WellCare Company
Industry: Health care company
DescriptionWellCare Health Plans, Inc. began operations in 1985 and is based in Tampa, Florida. WellCare provides managed care health plans primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug plans for more than 4.4 million members across the country. Headquarters: Tampa, Florida, United States Number of employees: ~8,900 (December 2017) CEO: Kenneth A. Burdick (1 Jan 2015–) Subsidiaries: WellCare Health Insurance of Illinois Inc,
WellCare List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at WellCare. You can filter them based on skills, years of employment, job, education, department, and prior employment.
WellCare Salaries. You can even request information on how much does WellCare pay if you want to. Learn about salaries, pros and cons of working for WellCare directly from the past employees.
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1,811 WellCare employees in database. Find out everything there's to know about WellCare employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
WellCare Employees
Employee
Years
Job
Industry
Thomas Everett Thomas Everett's WellCare Experience May 2012 - April 2014
Job Executive Health Insurance Operations | Open to new opportunities
Industry Hospital & Health Care
Experience
WellCare Health Plans March 2015 - Present
Health Insurance Operations Leaders in the Tampa Bay Area 2015 - Present
OmniClaim, Inc. April 2014 - March 2015
WellCare May 2012 - April 2014
Albany Medical Center June 2011 - May 2012
Connecticare, Inc. 2002 - September 2011
Empire BCBS April 1999 - June 2002
Empire BCBS 1995 - 1999
Skills
Insurance, Managed Care, Process Improvement, Medicare, Health Insurance, Healthcare, Management, Claim, Medicaid, Leadership, HMO, HIPAA, Employee Benefits, Strategy, Analysis, Account Management, Provider Relations, Health Policy, Hospitals, Healthcare Industry, Healthcare Information..., Vendor Management, Data Analysis, Program Management, Risk Management, Medical Billing, Healthcare Management, Operations Management, Team Building, Fraud, Waste & Abuse..., Claims Analytics &..., Center for Creative..., Provider Capitation &..., Medical Coding, Policy, Healthcare Consulting, Revenue Cycle, CPT, Strategic Planning, Individual Health..., Health Insurance..., Operational Excellence, Operational Strategy, Operational Streamlining
Education
Elmira College 1978 — 1980
BS, Sociology & Information Systems
Elmira College
Bachelor's of Science, Criminal Justice & Technology
WellCare Health Plans March 2015 - Present
Health Insurance Operations Leaders in the Tampa Bay Area 2015 - Present
OmniClaim, Inc. April 2014 - March 2015
WellCare May 2012 - April 2014
Albany Medical Center June 2011 - May 2012
Connecticare, Inc. 2002 - September 2011
Empire BCBS April 1999 - June 2002
Empire BCBS 1995 - 1999
Skills
Insurance, Managed Care, Process Improvement, Medicare, Health Insurance, Healthcare, Management, Claim, Medicaid, Leadership, HMO, HIPAA, Employee Benefits, Strategy, Analysis, Account Management, Provider Relations, Health Policy, Hospitals, Healthcare Industry, Healthcare Information..., Vendor Management, Data Analysis, Program Management, Risk Management, Medical Billing, Healthcare Management, Operations Management, Team Building, Fraud, Waste & Abuse..., Claims Analytics &..., Center for Creative..., Provider Capitation &..., Medical Coding, Policy, Healthcare Consulting, Revenue Cycle, CPT, Strategic Planning, Individual Health..., Health Insurance..., Operational Excellence, Operational Strategy, Operational Streamlining
Education
Elmira College 1978 — 1980
BS, Sociology & Information Systems
Elmira College
Bachelor's of Science, Criminal Justice & Technology
Karl Evans Karl Evans's WellCare Experience May 2011 - April 2013
Job Solution Consultant at Dynatrace
Industry Insurance
Experience
Compuware April 2013 - Present
Dynatrace April 2013 - Present
WellCare May 2011 - April 2013
WellCare February 2010 - May 2011
WellCare November 2006 - January 2010
Citi November 2005 - November 2006
eReference Desk October 2003 - October 2004
Skills
Web Services, SOA, SQL, JBoss Application Server, WebSphere MQ, Software Architectural..., Java, Problem Solving, Dynatrace, Application Performance..., SDLC, .NET, Architecture, Java Enterprise Edition, Architectures, Enterprise Software, Websphere, Enterprise Architecture, Quality Assurance, Agile Methodologies
Education
Eckerd College 1999 — 2003
Computer Science
Tunkhannock Area High 1995 — 1999
Compuware April 2013 - Present
Dynatrace April 2013 - Present
WellCare May 2011 - April 2013
WellCare February 2010 - May 2011
WellCare November 2006 - January 2010
Citi November 2005 - November 2006
eReference Desk October 2003 - October 2004
Skills
Web Services, SOA, SQL, JBoss Application Server, WebSphere MQ, Software Architectural..., Java, Problem Solving, Dynatrace, Application Performance..., SDLC, .NET, Architecture, Java Enterprise Edition, Architectures, Enterprise Software, Websphere, Enterprise Architecture, Quality Assurance, Agile Methodologies
Education
Eckerd College 1999 — 2003
Computer Science
Tunkhannock Area High 1995 — 1999
Stacy Fiscel Stacy Fiscel's WellCare Experience February 2006 - May 2014
Job Traffic & Project Manager at Healthesystems
Industry Health, Wellness and Fitness
Experience
Healthesystems May 2014 - Present
WellCare February 2006 - May 2014
Tech Data January 1993 - February 2006
Skills
Leadership Development, Team Building, Creative Problem Solving, Business Process..., Production Management, Database Marketing, Strategic Planning, Traffic Management, Competitive Analysis, SharePoint, Primavera, Training, Leadership, Account Management, Newsletters, Marketing Communications, Management, Marketing Strategy, Production Managment, B2B, Negotiation, Primavera P6, Marketing, Human Resources, Vendor Management, Product Management, Editing, Copywriting, Integrated Marketing, Advertising, Marketing Management, Email Marketing, Budgets, Strategy, Public Relations
Education
University of South Florida 1987 — 1989
Liberal Arts & Communications
Flagler College 1985 — 1987
Communications and English Literature
Healthesystems May 2014 - Present
WellCare February 2006 - May 2014
Tech Data January 1993 - February 2006
Skills
