WellCare Company
Industry: Health care company
DescriptionWellCare Health Plans, Inc. began operations in 1985 and is based in Tampa, Florida. WellCare provides managed care health plans primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for more than 4.4 million members across the country. Headquarters: Tampa, Florida, United States Number of employees: ~8,900 (December 2017) CEO: Kenneth A. Burdick (1 Jan 2015–) Subsidiaries: WellCare Health Insurance of Illinois Inc,
WellCare List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at WellCare. You can filter them based on skills, years of employment, job, education, department, and prior employment.
WellCare Salaries. You can even request information on how much does WellCare pay if you want to. Learn about salaries, pros and cons of working for WellCare directly from the past employees.
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1,811 WellCare employees in database. Find out everything there's to know about WellCare 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.
WellCare Employees
Wellcare of New York Inc July 2015 - Present
WellCare October 2007 - Present
PRN October 2001 - Present
Visiting Nurse Service of New York August 1999 - January 2008
Skills
Healthcare Management, Medicare, Provider Relations, Medicaid, Health Insurance, Managed Care, Insurance, HIPAA, Healthcare, Utilization Management, Healthcare Consulting, Home Care, Healthcare Industry, Medicaid Managed Care
Education
Borough of Manhattan Community College 1900 — 1900
Associate's Degree, Business Administration and Management, General
New York University 1900 — 1900
Bachelor's Degree, Registered Nursing/Registered Nurse
University of Phoenix
Master's Degree, nursing
WellCare May 2013 - Present
Bencomp May 2000 - May 2001
Robey-Barber Insurance Services February 1994 - January 1999
Skills
Customer Service, Administrative..., Outlook, Claims Review, Claims Resolution, Health Insurance, Communication, Train New Employees, Train the Trainer, Coaching, Management
Education
Ross Medical Education Center-Flint 1982 — 1983
Certificate, Medical Transcription/Transcriptionist
Clio Area High School 1979 — 1982
Diploma, Business
Centene Corporation February 2011 - Present
Conifer Health Solutions February 2008 - February 2011
WellCare June 2006 - January 2008
Education
St Louis College of Health Careers-St Louis 1993 — 1994
St. Louis Community College
CalOptima January 2015 - Present
CalOptima September 2013 - January 2015
WellCare July 2013 - August 2013
SCAN Health Plan December 2012 - July 2013
Ability Groups January 2006 - December 2012
QMark, Inc 2005 - 2006
1 on 1 with Doug Polen January 2004 - September 2005
INService, Inc. June 1998 - February 2005
Health Net November 1999 - May 2004
Skills
Healthcare, Healthcare Management, Hospitals, Process Improvement, Leadership, Quality Control, Analysis, Medicare, Managed Care, Medicaid, HIPAA, Healthcare Consulting, Health Policy, Healthcare Information..., Health Insurance, Healthcare Industry, Quality Improvement, Revenue Cycle, EHR, EMR, Clinical Research, HEDIS, Disease Management
Education
Calvary Bible College and Theological Seminary 1996 — 1998
Bachelor of Applied Science (B.A.Sc.), Organizational Leadership
Los Angeles County College of Nursing and Allied Health 1989 — 1991
RN, Health Services/Allied Health/Health Sciences, General
Los Angeles City College 1988 — 2000
Associate's degree, Health Science, Registered Nurse
U.S. Army 1976 — 1981
Awarded MOS, Military Police
Access Medicare September 2014 - Present
Affinity Health Plan August 2014 - September 2014
WellCare August 2011 - August 2014
Fidelis Care NY January 2008 - November 2011
HealthPass April 2006 - October 2007
Education
Borough of Manhattan Community College
Digital Communication and Media/Multimedia
Coconut Creek High School 1991 — 1994
High School
Adventist Health System - Information Services July 2012 - Present
Toney HealthCare Consulting August 2011 - Present
Adventist Health System - Information Services September 2011 - July 2012
Visionary HealthWare September 2006 - July 2011
Green Ribbon Health 2005 - 2006
WellCare 2004 - 2005
Clarian Health Partners 2001 - 2004
Methodist Hospital - Southlake Campus 1999 - 2001
Skills
EMR, EHR, Cerner, Healthcare Information..., CPOE, Process Improvement, Healthcare, Healthcare Management, Informatics, Physicians, Hospitals, Quality Assurance, HIPAA, Healthcare Consulting, Nursing
Education
American Sentinel University
Master of Science Nursing, Informatics
Purdue University
ASN, BSN, Nursing
WellCare January 2013 - Present
BT June 2002 - July 2012
Patriot Techcorp Inc June 2008 - June 2012
MSys Inc June 2000 - June 2002
Skills
OO Software Development, Agile Methodologies, Web Development, Cloud Computing, VMware, Ruby, Ruby on Rails, RSpec, C#, ASP.NET, ASP, PostgreSQL, Oracle 9i, MySQL, Microsoft SQL Server, jQuery, HTML, CSS, JavaScript, Oracle, .NET, Visual C#, Project Management, Agile Project Management, SDLC, Databases, Linux, Perl, Unix, Requirements Analysis, Scrum, Apache, XML, Testing, Software Design, SOA
Education
Naional Institute of Information Technology 1993 — 1996
Professional Diploma, Software Technology and Systems Management
Babasaheb Bhimrao Ambedkar University 1988 — 1992
Bachelors of Science, Mechanical
Kendriya Vidhalaya Trimulgherry 1980 — 1986
Middle and High School
KV 104 Area
WellCare July 2011 - Present
United Healthcare November 2009 - July 2011
Citi April 2005 - January 2008
Skills
Health Insurance, Medicare, Medicare Supplements, Insurance
Education
Baruch College 2000 — 2005
BBA, Finance and Investments
WellCare October 2013 - Present
Department of Health and Human Services/Division of Medical Services (Medicaid) January 2013 - October 2013
Department of Health and Hosptials July 2011 - January 2013
Department of Health and Hospitals November 2010 - August 2011
Alabama Medicaid Agency December 2003 - November 2010
Survey Companies, LLC 2002 - 2005
Survey Associates, LLC 1997 - 2002
March of Dimes 1990 - 1993
Centers for Medicare and Medicaid Services (CMS) 1986 - 1988
Alabama Hospital Association 1985 - 1986
Skills
Medicaid, Healthcare, Healthcare Information..., Medicare, Policy, Long-term Care, HIPAA, Healthcare Consulting, Health Policy, Public Health, Public Speaking, Revenue Cycle, Strategic Planning, Healthcare Management, Health Care Reform, Case Managment, Health Education, Hospitals, EHR, Informatics, Program Development, Nursing, Health Insurance, Legislation, Government, Clinical Research, Quality Improvement, Healthcare Industry, Disease Management, Managed Care, Home Care, Leadership, EMR, Management, Utilization Management, Physician Relations, Physicians, Case Management, Medicine, Patient Safety, Behavioral Health
Education
University of Alabama at Birmingham 1990 — 1992
MPH, Public Health
Birmingham-Southern College 1977 — 1981
BA, Sociology
WellCare May 2011 - Present
Wal-Mart July 2009 - May 2011
Wal-Mart Pharmacy September 2005 - July 2009
Sitel February 2004 - September 2004
Skills
Pharmacy, Customer Service, Pharmacueticals, Troubleshooting, Technical Support, Prescription, Insurance, Pharmacy Benefit..., Pharmacy Technicians, Pharmacology, Cashiering, HIPAA, Critical Thinking, Microsoft Word, Inventory Management, Time Management, PowerPoint, Telephone Skills, Microsoft Office, Microsoft Excel, Inventory Control, Teamwork
Education
Colorado Technical University 2015 — 2017
Master of Business Administration (M.B.A.), Finance, General
Augusta State University 2004 — 2009
Bachelor of Science (B.S.), Biology, General
Provider Network Solutions, LLC February 2014 - Present
WellCare June 2011 - January 2014
WellCare January 2009 - June 2011
WellCare March 2008 - December 2009
Everest Institute 2005 - 2008
Skills
Medical Coding, Medicare, Medicaid, Credentialing, HIPAA, Managed Care, ICD-9, Health Insurance, Healthcare Management, Claim, Healthcare, Medical Billing, Healthcare Information..., Provider Relations, Hospitals, Network Development, Medical Terminology, Medical Records, EMR, EHR, Practice Management, ICD-10, Software Documentation, Insurance, PPO, Physician Relations, Informatics, Revenue Cycle Management, Quality Improvement, Healthcare Industry, Health Information..., HEDIS, Physicians, Health Policy, HMO, Disease Management, Healthcare Reimbursement, Healthcare Consulting, CPT, Inpatient, Cerner, Medicare Part D, Pharmacy Benefit..., Utilization Management, Medicine, Epic Systems, Home Care, Medicaid Managed Care, Medicare/Medicaid..., Medical Compliance
Education
Barry University 2010 — 2011
Master of Arts in Administration, Management & Administration
Barry University 2008 — 2010
B.S. Healthcare Services Administration
WellCare August 2013 - Present
CVS Pharmacy January 2013 - August 2013
Prime Rx Pharmacy April 2010 - April 2012
Skills
Pharmacy, Pharmacy Automation, Medication Therapy..., Community Pharmacy, Compounding, Patient Counseling, Pharmacy Practice, Immunization, Pharmacy Benefit..., Pharmacy Technicians, Clinical Pharmacy, Medicare Part D, Prescription
Education
Everest University-Largo 2008 — 2009
Pharmacy Technician/Assistant
Clearwater High School 2001 — 2005
OptumInsight (UnitedHealth Group) June 2015 - Present
Healthesystems June 2014 - February 2015
Ciber October 2013 - June 2014
WellCare April 2012 - October 2013
Skills
Pharmacy, Business, Software Quality..., SQL, Technical Documentation, Process Flow..., Software Documentation, Test Planning, Test Cases, Testing, User Acceptance Testing, Quality Assurance, HP Quality Center, Business Analysis, SDLC, Requirements Analysis, Agile Methodologies, Requirements Gathering, Vendor Management
Education
University of Northern Virginia 2009 — 2011
Master of Business Administration (M.B.A.), Management
Nirma University Of Science And Technology 2005 — 2009
Bachelor of Pharmacy (B.Pharm.), Pharmacy
Hiramani High School 2000 — 2005
AlphaCare of New York, a Magellan Health company June 2014 - Present
Ankh Wines 2007 - Present
RTSI - 21st Century Oncology February 2012 - January 2013
Bravo Health, Inc July 2006 - November 2010
Health Net May 2005 - June 2006
WellCare November 2003 - May 2005
PacifiCare 1997 - 2002
Skills
Managed Care, Healthcare, Health Insurance, Medicare, Strategic Planning, Marketing Strategy, Analytics, Marketing, Direct Marketing, Competitive Analysis, Insurance, Business Development, Product Management, Marketing Communications, Market Research, New Business Development, Cross-functional Team..., Advertising, Account Management, Lead Generation, Leadership, Process Improvement, Budgets, Strategy, Data Analysis, Direct Mail, Business Strategy, Digital Marketing, Integrated Marketing, Brand Development, Management, Sales, Executive Management, Brand Management, Product Development, Public Relations
Education
Arizona State University 1992 — 1996
BS
Covidien November 2012 - Present
Wellcare February 2012 - March 2013
Walgreens 2006 - 2012
Skills
Pharmacy Automation, Immunization, Pharmacy, Compounding, Medication Therapy..., Community Pharmacy, Pharmacy Practice, Medical Terminology, Data Entry, Pharmacueticals, Pharmacy Technicians, IV, Cpr Certified, Pharmacy Benefit..., Pyxis, Customer Service, Inventory Management, Prescription
Education
American Public University System 2010 — 2012
Bachelors in Psychology, Psychology
Lecanto high school 2004 — 2007
Health Assets Management, Inc. May 2008 - Present
Behavioral HealthCare of New York January 1997 - Present
WellCare January 1994 - December 1996
Skills
Healthcare, Medicaid, Mental Health, Medical Billing, Medicare, Behavioral Health, Healthcare Management, Credentialing, Practice Management, Managed Care, Revenue Cycle, HIPAA, Psychology, Public Speaking, Treatment, Clinical Supervision, Life Transitions, Psychotherapy, Healthcare Information..., Psychiatry, Anger Management, Mental Health Counseling, Self-esteem, Therapists, Mindfulness, Post Traumatic Stress, CBT
Education
Adelphi University 1992 — 1994
Master of Social Work (MSW), Clinical/Medical Social Work
Long Island University, C.W. Post Campus 1977 — 1979
Master of Science (MS), Mental Health Counseling/Counselor
Hofstra University 1971 — 1975
Bachelor of Arts (B.A.), English Literature (British and Commonwealth)
WellCare November 2011 - Present
Healthcare Support Staffing 2011 - 2012
Centene Corporation April 2011 - September 2011
Molina Healthcare September 2010 - April 2011
United Health Care May 2006 - February 2010
CIGNA Healthcare August 2003 - May 2006
CIGNA Healthcare June 2002 - August 2003
