Experience
Simon RFP Consulting   July 2015 - Present
Molina Healthcare, Inc.   June 2011 - Present
Molina Healthcare  January 2009 - July 2011
WellCare   2007 - 2008
Blue Shield of California  2005 - 2008
Pharmaceutical Care Network  2002 - 2005
BioSeparations   1992 - 1996
Raychem Corporation  1981 - 1991
Raychem Corporation  1981 - 1991
Raychem Corporation  1978 - 1988

Skills
Managed Care, Health Insurance, Healthcare, PBM, Medicaid, Medicare, Pharmacy Benefit..., HIPAA, Healthcare Consulting, Disease Management, Health Policy, Healthcare Industry, Provider Relations, Healthcare Management, Healthcare Information..., Process Improvement, Program Management, Management, Leadership, Strategic Planning, Network Development, Cross-functional Team..., Team Building, Project Management, Vendor Management

Education
University of San Francisco   1986 — 1988
Bachelor of Science (BS), Economics

Zweibrucken American Highschool, Germany
General Studies

Experience
Masonite International  June 2015 - Present
CareCentrix  December 2014 - March 2015
TEKsystems  June 2014 - September 2014
MedHOK Healthcare Solutions  January 2013 - May 2014
MedHOK Healthcare Solutions  August 2012 - January 2013
Humana  May 2011 - August 2012
Freedom Health  June 2009 - April 2010
WellCare   June 2002 - March 2006

Skills
Customer Experience, Computer Hardware, Computer Information..., Software, Problem Solving, Strategic Planning, Reports, Microsoft Office, Workforce Management, Information Technology, Troubleshooting, Technical Support, Help Desk Support, Hardware, Healthcare Information..., Servers, Databases, SQL, Outlook, Windows, Analysis, Management, Software Documentation

Education
Keiser University-Ft Lauderdale   2011 — 2012
Associate's Degree, Information Technology, 3.5

University of Phoenix-Central Florida Campus   2001 — 2011
Bachelor of Applied Science (BASc), Business/Management

Experience
Memorial Hermann Health System  August 2015 - Present
Aetna  2011 - Present
United Health Care  October 2008 - February 2011
WellCare   October 2007 - October 2008
Delta Dental  November 2005 - October 2007
Ameritas  September 2004 - November 2005
Pacific Life & Annuity  December 2000 - September 2004

Skills
Life Insurance, Dentistry, HMO, Sales Management, Sales, Health Insurance, Medicare, Insurance, Employee Benefits, Managed Care, Disability Insurance, Term Life Insurance, Workers Compensation, Long-term Care, Account Management

Education
University of North Texas
BA Communications, Communications/Literature

Experience
WellCare Health Plans  November 2014 - Present
WellCare   January 2010 - Present
WellCare   March 2010 - December 2011
WellCare   June 2005 - March 2010
WellCare   January 2000 - June 2005

Skills
ITIL, SDE, SQL Server, SharePoint, Windows Server, Microsoft SQL Server, VMware, Strategic Planning, Solution Implementation, Healthcare Information..., Cross-functional Team..., Process Improvement, Change Management, Desktop Administration, SailPoint, IT Service Management, Crystal Reports, Asset Managment, Active Directory, Self-driven, Technical Documentation, Operating Systems, System Administration, Software Documentation, Asset Management, Visio, Vendor Management, Disaster Recovery, Citrix, IT Management, SDLC

Education
University of Phoenix   2004 — 2008
BS, Information Technology

Experience
Prominence health a CHI Company   September 2015 - Present
Health Services Agency   September 2014 - September 2015
Meridian Health Plan  March 2013 - September 2014
WellPoint  May 2012 - March 2013
Amerigroup  September 2007 - January 2012
WellCare   2000 - 2007

Skills
Insurance, Employee Benefits, Dental, Customer Service, Health Insurance, Sales, Medicaid, Managed Care, Training, Medicare, Dentistry, HIPAA, Disability Insurance, Healthcare, Sales Management, Life Insurance, HMO, Healthcare Industry, Provider Relations, Medicare Part D, Term Life Insurance, Customer Retention, Disease Management, Health Savings Accounts, Pharmacy Benefit..., Long-term Care, Health Policy, Claim, Healthcare Consulting, Call Centers, Health Care Reform, Brokers, PPO, Network Development, Revenue Cycle, Medicare/Medicaid..., Healthcare Information..., EHR, Physician Relations, Workers Compensation, Pharmacy, Credentialing, Underwriting, Executive Management, Physicians, Benefits Administration, Utilization Management, Healthcare Management, Process Improvement, Hospitals

Education
University of Phoenix   2009 — 2010
Masters of Management, Business Administration and Management, General

University of Phoenix   2008 — 2009
Masters of Business Administration, MBA

University of Phoenix   2004 — 2012
BSBF, Finance

Experience
CVS Health  August 2015 - Present
Omnicare  December 2011 - August 2015
Wellcare   January 2010 - December 2011
Epstein Becker & Green, P.C.   September 2007 - January 2010
Blue Cross and Blue Shield of Massachusetts, Inc.   1998 - 2007
Goodwin Procter LLP  September 1992 - June 1998
United States District Court (D.R.I.)   September 1991 - September 1992

Skills
Medicaid, Medicare, Managed Care, Litigation, Health Policy, HIPAA, Insurance, Private Investigations, Medical Compliance, Claim, Health Insurance, Health Care Compliance, Litigation Management, Healthcare Management, Healthcare Information..., Medicare Part D, Healthcare Industry, Medical Devices, Legal Compliance, Workers Compensation, Ethics, Health Law, Certified Fraud Examiner, Provider Relations, Government, Employee Benefits, Policy, Legal Writing

Education
University of Michigan Law School   1988 — 1991
J.D., Law

Yale University   1982 — 1986
B.A., Economics

Experience
WellCare Health Plans  May 2014 - Present
Universal Health Care  May 2012 - March 2013
WellCare   October 2007 - August 2012
United States Army  July 2005 - October 2006
U.S. Air Force   April 1996 - July 1999

