmacy Services July 2006 - November 2007
Procare Rx June 2005 - March 2006
Vista Healthplan February 2003 - December 2004
NCS Healthcare/Omnicare February 2002 - March 2003
Compscript Pharmacy/Omnicare September 1998 - April 2000
PPSC USA LLC September 1993 - February 1995
Enteral and Parenteral Support Services March 1986 - July 1993
Skills
Managed Care, PBM, Medicaid, Healthcare, Clinical, Pharmacy Operations, Healthcare Management, Hospitals, Pharmaceuticals, Long Term Care, Diabetes, Strategic Planning, Compliance, Utilization Management, Health, Contract Negotiation, Pharmacists, Medicare Part D, Customer Service, Customer Relations, Budgeting, Ambulatory Care, Healthcare Industry, Clinical Research, Healthcare Information..., Medicare, Pharmacy Benefit..., Patient Outcomes, Medical Writing, Budgets, Long-term Care, Pharmaceutical Industry, HIPAA, Pharmacy, Revenue Cycle, Pain Management, Patient Safety, Pharmacy Automation, Pharmaceutical Sales, Medication Therapy..., Disease Management, Home Care, Pharmacovigilance, Medicine, Home Infusion, Clinical Pharmacy, Health Policy, EMR, Oncology, EHR
Education
Nova Southeastern University College of Pharmacy 1995 — 1997
Post Graduate Doctor of Pharmacy Program
Saint John's University 1973 — 1977
BSP, Pharmacy
City University of New York City College 1971 — 1973
Biology, Pre-Pharmacy
Simply Healthcare Plans April 2014 - Present
Sunshine State Health Plan (a subsidiary of Centene Corp.) January 2012 - April 2014
Ideal & Universal Medical Centers November 2010 - January 2012
Resource Management Holdings, LLC January 2010 - January 2012
United Healthcare May 2009 - January 2010
HIP Administrators August 2007 - May 2009
Vista Healthplan 2000 - 2007
AvMed Health Plans 1989 - 2000
Skills
Analysis, Analytics, Call Centers, Claim, Contract Management, EHR, EMR, Employee Training, Global Sourcing, HIPAA, HMO, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Healthcare Management, Insurance, Leadership, Managed Care, Management, Medicaid, Medicare, Process Engineering, Process Improvement, Project Planning, SDLC, Staff Development, Team Building, Training, Turn Around Management, Vendor Management
Education
St. Thomas University 1999 — 2001
BA, Organizational Leadership
AvMed Health Plans August 2006 - Present
Vista Healthplan November 1999 - August 2006
Novartis November 2002 - December 2004
Skills
Managed Care, Medicare Part D, Healthcare Management, Contract Negotiations, Pharmaceuticals, Budgeting, Utilization Management, Pharmacists, Clinical, Health, Diabetes, Health Policy, Medicaid, Clinical Research, Pharmacy, Pharmacy Benefit..., Contract Negotiation, Medicare, Pharmaceutical Industry, Healthcare Consulting, Disease Management, Healthcare, Pharmacy Automation, Budgets, Healthcare Industry, HMO, Informatics, Medication Therapy..., Contract Management, Clinical Pharmacy, Pharmacoeconomics, Health Insurance, HIPAA, Health Economics, HEDIS
Education
Purdue University 1989 — 1993
Pharm.D., Pharmacy
University of Michigan 1985 — 1989
Pre-Pharmacy Studies
Northeast Health Insurance Services, LLC June 2014 - Present
Coventry Health Care, an Aetna Company July 2007 - October 2013
Vista Healthplan September 2002 - July 2007
HIP Health Plan of Florida June 1996 - September 2002
HIP Health Plan of Florida May 1994 - June 1996
Boca West Country Club, Inc. April 1993 - March 1994
Skills
Insurance, Managed Care, Health Insurance, Group Insurance, Individual Health..., Employee Benefits, Employee Benefits Design, Health Care Reform, Affordable Care Act, Health Insurance..., Life & Health Insurance..., Licensed Life & Health..., Brokers, Small Business, Middle Market, Large Groups, Municipalities, Technical Writing, Technical Writers, Underwriting, Hospital Reimbursement, COBRA, Section 125 Plans, Sales, Customer Service
Education
Florida Atlantic University 1990 — 1993
Marketing
Bethel College (TN) 1988 — 1990
Exeter High School 1984 — 1988
High School
AvMed 2014 - May 2014
AvMed Health Plans 2013 - 2014
Humana 2006 - 2013
Humana / CarePlus Health Plan 2005 - 2006
Vista Healthplan 2003 - 2004
Florida Blue 2003 - 2003
Florida Blue 2000 - 2003
HealthCare 2000 1999 - 2000
Continucare Corporation 1998 - 1999
Continucare Corporation 1994 - 1998
Skills
Provider Relations, Managed Care, Healthcare Industry, Healthcare Consulting, Health Insurance, Network Contracting, Risk Models, Practice Management, Medicare Advantage, HMO, Healthcare Management, Physicians, Employee Benefits, Medicare, Medicaid, HIPAA, Physician Network..., Utilization Management, Network Development, Leadership, Quality Improvement, ICD-9, Disease Management, Revenue Cycle
Education
University of Florida
Bachelor of Science (B.S.)