Skills
Contract Negotiation, Medicaid Managed Care, Medicare/Medicaid..., Network Expansion, Credentialing, Provider Relations, Medicaid, HMO, Access, Claim, HIPAA, Health Insurance, Health Policy, Healthcare, Healthcare Industry, Healthcare Management, Hospitals, Managed Care, Management, Medicare, Network Development, PPO, Physicians, Process Improvement, Software Documentation, Medicare Part D
Education
American InterContinental University 2015 — 2016
Master of Business Administration (MBA), Health/Health Care Administration/Management & Finance
American InterContinental University 2013 — 2014
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management
American InterContinental University 2009 — 2011
Bachelor of Science (B.S.), Data Modeling/Warehousing and Database Administration
American InterContinental University
AA, Project Managememt
WellCare February 2013 - Present
WellCare May 2009 - February 2013
Elavon, Inc. (a subsidiary of US Bank, N.A.) March 2008 - May 2009
Fidelity Information Services October 1999 - February 2008
Franklin Templeton Group October 1997 - October 1999
All Children's Hospital March 1995 - July 1997
United States Air Force May 1992 - October 1994
University of Maryland University College (Asian Division) 1990 - 1992
Skills
Process Improvement, Financial Analysis, Analysis, Finance, Management, Sarbanes-Oxley Act
Education
University of Maryland University College 1990 — 1992
B.S., Computer Studies
Arellano University 1980 — 1984
B.S., Accounting
Florida Metropolitan University
MBA, International Business
Holy Trinity Academy (Girl's Department)
J.P. Morgan November 2014 - Present
Virginia & Ambinder, LLP August 2014 - September 2014
Lehman Brothers March 2012 - December 2013
Farrell Fritz, P.C. June 2013 - August 2013
Virginia & Ambinder LLP December 2011 - February 2012
Conway & Conway October 2011 - February 2012
Doyaga & Schaefer August 2011 - December 2011
WellCare August 2011 - November 2011
Lawline.com May 2011 - August 2011
Pasternack Tilker Ziegler Walsh Stanton & Romano, LLP February 2011 - August 2011
Skills
Microsoft Excel, PowerPoint, Microsoft Office, Research, Microsoft Word, Outlook, Corporate Law, Access, Spanish, Commercial Litigation, Document Review, Intellectual Property, Public Speaking, Securities, Risk Management, Litigation Support, Litigation, Negotiation, Contract Negotiation, Corporate Transactional, Bankruptcy, Legal Writing, Financial Modeling, Legal Research, Securities Regulation, Mergers & Acquisitions, Private Equity, Real Estate Transactions, Corporate Governance
Education
Brooklyn Law School 2010 — 2013
Juris Doctor w/ Business Law Certificate, Corporate Law
City University of New York-Baruch College - Zicklin School of Business 2005 — 2009
Bachelor of Business Administration (BBA), cum laude, Finance & Investments
WellCare November 2008 - February 2009
Health Plus June 2007 - September 2008
metro plus health plan 2005 - 2006
Skills
Health Policy, Healthcare Industry, Healthcare Management, Hiring, Home Care, Coaching, Claim, Call Centers, Applicant Tracking..., Account Management, HIPAA, Hospitals, Managed Care, Medicaid, Medicare, Provider Relations, Healthcare, Health Insurance, Customer Service, Strategic Planning, Team Building
Education
Boricua College 2000 — 2004
yes, Business Administration
Centene Corporation March 2014 - Present
Integral Quality Care February 2012 - February 2014
Network Synergy Group July 2011 - January 2012
WellCare December 2005 - July 2011
WellCare December 2005 - March 2008
First Health Care October 2003 - December 2005
Skills
Contract Negotiation, Provider Network..., Service Provider..., Operational Streamlining, Third Party Vendor..., National Account..., Network Performance..., Recruiting, Medicare, Management, Insurance, Healthcare Management, Healthcare, Healthcare Consulting, HMO, Medicaid, Leadership, HIPAA, Healthcare Industry, PPO, Physicians, Managed Care, Medicaid Managed Care, Claim, Medicare Part D, Process Improvement, Health Insurance, Network Development, Credentialing, Provider Relations, Health Policy, Disease Management, Pharmacy Benefit..., Physician Relations, NCQA, Revenue Cycle, Utilization Management, Medical Compliance, Quality Improvement
Education
Colorado Technical University-Online 2012 — 2015
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management, 3.0
American InterContinental University 2007 — 2010
BA, Business Administration in HealthCare
WellCare November 2014 - Present
WellCare December 2010 - Present
New York Presbyterian Hospital February 2006 - July 2009
Skills
Database Queries, Microsoft Office, Customer Liason, Creative Problem Solving, Reports, System Testing, Training, Medicaid Managed Care, Customer Service, Customer Satisfaction, Software Documentation, Insurance, Problem Solving
Education
City University of New York-Herbert H. Lehman College 2011 — 2014
Bachelor of Applied Science (BASc), Health and Medical Administrative Services
Borough of Manhattan Community College 2008 — 2010
Associate's degree, Liberal Arts and Sciences/Liberal Studies
WellCare March 2010 - Present
Education
Purdue University Calumet 2008 — 2010
Bachelor of Business Administration (B.B.A.)
American InterContinental University 2000 — 2003
Associate of Arts and Sciences (A.A.S.)
Consultant October 2008 - Present
American Board of Emergency Medicine 1983 - Present
American College of Emergency Physicians 1979 - Present
Aetna September 2010 - October 2010
Wellcare of CT June 2004 - September 2008
WellCare June 2004 - September 2008
Various CT Hospitals December 1997 - September 2007
Alicare Medical Management/Anthem BC/BS June 2002 - June 2003
ConnectiCare December 1998 - March 2002
Univ of Massachusetts Medical School November 1983 - March 1999
Skills
Medicare, Managed Care, Medicaid, Emergency Medicine, Pharmaceuticals, Commercial Insurance, Healthcare, Hospitals, Utilization Management, Healthcare Management, Medical Management, Disease Management, Clinical, Health Insurance, Health, Case Management, Quality Management, Board Certified, Wellness, Care Management, Medical Education, Oncology, Insurance, Biotechnology, Clinical Research, Case Managment, Pharmaceutical Industry, Pharmacy, Medicine, Quality Improvement, EHR, Public Health, Patient Safety, Pharmacists, Management, Health Policy, Physicians, Experienced Speaker, Strategic Consulting, Organizational..., Healthcare Industry, HIPAA, Pharmacy Benefit..., Medical Coding, Physician Relations, Medical Devices, Diabetes, Health Economics, Healthcare Consulting, Critical Care
Education
Hershey Medical Center, Pennsylvania State University 1979 — 1982
Emergency Medicine Residency, Emergency Medicine
The University of Texas Health Science Center at San Antonio 1975 — 1979
MD, Medicine
The University of Connecticut Health Center 1974 — 1975
PhD Program in Immunology
Bates College 1970 — 1974
Bachelor of Science (BS), Double Major in Biology and Chemistry, Minor in Psychology, Magna Cum Laude, Phi Beta Kappa
Leash Me Out! September 2008 - Present
Leash Me Out! February 2008 - Present
PetSmart May 2009 - September 2011
WellCare February 2005 - April 2008
Education
Augusta State University
Georgia State University
B.S., Psychology
Kennesaw State University
Nursing
WellCare May 2012 - Present
The Center for Health Transformation October 2009 - April 2012
DC Chamber of Commerce October 2008 - October 2009
Bonner & Associates 2005 - 2008
U.S. House of Representatives Committee on Ways and Means 2004 - 2004
The Federalist Society 2003 - 2003
Robins, Kaplan, Miller & Ciresi L.L.P. 2001 - 2002
Skills
Public Policy, Legislative Relations, Government, Legislation, Policy Analysis, Policy, Legal Research, Politics, Health Policy, Public Relations, Public Speaking, Editing, Research, Strategy, Analysis, Newsletters, Intellectual Property, Health Care Reform, Medicaid, Nonprofits, Coalitions, Public Affairs, Strategic Communications
Education
American University School of International Service 2003 — 2005
Masters Degree, International Affairs
American University, Washington College of Law 2002 — 2005
Juris Doctorate, Law
University of California, Santa Barbara 1997 — 2001
BA, English & Political Science
Jesuit High School - Sacramento, CA 1993 — 1997
WellCare Health Plans May 2014 - Present
WellCare August 2011 - May 2014
HCA - Brandon Regional Hospital August 2009 - August 2011
HCA - South Bay Hospital January 2008 - August 2009
Medical Staffing Network June 2006 - January 2008
BayCare Health System - South Florida Baptist Hospital September 2005 - June 2006
HCA - Brandon Regional Hospital July 2002 - September 2005
Florida Hospital 2001 - June 2002
Skills
Typing, Microsoft Word, Microsoft Excel, Internet, Healthcare, Hospitals, Nursing, ICU, EMR, Case Management, Treatment, Pediatrics
Education
University of South Florida 2002 — 2003
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Adventist University of Health Sciences 2000 — 2002
Associate of Science, Nursing
Seminole State College of Florida 2000 — 2000
EMT Certificate
University of North Florida 1998 — 2000
Associate, Arts
Family in New York, Inc. June 2006 - Present
Visiting Nurse Service of New York February 2009 - June 2010
WellCare October 2003 - August 2008
Fidelis Care New York July 1999 - October 2003
Affinity Health Plan May 1993 - July 1999
Skills
Program Management, Managed Care, Customer Service, Health Insurance, Business Management
Education
Binghamton University 1989 — 1992
Master's, Social Science
Roberts Wesleyan College
Bachelor of Arts, Psychology
ANGEL'S CARE COMMUNITY ADVISOR'S May 2012 - Present
United Health Care January 2010 - November 2011
Liberty Health May 2008 - December 2009
WellCare August 2004 - April 2007
Healthfirst July 1999 - August 2003
ABC Health June 1996 - October 1999
Managed Healthcare April 1993 - May 1996
Skills
Sales Management, Sales Operations, Marketing Strategy, Field Marketing, Insurance, Strategic Planning, Healthcare, Sales Presentations, Team Building, Managed Care, Salesforce.com, Account Management, Sales, Direct Marketing, Marketing, New Business Development, Customer Service, Leadership, Coaching, Employee Benefits, Health Insurance, Selling, Medicare, Training, Cold Calling
Education
Bergen Community College
Business, Administration and Computer Science Technical Profile
Masonite International July 2015 - Present
Northwestern Mutual May 2013 - May 2015
Tampa Connection August 2011 - August 2014
Active2Applicant October 2011 - October 2013
Advocate Consulting Group (Insurance Brokers) January 2013 - May 2013
WellCare June 2012 - October 2012
USI Insurance Services October 2010 - December 2011
United States District Court for the Middle District of Florida August 2008 - January 2009
Assurex Global November 2006 - September 2007
American University, Washington College of Law 2004 - August 2005
Skills
Government, Legal Writing, Management, Public Relations, Fundraising, Strategic Communications, Corporate Law, Social Media, Program Management, Employee Benefits, International Law, Insurance, Leadership, Litigation, Recruiting, Criminal Law, Civil Litigation, Project Management, Public Speaking, Non-profits, Strategic Planning, Research, Healthcare, Team Building, Microsoft Office, Trials, Legal Research, Teaching, Community Outreach, Policy, Customer Service, Mediation, Commercial Litigation, Event Planning, Benefits Administration, Health Insurance, Contract Negotiation, Health Care Reform, Nonprofits, Training, Organizational..., Analysis, Claim, Health Policy, Budgets, Workers Compensation, Employee Relations, Brokers, Human Resources, Coaching
Education
American University Washington College of Law 2002 — 2005
J.D., International, Corporate and Environmental Law
Bowling Green State University 1996 — 2001
B.A., English, Business, Law
Wellcare March 2014 - Present
Private CPR September 2013 - Present
B. William Construction 2007 - Present
DreamGifts.com 2003 - 2007
Verizon 2000 - 2003
NYC Transit Authority 1997 - 1999
Municipal Credit Union 1990 - 1997
U.S. Homecare 1980 - 1990
The Mount Sinai Hospital 1987 - 1989
Education
University of Louisiana at Lafayette 2014 — 2015
BSN, Nursing
Cochran School of Nursing 2009 — 2012
Associates of Science in Nursing (ASN), Registered Nursing/Registered Nurse
CUNY Bronx Community College 1993 — 1996
Associates of Liberal Arts in Psychology (AA)
WellCare August 2012 - Present
Wells Fargo March 2010 - July 2012
Collabera June 2006 - July 2012
Verizon 2006 - 2010
Bank of New York Mellon 2003 - 2006