Skills
VoIP, Training, Management, Troubleshooting, Microsoft Word, Visio, Telecommunications, Teamwork, Time Management, Call Centers, Technical Support, Outlook, Change Management, Program Management, Software Documentation, Process Improvement, Vendor Management, Business Analysis, Data Center, Team Building, Contract Negotiation, Microsoft Office, Windows, VPN, System Administration, Project Management, Networking, Customer Service, Team Leadership, Telecommunications..., SharePoint, HIPAA, Security, Computer Hardware, Strategic Planning, Microsoft Excel, Active Directory, Disaster Recovery, Leadership, Access, Healthcare, Call Center

Education
University of North Carolina at Pembroke   1991 — 1995
BS, Physical Education

Experience
WellCare Health Plans  March 2015 - Present
WellCare Health Plans  June 2014 - February 2015
WellCare Health Plans  March 2014 - June 2014
WellCare   January 2013 - March 2014
Veredus  October 2012 - January 2013
Fidelity Information Services  April 2011 - August 2012
Jyme Marketing Group   January 2009 - January 2012
Capital One Auto Finance  October 2005 - October 2008
Target Corporation  September 1998 - February 2005

Skills
Public Relations, Customer Service, Business Development..., Project Management, Management Consulting, Process Improvement, Access, Marketing, Business Analysis, Program Management, Training, Vendor Management, Data Analysis, Strategic Planning, Banking, Change Management, Management, Analysis, SharePoint, Business Development, Visio, Microsoft Excel, Requirements Analysis, Business Intelligence, Microsoft Office, Testing, Employee Relations, Microsoft Word, PowerPoint, MS Project, Business Planning, Team Building, Software Documentation, Strategy, SDLC, PMO, Business Process..., Requirements Gathering, Information Technology, Business Strategy, Consulting, Software Project..., IT Strategy, Quality Assurance, Project Planning, Security, Coaching

Education
University of South Florida - College of Business Administration   2006 — 2008
B.S., Management

University of South Florida   2006 — 2009
B.S., Finance

Experience
Humana, Inc.   June 2014 - Present
MetLife  August 2013 - June 2014
Humana  November 2012 - August 2013
Humana, Inc  March 2011 - November 2012
Humana, Inc.   October 2008 - March 2011
WellCare   September 2006 - September 2008
Medical Manager/WebMD/Emdeon/Sage   2001 - 2006

Skills
Call Center, Visio, Healthcare, Software Implementation, Captivate, Medicare, Software Documentation, SharePoint, Healthcare Information..., Microsoft SQL Server, Camtasia, Articulate Studio, User Productivity Kit, Six Sigma, E-Learning, EHR, Instructional Design, Learning Management..., Health Insurance, Technical Training, Adult Education, Access, Salesforce.com, ADDIE, EMR, Instructor-led Training, Curriculum Design, Change Management, Blended Learning, Salesforce Training, Training, Learning Management, Leadership, Analysis, Coaching, Strategy, Training Delivery, Process Improvement, Management, Project Management, Needs Analysis, Call Centers

Education
University of Phoenix   2010 — 2014
Doctor of Educational Leadership (EdD), Curriculum and Instruction, 3.8

University of Phoenix   2008 — 2010
Masters of Arts in Education, Adult Education

University of Phoenix   2004 — 2008
Bachelors of Science in Business Management

Experience
GTE Financial  June 2014 - Present
The Great Mother's/Father's Day Race 5K   January 2012 - Present
WellCare   October 2012 - October 2013
Ultimate Medical Academy - Tampa  August 2010 - September 2012
Moore & Scarry Advertising  June 2009 - April 2010
AARP  August 2008 - March 2009

Skills
Direct Mail, Analysis, Email Marketing, Direct Marketing, Digital Marketing, Online Advertising, Advertising, Social Media, Marketing, Event Management, Social Networking, Event Planning, Marketing Strategy, Public Relations, Social Media Marketing, Public Speaking, Adobe Creative Suite, Creative Direction, Salesforce.com, Management, Leadership, Account Management, Newsletters, Training, Budgets, Strategic Planning, Coaching, Online Marketing, PPC, Marketing Communications, Analytics, Market Planning, Sales Management, Program Management, Lead Generation

Education
University of South Florida   2007 — 2010
Master of Arts, Strategic Communication Management

University of Pittsburgh   2001 — 2005
Bachelor of Arts, Communications

Experience
LifeVest Health  May 2012 - Present
The TriZetto Group  January 2011 - September 2012
The TriZetto Group  January 2010 - January 2011
The TriZetto Group  July 2009 - January 2010
MedVolution   April 2008 - May 2009
CodeRyte  2008 - 2009
Medtronic  June 2008 - August 2008
WellCare   December 2006 - August 2007
WellCare   June 2005 - December 2006
Oliver Wyman and Company   March 2004 - June 2005

Skills
Strategic Planning, Corporate Development, Financial Modeling, Business Strategy, Management Consulting, Healthcare, Healthcare Information..., Strategy, Product Management, Process Improvement, Mergers, Business Development, Strategic Partnerships, Budgets, Leadership, Entrepreneurship, Cross-functional Team..., Project Management, Executive Management, Change Management, Mergers & Acquisitions, Start-ups, Finance, CRM, Business Intelligence, Management, Team Building, Product Development, Business Analysis, Analysis, Policy, Analytics, Business Process..., Competitive Analysis, Venture Capital

Education
University of Pennsylvania - The Wharton School   2007 — 2009
MBA, Health Care, Entrepreneurship

University of Pennsylvania   1999 — 2003
BA, History, Hispanic Studies

Atlanta International School   1987 — 1999
High School Diploma

Experience
Bisk Education  July 2015 - Present
Bisk Education  October 2013 - July 2015
WellCare   July 2012 - October 2013
Bisk Education  February 2011 - July 2012
Raymond James & Associates, Inc   June 2007 - February 2011
Outback Steakhouse  January 2007 - June 2007
AAA Auto Club South  June 2005 - January 2007
Lord & Lasker   May 2003 - December 2003
AAA Auto Club South  November 2002 - May 2003
Lord & Lasker   September 2000 - November 2002

