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.
Find People by Employers You can rekindle an old relationship, reconnect with a long-lost friend, former boss, business acquaintance who might be useful in your new line of work. With our employee database, the possibilities are endless. All you have to do is type in a couple of keywords and we'll bring you the exact information you wanted!
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
Cody Consulting Group February 2006 - Present
WellCare 2005 - 2006
WellPoint February 2003 - February 2005
Carbiner 1995 - 1997
Skills
Medicare, Medicaid, Healthcare, Compliance, Analysis, Management Consulting, Managed Care, Health Insurance, Network Development, HMO, Health, Strategic Planning, Process Improvement, Product Development, Government Programs, Vendor Management, Health Policy, Provider Relations, Training, Marketing Communications, Healthcare Consulting, Insurance, Healthcare Industry, Leadership, Revenue Cycle, Executive Management, Physician Relations, Healthcare Information..., HIPAA, Start-ups, EHR, Employee Benefits, Credentialing, Physicians
Education
California State University-Northridge 1999 — 2001
MBA
University of the Pacific - Eberhardt School of Business 1984 — 1988
BS, Marketing/Finance
Healthcare Economics Resources 2010 - Present
Wellcare 2007 - 2009
United Healthcare 2001 - 2007
North American Medical Management 1999 - 2000
Mission:Health 1998 - 1999
CIGNA 1995 - 1998
Skills
Health Policy, Health Economics, Medicaid, Managed Care, Analysis, Medicare, Provider Relations, Healthcare Industry, Healthcare Management, Healthcare, Medicine, Healthcare Consulting, Health Insurance, Disease Management, Healthcare Information..., Revenue Cycle, Physicians, HIPAA, Informatics, Practice Management
Education
University of South Florida 1984 — 1986
MBA, Finance
Boston College
BA, Economics
UnitedHealth Group March 2014 - Present
UnitedHealth Group October 2007 - March 2014
WellCare September 2006 - September 2007
Aetna Inc. June 2002 - September 2006
CIGNA April 1998 - June 2002
Skills
Applicant Tracking..., Talent Acquisition, Healthcare, Employee Benefits, Recruiting, Strategy, Disability Insurance, Leadership Development, Human Resources, Executive Search, Leadership, Managed Care, Temporary Placement, Medicaid, Process Improvement, Hiring, Deferred Compensation, Health Insurance, Workforce Planning, Medicare, Internet Recruiting, Time Management, Employee Engagement, Management, Health Policy, Talent Management, Team Building, Taleo, Strategic Sourcing, Technical Recruiting, Insurance, Training, Employee Relations, HRIS, Performance Management, Consulting, Policy, Program Management, Change Management, Interviews, Organizational..., Benefits Administration, Vendor Management, Sourcing, Networking, Onboarding, Benefits Negotiation, Succession Planning, College Recruiting, PeopleSoft
Education
Cambridge College 2000 — 2004
Masters, Management
WellCare Health Plans August 2015 - Present
WellCare December 2013 - August 2015
Digital-Hits, LLC June 2013 - April 2015
WellCare June 2013 - December 2013
Cerebro Consulting LLC January 2008 - March 2013
Skills
Finance, SharePoint, Data Analysis, Microsoft Excel, Analysis, Foreign Languages, Microsoft Office, Microsoft Word, Auditing, Medicare, New Store Openings, Medicaid Managed Care, Health Insurance, SAS, MS Project, Project Management, Business Analysis, Access, Vendor Management, Provider Relations, Visio, Process Improvement
Education
College of Central Florida
Associate's degree, Business Administration and Economics
University of South Florida
Bachelor’s Degree, Finance
Sanofi June 2015 - Present
WellCare March 2013 - June 2015
Quintiles March 2012 - January 2013
AstraZeneca September 2008 - June 2011
Skills
Pharmaceutical Sales, Pharmaceutical Industry, Coaching, Cardiology, Sales Effectiveness, Neurology, Rheumatology, Strategic Planning, Customer Service, Healthcare, Microsoft Office, Gastroenterology, Team Building, Endocrinology, Diabetes, Medical Devices, Teaching, Microsoft Excel, Sales Force Development
Education
Columbus State University 2002 — 2007
Bachelor's degree, Health and Physical Education/Fitness
Columbus State University 1998 — 2007
Bachelor of Science (BS), Health and Physical Education/Fitness
WellCare Health Plans 2014 - Present
Towers Watson April 2013 - December 2013
CIGNA Healthcare 2010 - April 2013
WellCare 2007 - 2009
Pfizer 1996 - 2007
Prudential 1995 - 1997
FoxMeyer/Harris Wholesale (pharmaceuticals) 1984 - 1994
Skills
Medicaid, Medicare Part D, Medicare, Managed Care, Healthcare, Pharmacy, Pharmacists, Clinical Research, Disease Management, Pharmacy Benefit..., Key Account Management, Managed Markets, Health Policy, Pharmaceutical Industry, Oncology, Clinical Trials, Leadership, Medication Therapy..., Pharmaceutical Sales, Strategy, HIPAA, Account Management, Utilization Management, Diabetes, Healthcare Industry, Pharmacy Automation, Healthcare Management, Informatics, Hospitals
Education
Cleveland State University
MBA,
The Ohio State University
BS Pharmacy
University of Cincinnati
PharmD
Vemma January 2014 - Present
IBM February 2013 - Present
Stream Global Services December 2011 - February 2013
CGS September 2011 - December 2011
WellCare August 2011 - August 2011
AMC Theatres July 2008 - August 2010
Skills
Security+, Microsoft Office, Windows 7, Windows Vista, Windows XP Pro, Dell Computers, Microsoft Certified..., McAfee Antivirus, Norton Internet Security, Trend Micro Anti-Virus, POS, Computer Hardware, Hardware Diagnostics, PC building, RF troubleshooting, Cash Management, Case Managment, Computer Proficiency, Windows Registry
Education
Colorado Technical University 2011 — 2014
In Progress Bachelor's Degree, Information Technology
Central Michigan University 2010 — 2011
First Colonial High School 2006 — 2010
High School, Information Technology
Verizon March 2014 - Present
Redbox Instant by Verizon April 2013 - March 2014
WellCare August 2012 - April 2013
Verizon Data Services October 2000 - August 2012
Verizon Communications October 2000 - August 2012
Danka Office Imaging August 1999 - October 2000
Danka Office Imaging August 1999 - October 2000
Bell Atlantic Network Integration January 1999 - August 1999
PBS&J August 1997 - January 1999
United States Navy October 1990 - September 1998
Skills
Cisco Technologies, WAN, LAN-WAN, Network Design, Switches, Frame Relay, OSPF, Routers, MPLS, VoIP, BGP, TCP/IP, IP, Ethernet, Data Center, VPN, Routing Protocols, Network Administration, Networking, Network Security, Checkpoint, IPSec, VLAN, Servers, ATM networks, SNMP, CCNP, HSRP, Network Engineering, System Administration, Cisco IOS, Routing, Troubleshooting, Network Architecture, Cisco Routers, Hardware, Security, Microsoft Exchange, Software Installation, Juniper, Computer Security, Wireless Networking, DNS, Firewalls, MGCP, BGPv4, IPv6, SIP Trunking, Cisco VoIP, Cisco Nexus
Education
Tulane University - A.B. Freeman School of Business 2005 — 2006
Masters Certificate, Business Management
University of Phoenix 2002 — 2004
M.S., Computer Information Systems
Columbia College 1994 — 1997
B.S., Computer Information Systems
Fleet ASW Training Center Pacific 1990 — 1991
Military School, Digital Electronics Training / Technical Training
Citi February 2013 - Present
Citigroup June 2010 - February 2013
WellCare July 2008 - June 2010
Comcast September 2000 - February 2008
Skills
Advertising, Performance Analysis, Instructional Design, E-learning, Staff Development, Business Intelligence, Business Objects, Linux, Unix, Adobe Creative Suite, Proofreading, Professional..., Marketing Communications, E-Learning, Employee Training, Training, Software Documentation, Leadership, Program Management, Strategic Planning, Talent Management, Human Resources, Project Management, Workshop Facilitation, Adult Education, Process Improvement, Training Delivery, Needs Analysis, Learning Management..., Organizational..., ADDIE, Analysis, Career Development, Team Leadership, Change Management, SDLC, Management, Leadership Development, Risk Management, Finance, Performance Management, Strategic Communications, Performance Consulting, Recruiting, Financial Services, Security, Learning Management, Team Building, Banking, Business Process...
Education
University of Pennsylvania - The Wharton School 2015 — 2015
High Potential Leaders: Accelerating Your Impact Program
Mesa State College 1998 — 2000
Computer Science, Public Speaking
Westmar College 1997 — 1998
Computer Science, Public Speaking
WellCare October 2006 - Present
WellCare of Ohio, Inc October 2006 - Present
QualChoice Health Plan, University Hospitals Health System June 2003 - September 2006
University Hospitals of Cleveland, University Hospitals Health System January 1999 - June 2003
QualChoice Health Plan, University Hospitals Health System March 1998 - November 1998
Center for Mental Retardation February 1992 - March 1998
Skills
Medicare, Managed Care, Health Insurance, Case Managment, Medicaid Managed Care, Healthcare, HIPAA
Education
Cleveland State University
Bachelor's degree, Psychology
Cleveland State University
B.A, Psychology
Gateway Health System December 2013 - Present
Gateway Health December 2013 - March 2014
Highland Insurance LLC December 2009 - December 2013
WellCare September 2012 - December 2012
Humana July 2011 - July 2012
WellCare Health Plans, Inc October 2008 - March 2011
American Family Insurance May 2004 - November 2008
IDEX Corporation, Lubriquip Inc. January 2001 - April 2004
General Electric March 1977 - January 2001
Skills
Medicare Advantage, Medicare Supplements, Medicare Prescription..., Health Insurance, Employee Benefits, Long Term Care, Term Life Insurance, Whole Life, Fixed Annuities, Commercial Insurance, Consulting, Operations Management, Program Management, Project Management, Sales Management, Property & Casualty..., Life Insurance, Medicare, Marketplace Exchange...
Education
Central State University
Bachelor's Degree
Kensington University
M.B.A.