iNautix Technologies 2003 - 2006
Skills
Web Services, J2EE Application..., Enterprise Architecture, Weblogic, Oracle, WebSphere MQ, Sybase, JBoss Application Server, Performance Tuning, Spring, Hibernate, iBatis, SOA, Java Enterprise Edition, PL/SQL, Unix, Agile Methodologies, Solution Architecture, Requirements Analysis, Software Project..., Software Development, Software Engineering, JSP, Websphere, SDLC, Java, Spring Framework, WebLogic
Education
Bharathiar University 1997 — 2001
Bachelor of Engineering, Computer Science and Engineering
Humana May 2012 - Present
United Healthcare November 2010 - May 2012
BlueCross BlueShield of Tennessee February 2009 - November 2010
WellCare 2007 - 2009
LifeMasters Supported SelfCare 2004 - 2005
Agency of Health Care Administration, FL Medicaid 1992 - 2005
Skills
Team Building, Insurance, HIPAA, Health Insurance, Policy, Process Improvement, Program Management, Provider Relations, Strategic Planning, Medicare, Managed Care, Medicaid, Healthcare Management, Healthcare Information..., Healthcare Industry, Healthcare Consulting, Healthcare, Health Policy
Education
Nova Southeastern University 1991 — 1993
MPA, Public Administration
Barry University
Bachelor of Business Administration (BBA), Business Administration and Management, General
Humana May 2013 - Present
Aetna June 2012 - April 2013
Senior Whole Health November 2011 - June 2012
WellCare June 2004 - April 2011
Healthfirst June 1998 - May 2004
Empire BlueCross BlueShield 1996 - 1998
Performance Marketing 1992 - 1993
Education
Baruch College 1986 — 1991
BBA, Marketing
Indian River Center Nursing Home July 2010 - Present
Hospice of St. Francis January 2009 - March 2010
Superior Home Health November 2009 - January 2010
Wuesthoff Hospice April 2008 - September 2008
Brighton Gardens December 2007 - April 2008
Heather Hill Nursing Home January 2007 - May 2007
WellCare 2004 - 2007
Education
Troy University 2006 — 2007
MSCP, Counseling and Psychology
Austin Peay State University 1996 — 2001
BS, Social Work
Premera Blue Cross May 2013 - Present
Jameson Keller Consulting January 2013 - Present
Humana April 2012 - January 2013
WellCare April 2011 - February 2012
CareOregon August 2008 - April 2011
SecureHorizons by United Healthcare May 2005 - August 2008
SecureHorizons by United HealthCare 2007 - 2007
United Healthcare / SecureHorizons 2005 - 2007
GI Joes, Inc. October 2002 - May 2005
Cyber d'Zine Consulting 2002 - 2005
Skills
Sales Skills Training, Computer Hardware, Sales Management, Medicare, Medicaid, Medicare Part D, HMO, Managed Care, Healthcare, Consultative Selling, Selling, Insurance, Health Insurance, Customer Service, Marketing, Leadership, Sales, Small Business, Training, Employee Benefits, Sales Operations, Management, Strategy, Cross-functional Team..., Recruiting, Strategic Planning, Coaching
Education
American InterContinental University 2004 — 2006
BA, Business - Healthcare Management
Oregon State University 2001 — 2002
Zoology
WellCare Health Plans September 2009 - Present
WellCare February 2007 - September 2009
SITEL 1999 - 2007
A.T. Hudson 1998 - 1999
UPS 1989 - 1997
Skills
Health Insurance, Call Center, Insurance, BPO, Process Improvement, Business Process..., Customer Experience, Medicare, Vendor Management, Outsourcing, Forecasting, Analytics, Performance Improvement, Business Analysis, Financial Analysis, Strategic Financial..., Auditing, Business Analytics, Finance, Analysis, Contact Centers, Leadership, Management, Call Center Development, Call Centers, Operations Management, Customer Service, Workforce Management
Education
State University of New York College at Plattsburgh 1987 — 1989
B.S., Operations Research, Management Science
Alfred State College - SUNY College of Technology 1984 — 1985
WellCare May 2011 - Present
InfoMedics March 2010 - May 2011
Fresenius Medical Care June 2009 - December 2009
Blue Cross Blue Shield MA March 2007 - February 2009
Masterex Technologies 2006 - 2009
Skills
Business Analysis, Data Warehousing, PL/SQL, Business Intelligence, Healthcare, Process Improvement, Analysis, SDLC, Systems Analysis, Visio, SQL, Requirements Analysis, Data Modeling, Quality Assurance, Business Requirements, Project Planning, ETL, User Acceptance Testing, MS Project, Business Process, SharePoint, Documentation
Education
Project Management Institue 2008 — 2009
PMP, Project Management
Johnson & Wales University 2003 — 2005
MBA, Information Technology
EGIP Information Systems 1999 — 2001
Software Engineer, Software Engineering
Université Ibn Tofail 1997 — 2001
BA, English
Bupa Global & Bupa Latin America June 2008 - March 2014
WellCare 1999 - May 2008
City of Houston December 1994 - February 1999
Skills
Litigation, Corporate Governance, Healthcare, Licensing, Insurance, Corporate Law, Privacy Law, Latin America, Commercial Litigation, Intellectual Property, Executive Management, FCPA, Financial Risk, Fraud, HIPAA, Health Insurance, Health Law, Insurance Law, International Business, International Law, Joint Ventures, Leadership, Legal Advice, Legal Assistance, Legal Compliance, Legal Research, Legal Writing, Litigation Management, Management, Mediation, Mergers & Acquisitions, Policy, Regulations, Restructuring, Risk Management, Trademarks, Employment Law, Due Diligence, Civil Litigation, Competition Law, Dispute Resolution, Contract Negotiation, Alternative Dispute..., Claim, Health Policy, Medical Compliance, Ethics, Healthcare Industry, Arbitration, Acquisitions
Education
South Texas College of Law 1992 — 1994
JD, Law
American University 1989 — 1991
Law
University of St. Thomas (TX) 1984 — 1989
B.A., Political Science/Philosophy
Sunrise Senior Living February 2015 - Present
Southmayd Home May 2013 - February 2015
Benchmark Assisted Living November 2011 - February 2013
All Metro Health Care February 2009 - November 2011
WellCare January 2008 - February 2009
Home Instead Senior Care July 1996 - January 2007
ServiceMaster September 1991 - June 1996
HSBC October 1989 - September 1991
JP Morgan Chase June 1985 - September 1989
Skills
Home Care, Healthcare, Seniors, Public Speaking, Hospitals, Team Building, Strategic Planning, New Business Development, Coaching, Elder Care, Long-term Care, Business, Fundraising, Medicare, Human Resources, Entrepreneurship, Leadership, Training, Nonprofits, Leadership Development, Marketing, Healthcare Management
Education
Quinnipiac University 2015 — 2016
Master's Degree, Organizational Leadership
LDR Leadership Development Roundtable 2013 — 2013
Executive Development for Non Profit Leaders in CT, Executing leadership projects/Developing leadership skills
Adelphi University 1980 — 1985
BBA, Accounting
Healthfirst 2014 - Present
Complex Care Solutions 2014 - September 2014
WellCare December 2012 - June 2014
Bellevue Hospital Center July 2012 - August 2012
NYU Hospital for Joint Diseases 2011 - 2012
Skills
Acute Care, Inpatient, EKG, Patient Safety, EMR, BLS, Nursing, Patient Education, Registered Nurses
Education
City University of New York-Herbert H. Lehman College
Bachelor of Science (B.S.), Nursing
Baruch College
Bachelor of Arts (B.A.), Psychology
WellCare September 2013 - September 2014
Allendale County School District August 2012 - September 2013
Columbia Area Mental Health ACS May 2011 - June 2012
Accounting & Tax Source Inc February 2012 - April 2012
Leadership Development Institution- Benedict College August 2008 - May 2011
CPR ASAP August 2010 - April 2011
Benedict College August 2007 - May 2010
Skills
Windows Vista, Microsoft Office, Medical Software, Data Entry, Windows XP Pro, Research, PowerPoint, Microsoft Excel, Team Leadership, Public Speaking, Higher Education, Customer Service, Administrative..., Project Planning
Education
Benedict College 2007 — 2011
Bachelor of Science, Economics; Finance
ARLINGTON SUITE HOTEL September 2010 - May 2011
Physicians Choice Laboratory Services 2011 - 2011
WellCare February 2007 - December 2008
Skills
Microsoft Excel, Medical Billing, Medical Assisting, Phlebotomy, Medical Terminology, Healthcare Management, Medical Law, Claims Management, Workers' Compensation..., Health Insurance, Medicaid Managed Care, Medicare/Medicaid..., Research, Reporting & Analysis
Education
Medvance Institute-Stuart 2013 — 2013
Medical/Clinical Assistant, A
Florida Career College-Clearwater 2006 — 2007
MEDICAL BILLING AND CODING, HEALTH CARE
Healthesystems 2013 - Present
WellCare 2007 - 2013
Symbol Technologies (div. of Motorola Solutions) 1995 - 2007
Profit Automation, Inc. 1990 - 1995
Tandy Corporation 1984 - 1989
Skills
SDLC, Vendor Management, Management, Process Improvement, Visio, Requirements Analysis, Business Analysis, SharePoint, Integration, Business Process..., Software Project..., Software Documentation, IT Strategy, Business Intelligence, Enterprise Architecture, IT Management, Requirements Gathering, Business Process, Disaster Recovery, Executive Management
Education
University of Atlanta 2007 — 2009
Masters, Project Management, MPM
Harvard Business School 1996 — 2001
ManageMentor Program
Baldwin-Wallace College 1981 — 1983
Business Administration
Cuyahoga Community College 1979 — 1981
Applied Business, Accounting
United Healthcare, Aetna, Anthem, Medico, United Family, Gateway, HealthSpan, Coventry, GTL August 2006 - Present
WellCare February 2010 - December 2012
Industrial Distributors February 1985 - June 2005
Skills
Sales, Consulting, Marketing, Creative Marketer, Medicare Advantage, Health Insurance, In-home Sales, Life Insurance, Fixed Annuities, Indexed Annuities, Long Term Care Insurance, Disability Insurance, Irrevocable Life..., Affordable Care Act, writing
Education
Baldwin-Wallace College
Liberal Arts and Sciences, History, Art History, German, and Humanities
Columbus College of Art & Design
Illustration, Life Drawing, Color Theory, Cartoons
The College of Wooster
Humanities, English
The Ohio State University
Bachelor of Arts (B.A.), Pre-Law Studies
Cleveland Institute of Music 1988 — 1994
Music Performance, Flute, Ensemble
CAPG March 2014 - Present
University of Southern California January 2015 - Present
NCQA February 2015 - Present
Playa Vista Medical Center January 2013 - Present
WellCare February 2013 - March 2014
Health Net April 2010 - February 2013
UCLA Health System April 2010 - December 2012
Unum February 2008 - December 2009
Community Health Alliance of Pasadena February 2006 - January 2008
United Health Centers September 2003 - January 2006
Skills
Healthcare, Pediatrics, Adults, Surgery, Case Management, Care Transition, Family Medicine, Minor Surgery, Medical Management, Physician Executive, Medication Therapy..., Sales Support, Strategic Partnerships, Case Managment, Healthcare Management, Medicaid, Management, Medicare, Hospitals, Health Insurance, Managed Care, Health Policy, Medicine, HMO, Quality Improvement, Utilization Management, Physicians, Healthcare Consulting, Healthcare Information..., EHR, Healthcare Industry, Physician Relations, EMR, Provider Relations, Informatics, Credentialing, Network Development, Revenue Cycle, HIPAA, Patient Safety, Inpatient, PPO, Internal Medicine, Medicaid Managed Care, Public Health, Clinical Research, Medical Education, Practice Management, Health Education, Home Care
Education
University of California, San Francisco 2011 — 2012
Certificate, Institute for Physician Leadership
California State University-Fresno 2005 — 2007
Masters, Business Administration
Loma Linda University 2000 — 2003
Family Medicine, Family Medicine Residency Program
Howard University 1995 — 2000
Medical Doctor, Medicine
Tufts University 1993 — 1994
Post Baccalaureate, Pre-Medical Program
American University 1990 — 1993
Bachelor of Arts, International Studies
Advanced Care Inc May 2015 - Present
VITAS Healthcare September 2014 - May 2015
American Hospice LLC May 2012 - August 2014
Visiting Nurse Service of New York March 2011 - April 2012
United Health Group November 2008 - March 2011
WellCare 2007 - 2008
Health Net 2005 - 2007
EmblemHealth June 2001 - December 2005
Skills
Health, Accident, Investments, Medicare, Managed Care, Health Insurance, Insurance, Healthcare, Strategic Planning, Account Management, Customer Relations, Long Term Care, Team Building, Employee Benefits, Sales Management, Product Development, New Business Development, Coaching, Medicaid, Home Care, Medicare Supplements, HMO, Hospitals, Healthcare Management, Medicare Part D, HIPAA, Compliance, Consultative Selling, Hospice, Territory Development, Provider Relations, Nursing, Health Policy, Marketing Strategy, Long-term Care, Palliative Care, Program Management, Management, Selling, Sales Operations, Customer Service, Marketing, Training, Sales, Leadership, Healthcare Information..., Clinical Research, Strategy, Physicians, Healthcare Industry