Skills
Marketing, Brand Development, Brand Management, Strategic Planning, Strategy, Online Marketing, Customer Experience, Project Management, Online Advertising, Marketing Management, Creative Strategy, Digital Marketing, Program Management, Social Media Marketing, Product Management, Lead Generation, Photography, Customer Retention, Direct Marketing, Social Media, Email Marketing, Google Analytics, Advertising, Marketing Communications, E-commerce, Website Development, Content Management, Analytics, Product Marketing, Adobe Creative Suite, Web Design, Coaching, B2B, Social Networking, SEO, Copywriting, Digital Media, Web Marketing, Digital Strategy, Corporate Branding, Leadership, Strategic Communications, Mobile Marketing, Team Leadership, Interactive Marketing, Direct Mail, Customer Acquisition, Management, Creative Direction, Marketing Strategy

Education
University of Florida   2014 — 2014
Tactical Leadership Certificate

Villanova University   2012 — 2012
Six Sigma Green Belt - Certificate

Villanova University   2011 — 2011
Essentials of Project Management - Certificate, Project Management

University of San Francisco   2011 — 2011
Master Certificate in Internet Marketing, Internet Marketing

University of South Florida   2004 — 2005
Additional Study - Fine Art, Photography

University of South Florida   1996 — 2000
B.A. in Mass Communications, Advertising

Experience
WellCare Health Plans  July 2015 - Present
WellCare   October 2013 - July 2015
WellCare Health Plans, Inc  January 2012 - October 2013
WellCare Health Plans, Inc  August 2011 - December 2011
WellCare Health Plans, Inc  March 2007 - August 2011
Aon Consulting (now Aon Hewitt)   May 2001 - March 2007

Skills
Network Development, Contract Management, Vendor Relations, Editing, Writing, Proofreading, Strategic Communications, Marketing Communications, Customer Relations, Strategic Planning

Education
University of North Carolina at Chapel Hill   1997 — 2001
BA, Journalism and Mass Communication

Experience
WellCare Health Plans  April 2014 - Present
WellCare   January 2013 - April 2014
WellCare   September 2011 - December 2012
Dick's Sporting Goods  November 2010 - March 2011
Louisville Metro Government  November 2009 - September 2010
Louisville Metro Government  August 2008 - December 2008

Skills
Public Health, Program Evaluation, Community Outreach, Data Analysis, Program Development, Healthcare Management, Health Policy, Coordination, Microsoft Office, PowerPoint, Microsoft Excel, Problem Solving, Microsoft Word, Survey Design, Program Management..., Epidemiology, Medicaid, Writing, Organization, HEDIS, Medicare, Quality Improvement

Education
University of Louisville   2009 — 2011
Master of Public Health (MPH), Health Promotion and Behavior, 3.92

University of Louisville   2005 — 2009
Bachelor of Arts (BA), Sociology, 3.3

Experience
WellCare   December 2012 - Present
The Peter E. Schmitt Company   May 2011 - February 2012
MedAssets  September 2008 - May 2010
Superior Court of New Jersey  May 2007 - September 2007

Skills
Management, Legal Research, Analysis, Microsoft Excel, Business Operations, Research, Access, Leadership, Negotiation, Logistics, Recruiting, Auditing, SharePoint, Sales, Time Management, Financial Reporting

Education
University of New Hampshire   2004 — 2008
BA, History, Political Science

Experience
Molina Healthcare  September 2011 - Present
Children's Hospital Los Angeles (CHLA)   January 2007 - May 2011
WellCare   July 2004 - October 2006

Skills
HIPAA, Managed Care, Medicaid, Medicare, Healthcare Management, EHR, EMR, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Hospitals, Physician Relations, Physicians

Education
University of Phoenix   2004 — 2006
Bachelor of Science (BS), Health Care Services

Experience
PwC  October 2013 - Present
Healthesystems  June 2013 - October 2013
Healthesystems  May 2011 - June 2013
Veredus  August 2009 - March 2011
WellCare   2011 - 2011
Centurum  January 2009 - January 2010
Government of the Seminole Tribe of Florida   2010 - 2010
SAIC  2007 - 2008
Phoenix International  2007 - 2007
Camber Corporation  2006 - 2007

Skills
SharePoint, C#, Integration, Active Directory, SQL Server, Windows, Software Development, Microsoft SQL Server, Visio, IIS, .NET, Microsoft Office..., Security, Databases, Software Documentation, Business Analysis, Management, Program Management, Disaster Recovery, Requirements Analysis, SDLC, SQL, T-SQL, Windows Server, Software Project..., Visual Studio, System Administration

Education
University of Phoenix   2004 — 2006
BS, Information Technology

Experience
EY  January 2014 - Present
Ernst & Young LLP  October 2010 - January 2014
WellCare   July 2007 - October 2010

Skills
Process Improvement, Business Process..., Management, Leadership, Consulting, Strategy, Project Management, CRM, Business Analysis

Education
University of Miami - School of Business   2004 — 2006
MBA, Business Administration

University of South Florida   1996 — 2000
Bachelor of Arts (B.A.), Communication and Media Studies

Experience
WellCare   September 2013 - Present
HealthPlan Services  November 2006 - August 2013
BlueCross BlueShield of South Carolina  December 1998 - October 2006

Skills
•CES System Training, •PFAB/AR Billing..., •HIPAA Certification..., •Customer Care Billing..., •Carrier Actuarial..., •Carrier Specific..., •Medical Insurance..., •ERISA 5500, •MAGIC Rating, •Outlook, Sharepoint,..., •MS Office 97/00/03/07..., Analysis, Analytics, Auditing, Business Analysis, Business Process, Business Process..., Customer Service, Data Analysis, Integration, Management, Quality Assurance, SharePoint, Software Documentation, Visio, SDLC, Systems Analysis

Education
University of South Carolina-Columbia   1991 — 1996
Bachelor of Science (BS), Criminal Justice and Corrections

Experience
American Association for Physician Leadership  August 2014 - Present
PwC  January 2014 - July 2014
Acclaris  June 2013 - December 2013
New York Life Insurance Company  August 2012 - December 2012
MetLife  February 2012 - August 2012
Ceridian  October 2011 - February 2012
The Nielsen Company  March 2011 - September 2011
Universal Health Care  October 2010 - March 2011
Citi Group  November 2009 - October 2010
WellCare   October 2007 - June 2009