Hondros College
WellCare Health Plans July 2014 - Present
WellCare October 2011 - July 2014
RxCrossroads October 2004 - September 2011
Skills
Medicare, Team Leadership, Claims Resolution, Healthcare Management, Revenue Cycle Management, PeopleSoft, ICD-9, Visio, Insurance, Medical Billing, Pharmacy, Invoicing, Medical Coding, Medicare/Medicaid..., Gastroenterology, CPT, Coaching, PPO, HMO, Call Centers, Claim, ICD-10, Health Plan Operations, Healthcare, Provider Relations, EHR, Hospitals, Software Documentation, Management, Leadership
Education
Columbia Southern University 2010 — 2012
MBA, Health Care Management
Columbia Southern University 2008 — 2009
Bachelors, Business Administration/Project Management
Alorica March 2014 - Present
Alorica April 2012 - March 2014
The Auto Club Group August 2010 - April 2012
IBM Global Business Services July 2009 - August 2010
Wellcare December 2008 - July 2009
Vanguard Products Group January 2008 - December 2008
The Home Depot April 2001 - January 2008
Skills
Business Process..., Management, Call Center, SDLC, Project Management, Project Planning, Team Management, Call Centers, Operations Management, Six Sigma, Leadership, Business Process, Quality Assurance, IT Management, Enterprise Software, CRM, Risk Management, Security, Vendor Management, Call Center Architecture, Call center start-up, PMO, Outsourcing, Project Portfolio..., Program Management, Resource Management, Information Technology, IT Strategy, Change Management, Visio, Microsoft Project, Requirements Analysis, IT Service Management, Integration, Process Improvement, ITIL
Education
Villanova University 2007 — 2008
Certification, Project Managment
Capella University 2008 — 2015
Bachelors, Project Management, Enrolled
Hillsborough Community College 1998 — 2000
Associates, Information Technology Project Management
WellCare August 2012 - Present
Coca-Cola Refreshments July 2010 - August 2012
CVS Health January 2007 - March 2008
Verizon Wireless January 1997 - April 2006
Skills
Cold Calling, Call Center, IEX Total View, AT&T Business Direct, Cisco Call Manager, Avaya, Customer Service, Blue Pumpkin, Rockwell, Leadership, Coaching, Time Management, Process Scheduler, Analysis, Sales Management, Customer Satisfaction, Sales, Call Centers, Team Building, Inventory Management, Microsoft Excel, Marketing, Project Management, Training, Negotiation, New Business Development, Strategic Planning
Education
Columbia College 1994 — 1996
Bachelor of Arts, Sound Engineering
Columbia College Chicago 1993 — 1996
BA, Sound Engineering
Texas Tech University 1991 — 1993
General studies, Mass Communications and Public Relations
Klein High 1987 — 1989
Black Box Network Services September 2014 - Present
Self Contracted January 2010 - August 2014
AT&T Labs, Inc. 2013 - 2013
WellCare November 2011 - March 2012
Thrive Networks 2006 - 2008
Skills
Cisco Call Manager, Cisco Unity, Cisco Certified, CCVP, CCNA, CCDA, MCP, Cisco UCCX, Cisco UCCE, Cisco SIP, CUBE, Cisco ISR Routers 28xx,..., Cisco 6500, Cisco Firewall Security, Cisco 4700, Cisco Unity Connection, Cisco VPN, Cisco WAN, Microsoft Exchange, Microsoft Network, Microsoft Server..., Microsoft Server..., Cisco UCS, Cisco MCS, Cisco Presence, Cisco Technologies, Riverbed, QoS, Policy Based Routing, Android, Cisco Nexus, Cisco Routers, Microsoft Certified..., Networking, Data Center, WAN, Firewalls, Switches, Routing, Routers, LAN-WAN, IP, Unified Communications, Software Installation, EIGRP
Education
Bridgewater State College 1996 — 2000
Management Information Systems and Services
Chowan University 1995 — 1996
Bachelor of Arts
Travis Watson, P.A. May 2014 - Present
WellCare November 2012 - April 2014
Phelps Dunbar LLP September 2007 - November 2012
Skills
Litigation, Civil Litigation, Commercial Litigation, Legal Writing, Legal Research, Corporate Law, Estate Planning, Trials, Courts
Education
Florida State University College of Law 2004 — 2007
JD, Cum Laude
Brigham Young University 1998 — 2004
BA, Political Science
WellCare March 2012 - Present
WellCare September 2008 - March 2012
Helping Hands Hawaii June 2007 - September 2008
Portland State University February 2003 - April 2007
Skills
Clinical Research, Case Managment, Behavioral Health, Leadership, Training, Utilization Management, Medicare, Case Management, Clinical Supervision, Health Policy, Medicaid, EHR, Managed Care
Education
Columbia University in the City of New York 1997 — 1999
Master of Social Work (M.S.W.), Clinical/Medical Social Work
Cornell University 1992 — 1996
Bachelor of Science (BS), Human Development and Family Studies, General
WellCare January 2014 - Present
Physicians in Emergency Medicine August 2002 - Present
Health Care Excel April 2012 - January 2014
Express Scripts February 2012 - January 2014
Concentra January 2008 - July 2013
Jewish Hospital & St. Mary's HealthCare January 2010 - December 2011
CVS Caremark - Minute Clinic April 2010 - October 2011
Skills
Healthcare Management, Healthcare, Patient Safety, Practice Management, Hospital Operations, Wellness, Hospitals, Managed Care, Utilization Management, Emergency Medicine, Disease Management, Healthcare Consulting, Medicine, Clinical Research, Physicians, Quality Improvement, Medicaid, Medicare, Healthcare Information..., Leadership
Education
Boston University School of Medicine 1996 — 1998
MD, Medicine
University of Michigan 1991 — 1993
BA, Psychology
University of Louisville 2011 — 2012
Master of Business Administration (MBA), Business Administration and Management, General
Medcore MSO/Omn IPA December 2007 - Present
WellCare December 2010 - May 2011
K-designers February 2000 - December 2007
Skills
Program Management, Data Modeling, Enterprise Architecture, Process Improvement, Project Planning, Leadership, Strategic Planning, Management, Management Consulting, Business Process, Software Development, Analytics, SDLC, Strategy, Customer Service, CRM, Business Intelligence, Software Documentation
Education
Saint Mary's College of California 2007 — 2009
MBA, Business Administration
California State University-Sacramento 1994 — 1997
BA
Health Transition Navigator November 2014 - Present
WellCare December 2012 - May 2013
RN April 2010 - August 2012
Skills
Customer Service, Public Speaking, Microsoft Office, Microsoft Excel, Fitness, Strategic Planning, Microsoft Word, Social Media, PowerPoint, Research, Event Planning, Team Building, Personal Training, Marketing, Marketing Strategy, HIPAA, Healthcare, Leadership, Hospitals, Management, Training, Nursing, Healthcare Management, Health Education, Leadership Development, Medicare, Home Care, Software Documentation, Insurance, Teaching, Treatment, Clinical Research, Wellness
Education
Excelsior College 2009 — 2016
BSN to MSN, Health Information/Medical Records Administration/Administrator
Cayuga County Community College 1994 — 1996
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse
Relax The Back July 2013 - Present
WellCare October 2010 - Present
Southport Sotheby’s Realty June 2010 - August 2012
JPMorgan Chase December 2009 - June 2010
JPMorgan Chase August 2007 - December 2009
Affirmative Holding Corporation September 2006 - August 2007
Skills
Acquisition Building, Business Coaching, Client Relations Skills, Operations Management, Executive-level..., Budget Analysis, Benefit Consultation, Product Marketing, P&L Responsibility, Auditing, Budgets, Insurance, Sales, Marketing, Employee Benefits
Education
City Colleges of Chicago-Wilbur Wright College 2004 — 2006
Associate of Arts (A.A.), Liberal Arts and Sciences/Liberal Studies
Wilbur Wright College
Associate Degree, Liberal Arts
DePaul University
Bachelor of Arts, Finance
Beth Abraham Family of Health Services Director of Sales and MarketingPreferred GuidanceJanuary 2010 - Present
Valucare Inc. March 2012 - September 2013
Visiting Nurse Service of New York December 2006 - April 2011
WellCare 2003 - December 2006
NYODN 1999 - 2003
Skills
Elder Care, HIPAA, Healthcare, Healthcare Management, Home Care, Hospitals, Managed Care, Medicaid, Medicare, Program Development, Healthcare Industry, Healthcare Information..., Employee Benefits, Healthcare Consulting, Strategic Planning, Disease Management, Customer Service
Education
Capital Community College 2015 — 2018
Rn, Nursing Education
Ed Training Center 2015 — 2015
Certification, Special Education and Teaching
Washington Irving High School
High School Diploma
Bright Star Surgical February 2014 - Present
Medical Sales College September 2013 - Present
WellCare October 2010 - Present
Humana August 2005 - October 2010
US Army National Guard January 1994 - August 2001
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, PowerPoint, Photoshop, Medicare Advantage, Medicare Part D, Real Estate, Life Insurance, Health Insurance, Customer Service, Project Management, real, Surgeon Profiling, Knowledge in ALIF,..., Dynesys System, Proficient in Dynamic..., Proficient in spinal..., O.R. etiquette and..., Company Profiling, Pedicle Screws, Plates and Cages, Stand..., Sales Presentations, Sales, Building Relationships, Long-term Customer..., Selling
Education
Medical Sales College 2013 — 2013
Bryant University 1997 — 2001
Bachelor of Science (BS), Business Administration and Management, General
L.A. Care Health Plan April 2015 - Present
WellCare August 2013 - March 2015
CalOptima March 2011 - August 2013
A.D.A.M., Inc. April 2010 - March 2011
ADP August 2007 - April 2010
ADP April 2006 - August 2007
United Health Group September 1998 - April 2006
United Health Group January 2001 - January 2005
Skills
Analysis, HIPAA, XML, Testing, SDLC, HR Software, ADP Payroll, EDI, Business Process, Healthcare, Troubleshooting, Access, Business Analysis, Healthcare Information..., Human Resources, Integration, Process Improvement, Requirements Analysis, SQL, SharePoint, Software Documentation, User Acceptance Testing, Vendor Management, Visio
Education
Rio Grande High School 1985 — 1989
Brooks College
Interior Design
The University of New Mexico
WellCare August 2013 - Present
WellCare July 2010 - August 2013
UST Global May 2009 - July 2010
UST Global January 2008 - May 2009
WellPoint December 2006 - April 2007
IBS Software Services May 2003 - July 2005
Brahma Softech January 2002 - April 2003
Skills
PMP, Six Sigma, Quality Assurance, Program Management, PMO, Vendor Management, Requirements Analysis, Business Analysis, Management, SDLC, Process Engineering, Analysis, Integration, Requirements Gathering, Resource Management, Visio, Project Portfolio...