Leadership Development, Team Building, Creative Problem Solving, Business Process..., Production Management, Database Marketing, Strategic Planning, Traffic Management, Competitive Analysis, SharePoint, Primavera, Training, Leadership, Account Management, Newsletters, Marketing Communications, Management, Marketing Strategy, Production Managment, B2B, Negotiation, Primavera P6, Marketing, Human Resources, Vendor Management, Product Management, Editing, Copywriting, Integrated Marketing, Advertising, Marketing Management, Email Marketing, Budgets, Strategy, Public Relations
Education
University of South Florida 1987 — 1989
Liberal Arts & Communications
Flagler College 1985 — 1987
Communications and English Literature
Nancy Minervini, PHR, CEBS Nancy Minervini, PHR, CEBS's WellCare Experience March 2011 - June 2014
Job Tax Associate at H&R Block
Industry Insurance
Experience
H&R Block October 2014 - Present
WellCare March 2011 - June 2014
Telargo 2007 - 2008
Marsh & McLennan Companies, Inc. October 2004 - July 2006
Merrill Lynch May 2004 - August 2005
Bankers Trust April 1988 - June 1996
Merrill Lynch May 1986 - September 1988
Skills
PHR Professional Human..., CEBS: Certified..., Recruiting, Process Improvement, Training, Customer Service, College Recruiting, Employee Relations, Onboarding, Employee Benefits, Human Resources, Project Management, Contract Negotiation, Change Management, Management, HRIS, Performance Management, Strategic Planning, Leadership
Education
Cornell University 2001 — 2002
Certificate, Human Resources Management/Personnel Administration, General
Rider University 1981 — 1985
Bachelor of Science (B.Sc.), Labor & industrial Relations
Oak Knoll High School 1979 — 1981
Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
Wardlaw Hartridge
H&R Block October 2014 - Present
WellCare March 2011 - June 2014
Telargo 2007 - 2008
Marsh & McLennan Companies, Inc. October 2004 - July 2006
Merrill Lynch May 2004 - August 2005
Bankers Trust April 1988 - June 1996
Merrill Lynch May 1986 - September 1988
Skills
PHR Professional Human..., CEBS: Certified..., Recruiting, Process Improvement, Training, Customer Service, College Recruiting, Employee Relations, Onboarding, Employee Benefits, Human Resources, Project Management, Contract Negotiation, Change Management, Management, HRIS, Performance Management, Strategic Planning, Leadership
Education
Cornell University 2001 — 2002
Certificate, Human Resources Management/Personnel Administration, General
Rider University 1981 — 1985
Bachelor of Science (B.Sc.), Labor & industrial Relations
Oak Knoll High School 1979 — 1981
Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
Wardlaw Hartridge
Velda Preston Velda Preston's WellCare Experience June 2007 - May 2009
Job Discharge Planner Case Mgmt Coor.
Industry Hospital & Health Care
Experience
HCA July 2011 - Present
Hillsbourough County School District February 2011 - June 2011
Aetna January 2010 - February 2011
WellCare June 2007 - May 2009
Skills
Medicaid, Social Services, Health Insurance, Case Managment, Provider Relations, Managed Care, Medicare, Healthcare
Education
Wayne State University 2002 — 2004
Master of Social Work (MSW), Social Work
Eastern Michigan University 1996 — 1999
Bachelor of Science (BS), Social Work
HCA July 2011 - Present
Hillsbourough County School District February 2011 - June 2011
Aetna January 2010 - February 2011
WellCare June 2007 - May 2009
Skills
Medicaid, Social Services, Health Insurance, Case Managment, Provider Relations, Managed Care, Medicare, Healthcare
Education
Wayne State University 2002 — 2004
Master of Social Work (MSW), Social Work
Eastern Michigan University 1996 — 1999
Bachelor of Science (BS), Social Work
Stefanie Crisp-Hamen's WellCare Experience September 2011 - January 2012
Job Entering the work force
Industry Marketing and Advertising
Experience
Home January 2012 - Present
WellCare September 2011 - January 2012
Walgreens January 2008 - September 2011
TD Ameritrade January 2006 - August 2006
Skills
Pharmacy Technicians, Marketing Communications, Marketing, Social Skills, Strategic Planning, Time Management, Sales
Education
Hillsborough Community College 2009 — 2010
No degree, Science
Delaware County Community College 2007 — 2008
No degree, Physical Sciences - I really enjoy science classes.
Texas State University-San Marcos 1992 — 1997
Bachelor of Business Administration (B.B.A.), Marketing
Home January 2012 - Present
WellCare September 2011 - January 2012
Walgreens January 2008 - September 2011
TD Ameritrade January 2006 - August 2006
Skills
Pharmacy Technicians, Marketing Communications, Marketing, Social Skills, Strategic Planning, Time Management, Sales
Education
Hillsborough Community College 2009 — 2010
No degree, Science
Delaware County Community College 2007 — 2008
No degree, Physical Sciences - I really enjoy science classes.
Texas State University-San Marcos 1992 — 1997
Bachelor of Business Administration (B.B.A.), Marketing
Sneed Deaderick Sneed Deaderick's WellCare Experience March 2012 - December 2012
Job Former Professional Basketball player making moves in Global Communications and Telecommunications industries
Industry Telecommunications
Experience
AT&T December 2013 - Present
Macy’s May 2011 - January 2014
Parsec Railroad August 2013 - November 2013
WellCare March 2012 - December 2012
Harmony Health Plan March 2012 - December 2012
City of Chicago May 2011 - November 2011
Clear Chicago January 2010 - January 2011
US Census Bureau April 2010 - November 2010
HEWITT January 2007 - January 2008
Miles Media & Marketing January 2001 - January 2008
Skills
Leadership, Marketing, Sales, Team Building, Time Management, Training, Customer Service, Microsoft Office, Event Planning, Management, Strategic Planning, Microsoft Excel, Social Media, Team Leadership, Social Media Marketing, Public Speaking, Customer Satisfaction, Employee Benefits, Editing, Social Networking
Education
North Park University 2001 — 2003
B.S, Business Administration/Finance
DePaul University 1999 — 2001
A.S, Business Management
AT&T December 2013 - Present
Macy’s May 2011 - January 2014
Parsec Railroad August 2013 - November 2013
WellCare March 2012 - December 2012
Harmony Health Plan March 2012 - December 2012
City of Chicago May 2011 - November 2011
Clear Chicago January 2010 - January 2011
US Census Bureau April 2010 - November 2010
HEWITT January 2007 - January 2008
Miles Media & Marketing January 2001 - January 2008
