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
UnitedHealth Group September 2012 - Present
WellCare July 2010 - August 2012
WellCare July 2009 - June 2010
Skills
Managed Care, Medication Therapy..., Pharmacy, Healthcare, Healthcare Industry, Pharmaceutical Industry, Quality Improvement, Medicare Part D, Medicare, Utilization Management, Microsoft Office, Medicaid, Pharmacy Benefit...
Education
University of Florida 2003 — 2009
PharmD
Lockheed Martin June 2013 - Present
Lockheed Martin 2012 - 2013
University of Central Florida May 2010 - June 2012
WellCare August 2007 - August 2008
Skills
FPGA, Electrical Engineering, Circuit Analysis, Programming, Electrical..., Analog Circuits, Mixed Signal Board...
Education
University of Central Florida 2009 — 2013
Bachelor of Science (BS), Electrical and Electronics Engineering
University of Florida 2000 — 2006
Bachelor of Arts (B.A.), English Literature (British and Commonwealth)
Freedom Health May 2014 - Present
Simply Healthcare April 2012 - May 2014
Florida Investment Partners Real Estate October 2009 - January 2014
Lifesolutions Insurance February 2009 - January 2013
Physicians United Plan September 2011 - April 2012
Coventry Health Care September 2009 - September 2011
WellCare July 2007 - February 2009
Dolly's Dockside January 2000 - August 2005
Skills
Employee Benefits, Marketing, Health Insurance, Managed Care, Medicaid, Real Estate, Management, Account Management, Contract Negotiation, Budgets, Sales, Healthcare Management, Sales Management, Term Life Insurance, Disability Insurance, Public Speaking, Provider Relations, Life Insurance, Business Development, Strategy, Marketing Strategy, Customer Service, Selling, Healthcare, Insurance
Education
University of Central Florida
Business, Management, Marketing, and Related Support Services
University of Central Florida
Marketing/Marketing Management, General
gregmarion.com September 2010 - Present
WellCare May 2009 - Present
Skills
Medicare, Healthcare, Managed Care, Utilization Management, Healthcare Management, Disease Management, HIPAA, Hospitals, Healthcare Information..., EMR, Provider Relations, Inpatient, Process Improvement
Education
University of Hawaii Maui College 2000 — 2004
WellCare Health Plans December 2014 - Present
WellCare September 2013 - December 2014
Women's and Children's Hospital 2011 - 2012
Skills
Healthcare Information..., Healthcare Management, Marketing, Medicare Advantage, Health Information..., EHR, ICD-9-CM, ICD-10, Hospitals, Medical Records, Software Documentation, EMR, Medical Terminology, HIPAA, ICD-9, Medical Coding, CPT
Education
University of Louisiana at Lafayette 2007 — 2013
Bachelor of Science (B.S.), Health Information/Medical Records Administration/Administrator
Accreon Inc. April 2013 - Present
UnitedHealth Group April 2011 - April 2013
Orion Health August 2006 - April 2011
ACS a Xerox Company January 2005 - July 2006
WellCare January 2004 - November 2004
Bluegrass Family Health June 2001 - December 2003
Health Management Services December 1997 - May 2001
BlueCross BlueShield of Tennessee April 1996 - November 1997
Humana May 1994 - August 1994
Skills
HL7, Health Information..., Business Intelligence, SQL, Project Management, Microsoft SQL Server, Informatics, SDLC, Integration, Healthcare Information..., Software Project..., Business Analysis, Access, DB2, Change Management, Data Warehousing, XML, Sybase, Oracle, Tableau, Requirements Analysis, SOA, Product Management, Visio, Software Documentation
Education
University of Kentucky 1998 — 1999
MBA, Concentration in Management Information Systems
University of Kentucky 1991 — 1995
Bachelor of Business Administration (B.B.A.), Finance, General
WellCare May 2013 - Present
Humana December 2012 - May 2013
Universal Health Care September 2011 - December 2012
WellCare April 2010 - September 2011
WellCare February 2009 - April 2010
WellCare June 2008 - February 2009
Skills
Managed Care, Medicare, Medicaid, Provider Relations, HMO, Health Insurance, Medicare Part D, Network Development, HIPAA, Insurance, Health Policy, Claim, Healthcare Industry, Healthcare, Revenue Cycle, Utilization Management, Healthcare Information..., Long-term Care, PPO, Physicians, Workers Compensation, Software Documentation, Healthcare Consulting, Medical Compliance, Medical Billing, Hospitals, Employee Benefits, Disease Management, Medicare/Medicaid..., Healthcare Management, Data Analysis, Call Centers, Physician Relations, Process Improvement, EMR, Pharmacy Benefit..., Credentialing, Access, Healthcare Reimbursement, Claims Management, EHR
Education
University of Florida
BS, Community Science, Business Administration, Leadership
Merrill Lynch July 2015 - Present
Merrill Lynch October 2013 - July 2015
Wellcare October 2011 - October 2013
Skills
Microsoft Word, Microsoft Excel, Outlook Express, Salesforce.com, Cactus, Sidewinder, Emptoris, Microsoft Powerpoint, OmniFlow, Social Media, PowerPoint, Data Analysis, Sales, Advertising, Recruiting, Research, Outlook, New Business Development, Social Networking, Time Management, Management, Marketing, Social Media Marketing, Microsoft Office
Education
University of Delaware 2007 — 2011
Bachelor of Arts (B.A.), International Relations
WellCare July 2012 - Present
Freedom Health September 2010 - June 2012
WellCare 2009 - 2010
WellCare 2006 - 2009
WellCare 2004 - 2006
Skills
Regulatory Affairs, Medicaid Managed Care, Medicaid, Medicare, Medical Compliance, Managed Care, Health Policy, Medicare Advantage
Education
University of Central Florida 2000 — 2002
Bachelor of Science (B.S.), Health Services Administration
Home August 2013 - Present
WellCare February 2008 - August 2013
AIDS Healthcare Foundation/Positive Healthcare June 2005 - February 2008
DaVita February 1999 - June 2005
Olsten Health Services/Columbia Homecare/Community Home Health Care July 1990 - November 1998
Gulf Coast Home Health Care 1989 - 1990
Central Florida Kidney Centers 1989 - 1989
Seminole County Crisis Stabilization Unit 1985 - 1988
Winter Haven Hospital 1984 - 1985
Skills
Health Insurance, Medicare, Provider Relations, Medicaid, Managed Care, HMO, Disease Management, HIPAA, Quality Improvement, Home Care, Health Policy, Medicaid Managed Care, HEDIS, Healthcare Management, NCQA, Healthcare Information...
Education
Valencia College 1982 — 1984
Associate of Science in Nursing, Registered Nurse
University of Central Florida 1978 — 1982
Pre-Med/Music
Bishop Moore High School 1974 — 1978
High School Diploma
Palos Community Hospital & Alexian Brothers Hospital July 2014 - Present
Dupage Medical Group March 2013 - November 2013
WellCare September 2012 - March 2013
IT consultant Self Employed March 2010 - July 2012
PepsiAmericas September 2008 - February 2010
Department of Homeland Security (DHS) (Contract Position) December 2007 - July 2008
Midwest Business, Spherion/Technisource at Kraft Foods & BP2005 – 2007 March 2005 - November 2007
ConAgra Foods October 2000 - February 2005
Skills
Troubleshooting, IT Management, ITIL, Active Directory, Databases, Business Analysis, IT Service Management, Technical Support, Data Center, Vendor Management, Process Improvement, Networking, Disaster Recovery, Team Leadership, Project Management, Integration, Project Planning, Information Technology, Software Documentation, Visio, IT Operations, Analysis, Windows Server, Change Management, Team Building, Hardware, Customer Service, Operating Systems, Budgets, Security, Servers, Computer Hardware, Help Desk Support, XP, Software Installation, Budget, IT Strategy, Windows 7, Windows 8, Epic Support, Desktop Deployment, Site Plans, Computer Network..., IT, Desktop Support..., Support Management, Window, BMC Remedy, ServiceNow, Manage the technology...
Education
University of Illinois-Chicago 1978 — 1981
B.S.