Education
Cochin University of Science and Technology 2001 — 2003
MBA
University of Madras 1997 — 2001
Bachelor of Engineering, Computer Science
American Society of Quality
Six Sigma Black Belt
Project Management Institute
Project Management Professional, PMP
Aetna January 2012 - Present
WellCare December 2010 - January 2012
CIGNA HealthCare August 2006 - January 2011
United Health Care December 2004 - July 2006
Blue Cross Blue Shield of Georgia 1999 - 2001
Towers Perrin August 1994 - September 1999
Skills
Employee Benefits, Managed Care, Disease Management, Utilization Management, Provider Relations, Medicare, Medicaid, Health Policy, HMO, Healthcare Management, Healthcare, Healthcare Consulting, Network Development, Healthcare Information..., Credentialing, Health Insurance, Hospitals, Medicine, Quality Improvement, Patient Centered..., Leadership Development, Physicians, Healthcare Industry, PPO, Physician Relations, Health Care Reform, Medical Home, EHR, Informatics, Internal Medicine, EMR
Education
Emory University - Goizueta Business School 1988 — 1989
MBA, Business
Chicago Medical School at Rosalind Franklin U-Med & Science 1972 — 1976
MD, Medicine
WellCare Health Plans August 2015 - Present
WellCare Health Plans August 2014 - August 2015
WellCare May 2013 - August 2014
USTA 2012 - 2012
TakeCare Insurance Company, Inc. June 2009 - June 2011
Los Angeles Unified School District September 2005 - April 2009
Skills
Access, Analysis, Insurance, Crystal Reports, Business Analysis, Software Documentation, Process Improvement, Data Analysis, Microsoft Excel, Healthcare, Customer Service, Program Management, Management, Team Building, Microsoft SQL Server, Microsoft Word, Project Management, MS Project, SDLC, Business Process, Leadership, Vendor Management, ArcView 3.x, ERDAS Imagine, Visual Basic, Outlook, Invoicing, PeopleSoft, SAP, Human Resources, Photoshop, PowerPoint, Project Planning, SAS programming, Customer Relations, SQL Server, Word, Excel, Trizetto Facets, SAS
Education
California State Polytechnic University-Pomona 1996 — 2000
Bachelor of Science (BS), Geography with Geographic Information Systems Option, GPA 3.63/4.0 Magna Cum Laude
Hunter College 1994 — 1996
Self Employed June 2015 - Present
Health Integrated, Inc. November 2014 - June 2015
WellCare October 2013 - November 2014
WellCare December 2012 - December 2013
WellCare August 2010 - December 2012
WellCare March 2010 - August 2010
PMSI June 2007 - March 2010
TechHealth 2005 - 2007
CommerceQuest 2004 - 2005
Bisk Education 2003 - 2004
Skills
Business Process..., SDLC, Business Analysis, Process Improvement, Business Intelligence, Project Management, Program Management, Visio, Vendor Management, IT Strategy, Analytics, Data Analysis, Strategic Planning, Business Process, SQL, Software Project..., Healthcare, Requirements Analysis, Management Consulting, Enterprise Architecture, Oracle, Financial Modeling, Contract Negotiation, Coaching, Data Warehousing, Software Development, IT Management, Healthcare Information..., Management, Information Technology, Enterprise Software, Leadership, Integration, SharePoint, HIPAA, Medicare, EDI, Managed Care, Insurance, Solution Architecture, Executive Management, Software Documentation, Requirements Gathering, PMP
Education
Brown University 1991 — 1997
Organizational Behavior and Management, Industrial Engineering
Affinity Health Plan September 2013 - Present
Affinity Health Plan September 2013 - Present
WellCare March 2012 - Present
WellPoint & Empire Blue Cross Blue Shield September 2009 - March 2012
IBM Corporation 2007 - 2009
IBM 2005 - 2007
IBM 1998 - 2005
IBM 1994 - 1998
IBM 1991 - 1994
IBM 1989 - 1991
Skills
Event Management, Marketing Strategy, Marketing Research, Product Marketing, Event Planning, Event Marketing, Special Events, Business Events, Networking Events, Sales Support, Launch Of New Products, Product Launch, Product Demonstration, Demonstrations, Intellectual Property, Marketing Intelligence, Market Insight, Executive Briefing..., Tradeshow Management, Corporate Events, Marketing, Sales Enablement, Trade Shows, Business Networking, Business, Management, Training, Market Analysis, Business Development, Enterprise Software, Leadership, Sales Operations, Program Management, Consulting, Product Development, New Business Development, Strategy, Project Management, Business Intelligence
Education
Rensselaer Polytechnic Institute - The Lally School of Management and Technology 1994 — 2012
Masters Candidate, Masters of Business Administration
Georgetown University 1994 — 2000
Masters Certificate, Project Management
Clarkson University 1983 — 1984
BS, Engineering & Management
Dutchess Community College 1979 — 1982
AS, Engineering Science
Arlington High School 1975 — 1979
UnitedHealthcare March 2012 - Present
UnitedHealthcare July 2009 - March 2012
WellCare October 2007 - July 2009
Amerigroup Corporation November 2005 - October 2007
Skills
Medicare, Managed Care, Healthcare, Health Insurance, MLTC, Medicaid, HIPAA, Healthcare Management, Healthcare Industry, Healthcare Consulting, Provider Relations, Hospitals, Insurance, Healthcare Information..., Health Policy, Management, Leadership, Medicaid Managed Care
Education
Southern New Hampshire University 2014 — 2016
Master of Business Administration (MBA), Health/Health Care Administration/Management
Champlain College 2012 — 2014
Master of Science (M.S.), Law
University of Phoenix 2002 — 2006
BSBAM, Business Administration and Management
CUNY Bronx Community College
AAS, Paralegal
Prime Vet Inc September 2013 - Present
Harmon 2013 - 2014
Harmon 2013 - 2014
State of Washington June 2011 - July 2013
Highline Medical Center December 2009 - January 2011
WellCare July 2008 - September 2009
US Army July 1988 - July 2008
Skills
New Business Development, Military, Healthcare Management, Health Insurance, Strategic Planning, Quality Assurance, Evidence-based Medicine, Project Management, Nursing Management, Registered Nurses, Nursing Care, Leadership Development, Organizational..., Contract Recruitment, Management, Strategy, Analysis, Healthcare
Education
Troy University 2000 — 2002
MSM, Business Administration and Management, Human Relations
Carroll College 1984 — 1988
BSN, Registered Nursing
WellCare September 2014 - Present
AppleCare Medical Management 2011 - June 2014
Caduceus Medical Group 2007 - 2010
Good Samaritan Healthcare 2006 - 2007
Skills
Insurance, Customer Service, Microsoft Office, Microsoft Excel, Health Insurance, Microsoft Word, Team Building, Healthcare, Medical Terminology, HIPAA, EHR, EMR, Healthcare Management, Hospitals, Healthcare Information..., Managed Care, Medicare
Education
The Coding Source 2012 — 2012
Medical Insurance Coding Specialist/Coder
Chaffey College
Georgia Perimeter College
WellCare March 2012 - Present
WellCare March 2012 - Present
WellCare Health Plans March 2012 - Present
Skills
Managed Care, Case Management, Health Insurance, Medicare, Medicaid, Healthcare, HIPAA, Long-term Care, Provider Relations
Education
Clark Atlanta University 2003 — 2005
Master of Social Work (MSW), Social Work
Morris Brown College 1998 — 2003
Religion/Religious Studies
WellCare February 2013 - Present
Allied Benefit Systems April 2012 - December 2012
WellCare 2001 - 2011
Skills
Healthcare Information..., Healthcare, Microsoft Office, Customer Service, Microsoft Word, Microsoft Excel, Medicaid, Hospitals, Insurance
Education
City Colleges of Chicago-Richard J Daley College
Associate's degree, Computer Science
WellCare June 2013 - Present
Easy Choice Health Plan March 2012 - June 2013
Skills
C, SAS, SQL, Java, Word, Excel, PowerPoint, SAS Enterprise Guide, Microsoft Excel, Microsoft Office, Microsoft Word, Research, Data Analysis, Access, Matlab, Customer Service, Management, SPSS, Statistics, Healthcare, Outlook, R, C++, Analysis, VBA, Visio, HIPAA, Data Mining, Stata, Databases, Visual Basic, Economics, Informatics, Insurance, Programming, Quantitative Analytics, Health Insurance, Statistical Modeling, Employee Benefits, Market Research, HTML, Time Series Analysis, SAS programming, Teamwork, Financial Modeling, Financial Analysis, Database Design, Biostatistics, SharePoint, Windows
Education
UCSB 2009 — 2011
BS, Actuarial Science
Cerritos College 2007 — 2009
Transferred, Economics
Cigna-HealthSpring August 2013 - Present
WellCare August 2011 - August 2013
Direct General Insurance February 2010 - August 2011
United insurance company of america 2008 - 2009
Amerigroup Corporation 2005 - 2007
Skills
Health Insurance, Insurance, Medicare, Claim, Customer Service, Strategic Planning, Team Building, Medicaid, New Business Development, Coaching, Microsoft Office, HIPAA, Contract Negotiation, Management, Performance Management
Education
Central Michigan University
Florida Blue June 2013 - Present
WellCare August 2010 - June 2013
Aetna May 2006 - February 2010
SHPS April 2003 - May 2006
Aetna 1996 - 2002
Aetna US Healthcare 1987 - 1996
Skills
Health Insurance, Negotiation, Healthcare, Sales, Employee Benefits, Long-term Care, Sales Operations, Disability Insurance, Health Savings Accounts, Leadership, Training, Management, Budgets, Term Life Insurance, Healthcare Industry, Customer Retention, Sourcing, Customer Satisfaction, Start-ups, Coaching, Sales Management, Cross-functional Team..., Insurance, Claim, Account Management, Program Management, Competitive Analysis, Strategy, Team Building, Strategic Planning, New Business Development, Medicare, Provider Relations, Managed Care, CRM, Underwriting, Health Policy, HMO, Selling, Medicaid, Recruiting, Medicare Part D, Brokers, Executive Management, Small Business, Consulting, Network Development, Life Insurance, Market Research, PPO
Education
City University of New York-Herbert H. Lehman College
BA, Political Science
Senior Whole Health July 2013 - Present
Universal Health Care June 2012 - April 2013
Amerigroup Corporation September 2011 - June 2012
CareMore Health Plan September 2010 - September 2011
WellCare March 2006 - May 2010
Phoenix Life Insurance Company March 2005 - March 2006
Skills
Medicare, Medicaid, New Business Development, Forecasting, Salesforce.com, Market Analysis, Health Insurance, Healthcare, Customer Relations, Team Building, Regulatory Requirements, Process Development, Creative Problem Solving, Sales Management, Event Management, Account Management, Budgeting, Business Strategy, Strategy Development, Customer Service, Term Life Insurance, Universal Life, Long Term Care, Sales Operations, Business Process, Budgets, Medicare Part D, Strategic Planning, Strategy, Sales, HMO, Training, Sales Process, Insurance, Management, Selling, Marketing, Sales Presentations, Direct Sales, Process Simulation, Long-term Care, Managed Care, Contract Negotiation, Call Centers, Customer Retention, Cold Calling, Leadership, Recruiting, Data Analysis, CRM
Education
Eastern Connecticut State University 1998 — 2000
Bachelor of Science, Business Communications
Central Connecticut State University 1997 — 1998
Business Communications
Killingly High 1990 — 1994
Robert W. Baird & Co. June 2015 - Present
Palmetto Health June 2013 - June 2015
Cielo Talent July 2011 - June 2015
Alcon Laboratories, Inc. May 2013 - June 2013
Cone Health Network October 2011 - April 2013
WellCare July 2011 - October 2011
APS Healthcare December 2009 - June 2011
Assurant March 2008 - June 2009
Staff Management on-site at Quad/Graphics July 2007 - March 2008
Fox Hill Associates September 2003 - July 2007
Skills
Business Objects, Sales, Marketing, SOA, Informatica, Resume Writing, Temporary Placement, Leadership, Clinical Research, Employee Benefits, Leadership Development, New Hire Orientations, Deferred Compensation, Onboarding, College Recruiting, SDLC, Recruiting, Healthcare, Human Resources, Internet Recruiting, Interviews, Applicant Tracking..., Sourcing, Taleo, Talent Acquisition
Education
Carroll University 1993 — 1997
English
Eisenhower-New Berlin 1988 — 1992
Cleveland HeartLab, Inc. May 2012 - Present
Ruffing Montessori School 2010 - Present
Holland Foley LLC 2010 - 2012
WellCare 2006 - 2010
QualChoice/University Hospitals 2001 - 2006
Medimetrix 1992 - 2001
Education
Boston College
Bachelor of Arts
Suffolk University Law School
Juris Doctorate
HealthPlan Services 2014 - Present
Hospice by the Sea 2012 - 2014
Sanare LLC (BrightSky) 2011 - 2012
Centra 2009 - 2011
WellCare 2007 - 2009
PharMerica 2006 - 2007
Norfolk Superior Court April 1998 - December 2004
MA State Ethics Commission 1993 - 1998
MA Attorney General 1991 - 1993
Education
Suffolk University Law School 1995 — 1999
JD, Law
Columbia University in the City of New York 1987 — 1991
BA, Sociology
Cranbrook Kingswood High School 1984 — 1987
Diploma
Anthem, Inc. January 2014 - Present
Amerigroup Corporation January 2012 - January 2014
AMERIGROUP August 2006 - January 2012
Whiskey Park September 2003 - August 2006
WellCare December 2002 - August 2006
WellCare Health Plans, Inc. 2002 - 2006
HealthPlan Services April 1997 - December 2002
Hyde Park Cafe October 1999 - September 2001
Bally Total Fitness May 1998 - March 2000
The Loft March 1996 - April 1998
Skills
Process Improvement, EDI, Vendor Management, Visio, Six Sigma, Management, Leadership, Sales, Software Documentation, Team Building, Business Analysis, Insurance, Business Process..., Change Management, Managed Care, Training, Operations Management, HIPAA, Healthcare Management, Medicaid, Strategic Planning, Healthcare Information..., Healthcare, Medicare, Healthcare Consulting, Hospitals, Data Analysis, Quality Assurance, Healthcare Industry, Program Management, Cross-functional Team..., Health Insurance, Access, SDLC, EHR, Call Centers, Executive Management, Revenue Cycle, Provider Relations, SharePoint, Performance Improvement, Policy, EMR, Informatics, Claim
Education
Juran Institute 2006 — 2007
Black Belt, Six Sigma
ITT Tech 2005 — 2006
Information Technology
Keller University 2001 — 2001
Financial Accounting and Planning
Emerson College 1986 — 1989
Mass Communication, Masters Program
Bridgewater State University 1980 — 1984
Bachelor of Arts, Communications
Nielsen September 2014 - Present
Nielsen June 2010 - September 2014
WellCare October 2006 - June 2010
Trenam Kemker August 2005 - October 2006
Accenture June 1999 - August 2005
Skills
Data Center, Disaster Recovery, Cloud Computing, Management, SaaS, Enterprise Software, Leadership, Vendor Management, Strategy, Project Management, Budgeting, High Availability, Technology Convergence, hyper-convergence, IaaS, Executive Management, Strategic Planning, Strategic Visionary
Education
University of Miami - School of Business 1997 — 1999
MS, Computer Information Systems & Telecommunications Mngt
Colorado State University-Pueblo 1993 — 1997
BA, Political Science & Economics
Coventry Health Care, an Aetna Company September 2013 - Present
Molina Healthcare July 2013 - September 2013
WellCare November 2011 - July 2013
GDKN January 2011 - August 2011
Nations Health October 2010 - December 2010
Maxim Healthcare Services April 2010 - October 2010
Humana July 2005 - December 2009
Skills
Licensed Life & Health..., Over 7 years of..., 1 year of Medicare,..., 1 year of Cisco Network..., Customer Service, Employee Benefits, Microsoft Office, Sales, Training, Call Centers, HIPAA, Health Insurance, Insurance, Interviews, Medicare, Staffing Services, Management, Networking
Education
Broward College 2011 — 2013
Associate of Science (A.S.), Network and System Administration/Administrator
Broward College 2011 — 2012
Network System Administration, IT
Aetna March 2013 - Present
The Jacobson Group December 2012 - Present
Universal Health Care May 2011 - December 2011
Universal Health Care May 2011 - December 2011
WellCare HealthPlans February 2003 - April 2011
WellCare 2003 - 2011
Universal Healthcare Solutions May 2010 - December 2010
CIGNA September 2000 - February 2003
MVP HealthPlan September 1998 - August 2000
Skills
Medicaid, Medicare, Hospitals, HEDIS, Clinical Research, Provider Relations, Disease Management, Case Managment, Utilization Management, Managed Care, Medicare Part D, Healthcare Management, Physicians, Healthcare, HMO, Process Improvement, Informatics, PPO, HIPAA, Medicine, Health Policy, Health Economics, Health Insurance, Insurance, Healthcare Industry, Business Process...