Skills
Business Analysis, Project Management, SDLC, Software Documentation, PMO, Agile Methodologies, Management, Business Requirements, Process Improvement, Visio, Business Process, Business Process..., Change Management, Project Portfolio..., Requirements Gathering, SharePoint, MS Project, Requirements Analysis, Data Analysis, User Acceptance Testing, Software Project..., Vendor Management, Quality Assurance, Medicaid, Agile & Waterfall..., Agile Methodolgy, UAT, Program Management, Scrum

Education
University of Phoenix   2008 — 2010
MBA, Business Administration

University of Phoenix   2004 — 2006
BS, Information Technology

Emil Friedman   1982 — 1995

Experience
WellCare   July 2013 - Present
Convergence Consulting Group  April 2013 - July 2013
Syniverse Technologies  June 2010 - April 2013
CIBER  February 2009 - April 2010
HSN  February 2001 - December 2008

Skills
PL/SQL, Oracle, Data Warehousing, ETL, SQL, Integration, XML, SQL Tuning, Oracle Reports, Toad, Datastage, Business Objects, Java, Oracle Forms, Unix, Agile Methodologies, Database Design, Software Development, Analytics, SDLC, Windows, Data Modeling, Troubleshooting, Database Administration, Microsoft SQL Server, Disaster Recovery, Production Support, Business Intelligence, OLAP, Visio, Shell Scripting, Cross-functional Team..., IT Management, Stored Procedures, SharePoint, Business Requirements, Oracle Warehouse Builder, PostgreSQL, TFS, Dashboard, Ksh, Data Warehouse..., Solaris, SQL*Plus, PVCS, Software Documentation, Requirements Gathering, Unix Shell Scripting, DB2, Databases

Education
University of South Florida   1996 — 2000
Bachelor of Science, Management of Information Systems

Experience
Holiday Retirement  April 2015 - Present
WellCare   December 2012 - January 2015
Winterwood Inc  March 2012 - November 2012
Cabinet for Health and Family Services  September 2001 - March 2012

Skills
Leadership, Child Advocacy, Case Management, Case Managment, Healthcare, Medicare, Medicaid, Medical Case Management, Resident Relations, Fair Housing, Event Planning, Apartments, Affordable Housing, Marketing, Property Management, Section 8, Lease Administration, Real Estate, Microsoft Office, Microsoft Word, Microsoft Excel, Child Protective..., Child Abuse Prevention, Conducting Interviews, Child Welfare, Foster Care, Risk Assessment, Engagement, Adolescents, Mental Health, Home Visits, Crisis Intervention, Family Services, Elder Care, Orders of Protection, Child Sexual Abuse, Visitation Rights, Termination of Parental..., Substance Use Disorders, Tax Credits, Tenant, EMMA, Citrex, Rentals, Community Outreach, Social Services, Strategic Planning, Customer Service, Recruiting

Education
Campbellsville University   2014 — 2015
MSSW, Social Work

University of Louisville   1997 — 2001
BA Psychology, Psychology

du Pont Manual   1991 — 1996
High School Diploma

Experience
WellCare   October 2003 - Present

Skills
Medicaid, Medicare, SAS, Medicaid Managed Care, Health Insurance, HMO, Revenue Cycle, Medical Billing, ICD-9, Medical Coding, Healthcare Industry, Medicare/Medicaid..., PPO, HIPAA, Managed Care, Healthcare Reimbursement, ICD-10, Claim, Healthcare, Insurance, Provider Relations

Education
University of Phoenix   2005 — 2008
BA & BS, Business Admnistration & Accounting

Experience
WellCare   March 2012 - Present
Self Employed Author and Speaker   March 2011 - Present
State of Georgia, State Personnel Administration   February 2011 - Present
State of Georgia  February 2011 - March 2012
Committed2you   September 2010 - March 2012
State Personnel Administration  February 2001 - February 2011
Communications Division   February 2001 - February 2011
State of Georgia, Georgia Building Authority   December 1999 - February 2001
Atlanta Parent Magazine  August 1999 - November 1999
D.J. Miller & Associates   August 1998 - December 1998

Skills
Public Relations, Web, Process Improvement, Marketing Communications, Promotions, Team Leadership, Copywriting, Public Speaking, Couples, Teaching, Change Management, Marketing Strategy, Web Project Management, Writing, Microsoft Office, PeopleSoft, Planning, Counseling, Mentoring, Coaching, Team Building, Strategic Planning, Social Media, Non-profits, Customer Service, Content Management, Government, Project Planning

Education
University of Nebraska at Omaha   1994 — 1996
BS, Journalism

University of South Carolina-Columbia   1990 — 1992
Associate of Arts (AA), Communications

the University of Nebraska
Bachelor of Science (BS), Communication, Journalism, and Related Programs

Experience
WellCare Health Plans  July 2014 - Present
C2C Performance   December 2012 - Present
WellCare   October 2013 - July 2014
UNATION  July 2011 - February 2013
Syniverse Technologies  April 2010 - July 2011
Syniverse Technologies  September 2005 - April 2010
Syniverse Technologies  October 2003 - October 2005

Skills
Seminars: •The Seven..., Negotiation, Purchasing, CRM, Strategy, Management, Contract Management, Contractors, Corporate Governance, Import Export, International Law, Project Management, Vendor Management, Program Management, Process Improvement, Contract Negotiation, Human Resources, Integration, Mergers, Teamwork, Telecommunications, Time Management

Education
University of Miami
Paralegal Certification, Law

Experience
UnitedHealth Group  September 2014 - Present
Florida Blue  January 2014 - September 2014
Aetna  August 2012 - January 2014
WellCare   January 2012 - August 2012

Skills
Business Analysis, Access, Health Insurance, Microsoft Office, Medicare, SQL, Reporting & Analysis, Healthcare, Requirements Gathering, HIPAA, Managed Care, Insurance Claims, Medicaid, Databases, Data Analysis, Health Care Reform, SAS, Insurance

Education
University of Phoenix
Master of Business Administration (MBA)

University of Phoenix   2009 — 2012
Bachelor of Health Care Administration

University of Phoenix
Health Care Informatics Certificate

Experience
Proudly Florida a Global Village Company   January 2015 - Present
Global Village Partnerships   February 2014 - Present
Non-Profit Organization - Confidential  February 2013 - March 2015
MedHOK Healthcare Solutions  January 2012 - January 2013
Catalyst Rx  May 2010 - September 2011
Catalyst Rx  April 2009 - May 2010
Wellcare   August 2007 - April 2009
WellCare   November 2006 - August 2007
WellCare   November 2003 - November 2006
Walgreens  2001 - 2004