University of Illinois at Chicago
Bachelor of Business Administration (BBA)
KPMG August 2014 - Present
KPMG June 2013 - August 2013
WellCare 2012 - 2012
Reilly Fisher & Solomon 2011 - 2011
Skills
Microsoft Office, PowerPoint, Microsoft Word, Public Speaking, Microsoft Excel, Teamwork, Social Networking, Social Media, Accounting, Internal Audit, Risk Management, Auditing
Education
University of South Florida 2013 — 2014
Master's Degree, Accounting
University of Florida 2011 — 2013
Bachelor of Science (BS), Accounting
WellCare Health Plans March 2014 - Present
WellCare November 2012 - February 2014
Centene Corporation October 2011 - November 2012
Barnes & Blandford - Northwestern Mutual Financial Network August 2010 - August 2011
Humana Inc. September 2006 - April 2010
American Income Life February 2006 - August 2006
NetGain Technologies June 2005 - February 2006
Robert McCarter Appraisals June 2003 - June 2005
Premiere Events Group March 2003 - June 2003
Northwestern Mutual Financial Network January 1998 - February 2003
Skills
Marketing, Healthcare, Sales, Training, Marketing Strategy, Time Management, Medicare, CRM, Management, Managed Care, Account Management, Analysis, Contract Negotiation, Marketing Communications, Medicaid, Provider Relations, Microsoft Office, Program Management, Direct Marketing, Customer Satisfaction, Budgets, Sales Management, Leadership, Team Building, Software Documentation, Medicaid Managed Care, CMS-1500, Coaching, Process Improvement, Strategic Planning, Project Planning, Social Media, Small Business, Customer Service, Leadership Development, CPT Knowledge, UB-04, Problem Solving, Contract Management, Customer Retention, Cold Calling, New Business Development, Hospitals, Hospital Contracting, Physician Relations, Physician Network..., Physician Coding, Policy, Advertising
Education
University of Kentucky
BS, Management and Marketing
Humana February 2015 - Present
Simply Health Care Plans September 2013 - December 2014
WellCare May 2012 - August 2013
Benefit Security, Inc. November 2010 - May 2012
Suncoast Gymnastics Academy September 2006 - March 2012
Skills
Managed Care, Management, Insurance, Training, Leadership, Healthcare, Recruiting, Sales, Market Research, Strategic Planning, Medicare, Marketing, Team Building, Provider Relations, Health Insurance, Interviews, Negotiation, Network Development, Market Analysis, Contract Recruitment, CMS, HEDIS, Provider Recruitment, Product Differentiation, AHCA, Provider Credentialing, CAHPS, MSO Operations, Risk Contracting, Medicaid
Education
University of Phoenix 2009 — 2011
Masters, MBA
University of South Florida 2007 — 2009
Bachelors in Science, Marketing
University of Arizona 2005 — 2006
Associate in Arts, Business
WellCare July 2014 - Present
WellCare February 2013 - Present
Tech Data December 2005 - February 2013
Tech Data Corporation December 2005 - October 2012
Skills
Solution Selling, Training, Sales, Sales Process, Channel, Sales Management, Strategic Planning, Cloud Computing, Customer Service, Team Building, Salesforce.com, Marketing Strategy, Resellers, Account Management, Product Management, Cross-functional Team..., Key Account Management, Channel Partners, B2B, New Business Development, Management, Selling, Sales Operations, SaaS, Product Marketing, Lead Generation, Direct Sales, Sales Enablement, Business Development, Enterprise Software, Cold Calling, Strategic Partnerships
Education
University of Florida
Bachelor of Science (B.S.), Computer and Information Systems
WellCare June 2012 - Present
AvMed Health Plans January 2005 - June 2012
Skills
Healthcare, Health Insurance, Medicare, HIPAA, Insurance, Medicaid, Process Improvement, Software Documentation, Access, Visio, Data Analysis, Provider Relations, Analysis, Case Managment, Managed Care, Requirements Gathering, EHR, Healthcare Management, Healthcare Industry, Healthcare Information..., Business Analysis, EMR, Health Policy, Healthcare Consulting, Software Implementation, ICD-9
Education
Art Institute of Ft.Lauderdale
Layout & Production Art
Florida School of Massage
LMT, Massage Therapy
University of Florida
WellCare May 2011 - Present
Dream Green Homes March 2011 - January 2014
University of South Florida 2013 - 2014
Universal Health Care June 2009 - May 2011
Skills
Health Insurance, Call Center, Sales, Customer Service, HMO, Excel, Operations Management, Operations, Field Marketing, Research, Insurance, Healthcare, Medicare, Medicaid, OneNote, Access, Outlook, Microsoft Office, Closing, Compliance, CMS, Recruiting, Network Development, Training, Claim, Microsoft Excel, Call Centers, HIPAA, Provider Relations, Leadership, Managed Care, Workers Compensation, Medicare Part D, Life Insurance, Healthcare Consulting, Healthcare Industry, Term Life Insurance, Employee Benefits, Health Savings Accounts, Claims Resolution, Long-term Care, PPO, Utilization Management, Disease Management, Medical Compliance, Disability Insurance, Health Care Reform, Healthcare Reimbursement, COBRA, Credentialing
Education
University of South Florida 2013 — 2016
Seeking Masters of Public Health, Health Policy and Management
University of Florida 2003 — 2008
B.A., Political Science/Business
Trinity Medical Pharmacy April 2013 - June 2015
Universal Health Care August 2012 - April 2013
WellCare July 2011 - August 2012
Citrus Health Care, Inc July 2008 - April 2011
Kroger Pharmacy 1997 - 2008
Skills
Managed Care, Medicare, Medicare Part D, Health Insurance, HIPAA, Healthcare, Process Improvement, Insurance, Access, Call Centers, Claim, Coaching, Customer Service, Data Analysis, EHR, Employee Benefits, HMO, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Healthcare Management, Leadership, Hospitals, Medicaid, Management, Software Documentation, Team Building, Microsoft Word, Sales, Training, Visio, Strategic Planning, Microsoft Office, Analysis, Provider Relations, Microsoft Excel, Vendor Management, Business Analysis, Disease Management, Health Policy, PowerPoint, Program Management, Policy, Human Resources, Outlook
Education
University of Cincinnati 2001 — 2006
Bachelor's Degree, Communication Sciences and Disorders, General
University of Cincinnati
Communication Sciences and Disorders, General
Memorial Hermann Health System August 2014 - Present
Universal American January 2011 - July 2014
Orion HealthCorp October 2010 - September 2011
WellCare Health Plans September 2009 - May 2010
WellCare April 2008 - September 2009
WellCare August 2007 - March 2008
CIGNA May 2005 - August 2007
Heritage Health Systems June 2002 - April 2005
Skills
Provider Relations, Credentialing, Contract Negotiation, Medicare, Managed Care, Medicaid, Network Development, HMO, Healthcare, HIPAA, Health Insurance, Claims Resolution, Insurance, Claim, Hospitals, Process Improvement, Healthcare Industry, Medical Compliance, Software Documentation, Employee Benefits, Management, Physicians, Data Analysis, Medicare Part D, Training, Policy, Analysis, Healthcare Consulting, Health Policy
Education
University of Phoenix 2002 — 2004
MBA, BUSINESS ADMINISTRATION
University of Houston-Downtown 1997 — 2000
BS, LIBERAL ARTS
Old Harbor Financial March 2014 - Present
Health Plan Markets,LLC 2014 - Present
Overseas Recruiting Service November 2012 - October 2014
WellCare May 2013 - March 2014
Humana Marketpoint July 2011 - February 2013
Connextions October 2007 - July 2011
AOL 2002 - 2004
Skills
Account Management, Applicant Tracking..., Call Center, Call Centers, Coaching, Creative Direction, Customer Retention, Customer Satisfaction, Customer Service, Employee Benefits, Employee Relations, Health Insurance, Healthcare, Hiring, Insurance, Leadership, Leadership Development, Management, Marketing, Medicare, Microsoft Excel, Microsoft Office, Onboarding, Performance Management, Process Improvement, Recruiting, Sales, Strategic Planning, Talent Acquisition, Team Building, Team Leadership, Training, Vendor Management, Public Speaking, Consulting, Strategy, Event Planning, Social Media
Education
University of Florida
dr. phillips high school
dr. phillips high school
WellCare Health Plans January 2015 - Present
WellCare June 2007 - Present
In Place Marketing (formerly Denton Company) February 2006 - June 2007
adfinity March 2004 - February 2006
Sunbelt Staffing July 2000 - March 2004
SeaWorld Orlando January 2000 - July 2000
Skills
Insurance, Managed Care, Health Insurance, Project Planning, Medicare, Healthcare, Medicaid, Project Management, Strategic Planning, Marketing Communications, Marketing
Education
University of Phoenix 2003 — 2005
Master of Business Administration (MBA), Marketing
University of Central Florida 1996 — 2000
Bachelor of Arts (BA), Public Relations, Advertising, and Applied Communication
WellCare January 2014 - Present
Allstate September 2012 - December 2013
OneTouch Direct May 2010 - March 2012
AT&T Mobility 2007 - 2008
Rockwell Collins 2005 - 2007
PCS Division 2004 - 2005
Resources Connection 2004 - 2004
Cache Creek Casino Resort 2003 - 2004
CrossWorlds Software January 2001 - June 2002
Prudential Securities 2000 - 2001
Skills
Recruiting, Human Resources, Performance Management, Personnel Management, Talent Acquisition, Organizational..., Training, Hiring, Career Development, Management, Applicant Tracking..., Leadership, Team Building, College Recruiting, Taleo, Employee Relations, Benefits Administration, Employee Engagement, Employee Benefits, Talent Management, Benefits Negotiation, HR Consulting, Coaching, Interviews, Human Performance, Organizational..., Employee Training, Leadership Development, Change Management, Recruitment/Retention, Training Delivery, Employee Recognition, Executive Search, human resources manager, HR Generalist, Immigration, Morale, Trusted Business Partner