Skills
Leadership, Marketing, Sales, Team Building, Time Management, Training, Customer Service, Microsoft Office, Event Planning, Management, Strategic Planning, Microsoft Excel, Social Media, Team Leadership, Social Media Marketing, Public Speaking, Customer Satisfaction, Employee Benefits, Editing, Social Networking
Education
North Park University 2001 — 2003
B.S, Business Administration/Finance
DePaul University 1999 — 2001
A.S, Business Management
Amanda Curry Amanda Curry's WellCare Experience March 2012 - Present
Job Marketing Implementation Specialist at WellCare
Industry Marketing and Advertising
Experience
WellCare March 2012 - Present
CCS Medical June 2009 - February 2012
Ad Partners September 2008 - May 2009
Ad Partners, Inc. November 2007 - September 2008
Skills
Social Media, Search Engine Marketing, email marketing, Account Management, Advertising, Online Marketing, Marketing Communications, Marketing Research, Social Media Marketing, Web Content Management, Content Writing, Sales Support, Event Planning, Corporate Events, Traffic Management, Email Marketing, Online Advertising, SEO, SEM, Direct Marketing, Sales Operations, Digital Marketing, Management, Marketing, Marketing Management
Education
Fashion Institute of Technology 2003 — 2007
Bachelor of Science, Advertising Marketing & Communications
WellCare March 2012 - Present
CCS Medical June 2009 - February 2012
Ad Partners September 2008 - May 2009
Ad Partners, Inc. November 2007 - September 2008
Skills
Social Media, Search Engine Marketing, email marketing, Account Management, Advertising, Online Marketing, Marketing Communications, Marketing Research, Social Media Marketing, Web Content Management, Content Writing, Sales Support, Event Planning, Corporate Events, Traffic Management, Email Marketing, Online Advertising, SEO, SEM, Direct Marketing, Sales Operations, Digital Marketing, Management, Marketing, Marketing Management
Education
Fashion Institute of Technology 2003 — 2007
Bachelor of Science, Advertising Marketing & Communications
Karin Proctor Karin Proctor's WellCare Experience August 2007 - October 2007
Job Technical Writer at American Express
Industry Writing and Editing
Experience
American Express February 2014 - Present
Auto Now Financial Services April 2013 - October 2013
First Solar January 2012 - December 2012
Westinghouse Electric Company/CS Innovations June 2012 - September 2012
Jabil September 2010 - April 2011
Florida Virtual School April 2010 - September 2010
IT Broadcasting August 2009 - February 2010
MACH January 2009 - July 2009
PharMerica October 2007 - April 2008
WellCare August 2007 - October 2007
Skills
Microsoft Office, Technical Writing, Editing, Marketing Communications, Information Design, Microsoft Word, Research, English, Customer Service, Public Speaking, Photoshop, Adobe Creative Suite, Adobe Technical..., InDesign, Creation Of Training..., Document Management, FrameMaker, Captivate, RoboHelp, Book Indexing
Education
San Francisco State University
Bachelor's degree
De Anza College
Certificate, Technical Writing
Northern Arizona University
American Express February 2014 - Present
Auto Now Financial Services April 2013 - October 2013
First Solar January 2012 - December 2012
Westinghouse Electric Company/CS Innovations June 2012 - September 2012
Jabil September 2010 - April 2011
Florida Virtual School April 2010 - September 2010
IT Broadcasting August 2009 - February 2010
MACH January 2009 - July 2009
PharMerica October 2007 - April 2008
WellCare August 2007 - October 2007
Skills
Microsoft Office, Technical Writing, Editing, Marketing Communications, Information Design, Microsoft Word, Research, English, Customer Service, Public Speaking, Photoshop, Adobe Creative Suite, Adobe Technical..., InDesign, Creation Of Training..., Document Management, FrameMaker, Captivate, RoboHelp, Book Indexing
Education
San Francisco State University
Bachelor's degree
De Anza College
Certificate, Technical Writing
Northern Arizona University
Leslimar Edwards Leslimar Edwards's WellCare Experience June 2012 - Present
Job SIU Investigator at WellCare
Industry Insurance
Experience
WellCare June 2012 - Present
WellCare June 2011 - December 2012
WellCare August 2009 - June 2011
WellCare April 2007 - August 2009
Skills
Medicare, Health Insurance, Insurance, Provider Relations, Medicaid, Claim, HMO, Medicare Part D, HIPAA, Healthcare, Pharmacy, Employee Benefits, Long-term Care, Pharmacy Technicians, Prescription, Clinical Pharmacology, Pharmacueticals, Medicare Prescription..., ICD-9, Medical Coding, CPT, Prior Authorization, Immunization, Utilization Management, Pharmacy Benefit..., Healthcare Management, Policy, Hospitals, Healthcare Consulting
Education
Concorde Career Institute-Tampa 2004 — 2005
Pharmacy Technician Certification, Pharmacy
Hillsborough Community College 2003 — 2004
N/A, Psychology
WellCare June 2012 - Present
WellCare June 2011 - December 2012
WellCare August 2009 - June 2011
WellCare April 2007 - August 2009
Skills
Medicare, Health Insurance, Insurance, Provider Relations, Medicaid, Claim, HMO, Medicare Part D, HIPAA, Healthcare, Pharmacy, Employee Benefits, Long-term Care, Pharmacy Technicians, Prescription, Clinical Pharmacology, Pharmacueticals, Medicare Prescription..., ICD-9, Medical Coding, CPT, Prior Authorization, Immunization, Utilization Management, Pharmacy Benefit..., Healthcare Management, Policy, Hospitals, Healthcare Consulting
Education
Concorde Career Institute-Tampa 2004 — 2005
Pharmacy Technician Certification, Pharmacy
Hillsborough Community College 2003 — 2004
N/A, Psychology
Donald Tennell Donald Tennell's WellCare Experience October 2012 - May 2013
Job
Industry Executive Office
Experience
WellCare October 2012 - May 2013
Bank of America June 1996 - March 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking
Education
Byant Adams
Diploma, Gneral Education
El Centro College
Associate of Arts (AA), Business Administration and Management, General
WellCare October 2012 - May 2013
Bank of America June 1996 - March 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking
Education
Byant Adams
Diploma, Gneral Education
El Centro College
Associate of Arts (AA), Business Administration and Management, General
David Easton David Easton's WellCare Experience January 2012 - June 2012
Job OwnerOperator at St. Pete IT ServicesFreelancer