Education
New Jersey Medical School- University of Medicine and Dentistry of New Jersey
Doctor of Medicine
College of the Holy Cross
BA, PreMed
University of Medicine and Dentistry of New Jersey
General Surgical Residency
WellCare July 2013 - Present
Ciber July 2013 - Present
Faxo Inc. April 2006 - Present
Surefire Security Corporation December 2004 - Present
e2e Partners, Inc. December 1999 - Present
AT&T February 2013 - September 2013
Accenture February 2013 - September 2013
Webvanta Inc. February 2013 - May 2013
A.G. Edwards & Sons, Inc. July 1995 - April 2006
Maritz October 2000 - April 2004
Skills
Ruby, Ruby on Rails, Agile Methodologies, Spring, Java Enterprise Edition, JUnit, Hibernate, Java, JBoss Application Server, SQL, MySQL, JavaScript, Distributed Systems, Unix, Scrum, Linux, Web Services, Architecture, Perl, Oracle, AJAX, Performance Tuning, Databases, Internet Security, jQuery, Scalability, Open Source, Amazon Web Services..., Consulting, C++, Spring Framework, High Availability, Cloud Computing, Internet Entrepreneur, Sun Certified Java..., Object Oriented Design, Continuous Integration, JMS, Postfix, Firewalls, RESTful architecture, BigTable, MapReduce, Microsoft Certified..., Hadoop, Node.js, AngularJS, MongoDB, Twitter Bootstrap, Ionic
Education
Boston University 1985 — 1989
BS, Electrical Engineering
Boston University 1985 — 1989
BA, Computer Science
Florida Blue November 2012 - Present
HealthPlan Services August 2011 - November 2012
AW Consulting Services November 2010 - July 2011
WellCare February 2007 - November 2010
WellPoint November 1997 - July 2006
Health Net 1988 - 1997
Skills
Project Management, Budgets, Business Process..., HIPAA, Mergers, Full SDLC, Quality Assurance, Data Warehousing, Health Insurance, IT Strategy, Vendor Management, Software Development, Enterprise Software, Business Process..., PMO, Program Management, Disaster Recovery, Enterprise Architecture, Information Technology, Data Center, Integration, Mergers & Acquisitions, Leadership, Requirements Analysis, Infrastructure, Management, IT Management
Education
California State University-Northridge 1983 — 1988
MBA, Business/Finance
University of California, Los Angeles 1976 — 1981
BS, Biochemistry
WellCare September 2011 - April 2014
Detroit Regional Chamber 2009 - August 2011
Blue Cross November 2001 - June 2005
Skills
Marketing, Sales, Event Planning, Public Relations, Marketing Communications, Public Speaking, Marketing Strategy, Account Management, Strategic Planning, Social Media, Event Management, Advertising, Leadership, Team Building, Training, Project Management
Education
Central Michigan University 1997 — 2002
BS:, Business
Health Republic Insurance of New York September 2014 - Present
Surfing in Peru February 2014 - March 2014
WellCare January 2013 - December 2013
The Advisory Board Company January 2011 - September 2012
Amendola Communications June 2010 - January 2011
Healthcare Informatics magazine April 2007 - June 2010
New York City Health and Hospitals Corporation January 2003 - March 2007
St. Vincent Catholic Medical Centers January 1997 - January 2003
New York City Health and Hospitals Corporation January 1993 - January 1997
Skills
EHR, Public Relations, Hospitals, Social Media, Press Releases, Healthcare, Healthcare Information..., Leadership, Clinical Research, Informatics, Public Speaking, Healthcare Industry, EMR, Change Management, Blogging, HIPAA, Health Policy, Healthcare Consulting, Physicians
Education
Bronx High School of Science
Degree
Columbia University in the City of New York
BS
WellCare December 2007 - Present
HSBC Mortgage Services June 2001 - December 2007
HSBC June 2001 - May 2004
Education
Canisius College 1990 — 1993
Bachelors, Psychology, Biology
Empower, LLC - Alternative2Rehab.com February 2015 - Present
Self Employed August 2008 - Present
gottaGettaGuru.com March 2010 - October 2012
A Yoga Village August 2011 - May 2012
OLR October 2010 - February 2011
WellCare 2009 - June 2010
Coles Myer August 2005 - February 2008
Active Intelligence 2005 - 2008
Eckerd 2003 - 2005
Marimark 2002 - 2002
Skills
PL/SQL, Data Warehousing, Oracle Applications, RPM, Requirements Analysis, Pro*C, Oracle, Solution Architecture, Unix, Business Analysis, Integration, Retek, Performance Tuning, Shell Scripting, Software Development, Web Services, SDLC, Requirements Gathering, Software Project..., System Administration, ITIL, Vendor Management, XML, JavaScript, Enterprise Architecture, SQL, Systems Analysis, Cloud Computing, Unix Shell Scripting, Databases
Education
Yoga Village Kundalini Yoga Teacher Training 2010 — 2011
Kundalini Yoga Teacher, Yoga Teacher Training/Yoga Therapy
Theta Healing Institute of Knowledge 2006 — 2008
Florida Institute of Technology 1986 — 1988
Computer Engineering
Colorado State University 1984 — 1986
Engineering
Theta Alchemy School of Theta Healing™
WellCare September 2015 - Present
Arbonne International December 2010 - Present
Isagenix 2013 - Present
Phoenix Rising Coaching November 2013 - Present
Adventist Health April 2014 - June 2015
HealthSpring June 2011 - November 2012
AETNA HEALTH SERVICES, UK Ltd. London, England November 2008 - December 2010
AETNA HEALTH SERVICES, UK Ltd April 2008 - December 2010
AETNA INC March 2003 - March 2008
Aetna 2003 - 2008
Skills
Medicare, Healthcare, Healthcare Management, Managed Care, Hospitals, HIPAA, Process Improvement, Disease Management, Health Insurance, Healthcare Information..., Strategic Planning, Healthcare Industry, Vendor Management, Clinical Research, Revenue Cycle, Program Management, Change Management, Nursing, Healthcare Consulting, Medicaid, Team Building, Data Analysis, Software Documentation, Leadership, Project Management, Cross-functional Team..., Access, Business Process, Insurance, Strategy, Management, Informatics, Utilization Management, Provider Relations, Quality Improvement, Integration, Health Education, Coaching, EHR, Policy, EMR, Case Managment, Medicine, Health Policy, Practice Management, Epic Systems, Wellness, Performance Improvement, CPOE, Business Analysis
Education
Walden University
Master's Degree, Science of Leadership
Bliss Mentoring 2013 — 2013
Leadership Coaching
Jack Canfield Coaching 2014 — 2015
Goal setting, achievement, life
Columbia University 1976 — 1978
BSN Bachelor Science, Nursing
Columbia University in the City of New York 1976 — 1978
BSN, Nursing
Luzerne County Community College 1974 — 1976
AS, Science
WellCare Health Plans December 2014 - Present
FirstCare Health Plans September 2013 - December 2014
Florida Healthcare Plus September 2012 - September 2013
WellCare June 2006 - September 2012
UnitedHealthcare 2001 - 2003
Skills
Medicare, Medicaid, HIPAA, Health Policy, Managed Care, Provider Relations, HMO, Healthcare, Healthcare Industry, Credentialing, Medical Compliance, Physicians, Utilization Management, Medicare Part D, Medicaid Managed Care, Disease Management, Health Insurance, Healthcare Management, PPO, Network Development, HEDIS, Health Law, NCQA, Medical Staff..., AAAHC, EMTALA, Anti-Kickback Statute, OIG, Health Care Regulation, Contract Management, Regulatory Affairs, Regulatory Guidelines, Legal Compliance, Medicare Prescription..., Claim, Claims Resolution, Health Care Reform, Healthcare Information..., JCAHO, Medical Billing, Medical Coding, Medicare/Medicaid..., Pharmacy Benefit..., Physician Relations, Policy, Stark, Medicare Advantage, Risk Assessment, Privacy Law, Privacy Regulations
Education
Northwestern California University NWCU
Juris Doctor, Law
Carlow University
Master's Degree, Financial Forensics and Fraud Investigation
Hodges University
Bachelors Science, Business Management
Pasco-Hernando State College
Associate's Degree
Seton Hall University School of Law
Advanced Graduate Certificate Health and Hospital Law, Healthcare Law
The George Washington University
Graduate Certificate, Corporate Healthcare Compliance
CareMore Health Plans September 2015 - Present
Golden Outlook August 2014 - August 2015
CareMore Health Plan August 2010 - August 2014
WellCare August 2006 - May 2009
Secure Horizons May 1991 - August 2006
Skills
Sales, Health Insurance, Medicare, Insurance, Managed Care, Medicaid, group retiree, Customer Service, Customer Support, Medicare Part D, Brokers, Team Building, Disability Insurance, Health Savings Accounts, Long-term Care, Life Insurance, Underwriting, Employee Benefits, Term Life Insurance, Cold Calling, Healthcare, Medicare Supplements, Medicare Prescription..., Medicare Advantage
Education
Chandler/Gilbert Community College
Point Loma Nazarene University
Haig Barrett Inc. April 2014 - Present
Advantm Solutions September 2009 - Present
Haig Barrett Inc. 2010 - March 2014
Caramba Tequila February 2010 - February 2014
WellCare July 2006 - September 2009
WellPoint September 2004 - July 2006
WellPoint September 2003 - September 2004
Cboytech IT Consultants 1998 - 2004
Skills
Agile Methodologies, Information Technology, Vendor Management, SDLC, Business Process Design, System Administration, Management, Requirements Analysis, Enterprise Software, Cloud Computing, Program Management, Budgets, Strategy, Training, Project Management, Management Consulting, SaaS, Leadership, SharePoint, Cross-functional Team..., Software Development, Analytics, Business Strategy, Entrepreneurship, Consulting, Software Project..., Project Planning, Team Building, Salesforce.com..., Product Development, Strategic Planning, Business Process..., IT Strategy, Start-ups, Process Improvement, Business Intelligence, Change Management, Databases, Integration, IT Management, Business Analysis, CRM, Business Development, Analysis, Executive Management, New Business Development, Marketing, Marketing Strategy
Education
California State University-Northridge 2000 — 2003
MBA, Marketing, IT, Management
Landmark Education
Capri Jet Realty, Corp. May 2015 - Present
Unique Class Entertainment February 1998 - Present
Rapid Realty July 2014 - March 2015
WellCare July 2011 - December 2012
Fidelis Care June 2009 - July 2011
Fidelis Care December 2003 - June 2009
Skills
Training, Insurance, Marketing, Health Insurance, Medicare, Event Planning, Managed Care, Recruiting, Event Management, Public Relations, Medicaid, Sales, Healthcare Industry, Networking, Customer Retention, Social Media, Healthcare, Social Networking, Customer Service, Provider Relations, Sales Presentations, Coaching, Public Speaking, Community Outreach, Team Building, Small Business, Bilingual, Brokers, Leadership, Direct Sales, Salesforce.com, Management, Entertainment, Disc Jockey, Event Producing, Music Education, Real Estate, Commercial Sales, Apartment Rentals, Home Sales, Long-term Care
Education
New York Real Estate Institute 2014 — 2014
NY Real Estate Salesperson License
Pohs Institute 2009 — 2009
Life, Accident & Health License, NY LAH License
Hunter College 1997 — 2001
Bachelor of Education (B.Ed.), Secondary Education and Teaching
UnitedHealth Group September 2008 - July 2014