Education
UC Davis
Certification
Publix Super Markets July 2013 - Present
Publix July 2010 - July 2013
WellCare August 2008 - August 2010
Skills
Pharmacy Benefit..., Medicare Part D, Pharmacy Automation, Pharmacy, Managed Care, Pharmacists, Medication Therapy..., Medicaid, Healthcare, Disease Management, Healthcare Management, Hospitals, Utilization Management, Medicare, Pharmaceutical Industry, Long-term Care, HIPAA, Microsoft Office, Compounding, Retail, Customer Service
Education
University of Florida 2004 — 2008
PharmD, Pharmacy
University of Florida - Warrington College of Business Administration 1999 — 2003
BSBA, Marketing
SynerMed March 2014 - Present
WellCare April 2012 - August 2013
Care1st Healthplan August 2011 - March 2012
AltaMed Health Services December 2008 - August 2011
SynerMed March 2005 - November 2008
PacifiCare Health Systems June 2004 - February 2005
Saint John's Health Center July 2003 - June 2004
Skills
Managed Care, Access, Financial Modeling, Management, Healthcare Management, Healthcare, Medicaid, Medicare, Insurance, Revenue Cycle, Healthcare Industry, Contract Negotiation, Financial Reporting, Healthcare Consulting, Healthcare Information..., Revenue Cycle Management, Health Insurance, Utilization Management, Strategic Planning, Forecasting, Hospitals, Physicians, Accounting, Mergers & Acquisitions, Budgets, Financial Analysis, EMR, HIPAA, EHR, Disease Management, Provider Relations, Health Policy, HMO, Informatics, Executive Management, Quality Improvement
Education
University of California, Los Angeles - School of Public Health
MPH, Health Services Management
University of California, Santa Barbara
BS, Biology
Florida Blue July 2015 - Present
Florida Blue April 2014 - July 2015
CareCentrix July 2013 - April 2014
CareCentrix October 2012 - July 2013
Florida Hospital Tampa November 2011 - October 2012
WellCare February 2010 - November 2011
WellCare August 2006 - February 2010
WellCare May 2006 - August 2006
Skills
5+ years Managed Care, Clinical Care Experience, Training & Development, Professional..., InterQual Certified..., Red Cross CPR/First..., ICD/CPT Knowledge, Employee Training, Managed Care, Leadership, Nursing, Project Management, Clinical Research, Training, HIPAA, Healthcare, Utilization Management, Medicare, Healthcare Management, Acute Care, Medicaid, Health Policy, Disease Management, Healthcare Industry, Provider Relations, Quality Improvement
Education
University of Phoenix
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
University of Arkansas at Little Rock
Associate of Science (AS), Registered Nursing/Registered Nurse
Humana Inc. September 2014 - Present
WellCare September 2013 - September 2014
Sears Holdings Corporation October 2007 - December 2011
Colonial Counseling Associates October 2006 - December 2011
Heart of Florida United Way October 2009 - December 2009
BETA Center August 2005 - September 2005
United Cerebral Palsy Child Development Center January 2004 - April 2004
Skills
Individual Assessment, Group Counseling, Group Dynamics, HIV/AIDS Education, Anger Management, Substance Abuse..., Equality & Diversity, Disability Awareness..., Public Speaking
Education
University of Central Florida 2005 — 2007
Master of Social Work (MSW)
University of Central Florida 1998 — 2004
Bachelor of Social Work (BSW), Additional coursework in Journalism and Women's Studies, 3.1
WellCare June 2011 - Present
WellCare November 2004 - June 2011
Skills
Network Development, Provider Relations, Medicare, Managed Care, Medicaid, HMO, PPO, Health Insurance, Health Policy, HIPAA, Healthcare Management, Healthcare Industry, Credentialing, Healthcare, Healthcare Consulting, Revenue Cycle, Physicians, Healthcare Information..., Practice Management, EMR, Insurance, Employee Benefits, Performance Improvement, Medicare Part D, EHR, ICD-9, Medicaid Managed Care, Hospitals
Education
University of Central Florida
BS
Skyridge Medical Center October 2012 - Present
Wellcare August 2012 - Present
university of tennesee health sciences center July 2010 - June 2012
CINCINNATI SBDC 2002 - 2003
Skills
Healthcare, Hospitals, Microsoft Office, Public Speaking, Medical Devices, Medicine, Hand Surgery
Education
University of Cincinnati College of Medicine 2005 — 2010
Doctor of Medicine (MD)
University of Cincinnati College of Business 2002 — 2003
Master of Business Administration (MBA), Research Methodology and Quantitative Methods
Robb N. Plunder Clothing Company October 2013 - Present
Preferred Care Partners June 2011 - Present
Aflac February 2010 - June 2011
WellCare May 2008 - February 2010
Skills
Medicare, Health Insurance, Insurance, Managed Care, Strategic Planning, Team Building, Medicare Part D, Marketing, HMO
Education
University of Central Florida 2001 — 2008
Marketing
Havas Health June 2014 - Present
Colleges of Pharmacy May 2011 - Present
WellCare 2013 - 2014
HSN 2007 - 2014
WellCare 2012 - 2013
Highmark Blue Cross Blue Shield July 2011 - June 2012
Veterans Affair Medical Center September 2010 - October 2010
WellCare July 2010 - August 2010
Florida Home Decor 2002 - 2010
Ferrari 2006 - 2007
Education
University of Florida 2013 — 2015
Master of Business Administration (MBA)
Highmark Blue Cross Blue Shield 2011 — 2012
PGY-1 Managed Care Pharmacy Residency
Lake Erie College of Osteopathic Medicine, School of Pharmacy 2007 — 2011
Doctor of Pharmacy (Pharm.D.)
Wayne State University 2004 — 2007
Pre-Pharmacy
WellCare September 2013 - Present
WellCare January 2010 - September 2013
WellCare May 2008 - January 2010
WellCare June 2007 - May 2008
Wellcare May 2005 - June 2007
JP Morgan September 2002 - May 2005
Skills
Strategic Planning, Business Strategy, Financial Management, Financial Planning, Financial Modeling, Corporate Finance, Operations Management, Sales Management, People Management, Board Presentations, Corporate Governance, New Business Development, Network Development, Contract Modeling, M&A due diligence, Project Coordination, Project Planning, Problem Solving, Due Diligence, Strategy, Leadership, Medicaid, Managerial Finance, Management, Contract Management, Mergers & Acquisitions, Medicare, Healthcare, Healthcare Consulting, Analysis, Healthcare Industry, Business Development, Health Policy, Managed Care, Executive Management, Finance, Business Planning, Insurance, Contract Negotiation, Business Analysis, Sales Operations, Strategic Financial..., Process Improvement, HMO, PPO, Provider Relations, Health Insurance
Education
University of South Florida 2002 — 2003
MBA, Finance
University of Florida - Warrington College Of Business 1998 — 2001
Bachelor of Science, Decision and Information Sciences
Aetna August 2009 - Present
WellCare July 2007 - October 2009
Anthem Blue Cross and Blue Shield 1995 - July 2007
Skills
Medicare, Telemarketing, Health Insurance, Managed Care, Insurance, Medicare Part D, Healthcare, Employee Benefits, Medicaid, Account Management, Sales Management, Strategic Planning, Direct Sales, Team Building, HMO, New Business Development, HIPAA, Sales, Process Improvement, Vendor Management
Education
University of Cincinnati
Bachelor of Arts, History
Ultimate Medical Academy July 2015 - Present
Arbitration Forums December 2014 - July 2015
InvestCloud, Inc. June 2014 - November 2014
Blue Health Intelligence January 2012 - June 2014
Intelimedix, a Blue Health Intelligence Company January 2012 - December 2013
WellCare April 2010 - January 2012
PMSI March 2009 - April 2010
Goldman Sachs September 2007 - February 2009
JCCL Inc July 2005 - September 2007
Clayton November 2004 - May 2005
Skills
Requirements Analysis, Data Warehousing, SDLC, Business Process, SharePoint, Requirements Gathering, Enterprise Software, Visio, Business Intelligence, Process Improvement, Business Analysis, Business Requirements, Business Process..., Agile Methodologies, Building Relationships, PMP, Management
Education
Sycamore
University of Cincinnati
WellCare February 2009 - Present
Skills
Healthcare, Insurance, Leadership, Management, Microsoft Excel, Process Improvement, Strategic Planning, Team Building, Training, Analysis, Business Analysis, Health Insurance, HIPAA, Medicare, Microsoft Office, Managed Care, Medicaid, Vendor Management, Software Documentation, Healthcare Industry, Program Management, Policy, Outlook, Employee Benefits, Access, Customer Service, Data Analysis, Healthcare Information..., Call Centers, PowerPoint, Sales, Employee Training, Visio, Time Management, Hospitals
Education
University of Central Florida 1999 — 2003
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management
University of Central Florida
Bachelor of Arts (B.A.), Business Administration and Management, General
PwC/ TCS March 2015 - Present
WellCare May 2013 - March 2015
Quest Diagnostics 2012 - May 2013
Quest Diagnostics 2007 - 2012
American Cancer Society 2004 - 2007
Vistakon, a Johnson and Johnson Company 2002 - 2002
Skills
Strategic Planning, Technical Writing, Requirements Gathering, Operational Analysis, Project Management, Healthcare Information..., EHR, Healthcare, Healthcare Management, Public Speaking, Data Analysis, Leadership, Six Sigma, HL7, SDLC, Process Improvement, HIPAA, Quality Assurance, EMR, Human Resources, Hospitals, Business Analysis, Software Documentation, Cross-functional Team..., Managed Care, Visio, Integration, Program Management, Revenue Cycle, SharePoint, Healthcare Consulting, Software Project..., Software Implementation, Medicare, Medicaid, Informatics, PMO, Business Process...