Industry Information Technology and Services
Experience
St. Pete IT Services January 2009 - Present
Insight January 2013 - August 2013
Epiphany Management January 2013 - August 2013
Syniverse Technologies June 2012 - October 2012
WellCare January 2012 - June 2012
Jacobs Technology September 2010 - February 2012
BobCAD-CAM Inc. October 2009 - September 2010
Skills
System Administration, Red Hat Linux, Solaris, DNS, Fedora, CentOS, Ubuntu, FTP, VPN, Remote Access, Network Security, CIFS, MySQL DBA, Windows, Windows Server, PHP, Bash, CLI, Servers, Operating Systems, SMB, Linux, Apache, SQL, Unix, VoIP, Networking, MySQL, Help Desk Support, IIS, Troubleshooting, Switches, Windows 7, Active Directory, Windows XP, Hardware, VMware, Testing, IT Service Management, Information Technology, Vendor Management
Education
Keiser University-Ft Lauderdale 2006 — 2008
Associates of Science, Information Technology, Dean's List
Keiser University-Ft Lauderdale 2006 — 2008
Associate of Arts and Sciences (AAS) Information Technology / Security, UNIX, Linux, MS, etc. Systems Administrator, 3.75
ECPI College of Technology 2005 — 2006
Installer & Technician, Fiber Optic Cabling
St. Pete IT Services January 2009 - Present
Insight January 2013 - August 2013
Epiphany Management January 2013 - August 2013
Syniverse Technologies June 2012 - October 2012
WellCare January 2012 - June 2012
Jacobs Technology September 2010 - February 2012
BobCAD-CAM Inc. October 2009 - September 2010
Skills
System Administration, Red Hat Linux, Solaris, DNS, Fedora, CentOS, Ubuntu, FTP, VPN, Remote Access, Network Security, CIFS, MySQL DBA, Windows, Windows Server, PHP, Bash, CLI, Servers, Operating Systems, SMB, Linux, Apache, SQL, Unix, VoIP, Networking, MySQL, Help Desk Support, IIS, Troubleshooting, Switches, Windows 7, Active Directory, Windows XP, Hardware, VMware, Testing, IT Service Management, Information Technology, Vendor Management
Education
Keiser University-Ft Lauderdale 2006 — 2008
Associates of Science, Information Technology, Dean's List
Keiser University-Ft Lauderdale 2006 — 2008
Associate of Arts and Sciences (AAS) Information Technology / Security, UNIX, Linux, MS, etc. Systems Administrator, 3.75
ECPI College of Technology 2005 — 2006
Installer & Technician, Fiber Optic Cabling
Lesa Stevenson, RN, CPC, CPC-H, CCS Lesa Stevenson, RN, CPC, CPC-H, CCS's WellCare Experience March 2008 - February 2010
Job Registered Nurse Clinical Investigator at Large Insurance Company
Industry Hospital & Health Care
Experience
Medicare Health Insurance Industry July 2015 - Present
Magellan Health September 2014 - June 2015
WellMed/United Health Group September 2013 - 2014
Universal Health Care September 2010 - March 2013
University Community Hospital February 2010 - August 2010
WellCare March 2008 - February 2010
WellCare April 2006 - March 2008
All Children's Hospital April 1997 - November 1998
Largo Medical Center September 1996 - April 1997
Skills
Case Managment, Medical Coding, Code Review, Compliance, Negotiation, Appeals, Quality Auditing, Fraud, Waste and Abuse, Coding Standards, Physician Coding, CPC-H, CPC, Legal Nurse Consulting, Registered Nurses, Cardiac, NICU, Coding Experience, Special Investigations, Managed Care, Medicare/Medicaid..., Medicare, Medicaid, Clinical Research, HIPAA, Healthcare, Healthcare Industry, Healthcare Consulting, Physicians, Hospitals, Healthcare Management, Revenue Cycle, EMR, HEDIS, Medicaid Managed Care, Medical Compliance, Provider Relations, Medicare Part D, PPO, Health Policy, NCQA, Clinical Documentation..., Credentialing, Risk Adjustment Coding, Physician Relations, Claim, HMO, Case Management, Documentations, Medicare/Medicaid..., Documentation
Education
Fanshawe College
Canadian 3 Year Nursing Degree, Registered Nursing/Registered Nurse
Florida Risk Management Institute
Legal Nurse Consulting
AAPC 2008 — 2008
Certified Professional Coder
AAPC 2009 — 2009
Certified Profession Coder-Hospital
Medicare Health Insurance Industry July 2015 - Present
Magellan Health September 2014 - June 2015
WellMed/United Health Group September 2013 - 2014
Universal Health Care September 2010 - March 2013
University Community Hospital February 2010 - August 2010
WellCare March 2008 - February 2010
WellCare April 2006 - March 2008
All Children's Hospital April 1997 - November 1998
Largo Medical Center September 1996 - April 1997
Skills
Case Managment, Medical Coding, Code Review, Compliance, Negotiation, Appeals, Quality Auditing, Fraud, Waste and Abuse, Coding Standards, Physician Coding, CPC-H, CPC, Legal Nurse Consulting, Registered Nurses, Cardiac, NICU, Coding Experience, Special Investigations, Managed Care, Medicare/Medicaid..., Medicare, Medicaid, Clinical Research, HIPAA, Healthcare, Healthcare Industry, Healthcare Consulting, Physicians, Hospitals, Healthcare Management, Revenue Cycle, EMR, HEDIS, Medicaid Managed Care, Medical Compliance, Provider Relations, Medicare Part D, PPO, Health Policy, NCQA, Clinical Documentation..., Credentialing, Risk Adjustment Coding, Physician Relations, Claim, HMO, Case Management, Documentations, Medicare/Medicaid..., Documentation
Education
Fanshawe College
Canadian 3 Year Nursing Degree, Registered Nursing/Registered Nurse
Florida Risk Management Institute
Legal Nurse Consulting
AAPC 2008 — 2008
Certified Professional Coder
AAPC 2009 — 2009
Certified Profession Coder-Hospital
Nekeisha Bennett Nekeisha Bennett's WellCare Experience May 2013 - Present
Job at
Industry Hospital & Health Care
Experience
WellCare May 2013 - Present
Ace Homecare October 2012 - July 2013
Ace Homecare April 2008 - October 2012
University Village Nursing Center December 2004 - April 2008
Skills
Home Care, Patient Advocacy, Medical Records, Medication..., Nursing, Wound Care, IV, Medical/Surgical, BLS, Inpatient, Acute Care, Nursing Care, Elder Care, Nursing Process, Physician Relations
Education
Fortis College 2010 — 2012
Associate's degree, Registered Nursing/Registered Nurse
D G Erwin Technical Center 2003 — 2003
Practical Nursing, Nursing Education
WellCare May 2013 - Present
Ace Homecare October 2012 - July 2013
Ace Homecare April 2008 - October 2012
University Village Nursing Center December 2004 - April 2008
Skills
Home Care, Patient Advocacy, Medical Records, Medication..., Nursing, Wound Care, IV, Medical/Surgical, BLS, Inpatient, Acute Care, Nursing Care, Elder Care, Nursing Process, Physician Relations