Coral Gables High School
General Dynamics Combat Group - Ordinance & Tactical Systems December 2010 - Present
Elbit Systems of America January 2008 - December 2010
Tallahassee Technologies June 2005 - January 2008
Vista Healthplan October 1999 - June 2005
General Dynamics Land Systems July 1993 - October 1999
MacKinnon Financial Consultants June 1992 - July 1993
Skills
Program Management, Earned Value Management, Process Improvement, Six Sigma, Budgets, Managerial Finance, Project Planning, Project Management, Microsoft Excel, Proposal Writing, Business Analysis, Contract Management, Financial Analysis, Change Management, Analysis, DoD, Business Development, Strategic Planning, Security Clearance, Government, Financial Reporting, Management, Visio, Engineering Management, MS Project, Operations Management, Military, Risk Management, Defense, FAR, Software Documentation, Team Leadership, Government Contracting, PMP, Procurement, Testing, Systems Engineering
Education
Jacksonville State University 1989 — 1992
Finance, Economics/Real Estate/Statistics
Vista, a Coventry Health Care Plan September 2007 - Present
Vista Healthplan July 2005 - September 2007
School Board of Broward County January 2001 - May 2005
Causeway Lumber January 2000 - June 2001
Education
Florida Atlantic University 2001 — 2008
B.A, Sociology
Univita Health Inc August 2014 - August 2015
Healthcare Financial Systems November 2011 - July 2014
USIG May 2008 - November 2011
SAI InfoTech January 2008 - May 2008
Vista Healthplan February 2005 - December 2007
Internet Billing Company May 2001 - February 2005
learningbrands.com 1999 - 2000
Singer Asset Finance 1998 - 1999
Tata Consultancy Services May 1997 - March 1998
Skills
Enterprise Architecture, Change Management, Project Management, Business Process..., Customer Service, Business Intelligence, IT Strategy, Process Improvement, Vendor Management, Business Analysis, Healthcare Information..., HIPAA, SDLC, Software Development, Disaster Recovery, SOA, Integration, Security, Solution Architecture, Requirements Analysis, Cloud Computing, Microsoft SQL Server, Governance, Software Project..., SharePoint, Visio, Leadership, EAI, Agile Methodologies, Management, IT Management, Outsourcing, Business Process, Enterprise Software, Project Planning, Troubleshooting, Project Portfolio..., Data Warehousing, ITIL, Program Management, Architecture, Web Applications, IT Service Management, Information Technology, Data Center, Consulting, Databases, Cross-functional Team..., Access, SSIS
Education
Nova Southeastern University 1999 — 2001
Master of Science, Management information Systems (MIS)
National Institute of Technology Kurukshetra 1989 — 1993
B.Tech, Electrical Engineering
Burger King Corporation July 2015 - Present
Burger King Corporation June 2014 - July 2015
Tyco International 2012 - June 2014
OMNI Health Management April 2008 - April 2009
Vista Healthplan May 2006 - February 2008
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, PeopleSoft, Employee Benefits, Taleo, ADP HRB, Onboarding, HRIS, Employee Relations, Recruiting, FMLA, Personnel Management
Education
Western Governors University 2009 — 2012
Bachelor's degree, Business Administration and Management, General
Hesser College 2004 — 2005
Associate of Science (AS), Business Administration and Management, General
WISER Insurance September 2006 - Present
VISTA Healthplan February 2006 - December 2006
WISER Learning Solutions, Inc. March 2005 - December 2006
AT&T Wireless 1995 - 2005
Skills
Healthcare, Benefits, Employee Benefits, Dental, Call Center, Process Improvement, Team Leadership, Coaching, Team Building, Planning, Problem Solving, Strategic Planning, Customer Service, Employee Relations, Customer Relations, Public Speaking, Insurance, Project Planning, Call Centers, Dentistry, Human Resources, Vendor Management, Recruiting, Sales Management, Sales, Management, Finance, Small Business, Analysis, Leadership, Time Management, Training, Account Management, Management Consulting, Team Management, Strategy, Leadership Development, Budgets, Cross-functional Team..., Business Planning, CRM, Life Insurance, Disability Insurance, Health Insurance, Medicare, Customer Retention, Brokers, Universal Life, Term Life Insurance, Long Term Care Insurance
Education
Kean University
BA, Industrial Psychology
Union Catholic
Wake County Public School System September 2013 - Present
Home April 2010 - September 2013
ACS October 2008 - April 2010
Interactive Response Technologies, Inc April 2007 - March 2008