Skills
Publishing, Advertising, International Relations, Marketing, Social Networking, Social Media Marketing, Team Management, Training, SharePoint, Data Analysis, Medicare Part D, Medicare, Healthcare, Pharmacy Benefit..., HIPAA, Managed Care, Pharmacy, Healthcare Industry, Process Improvement, Disease Management, Visio, Health Policy, Outlook, HMO, PowerPoint, Microsoft Word, Microsoft Excel, Pharmacy Automation, Software Documentation, Call Centers, Provider Relations, Utilization Management, Microsoft Office, MS Project, Bilingual-Spanish, Access, Network Development, Word, Adobe, PDF, RxClaim, Lynx, PBM, Pharmacy Operations, Excel, CMS

Education
University of Phoenix   2005 — 2007
MBA, Health Services Administration

University of South Florida   2003 — 2005
Non Degree Seeking, Bio-psychology

Hillsborough Community College   2001 — 2003
Associate's degree culinary arts

University of Tampa   1998 — 2001
B.S., Biology, Psychology, Italian

Colegio La Piedad   1993 — 1996
High School

Experience
Cigna  January 2015 - Present
Cigna  November 2013 - January 2015
CIGNA  October 2012 - November 2013
Great American Financial Resources  June 2009 - October 2012
WellCare   March 2006 - June 2009

Skills
Operations Management, Supervisory Experience, Pharmacy Benefit..., Pharmacy Technicians, Health Insurance, Life Insurance, MBA, Customer Service..., Healthcare Management, Customer Service..., Pharmacy Automation, Training, Management, Medicare, Insurance, Medicaid, Pharmacy, HIPAA, Claim, Medical Terminology, New Business Development, Utilization Management, Microsoft Office, User Acceptance Testing, Business Requirements, Underwriting, Medicare Part D, Health Policy, Call Centers, Marketing, Long-term Care, Term Life Insurance, Managed Care, Provider Relations, HMO, Disability Insurance

Education
University of Phoenix   2010 — 2012
Master of Business Administration (MBA), Business Administration, Management and Operations

University of Phoenix   2007 — 2009
Bachelor's degree, Business Administration, Management and Operations

Experience
Mavend Media LLC   June 2014 - Present
Ferguson Commission   April 2015 - September 2015
Apollidon Learning  November 2013 - April 2014
WellCare   March 2012 - October 2013
TBO.com, The Tampa Tribune   July 2007 - December 2011
Tallahassee Democrat  February 2006 - June 2007
Statesman Journal (Gannett)   August 2005 - November 2005
Nestle Purina  June 2001 - August 2002

Skills
Web Editing, Writing, Web Content Management, Editing, Social Media, Photoshop, CMS, Content Development, Digital Media, Final Cut Pro, Multimedia, Web Content, WordPress, Social Media Marketing, Copy Editing, Press Releases, Journalism, Feature Articles, AP Style, Video, Blogging, Facebook, Storytelling, Television, Publications, Proofreading, HTML, Public Relations, Marketing, Editorial, New Media, News Writing, Newspapers, Dreamweaver, Social Networking, Online Journalism, Content Management, Copywriting, Event Planning, Media Relations, Magazines, Content Strategy, Creative Writing, Corporate Communications, Publishing

Education
University of Missouri-Columbia   2001 — 2005
Bachelor of Arts, History

University of Missouri-Columbia   2001 — 2005
Bachelor of Journalism, News Editorial

Experience
352 Inc.  February 2014 - Present
The JOY FM  2014 - Present
WellCare   January 2012 - October 2013
Florida Hospital  June 2011 - November 2011
CSI Tech  September 2010 - April 2011
Liberty Solutions for Baycare Healthcare   July 2010 - September 2010
Christiana Care Health System  March 2010 - April 2010
BayCare Health Systems  October 2009 - March 2010
The Moffitt Cancer Center   April 2007 - July 2009
THE MOFFITT CANCER CENTER   April 2007 - April 2009

Skills
Microsoft Office, Training, Leadership, Marketing, Data Entry, Employee Relations, Inventory Management, Sales, Payroll, Programming, Process Engineering, Front Office, CPOE, EMR, Cerner, EHR, Team Building, Healthcare Management, Healthcare, Ambulatory, Software Documentation, HL7, Records Management, Management, Healthcare Information..., Meditech, Healthcare Industry, Epic Systems, HIPAA, Process Improvement, Revenue Cycle, Nursing, Process Scheduler, Outlook, Informatics, Account Reconciliation, Workshop Facilitation, Hospitals, Software Implementation, Physicians, Social Media, Social Media Marketing, Problem Solving, Quality Assurance

Education
University of Phoenix   2005 — 2009
B.S, Business Management

Experience
WellCare Health Plans  2015 - Present
WellCare   July 2013 - March 2015
Universal Health Care  June 2012 - March 2013
Universal Health Care  July 2011 - June 2012
Universal Health Care  February 2010 - July 2011
Citrus Health Care  October 2008 - February 2010
MD MedicareChoice   January 2008 - October 2008
Lakeland Regional Medical Center  June 2006 - April 2007

Skills
Credentialing, Vendor Contracts, Microsoft Office, Policy Writing, Policy Review, Policy Generation, Auditing, Root Cause Analysis, Project Management, Issue Resolution, Network Contracting, Medicare, Medicaid, Managed Care, Vendor Management, Cactus, HIPAA, NCQA, Leadership, Mentoring, Time Management, Multi-tasked, HMO, Health Insurance, Network Development, Process Improvement, PPO, Provider Relations, Healthcare Industry, Healthcare Management, Healthcare, Insurance, Healthcare Consulting, Policy, Training, Health Policy, Employee Benefits, Claims Resolution, Medicaid Managed Care

Education
University of Maryland College Park
Bachelors of Science, Psychology

Experience
WellCare Health Plans  March 2015 - Present
WellCare Health Plans  July 2013 - March 2015
WellCare   March 2013 - July 2013
UnitedHealth Group  June 2007 - March 2013
SC Medical Group Manager's Association   2008 - 2013
Carolina Care Plan  2002 - 2007
Carolina Care Plan  April 2002 - November 2002