ACT Consulting March 2005 - September 2008
TechSkills August 2003 - February 2005
Wellcare 2004 - 2005
Hawaii Pacific Health December 1998 - January 2003
Skills
Vendor Management, Program Management, Project Management, Change Management, Team Building, Team Leadership, Business Process..., Strategic Planning, Leadership, Management Consulting, Business Strategy, Product Development, Budgets, Management
Education
United Health Group 2011 — 2011
Six Sigma Green Belt, Process Improvement
Central Piedmont Community College 2007 — 2007
PMP Program, Project Management
University of Hawaii at Hilo
Psychology
University of Hawaii-West Oahu
Psychology
Visiting Nurse Service of New York January 2015 - Present
WellCare August 2010 - Present
WellCare August 2010 - December 2014
health first 2006 - 2010
HEALTH FIRST HEALTH PLAN February 2005 - December 2009
Skills
Health Insurance, Insurance, Employee Benefits, Medicare, Disability Insurance, Managed Care, Life Insurance, Long-term Care, Claim, Health Savings Accounts, Term Life Insurance, Medicaid, Medicare Part D, Health Care Reform, Accident, Healthcare
Education
Hunter College 2007 — 2009
Beloit health and rehabilitation center September 2014 - Present
WellCare August 2011 - February 2014
Internal Revenue Service January 2009 - August 2011
Skills
Health Insurance, Customer Service, Sales, Marketing, Insurance, Medicare, Customer Retention, Training, Medicare Part D, Leadership, Managed Care, Strategic Planning, Healthcare
Education
Bryant & Stratton College - Amherst
Associate's degree, NY state Life, Accident & Health Insurance
Lake Health Systems - Lake West Hospital October 2014 - Present
Western Reserve Area Agency on Aging August 2013 - October 2014
WellCare June 2012 - June 2013
Tutors with Computers, LLC August 2011 - June 2012
Girl Scouts of North East Ohio May 2004 - March 2008
Skills
Program Management, Leadership Development, Team Leadership, Community Engagement, Community Organizing, Strategic Planning, Problem Solving, Public Speaking, Program Development, Project Coordination, Staff Development, Coaching, Grants, Budgets, Project Management
Education
Lake Erie College 2013 — 2017
Master in Business Administration, Health/Health Care Administration/Management
Cleveland State University 1993 — 1996
BA/BSW, Communication/Social Work
Shaw High School 1986 — 1990
Honors with Distinction HS Diploma, Honors College Prep
WellCare 2011 - Present
The CommUnity Commitment 2011 - Present
UnitedHealthcare 2009 - 2011
WellCare 2006 - 2009
L.A. Care Health Plan 1999 - 2006
Skills
Marketing, PMP, Business Development, Program Management, Product Development, Strategic Planning, Contract Negotiation, Management, Start-ups, Managed Care, Community Outreach, Medicare, Proposal Writing, Healthcare, Community Development, Marketing Strategy, Project Management, Team Building, Medicaid, Training, Strategy, Health Insurance, HIPAA, Healthcare Management, Six Sigma, Insurance, Healthcare Consulting, Marketing Communications, Claim, Provider Relations, Hospitals, Leadership, Health Policy, Process Improvement, Government, Disease Management, Healthcare Industry, Medicare Part D, Health Care Reform, Healthcare Information..., Employee Benefits, Executive Management, Policy, Network Development, HMO
Education
Walden University
Doctor of Philosophy (PhD), Public Health
California State University-Fullerton
Bachelors, Communications
University of Arizona
Masters, Business Administration
University of Arizona
Masters, Health/Health Care Administration/Management
WellCare Sales ManagerUnited Healthcare2006 - 2009
Ochsner Health Plan 1997 - 2004
Skills
Medicare Supplements, Managed Care, Medicare, Medicare Part D, Medicaid, Leadership, Healthcare, Long-term Care, Provider Relations, Life Insurance, Sales, Healthcare Industry, Insurance, Term Life Insurance, Brokers, Health Insurance, HMO, Network Development, Employee Benefits, Team Building, Disability Insurance, Critical Illness, Health Policy, Workers Compensation, HIPAA, Claim, Disease Management, Process Improvement, Strategic Planning
Education
Centenary College of Louisiana 1974 — 1978
Business Administration
PIH Health April 2014 - Present
WellCare August 2013 - January 2014
Kaiser Permanente November 2006 - January 2012
Inland Empire Health Plan 1998 - 2006
FHP/Talbert Medical Group 1983 - 1998
Skills
Healthcare Information..., Healthcare Management, Hospitals, Medicare, Revenue Cycle
Education
California State University-Long Beach 1989 — 1991
Bachelor's of Science, Registered Nursing/Registered Nurse
Point Loma Nazarene University 1984 — 1986
Biochemistry
Cypress College 1982 — 1985
Associate of Science (A.S.), Nursing Science
WellCare September 2009 - Present
WellCare October 2004 - September 2009
Skills
Medicare, HMO, Utilization Management, Medicaid, Medicaid Managed Care, NCQA, Managed Care
Education
Carrington College California-Sacramento
Universidad de Puerto Rico - Recinto de Ciencias Medicas
Orange Regional Medical Center November 2008 - September 2011
Warwick Valley Central School District November 2006 - March 2011
P/T January 2007 - October 2010
WellCare June 2006 - October 2006
Cessna Aircraft Company April 2004 - November 2005
London Fog May 2001 - June 2003
Bradlees January 2000 - January 2001
P/T February 1998 - January 2000
Tumbleweed Boutique March 1991 - November 1998
CNA, Eger Nursing Home March 1991 - August 1993
Skills
Payroll, Human Resources, Management, Budgets, Training, Process Improvement, Office Management, Process Scheduler, Accounts Payable, Marketing, Sales, Invoicing, Microsoft Word, Purchasing, Microsoft Excel, Customer Service, Microsoft Office, Time Management
Education
Excelsior College 2013 — 2014
BSN, Registered Nursing/Registered Nurse, 3.65
New Jersey City University 2012 — 2013
Bachelor of Science (B.S.), Finance
Monmouth County Vocational School District 2012 — 2013
certificate LPN, Licensed Practical/Vocational Nurse Training
Brookdale Community College 2010 — 2011
Associate of Arts (AA), Business Administration and Management, General
Orange County Community College 2009 — 2011
Pre-Nursing & Business Admin
Rockland County Community College 2009 — 2009
Pre-Nursing
College of Staten Island 1984 — 1985
Intl Business
2005 Villa Nova University 2005 — 2005
Certificate- Human resource Generalist, Human Resources Management and Services
Dale Carnegie 2004 — 2005
Human Relations and Leadership Certificate, Interpersonal Relationships Skills
St. Peters HS for Girls Staten 1978 — 1982
Regents Diploma
Ethicon Inc. August 2010 - Present
Wellcare February 2009 - August 2009
Wyeth December 2007 - June 2008
Pfizer June 2004 - February 2007
Janssen Ortho July 2002 - June 2004
Johnson & Johnson Corporate 1998 - 2001
Skills
Validation, Pharmaceutical Industry, Process Improvement, 21 CFR Part 11, Computer System..., Business Analysis, SDLC, Quality Assurance, Project Management, FDA, Cross-functional Team..., Business Process, Management, Testing, Strategy, Software Documentation, Quality System, Training, Requirements Analysis, Six Sigma, Medical Devices
Education
Columbia Southern University 2009 — 2014
Some Course Work, Business Systems Information Technology
Charts In Time, Inc. October 2011 - Present
WellCare April 2008 - October 2011
Chapters Health System March 2007 - April 2008
Charts In Time, Inc. January 2006 - March 2007
Skills
Revenue Cycle, Hospitals, ICD-10, CPT, Medical Coding, Inpatient, Ambulatory, Informatics, Customer Service, Physicians, ICD-9, Healthcare Industry
Education
Brunswick Community College 2003 — 2005
Associate of Arts and Sciences (A.A.S.), Health/Health Care Administration/Management
WellCare June 2011 - Present
HealthSpring October 2007 - March 2011
Aon/combines September 2005 - October 2007
Skills
Human resources, Insurance
Education
Chicago State University 1987 — 1990
NYC Department of Education, District 75 October 2012 - Present
Hewlett-Woodmere Public School District September 2011 - June 2012
NYC Department of Education, District 75 September 2010 - June 2011
Acheivement First 2010 - 2011
WellCare April 2008 - May 2009
Mental Health Care, Inc June 2007 - March 2008
WellCare October 2006 - March 2008
Harbor Behavioral Healthcare Institute August 2005 - October 2006
Skills
Psychology, Mental Health, Group Therapy, Psychotherapy, Case Managment, Interventions, Psychological Assessment, Special Education, Community Outreach, Behavior Management, Anger Management, Clinical Research, Healthcare, School Psychology, Autism Spectrum..., Developmental..., Educational Assessment, Vocational Assessment, Individualized..., Case Management
Education
Brooklyn College 2011 — 2012
Certificate, School Psychology
City University of New York-Brooklyn College 2008 — 2011
Masters of Science in Education, School Psychology
Florida State University 2001 — 2005
Bachelor of Science, Psychology
Keller Williams Realty February 2010 - Present
NATION'S REAL ESTATE SERVICES, INC October 2010 - November 2010
WellCare May 2001 - August 2002
SUNTRUST BANK December 1996 - March 1999
FIRST USA BANK, INC February 1996 - April 1996
FIRST USA BANK, INC January 1995 - February 1996
SHAWMUT NATIONAL CORPORATION January 1994 - December 1994
SHAWMUT NATIONAL CORPORATION July 1991 - January 1994
Travelers Insurance April 1988 - March 1989
Travelers Insurance June 1986 - April 1988
Skills
Analysis, Financial Analysis, Real Estate, Budgets, Marketing, Sales, Forecasting, REO, Accounting, New Business Development
Education
University of Connecticut 1991 — 1993
MSW, Clinical Social Work
Central Connecticut State University 1981 — 1991
BA, Mathematics
Newington High School 1977 — 1981
WellCare Health Plans August 2014 - Present
WellCare October 2009 - August 2014
WellCare July 2005 - September 2009
BearingPoint Inc December 2003 - July 2005
Cap Gemini July 2001 - November 2003
IDX Systems 1998 - 2001
Skills
Hospitals, Quality Assurance, Healthcare Information..., Medicaid, Healthcare Management, Healthcare, Managed Care, Medicare, HIPAA, EMR, Process Improvement, EHR, Data Analysis, Consulting, Program Management
Education
Clark University 1997 — 1998
MBA
The Pennsylvania State University 1991 — 1995
BS
WellCare May 2013 - Present
WellCare February 2012 - May 2013
WellCare July 2009 - February 2012
WellCare February 2008 - July 2009
Bisk Education March 2007 - February 2008
Penn State University, Great Valley March 1999 - February 2007
Steege/Thomson Communications July 1996 - July 1998
Skills
Account Management, Interactive Marketing, SEM, Corporate Communications, Marketing Communications, Advertising, Social Media Marketing, Online Marketing, Content Management, Integrated Marketing, Internal Communications, Email Marketing, Marketing, Lead Generation, Content Development, Social Media, Press Releases, Newsletters, Leadership, Management, Copywriting, Online Advertising, Brand Development, Corporate Branding, Strategic Communications, Digital Marketing, Project Planning, Cross-functional Team...