Vista Healthplan June 2005 - February 2008
Vista Health Plans subsidiary of Coventry Health Care January 2005 - January 2008
IRT February 2005 - September 2005
Skills
Microsoft Office 2007, Customer Retention, Customer Relations
Education
DeVry University 2006 — 2009
Bachelor's of Science, Entrepreneurship and Small Business Management
Keiser University eCampus March 2010 - Present
Keiser University November 2009 - Present
CSA International September 2008 - Present
Publix Super Markets February 2006 - September 2008
Vista Healthplan August 2004 - January 2006
National City Bank July 2003 - August 2004
Jones Day January 2002 - April 2003
American Greetings November 1988 - January 2002
Education
Cleveland State University 1972 — 1981
MCIS, Computer and Information Sciences
The University of Findlay
BS, Mathematics
Aetna November 2003 - Present
Vista Healthplan March 2001 - October 2003
UnitedHealthcare March 1992 - March 2001
Skills
Claims Management, Customer Service..., Budget, Operations Management, Management, Microsoft Office, Presentations, Process Improvement, Six Sigma, Insurance, Health Insurance, Budgets, Call Centers, Leadership, Claim, Employee Benefits, HIPAA, Healthcare Information..., Medicaid, Business Process..., Executive Management, HMO, Healthcare, Healthcare Industry, Managed Care, Provider Relations, Risk Management, Strategic Planning, Team Building, Vendor Management, Network Development
Education
Wingate University 2004 — 2006
Master of Business Administration (M.B.A.), Business Administration and Management, General
Florida State University 1984 — 1989
Bachelor's degree, Business Administration and Management, General
Jackson Health System May 2006 - Present
Ripley Tool Company May 2005 - April 2006
VISTA Healthplan March 2004 - November 2004
BIVAC North America, Inc. Bureau Veritas Group Company May 2001 - March 2004
Heartland of Kendall Health Care Center (HCR-Manorcare) April 1995 - April 2001
Coral Gables Hospital April 1994 - April 1995
All Medical Personnel April 1991 - April 1994
Kelly Services September 1988 - April 1991
Skills
Staffing Services, Compensation & Benefit, Labor Relations, Employee Relations, Recruiting, Workers Compensation, Job Descriptions, Human Resources, New Hire Orientations, FMLA, Interviews, Benefits Administration, Employee Benefits, Applicant Tracking..., Performance Management, Deferred Compensation, Workforce Planning, Talent Management, Training, Talent Acquisition, Temporary Staffing, Personnel Management, Leadership, Organizational..., HR Consulting, Management, Temporary Placement, Staff Development, Healthcare, Payroll, HRIS, Succession Planning, Hiring, Job Fairs, Onboarding, HR Policies, College Recruiting, Administration, Employee Engagement, Resume Writing, PeopleSoft, Conflict Resolution, Taleo, Hospitals, Healthcare Management, Patient Safety
Education
Florida International University - College of Business 1980 — 1982
BA, Business Administration
Barry University
Certificate in Human Resource Management
MK 360 Consulting January 2000 - Present
Geisinger Health Plan June 2012 - August 2013
excelleRx April 2011 - May 2012
excelleRx 2011 - 2012
Vista Healthplan May 2007 - September 2010
Health Partners of Philadelphia 2003 - 2007
Independence Blue Cross May 2000 - May 2005
New York Depaartment of Health / CSC September 2002 - September 2003
Business Edge Solutions March 2000 - September 2000
PECO Energy 1998 - 2000
Skills
Project Management, Program Management, Business Analysis, Software Project..., Requirements Analysis, SDLC, Integration, ITIL, Change Management, Process Improvement, Vendor Management, Agile Methodologies, Management, PMP, Software Development, Business Intelligence, Project Planning, IT Strategy, SQL, IT Service Management, Business Process
Education
Villanova University 2010 — 2011
Six Sigma Green Belt, Six Sigma Project Management
Arcadia University 1982 — 1982
Computer Science
Penn State University 1976 — 1980
BA - Political Science, Political Science and Government
Optima Health - Sentara February 2012 - Present
CIGNA Healthcare July 2008 - August 2010
UnitedHealth Group 2007 - 2008
UnitedHealth Group January 2004 - December 2007
Vista Healthplan 2002 - 2004
Humana January 1998 - December 2002
Skills
Public Speaking, Plan Implementation, Vendor Management, Strategy, Product Development, Team Building, Leadership, Marketing, Health Insurance, Project Management, Employee Benefits, Business Development, Competitive Analysis, Consulting