Skills
Microsoft Excel, Department Budgeting, Business Travel, Job Coaching, Team Building, Healthcare, Health Policy, Management, Call Centers, Claim, Outlook, Microsoft Word, Insurance, Leadership, Microsoft Office, PowerPoint, Process Improvement, Strategic Planning, Training

Education
University of South Carolina-Columbia   1997 — 2001
Bachelor of Arts (BA)

Experience
Horizon Blue Cross Blue Shield of New Jersey  November 2013 - Present
Aetna  May 2012 - October 2013
WellCare   October 2007 - 2012
UnitedHealth Group  2005 - 2007
Great-West Healthcare  2003 - 2005
CIGNA Healthcare  2001 - 2003
Motion Industries  1995 - 1999

Skills
Medicaid, Medicare, Managed Care, Healthcare, Senior Executive..., Managed Long Term Care, Health Policy, Healthcare Industry, Long-term Care, Executive Management, HMO, Strategic Planning, Business Development, EHR, HIPAA, Health Insurance, Healthcare Consulting, Healthcare Information..., Healthcare Management, Hospitals, Insurance, Leadership, Program Management, Sales, Sales Operations, Start-ups, Strategy

Education
Pennsylvania State University, Smeal College of Business   2000 — 2003
MBA, Strategy and Entrepreneurship

University of Nevada-Reno   1991 — 1996
BS, Finance and Economics

Experience
WellCare Health Plans  February 2014 - Present
WellCare   April 2013 - January 2014
Universal Health Care  January 2011 - March 2013
Universal Health Care  August 2011 - January 2012
Universal Health Care  November 2010 - October 2011
Universal Health Care  June 2009 - November 2010

Skills
HMO, Health Insurance, Medicare, Process Improvement, HIPAA, Insurance, Medicaid, Healthcare Management, Team Building, Access, Provider Relations, Healthcare, Call Centers, Healthcare Information..., Training, Leadership, Managed Care, Case Managment, Data Analysis, Visio, Software Documentation

Education
University of Nebraska-Lincoln   2003 — 2008
Bachelors of Science, Nutrition and Exercise Science

Experience
Publix Super Markets  June 2014 - Present
WellCare   January 2012 - May 2014
Publix Super Markets  March 2008 - December 2011
Walt Disney World  September 2006 - March 2008

Skills
Quality Assurance, SDLC, Test Automation, Quality Center, Test Planning, Software Quality..., QTP, Application Lifecycle..., Microsoft SQL Server, Software Development, Regression Testing, Defect Tracking, User Acceptance Testing, Test Cases, Performance Testing, Manual Testing, Unix, Integration, SAS, EDI, Oracle, ALM, Waterfall, LoadRunner, System Testing, Test Management

Education
University of South Alabama   2004 — 2005
Master's degree, Electrical and Electronics Engineering

Vignan Institute Of Technology And Science   1999 — 2003
Bachelor's degree, Electrical and Electronics Engineering

Experience
Q Mark   February 2013 - December 2013
WellCare   March 2012 - February 2013
Tandem Staffing  August 2008 - March 2012
Cobb County Community Services Board  2011 - 2012
United Way of Greater Atlanta  June 2006 - August 2008
Lucent Technologies Network Technologies Co., Ltd.   October 2001 - June 2006
AT&T  April 1982 - October 2001

Education
University of Phoenix   2009 — 2012
MBA

Florida Memorial University   1980 — 1982
BS

Morristown High School, Morristown, New Jersey
Diploma

Experience
PODS  April 2015 - Present
PODS  February 2010 - April 2015
PODS  May 2009 - June 2010
Infinite Business Solutions   April 2007 - May 2009
WellCare Health Plans Inc  2003 - 2007
WellCare   2003 - 2007

Skills
ASP.NET, Enterprise Software, WCF, XML, Microsoft SQL Server, SQL, C#, Software Development, Agile Methodologies, TFS, .NET, T-SQL, Web Services, VB.NET, SSRS, LINQ, IIS, Visual Studio, SharePoint, Web Applications

Education
University of Phoenix   2001 — 2004
Bachelor of Science, Computer Science

Community College of the Air Force

Experience
ESL Federal Credit Union  March 2015 - Present
Anglican Diocese of Brisbane   August 2013 - March 2014
Queensland Government  February 2013 - August 2013
Government of Western Australia   June 2012 - November 2012
WellCare   June 2010 - August 2012
Aegon  June 2005 - June 2010
Aegon  October 2003 - June 2005
XANTE CORPORATION  December 2002 - September 2003

Skills
Sarbanes-Oxley Act, Internal Audit, Auditing, Internal Controls, Enterprise Risk..., IT Audit, SEC filings, COSO, Sarbanes-Oxley, CISA, Financial Reporting, GAAP, Financial Risk, SAS70, Risk Assessment, Operational Risk..., CPA, Financial Analysis, Accounting, Analysis

Education
University of South Alabama   1996 — 2002
Bachelor of Business Administration (B.B.A.), Accounting

University of South Alabama
Accounting, Accounting

Experience
PMHSI   June 2014 - Present
WellCare   February 2008 - Present
Wellcare   2008 - 2009
Novo Nordisk  January 2006 - January 2008
Cardinal Health  January 2001 - December 2005
PDI, Inc.   1996 - 2000

Skills
Sales Management, Pharmaceutical Sales, Managed Care, Pharmaceutical Industry, Sales Operations, Product Launch, Sales Presentations, Sales, Cross-functional Team..., Selling, Cold Calling, Account Management, Selling Skills, Leadership, Sales Process, B2B, Salesforce.com, Marketing, Business Development, Lead Generation, Healthcare, New Business Development, Market Planning, Training, Team Building, Marketing Strategy, Neurology, Strategic Planning, Direct Sales, Sales Force Development, Medical Devices, Medicare, Healthcare Industry, Insurance, Direct Marketing, CRM, HMO, Trade Shows, Product Marketing, Medicare Part D, Marketing Management, Strategic Partnerships, Contract Negotiation, Coaching, Customer Retention, Management, Competitive Analysis, Strategy, Customer Satisfaction, Key Account Management

Education
University of Notre Dame   1991 — 1994
MBA

Experience
WellCare   January 2006 - Present
WellCare Health Plans, Inc.   January 2006 - Present
Manhattan Associates  April 2001 - September 2005
Renaissance Cruises  January 1988 - September 1991

Skills
Outlook, Administrative Support, Visio, Administration, PowerPoint, Access, Word, Excel, Scheduling, Telephone Skills, Documentation, Insurance, Customer Service, Microsoft Office, SharePoint, Healthcare, Customer Relations, Supervisory Skills, Problem Solving, Compliance, Inventory Management, Process Improvement, Budgeting, Research, Lotus Notes, Mentoring, Billing, Writing, Conferences, Public Speaking, Event Planning, Medicare, Office Management, Team Building, Event Management, Time Management, Medicaid, Business Process...