Education
University of Florida 2000 — 2004
Bachelor of Science, Health Science Education and Community Health
WellCare Health Plans September 2015 - Present
Acclaris 2013 - May 2015
VALA Solutions/CACI Inc July 2008 - June 2013
Amerigroup Corporation April 2006 - July 2008
Accenture 2004 - 2005
Concentra, Inc 2004 - 2005
WellCare 2002 - 2003
Edix 2001 - 2002
HealthPlan Services April 1998 - May 2001
Vytra 1993 - 1998
Skills
Claims Management, Customer Service, Call Center, Cost Containment, Enrollment Management, Eligibility, Medicare, Medicaid, Front End Operations, Third Party..., Outsourcing Management, Outsourcing, Insurance Claims, Software Development, Agile Project Management, Project Portfolio..., Offshore Project..., Configuration Management, System Configuration, Six Sigma, lean six sigma, Business Process..., Budget Management, Quality Management, Front-end, Project Management, Insurance, Budgets, Program Management, Call Centers, Training, Leadership, Analysis, Change Management, Management Consulting, Process Improvement, Managed Care, Team Building, Vendor Management, Cost Accounting, Strategy, Employee Benefits, Recruiting, Management, Cross-functional Team..., Business Process, Requirements Analysis, Business Analysis, Risk Management, Executive Management
Education
University of Connecticut 1977 — 1981
Bachelor of Arts, Philosophy, Business, English
Windsor High School 1974 — 1977
High School, College Prep
Houghton Mifflin Harcourt March 2014 - Present
WellCare August 2012 - March 2014
22squared March 2012 - August 2012
BayCare Health System April 2002 - March 2012
Sahlman Williams Public Relations & Marketing April 2001 - April 2002
MSLGROUP 2000 - 2001
Education
University of Florida 1995 — 2000
Bachelors
University of Tampa - John H. Sykes College of Business
Masters
CRT Capital Group July 2015 - Present
CLSA May 2013 - May 2015
WellCare February 2013 - April 2013
Skills
Computer Hardware, Solid computer skills, Literacy, Information Literacy, Data Entry, Creative Writing, Adobe Acrobat, Microsoft Office, Essays, Data Analysis, Critical Thinking, RightFax, Quality Assurance, QI, HEDIS, HIPAA, Organization, Analytical Skills, Logical Thinker, Literary Criticism, Literary Theory, Technical Writing, Report Writing, Writing, Reading Comprehension, Speed Reading, Descriptive, Administrative Work, Database Administration, Microsoft Excel, Policy, Documentation, Equities, Equity Capital Markets, FINRA, Regulatory Compliance, Equities Compliance, SEC, Trading Surveillance, KYC/AML, Control Room
Education
University of Illinois at Urbana-Champaign 2009 — 2011
Bachelor of Arts (B.A.), English Language and Literature, General
Orthopaedics & Sports Medicine October 2013 - Present
New York State Senate August 2009 - October 2013
WellCare December 2007 - May 2008
Starwood Hotels & Resorts Worldwide, Inc. June 2005 - December 2007
Skills
Legislative Relations, Political Campaigns, Politics, Public Policy, Government, Community Outreach, Event Planning, Administrative..., Fundraising, Strategic Communications, Microsoft Excel, Microsoft Word, Media Relations, State Government, Public Affairs, Policy, Grassroots Organizing, Policy Analysis, Nonprofits, Public Speaking, Public Relations, Social Networking, Social Media, Office Management, Facebook, Constituent Services, Outlook, PowerPoint, Microsoft Office, Volunteer Management, Local Government, Project Management, Customer Service, Proposal Writing, Team Leadership, Team Building, Marketing Communications, Staff Development, Public Administration, Budgets, Blogging, Legislation, Event Management, Community Development, Political Consulting, Press Releases, Economic Development, Community Organizing, Research, Marketing Strategy
Education
University of Bridgeport 2004 — 2008
Bachelor of Science (BS), Finance
Novitas Solutions, Inc. November 2013 - Present
Windsor Health Plan February 2011 - June 2013
Physicians Health Care August 2009 - November 2010
WellCare 2008 - 2009
Arkansas Blue Cross Blue Shield 2003 - 2008
Skills
Managed Care, Insurance, Health Insurance, Customer Service, Call Center, Network Development, Medicare, HMO, PPO, Process Improvement, Business Analysis, Call Centers, Team Leadership, Healthcare, Training, Employee Benefits
Education
University of Central Arkansas
Business Administration and Management, General
Wabbaseka High School
Laser Spine Institute April 2014 - Present
Syniverse September 2013 - April 2014
WellCare April 2012 - September 2013
Visit St. Pete/Clearwater February 2009 - April 2012
Raymond James Financial Inc. October 2006 - February 2009
Skills
Public Relations, Social Media, Social Media Marketing, Marketing Communications, Media Relations, Web Content, Facebook, Journalism, Digital Media, Content Strategy, Editing, Corporate Social Media, Copywriting, Writing, News Writing, Feature Articles, Publications
Education
University of Florida 2002 — 2006
BS, Journalism, Magna cum laude
Passport Health Plan November 2013 - Present
WellCare September 2011 - November 2013
Disability Determination Services February 2006 - September 2011
The Brecher Company February 2005 - February 2006
Department for Medicaid Services February 2004 - February 2005
Department for Community Based Services February 2003 - February 2004
Skills
Exceptional listener..., Highly Organized &..., Computer-literate..., Excel at building..., Highly adaptable, Medicaid, Leadership, Provider Relations, Building Effective..., Medicaid Managed Care, Employee Benefits, Managed Care, Adaptation, Credentialing, HIPAA, HMO, Health Insurance, Medicare, Network Development, Healthcare
Education
University of Kentucky 2006 — 2009
Master of Science (MS), Health Promotion
University of Kentucky 1995 — 1999
Bachelor of Fine Arts (BFA), Theatre/Theater
HMSA November 2014 - Present
WellCare July 2013 - October 2014
APS Healthcare June 2011 - June 2013
APS Healthcare July 2010 - July 2011
North Shore Mental Health February 2008 - July 2010
Institute For Human Services April 2007 - March 2008
Parents and Children Together February 2006 - March 2007
Skills
Mental Health, Adults, Treatment, Crisis Intervention, Motivational..., Child Abuse Prevention, TF-CBT, Harm Reduction, Intakes, Case Management Services, Mental Health Counseling, CBT, Psychotherapy, Grant Writing, Family Therapy
Education
University of Hawaii at Manoa 2006 — 2010
Master of Social Work (MSW), Social Work
University of Hawaii at Manoa 2000 — 2005
Bachelor of Science (B.S.), Family Resources
CVS Caremark Corporation April 2012 - Present
Medical Card Systems Inc. April 2011 - May 2012
Medical Card Systems Inc. December 2010 - June 2011
WellCare March 2009 - July 2010
WellCare July 2007 - March 2009
WellCare November 2005 - July 2007
Walgreens March 2005 - November 2005
Walgreens Health Initiatives January 2000 - March 2005
Skills
Compliance, Regulatory Reporting, Audit Committee, Compliance Audits, Pharmacy Operations, Ambulatory Care, Medication Therapy..., Medicare Part D, PBM, PDP, Process Efficiencies, Mentoring Of Staff, Development Of People, Complaint Management, Policy/Procedure..., Software Development, Software Design
Education
University of Florida 1994 — 1998
PharmD, Pharmacy
ASI - American Strategic Insurance January 2014 - Present
WellCare December 2010 - January 2014
Sunera LLC July 2007 - January 2011
Skills
Internal Audit, SOX, Enterprise Risk..., Compliance, Financial Analysis, Financial Reporting, Accounting, Microsoft Office, Excel, Auditing, Microsoft Excel, Financial Modeling, US GAAP, Sarbanes-Oxley Act, Risk Management, Internal Controls, Valuation, Financial Accounting
Education
University of Florida 2006 — 2007
Masters, Finance
Humana July 2011 - Present
WellCare March 2009 - July 2011
WellCare Health Plans September 2007 - February 2009
VeriFone December 2004 - February 2007
Equifax(Certegy) - FIS October 2000 - December 2004
General Electric February 1999 - October 2000
Skills