Education
Rosemont College 2000 — 2003
MA, English and Electronic Publishing
Bryn Mawr College 1991 — 1995
BA, Fine Arts, Marketing courses at Wharton
WellCare Health Plans November 2014 - Present
WellCare Health Plans January 2014 - November 2014
WellCare March 2007 - November 2013
WellCare June 2005 - March 2007
Eckerd January 2003 - June 2005
Eckerd July 1995 - December 2002
Eckerd January 1991 - June 1995
Eckerd July 1989 - December 1990
Eckerd January 1988 - June 1989
Revco DS Inc October 1982 - December 1987
Skills
CPA - OH, Pharmacy, Forecasting, Leadership, Managed Care, Pharmacy Benefit..., Healthcare, Process Improvement, Medicare, Pharmacy Automation, Healthcare Management, Team Building, HIPAA, Strategic Planning, Budgets
Education
Cleveland State University 1978 — 1982
Bachelor of Business Administration (BBA), Accounting
Cleveland State University 1978 — 1982
Bachelor's degree, Accounting
Universal American August 2013 - Present
National Association of ACOs October 2013 - Present
McKinsey Solutions September 2011 - August 2013
McKinsey & Company September 2011 - September 2012
The AmeriHealth Mercy Family of Companies August 2010 - August 2011
Bravo Health September 2006 - July 2010
Bravo Health August 2006 - July 2010
WellCare 2003 - 2005
WellCare Health Plans, Inc. 2003 - 2004
Citigroup 2001 - 2003
Skills
Mergers, Cross-functional Team..., Healthcare, Strategic Planning, Business Strategy, Financial Modeling, Business Development, Managed Care, Business Process..., Executive Management, Contract Negotiation, Process Improvement, Team Building, Mergers & Acquisitions, Leadership, Vendor Management, Strategy, New Business Development, Financial Analysis, Medicare, Management Consulting, Management, Insurance, Program Management, Start-ups, Product Management, Analytics, Change Management, Business Analysis, Strategic Partnerships, Business Intelligence, P&L Management, Corporate Development, Disease Management, Population Health
Education
Stanford University Graduate School of Business 1999 — 2001
MBA
Colorado College 1993 — 1996
BA, Economics, Mathematics
Highlands Ranch High School 1989 — 1992
WellCare Health Plans July 2014 - Present
WellCare 2013 - Present
WellCare October 2009 - Present
WellCare of Georgia 2009 - 2012
State of Georgia May 2005 - November 2009
Skills
Community Outreach, Social Services, Case Managment, Healthcare, Grant Writing, Volunteer Management, Conflict Resolution, Mental Health, Psychotherapy, Medicaid, Medicare, Managed Care, Program Development, Healthcare Management, Health Education
Education
Clark Atlanta University 1993 — 1997
BA, Finance
University of Michigan
Master of Social Work (MSW), Interpersonal Practice Children Youth &Families
Talent Cloud Staffing October 2015 - Present
WellCare January 2010 - October 2015
PMSI May 2009 - December 2009
Catalina Marketing November 2007 - April 2009
MKC- The Recruiting Specialist March 2003 - November 2007
Tech Data 2006 - 2006
Computer Associates, Inc 2005 - 2005
Dental Power of Florida / Argus Group October 2001 - March 2003
Catalina Human Resources 1992 - 1995
Skills
Technical Recruiting, Talent Acquisition, College Recruiting, Applicant Tracking..., Onboarding, HRIS, Executive Search, Deferred Compensation, Talent Management, Staffing Services, Leadership Development, New Hire Orientations, Background Checks, Workforce Planning, Training, Staff Augmentation, Resume Writing, Vendor Management, Personnel Management, Temporary Staffing, Temporary Placement, Taleo, Sourcing, PeopleSoft, Recruiting, Benefits Negotiation, Internet Recruiting, HR Consulting, Screening, Management, Screening Resumes, Building Relationships, Recruitment Advertising, SDLC, HR Policies, Employer Branding, Performance Management, Employee Benefits, Organizational..., Succession Planning, Employee Training, Employee Relations, Interviews, Job Fairs, Cold Calling, Contract Recruitment, Human Resources, Employee Engagement, Benefits Administration, Permanent Placement
Education
Brenau University 1985 — 1989
BA, Public Relations
H.B. Plant High School Tampa, FL
Knowledge Accelerators, Inc. (formerly PCHowTo, Inc.) October 2007 - Present
Knowledge Accelerators, Inc. 2006 - Present
Advanced Technology Laboratories January 2007 - August 2007
Sparrow InterActive 2004 - 2005
WellCare August 1996 - January 2001
Education
Coleman College 1990 — 1991
BS of Information Science, Computer Porgramming
Coleman College 1986 — 1987
AS Information Science, Computers
WellCare March 2008 - Present
QualChoice November 2004 - March 2008
National City Bank July 2000 - December 2002
Skills
SQL, Access, Excel, SQL Server, Word, Analysis, Data Analysis, PowerPoint, Process Improvement, Problem Solving, Software Development, Microsoft Office, Databases, Visual Basic, VBA, Business Analysis, Microsoft SQL Server
Education
Weatherhead School of Management at Case Western Reserve University 1999 — 2000
MS, Management Information Systems
Case Western Reserve University 1992 — 1998
BS, Accounting
Honeywell Aerospace April 2008 - Present
WellCare 2008 - Present
AT&T December 2006 - May 2008
Bayshore Solutions April 2005 - December 2006
AT&T January 1999 - April 2005
IBM January 1995 - 2000
Boeing August 1985 - January 1995
Education
Hillsborough Community College 2006 — 2007
Certificate, Computer Science
University of Tampa 1999 — 2000
Bus Admin / Comp Sci
California State University-Dominguez Hills 1981 — 1984
BS, Business Admin / CIS
Blue Cross Blue Shield of Vermont March 2010 - Present
WellCare April 2009 - March 2010
CareGuide Inc November 2007 - April 2009
ConnectiCare Inc April 2000 - August 2007
Oxford Health Plans September 1998 - October 2000
Skills
Strategy, Cross-functional Team..., Enterprise Software, Leadership, Software Development, Security, Operations Management, PMO, Healthcare, Data Warehousing, SDLC, Architectures, Vendor Management, Business Analysis, Process Improvement, Integration, Visio, HIPAA, Program Management, IT Strategy, Enterprise Architecture
Education
Central Connecticut State University 1989 — 1994
Bachelor, Geography and Cartography / GIS
WellCare January 2013 - Present
Rxperts Pharmacy December 2011 - Present
Ultimate Medical Academy - Tampa May 2011 - December 2011
Aquent 2008 - 2008
Market Street Mortgage 2004 - 2007
Shady Grove Fertility Center 2004 - 2004
Gospel Light Publishing 2001 - 2003
Alert Cellular 2001 - 2001
Skills
Strategic Planning, Graphic Design, Team Building, Marketing, HTML, ASP, Photography, Negotiation, Social Media, Project Planning, Advertising, CSS, Event Planning, Leadership, Customer Service, Retail, Project Management, Public Speaking, Management, Microsoft Excel, Pharmacy, Managed Care, Access
Education
California Lutheran University 1989 — 1994
Bachelor of Arts (BA), Marketing/Advertising
JPMorgan Chase & Co. November 2014 - Present
WellCare July 2012 - November 2014
Federal Communications Commission December 2011 - June 2012
Blackboard July 2011 - November 2011
Laureate Education October 2009 - May 2011
S1 Corporation April 2007 - May 2009
Cabletron 1996 - 1999
Skills
Program Management, SDLC, Agile Methodologies, Release Management, Software Configuration..., Windows Server, Unix, ClearCase, SQL, Software Development, Integration, TFS, Unix Operating Systems, System Administration, Scrum, SharePoint, Visio, Linux, IIS, Management, Informatica, Requirements Analysis, Microsoft SQL Server, Testing, Software Quality..., Leadership, Quality Center, Configuration Management, Software Documentation
Education
Franklin Pierce University 1995 — 1999
BS, Computer Information Systems, 3.49
Boston University 2003 — 2003
UNIX/LINUX System Admin Certification
Progressive Insurance June 2011 - Present
Progressive Insurance October 2009 - June 2011
WellCare March 2008 - October 2009
Progressive Insurance May 2005 - February 2008
Progressive Insurance June 2002 - May 2005
Skills
Security, Sarbanes-Oxley Act, Change Management, Auditing, IT Audit, Information Security, Governance, Management, Risk Assessment, Risk Management, Information Technology
Education
Cleveland State University 2003 — 2004
MBA
Miami University 1998 — 2002
BS, MIS/Finance
WellCare Health Plans September 2014 - Present
WellCare December 2012 - Present
Cure on Wheels 2008 - Present
Self-employed April 2012 - June 2014
Traditions Management January 2011 - April 2012
Abrahamson & Uiterwyk July 2010 - January 2011
Wilkes & McHugh, P.A. March 1999 - April 2010
Skills
Healthcare, HIPAA, Medical Compliance, Auditing, Policy, Employment Law, Medicare, Project Management, Risk Assessment, Team Building, Employee Benefits, Health Insurance, Process Improvement, EMR, Healthcare Information..., Medicaid, Managed Care, Healthcare Management, Internal Investigations, Legal Compliance, Privacy Law
Education
University of South Florida - College of Business Administration 2006 — 2008
MSM, Management/Leadership & Organizational Effectiveness
Bridgewater State College 1993 — 1997
BA, English/Secondary Education
Boston College 1988 — 1990
Political Science
Apponequet High School
Isabella Geriatric Center January 2014 - Present
SinglePoint Care Network July 2012 - January 2014
Gentiva Health Services September 2006 - June 2012
ActiveHealth Management July 2005 - September 2006
Visiting Nurse Service of New York June 2003 - July 2005
APS Healthcare September 1996 - June 2003
WellCare September 1994 - September 1996
Magellan Behavioral Health June 1990 - September 1994
Skills
Management, Healthcare Management, Account Management, Healthcare Industry, Managed Care, Leadership, HIPAA, Provider Relations, Healthcare, EMR, Home Care, Process Improvement, Strategic Planning
Education
Cornell University
Psychology
City University of New York City College
Psychology
WellCare May 2012 - Present
Clear Channel Radio April 2011 - June 2012
Dream Chasers Entertainment Services, Inc 2007 - 2011
Sinclair Broadcast Group October 2009 - October 2010
Media General 2004 - 2007
Sinclair Broadcast Group 2001 - 2004
Skills
Public Relations, Advertising Sales, Strategic Planning, Social Media, Broadcast, Marketing, Digital Media, Advertising, Social Media Marketing, Media Planning, Community Outreach, Management, Integrated Marketing, Marketing Communications, Leadership, Market Planning, Copywriting, Social Networking, Brand Development, Marketing Strategy, Nonprofits, Creative Direction
Education
Central Michigan University
Bachelor of Arts (BA), Communication and Media Studies
WellCare Health Plans March 2014 - Present
Lovelace Health Plan March 2012 - March 2014
WellCare May 2005 - March 2012
Benesch Friedlander Coplan & Aronoff January 1999 - April 2005
Ohio Department of Insurance September 1997 - January 1999
Skills
Healthcare Compliance, Medicaid, Litigation, Corporate Governance, Medicare
Education
Capital University Law School 1994 — 1998
Juris Doctor, Law, Magna Cum Laude
The Ohio State University 1987 — 1991
Bachelor of Arts, Political Science
YMCA 2013 - Present
WellCare August 2011 - Present
Rite Aid June 2011 - August 2011
Rite Aid June 2007 - June 2011
Brooks/Eckerd Pharmacy 2004 - 2007
revco 1987 - 1997
Skills
AFAA, CHC- Certified..., Les Mills Certified, Licensed Pharmacist..., Licensed Pharmacist..., Published Article -..., CEU Presenter -..., Implemented nationally..., Team Building, Training, Pharmacy Automation, Pharmacy Benefit..., Pharmacy, Medicare Part D, Employee Relations, Managed Care, Human Resources, Time Management, Inventory Control, Retail, Employee Training
Education
University of Phoenix 2002 — 2005
MBA, Business administration
Medical University of South Carolina 1987 — 1990
B.S. Pharmacy
College of Charleston 1984 — 1987
B.S. Biochemistry
WellCare July 2012 - Present
WellCare August 2005 - July 2012
Disney Worldwide Services March 2001 - July 2005
Prudential Healthcare January 1987 - February 2001
Skills
Oracle, Business Analysis, Microsoft SQL Server, Unix, SAS, Leadership, Data Modeling, SDLC, Data Warehousing, Process Improvement, Vendor Management, Healthcare
Education
Brookdale Community College 1980 — 1982
WellCare March 2012 - Present
WellCare 2007 - 2012
WellCare 2006 - 2007
BearingPoint 2004 - 2006
Skills
Managed Care, Corporate Governance, Regulatory Affairs, Medicare
Education
Chicago-Kent College of Law, Illinois Institute of Technology 1997 — 2000
Doctor of Law (J.D.)