Education
University of Maryland College Park   1971 — 1974

Experience
OptumInsight  May 2011 - Present
Ingenix Consulting  June 2009 - Present
WellCare   August 2007 - May 2009
Fidelity National Information Services  2004 - 2007
Survey Sampling International  February 2001 - May 2003

Skills
Business Intelligence, Program Management, SQL, SDLC, Visio, Business Analysis, Management, Requirements Analysis, Process Improvement, Vendor Management, Data Warehousing, ETL, Data Modeling, Project Management, SAS, Software Development, Software Documentation, Software Project..., Requirements Gathering, PMP, OLAP, SharePoint, Data Integration, Analysis, Business Process..., Databases, Systems Analysis, IT Management, HIPAA, Integration, Healthcare Information..., Change Management, Enterprise Architecture, Database Design, Agile Methodologies, MS Project, Analytics, Business Process, IT Strategy

Education
University of South Florida   2005 — 2008
MBA

University of Rhode Island   1996 — 2001
BS, MIS

Experience
WellCare Health Plans  March 2015 - Present
WellCare   June 2009 - Present
EasyDraft  2007 - 2008
Verizon  2003 - 2006
Tata Consultancy Services  August 1998 - January 2003

Skills
Oracle PL/SQL..., Oracle SQL, .NET, C# 3.0, VB.NET, Visual Basic for..., Healthcare, Microsoft SQL Server, SQL*Plus, XML, Credit Card Transaction..., Health Insurance, SQL, SSIS, Systems Analysis, PL/SQL, SDLC, Visio, Requirements Analysis, Vendor Management

Education
Madras University   1992 — 1998
Master of Computer Applications (M.C.A.), Computer Software Engineering

Experience
myBenefits Resource Center, LLC   September 2008 - Present
WellCare   2003 - 2007

Education
University of North Florida

Experience
Moffitt Cancer Center  October 2014 - Present
Moffit Cancer Center   October 2006 - October 2014
WellCare   2005 - 2006
The Nielsen Company  2004 - 2005
Jabil Circuit  2003 - 2003
Ernst & Young  2001 - 2003

Skills
Auditing, Sarbanes-Oxley Act, Internal Controls, Sarbanes-Oxley, Internal Audit, visio, Siemens Soarian, Lawson General Ledger, Risk Assessment, Accounting, SAS70, Financial Reporting, Fixed Assets, External Audit, CPA, Visio, Financial Analysis, Financial Accounting, US GAAP

Education
University of South Carolina - The Moore School of Business   1996 — 1998
Bachelor's degree, Accounting

Experience
WellCare   Network Operations ManagerNGJ1998 - 2004

Education
University of Miami - School of Business   2001 — 2004
MBA, Telecommunications

University of Miami   1998 — 2001
BS, Computer Information Systems, Biology, Chemistry

Experience
STARUS Medical Group   May 2013 - February 2015
Humana  June 2012 - May 2013
WellCare   January 2010 - June 2012
WellCare   September 2008 - February 2010
WellCare   July 2005 - September 2008
Norton Healthcare  May 2005 - July 2005
Norton Healthcare  December 2001 - April 2005
Humana  January 2001 - December 2001
Humana  March 1999 - December 2000
Humana  March 1997 - February 1999

Skills
Healthcare, Medicare, Process Improvement, Health Insurance, Financial Analysis, Managed Care, Contract Negotiation, Strategic Planning, Risk Management, Business Analysis, Budgets, Managerial Finance, Medicaid Managed Care, IPAs, Financial Reporting, Healthcare Consulting, Network Development, Cross-functional Team..., Healthcare Information..., Vendor Management, Project Planning, HMO, Revenue Cycle, Medicaid, Healthcare Industry, Access, Insurance, HIPAA, Leadership, Executive Management, Provider Relations, Sarbanes-Oxley Act, Business Process..., Claim, Healthcare Management, Forecasting, Analysis, Physician Relations, Utilization Management, Team Building, Finance, PPO, Auditing, Financial Modeling, Accounting, Long-term Care, Health Policy, Medicare Part D, Revenue Cycle Management, Financial Risk

Education
University of Louisville   1995 — 1997
MBA

University of Louisville   1988 — 1992
BS, Finance

Doss High School

Experience
WellCare   May 2010 - Present
Webdigs   April 2009 - April 2010
KPMG  February 2007 - March 2009
Cybersettile   June 2006 - January 2007
Dennemeyer & Co.   April 2006 - May 2006
NovoNordisk  January 2006 - March 2006
TCS  February 2005 - December 2005
MagnaQuest Technologies  September 2003 - February 2005
Indosoft International   May 2001 - August 2003

Education
University of Madras   1998 — 2000
MCA, Computers

Experience
Ultimate Health Plan, Inc.   April 2013 - Present
Universal Health Care  April 2012 - February 2013
Wellcare   November 2004 - March 2012
Deloitte  November 2003 - November 2004

Skills
Sarbanes-Oxley, Auditing, Internal Controls, Sarbanes-Oxley Act, GAAP, Financial Reporting, SEC filings

Education
Rand Afrikaans University   1985 — 1989
BCom(Hons), Accounting

University of South Africa/Universiteit van Suid-Afrika   1985 — 1987
BCom, Accounting

Experience
Windsor Health Plans   March 2012 - Present
Blue Cross Blue Shield of Michigan  August 2009 - March 2012
WellCare   October 2005 - May 2009
Capital Blue Cross  January 2004 - October 2005
WellPoint  December 2001 - January 2004