Education
Fortis College 2010 — 2012
Associate's degree, Registered Nursing/Registered Nurse
D G Erwin Technical Center 2003 — 2003
Practical Nursing, Nursing Education
Laurie Rochelle Laurie Rochelle's WellCare Experience November 2012 - Present
Job Behavioral Care Manager
Industry Health, Wellness and Fitness
Experience
Wellcare November 2012 - Present
Heart & Soul Professional Counseling October 2001 - December 2012
Education
Webster University 1998 — 2000
Master of Arts (MA), Mental Health Counseling/Counselor
University of Central Florida 1995 — 1997
Bachelor's degree, Psychology
Brevard Community College 1993 — 1995
Associate's degree, Chemistry/Psychology
Wellcare November 2012 - Present
Heart & Soul Professional Counseling October 2001 - December 2012
Education
Webster University 1998 — 2000
Master of Arts (MA), Mental Health Counseling/Counselor
University of Central Florida 1995 — 1997
Bachelor's degree, Psychology
Brevard Community College 1993 — 1995
Associate's degree, Chemistry/Psychology
Emmanuel Tita Emmanuel Tita's WellCare Experience April 2007 - August 2008
Job Broker Associate at People's Choice Realty Services, LLC
Industry Real Estate
Experience
Tallahassee Memorial HealthCare May 2013 - Present
People's Choice Realty Services, LLC January 2010 - Present
EXIT Extreme Realty Tampa Bay, Florida October 2006 - January 2010
WellCare April 2007 - August 2008
Skills
Foreclosures, Real Estate, Investment Properties, Investors, CRS-Certified..., Short Sales, Listings, SFR, Condos, Residential Homes, Home Inspections, REO, First Time Home Buyers, Luxury, Sellers, New Home Sales, Referrals, Buyers
Education
Florida A&M University 2011 — 2015
Doctor of Pharmacy (Pharm.D.), Pharmacy
Tallahassee Memorial HealthCare May 2013 - Present
People's Choice Realty Services, LLC January 2010 - Present
EXIT Extreme Realty Tampa Bay, Florida October 2006 - January 2010
WellCare April 2007 - August 2008
Skills
Foreclosures, Real Estate, Investment Properties, Investors, CRS-Certified..., Short Sales, Listings, SFR, Condos, Residential Homes, Home Inspections, REO, First Time Home Buyers, Luxury, Sellers, New Home Sales, Referrals, Buyers
Education
Florida A&M University 2011 — 2015
Doctor of Pharmacy (Pharm.D.), Pharmacy
Charles (Plant Hero) McCoy, CHN's WellCare Experience April 2010 - January 2012
Job Certified Herbal Nutritionist, Wellness Speaker, Health Coach and Gardener
Industry Health, Wellness and Fitness
Experience
Plant Harmony Health Center & Plant Health Care, Inc. February 2014 - Present
Trader Joe's June 2014 - Present
Queens Library June 2011 - Present
SEBCO Nutrition Program March 2012 - Present
JASA September 2011 - May 2014
Building Management Association June 2012 - November 2013
Profit of Bloom, Inc. January 1999 - October 2013
NYC Environmental Justice Coalition 2009 - September 2013
WellCare April 2010 - January 2012
Hyatt Hotel February 2005 - April 2010
Skills
Environmental Awareness, Horticulture, Sustainability, Event Management, Social Networking, Public Speaking, Entrepreneurship, Public Relations, Social Media, Garden, Organic Gardening, Ecology, Fundraising, Nonprofits, Green Building, Event Planning, Research, Landscaping, Customer Service, Teaching, Project Management, Garden Design, Community Development, Floral Design, Green, Landscape Design, Tree Planting, Blogging, Plant Maintenance, Landscape Maintenance, Social Media Marketing, Gardening, Factory, Sustainable Business, Non-profits, Sustainability..., Press Releases, Marketing Strategy, Nutrition Education, Nutrition, Time Management, Small Business, Community Outreach, Training, Management, Wellness, Project Planning
Education
Stanford University School of Medicine 2013 — 2014
Certificate, Child Nutrition & Adolesent Cooking, 96.3
Cornell University 2013 — 2013
Certificate in Nutrition, and Wellness, Plant-Based Nutrition
College of Herbal Medicine the School of Natural Healing 2010 — 2013
Certified Herbalist, Herbalism/Herbalist, Certificate
Queen's College - Long Island City 1987 — 1989
2 year Certificate Course, Edible & Non-Edible Floral Designs
Syracuse University - Utica Branch 1984 — 1987
Associates of Applied Sciences, Landscape Design, Architecture & Maintenance
Ulster County Community College 1980 — 1982
Landscape Development, Turf Grass Management, Soil & Plant Growth, Plant Production & Protection
Plant Harmony Health Center & Plant Health Care, Inc. February 2014 - Present
Trader Joe's June 2014 - Present
Queens Library June 2011 - Present
SEBCO Nutrition Program March 2012 - Present
JASA September 2011 - May 2014
Building Management Association June 2012 - November 2013
Profit of Bloom, Inc. January 1999 - October 2013
NYC Environmental Justice Coalition 2009 - September 2013
WellCare April 2010 - January 2012
Hyatt Hotel February 2005 - April 2010
Skills
Environmental Awareness, Horticulture, Sustainability, Event Management, Social Networking, Public Speaking, Entrepreneurship, Public Relations, Social Media, Garden, Organic Gardening, Ecology, Fundraising, Nonprofits, Green Building, Event Planning, Research, Landscaping, Customer Service, Teaching, Project Management, Garden Design, Community Development, Floral Design, Green, Landscape Design, Tree Planting, Blogging, Plant Maintenance, Landscape Maintenance, Social Media Marketing, Gardening, Factory, Sustainable Business, Non-profits, Sustainability..., Press Releases, Marketing Strategy, Nutrition Education, Nutrition, Time Management, Small Business, Community Outreach, Training, Management, Wellness, Project Planning
Education
Stanford University School of Medicine 2013 — 2014
Certificate, Child Nutrition & Adolesent Cooking, 96.3
Cornell University 2013 — 2013
Certificate in Nutrition, and Wellness, Plant-Based Nutrition
College of Herbal Medicine the School of Natural Healing 2010 — 2013
Certified Herbalist, Herbalism/Herbalist, Certificate
Queen's College - Long Island City 1987 — 1989
2 year Certificate Course, Edible & Non-Edible Floral Designs
Syracuse University - Utica Branch 1984 — 1987
Associates of Applied Sciences, Landscape Design, Architecture & Maintenance
Ulster County Community College 1980 — 1982
Landscape Development, Turf Grass Management, Soil & Plant Growth, Plant Production & Protection
Jason Herrington's WellCare Experience August 2010 - Present