Education
Eastern Kentucky University 1995 — 1998
Post Graduate Studies, Masters in Public Health
Eastern Kentucky University 1990 — 1995
BS, Health Aministration
Integrated Document Solutions, Inc 2009 - Present
Univita Health Inc November 2014 - August 2015
Independent Living Systems, LLC June 2012 - November 2014
KIG Management, Inc. August 2006 - May 2014
Vista Healthplan November 2004 - August 2006
iBill August 2000 - September 2004
Pediatrix Medical Group, Inc. May 1998 - August 2000
Skills
Business Intelligence, Databases, Data Warehousing, SQL, Business Analysis, Database Design, SSIS, Microsoft SQL Server, SSRS, SharePoint, SDLC, Process Improvement, Integration, Visio, Requirements Analysis, .NET, T-SQL, ETL, Enterprise Architecture, OLAP, Database Administration, Crystal Reports, Software Development, ASP.NET, Analysis, IT Strategy, Vendor Management, ITIL, Data Modeling, Disaster Recovery, IT Management, VB.NET, Trizetto QNXT, Redis, Healthcare Information..., Management
Education
Nova Southeastern University 2007 — 2008
Master of Business Administration, Finance
University of Florida 1993 — 1997
BSBA, Economics and Finance
Propertunity October 2013 - Present
FortuneBuilders Mastery January 2014 - Present
ADT February 2013 - December 2013
Office Depot November 2007 - December 2011
AAJ Technologies March 2005 - November 2007
NCCI 2007 - 2007
Vista Healthplan 2006 - 2007
Motorola Inc. June 1993 - June 2003
Skills
Program Management, Process Improvement, Vendor Management, Business Analysis, PMP, Offshore Software..., Business Intelligence, Business Process..., Integration, Six Sigma, Management, Team Leadership, Project Portfolio..., Strategy, Change Management, Enterprise Software, Team Building, Business Process, IT Strategy, Strategic Transformation, Organizational..., Cross-functional Team..., IT Management, Enterprise Architecture, Software Project..., MS Project, SDLC, Project Management, Resource Management, Management Consulting, Microsoft Project
Education
Florida Atlantic University
BSEE, Engineering
U.S. Department of Veterans Affairs Supervisor EDI SupportDepartment of Veterans AffairsNovember 2009 - Present
CalliStatica November 2008 - Present
Department of Veterans Affairs November 2009 - March 2012
L. W. Truesdale November 2008 - November 2009
Symantec June 2007 - November 2008
Vista Healthplan November 2004 - June 2007
ACS EDI Gateway June 2002 - January 2004
IBM January 2001 - December 2001
Computer Aid, Inc. December 1996 - January 2001
DCF SACWIS 2000 - 2001
Skills
IT Strategy, Software Development, Strategic Planning, Enterprise Architecture, Cross-functional Team..., Project Management, Program Management, Visio, Business Analysis, IT Management, Animation, Animation / Modeling..., Data Visualization, Agile Methodologies, Business Process..., Big Data, Security, Leadership, Strategy, PMP, Management, PMO, Databases, Analysis, E-commerce, Software Project..., Integration, Requirements Analysis, Architectures, Vendor Management, SharePoint, Business Intelligence, Agile Project Management, Process Improvement, Consulting, MS Project, Requirements Gathering, Business Process, Software Documentation, Project Portfolio..., Systems Analysis, Project Planning, Data Warehousing
Education
Jacksonville University 1988 — 1990
MBA
Metropolitan State University of Denver
BS
VAAA FAC-P/PM
Certification
Univita Health Inc 2014 - 2015
Holy Cross Hospital January 2013 - September 2014
Vista Healthplan January 2005 - December 2012
Vista Health Plan 2007 - 2012
Vista Health Plans 2005 - 2011
Coventry Healthcare 2005 - 2011
Blue Cross Blue Shield of Florida 1994 - 1997
Skills
HIPAA, Healthcare Information..., Disaster Recovery, EMR, IT Management, Healthcare, Citrix, Medicare, Hospitals, Vendor Management, Process Improvement, Visio, Healthcare Consulting, Troubleshooting, SharePoint, Healthcare Management, Healthcare Industry, Active Directory, Revenue Cycle, Technical Support, Software Documentation, Business Analysis, Customer Service, Management, Strategic Planning, Leadership
Education
Florida International University
Aetna December 2013 - Present
Coventry Health Care April 2009 - December 2013
Coventry Health Care September 2007 - April 2009
Vista Healthplan February 2006 - September 2007
Vista Healthplan April 2000 - February 2006
Florida Health Choice March 1997 - April 2000
Skills
Business Analysis, Managed Care, Teamwork, Data Analysis, Healthcare Information..., Healthcare, Access, Medicare, Visio, Customer Service, Health Insurance, Process Improvement, Medicaid, HIPAA, Requirements Gathering