Medicaid, Health Insurance, Medicare, Managed Care, Financial Analysis, Forecasting, Insurance, Budgets, HIPAA, Medicare Part D, Process Improvement, Provider Relations, HMO, Healthcare Management, Healthcare, Business Analysis, Healthcare Industry, Healthcare Consulting, PPO, Finance, Revenue Cycle, Network Development, Health Policy, Utilization Management, Disease Management, Healthcare Information..., Claim, Pharmacy Benefit..., Medicare/Medicaid..., Employee Benefits, Long-term Care, Healthcare Reimbursement, Physicians, Physician Relations, Executive Management, Credentialing, Revenue Cycle Management, Executive Coaching, Healthcare Analytics, Health Care Reform, Medical Compliance
Education
University of South Florida 1996 — 1998
MBA, Finance, Healthcare Finance, International Finance, Government Finance
University of South Florida - College of Business Administration 1994 — 1996
BS, Finance
University of Florida 1991 — 1992
AA, Finance
Collaborative Consulting October 2012 - Present
WellCare June 2012 - September 2012
Ciber July 2006 - September 2012
Fresenius Medical Care September 2007 - April 2012
Biogen Idec August 2006 - August 2007
BrassRing July 2006 - August 2006
Workforce Software, Inc July 2005 - February 2006
Clareos, Inc September 2003 - June 2005
Illium Software December 2002 - September 2003
ProQuest February 2002 - August 2002
Skills
Quality Assurance, Testing, Test Planning, Software Quality..., Requirements Analysis, Test Automation, User Acceptance Testing, SQL, Quality Center, Software Development, Software Project..., Business Analysis, XML, Waterfall, Unix, Performance Testing, Data Warehousing, Business Requirements, Test Cases, Requirements Gathering
Education
University of Connecticut 1988 — 1990
Mathematics
University of Connecticut
Landmark Health April 2015 - Present
WellCare April 2012 - March 2015
WellCare March 2010 - April 2012
Gerdau Ameristeel January 2009 - February 2010
Gerdau Ameristeel October 2008 - January 2009
KPMG March 2005 - October 2008
Skills
Strategy, Management Consulting, Business Process..., IT Strategy, Strategic Planning, Vendor Management, Change Management, Program Management, Business Analysis, Project Portfolio..., Business Strategy, Management, Governance, Consulting, Budgets, Process Improvement, PMO, Business Development, Financial Modeling, Project Management, Talent Management, PMP, Business Process, Executive Management, Business Transformation, Public Speaking, Monte Carlo Simulation, Statistical Modeling, Portfolio Management, Cost Reduction, Organizational..., People Management, Organizational Change, IT Outsourcing, Private Equity, Valuation, Valuation Modeling, Restructuring, Turnaround Strategy
Education
University of Pennsylvania - The Wharton School 2013 — 2015
Master of Business Administration (MBA)
University of Florida
BS, Biochemistry and Genetics (Zoology)
University of Florida - Warrington College of Business Administration
MS, Decision Information Sciences
WellCare June 2013 - Present
Newell Rubbermaid September 2010 - January 2013
Newell Rubbermaid June 2007 - December 2010
KPMG July 2003 - June 2007
Education
University of Florida 1998 — 2003
Masters, Accounting
UnitedHealth Group February 2014 - Present
WellCare August 2013 - February 2014
ikaSystems November 2012 - August 2013
CIGNA July 2011 - November 2012
CIGNA Healthcare June 2009 - September 2011
CIGNA Healthcare November 2007 - June 2009
CHC February 2007 - November 2007
CHC April 2006 - February 2007
Skills
Insurance, Healthcare, Business Analysis, Change Management, Medicare, Health Insurance, Policy, Management, Managed Care, Process Improvement, Requirements Gathering, HIPAA, Vendor Management, Visio, SDLC, Business Process..., Data Analysis, Claim, Software Documentation, Healthcare Information..., PMO, PMP, Healthcare Industry, Program Management, Provider Relations, Analysis, Medicaid, Health Policy, SharePoint, Requirements Analysis, Cross-functional Team...
Education
The College of William and Mary 1997 — 2001
BA, History
University of Exeter 1999 — 2000
European History
Tepa, LLC October 2014 - Present
Life Care Services April 2013 - 2015
Tug Hill Construction February 2008 - April 2013
KB Home 2005 - 2008
WellCare 2003 - 2005
Human Resources International (HRI) now Randstad Human Resources 1999 - 2002
Impact Recruitment 1998 - 1999
Skills
Social Media, Candidate Generation, Talent Acquisition, Executive Sales..., Human Resources, Employee Relations, Employee Benefits, Sales Management, Lead Generation, Client Development, Human Resource..., Applicant Tracking..., Technical Recruiting, Onboarding, Business Development, Recruiting, Temporary Placement, Talent Management, Cold Calling, Employer Branding, Internet Recruiting, Leadership, Contract Recruitment, Training, Staffing Services, Interviews, Benefits Negotiation, Screening Resumes, Sourcing, College Recruiting, Management, Executive Search, Screening, Negotiation, Strategy, Taleo, Job Fairs, Resume Writing, New Hire Orientations, Hiring, Workforce Planning, Employee Engagement, RPO, Temporary Staffing, Permanent Placement, HRIS, Personnel Management, Benefits Administration, Corporate Recruiting, Deferred Compensation
Education
University of Cincinnati 1992 — 1996
Bachelor of Arts, English
shaker heights high school
JPMorgan Chase September 2008 - Present
TEKsystems November 2007 - September 2008
WellCare April 2007 - October 2007
Fidelity July 2006 - April 2007
WellCare June 2005 - June 2006
WebMD June 1996 - May 2005
Integraph Corporation January 1992 - August 1993
Skills
Requirements Analysis, Business Analysis, Project Management, SDLC, Cross-functional Team..., Management, Product Management, Project Planning, PMO, Process Improvement, PMP, Leadership, Project Portfolio..., Visio, Vendor Management, Business Process..., Integration, Team Management, Software Project..., Software Documentation, IT Strategy, Program Management
Education
University of Florida 2003 — 2005
MBA, General Studies
University of Florida 1986 — 1991
BS, Mathematics
Avalon Healthcare Solutions September 2013 - Present
University of Arkansas 2012 - 2014
Francisco Partners May 2013 - September 2013
CareCentrix May 2009 - May 2013
Wellcare August 2007 - May 2009
Blue Cross and Blue Shield Florida November 2004 - August 2007
Independence Blue Cross 2000 - 2004
Skills
Healthcare Management, Medicine, Utilization Management, Medicare, Employee Benefits, Clinical Trials, Managed Care, Inpatient, Hospitals, Health Policy, Program Management, Healthcare Consulting, Home Care, Healthcare, Healthcare Industry, Leadership, Disease Management, EHR, Medicaid, Healthcare Information..., Provider Relations, HIPAA, Physicians, Health Insurance, Clinical Research
Education
University of Houston-Clear Lake 1996 — 1998
MBA, Health Care
University of Arkansas for Medical Sciences, College of Medicine 1988 — 1993
MD, Medicine
University of Oxford 1990 — 1991
research assistant, Molecular Biology
University of Arkansas at Fayetteville 1984 — 1988
Bachelor of Arts, Chemistry
The Purple Pig June 2011 - November 2014
Paramount Room September 2010 - July 2011
Volo Restaurant and Wine Bar August 2010 - June 2011
Elate Restaurant January 2009 - August 2010
WellCare July 2004 - August 2010
WellCare April 2005 - October 2007
WellCare September 2004 - April 2005
Skills
Managed Care, HIPAA, Medicaid, Medicare, POS, HMO, Customer Service, Network Development, Provider Relations, Healthcare, Marketing, Inventory Management, Hospitality, Public Speaking, Food Service, Creative Problem Solving, Social Networking, Event Management, Employee Training, PowerPoint, Operations Management, Teamwork, Advertising, Microsoft Office, Microsoft Excel, Account Management
Education
University of Illinois at Urbana-Champaign 1998 — 2002
Lyons Township High School
WellCare May 2011 - Present
Wellcare of Fl February 2008 - April 2011
WellCare July 2006 - January 2008
Wellcare Of Florida November 2004 - July 2006
Skills
Provider Relations, HIPAA, Medicaid, Managed Care, Contract Negotiation, Medicare, Network Development, HMO, Health Insurance, Health Policy, Healthcare, Business Analysis, Healthcare Industry
Education
University of Central Florida
Bachelor of Science (B.S.)