Education
Pratt Institute 1990 — 1994
Engineering
Borough of Manhattan Community College 1996 — 1998
Associate, Business Management
AbbVie September 2013 - Present
WellCare May 2009 - September 2013
KMK Consulting Inc. June 2008 - May 2009
Cognizant Technology Solutions October 2006 - June 2008
National Academy of Agricultural Research Management February 2003 - July 2004
Skills
SAS, Analytics, Statistics, Data Analysis, Analysis, Database Marketing, Predictive Modeling, Forecasting, Business Analysis, Microsoft Office, Econometrics, Business Intelligence, Data Warehousing, Statistical Modeling, Segmentation, Market Analysis, Database Design, Economics, Managed Care, Logistic Regression, SAS Programming, Microsoft SQL Server, Microsoft Excel, Unix, Quantitative Analytics, Medicare, Medicaid, Business Analytics, Marketing Analytics, Predictive Analytics, Leadership, Teradata, R, Time Series Analysis, Access, Optimization, Reporting, Web Analytics, Windows, Report Automation, Member Retention, Communications Audits, Automation, Optimizations, Data Mining, Data Modeling, Linear Regression, Health Economics
Education
University of Arizona 2004 — 2006
M.S, Applied Economics
Chaudhary Charan Singh Haryana Agricultural University 2000 — 2002
M.S, Applied Economics
Tamil Nadu Agricultural University 1995 — 1999
B.Sc, Life Sciences(Agriculture)
Matters of the Heart Inc. February 2011 - Present
Matters of the Heart Incorporated May 2010 - Present
Aflac March 2010 - Present
LTC Financial Partners January 2010 - Present
WellCare 2007 - 2009
Skills
Long-term Care, Health Insurance, Medicare, Public Relations, Insurance, Small Business, Public Speaking, Team Building, Employee Benefits, Leadership, Marketing Strategy, Strategic Planning, Healthcare, Customer Service, Training, Leadership Development, Coaching, Budgets, Sales, Entrepreneurship
Education
Belhaven University 2009 — 2013
Bachelor's Health care Administration, Healthcare Administration
Belhaven University
Masters of Science in Leadership, Human Resources Development
United Care Health June 2014 - Present
WellCare January 2013 - June 2014
D' Flor Fantasy February 2005 - January 2013
St Joseph Meat Market December 2007 - June 2010
lolly-tots 2005 - 2007
Skills
Excellent..., Bi-lingual Spanish and..., 30-40 wpm, knowledge of..., Health Insurance, Human Resources, Sales, Leadership, Management, Medicaid, Customer Service, Medicaid Managed Care, Provider Relations, Software Documentation, Payroll, Interviews, Healthcare, Insurance, Training
Education
Allen School-Jamaica 2011 — 2012
Certified Medical Clinical Assistant, Medical/Clinical Assistant
Utesa Dominican Republic 1993 — 1995
Marketing
Tatiana M. Denson Branding & Consulting Firm November 2014 - Present
Affordable Health Care October 2014 - Present
District 61 January 2010 - August 2014
Committed to Communities December 2008 - April 2013
WellCare December 2006 - February 2009
Skills
Community Outreach, Community Organizing, Community Engagement, Advocacy, Healthcare Management, Executive Management, Microsoft Excel, Microsoft Office, Microsoft Word, Accounts Receivable, Lotus 123, Blue Pumpkin, Public Speaking, Strategic Planning, Political Campaigns, Community Development, Volunteer Management, Program Development, Non-profits, Nonprofits, Budgets, Leadership, Fundraising, Youth Development, Training, Leadership Development, Team Building, Event Planning
Education
Barry University 2013 — 2014
Master of Public Administration (M.P.A.), Public Policy Analysis
Barry University 2013 — 2014
Public Administration
Silver Solutions/Medicare Solutions February 2007 - Present
WellCare June 2011 - November 2012
Almost Family, Inc June 2000 - February 2012
Mass Mutual May 2009 - November 2010
Skills
Health Insurance, Medicare, Strategic Planning, Customer Service, Disability Insurance, Medicare Part D, Insurance, Managed Care, Term Life Insurance, Fixed Annuities, Long-term Care, Life Insurance, Public Speaking, Home Care, Marketing, Event Planning, Long Term Care Insurance, Team Building, Sales, Healthcare, Microsoft Word, Community Outreach, Leadership, Marketing Strategy, Sales Management, Medicaid, HMO, Case Managment, Medical Terminology, Nursing, Healthcare Industry, Seniors, Employee Benefits, Case Management, Healthcare Information..., HIPAA, Hospitals, Healthcare Consulting, Health Policy, Elder Care, Small Business, Social Services, Healthcare Management
Education
Akron School of Practical Nursing 1992 — 1993
Licensed Practical Nurse, A
Hondros College of Business
Ohio Department of Insurance License: Life, Accident & Health and Variable Annuities
WellCare April 2013 - Present
City of Orlando September 2011 - March 2013
City of Orlando January 2003 - June 2011
Skills
Government, Public Speaking, Event Planning, Nonprofits, Community Outreach, PowerPoint, Microsoft Office, Research, Budgets, Public Relations, Fundraising, Customer Service, Volunteer Management, Policy, Editing, Leadership, Program Management, Access
Education
Belhaven College
Bachelor of Business Administration (BBA)
Self Employed October 2014 - Present
Doctor's Medical Center October 2013 - September 2014
Wellcare October 2012 - November 2013
CAC/Humana September 2010 - December 2011
Aiken County Goverment October 2005 - September 2010
Aiken Regional Medical Centers, Inc. March 2002 - September 2005
Florida Department of Corrections January 2001 - November 2001
Beacon College 2001 - 2001
Daily Commercial Newspaper 2000 - 2001
Bianco Construction June 1997 - October 2000
Skills
Healthcare Management, Hospitals, Healthcare Information..., Healthcare, Physician Relations, Managed Care, Strategic Planning, Practice Management, Medicaid, Process Improvement, Healthcare Industry, Patient Safety, Construction, Construction Management, Staff Model Development, Healthcare Consulting, FEMA's Incident Command..., Medicare, HIPAA, Leadership, Team Building, Management
Education
Barry University 1982 — 1986
Master of Business Administration (M.B.A.), Business Administration and Management, General, 3.8
J M Wright Regional Vocational Technical School 1968 — 1971
Construction Management, Business Administration and Management, General, 3.8
WellCare Health Plans August 2015 - Present
WellCare December 2012 - August 2015
Wells Fargo via Diaspark Inc October 2011 - December 2012
Bank of America April 2008 - October 2011
USAA for Tata Consultancy Services Limited January 2006 - April 2008
Tata Consultancy Services January 2006 - February 2006
Skills
Web Services, Java Enterprise Edition, SOA, Core Java, SQL, EJB, JSP, Websphere, Spring, Struts, Design Patterns, J2EE, Weblogic, DB2, Hibernate, VSS, Requirements Analysis, Servlets, MyBatis, Apache CXF, Axis2, Ruby, .NET, Oracle, Oracle Spatial, Apache chemistry, Software Development
Education
Anna University 2001 — 2005
B.E, Computer Science, 72
WellCare February 2013 - Present
Universal Health Care 2011 - 2013
CVS Caremark Corporation 2007 - 2010
Cracker Barrel 1998 - 2006
Skills
Microsoft Office, SharePoint, Customer Service, Customer Engagement, Training, Training Delivery, Communication, Corporate Communications, Operations Management, Empowerment, Employee Training, Leadership, Call Center, Medicare, Medicare Advantage, Healthcare, HIPAA, HMO, Medicaid, Coaching, Management, Call Centers, Vendors, Insurance, Process Improvement, Health Insurance, Team Building, Access, Managed Care, Provider Relations, PPO, Medicare Part D, Claim, Data Analysis, Visio, Network Development, Software Documentation, Employee Benefits, Analysis, Healthcare Industry, Healthcare Information..., Outlook, Customer Satisfaction, Quality Assurance, Healthcare Consulting, Healthcare Management, Vendor Management, Health Policy, Medical Terminology, Customer Experience
Education
Ball State University
Florida Metropolitan University
WellCare Health Plans March 2014 - Present
WellCare November 2012 - January 2014
Star Health Plan March 2012 - October 2012
Apeldoorn June 1997 - October 2012
International Medical Development August 1996 - June 1997
Florida Hospital Healthcare Sysyem January 1994 - August 1996
Western Medical Management 1996 - 1996
AT&T Microelectronica Espana 1993 - 1994
Florida Hospital July 1990 - December 1993
Skills
Management Consulting, Marketing Strategy, Strategic Leadership, Executive Development, Invention, Product Innovation, Golf, Healthcare, Writing, Creative Writing, Graphic Design, Strategic Planning, Instructional Design, Golf Instruction, Contract Negotiation, Legal Affairs, Mechanism Design, Usability Testing, HMO, Managed Care, Change Management, Physician Network..., Network Development, Hospitals, Provider Network..., Business Strategy, Business Development, Healthcare Management, Business Planning, Physicians, Medicaid, Medicaid Managed Care, Leadership, Management, Process Improvement, Training
Education
Rollins College - Crummer Graduate School of Business 1991 — 1994
MBA, International Business
Southern Adventist University 1986 — 1990
BA, Accounting, Business Management
Ball State University 1984 — 1985
Transfered, Business
Mount Sinai Health System May 2014 - Present
Upper Manhattan Mental Health Center/ Bowen Center November 2013 - Present
Upper Manhattan Mental Health Center/ The Bowen Center October 2013 - Present
GoodTemps 2013 - 2013
Target 2011 - 2012
WellCare May 1997 - January 2004
CIGNA March 1990 - July 1998
Skills
Medical Billing, Medical Terminology, Accounting, Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, Data Entry, Human Resources, Outlook, Time Management, Employee Benefits, Retail, Access
Education
Manhattan Educational Opportunity Center 2013 — 2013
Electronic Health Records, Health/Health Care Administration/Management
Strive Inc. 2013 — 2013
certificates, Health Office Operations
Orange-Ulster BOCES-School of Practical Nursing 1996 — 1997
Computer Application and office works, Computer Programming
Combined Insurance United States July 2014 - Present
Combined Insurance November 2013 - July 2014
United American Insurance November 2012 - August 2013
Empire Heritage June 2010 - July 2012
WellCare 2012 - 2012
Combined Insurance Company of America January 2003 - April 2010
Skills
Training, Recruiting, Sales, Insurance, Disability Insurance, Life Insurance, Medicare, Accident, Mentoring, Agent Development, Coaching, Contract Negotiation, Contract Management, Contract Recruitment, Long-term Care, Sales Management, Health Insurance, Term Life Insurance, Fixed Annuities, Selling, Whole Life, Critical Illness, Cold Calling, Employee Benefits, Brokers, General Insurance, Workers Compensation, Universal Life, Long Term Care Insurance, Health Savings Accounts, Medicare Part D, Accident Insurance, Team Building, Managed Care
Education
Alfred State College - SUNY College of Technology 1999 — 2000
N/A, Social Sciences
Fairport High School 1996 — 1999
Diploma, N/A
WellCare July 2013 - Present
Rural Clinical Medicine 2006 - 2015
Coventry Health Care May 2012 - June 2013
Express Scripts July 2010 - May 2012
Humana April 2009 - July 2010
Humana October 2005 - April 2009
Excellus BCBS April 2002 - September 2005
Aetna Health Plans August 1999 - December 2002
Kaiser Permanente NE and Susquehanna Regional PHO June 1997 - July 1999
United Medical Associates of United Health Services 1994 - 1999
Skills
Utilization Management, Disease Management, Pharmacy Benefit..., Managed Care, Medicaid, Healthcare Management, Healthcare, HEDIS, HMO, Provider Relations, Healthcare Industry, Health Policy, Physicians, Clinical Research, Medicare, HIPAA, Medicine, Network Development, Clinical Trials, Informatics, Family Medicine, Healthcare Consulting, Quality Improvement, EHR, Healthcare Information..., NCQA, Physician Relations, Population Health, Utilization Review
Education
Binghamton University - School of Management 1997 — 1998
MBA, Healthcare
Wilson Family Practice Residency, United Health Services Hospitals 1992 — 1994
Active Certification, American Board Family Medicine
Everest University-Lakeland August 2011 - December 2013
WellCare October 2010 - August 2011
Walgreens July 2007 - October 2010
Skills
Pharmacy, Pharmacy Automation, Compounding, Medication Therapy..., Pharmacy Technicians, Pharmacists, HIPAA, Managed Care, Medical Terminology, Healthcare, Data Entry, Cpr Certified, Patient Safety, Pharmacology, Pharmacueticals, Medicare, Patient Education, Pharmaceutical Industry, IV