Education
Niagara University 1991 — 1993
VISTA HEALTH PLAN Provider RelationsNorth Broward Hospital DistrictDecember 2010 - Present
Coventry Health Care 2007 - Present
Vista Healthplan 2006 - Present
Education
Miami Dade College 2005 — 2007
Associates in Arts
Vista Healthplan Business AnalystVista Health Plan2005 - Present
Vista 2005 - Present
Vista Healthplans 2004 - Present
BCBSMA 1993 - 2001
Blue Cross Blue Shield of Massachusetts 1993 - 2001
Education
Boston University Questrom School of Business 1985 — 1989
Emdeon 2010 - Present
HTMS April 2007 - Present
HTMS 2007 - 2008
Vista Healthplan 2004 - 2006
Perot Systems 1999 - 2002
Alamo Rent-A-Car 1980 - 1999
Skills
Healthcare Information..., Consulting, Vendor Management, SDLC, Business Analysis, Process Improvement, HIPAA, Healthcare, EHR, Healthcare Management, Medicare, Healthcare Consulting, Leadership, Software Project..., Strategic Planning, Managed Care, IT Strategy, Requirements Analysis, Project Management, Revenue Cycle, Integration, Medicaid, Business Process..., Data Analysis, Business Intelligence, Program Management, Change Management, Health Insurance, IT Management
Education
University of Georgia - Terry College of Business 1968 — 1972
Univita Health Inc August 2014 - Present
Google April 2012 - November 2013
TxVia 2010 - June 2012
TxVia 2009 - November 2010
Fallon Community Health Plan 2008 - 2008
Vista Healthplan 2005 - 2008
Internet Billing Company (iBill) 2004 - 2005
Internet Billing Company (iBill) 2003 - 2004
Internet Billing Company (iBill) 2002 - 2003
Pediatrix Medical Group 2000 - 2002
Skills
Business Intelligence, Analytics, SQL, SQL Server, Business Analysis, Process Improvement, Access, Risk Management, Visual Studio, Analysis, Microsoft Office, Data Analysis, Visio, Data Warehousing, Databases, PostgreSQL, Jasper Reports, Crystal Reports, OLAP, Data Mining, Database Design, Data Management, Fraud Analysis, Microsoft SQL Server, Electronic Payment..., Electronic Payments, Product Management, Financial Analysis, Healthcare Information..., Healthcare Industry, Healthcare Analytics, Business Process..., Payment Systems, Agile Methodologies, Requirements Gathering, Data Modeling, SDLC, Fraud
Education
Nova Southeastern University 2011 — 2013
Masters of Computer Science
Florida Atlantic University
Bachelors of Business Administration
Coventry Health Care June 2008 - March 2010
Vista Healthplan September 2006 - May 2008
Vista Healthplan November 2002 - September 2006
PROMPERÚ June 2000 - August 2000
Skills
Insurance, Customer Service, Microsoft Office, Risk Management, Process Improvement, Strategic Planning, Change Management, Business Analysis, Team Building, Modern Standard Arabic, Chinese, Brazilian Portuguese, Spanish-speaking
Education
Florida International University 2010 — 2012
Bachelor of Arts, Asian Studies; East Asian Culture
Zhejiang University
East Asian Languages, Literatures, and Linguistics
Nova Southeastern University 1998 — 2000
Master, International Business Administration
Universidad de Montevideo
International Business
University of Florida 1994 — 1998
Bachelor of Arts, Portuguese
University of Florida 1994 — 1998
Bachelor of Arts, Political Science; International Relations
Instituto Brasil Estados Unidos
Portuguese Language and Literature
Magellan Complete Care June 2013 - Present
Premier Physician Support Services August 2012 - April 2013
BetterHealth, LLC 2009 - 2010
Vista Healthplan June 2005 - March 2006
Skills
Advertising, Marketing Strategy, Marketing Communications, Marketing, Online Advertising, Microsoft Office, Customer Service, Public Relations, Strategic Planning, Microsoft Excel, Account Management, New Business Development, Event Management, Email Marketing, Graphic Design, Event Planning, Social Networking
Education
University of Miami 1994 — 1997
Bachelor of Science (B.S.), Public Relations, Advertising, and Applied Communication
Office Depot January 2007 - Present
Vista HealthPlan November 2005 - January 2007
IDC Manufacturing Corp. 1999 - 2003
IDC Manufacturing Corp. 1999 - 2003
Schwenkert Human Resources and Management Consulting 1993 - 1999
United States Marine Corps 1985 - 1992
Education
Troy University 2002 — 2005
MSM, Human Resources
Florida Southern College
University of Central Florida 1996 — 1999
BS, Micro & Molecular Biology
Reliant Pharmaceuticals Cardiovascular Specialty Sales RepresentativeDaiichi SankyoSeptember 2008 - Present