WellCare February 2008 - Present
WellCare February 2008 - August 2008
Progressive Corporation June 1999 - January 2007
Progressive Corporation June 1999 - January 2007
High Point Regional Health System January 1998 - June 1999
Tampa General Hospital January 1997 - March 1998
Education
University of Central Florida 2002 — 2003
Medical Coding, Billing and Coding
University of Phoenix 1999 — 2003
Bachlors in Buisness management, Management
University of Central Florida 2001 — 2002
Licensed Adjuster, Florida State All Lines Adjuster
Hillsborough Community College 1996 — 2000
LPN/MA, Nursing
Tampa Catholic High School 1991 — 1995
WellCare VP, COO, Gov't OperationsHorizon NJ HealthJanuary 2014 - Present
WellCare Health Plans 2006 - Present
Danka Office Imaging October 2004 - July 2006
GE, Energy March 1989 - October 2004
Education
University of California, Berkeley 1992 — 1993
WellCare Manager, Network ManagementWellcare, Inc2006 - Present
Education
University of Connecticut 1990 — 1994
WellCare July 2013 - Present
WellCare 2012 - Present
WellCare 2010 - 2012
WellCare 2008 - 2010
WellCare 2004 - 2008
CIGNA Healthcare 1998 - 2003
Skills
Managed Care, Process Improvement, Communication, Business Analysis, Business Communications, Healthcare Management, Quality Management, Written & Oral..., Call Center, Healthcare, Leadership, Call Centers, Healthcare Consulting, Medicare, Healthcare Information..., Quality Assurance, Strategic Planning, Healthcare Industry, Software Documentation, Provider Relations, Management, Training, Analysis, Business Process..., Policy, Medicaid, Medicare Part D, Program Management, Project Planning, Customer Service, Team Building, Auditing, Utilization Management, Cross-functional Team..., HIPAA, Health Insurance, Health Policy, HMO, Insurance, Operations Management, Claim, Human Resources, Employee Benefits, Visio, Vendor Management, Data Analysis, Access, Coaching, Physician Relations, Executive Management
Education
University of Florida 1993 — 1995
Anthem August 2013 - Present
HealthCare Partners IPA / MSO of NY March 2013 - July 2013
WellCare November 2010 - November 2012
Blue Shield of California September 2009 - October 2010
UnitedHealthcare/PacifiCare/SecureHorizons February 2006 - August 2009
UnitedHealthcare/Oxford Health Plans August 2004 - January 2006
Oxford Health Plans 1996 - 2004
Education
University of Maryland - Robert H. Smith School of Business 1994 — 1996
MBA, Marketing, Finance
University of Connecticut 1987 — 1991
WellCare March 2006 - Present
WellCare Health Plans Inc 2006 - Present
Equifax 1996 - 2004
Florida Power Corporation 1972 - 1995
Skills
SDLC, Disaster Recovery, Vendor Management, HIPAA, Visio, SQL, Systems Analysis, Data Warehousing, Enterprise Architecture, Business Analysis, Process Improvement, Business Process..., IT Management, EDI, IT Strategy, Business Intelligence, Healthcare, Integration, Data Center, Requirements Analysis
Education
University of Florida
BS in computer information science
Crews Insurance Agency January 2014 - Present
HealthPlan Services April 2013 - January 2014
WellCare April 2010 - September 2013
Wakely and Associates, Inc. November 2005 - March 2010
Siemens Power Generation September 2002 - October 2005
Skills
Process Improvement, SDLC, Business Analysis, Insurance, Visio, Health Insurance, Requirements Gathering, Business Requirements, Access, Requirements Analysis, Medicare, Data Analysis, SharePoint, Business Process..., Microsoft Excel, IT Strategy, Analysis, Project Management
Education
University of Central Florida 2003 — 2005
M.B.A., Technology
University of Central Florida 2001 — 2003
B.S.B.A., Marketing
WellCare Health Plans April 2014 - Present
WellCare May 2007 - April 2014
United Healthcare January 2003 - May 2007
CIGNA November 2001 - December 2002
Aetna June 1994 - November 2001
Blue Cross Blue Shield of Delaware 1985 - 1994
Skills
Provider Contracting, Financial Modeling, Actuarial Consulting, Provider Relations, Managed Care, HMO, Network Development, PPO, Medicare
Education
University of Delaware 1981 — 1985
1985, Bachelor of Science, Mathematics
WellCare October 2009 - December 2013
Skyway Software, Inc. July 2008 - October 2009
Skyway Software January 2007 - July 2008
LightPort, Inc. August 1999 - November 2006
Skills
JavaScript, MS Project, Management, Java, SDLC, Quality Assurance, Databases, HIPAA, Business Analysis, Budgets, Contract Negotiation, Software Project..., Agile Methodologies, Vendor Management, SharePoint, Managed Care, Medicare, Medicare Advantage, Medicare Part D, CMS, Compliance 360, HTML, CSS, Software Development, Microsoft SQL Server, SQL
Education
University of South Florida 1997 — 1999
B.S., Management Information Systems
University of Central Florida 1995 — 1997
N/A, Microbiology
Centene Corporation April 2010 - January 2013
Centene Corporation May 2009 - April 2010
WellCare August 2006 - May 2009
Florida Hospital May 2002 - January 2006
Skills
Nursing, Utilization Management, Medicaid, Acute Care, Disease Management, Certified Case Manager, Registered Nurses, Medicaid Managed Care, NCQA, HEDIS, Case Management, HIPAA, Healthcare Management, Home Care, Managed Care, Medicare, Provider Relations, Inpatient, Quality Improvement
Education
University of Florida
Bachelor Degree, Nursing
Regency Centers March 2011 - Present
Dolphin Capital Management 2001 - 2007
WellCare 1999 - 2001
Skills
SharePoint, Microsoft SQL Server, jQuery, VB.NET, SQL, SDLC
Education
University of Florida 1994 — 1999
B.S., Computer and Information Science
AvMed August 2015 - Present
AxoGen, Inc. September 2014 - August 2015
AvMed July 2013 - April 2014
Capital Health Plan July 2008 - June 2013
AvMed Health Plans June 2006 - July 2008
WellCare 2003 - 2005
Vista Healthplan 1999 - 2003
Skills
Managed Care, Medicare, Health Insurance, Medicaid, Pharmacy Benefit..., Healthcare Management, Healthcare Consulting, Strategic Planning, Insurance, Leadership, Employee Benefits, Analytics, Health Policy, HIPAA, Healthcare, Healthcare Industry, Healthcare Information...
Education
University of Florida 1994 — 1998
Bachelor, Finance
Taylor County High School
Freedom Health March 2014 - Present
ValueOptions April 2013 - March 2014
UnitedHealthcare May 2011 - November 2012
UnitedHealthcare August 2009 - April 2011
WellCare August 2008 - May 2009
Biomet/ EBI, LP March 2006 - December 2007
Hospitalists of America, LLC March 2005 - February 2006
JSA Healthcare Corporation/ AmeriDrug Pharmacies January 2004 - February 2005
Blue Cross Blue Shield of Florida September 1999 - January 2004
Skills
Managed Care, Healthcare, Medicare, Medicaid, Provider Relations
Education
University of Illinois at Chicago
BA and BS, Organizational Psychology and Political Science
University of South Florida
Organizational Psych/ Statistics
Coventry Health Care, an Aetna Company 2005 - Present
WellCare 2003 - 2004
CIGNA Healthcare 2000 - 2003
GatesMcDonald 1997 - 1999
Continental Airlines 1991 - 1997
Skills
Business Process..., Business Process..., Customer Service, Front End Processing, Finance, Workers Compensation, Call Centers, Business Analysis, Process Improvement, Insurance, Managed Care, Claim, Health Insurance, BPO, Policy, Operations Management, Leadership, Employee Benefits, Workforce Management, Vendor Management, Training, Medicare
Education
University of Houston-Clear Lake
MBA, Business
University of Miami - School of Business
Bachelor of Business Administration (BBA), Business Administration, Management and Operations
Whitney Actuarial Consulting, LLC 2007 - Present
PartnerCare Health Plan February 2005 - November 2006
WellCare 2000 - 2003
WellCare Health Plans, Inc. 2000 - 2003
Skills
Managed Care, Medicaid, Medicare, Healthcare, Provider Relations, Healthcare Industry, Health Insurance, HMO, Healthcare Information..., Healthcare Consulting, Utilization Management, Healthcare Management, Disease Management, HIPAA, Health Policy, Employee Benefits, Network Development, Claim, Revenue Cycle, Insurance, Process Improvement, PPO
Education
University of Connecticut 1980 — 1984
BA, Actuarial Math
Wellcare September 2006 - Present
WellCare Health Plans 2006 - Present
HealthPlan Services December 2002 - September 2006
Florida Orthopaedic Institure May 2000 - August 2002
Skills
Compliance, Policy, Risk Management, Medicare, Healthcare, Managed Care, Risk Assessment, Health Insurance, Strategic Planning, Documentation, Healthcare Management, Medicaid, Ethics, Governance, Policy Analysis, Insurance, Auditing, HIPAA, Software Documentation, Management
Education
University of Florida
BA, Communications and Sociology
University of South Florida
MA, Health Policy and Management
WellCare Health Plans March 2014 - Present
WellCare 1997 - March 2014
Skills
Managed Care, Medicare, Health Insurance, Medicaid, HIPAA, Provider Relations, Claim, Insurance, HMO, Network Development, Healthcare, HEDIS, Medicaid Managed Care, Data Analysis, Hospitals, EMR, Healthcare Consulting, Claims Management, Healthcare Information..., Process Improvement, Policy, Call Centers, Healthcare Industry, Physicians, Team Building, Executive Management, Revenue Cycle Management, Performance Improvement, Visio, Medical Compliance, Disease Management, Healthcare Management, Revenue Cycle, EHR, Utilization Management, Claims Resolution, Credentialing, PPO, Long-term Care, Health Policy, Employee Benefits, Physician Relations, Pharmacy Benefit..., Medicare Part D, Workers Compensation, Quality Improvement, Provider Network..., Disability Insurance, Medical Billing, EDI
Education
University of Florida 1991 — 1996
Bachelor of Arts (B.A.)