Education
Barry University - Dwayne O. Andreas School of Law 2013 — 2017
Doctor of Law (JD), Law
Polk State College 2006 — 2013
Bachelor of Applied Science (BASc), Business Administration and Management, General
Stantec May 2014 - April 2015
WellCare January 2008 - May 2014
Sweetbay Supermarket 2006 - 2008
American Marketing 2003 - 2006
Universal Screen Graphics 2001 - 2003
Kforce Inc. 1993 - 2000
Skills
Web Design, Photoshop, Dreamweaver, InDesign, Illustrator, Flash, Layout, Graphic Design, Photo Editor, Typography, Brand Development, Brand Awareness, Concept Design, Print Production Process, Logo Design, Creative Problem Solving, Creative Services, Event Management, Event Planning, Coordinating Events, Corporate Events, Illustration, Copywriting, Print Production, Pre-press, Advertising, Corporate Branding
Education
Art Institute of Atlanta 2000 — 2001
Web Design
Cengage Learning March 2014 - Present
Blue Cross Blue Shield of Michigan August 2012 - March 2014
Jackson National Life January 2012 - August 2012
WellCare August 2010 - January 2012
Cognizant Technology Solutions November 2007 - January 2012
Skills
Web Services, Agile Methodologies, Java Enterprise Edition, Message Oriented..., jQuery, Spring Framework, J2EE Application..., Java, Test Driven Development, SOA, SQL, XML, Oracle, J2EE, JavaScript, JMS, Ant, Maven, JSF, AJAX, Jasper Reports, JBoss, Sun Certified Java..., SCWCD, JAX-WS, Unix, Hibernate, Node.js, Spring Batch, OSGi, Primefaces, Spring, AngularJS, JBoss Application Server, Hadoop, Websphere, DB2, EJB, SOAP, Struts, WebSphere MQ, SDLC, JSP, Requirements Analysis, Microsoft SQL Server, Servlets, JDBC
Education
Anna University
Bachelor of Engineering (BE), Electrical, Electronics and Communications Engineering
WellCare Health Plans September 2014 - Present
WellCare April 2011 - Present
Travelers August 2007 - April 2011
Cognizant Technology Solutions August 2007 - May 2010
IncuBIT, LLC July 2006 - July 2007
Tata Consultancy Services (at American Express) 2001 - 2006
Skills
Data Warehousing, Data Modeling, Big Data, Replication Technologies, Hadoop, Greenplum, Databases, Solution Architecture, SDLC, SQL, Microsoft SQL Server, Informatica, Requirements Analysis, Database Design, ETL, PL/SQL, SSIS, DB2, Business Analysis, Enterprise Architecture, Business Intelligence, Oracle, SOA, Software Project..., Vendor Management, Visio, Tableau
Education
Electronic Research and Development Center of India 2000 — 2001
Diploma in Information Technology, Information Technology
Rajiv Gandhi Institute Of Technology 1996 — 2000
Engineer's Degree, First Class
RANK-Creative LLC 2012 - Present
FreightCenter February 2012 - May 2012
HCP & Associates June 2009 - January 2012
Quest Corporation of America April 2006 - March 2009
WellCare 2004 - 2006
Marketing Directory Services, Inc. 2001 - 2004
Godfrey Design & Advertising 2000 - 2000
Suncoast News 1996 - 1998
United States Marine Corps 1991 - 1995
Skills
Adobe Creative Suite, Creative Direction, Art Direction, Advertising, Graphic Design, Web Design, Web Development, Illustration, Social Media, Typography, Brochures, Layout, QuarkXPress, Dreamweaver, Graphics, Integrated Marketing, Mac, Flash, Newsletters, Pre-press, Corporate Identity, Leadership, Integrity, Team Leadership
Education
Continuing Education 1997 — 2009
Advertising and Marketing
Tampa Techinal Institute 1995 — 1996
AS, Commercial Art
Art Institute of Fort Lauderdale 1995 — 1995
Design and Visual Communications, General
International Correspondence Schools 1992 — 1994
Fine Art
Education Management Corporation January 2011 - Present
Dr. Elizabeth Jenkins, LMFT January 2010 - Present
Wellcare December 2008 - January 2011
South University January 2009 - January 2010
Evercare -United Health Group June 2007 - December 2008
ITT Educational Services, Inc. January 2007 - December 2008
United Behavioral Health 1994 - 2005
Skills
Training, Organizational..., Team Building, Managed Care, Teaching, Strategic Planning, Psychology, Leadership, Career Counseling, Employee Relations, Instructional Design, Customer Service, Mental Health, Human Resources, Non-profits, Time Management, Program Management, Employee Training, E-Learning, PowerPoint, Research, Management, Personal Development, Nonprofits
Education
Alliant International University-San Diego Scripps Ranch 1989 — 1993
PhD, Psychology
University of California, Riverside 1978 — 1980
BA, Psychology and Health & Society
California State University-San Bernardino
MS, Counseling Psychology
AlphaCare of New York, Inc. November 2014 - Present
WellCare April 2012 - November 2014
Neighborhood Health Plan November 2011 - April 2012
Neighborhood Health Plan July 2010 - November 2011
Skills
Provider Relations, HIPAA, Medicare, Credentialing, Managed Care, Healthcare, Network Development, Medicaid, HMO, PPO, Health Insurance, Insurance, Healthcare Industry, Healthcare Management, Healthcare Consulting, Provider Education, Claims Resolution, Provider Enrollment, Provider Network..., HEDIS, IPAs, Service Providers, Provider Networks, Cactus, MCOs
Education
Baruch College 2007 — 2009
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Queensborough Community College 2004 — 2007
Associate of Arts and Sciences (A.A.S.), Marketing/Marketing Management, General
Wellcare March 2010 - Present
Skills
Utilization Management, Utilization Review, Patient Safety, Home Care, Inpatient, Motivational..., Health Insurance, Nursing Education, Medical Case Management, Health Education, Quality Improvement, Clinical Supervision, Credentialing, Pharmacy Benefit..., Disease Management, Health Policy, Acute Care, Healthcare Management, Nursing, JCAHO, BLS, Medicare, Medicaid Managed Care, Behavioral Health, Medicaid, Provider Relations, Case Managment, Telemetry, Physician Relations, PPO, Hospitals, HIPAA, Healthcare Consulting, EMR, Managed Care, Group Therapy, ICD-9, Crisis Intervention, Healthcare, HEDIS, Medicare Part D, Ambulatory Care, Clinical Research, Medical Records, Medical Compliance, Network Development, Mental Health Counseling, Mental Health, HMO, Medical Coding
Education
Ashford University
Bachelor of Arts, Psychology
Onondaga Community College
RN program
The Guardian Life Insurance Company of America 2013 - Present
CDPHP 2011 - 2013
DentaQuest 2007 - 2011
CareCore National 2006 - 2007
CareCore National 2004 - 2006
Hopalong Cassidy Enterprises 2003 - 2004
WellCare 2000 - 2003
Skills
Provider Relations, Healthcare, Managed Care, Compliance, Health Insurance, Account Management, Managerial Experience, Contract Negotiation, Contract Management, Management, Process Improvement, HIPAA, Medicaid, Network Development, HMO, PPO, Recruiting, Healthcare Management, Employee Benefits, Healthcare Industry, Human Resources, Insurance, Medicare
Education
Ashford University
MA, Organizational Management Human Resources, Cumulative GPA 3.7
SUNY Empire State College
Bachelor of Science (BS), Business Administration
Freedom Health February 2013 - Present
WellCare June 2008 - February 2013
WellCare January 2006 - May 2008
ista North America November 2004 - January 2006
Skills
Data Analysis, Business Analysis, Medicaid, Access, Medicare, SAS, Business Intelligence, Analysis, SQL, Process Improvement, HIPAA, Data Warehousing, Visio, Software Documentation, SharePoint, SDLC, Project Management, Cognos, Requirements Analysis, Healthcare, Analytics, Databases
Education
University of Tennessee-Knoxville 2000 — 2002
MS, Computer Science
Imperial College London 1995 — 1996
MSc, Chemical Engineering
1990 — 1994
ST, Chemical Engineering
SMAK St Louis I 1987 — 1990
High School Diploma, A1
SMP YPPI I 1984 — 1987
WellCare August 2011 - Present
ManpowerGroup November 2010 - January 2011
ManpowerGroup August 2010 - October 2010
US Census Bureau April 2010 - June 2010
Community Trust Bank May 2005 - April 2010
Skills
Dependable Team Player, Hardworking, Always Punctual, Reliable, Managed Care, Work Ethic, Medicare, Customer Service, Medicaid, Health Insurance, HIPAA, Leadership, Healthcare Management, Time Management, Employee Benefits, Revenue Cycle, Healthcare, Healthcare Industry, Access, Team Building, Policy, Insurance, Long-term Care, Process Improvement, Claim, Call Centers, Marketing, Interviews, Software Documentation, Medical Billing, EHR, Medicare Part D, EMR, Outlook, Hospitals, Benefits Administration, Data Analysis, Provider Relations, Training, Medical Terminology, HMO, Networking, Medical Coding
Education
Marshall University 2008 — 2010
Master of Science (MS), Health Care Administration
Morehead State University 2002 — 2004
Bachelor of Business Administration (B.B.A.), Real Estate
Ashland Community and Technical College 1999 — 2002
Associate of Applied Science, Business Management
Russell High School 1995 — 1999
High School Diploma, Business Administration and Management, General
WellCare August 2013 - Present
. December 1996 - Present
St. Joseph's Candler 1986 - Present
Georgia AWHONN 2009 - 2011
St.Joseph's Candler June 2008 - February 2010
OB/Gyn Associates April 1991 - June 2000
Skills
Nursing, BLS, ACLS, Nursing Education, Certified Childbirth..., Healthcare, Nurses, Case Managment, Hospitals, Obstetrics, Patient Safety, Inpatient
Education
Armstrong State University 1984 — 1986
ADN, Nursing
Georgia Southern University 1974 — 1979
Master's Degree, MSEd and BS in education
Savannah High School 1970 — 1974
College preparatory curriculum
Aon Corporation August 2005 - Present
WellCare November 1999 - January 2005
Nirma Limited 1996 - 1999
Skills
Virtualization, Windows Server, Active Directory, Citrix, Windows Server 2003, Citrix Metaframe, Operating Systems, Windows, Troubleshooting, Windows Server 2008, XP, Group Policy, Scripting, Servers, VMware, VMware ESX, Data Center, Disaster Recovery, vSphere, DNS
Education
Visvesvaraya National Institute of Technology 1992 — 1997
BS
Visvesvaraya Technological University 1992 — 1996
BE
Bangalore University 1991 — 1996
BS
Aetna January 2015 - Present
WellCare August 2013 - January 2015
UnitedHealthcare Community & State April 2012 - July 2013
UnitedHealthcare Community Plan March 2010 - March 2012
Amerigroup Corporation December 2007 - March 2010
Easterday & Associates 2005 - 2010
State of South Carolina May 2005 - January 2008
Moore, Taylor and Thomas 1998 - 2003
Skills
Managed Care, Medicaid, Legislative Relations, Health Policy, Policy, Healthcare, Strategy, Medicare, Legislation, Healthcare Industry, Healthcare Consulting, Program Management, Provider Relations, Network Development, HMO, Leadership, Strategic Planning, Management, Process Improvement
Education
University of South Carolina School of Law 1996 — 1999
JD, Law
Bob Jones University
Bachelor of Science (BS), Finance, General
Dollar Tree Stores November 2012 - Present
Empire consulting service June 2011 - November 2012
Aflac Inc July 2008 - March 2009
WellCare May 2007 - March 2008
Goodwill Industries September 2002 - December 2006
Skills
Coaching, Data Entry, Microsoft Excel, Customer Service, Leadership, Training, Social Media, Management, Public Speaking, Strategic Planning, Account Management, Marketing, Team Building
Education
Ashford University
Healthcare Administration, Health/Health Care Administration/Management
New York College of Technology
XOR Data Exchange, Inc. February 2014 - Present
Gopher Academy 2013 - Present
Clarity Services, Inc. September 2008 - January 2014
GopherCon 2013 - 2014
WellCare March 2006 - September 2008
Group Voyagers, Inc March 2003 - February 2006
SusQTech June 2002 - March 2003
Avantium January 2002 - June 2002
Geneva Pharmaceuticals October 2000 - January 2002
Bid4Vacations.com November 1999 - October 2000
Skills
Go, Ruby on Rails, Ruby, System Architecture, Java, Web Applications, SQL, XML, Analytics, JavaScript, .NET, Git, Management, MySQL, OOP, Agile Methodologies, HTML, AJAX, Web Development, Start-ups, Software Development, SDLC, Data Warehousing, Architecture, Business Intelligence, Integration, Business Analysis, SharePoint, Leadership, Web Services, Microsoft SQL Server, Vendor Management, Agile Project Management, Business Process..., Requirements Analysis, Database Design, Software Project..., Enterprise Architecture, Team Building, Process Improvement, ASP.NET, Visio, Cloud Computing, Executive Management, IT Strategy, SOA, ETL, Risk Management, Entrepreneurship, Analysis
Education
Harvard University 2008 — 2013
American Intercontinental University 2002 — 2003
Bachelor of Applied Science (B.A.Sc.)