DePaul University 1993 — 1997
UBS January 2015 - Present
The Depository Trust & Clearing Corporation October 2013 - December 2014
Hudson September 2012 - October 2013
WellCare February 2012 - October 2012
Tampa Florida April 2011 - February 2012
Independent IT Consultant September 2009 - April 2011
JM Family Enterprises June 2007 - March 2009
Wells Fargo 2006 - 2007
1ST RESOLUTION LLC 2002 - 2006
Connect Computer Consultants 1995 - 2002
Skills
Process Improvement, Disaster Recovery, Security, Cloud Computing, SDLC, Integration, Program Management, Vendor Management, Business Analysis, Project Management, Databases, Management, Enterprise Software, Enterprise Architecture, Data Center, Project Portfolio...
Education
Vigilar’s IT Training 2009 — 2009
PMP
University of Minnesota-Twin Cities 1989 — 1991
Management, Law and Human Resources
Metropolitan State University 1991 — 1992
College of Management
Rational University 2000 — 2000
RUP Training, Project Methodology
Boston College 2000 — 2000
PMP
WellCare Health Plans May 2015 - Present
Modern Health August 2014 - May 2015
WellCare August 2013 - August 2014
Humana April 2010 - August 2013
Northrop Grumman September 2007 - April 2010
Skills
SSIS, SSRS, SQL Server, T-SQL, ETL, Analysis Services, DTS, SQL, Access, SSAS, Data Warehousing, Business Intelligence, Data Modeling, Databases, Business Intelligence..., .NET, OLAP, Visual Studio, Database Administration, SharePoint, Database Design, VB.NET, SQL Tuning, Visio, XML, PL/SQL, Windows, Data Analysis, WCF, SOA, C#, SDLC, Disaster Recovery, Requirements Analysis, IIS, Quality Assurance, Systems Analysis, ASP.NET, TFS, Microsoft SQL Server, Integration, Software Project..., Enterprise Architecture, Business Analysis, Analysis, Management, Process Improvement, Software Documentation, Vendor Management, Program Management
Education
California State University-Dominguez Hills 2002 — 2007
BS, Information Systems
Cerritos College 1992 — 1998
AA, Business
Gull Lake Marine April 2015 - Present
Water Street Coffee Joint August 2012 - April 2015
Mediagistic April 2011 - June 2012
WellCare November 2009 - May 2011
Our 365 December 2008 - January 2010
Invitation Consultants Inc February 2008 - October 2008
Madison House Publicity May 2007 - September 2007
Chattahoochee River National Recreation Area May 2006 - October 2006
Skills
Advertising, Newsletters, Social Media, Copywriting, Public Relations, Creative Direction, Editing, SEO, Press Releases, Blogging, Photography, Marketing, Direct Mail, Creative Writing, Online Marketing, Marketing Strategy, Social Media Marketing
Education
Central Michigan University 2002 — 2006
Bachelor of Applied Arts, Integrative Public Relations/Journalism
WellCare Behavioral Care AdvocateOptumHealthMarch 2010 - Present
CIGNA Behavioral 2002 - 2006
HealthSouth March 1990 - June 2002
Skills
Psychology, Medicine, Utilization Management, Mental Health, Rehabilitation, Clinical Research, Neurology, Group Therapy, Case Managment, PowerPoint, Behavioral Health, HIPAA, Health Insurance, Process Improvement, Customer Service, Healthcare, Health Education, Microsoft Excel, Training, Medicaid, Cognition, Microsoft Word, Inpatient, Managed Care, Orthopedic, Crisis Intervention, Healthcare Industry, Social Services, Utilization Review, Disease Management, Hospitals, Mental Health Counseling, Teaching, CBT, Clinical Supervision, Psychotherapy, Adolescents, Treatment, Provider Relations, HMO, Healthcare Management, Medicare, Case Management
Education
The University of Akron 1974 — 1978
MA, Psychology
Bowling Green State University 1970 — 1973
BA, Psychology
Strategic Insurance Services, LLC May 2009 - Present
WellCare 2007 - 2008
The Boon Group 2001 - 2003
Cottingham & Butler/SISCO 1999 - 2001
Education
Clarke University
BA, Psychology/Business Administration
WellCare May 2013 - Present
Universal Health Care July 2011 - March 2013
Cody Consulting Services July 2008 - June 2011
Paradise Advertising & Marketing October 2006 - October 2007
WellCare 2005 - 2006
Affinity Marketing & Communications, Inc. 2001 - 2005
The Moorings Yacht Charters 1997 - 2001
Skills
Strategy, Corporate Communications, Training, Social Media Marketing, Medicaid, Business Strategy, HIPAA, Fundraising, Medicare, Leadership, Health Policy, Healthcare Industry, Marketing Strategy, Healthcare Consulting, E-commerce, Team Building, Project Planning, Advertising, Marketing, Marketing Communications, Email Marketing, Budgets, Salesforce.com, Account Management, Analytics, Public Relations, Management Consulting, Software Documentation, Integration, Sales, Business Development, Marketing Research, Entrepreneurship, Start-ups, Leadership Development, Customer Satisfaction, Contract Negotiation, Integrated Marketing, Recruiting, Online Marketing, Data Analysis, CRM, Process Improvement
Education
City University of Seattle
Bachelor of Science, Marketing
EnvisionRxOptions July 2013 - Present
Molina Healthcare of Ohio, Inc. September 2011 - July 2013
WellCare 2008 - 2011
WellCare of Ohio 2006 - 2008
QualChoice 1994 - 2005
Skills
Leadership, Management, Managed Care, Strategic Planning, Medicare, Program Management, Healthcare, Provider Relations, Medicaid, Health Insurance, Insurance, Sales, Marketing, Start-ups, Account Management
Education
Bowling Green State University 1980 — 1983
Bachelors of Science, Social Work
Mayfield High School 1977 — 1980
WellCare August 2006 - May 2008
Education
City University of New York-College of Staten Island 1978 — 1981
BA, Industrial Engineering
The Coca-Cola Company August 2010 - Present
Spherion (The Coca-Cola Company & Zurich) September 2009 - June 2010
Cobb County Schools - Palmer Middle School August 2006 - July 2009
WellCare August 2005 - August 2006
Cobb County Schools - Sanders Elementary November 1999 - July 2005
Madison County Schools August 1998 - July 1999
Advantage Care May 1997 - August 1998
Various Temporary Assignments (while finishing my degree & completing my student teaching) August 1995 - May 1997
Roswell Police Department February 1990 - August 1995
Skills
Event Planning, Administrative..., Time Management, Outlook, PowerPoint, Microsoft Office, Microsoft Excel, Teaching, Travel Arrangements, Microsoft Word, Project Management, Expense Reports, Office Management, Accounts Receivable, Accounts Payable, Elementary Education, Curriculum Development, Inventory Management, Classroom Management, Interdisciplinary Team..., Middle School, Special Education, Educational Assessment, Executive Calendar..., Supply Ordering, Travel Management, Social Media, Expense Budget..., Travel Planning, Social Networking, Event Management, Team Building
Education
Brenau University 1994 — 1996
Bachelor of Science, Early Childhood Education; Middle Grades (Science; Language Arts, Social Studies)
Letcher County VocTec 1982 — 1984
Administrative Certificate
Fleming-Neon, Kentucky 1980 — 1984
High School Diploma
Mallinckrodt June 2013 - Present
Alter Trading 2012 - 2013
WellCare 2010 - 2011
Mergis - Lucas Group 2008 - 2010
Lane Limited - (A subsidiary of R.J. Reynolds - Manufacturing) 2004 - 2008
General Motors 2000 - 2003
Skills
SEC filings, Accounting, Internal Controls, Financial Analysis, Auditing, Financial Reporting, Process Improvement, Variance Analysis, Sarbanes-Oxley Act, Finance, Budgets, Sarbanes-Oxley, Forecasting, US GAAP, GAAP, Strategic Financial..., Internal Audit, Cost Accounting, Managerial Finance, Account Reconciliation, Analysis, General Ledger, Financial Planning
Education
Case Western Reserve University 1998 — 2000
MBA, Finance, General
Murphy High
Yale New Haven Health System September 2012 - Present
Hospital of Saint Raphael November 2006 - September 2012
WELLCARE OF CT March 2003 - November 2006
WellCare 2000 - 2006
WELLCARE OF CT March 2001 - March 2003
Yale New Haven Hospital January 1996 - March 2001
Skills
Medicare, Managed Care, Revenue Cycle, Medicaid, Healthcare Management, Healthcare, HIPAA, Hospitals, Healthcare Consulting, Medical Billing, Credentialing, Healthcare Information..., EHR, Provider Relations, CPT, ICD-9, Health Insurance, Medical Coding, EMR, Medicaid Managed Care, Insurance, HMO, Medicare/Medicaid..., Healthcare Industry, Accounts Receivable, Epic Systems, Medical Terminology, Claim, Employee Benefits, Invoicing, Physicians, Process Improvement
Education
Charter Oak State College 2012 — 2016
Bachelor's degree, Health/Health Care Administration/Management
Far Horizon Business school 2007 — 2007
Academy of Business Careers 1984 — 1986
Certificate, Accounting
Robson Communities July 2014 - Present
WellCare October 2013 - June 2014
Optum December 2009 - October 2013
Boeing 2002 - 2009
The Summit Real Estate Group January 1997 - January 2002
Skills
Contract Management, Leadership, Program Management, Supply Chain Management, Process Improvement, Negotiation, Strategy, Integration, Team Building, Business Process, Procurement
Education
Chapman University 2004 — 2008
BA, Organizational Leadership
Franklin University
study was Business Management and Speech Communication
Saddleback College
The Ohio State University
study was English and Journalism
Department of Veterans Affairs August 2013 - Present
WellCare February 2012 - June 2013
Skills
Psychotherapy, Case Managment, Public Speaking, Program Development, Customer Service, Research, Community Outreach, PowerPoint, Coaching, Microsoft Excel, Microsoft Office, Outlook, Microsoft Word, Budgets, Mental Health, Teaching, Strategic Planning
Education
Case Western Reserve University 2003 — 2005
Master's degree, Social Work
Regence BlueCross BlueShield of Oregon May 2013 - Present
WellCare July 2011 - April 2013
United Healthcare November 2010 - July 2011
WellCare August 2007 - November 2010
HCA April 2006 - August 2007
Compass Group North America September 2004 - March 2006
Skills
Product Management, Medicare, Medicare Part D, Cross-functional Team..., Cross Selling, Direct Mail, Marketing Communications, Lead Generation, Customer Retention, Product Development, Project Execution
Education
University of Tampa - John H. Sykes College of Business 2007 — 2009
MBA, Management, Marketing, Finance
Central Washington University 2002 — 2004
BS, Business Administration
Humana November 2011 - Present
Universal American November 2010 - November 2011
WellCare April 2008 - October 2010
Miller Medicine School, University of Miami January 2008 - April 2008
Education
Indiana University - Kelley School of Business 2012 — 2014
Master of Business Administration (M.B.A.)