Reliant Pharmaceuticals 2000 - 2008
Vista Healthplan 1994 - 2000
AvMed Health Plans 1991 - 1994
Skills
Recruiting, Customer Service, Pharmaceutical Sales, Sales Management, Cardiology, Endocrinology, Sales, Competitive Analysis, Urology, Product Launch, Gastroenterology, Hospital Sales, Medical Devices, Neurology
Education
University of New Orleans 1984 — 1988
St. Mary's Dominican Hight School 1977 — 1981
college prep
Capital Confirmation Inc. January 2009 - Present
Clertech, Inc. April 2008 - July 2008
Sun-Sentinel - Tribune Publishing February 2007 - February 2008
Think Outside I.T. Solutions October 2006 - February 2007
Vista Healthplan March 2004 - October 2006
Vista Healthplan February 2003 - March 2004
HIP of Florida/Vista Healthplan March 2002 - February 2003
HIP of Florida December 2000 - March 2002
Quik Quote Insurance Brokers November 1991 - October 2000
Education
University of Florida 1987 — 1990
BS, Telecommunications
Molina Healthcare January 2012 - Present
Hewlett-Packard January 2012 - October 2012
Vista Healthplan October 2003 - December 2007
Hearst January 2007 - November 2007
Technion August 2001 - September 2003
Banco Santander August 1996 - December 2000
Skills
Budget, Marketing, Analytics, Team Leadership, Market Research, Marketing Strategy, Management, Sales Management, Team Building, Customer Service, Business Intelligence, Sales, Performance Management, Salesforce.com, Business Analysis, Account Management, Enterprise Software, Inventory Management, Process Improvement, New Business Development, Product Management, Project Management, Customer Satisfaction, B2B, Strategy, Sales Operations, Budgets, Cross-functional Team..., Selling, Vendor Management, Strategic Planning, Business Development, Coaching, Product Marketing, Call Centers, CRM, Program Management, Leadership, Negotiation, Team Management, Sales Process, Lead Generation, Customer Retention, Entrepreneurship, Microsoft Office, Direct Sales, Microsoft Excel, Business Strategy, Business Planning, Business Process...
Education
Florida Metropolitan University 2004 — 2006
MBA, International Business
New Mexico State University 1992 — 1996
BS, Industrial Engineering, Minor Math
Humana August 2014 - Present
Humana January 2010 - Present
HCA January 2007 - December 2010
Strategic Health January 2003 - 2006
Vista Healthplan 1997 - 2003
Skills
Healthcare, Provider Relations, Managed Care, Medicare, Medicaid, Hospitals, Healthcare Management, Network Development, HIPAA, Healthcare Information..., Health Insurance, PPO, HMO, Credentialing, EMR, Healthcare Industry, Revenue Cycle, Customer Service, EHR, Revenue Cycle Management, Physicians, Medical Billing, Medical Records, Disease Management, CPT, Healthcare Consulting, Long-term Care, Medical Compliance, Quality Improvement, ICD-9, Practice Management, Healthcare Reimbursement, Utilization Management, Medical Terminology, Medicare/Medicaid..., Physician Relations, Insurance, Leadership, Employee Benefits, Management
Education
Strayer University-Florida 2011 — 2012
Business Administration, Management and Operations
Florida Metropolitan University 2007 — 2008
BA, Business Mgmt
Vista Healthplan November 2008 - Present
Bennett Marine September 2006 - October 2008
Maritz Travel Company April 1995 - September 2000
Education
St. John's University, The Peter J. Tobin College of Business 1982 — 1984
Business Management
Saint John's University 1980 — 1982
AS, Business Administration
The GEO Group, Inc. January 2014 - Present
Ocwen Financial Solutions 2012 - 2013
Geosyntec Consultants April 2011 - April 2012
Royal Caribbean Cruise Lines September 2002 - April 2011
Vista Healthplan May 1999 - May 2002
ADP February 1998 - May 1999
Skills
Payroll, Human Resources, Employee Relations, Performance Management, Talent Management, Team Building, Training, ADP Payroll, Employee Benefits, Talent Acquisition, Applicant Tracking...
Education
Florida International University 1985 — 1989
B.S., Communication
AvMed August 2015 - Present
AxoGen, Inc. September 2014 - August 2015
AvMed July 2013 - April 2014
Capital Health Plan July 2008 - June 2013
AvMed Health Plans June 2006 - July 2008
WellCare 2003 - 2005
Vista Healthplan 1999 - 2003
Skills
Managed Care, Medicare, Health Insurance, Medicaid, Pharmacy Benefit..., Healthcare Management, Healthcare Consulting, Strategic Planning, Insurance, Leadership, Employee Benefits, Analytics, Health Policy, HIPAA, Healthcare, Healthcare Industry, Healthcare Information...