Cognizant Technology Solutions February 2014 - Present
Cognizant Technology Solutions January 2013 - Present
WellCare February 2012 - January 2013
Ultramatics June 2011 - February 2012
Wipro Technologies July 2010 - May 2011
Wipro Technologies January 2007 - May 2011
Ventuno Technologies April 2006 - December 2006
Infosys Technologies Ltd 2003 - 2006
Skills
SOA, WebSphere Application..., DB2, Middleware, WebSphere Message Broker, ESB, Software Project..., Integration, EAI, Websphere, Java Enterprise Edition, XML, Weblogic, WebSphere MQ, JMS, Web Services, WebSphere ESB, Oracle, HIPAA Compliance for..., Java, Solution Architecture, Software Quality..., HP Quality Center, WebSphere, SDLC
Education
Sri Chandrasekharendra Saraswathi Viswa Mahavidyalaya 1999 — 2003
BE, Computer Science and Engineering
UnitedHealth Group August 2015 - Present
HealthPlan Services May 2013 - August 2015
Auditz, LLC January 2012 - January 2013
WellCare July 2006 - January 2012
Arbitration Recoveries Mgt May 1996 - July 2006
Bristol West Insurance Group March 1999 - September 2001
Skills
Medicare, Medicaid, Managed Care, HIPAA, Healthcare, Process Improvement, Operations Management, Recovery Audit, Client-oriented, Fraud Detection, Access, Healthcare Information..., Data Analysis, Management, Revenue Cycle, Leadership, Healthcare Industry, Policy, Health Insurance, Healthcare Consulting, Insurance, Vendor Management
Education
Baldwin-Wallace College 1992 — 1994
Master of Business Administration (MBA), MBA
JSA Healthcare February 2015 - Present
Connolly Healthcare May 2013 - February 2015
Universal Health Care May 2012 - May 2013
Wellcare July 2006 - May 2012
FirstHealth/Coventry Healthcare 1996 - 2005
Skills
Analysis, Auditing, Budgets, Cross-functional Team..., Customer Service, Data Analysis, Finance, Financial Reporting, HMO, Health Insurance, Leadership, Managed Care, Medicaid
Education
American InterContinental University 2004 — 2006
Bachelor's degree, Health/Health Care Administration/Management
WellCare January 2012 - Present
WellCare October 2010 - January 2012
WellCare July 2008 - October 2010
Blue Cross Blue Shield of Kansas 2004 - March 2008
Blue Cross Blue Shield of Kansas 2000 - 2004
Blue Cross Blue Shield of Kansas 1997 - 2000
Blue Cross Blue Shield of Kansas 1995 - 1997
Skills
Medicaid, Medicare, HIPAA, Healthcare, Managed Care, Health Insurance, Process Improvement, Insurance, Healthcare Industry, Health Policy, Leadership
Education
American InterContinental University 2009 — 2010
BBA
Wichita State University
Certificate
Allen County Community College
AA
Wellcare Sr Consultantc.w. Costello & Associates, Inc.1994 - 2001
Skills
DB2, X12, PL/SQL, EDI, HIPAA, Business Analysis, SDLC, SQL, Healthcare, Systems Analysis, Vendor Management, Healthcare IT, Data Analysis, XML, User Acceptance Testing, COBOL, xengine, BizTalk
Education
Bentley University 1983 — 1987
Express Scripts March 2010 - Present
Amerigroup Corporation November 2008 - March 2010
Universal Health Care September 2007 - November 2008
WellCare June 2004 - August 2007
Skills
Call Center, Workforce Management, Capacity Planning, Medicare, Medicare Part D, Medicaid, Healthcare Management, Quality Assurance, Change Management, Performance Management, Customer Experience, Leadership Development, Outbound, Sales Operations, Long Term Care, Pharmacy Operations, Outsourcing Management, Budget Management, Project Implementation, Budgets, Business Process..., Call Center Development, Call Centers, Claim, Cross-functional Team..., Customer Satisfaction, Customer Service, Employee Benefits, Executive Management, Forecasting, HIPAA, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Inbound Marketing, Leadership, Management, Managed Care, Long-term Care, Operations Management, Outsourcing, Performance Improvement, Pharmacy Automation, Process Improvement, Provider Relations, Software Documentation, Pharmacy Benefit..., Time Management
Education
American InterContinental University 2010 — 2011
Master's Business Administration, HealthCare Management
American InterContinental University 2008 — 2010
Bachelor's Business Administration, Management
Catholic Health Initiatives August 2010 - Present
WellCare June 2008 - December 2009
United Healthcare July 1991 - June 2008
UnitedHealth Group 1991 - 2008
Southern Healthcare JV (UnitedHealth Group Int'l) 1996 - 1998
Skills
Business Strategy, Contract Negotiation, HIPAA, Health Insurance, Health Policy, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Healthcare Management, Hospitals, Insurance, Managed Care, Medicaid, Medicare, Network Development, Process Improvement, Strategy, Physician Relations, Provider Relations
Education
Baylor University - Hankamer School of Business 1984 — 1987
Ba, Business administration
WellCare May 2011 - Present
Promediate June 2003 - Present
WellCare January 2010 - May 2011
Orchard Pharmaceutical Services December 2007 - January 2010
NationsHealth February 2004 - June 2006
Health Net November 1993 - February 2004
Skills
Hospitals, Medicaid, Medicare, Healthcare Management, Healthcare, Mediation, Investigative Services, Litigation Management, Mail Order Pharmacy
Education
University of Miami School of Law 1990 — 1993
JD, Law
Alvernia College 1987 — 1990
Bachelor's degree, Criminal Justice/Law Enforcement Administration
Carecentrix July 2012 - Present
CareCentrix, Ancillary benefits manager January 2012 - October 2012
WellCare Health Plans, Inc. July 2011 - September 2011
WellCare Health Plans May 2006 - July 2011
WellCare June 2008 - August 2009
Gentiva Health Services May 1999 - February 2006
Shands Homecare 1995 - 1999
Skills
Certified in Health..., Health Policy, Managed Care, Medicare, Health Care Compliance, Medicaid, Disease Management, Utilization Management, Healthcare, Home Care, Medical Compliance, Cross-functional Team..., HIPAA, Clinical Research, Health Insurance, Healthcare Management
Education
Emory University 1978 — 1979
Master of Medical Science, Clinical Nutrition with Education minor
Florida State University
Bachelor of Science, Clinical Nutrition/Dietetics
Massachusetts General Hospital Dietetic Internship
Dietetics and Clinical Nutrition Services
ActiveHealth Management July 2010 - Present
WellCare October 2009 - August 2010
ActiveHealth Management November 2003 - December 2008
Skills
Program Evaluation, Team Leadership, Healthcare Management, Integration, Analysis, Case Managment, Healthcare, Coaching, Program Development, Program Management, Clinical Research, Leadership, Healthcare Information..., Management, Case Management, Disease Management, Medicare, Project Management, Public Health, Utilization Management
Education
American University 1974 — 1979
Wheeling Jesuit University 1972 — 1974
WellCare December 2012 - Present
Columbia United Providers October 2011 - November 2012
FamilyCare Health Plans March 2009 - August 2010
FamilyCare Inc December 2006 - March 2009
Evergreen Healthcare August 2000 - December 2006
Evergreen Healthcare August 2002 - November 2006
CPR Consultant LLC January 1996 - August 2002
Steele Memorial Hospital March 1999 - August 2001
Skills
Strategic Planning, Consulting, Contract Management, Program Management, Risk Management, Managed Care, Healthcare Information..., Healthcare, HIPAA, Medicare, Healthcare Management, Hospitals, EMR, Program Development, Training, Medicaid, Utilization Management, Quality Improvement
Education
American InterContinental University 2007 — 2008
MBA, Healthcare Management
American Intercontinental University 2005 — 2007
MBA, Health Care Management
LaGrange College 1982 — 1984
Associate, Nursing
Registered Nurse LaGrange College 1982 — 1984
MBA; BBA, Health Care Administration AIU; Health Care Administration AIU
WellCare February 2014 - Present
WellCare February 2013 - February 2014
Blue Shield of California February 2008 - February 2013
UC Davis Medical Center January 2006 - February 2008
Turtle Health Plan March 2004 - August 2005
Hoya Optical Laboratory June 2002 - March 2004
Vision Service Plan June 1997 - June 2002
First Health Corp November 1990 - June 1997
Skills
Microsoft Office, Contract Management, Microsoft Excel, Project Management, Contract Negotiation, Customer Service, Contractors, Project Planning, Budgets, Strategic Planning, Microsoft Word, Negotiation, Renovation, Process Scheduler, Procurement, PowerPoint, Program Management, Healthcare, Regulatory Requirements, Legal Compliance, Software Documentation, Management, Leadership, Policy, Business Process..., Healthcare Industry, Team Building, Training, Integration, Account Management, PMO, Recruiting, Vendor Management, Coaching
Education
Saint Mary’s College of California
Degree, Business Management
American River College
Degree, Liberal Studies
Ukiah High School 1988 — 1988
WellCare September 2006 - Present
WellCare Health Plans, Inc. 2006 - Present
Tech Data May 1991 - May 2006
Skills
Account Management, Direct Sales, New Business Development, Sales, Salesforce.com, Sales Management, Solution Selling, Marketing Strategy, Marketing, Product Marketing, Sales Process, Management, Selling, Strategy
Education
Art Institute of Fort Lauderdale 1982 — 1984
AS, Advertising Design
WellCare October 2007 - Present
Aflac 2015 - 2015
Aflac 2015 - 2015
Popular Club Plan 1999 - 2003
Standard Data Corporation 1978 - 1999
Skills
Strategic Planning, Team Building, Program Management, Team Leadership, Public Speaking, Leadership, Project Planning, New Business Development, Customer Service, Leadership Development, Management, Microsoft Excel, Training, Coaching, Community Outreach, Non-profits, Microsoft Office, Insurance, Sales, Healthcare, Recruiting, Human Resources, Business Development, Process Improvement, Employee Benefits, Analysis, Business Analysis, Marketing, Contract Negotiation, Access, Nonprofits
Education
Borough of Manhattan Community College 1975 — 1977
AAS, Data Processing
WellCare April 2010 - Present
Skills
SDLC, Program Management, Cross-functional Team..., Product Management, Requirements Analysis, Requirements Gathering, Visio, Data Warehousing, Business Analysis, Systems Analysis, SQL, Software Project..., PMP, Data Modeling, Training, Business Intelligence, SharePoint, Software Development, ETL, Vendor Management
Education
Alabama State University 1996 — 2000
Bachelor
Humana-American Eldercare March 2013 - Present
American Family IPA July 2012 - January 2013
American Family IPA August 2011 - July 2012
American Family IPA March 2011 - August 2011
Universal Health Care June 2008 - October 2010
WellCare March 2007 - May 2008
Amerigroup Florida February 2006 - February 2007
Skills
Case Managment, Managed Care, Medicaid, Utilization Management, Medicare, Healthcare, Healthcare Management, Home Care, HEDIS, NCQA, Long-term Care, Case Management, Disease Management, HIPAA, HMO, Health Insurance, Hospitals, Nursing, Provider Relations, Training
Education
Fortis Institute-Pensacola 2013 — 2015
Associate’s Degree, Registered Nursing/Registered Nurse
Eastern Illinois University 2003 — 2004
Master of Art, Gerontology
The University of Southern Mississippi 1996 — 2001
Bachelor of Science, Psychology
WellCare September 2011 - Present
American Community Mutual Insurance Company June 2000 - September 2011
Cummings, McClorey, Davis & Acho PLC February 1993 - June 2000
Skills
Claim, Arbitration, Analysis, Contract Management, Corporate Governance, Contract Negotiation, Employee Relations, Due Diligence, Health Insurance, HIPAA, Employment Law, Hearings, Healthcare, Legal Assistance, Legal Compliance, Insurance, Health Policy, Corporate Law, Litigation Management, Managed Care, Management, Mediation, Medicaid, Medicare, Negotiation, Policy, Strategic Negotiations, Litigation, Strategic Planning, Trials, Legal Research, Legal Writing, Underwriting
Education
University of Detroit Mercy School of Law 1989 — 1992
JD, Law
Albion College 1982 — 1986
BA, Chemistry; Economics & Management
WellCare April 2013 - Present
WellCare May 2006 - Present
CBCA 2002 - 2006
Cahaba GBA November 1988 - September 2001
Skills
Medicare, Provider Relations
Education
Armstrong Atlantic State University 1990 — 1993
Associate's degree, Respiratory Care Therapy/Therapist
Georgia Southern University - College of Business Administration 1984 — 1988
Bachelor of Business Administration (BBA), Finance, General
EDC June 2006 - Present
GlowPoint August 2004 - July 2005
WellCare June 2003 - June 2004
IP Enterprises, Inc. January 1999 - July 2002
Alpine Country Club April 1998 - March 1999
Charter Small Business Network June 1995 - November 1997
Skills
Microsoft Office, Access, Outlook, Human Resources, Visio, InDesign, Citrix, SharePoint, Microsoft Excel, Budgets, Program Management
Education
Bergen Community College 2011 — 2013
Associates, Computer Science
Berkeley University 1993 — 1995
Associates, Business Management
Cedarcroft LLC 2006 - Present
WellCare 2004 - 2006
Healthnet 1999 - 2004
Health Net 1999 - 2004
Skills
Strategic Planning, Managed Care, Team Building, Process Improvement, Health Insurance, Vendor Management, Quality Assurance, Executive Management
Education
Augustana College (SD)
Bachelor of Arts (BA), Political Science and Government
iGov October 2013 - Present
IGov April 2013 - October 2013
SAIC January 2012 - April 2013
Southbay Church July 2011 - October 2012
InScope Solutions July 2010 - March 2012
TEKsystems March 2010 - July 2010
Danka / Konica Minolta April 2008 - February 2010