Skills
Medicare, Actuarial Science, Insurance, Health Insurance, Reinsurance, Managed Care, Management

Education
University of Louisville   1979 — 1984
BS, Mathematics

Experience
WellCare   August 2013 - Present
WellCare   July 2012 - August 2013
WellCare   February 2007 - July 2012
Medcost  September 1998 - December 2006
Zenith Insurance Company (United States)   February 1992 - September 1998

Skills
Provider Relations, Medicare, HIPAA, Health Insurance, Medicaid, Managed Care, Network Development, Insurance, SDLC, Business Analysis, Process Improvement, Vendor Management, Healthcare, EDI, Requirements Analysis, SQL, Healthcare Information..., Business Process..., Data Warehousing, Data Analysis

Education
University of Phoenix   2009 — 2011
Bachelor's degree, Business Administration and Management, General

University of North Carolina at Greensboro   2000 — 2001

Sarasota High School   1988 — 1992

Experience
Centene Corporation  August 2012 - Present
WellCare   February 2008 - August 2012
Humana  February 2005 - February 2008

Education
University of Phoenix   2011 — 2013
Bachelor of Science (B.S.), Health/Health Care Administration/Management

Experience
Lovelace Health Plan  June 2012 - Present
WellCare   May 2006 - May 2012
WellCare   2004 - 2011
Hilton Hotels Worldwide  1996 - 1998

Skills
Medicaid, Medicare, Provider Relations, Network Development, Managed Care, Insurance, Claim, HMO, Health Insurance, HIPAA, Medicare Part D, Health Policy

Education
University of Missouri-Columbia

Experience
WellCare   February 2012 - Present
AMIkids  June 2011 - August 2011
AMIkids  June 2010 - June 2011
AMIkids  October 2005 - June 2010
AMIkids  June 2002 - October 2005

Education
University of South Carolina-Columbia   1991 — 1994
MHR, Human Resources

University of South Carolina-Columbia   1987 — 1991
BA, Business Administration

Experience
WellCare   August 2006 - Present
JCAHO  August 2005 - August 2006

Skills
Managed Care, Healthcare, Medicare, Medicaid, Healthcare Industry, Utilization Management, Disease Management, Health Insurance, HIPAA, Healthcare Consulting, Healthcare Information..., Credentialing, Healthcare Management, Health Policy

Education
University of Saint Francis   1996 — 1998
Master of Business Administration (M.B.A.), Business Administration and Management, General, Graduated with Distinction

University of Saint Francis   1994 — 1996
Master's Degree, Health/Health Care Administration/Management, Graduated with Honors

University of Santo Tomas   1966 — 1971
Doctor of Medicine (M.D.), Medicine

University of Santo Tomas   1963 — 1966
Bachelor's Degree, Pre-Medicine/Pre-Medical Studies

Experience
WellCare   January 2012 - Present
JPMorgan Chase  2000 - 2002

Skills
Medicare, Medicaid, Managed Care, Health Insurance, HIPAA, Managerial Skills, Conflict Resolution, Leadership, Career Development, Presentations, Healthcare Industry, HMO

Education
University of New Hampshire   1996 — 2000
Bachelor of Arts (B.A.), Psychology

Experience
Michael's Arts and Crafts  October 2007 - Present
WellCare   January 2001 - October 2007
WellCare Health Plans, Inc.   2001 - 2007

Skills
Knit and Crochet, Knitwear, Process Improvement, Software Documentation, Outlook, Business Analysis

Education
University of Maryland College Park   1960 — 1982

Brooklyn Park High School   1954 — 1960

Experience
WellCare   June 2013 - Present
University of New Hampshire  October 2010 - May 2013
Liberty Mutual Insurance  2010 - 2010
Syngenta  January 2005 - July 2006

Skills
Data Analysis, Data Management, Business Analysis, Research Projects, Statistcal Software: R,..., Microsoft Office;..., Acruairal Software TAS, Microsoft Excel, Actuarial Science, Statistics

Education
University of New Hampshire
Master's degree, Statistics

University of New Hampshire
Master's degree, Biology

Ag University of Hebei
Bachelor's degree, Biology

Experience
FedEx Express  October 2009 - Present
Terminix  March 2008 - Present
WellCare   May 2007 - June 2009
Terminix  August 2004 - March 2008
Terminix  June 1999 - August 2004

Skills
Customer Service, Customer Satisfaction, Operations Management, Inventory Management, Data Entry, Leadership, Process Improvement, Team Building, Microsoft Office, Logistics, Process Scheduler, Microsoft Excel, Time Management, Microsoft Word, Outlook, •Possess computer..., •Multi-line switch..., •Skilled in..., •Possess excellent..., •Type 45 wpm.

Education
University of Phoenix   2012 — 2016
Bachelor of Science (BS), Health/Health Care Administration/Management

Experience
Global2Global LLC   April 2013 - Present
WellCare   January 2006 - March 2013

Skills
Strategic Planning, Customer Service, Teambuilding &..., Inventory Management, Product Marketing, Analytical & Research..., Statistical Analysis, Accounts..., P & L Accountability, Supply Chain Management, Contract Negotiation, Staff Development &..., Procurement, Project Management, Business Re-engineering, Benchmarking, Resource Maximization, Continuous Improvement, Process Analysis, Kaizen Processes, Six-Sigma Principles, Risk Management, Social Media, P&L, Business Process..., Statistics, HIPAA, Healthcare, Leadership, Program Management, Vendor Management

Education
University of Phoenix   2009 — 2010
Master of Business Administration (MBA), Global Management, 3.7

Experience
Healthe Systems   June 2014 - Present
WellCare   2013 - Present
Self-employed  July 2000 - Present
WellCare Health Plans  2013 - 2014
Publix Super Markets  2008 - 2013
The IMPAC Group   June 2000 - January 2008
Kforce  August 1996 - May 2000

Skills
Data Architecture, ERP, CRM, EDW, Supply Chain, Finance, HRIS, Management, IT Strategy, Training, Data Modeling, SDLC, Enterprise Architecture, SQL, Business Analysis, OLAP

Education
University of South Alabama   1980 — 1984
Bachelor of Applied Science (B.A.Sc.), Computer Science