Education
University of Florida 1994 — 1998
Bachelor, Finance
Taylor County High School
ECO-Friendly Auto Center July 2010 - Present
Independent Compensation Consultant August 2009 - Present
Kaplan University January 2008 - June 2009
Office Depot 2006 - 2008
Vista Healthplan 2004 - 2006
at IDC Manufacturing Corp. 1999 - 2003
IDC Manufacturing Corp 1999 - 2000
Schwenkert Human Resources and Management Consulting 1993 - 1999
United States Marine Corps June 1985 - November 1992
Skills
Deferred Compensation, Employee Benefits, Salary, Job Evaluation, Employee Relations, Workforce Planning, Job Analysis, SPHR, CCP, GRP, HRIS, Benefits Administration, Six Sigma
Education
Troy University 2000 — 2003
MSM, Human Resources
University of Central Florida 1995 — 1999
BS, Micro & Molecular Biology
Allied Truck & Machinery December 2004 - Present
Vista Healthplan January 2001 - December 2003
Skills
Management, Customer Service, Outlook, PowerPoint, Strategic Planning, Export, Budgets, Marketing, QuickBooks, Computer Proficiency, Bilingual, Health Insurance, Sales, Microsoft Excel, Microsoft Word, Import, Logistics
Education
Broward College
Education
Gold Coast
FirstLantic Healthcare October 2009 - Present
Vista Healthplan March 2007 - October 2009
Camellia Healthcare 2003 - 2007
Med Tech Services 2000 - 2003
United Healthcare 1999 - 2002
Education
Broward College 1980 — 1983
AS, Nursing
Sierra Healthcare Consultants January 2004 - Present
Healthramp Corporation 2004 - 2005
Vista Healthplan 2000 - 2003
Skills
Managed Care, HIPAA, Healthcare Information..., Medicaid, Medicare, Revenue Cycle, EHR, Hospitals, Healthcare, Process Improvement, Healthcare Industry, Strategic Planning, Healthcare Consulting, Health Insurance, EMR, Healthcare Management, SDLC, Software Documentation, Leadership, Vendor Management, Integration, Business Intelligence, Health Policy, Management, Data Center, Credentialing, Physicians, Project Management, Informatics, Medicare Part D, Revenue Cycle Management, Medical Billing, EDI, Pharmacy Benefit..., Call Centers, Business Process, Provider Relations, Claim, HMO, Home Care, Health Information..., PPO, Pharmacy, Network Development, Physician Relations, Quality Improvement, Insurance, Clinical Research, Practice Management, Visio
Education
The Juilliard School 1983 — 1984
Master of Music Degree, Orchestral Studies
The Juilliard School 1978 — 1982
Bachelor of Music Degree, Orchestral Studies
Coventry Health Care July 2010 - Present
Coventry Healthcare September 2007 - September 2010
Vista Healthplan June 2001 - September 2007
Skills
Accounts Receivable, Claims, General Ledger, Benefits, Providers, HIPAA, Accounts Payable, Billing, EDI, X12, Medicaid, Medicare, PPO, HMO, HEDIS, Medicare Part D, Business Analysis, Requirements Gathering, Functional..., User Acceptance Testing, System Integration..., End-to-end Testing, Regression Testing, System Testing, Data Reporting, System Configuration, Business Management, Business Requirements, Data Mapping, Analytics, Claim, Management, Provider Relations, Employee Benefits, Invoicing, Health Policy, Network Development, Vendor Management, SDLC, Healthcare Consulting, Analysis, Healthcare, Healthcare Industry, Credentialing, Physician Relations, Utilization Management, Revenue Cycle
Education
University of North Carolina at Chapel Hill - Kenan-Flagler Business School 1989 — 1993
BS, Business
AFL Network Services March 2010 - Present
Psychcare, LLC November 2009 - February 2010
eAir LLC July 2009 - November 2009
AFL Network Services October 2005 - April 2009
Vista Healthplan July 2004 - July 2005
Skills
Troubleshooting, Analysis, Call Centers, Customer Service, Help Desk Support, Printers
Education
University of North Carolina at Charlotte 2011 — 2014
Bachelor's Degree, Physics B.S., A - 3.55 GPA
Florida International University 2002 — 2004
Biology, Physics
First Baptist Church Piney Grove January 2011 - Present
Coventry Health Care of Florida 2002 - 2010
Vista Healthplan 1991 - 2001
Skills
Management, Medicaid, Strategic Planning, Leadership, Accounts Receivable, HIPAA, Accounts Payable, Managed Care, Medicare, Healthcare Management, Process Improvement, Invoicing, Health Insurance, HMO, Healthcare
Education
American Intercontinental University 2006 — 2007
MBA, Business Administration
Prairie View A&M University 1979 — 1983
BA, Accounting
Agency for Healthcare Admininstration December 2012 - Present
Agency for Healthcare Admininstration- Medicaid Program Integrity October 2011 - December 2012