Verizon November 2007 - May 2008
PharMerica August 2007 - November 2007
WellCare April 2006 - June 2007
Skills
Microsoft Exchange, Active Directory, Project Management, VMware, Data Center, Servers, IT Management, Systems Engineering, Disaster Recovery, SharePoint, Virtualization, Security, Cisco Technologies, ITIL, System Administration, Windows Server, DNS, Network Security, Enterprise Architecture, Integration, Security+, VMware ESX, IIS, Troubleshooting, Information Security, Blackberry Enterprise..., DHCP, Firewalls, Visio, Microsoft Certified..., Network Administration, VMware Infrastructure, Group Policy, TCP/IP, Windows, VBScript, Architecture, Server Architecture, Microsoft Technologies, Powershell, High Availability, WAN, IT Operations, Information Assurance, System Deployment, Requirements Analysis, Storage Area Networks, Microsoft SQL Server, NetApp, vSphere
Education
American Sentinel University 2006 — 2009
MSIS, Masters of Science Information Systems
Columbia College 2001 — 2006
BS, Computer Information Systems
WellCare May 2007 - Present
HSN April 2004 - April 2007
Seurat Company September 2000 - March 2003
Tech Data April 1994 - September 2000
Skills
Business Objects, Requirements Gathering, Business Analysis, Analytics, Data Warehousing, Process Improvement, Data Analysis, Business Intelligence, Business Process..., Visio, Call Center, Insurance, Access, Analysis, Business Process, Call Centers, Change Management, HIPAA, Healthcare Information..., Leadership, Managed Care, Medicaid, Medicare, Program Management, Requirements Analysis, Software Documentation
Education
Dominican University of California 1991 — 1993
MA, International Economics and Political Risk Assessment
Yangzhou University 1980 — 1984
BS, Mathematics
WellCare 2010 - Present
Fidelity Investments 2004 - 2010
CVS Health 2001 - 2003
Tata Consultancy services 1998 - 2000
Skills
SDLC, Requirements Analysis, Software Development, COBOL, Systems Analysis, Visio, Business Analysis, Data Warehousing, Integration, Unix, SQL, SharePoint, Vendor Management, Requirements Gathering, FTP, DB2, WebFOCUS, Cognos, JavaScript, HTML, Perl, Visual Basic, Oracle, Control M, HIPPA/ NCPCP/EDI, CMMI Level 5, Fund Accounting, Leadership, Medicare/Medicaid, Software Project..., Process Improvement
Education
Birla Institute of Technology and Science, Pilani 1998 — 2000
M.S, Software systems, Honors
University of Madras 1994 — 1998
B.E, Electronics and communication, Honors
Citi February 2011 - Present
AstraZeneca Pharmaceuticals November 2009 - January 2011
McKesson August 2009 - January 2010
AstraZeneca Pharmaceuticals May 2007 - May 2009
WellCare December 2005 - May 2007
AstraZeneca Pharmaceuticals December 2003 - November 2005
Various May 1998 - November 2003
Skills
Analytics, Business Intelligence, SDLC, Business Analysis, Software Project..., Agile Methodologies, SQL, SAS, Predictive Modeling, Risk Management
Education
Bangalore University 1991 — 1995
BS, Electrical Engineering
NYC Health and Hospitals Corporation December 2011 - Present
HHC March 2006 - April 2012
WellCare January 2006 - March 2006
Healthfirst 2001 - 2006
Walong Marketing 1998 - 2000
Perdue Farms January 1993 - December 1997
Skills
Health Insurance, Physician Relations, Process Improvement, Operations Management, Sales Management, Marketing, Marketing Strategy, New Business Development, Sales Channel..., Data Analysis, Competitive Analysis, Business Process..., Managed Care, Healthcare finance, Healthcare finance -..., Referral Development -..., Referral - Intake..., Healthcare, Medicare, Business Analysis, Medicaid, HIPAA, Hospitals, Team Building, Provider Relations, Project Management, Healthcare Management, Health Policy, Management, Healthcare Information..., Network Development, Recruiting, EMR, Credentialing, Quality Improvement, Performance Improvement, Health Information..., Community Outreach, Leadership, Insurance, Cross-functional Team..., Change Management, Training, Analysis, Ambulatory, Organizational..., Business Intelligence, Leadership Development, Healthcare Industry, Revenue Cycle
Education
Baruch College, City University of New York (CUNY) 1988 — 1993
BBA, Marketing, CIS
Emdeon November 2014 - Present
Medical Audit Solutions, Inc. February 2004 - September 2014
CareCentrix August 2012 - November 2012
Quality Health Plans January 2010 - December 2011
Citrus Health Plans January 2009 - January 2010
Amerigroup Corporation February 2004 - October 2008
WellCare 2000 - 2004
Skills
Contract Negotiation, Health Insurance, Microsoft Office, Healthcare, Excel, Medicare, Compliance, Managed Care, Auditing, Process Improvement, Word, Strategic Planning, PowerPoint, Claims, Data Analysis, Problem Solving, Hospitals, Negotiation, Documentation, Billing, Outlook
Education
AAPC - American Association of Professional Coders 2007 — 2008
Certification - CPC - Certified Professional Coder, Medical Insurance Coding Specialist/Coder, Passed Exam for Certification
Univeristy of Central Florida 2006 — 2006
Certificate, Legal Nurse Consultant, 4.0
University of Tampa 1992 — 1994
Bachelor's of Science Degree, Nursing
Allegany College of Maryland 1981 — 1984
AA Degree, Nursing
WellCare June 2012 - Present
Kimberly Yau Studios January 2010 - Present
Hillsborough County August 2011 - May 2012
Hillsborough County September 2008 - August 2011
Hillsborough County March 2007 - September 2008
WellCare January 2006 - February 2007
WellCare July 2005 - December 2005
WellCare December 2004 - June 2005
Skills
Word, Photoshop, Excel, PowerPoint, Access, Web Design, Microsoft Office, SQL, Statistics, Visio, Supervisory Skills, CSS, Outlook, Blogging, Photography, Management, Training, Research, Social Media, Microsoft Excel, Customer Service, Databases, Microsoft Word
Education
University of South Florida 2006 — 2008
Master of Arts (M.A.), Library and Information Science, 3.9
Florida State University 2000 — 2001
Bachelor of Arts (B.A.), Fine and Studio Arts
Agnes Scott College 1997 — 2000
Fine and Studio Arts
WellCare June 2010 - September 2010
Open Systems Technologies July 2007 - June 2010
Veredus January 2006 - June 2007
Skills
LoadRunner, Quality Center, QTP, Quality Assurance, Automation, Testing, Agile, Requirements Analysis, SQL, Test Automation, Java, Project Management, SDLC, Microsoft SQL Server, Vendor Management, Management, Business Analysis, Enterprise Software, Integration, Visio, Consulting, Software Project..., Business Process, Enterprise Architecture
Education
Metropolitan State University of Denver 1993 — 1995
B.S., Management/Health Care Management
Arapahoe Community College 1987 — 1989
A.A.S., Medical Laboratory Technology
Dade Medical College April 2012 - Present
Primary Healthcare Centers July 2011 - Present
WellCare September 2010 - July 2011
Legacy Marketing Partners August 2008 - September 2010
Skills
Public Speaking, Healthcare Management, Healthcare, Event Planning, Social Networking, Medicare, Social Media Marketing, Marketing Strategy, Public Relations, Customer Service, Team Building, Social Media, Entrepreneurship, Microsoft Excel, Hospitals, Leadership Development, Leadership, Management, Managed Care, Business Development, Training, Strategic Planning, Marketing Communications, Recruiting, Healthcare Consulting, Budgets, Account Management, Project Planning, Human Resources, New Business Development, Health Policy, Physicians, Marketing, Executive Management, Medicaid, Organizational..., Fundraising, Insurance, Provider Relations, Strategy, Coaching, Network Development, Sales, Staff Development, Nonprofits, Healthcare Industry, Program Management, Microsoft Office, Contract Negotiation, Physician Relations
Education
Miami Dade College 1998 — 2010
AA, Music or Music Education
Berklee College of Music 2000 — 2001
WellCare January 2012 - December 2012
AvMed Health Plans January 1996 - January 2012
AvMed Health Plans 1996 - 2010
Skills
Healthcare, Utilization Management, Disease Management, Strategic Planning, Medicare, Quality Management, Audit & Compliance, Training, Managed Care, Health Policy, Hospitals, Medicaid, Provider Relations
Education
University of Pennsylvania 1987 — 1990
MSN, Nursing Administration
Bloomsburg University of Pennsylvania 1981 — 1985
Bachelor of Applied Science (BASc), Registered Nursing/Registered Nurse
WellCare 2007 - Present
Lutheran Family Health Centers Network 1997 - Present
Chinese American Planning Council 1992 - 2007
Skills
Provider Relations, Managed Care, Community Outreach, Program Management, Healthcare Management, Healthcare, Health Insurance, Healthcare Industry, HIPAA, Policy, Long-term Care, Medicaid, Medicare, Insurance, HMO, Network Development, Health Policy, Healthcare Consulting
Education
University of Hawaii at Manoa 1988 — 1990
Master of Education (MEd)
Beijing Foreign Studies University 1981 — 1985
Bachelor of Arts (B.A.)
Systems Made Simple, A Lockheed Martin Company April 2015 - Present
WellCare August 2011 - April 2015
HMSA December 2010 - August 2011
Life Time Fitness November 2007 - December 2010
Oracle April 2007 - November 2007
United Health Care November 2005 - April 2007
Northwestern Mutual April 2001 - June 2005
Xerox October 1999 - March 2001
Skills
SDLC, Software Documentation, Unix, Databases, Software Project..., Process Improvement, Servers, Visio, Quality Assurance, ITIL v3 Foundations..., Release Engineering, Configuration Management, Change Management, Software Development
Education
Baker College of Flint 2013 — 2016
Masters, Management of Information Systems
Milwaukee School of Engineering 1984 — 1995
AAS, MIS
Troy University 2003 — 2005
Master of Science2005, International Relations and Affairs
University of Wisconsin-Milwaukee 1987 — 1992
Bachelor's degree, International Relations and Affairs
Freedom Health May 2014 - Present
Nielsen Media Research August 2013 - February 2014
WellCare August 2011 - June 2013
Florida Department of Health August 2008 - May 2011
ACS Inc. (Affiliated Computer Services) July 2007 - August 2008
Skills
Active Directory, Servers, VMware, Troubleshooting, Security, Technical Support, Hardware, Networking, Software Installation, Access, Backup Exec, Enterprise Software, Infrastructure, Business Analysis, SQL, Testing
Education
Barry University 2007 — 2009
BS, Information Technology
The Outsource Group, a Parallon company January 2015 - Present
Roadmaster Trucking, Inc May 2013 - Present
WellCare February 2010 - November 2011
Sherman Pediatrics at Sunnyside April 2005 - February 2010
Orquin Vertical & Horizontal Blind December 1999 - July 2002
Skills
Proficient in Microsoft..., Proficient in hospital..., Medicaid, Business Development, Healthcare Industry, Healthcare Management, Medicare, HIPAA, Managed Care, Customer Service, Insurance, Training, Process Improvement, Healthcare, Management, Documentation, Policy, Access, Hospitals
Education
Technology University of Pereira 1995 — 1999
Industrial Technology, Graduated in Industrial Technology
La Guardia Community College
Business Administrator
Universidad Tecnológica de Pereira
Industrial Technology
Tennessee State University Alumni Association - Chicago Chapter October 2013 - Present
Wellcare Health Plans April 2012 - Present
Columbian Financial Group November 2010 - December 2011
WellCare 2007 - 2009
Skills
Customer Service, Sales, Public Speaking, Direct Sales, Strategic Planning, Event Planning, Selling, Negotiation, Coaching, Outlook, Insurance, Small Business, Marketing, Marketing Strategy, Healthcare, Recruiting, Contract Negotiation, Competitive Analysis, Lead Generation, Sales Management, Cross-functional Team..., Cold Calling, Training, Leadership, Team Building, Account Management, Management, Long-term Care, Customer Retention, Employee Benefits, Customer Satisfaction, Business Development, Budgets, Call Centers, Managed Care, CRM, Leadership Development, Networking, Medicare, Sales Operations, Salesforce.com, New Business Development, Team Leadership
Education
American InterContinental University 2011 — 2014
Master of Arts (M.A.), In progress
Tennessee State University 1980 — 1984
BS, Speech Communications & Theatre
HealthPlus/Amerigroup a WellPoint Company March 2014 - Present
WellPoint, HealthPlus /Amerigroup September 2011 - March 2014
Amerigroup September 2010 - August 2011
WellCare May 2009 - August 2010
Skills
FIDA program, Managed Care, Healthcare, Health Insurance, Medicare, Medicaid, HIPAA, Strategic Planning, Hospitals, Provider Relations, Healthcare Industry
Education
Baruch College
Bachelor of Business Administration (B.B.A.), Marketing/Marketing Management, General
Health Integrated, Inc. May 2015 - Present
WellCare Health Plans July 2013 - February 2015
WellCare November 2011 - June 2012
IBM Global Services June 2010 - May 2011
Hewlett-Packard June 2006 - June 2010
Education
Anna University
WellCare
Skills
Medicare, Health Insurance, Managed Care, Medicare Part D
Education
Georgia State University 1998 — 2001
Therapeutic Recreation/Recreational Therapy
Atlanta Metropolitan College
Emergency Medicine Physicians February 2015 - Present
AmeriWound, LLC March 2014 - January 2015
Radisphere June 2011 - March 2014
Molina Healthcare November 2010 - June 2011
WellCare October 2007 - July 2010
Centene Corporation March 2005 - February 2007
Skills
Managed Care, Health Insurance, Physicians, Provider Relations, Medicare, Medicaid, Hospitals, Credentialing, Network Development, NCQA, HIPAA, Physician Relations, HMO, PPO, Healthcare Consulting, Healthcare Management, Healthcare Industry, Process Improvement, Revenue Cycle, Management