Job District Sales Manager at WellCare
Industry Insurance
Experience
WellCare August 2010 - Present
Starbucks November 2001 - June 2003
Starbucks June 1996 - November 2001
Skills
Managed Care, Health Insurance, Insurance, Sales Management, Account Management, Medicare, Sales, Life Insurance, Sales Operations, Strategy, Management, Training, Coaching, Talent Acquisition, Team Building, Customer Service
Education
DePaul University 1994 — 1996
Bachelor of Arts (B.A.), Economics
Iowa State University
WellCare August 2010 - Present
Starbucks November 2001 - June 2003
Starbucks June 1996 - November 2001
Skills
Managed Care, Health Insurance, Insurance, Sales Management, Account Management, Medicare, Sales, Life Insurance, Sales Operations, Strategy, Management, Training, Coaching, Talent Acquisition, Team Building, Customer Service
Education
DePaul University 1994 — 1996
Bachelor of Arts (B.A.), Economics
Iowa State University
Raymond Haller PMP CISA PCIP Raymond Haller PMP CISA PCIP's WellCare Experience October 2006 - April 2007
Job Project Governance Managing Consultant at Syzygy Risk Sciences
Industry Information Technology and Services
Experience
Syzygy Solutions LLC November 2013 - Present
Estee Lauder April 2007 - Present
WellCare October 2006 - April 2007
CP Ships 2002 - 2007
Skills
Project Management, Management, Leadership, Security, Networking, Retail, .NET, Information Technology, IT Strategy, Vendor Management, IT Management, Logistics, ITIL, SDLC, Business Analysis, Business Intelligence, Business Process, Integration, Lean Manufacturing, Change Management, Governance, Enterprise Architecture, PMP, IT Service Management, Software Project..., Disaster Recovery, Strategy, PMO, Project Portfolio..., SharePoint, Program Management, PCI DSS, Workshop Facilitation, Service Delivery
Education
Elgin Community College 1976 — 1979
Syzygy Solutions LLC November 2013 - Present
Estee Lauder April 2007 - Present
WellCare October 2006 - April 2007
CP Ships 2002 - 2007
Skills
Project Management, Management, Leadership, Security, Networking, Retail, .NET, Information Technology, IT Strategy, Vendor Management, IT Management, Logistics, ITIL, SDLC, Business Analysis, Business Intelligence, Business Process, Integration, Lean Manufacturing, Change Management, Governance, Enterprise Architecture, PMP, IT Service Management, Software Project..., Disaster Recovery, Strategy, PMO, Project Portfolio..., SharePoint, Program Management, PCI DSS, Workshop Facilitation, Service Delivery
Education
Elgin Community College 1976 — 1979
Giovanni Giannini Giovanni Giannini's WellCare Experience 2012 - 2012
Job Healthcare Administration and Nursing
Industry Hospital & Health Care
Experience
U.S. Department of Veterans Affairs August 2014 - Present
ProMed May 2013 - Present
United Healthcare February 2013 - June 2013
Coventry Health Care 2012 - 2013
WellCare 2012 - 2012
Coastal Orthopedics & Sports Medicine Ɩ Pain Management 2011 - 2012
JSA Healthcare Corporation 2011 - 2012
University of Florida 2010 - 2011
Armor Correctional Health Services 2010 - 2010
Orlando Health 2008 - 2010
Skills
Project Management, Process Improvement, Compliance, Quality Assurance, Nursing, Data Analysis, Six Sigma, Emergency Nursing, Microsoft Office, Utilization Review, Management, Orthopedic Nursing, Military, Orthopedic, Quality Management, Medicare, Medicaid, Medical Billing, Medical Records, Medical Coding, Office Administration, Healthcare Management, Healthcare Information..., Healthcare Analytics, Healthcare Reimbursement, Healthcare improvement, Health Insurance, Public Health, Healthcare Policy, HEDIS, HIPAA, WebEx, Telecommuting, Medical Practice..., Operational Streamlining, Team Management, Accreditation, Risk Management, Risk Analysis, Health Policy, Physicians, Clinical Research, Managed Care, Medicine, Quality Improvement, Healthcare, EMR, Hospitals, Informatics, Home Care
Education
Villanova University
Masters Certificate, Six Sigma
Drexel University
Bachelor of Science (B.Sc.), Healthcare Administration and Nursing
U.S. Department of Veterans Affairs August 2014 - Present
ProMed May 2013 - Present
United Healthcare February 2013 - June 2013
Coventry Health Care 2012 - 2013
WellCare 2012 - 2012
Coastal Orthopedics & Sports Medicine Ɩ Pain Management 2011 - 2012
JSA Healthcare Corporation 2011 - 2012
University of Florida 2010 - 2011
Armor Correctional Health Services 2010 - 2010
Orlando Health 2008 - 2010
Skills
Project Management, Process Improvement, Compliance, Quality Assurance, Nursing, Data Analysis, Six Sigma, Emergency Nursing, Microsoft Office, Utilization Review, Management, Orthopedic Nursing, Military, Orthopedic, Quality Management, Medicare, Medicaid, Medical Billing, Medical Records, Medical Coding, Office Administration, Healthcare Management, Healthcare Information..., Healthcare Analytics, Healthcare Reimbursement, Healthcare improvement, Health Insurance, Public Health, Healthcare Policy, HEDIS, HIPAA, WebEx, Telecommuting, Medical Practice..., Operational Streamlining, Team Management, Accreditation, Risk Management, Risk Analysis, Health Policy, Physicians, Clinical Research, Managed Care, Medicine, Quality Improvement, Healthcare, EMR, Hospitals, Informatics, Home Care
Education
Villanova University
Masters Certificate, Six Sigma
Drexel University
Bachelor of Science (B.Sc.), Healthcare Administration and Nursing
Eleana Allen Eleana Allen's WellCare Experience October 2005 - August 2006
Job Executive Assistant at Excelsior College & Independent Beauty Consultant at Mary Kay Inc.
Industry Higher Education
Experience
Excelsior College August 2006 - Present
Mary Kay Inc. September 2013 - September 2014
WellCare October 2005 - August 2006
Sheppard Pratt August 2001 - October 2005
Skills
Enrollment Management, Higher Education, Student Affairs, Adult Education, Admissions, Higher Education...
Education
Excelsior College 2010 — 2016
Bachelor of Business Administration (B.B.A.), Project Management
Coppin State University 2001 — 2003
Social Psychology
Johnson and Wales University 1994 — 1996
Criminal Justice and Corrections
Excelsior College August 2006 - Present
Mary Kay Inc. September 2013 - September 2014
WellCare October 2005 - August 2006
Sheppard Pratt August 2001 - October 2005
Skills
Enrollment Management, Higher Education, Student Affairs, Adult Education, Admissions, Higher Education...