McKesson Health Solutions October 2008 - January 2010
GENEX Services, LLC 2007 - 2008
CorVel Corporation 2006 - 2007
ACS Healthcare Provider Solutions 2003 - 2006
Vista Healthplan 2001 - 2003
Gadsden Community Hospital May 2001 - October 2001
Tallahassee Memorial HealthCare- Med Surg ICU 1997 - 2000
Tallahassee Memorial HealthCare- Ortho/ Neuro 1995 - 1997
Skills
EHR, EMR, Nursing, Disease Management, Healthcare Information..., Healthcare Management, Healthcare, Hospitals, Public Speaking, Acute Care
Education
Nova Southeastern University 2012 — 2015
Master's Degree, Health Law
Florida Agricultural and Mechanical University 2009 — 2011
Master's Degree, Nursing
Florida Agricultural and Mechanical University
Bachelor's Degree, Nursing
Columbia High School
Coventry Health Care July 2005 - Present
Vista Healthplan July 2001 - July 2005
Skills
Pentaho, Access, T-SQL, Microsoft Office, Excel, ETL, VBA, Crystal Reports, Provider Relations, Microsoft SQL Server, Microsoft Excel, Managed Care, InfoPath, Kettle
Education
America's Health Insurance Plans 2013 — 2013
FAHM
University of South Carolina-Aiken 1994 — 1998
BS
Retired March 2014 - Present
HealthCare Partners March 2012 - Present
Outcome Based Delivery Systems, LLC. March 2007 - March 2012
OBDSLLC 2006 - 2011
OBDSLLC 2006 - 2011
Vista Healthplan 2002 - 2006
Vista Healthplan 2002 - 2006
Skills
Managed Care, Medicaid, Disease Management, HMO, Clinical Research, Informatics, Healthcare Consulting, Healthcare Information..., Healthcare, Healthcare Industry, Revenue Cycle Management, Clinical Operations, Revenue Cycle, Network Development, Medicare, Provider Relations, HIPAA, Quality Improvement, Medical Billing, EMR, Insurance, Healthcare Management, Utilization Management, Health Policy, Hospitals, Practice Management, Process Improvement, Medicare Part D, Health Insurance, Home Care, Physicians, EHR, Physician Relations, Acute Care, CPOE, Claim, Epic Systems, Long-term Care, Patient Safety
Education
Mount Mercy College
BS
GMMI March 2013 - March 2014
Coventry Health Care August 2006 - April 2011
Vista Healthplan December 2001 - August 2006
Florida Health Choice July 1998 - March 2001
Skills
Health Insurance, HMO, PPO, Claim, Provider Relations, Medicare, Medicaid, Managed Care, Credentialing, HIPAA, Training, Insurance, Healthcare, Healthcare Management, Claims Resolution, Medicare Part D, Healthcare Industry, Utilization Management, Network Development, Health Policy, Employee Benefits, Customer Service, Leadership, Process Improvement
Education
SUNY Albany 1994 — 1996
Master's Degree, Public Administration with a specialization in Healthcare Administration/Management, 3.33 GPA
SUNY Albany 1989 — 1993
Bachelor's Degree, Political Science and Government, 3.40 GPA
HP Enterprise Services October 2007 - Present
Vista Healthplan January 2007 - June 2007
Department of Elder Affairs November 2000 - November 2006
Skills
Process Improvement, Insurance, Business Process..., Access, Financial Analysis, Analysis, SAP, Business Process, Call Centers, Quality Assurance, Program Management, HIPAA, Invoicing, Training, Vendor Management, Medical Billing, Visio, Medicaid, Troubleshooting, Customer Service, Team Leadership, Coaching, Windows, Management, System Administration, Medicare, Healthcare, Windows 7, XP, SharePoint, Microsoft Word, Operating Systems, Active Directory, Leadership Development, Medical Coding, Microsoft Office, EDI, Healthcare Information..., Inventory Management, Technical Support, Data Analysis, Leadership, Policy, Claim, Remote Desktop, A+ Certified, Powershell, Laptops, Group Policy
Education
Florida State University 1980 — 1982
Bachelor of Science (BS), Secondary Education and Teaching
North Florida Community College 1978 — 1980
Associate of Arts (A.A.), General Studies
Pro Style July 2011 - Present
Vista Healthplan 2007 - 2011
Education
Keiser College 2011 — 2013
Sports medicine and fitness technology, Health and Wellness, General
Healthfirst April 2012 - Present
Healthfirst April 2010 - April 2012
Healthfirst October 2008 - April 2010
Metcare July 2007 - October 2008
Metcare August 2005 - July 2007
Vista Healthplan 2001 - 2005
Skills
Invoicing, Account Reconciliation, Medicare, Enrollment Management, Health Insurance, Healthcare, Healthcare Industry, Managed Care, Medicaid, Provider Relations, Revenue Cycle, Strategic Planning, HIPAA
Education
Clemson University 1994 — 1998
Bachelor's degree, Health/Health Care Administration/Management