Education
Ashford University 2005 — 2007
Bachelors, Organizational Management
The University of Akron 1995 — 1997
Sociology
University of Mount Union 1994 — 1995
English/Language Arts Teacher Education
UnitedHealthcare December 2011 - Present
Vohra Wound Physicians September 2010 - November 2011
Chillozone LLC 2009 - September 2010
WellCare 2003 - 2009
Physician Practice 2001 - 2003
Blue Cross Blue Shield of Florida 1990 - 2001
Equicor Health Plan 1989 - 1990
Blue Shield of Idaho 1987 - 1989
Skills
Managed Care, Medicaid, Provider Relations, Healthcare, Medicare, HMO, Health Economics, Health Insurance, HIPAA, Healthcare Management, Health Policy, Healthcare Consulting, Financial Analysis, Managerial Finance, Healthcare Information..., Physicians, Network Development, Strategic Planning, Business Intelligence, Hospitals, Business Strategy, Financial Risk, Medicine, Economics, Healthcare Industry
Education
University of Central Florida 1997 — 1999
Masters
Boise State University 1985 — 1987
Bachelors
UnitedHealth Group July 2014 - Present
WellCare April 2012 - June 2014
Delaware North Companies March 2011 - March 2012
Stampede Presentation Products March 2010 - March 2011
M&T Bank October 2007 - March 2010
Ingram Micro June 2006 - August 2007
Skills
Sales, Sales Management, Sales Presentations, Sales Operations, Competitive Analysis, Account Management, Process Improvement, Customer Service, Microsoft Office, Outlook, Microsoft Excel, Microsoft Word, Salesforce.com, Forecasting, QlikView, Leadership, Team Leadership, Lead Generation, Events Coordination, Presentations, Networking, Management, Time Management, Agent Recruitment, Recruiting, Computer Proficiency, Healthcare Compliance, Healthcare Marketing, Compliance Management, Regulatory Compliance, Business Ethics, Community Outreach, Communication, Community Engagement, Medicare, Training, Healthcare, Team Building, Health Insurance, Strategic Planning
Education
Medaille College 2007 — 2009
Bachelor of Business Administration (BBA), Bachelor of Science Business Administration
Alfred University 2004 — 2006
Business Administration and Management, General
Niagara County Community College 2002 — 2006
Associate's degree, Business Administration and Management, General
Publix Super Markets May 2014 - Present
Independent Contractor 2007 - May 2014
WellCare 2009 - 2011
Publix Supermarkets 2009 - 2010
Phoenix Marketing International 2005 - 2007
Synergistics Research 2003 - 2004
PSI/TowerGroup 2001 - 2003
Bank of America 1997 - 2000
Skills
Market Research, Marketing Research, Customer Insight, Brand Development, Analytics, Marketing Strategy, Competitive Intelligence, Segmentation, New Business Development, B2B, Management, Marketing, Market Analysis, Strategic Planning, Data Analysis, Competitive Analysis, Direct Marketing, SPSS, Research, Marketing Communications, Integrated Marketing, Packaging, Web Strategy, Qualitative Research, Online Marketing, Quantitative Research, Customer Service, Market Intelligence, Writing, Trend Analysis, Retail, Healthcare, Consumer Insights, Focus Groups, Direct Mail, Customer Relations, User Experience UX
Education
The University of Georgia 2014 — 2015
Certificate, Principles of Market Research
Winthrop University
M.B.A., Business/Marketing
Belmont Abbey College
BA, Business Administration
Visisting Nurse of New York August 2014 - Present
WellCare May 2013 - Present
Visiting Nurse Service of New York January 2001 - April 2013
Convent Avenue Family Center 1995 - 2000
Skills
Spanish, Medicare, Office Equipment, Filing, HIPAA, Customer Service, Medicaid, Administrative..., Case Management, Data Entry, Healthcare, Healthcare Information..., Home Care, Managed Care, Medical Terminology, Administrative..., Hospitals
Education
Borough of Manhattan Community College 1986 — 1990
Associate's degree, Early Childhood Education
CareCentrix June 2014 - Present
SplendTek Inc May 2012 - Present
WellCare October 2013 - May 2014
Polaris Financial Technology Limited April 2011 - May 2012
Cognizant Technology Solutions August 2004 - July 2010
Skills
Project Management, New Business Development, Business Analysis, Testing Services, IBM Mainframe, ETL Tools, Databases
Education
Bharathiar University 1999 — 2003
Computer Engineering
Pasco County Government July 2015 - Present
WellCare January 2007 - June 2015
Empire Blue Cross and Blue shield January 2000 - April 2002
Skills
Customer Service, Microsoft Excel, English, Outlook, PowerPoint, Microsoft Word, Microsoft Office, Research, Windows
Education
Benes International School of Beauty 2004 — 2005
Cosmetology
Albany High School 1994 — 1998
High School diploma
AST Corporation April 2015 - Present
AST Corporation March 2012 - April 2015
SAIC September 2011 - March 2012
WellCare April 2011 - August 2011
Gevity/Trinet 2006 - 2011
Ceridian November 1999 - August 2006
University of South Florida May 1998 - October 1999
Skills
Oracle E-Business Suite, Oracle, PL/SQL, Data Warehousing, Requirements Analysis, SQL, Oracle HR, Requirements Gathering, ETL, Databases, Oracle Discoverer, Oracle Reports, Financials, Business Intelligence, Oracle Applications
Education
Andhra University
BE, Mechanical Engineering
Jawaharlal Nehru Technological University
MS, Mechanical Engineering
WellCare October 2013 - Present
WellCare January 2011 - October 2013
WellCare November 2009 - January 2011
WellCare March 2008 - November 2009
Medero Medical November 2007 - March 2008
University Community Hospital November 2004 - August 2007
Skills
Medicare, Process Improvement, Insurance, HIPAA, Healthcare Compliance, Medicaid, Healthcare, Compliance Audit, Internal Audit, Auditing, Managed Care, Health Insurance, Analysis, Medicare Part D, Management, Medical Compliance, Healthcare Industry, Healthcare Management, Internal Controls, Health Policy, Financial Risk, Quality Auditing, Provider Relations, Sarbanes-Oxley Act, Enterprise Risk..., Risk Assessment, Sarbanes-Oxley
Education
American InterContinental University 2007 — 2009
Master of Business Administration, Healthcare Management
University of South Florida 2003 — 2007
Bachelor of Arts, Communications
SC Solutions March 2013 - October 2013
United Healthcare July 2012 - March 2013
Universal Healthcare August 2010 - June 2012
WellCare August 2007 - August 2010
Carolina Care Plan 2004 - 2007
Skills
Contract Negotiation, Strategic Planning, Network Development, Provider Relations, Medicaid, Medicare, Managed Care, Health Insurance, HMO, Healthcare Management, Healthcare, HIPAA, Health Policy, Insurance, Process Improvement, Team Building, Healthcare Information..., Medicare Part D, Healthcare Consulting, Leadership, Software Documentation, Executive Management, Hospitals, EMR, Healthcare Industry, EHR, Credentialing, PPO, Quality Improvement, Physicians, Physician Relations, Claim, Revenue Cycle, Practice Management, Medical Coding, Informatics, Revenue Cycle Management
Education
SUNY at Buffalo 1991 — 1993
MBA, Healthcare Systems Management
Allegheny College 1987 — 1991
BA, Psychology
Humana March 2013 - Present
APS Healthcare July 2010 - November 2011
WellCare March 2008 - August 2009
Wyeth Pharmaceuticals August 2005 - August 2008
Bryant & Stratton College March 2003 - August 2005
Skills
Contract Negotiation, CRM, Business Development, Provider Relations, Provider Network..., Managed Care, Medicare Advantage, Health Insurance, HIPAA, Medical Coding, Medical Billing, Process Improvement, Physician Relations, Dispute Resolution, Account Management, Microsoft Office, Accountable Care, Code Edits, Healthcare
Education
Bloomsburg University of Pennsylvania
Bachelor's Degree, Biology, General, 3.20
University of Tennessee-Knoxville
Master of Business Administration (M.B.A.), Strategic Planning & Marketing, 3.50
MetroPlus Health Plan January 2014 - Present
MetroPlus Health Plan January 2013 - January 2014
MetroPlus Health Plan November 2010 - January 2013
WellCare 2007 - 2010
MetroPlus Health Plan 2005 - 2007
MetroPlus Health Plan 2004 - 2005
JPMorgan Chase 2003 - 2004
Skills
Consumer Healthcare, Marketing Strategy, Demographic Analysis, Corporate Branding, Sales Operations, Analytics, Managed Care, Strategic Planning, Medicare, Medicaid, Marketing, Leadership, Insurance, Hospitals, Healthcare Management, Healthcare Industry, Health Insurance, Business Development, Account Management
Education
Lincoln University 1999 — 2003
Bachelor of Arts (B.A.), Business Administration and Management, General
Baruch College
Continuing Education, Marketing
WellCare November 2009 - Present
UnitedHealthcare December 2007 - November 2009
Northside Hospital September 2001 - December 2007
Education
Andrews University 1982 — 1985
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Oakwood College 1981 — 1982
Datafile March 2013 - Present
Firstsource Solutions, USA 2009 - 2011
, Marketing Communications Group, Atlanta, GA June 2007 - July 2009
WellCare 2004 - 2005
Skills
Accounting, Financial Analysis, Process Improvement, Logistics, Invoicing, Employee Benefits, Medicaid, Account Reconciliation, Customer Satisfaction, Human Resources, CRM, Project Management, Program Management, Hospitals, Outlook, Insurance, Microsoft Excel, General Ledger, Access, Customer Service, Marketing, Call Centers, PeopleSoft, Leadership, Accounts Receivable, Data Entry, Analysis, Health Insurance, Medicare, Auditing, Banking
Education
Ashford University 2012 — 2014
Ashford University 2010 — 2012
Associate's degree, Business Administration and Management, General
Optum October 2012 - Present
Optum April 2010 - October 2012
Health Plan Services April 2009 - April 2010
WellCare November 2007 - April 2009
Skills
Wellness Coaching, Leadership, Time Management, Cross-functional..., Employee Benefits, HIPAA, Customer Service, Case Managment, Microsoft Office, Child Development, Medicare, Leading Virtual Teams, Healthcare Industry, Healthcare Improvement, Professional Mentoring, Change Management, Crisis Management, Substance Use Disorders
Education
Amberton University 2014 — 2017
Master of Business Administration (MBA), Project Management
Cambridge College 1993 — 1995
Master of Education (MEd), Marriage and Family Therapy/Counseling
Boston University 1988 — 1992
Bachelor of Arts (B.A.), Psychology
WellCare January 2012 - Present
State Farm June 2011 - November 2011
Coventry Health Care November 2010 - June 2011
Towers Watson January 2009 - October 2010
Skills
SharePoint, SSRS, T-SQL, Microsoft Office..., C#, ASP.NET, InfoPath Forms, Windows Sharepoint..., Workflow, C++ Language, HTML, CSS, JavaScript, XML, Microsoft SQL Server, Business Intelligence, TFS, SDLC, .NET, SQL Server Management..., SharePoint Server, PowerPivot, SQL, Web Services, Integration
Education
Stratford University 2009 — 2010
Master's degree, Computer Engineering
NJIT 2008 — 2009
Master's degree, Electrical and Electronics Engineering
Nagarjuna University 2004 — 2008
Bachelor of Technology (B.Tech.), Electrical, Electronics and Communications Engineering
WellCare February 2012 - September 2012
Allstate April 2009 - February 2012
JPMorgan Chase June 2007 - March 2009
Skills
Property & Casualty..., life, accident & health..., Administrative..., Bilingual-English/Spanis..., Microsoft Office, Microsoft Excel, Microsoft Word, Marketing Management, Marketing Strategy, Cash Handling Experience, Travel Planning, Travel Arrangements, Customer Retention, Customer Service, Building Strong..., Prospecting New Clients, Customer Satisfaction, Problem Solving, Event Planning, Coordinating Special..., Closing Candidates, Exceed Sales Goals, Public Relations, Banking, Negotiation, Insurance
Education
Baruch College 2009 — 2013
Laguardia Community College 2005 — 2008
Associate of Arts and Sciences (AAS), Business Administration and Management, General
MCCI January 2013 - Present
MCCI Group Holdings, LLC October 2011 - December 2012
CIGNA Healthcare Inc November 2009 - October 2011
Humana May 2008 - November 2009
Humana November 2007 - May 2008
WellCare November 2005 - November 2007
Blue Cross and Blue Shield of Florida May 2004 - November 2005
Blue Cross and Blue Shield of Florida February 2003 - May 2004
Blue Cross and Blue Shield of Florida August 2001 - January 2003
Blue Cross and Blue Shield of Florida June 1999 - January 2003
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, Provider Relations, Medicaid, Medicare, Physicians, Credentialing, Healthcare, Healthcare Management, Network Development, Healthcare Industry, Health Policy, Recruiting, Managed Care
Education
American InterContinental University
Associate of Arts (A.A.), Business Administration and Management, General
Centerlight Health System July 2015 - Present
Central Radiology, PC June 2004 - Present
Distinguished Diagnostic Imaging, P.C. June 2012 - Present
WellCare April 2010 - March 2014
Vegas Treatment, PC November 2009 - March 2010
L & Y Medical, PC January 2002 - June 2004
Skills
Microsoft Office, Quick Practice, Medisoft, Medical Manager, MDLand, EPaces, Invoicing, Medical Coding, EMR, Medical Billing, Medical Records, Medical Terminology, HIPAA, Medicaid, Medicare, ICD-10, CMS, ICD-9, CPT, Credentialing, Claim, Insurance
Education
Queens College 2001 — 2003
Certificate, Medical Insurance Billing and Patient Accounts Certificate
Borough of Manhattan Community College
Bachelor of Science (BS), HIT