Southern Health Partners, Inc. August 2015 - Present
Alere September 2012 - February 2015
WellCare August 2011 - August 2012
Southern Health Partners April 2009 - August 2011
Bermuda Integrated Health Coop January 2009 - August 2011
Logan Aluminum September 2006 - September 2007
Energy Corporation of America 2002 - 2006
FamilyCare and Charleston Area Medical Center 1988 - 2002
Skills
Healthcare, Hospitals, Treatment, Psychotherapy, Leadership, Public Speaking, Public Health, Program Development, Nonprofits, Strategic Planning, Research, Program Management, Event Planning, Healthcare Management, System Administration, Public Policy, Grant Writing, Nursing, Social Media, Coaching, Supervisory Skills, Policy, Mental Health, Health Promotion, Midwifery, Outlook, Training, Project Management, Family Planning, Non-profits, Health Education, Nursing Education, Customer Service, Microsoft Word, Analysis, Community Outreach, Team Leadership, Payroll, Program Evaluation, Clinical Research, Case Managment, Workshop Facilitation, Microsoft Office
Education
Bluegrass Community College
Nursing
University of California
Nurse-Midwifery
West Virginia State University
Bachelor's
DaVita HealthCare Partners September 2014 - Present
WellCare October 2013 - Present
WellCare January 2010 - March 2013
WellCare April 2009 - December 2009
WellCare September 2006 - April 2009
WellCare Health Plans, Inc. September 2006 - April 2009
PacifiCare Health Systems 2003 - 2006
Skills
Medicaid, Medicare, Managed Care, Health Insurance, HMO, Network Development, Provider Relations, Insurance, Healthcare, Utilization Management, Health Policy, Healthcare Industry, Healthcare Consulting, Process Improvement, HIPAA, PPO, Behavioral Health, Medical Compliance, Provider Network...
Education
University of Arizona
Master of Public Administration (MPA)
WellCare February 2011 - Present
WellCare August 2010 - February 2011
WellCare October 2008 - August 2010
Mott's Contracting Services August 2006 - October 2008
LifeSouth Community Blood Centers January 2005 - May 2006
Skills
Compliance, Regulatory Affairs, Regulatory Reporting, Microsoft Office, Healthcare IT, CMS, Compliance Audits, People Management, Policy Analysis, Healthcare, Healthcare Management, Healthcare Compliance, Health Insurance, Managed Care, Medicare, Medicaid, Medicare Part D, Pharmacy Operations
Education
University of South Florida 2007 — 2009
MHA, Health Policy and Politics
University of Florida 2000 — 2004
Bachelors of Science, Health Science Education
Optum April 2015 - Present
Anthem, Inc. November 2014 - April 2015
WellCare December 2013 - November 2014
CIGNA Healthcare September 2011 - December 2013
CIGNA Healthcare May 2009 - September 2011
CIGNA Healthcare May 2009 - July 2010
CIGNA Healthcare April 2007 - May 2009
CIGNA Healthcare January 2006 - April 2007
CIGNA Healthcare May 2005 - December 2005
Skills
Business Analysis, Process Improvement, Visio, Business Process, HIPAA, Healthcare, Data Analysis, Insurance, Business Process..., Employee Benefits, Systems Analysis, Software Documentation, Managed Care, Healthcare Information..., SDLC, Business Requirements, Requirements Gathering, Access, Vendor Management, SharePoint, Trizetto NetworX Pricer, Medicare/Medicaid..., Trizetto Facets, Health Insurance, Medicare, Proclaim, Xcelys, iCES/CES, Claimcheck, Root Cause Analysis, Product Development, ICD-10, SQL, Requirements Analysis, User Acceptance Testing, Microsoft Excel, Training, Integration, Project Management, Analysis, Cross-functional Team..., Management, Team Building, Leadership
Education
University of Houston 1999 — 2005
B.S., Information Systems Technology
WellCare November 2007 - February 2009
Amerigroup Corporation July 2005 - October 2007
GENEX Services, Inc. July 2002 - June 2005
Sheakley Unicomp February 2001 - May 2002
UnitedHealth Group March 1993 - April 2000
Education
University of Cincinnati College of Business
Business/Marketing
WellCare Health Plans January 2014 - Present
WellCare September 2013 - January 2014
WellCare January 2013 - September 2013
SRI Surgical / Synergy Health March 2004 - January 2013
NCI 2001 - 2004
Maxxim Medical 1994 - 2001
Johnson & Johnson Medical 1987 - 1994
Skills
Positive Can-do Attitude, Medical Devices, Healthcare, Hospitals, Process Improvement, Healthcare Information..., Surgery, Cross-functional Team..., Team Building, Sales Operations, Strategic Planning, FDA, Customer Service, Budgets, New Business Development, Marketing, Contract Negotiation, Account Management, Event Planning, Purchasing, Project Management, Inventory Management, Microsoft Office, Sales Management, Leadership, Human Resources, Training, Salesforce.com, Sales, Recruiting, Executive Management, Operations Management, Coaching, Management, Event Management
Education
University of Illinois at Urbana-Champaign
BS Music History, Music
WellCare February 2006 - December 2014
Humana 2000 - 2002
Humana 1998 - 2000
Humana 1997 - 1998
Humana August 1996 - April 1997
Maxi-Clean, Inc. 1983 - 1995
Skills
Medicaid, Medicare, Customer Service, Provider Contracting, HMO, Provider Relations, Managed Care, Process Improvement, Physicians, Medicare Part D, Health Policy, Health Insurance, Leadership, PPO, Healthcare Industry, HIPAA, Healthcare, Network Management..., Claims Resolution
Education
University of Illinois at Chicago 1981 — 1985
BA, Psychology
WellCare September 2005 - Present
WellCare Health Plans, Inc. 2005 - Present
Health First 1992 - 2005
Skills
Managed Care, Medicaid, Medicare, Pharmacy Benefit..., Medicare Part D, Utilization Management, Network Development, Provider Relations, Disease Management, Health Policy, Health Insurance, HMO, Healthcare, HIPAA, Healthcare Management
Education
University of Florida 1982 — 1988
Pharm.D., Pharamcy
WellCare April 2014 - Present
WellCare September 2013 - Present
WellCare April 2010 - September 2013
WellCare April 2008 - April 2010
WellCare July 2006 - April 2008
WellCare December 2004 - July 2006
WellCare March 2004 - December 2004
Eckerd Drug Company January 2001 - February 2004
Eckerd Drug Company January 1999 - January 2001
Eckerd Drug Company January 1997 - January 1999
Skills
Pharmacy Benefit..., Utilization Management, Medicaid, Sales, Pharmacy Automation, Medicare Part D, Healthcare, Pharmaceutical Industry, Managed Care, Medicare, Pharmacy, Benefits Administration, Management, Vendor Management, Competitive Intelligence, Employee Benefits, Inventory Management, Call Center, Training, Medication Therapy..., Clinical Research, Cross-functional Team..., Insurance, Call Centers, Pharmacists, Process Improvement, Pricing, Quality Improvement, RFP, Auditing, Executive Management, Healthcare Industry, Disease Management, HMO
Education
University of Florida 2000 — 2003
Doctor, Pharmacy
University of Pittsburgh 1979 — 1984
B.S, Pharmacy
WellCare September 2011 - Present
Humana Inc June 2009 - September 2011
Humana Inc April 2008 - July 2009
Humana Inc November 2007 - April 2008
Humana Inc November 2005 - November 2007
Skills
Self-motivated, Strong work ethic, Dedicated, Medicare, Health Insurance, Managed Care, Insurance, Medicaid, Healthcare, Process Improvement, HIPAA, Data Analysis, Healthcare Management, Business Analysis, Strategic Planning, Call Center, Management, Managed Hosting, Health Policy, Claim, Employee Benefits, Healthcare Industry
Education
University of Kentucky
BS, Agricultural Economics
WellCare Medicare Account ExecutiveAetnaOctober 2011 - Present
Skills
Health Insurance, Medicare, Health Savings Accounts, Health Care Reform, Healthcare, Team Building, Health Policy, Managed Care, Account Management, Medicaid, Sales Presentations, Insurance, Long-term Care, Medicare Part D, Term Life Insurance, Healthcare Consulting, Sales, Leadership, Training, HMO, HIPAA, Strategic Planning
Education
The University of Connecticut 1990 — 2005
BS, Biology
University of Texas at Dallas August 2011 - Present
WellCare February 2010 - March 2011
GE Edgelab 2009 - 2009
Watson Wyatt 2008 - 2008
Skills
Data Analysis, SAS
Education
University of Connecticut 2007 — 2010
Access2Care April 2014 - Present
WellCare May 2012 - April 2014
Axis Billing Services August 2011 - January 2012
Denver Newspaper Agency July 1996 - July 2011
Skills
budgeting, Financial Analysis, Financial Modeling, Cost Accounting, Cost Reporting, Pricing Analysis, Advanced Excel skills, Advanced MS Access, Crystal and Cognos...