Education
Excelsior College 2010 — 2016
Bachelor of Business Administration (B.B.A.), Project Management
Coppin State University 2001 — 2003
Social Psychology
Johnson and Wales University 1994 — 1996
Criminal Justice and Corrections
Dorinda Safro PHIAS, HIPAAA, M HP, HIA, HCAFA Dorinda Safro PHIAS, HIPAAA, M HP, HIA, HCAFA's WellCare Experience April 2013 - February 2014
Job Previous Claims Manager at WellCare
Industry Insurance
Experience
WellCare April 2013 - February 2014
Federated Insurance October 2000 - November 2012
HealthPlan Services July 1987 - September 2000
Skills
Insurance, Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, PowerPoint, Project Management, Health Insurance, Commercial Insurance, Process Improvement, Team Building, Claim, Healthcare, Leadership, Employee Benefits
Education
Davenport University
WellCare April 2013 - February 2014
Federated Insurance October 2000 - November 2012
HealthPlan Services July 1987 - September 2000
Skills
Insurance, Microsoft Office, Microsoft Excel, Customer Service, Microsoft Word, PowerPoint, Project Management, Health Insurance, Commercial Insurance, Process Improvement, Team Building, Claim, Healthcare, Leadership, Employee Benefits
Education
Davenport University
Lisa Tanner, CCS-P, CPC,CRC, CPC-P Lisa Tanner, CCS-P, CPC,CRC, CPC-P's WellCare Experience March 2010 - Present
Job Supervisor Risk Adjustment Medical Coding Specialists at WellCare
Industry Insurance
Experience
WellCare March 2010 - Present
WellCare March 2008 - March 2010
Skills
Medicare, HIPAA, Medicaid, ICD-9, Medical Billing, CPT, Healthcare, Medical Coding, Provider Relations, EMR, Hospitals
Education
DeVry University 2009 — 2011
Associates in Health Information, Health Information/Medical Records Technology/Technician
DeVry Institute of Technology 2008 — 2010
Associate's degree Health Information Managment, Health Information/Medical Records Technology/Technician
WellCare March 2010 - Present
WellCare March 2008 - March 2010
Skills
Medicare, HIPAA, Medicaid, ICD-9, Medical Billing, CPT, Healthcare, Medical Coding, Provider Relations, EMR, Hospitals
Education
DeVry University 2009 — 2011
Associates in Health Information, Health Information/Medical Records Technology/Technician
DeVry Institute of Technology 2008 — 2010
Associate's degree Health Information Managment, Health Information/Medical Records Technology/Technician
Demetria Griffin, PharmD Demetria Griffin, PharmD's WellCare Experience February 2013 - October 2014
Job Clinical Pharmacist
Industry Pharmaceuticals
Experience
Manatee County Rural Health May 2015 - Present
Cognizant Technology Solutions November 2014 - February 2015
WellCare February 2013 - October 2014
Family Practice of Conyers September 2011 - January 2013
Skills
Microsoft Office, Research, Teaching, Community Pharmacy, Medication Therapy..., Healthcare, Pharmacy Practice, Patient Counseling, Medication Adherence, Immunization, Clinical Research, Hospitals, Leadership, Managed Care, Management, Microsoft Excel, Pharmacists, Pharmacy, Public Speaking
Education
Mercer University
Doctor of Pharmacy (PharmD), Pharmacy
Tennessee State University 2001 — 2006
Bachelor of Science (BS), Biochemistry/ Psychology minor
University of Pennsylvania
Internship, Microbiology and Immunology- Children's Hospital of Philadelphia
Duke University
Internship, Medicine
Manatee County Rural Health May 2015 - Present
Cognizant Technology Solutions November 2014 - February 2015
WellCare February 2013 - October 2014
Family Practice of Conyers September 2011 - January 2013
Skills
Microsoft Office, Research, Teaching, Community Pharmacy, Medication Therapy..., Healthcare, Pharmacy Practice, Patient Counseling, Medication Adherence, Immunization, Clinical Research, Hospitals, Leadership, Managed Care, Management, Microsoft Excel, Pharmacists, Pharmacy, Public Speaking
Education
Mercer University
Doctor of Pharmacy (PharmD), Pharmacy
Tennessee State University 2001 — 2006
Bachelor of Science (BS), Biochemistry/ Psychology minor
University of Pennsylvania
Internship, Microbiology and Immunology- Children's Hospital of Philadelphia
Duke University
Internship, Medicine
Joseph Patrick McMullen Joseph Patrick McMullen's WellCare Experience June 2006 - Present
Job State Manager, Pharmacist WellCare HMO
Industry Pharmaceuticals
Experience
Town Of Oakland September 2006 - Present
WellCare June 2006 - Present
HAPCO Music foundation January 2001 - Present
West Orange Chamber January 2012 - December 2013
West Orange Chamber 2011 - 2012
Skills
Government, Military, Managed Care, Healthcare, Medicaid, Medicare, Healthcare Management, Hospitals, HIPAA, Healthcare Information..., Strategic Planning, Clinical Research, Health Insurance, Team Building, Policy, Pharmacists, Executive Management, Software Documentation, Program Management, Disease Management, Leadership, Public Speaking, Management, Process Improvement, Training, Supervisory Skills, Healthcare Industry, Pharmacy Automation, Pharmacy, Healthcare Consulting, Medication Therapy..., Pharmacy Benefit..., Public Health, Program Development, Medicare Part D, Diabetes, Long-term Care, Business Development, Clinical Pharmacology, Insurance, Leadership Development, Pharmaceutical Industry, Clinical Pharmacy, Employee Benefits, Physicians, Community Outreach, Organizational..., Data Analysis, Community Development, Proposal Writing
Education
Florida International University 1998 — 2000
Masters, Health Admin
Florida Agricultural and Mechanical University
B.S., Pharmacy
Town Of Oakland September 2006 - Present
WellCare June 2006 - Present
HAPCO Music foundation January 2001 - Present
West Orange Chamber January 2012 - December 2013
West Orange Chamber 2011 - 2012
Skills
Government, Military, Managed Care, Healthcare, Medicaid, Medicare, Healthcare Management, Hospitals, HIPAA, Healthcare Information..., Strategic Planning, Clinical Research, Health Insurance, Team Building, Policy, Pharmacists, Executive Management, Software Documentation, Program Management, Disease Management, Leadership, Public Speaking, Management, Process Improvement, Training, Supervisory Skills, Healthcare Industry, Pharmacy Automation, Pharmacy, Healthcare Consulting, Medication Therapy..., Pharmacy Benefit..., Public Health, Program Development, Medicare Part D, Diabetes, Long-term Care, Business Development, Clinical Pharmacology, Insurance, Leadership Development, Pharmaceutical Industry, Clinical Pharmacy, Employee Benefits, Physicians, Community Outreach, Organizational..., Data Analysis, Community Development, Proposal Writing
Education
Florida International University 1998 — 2000
Masters, Health Admin
Florida Agricultural and Mechanical University
B.S., Pharmacy
Latricia Wilson Latricia Wilson's WellCare Experience August 2011 - October 2014
Job Provider Relations Representative at WellCare Health Plans
Industry Insurance
Experience
WellCare Health Plans October 2014 - Present
WellCare August 2011 - October 2014
WellCare October 2005 - August 2011