Florida International University 2004 — 2007
Master, Statistics
Chongqing University 1993 — 1997
WellCare June 2012 - Present
XLHealth September 2011 - Present
XLHealth April 2011 - September 2011
United Health Care November 2004 - April 2011
The Lady & Her Legacy Inc Non-Profit Org 2009 - 2011
Physio Sports Center January 1998 - August 2005
Skills
HIPAA, Health Insurance, Medicare, Managed Care, Healthcare, Medicaid, Provider Relations
Education
AHIIP 2011 — 2011
PAHM
City University of New York City College 1994 — 2001
Psychology
WellCare 2011 - Present
Embry-Riddle Aeronautical University May 2010 - Present
Columbia College March 2007 - Present
Agent April 2002 - 2012
St. Leo University January 2002 - July 2004
Savannah Technical College January 2002 - July 2003
Skills
Higher Education, University Teaching, Courses, Student Affairs, Organizational Behavior, Teaching, Adult Education, Curriculum Design, Curriculum Development, E-Learning, Critical Thinking, Statistics, Teachers, Research
Education
Walden University 2007 — 2013
not completed, Industrial/Organizational Psychology, 3.7
Central Michigan University 1997 — 1999
Master of Administration, Business Administration and Management, General
Savannah State University 1976 — 1981
Bachelor of Science (BS), Chemistry, 2.4
INETICO, Inc. August 2013 - Present
Coventry Health Care July 2013 - July 2013
INETICO, Inc. November 2011 - June 2013
Home Therapy Products February 2004 - November 2011
WellCare February 2002 - February 2004
Skills
Quality Management, Managed Care, Home Care, Process Improvement, Disease Management, Utilization Management, Medicare, Healthcare Management, Quality Improvement, Nursing, HIPAA, Certified Case Manager, Health Insurance, Rehabilitation, Nursing Management, Utilization Review, Patient Advocacy, Healthcare Industry, HEDIS, Medicaid, Claim, Health Education, Medical Records, Healthcare, Health Policy, Case Management, Team Building, Insurance
Education
Columbus State University
BSN, Registered Nursing/Registered Nurse
Lakeview Pointe Hoa January 2013 - Present
Insurance Consulting Solutions June 2012 - Present
WellCare September 2007 - Present
Preferred Marketing Consultants July 2011 - June 2012
Rise Free Clothing August 2009 - March 2011
Central Florida Investments September 2004 - September 2007
Tropical Tours LLC January 2003 - September 2004
Skills
Selling, Medicare, Employee Benefits, Marketing
Education
John Jay College of Criminal Justice 2001 — 2003
Forensics
Herbert H. Lehman H.S. 1997 — 2001
Diploma
WellCare Health Plans November 2014 - Present
WellCare June 2010 - November 2014
Eckerd 1993 - 2004
Eckerd 1989 - 1993
Skills
Pharmacy Automation, Pharmacy Benefit..., Pharmacy, Medicare Part D, Managed Care, Pharmacists, Medication Therapy..., Healthcare, Medicare, Compounding, Disease Management, Healthcare Management, HIPAA, Pharmaceutical Industry, Utilization Management, Inventory Control, Operations Management, Inventory Management, Process Improvement, Customer Service
Education
Butler University 1976 — 1981
BS, Pharmacy
Molina Healthcare March 2011 - Present
WellCare July 2005 - August 2010
University Hospitals Health System, QualChoice Health Plan October 1997 - July 2005
Skills
Medicaid, Health Insurance, Healthcare Consulting, Healthcare Management, Provider Relations, Healthcare, Healthcare Industry, Healthcare Information..., HMO
Education
Case Western Reserve University 1993 — 1995
Master of Science (M.S.), Epidemiology and Biostatistics
Bowling Green State University 1984 — 1988
Bachelor of Business Administration (BBA), Health/Health Care Administration/Management
UnitedHealthcare December 2009 - Present
LifeMasters Supported SelfCare October 2007 - April 2009
WellCare January 2006 - June 2007
Education
College of San Mateo 1999 — 2001
adn, nursing
San Francisco State University
Nursing, Pysch and alternative medicine
AlphaCare of New York November 2013 - July 2014
The Centers Plan for Healthy Living MLTCP January 2012 - November 2013
Health Plus PHSP Inc. June 2007 - December 2011
WellCare November 2002 - November 2006
Community Premier Plus January 1997 - October 2002
Skills
Medicare, Medicaid, Provider Relations, Managed Care, Healthcare Management, Managed Long Term Care, Contract Negotiation, Grievances, Long-term Care, Healthcare, Process Improvement, Credentialing, Physician Relations, Health Insurance, Hospitals, Team Building, Healthcare Industry, Insurance, Executive Management, Health Policy, HIPAA, HMO, Network Development, Revenue Cycle, Utilization Management, Healthcare Information..., Healthcare Consulting, Disease Management
Education
John Jay College of Criminal Justice 1990 — 1994
BA, Public Administration and Law
Eugenio Maria de Hostos Comm College 1988 — 1990
AAS, Public Administration
WellCare February 2005 - Present
Cingular 2001 - 2003
AT Kearney 1999 - 2001
Education
Carnegie Mellon University 1997 — 1999
MBA, Marketing, Operations
Carnegie Mellon University - Tepper School of Business 1997 — 1999
MBA
Emory University 1991 — 1995
BS, Biology
WellCare September 2010 - Present
County of San Bernardino December 2008 - July 2009
Inland Empire Health Plan July 2003 - November 2008
Education
California State University-Los Angeles
BS, Nutritional Science
California State UniversityLos Angeles
MA, Health Science
WellCare August 2012 - Present
Senior Select October 2008 - August 2012
Regions Bank October 2006 - October 2008
Muscogee County School Nutrition January 1991 - January 2003
Education
Columbus State University 1979 — 1981
WellCare August 2011 - February 2012
WELLCARE HEALTHPLANS August 2011 - February 2012
Healthesystems September 2008 - October 2009
ST. PAUL TRAVELERS INSURANCE March 2002 - July 2005
WESTERN RESERVE LIFE January 2000 - January 2002
Wausau Insurance October 1996 - November 1999
Education
Cheonggang Academy
General Education
UHS Hospitals March 2013 - Present
Self Employed January 2010 - Present
UHS Hospitals March 2008 - February 2013
GHI 1999 - 1999
WellCare 1998 - 1999
Ruggier & Cannino OB/Gyn 1995 - 1998
Genadij Sienkiewicz, Dermatologist 1988 - 1995
Skills
HCPCS, ICD-9, CPT, Medical Coding, Health Information..., ICD-9-CM, DRG, Medical Billing, Medical Compliance, ICD-10, Revenue Cycle, Medical Records, Medical Terminology, HIPAA, Medisoft, Managed Care, EHR, Healthcare, Software Documentation
Education
SUNY Albany 1984 — 1985
Broome Community College
AAS
Hillsborough County Sheriff's Office August 2015 - Present
WellCare January 2005 - Present
Bank of America March 2004 - December 2004
Capital One Financial, August 1998 - February 2004
Skills
Health Insurance, Process Improvement, Healthcare, Policy, Medicaid, Business Analysis, Financial Risk, Data Analysis, Access, Leadership, Software Documentation, Strategic Planning, Management, Healthcare Information..., Training, Business Process..., Auditing, Visio, Medicare Part D, Medicare Advantage, Medical Compliance, Microsoft Office, SharePoint, Provider Relations, Human Resources, Insurance, HMO, Medicare, Managed Care, HIPAA, Analysis, Healthcare Industry, Team Building
Education
Capella University 2008 — 2015
Bachelor of Science (B.S.), Management and Leadership, 3.938
Kingsborough Community College 1984 — 1986
Associates in Applied Science, Broadcasting
St. Edmunds High School 1980 — 1984
Diploma
New River Markerting February 1999 - Present
WellCare January 2008 - March 2009
UnitedHealthcare March 2004 - June 2008
Hartford insurance January 2006 - April 2008
Central Freight Lines January 1997 - March 2000
Skills
Sales, Team Leadership, Community Outreach, Coordination, Employee Benefits, Business, Marketing Research, Entrepreneurship, Keyword Research, Leadership, Negotiation, New Business Development, Organization, Problem Solving, Strategic Planning, Recruiting, Customer Service, Transportation, Virtualization, Wordpress, Microsoft Word, XP, Youth Development
Education
Colorado State University 1989 — 1993
Bachelor of Business Administration (B.B.A.), Marketing/Marketing Management, General
WellCare January 2007 - Present
QualChoice 1997 - 2007
Skills
HIPAA, Managed Care, Medicare, Healthcare, Medicaid, Health Insurance, Healthcare Information..., Healthcare Industry, Hospitals, Insurance, Healthcare Consulting, Management, Strategic Planning, Leadership, EHR, Healthcare Management, Revenue Cycle, Provider Relations, Health Policy, Disease Management, Claim, Physicians, Medicare Part D, Medical Billing, Process Improvement, Software Documentation, Employee Benefits, Network Development, EMR, Performance Improvement, Data Analysis, Medicaid Managed Care, Utilization Management, Health Economics, Healthcare Analytics, Pharmacy, Access
Education
Cleveland State University 1982 — 1986
Bachelor of Arts (BA), Social Sciences, 3.5
Mayfield
WellCare 2011 - February 2013
MDX Hawaii September 2007 - March 2011
Skills
Community Outreach, Healthcare, Medicare, Medicaid, Training, Provider Relations, Credentialing, Health Policy, Network Development, Insurance, Claim, Research, Contract Negotiation
Education
City College of San Francisco 1985 — 1988
Educational Leadership and Administration, General
WellCare November 2009 - Present
Education
Columbia College
Business Administration and Management, General
WellCare August 2010 - Present
AffordableOne Insurance January 2004 - Present
Humana August 2005 - August 2010
Education
Bryant University 1997 — 2001
Bachelor of Science (BS), Business Administration and Management, General
Community College of Rhode Island 1994 — 1996
Associate's degree, Business Administration and Management, General
Wellcare
Skills
Healthcare, Hospitals, Nursing, Customer Service, HIPAA, Microsoft Excel, Leadership, Clinical Research, Healthcare Information..., Patient Safety, Portacath care, PICC Lines, Foley, Wound Care, Negative Pressure Wound..., Trach Care, Drawing Blood, Chemotherapy, Home Care, Immunization, Department Of Health, Patient Education, Patient Advocacy, Blood Transfusion, IV, Nutritional Counseling
Education
Cape Fear Community College 1995 — 1998
Associate’s Degree, Registered Nursing/Registered Nurse
Cape Fear Community College 1991 — 1993
Licensed Practical Nurse, LPN
WellCare March 2012 - Present
WellCare Health Plans 2012 - 2014
WellCare Health Plans 2012 - 2014
Education
Keller Graduate School of Management of DeVry University
Master of Business Administration (MBA), Business Administration and Management, General, A+
Brenau University
Bachelor of Science (BS), Registered Nursing/Registered Nurse, A
WellCare Health Plans September 2014 - Present
WellCare Health Plans, Inc. June 2013 - September 2014
WellCare July 2012 - June 2013
CompWest Insurance February 2009 - October 2010
Workers' Compensation Insurance Rating Bureau February 1999 - February 2009
Skills
Health Insurance, Insurance, Medicare, Managed Care, Claim, Medicaid, HIPAA, Process Improvement, Employee Benefits, Provider Relations, Customer Service, Business Analysis, Vendor Management, Workers' Compensation, Supervisory Experience, Team Leadership, Microsoft Excel, Microsoft Word, Account Management, Public Speaking, Training, Risk Management
Education
California State University-East Bay
Master of Public Administration (MPA), Health Services Administration
University of California, Davis
Bachelor of Arts (BA), Sociology