Education
University of Colorado at Denver 1984 — 1988
Master of Business Administration (MBA), Finance, General
University of Colorado at Boulder 1978 — 1980
Bachelor of Environmental Design
Colorado College 1976 — 1977
Arts & Sciences
HealthPlanOne, LLC May 2014 - Present
Florida Marketing Organization, LLC February 2013 - April 2014
United Health Care July 2008 - March 2011
WellCare 2005 - 2007
Skills
Medicare, Managed Care, Insurance, Healthcare, Sales Management, Sales operations, Medicaid, Health Insurance, Leadership, Sales, Sales Operations, Healthcare Industry, Healthcare Consulting, Team Building, Long-term Care, Employee Benefits
Education
University of Cincinnati 1989 — 1990
M.Ed, Exercise Physiology
University of Kentucky
BS
Alexian Brothers Health System 2013 - 2014
WellCare 2012 - 2013
Lutheran General Hospital May 2010 - July 2010
Skills
Microsoft Excel, Microsoft Office, PowerPoint, Outlook, Access, Microsoft Word, Data Analysis
Education
University of Illinois at Urbana-Champaign 2006 — 2010
Medical Card Systems Inc. June 2010 - November 2012
WellCare December 2001 - February 2010
Sonoco April 2000 - October 2001
Florida Power Corp 1989 - 2000
Arthur Andersen & Co. 1986 - 1989
Skills
Auditing
Education
University of South Florida
BSBA, Management Information Science
University of Florida 1981 — 1986
M.Acc., Accounting
University of Florida
BSBA, Finance
JSA Healthcare Corporation February 2015 - Present
JSA Healthcare December 2012 - Present
BestGroup IPA June 2011 - Present
WellCare 2009 - June 2011
Raymond James 2006 - 2009
MBNA 2004 - 2004
Skills
Budgeting, Financial Modeling, Excel, Strategic Planning, Insurance, Analysis, Process Improvement, Budgets, Risk Management, Financial Analysis, Microsoft Excel, Strategic Financial..., Fixed Income, Financial Reporting, Finance
Education
University of Delaware - Lerner College of Business and Economics 2001 — 2005
Finance, Business Administration/English
WellCare November 2012 - Present
Shands Healthcare at the University of Florida July 2006 - November 2012
Shands HealthCare at the University of Florida July 2006 - January 2008
Skills
Healthcare, Managed Care, Hospitals, Contract Negotiation, Contract Management, Network Development, Provider Contracting, Medicare, Medicaid, Credentialing, Health Insurance
Education
University of Central Florida
Bachelors, Health Services Administration
WellCare October 2011 - Present
PNC September 2010 - July 2011
HSBC September 2004 - August 2010
Skills
Insurance, Customer Service, Management, Business Analysis, Marketing, Health Insurance, Process Improvement, Project Management, Leadership, Vendor Management, Strategic Planning, Sales, Sales Management, Advertising, Program Management, Account Management, Direct Mail, CRM
Education
University of Delaware - Lerner College of Business and Economics 2004 — 2008
Marketing
WellCare February 2014 - Present
SonicPrint.com April 2012 - December 2013
Music with Mar. May 2011 - April 2012
Heart of Florida United Way November 2010 - May 2011
Heart of Florida United Way June 2010 - November 2010
UCF Foundation February 2008 - July 2010
Skills
Adobe Creative Suite, Marketing, Sales, Marketing Communications, Microsoft Office, Social Media, Account Management, Fundraising, PowerPoint, People-oriented, Direct Marketing, Creative Writing, Customer Retention, Advertising, Blogging, Press Releases, People Training, Employee Training, PowerPoint skills, Social Media Development, Social Media Outreach, Integrated Marketing, Cpr Certified, Account Manag, Salesforce.com..., Facebook, Event Planning, Salesforce.com, Time Management, Training, Community Outreach, CPR Certified
Education
University of Central Florida 2007 — 2011
Bachelor of Science, Interdisciplinary Studies, Marketing, Early Childhood Education, Psychology
Palm Harbor University High School 2003 — 2007
International Baccalaureate
WellCare January 2010 - Present
Health Management Services of America March 2009 - January 2010
Fenwal, Inc., a Fresenius Kabi Company September 2008 - March 2009
Fenwal, Inc., a Fresenius Kabi Company March 2008 - August 2008
IDEA Solutions Inc. (formerly Jass & Associates Inc) October 2007 - February 2008
Skills
Data Warehousing, Business Intelligence, Business Objects, Business Analysis, SDLC, Requirements Analysis, SAS, Visio, Data Analysis, SQL, Data Modeling, Oracle, ETL, Requirements Gathering, PL/SQL, Business Requirements, Data Integration, Software Documentation, Analysis, Systems Analysis, Microsoft SQL Server, Software Development, Quality Assurance, SSRS, Gap Analysis, Business Process, User Acceptance Testing, Process Improvement, Analytics, Data Mining, SAS programming, Toad, EDI, Access, Crystal Reports, UML, SharePoint, Databases, Vendor Management, Software Project...
Education
University of South Florida 2006 — 2007
University of Bridgeport 2003 — 2005
Masters, Mechanical Engineering
WellCare March 2009 - June 2010
WellCare March 2007 - June 2010
Elizabeth Astle March 2007 - June 2010
WellCare Health Plans March 2007 - March 2009
Kindred Pharmacy Services September 2003 - March 2007
NCS Healthcare September 2000 - February 2003
SunScript Pharmacy November 1997 - May 2000
Astle, Blakey and Associates, Inc January 1991 - January 1997
Walgreens January 1989 - January 1991
Education
University of Florida 1981 — 1986
BS, Pharmacy
University of Florida 1983 — 1985
BS, Pharmacy
WellCare Health Plans April 2015 - Present
WellCare August 2013 - Present
WellCare July 2012 - August 2013
Lockheed Martin Corp. March 2011 - May 2012
Total Medical Solutions Inc December 2010 - March 2011
JR Mex Ventures LLC January 2009 - March 2011
Logogram Inc August 2010 - December 2010
Skills
Accounting, Earned Value Management, Microsoft Excel, PowerPoint, Financial Analysis, Business Strategy, MS Project, Project Planning, Market Research, Contract Management, Business Analysis, Equity Valuation, Financial Modeling, Report Writing, Presentations, Management, Finance, Public Speaking, Corporate Finance, Forecasting, Competitive Analysis
Education
University of Central Florida - College of Business Administration 2010 — 2012
Master of Business Administration (M.B.A.), Business Administration, 3.5
University of Central Florida 2006 — 2010
B.S.B.A, Finance
WellCare June 2011 - Present
WellCare October 2007 - September 2010
University of Illinois at Chicago June 1983 - September 2002
Skills
Managed Care, Medicaid, HIPAA, Medicare, Provider Relations
Education
University of Illinois at Chicago 1984 — 1986
Doctor of Philosophy (PhD) (ABD), Public Policy Analysis, Administration
University of Illinois at Chicago 1977 — 1979
Master of Education (M.Ed.), Special Education and Teaching, Administration
WellCare August 2008 - Present
Education
University of Florida
WellCare Health Plans August 2015 - Present
WellCare February 2013 - August 2015
WellCare March 2012 - February 2013
WellCare July 2011 - February 2012
WellCare November 2010 - June 2011
ACS, a Xerox Company January 2010 - November 2010
Skills
Medicare, Medicaid, HIPAA, Process Improvement, Coordination of Benefits, Healthcare Information..., Insurance, Managed Care, Health Insurance, Healthcare Industry, Healthcare, Call Centers, Healthcare Management, Data Analysis, Visio, Access, Vendor Management, Leadership, Team Building
Education
University of Iowa 1997 — 2001
BA, Sociology
WellCare April 2013 - Present
Universal Health Care April 2012 - Present
Universal Health Care January 2011 - Present
Computers by Ramon January 2007 - Present
Crispers January 2008 - January 2011
Windy City Pizza January 2006 - January 2008
Education
Jesuit High School
Hillsborough Community College
University of Central Florida
Self Employed November 2012 - Present
Universal July 2009 - November 2012
WellCare December 2004 - May 2009
Quality Health PLANS May 2002 - December 2004
Humana January 1997 - April 2002
Skills
Managed Care, Medicare, Medicaid, Marketing, Network Development, Sales Operations, Operations Management, Strategic Planning, Insurance, Healthcare Industry, Health Policy, Leadership, Process Improvement, Health Insurance
Education
University of Central Florida
Business, Management, Marketing, and Related Support Services
WellCare October 2008 - Present
Education
University of Central Florida
Winter Park High School