MP Total Care Pharmacy May 2005 - October 2005
Team Health Radiology July 2003 - April 2005
Amerigroup /Physicians HealthCare Plans 2000 - June 2003
Skills
Insurance, Health Insurance, Medicare, Process Improvement, Managed Care, Claim, Medicaid, HIPAA, Vendor Management, Employee Benefits, Business Analysis, Customer Service, Healthcare, Risk Management, Team Building, Call Centers, Business Process..., Strategic Planning
Education
Concorde Career Institute-Tampa 1995 — 1996
Medical/Clinical Assistant
WellCare Health Plans October 2014 - Present
WellCare August 2011 - October 2014
WellCare October 2005 - August 2011
MP Total Care Pharmacy May 2005 - October 2005
Team Health Radiology July 2003 - April 2005
Amerigroup /Physicians HealthCare Plans 2000 - June 2003
Skills
Insurance, Health Insurance, Medicare, Process Improvement, Managed Care, Claim, Medicaid, HIPAA, Vendor Management, Employee Benefits, Business Analysis, Customer Service, Healthcare, Risk Management, Team Building, Call Centers, Business Process..., Strategic Planning
Education
Concorde Career Institute-Tampa 1995 — 1996
Medical/Clinical Assistant
Nicole Savage's WellCare Experience November 2006 - July 2012
Job Field Case Manager at Care Plus Health Plans
Industry Insurance
Experience
CarePlus Health Plans Inc. March 2014 - Present
Health Integrated August 2012 - March 2014
WellCare November 2006 - July 2012
Florida Hospital April 2002 - November 2006
Kindred Hospital January 1999 - April 2002
Skills
Cpr Certified, First Aid, Utilization Review, Prior Authorization, Hospitals, Long Term Acute Care, Infectious Diseases, Skilled Multi-tasker, Managed Care, Geriatric Nursing, LPN, Medication..., Healthcare, Nursing, Utilization Management, Medical/Surgical, Disease Management, Physicians, Phlebotomy, Medicaid, Healthcare Industry, Vital Signs, Medicare, HIPAA, Inpatient, Nursing Care, Patient Safety, Long-term Care, Health Insurance, Wound Care, Acute Care, Patient Education, Medical Terminology, IV, Elder Care, HMO, NCQA, Nursing Education, Patient Advocacy, Medical Records, Medicaid Managed Care, BLS, Direct Patient Care, ICD-9, Treatment, Case Management, Cerner, Health Policy, Software Documentation, Provider Relations
Education
D G Erwin Technical Center 2003 — 2004
licensed Practical Nurse
Galen School of Nursing-Tampa Bay
Associate's degree- student with expected graduation date 6/2016, Registered Nursing/Registered Nurse
CarePlus Health Plans Inc. March 2014 - Present
Health Integrated August 2012 - March 2014
WellCare November 2006 - July 2012
Florida Hospital April 2002 - November 2006
Kindred Hospital January 1999 - April 2002
Skills
Cpr Certified, First Aid, Utilization Review, Prior Authorization, Hospitals, Long Term Acute Care, Infectious Diseases, Skilled Multi-tasker, Managed Care, Geriatric Nursing, LPN, Medication..., Healthcare, Nursing, Utilization Management, Medical/Surgical, Disease Management, Physicians, Phlebotomy, Medicaid, Healthcare Industry, Vital Signs, Medicare, HIPAA, Inpatient, Nursing Care, Patient Safety, Long-term Care, Health Insurance, Wound Care, Acute Care, Patient Education, Medical Terminology, IV, Elder Care, HMO, NCQA, Nursing Education, Patient Advocacy, Medical Records, Medicaid Managed Care, BLS, Direct Patient Care, ICD-9, Treatment, Case Management, Cerner, Health Policy, Software Documentation, Provider Relations
Education
D G Erwin Technical Center 2003 — 2004
licensed Practical Nurse
Galen School of Nursing-Tampa Bay
Associate's degree- student with expected graduation date 6/2016, Registered Nursing/Registered Nurse
Amy Bubenheim Amy Bubenheim's WellCare Experience September 2013 - Present
Job Director, Training FL Market at Wellcare
Industry Insurance
Experience
WellCare September 2013 - Present
WellCare March 2012 - September 2013
University of South Florida October 2009 - February 2012
University of South Florida June 2008 - October 2009
Sarasota Family YMCA July 2004 - April 2008
Family Continuity September 2001 - June 2004
Skills
Training & Development, Adult Education, Instructor-led Training, Curriculum Development, Staff Development, Spanish, Training Delivery, E-learning, E-Learning, Employee Training, Curriculum Design, Classroom, Leadership, Leadership Development, Data Analysis, Training, Learning Management, Workshop Facilitation, Instructional Design, Blended Learning, Social Services, Microsoft Excel, Change Management, Policy, Public Speaking, Program Management, Career Development, Editing, Grant Writing, Hands-on Training, Distance Learning, Technical Writing, Customer Service, Process Improvement, Higher Education, Resume Writing, Program Development, Microsoft Office, Team Leadership, Community Outreach, Captivate, Management, Microsoft Word, Non-profits, Case Managment, Courses, Performance Improvement, Coaching, Teaching, Research
Education
University of Phoenix 2008 — 2009
Masters of Arts
Connecticut College 1994 — 1998
Bachelors of Arts
WellCare September 2013 - Present
WellCare March 2012 - September 2013
University of South Florida October 2009 - February 2012
University of South Florida June 2008 - October 2009
Sarasota Family YMCA July 2004 - April 2008
Family Continuity September 2001 - June 2004
Skills
Training & Development, Adult Education, Instructor-led Training, Curriculum Development, Staff Development, Spanish, Training Delivery, E-learning, E-Learning, Employee Training, Curriculum Design, Classroom, Leadership, Leadership Development, Data Analysis, Training, Learning Management, Workshop Facilitation, Instructional Design, Blended Learning, Social Services, Microsoft Excel, Change Management, Policy, Public Speaking, Program Management, Career Development, Editing, Grant Writing, Hands-on Training, Distance Learning, Technical Writing, Customer Service, Process Improvement, Higher Education, Resume Writing, Program Development, Microsoft Office, Team Leadership, Community Outreach, Captivate, Management, Microsoft Word, Non-profits, Case Managment, Courses, Performance Improvement, Coaching, Teaching, Research
Education
University of Phoenix 2008 — 2009
Masters of Arts
Connecticut College 1994 — 1998
Bachelors of Arts
Debbie Waldecker, CSA Debbie Waldecker, CSA's WellCare Experience August 2004 - May 2007
Job Owner, Visiting Angels
Industry Health, Wellness and Fitness
Experience
Visiting Angels April 2004 - Present
WellCare August 2004 - May 2007
Amerigroup Corporation 2003 - 2004
Physicians Healthcare Plans 1997 - 2003
Skills
Managed Care, Contract Negotiation, Insurance, Medicaid, Medicare, Elder Care, Home Care, Social Networking, Social Media, Case Management, Healthcare Management, Long-term Care, Healthcare, Nursing, Strategic Planning, HIPAA, Team Building, Hospitals
Education
Almeda College
BS, Healthcare Management
Valencia Community College 1993 — 1995
Nursing
ECPI College of Technology
medical records technician, Medical Records Technology
Rutgers, The State University of New Jersey-Camden 1980 — 1982
Nursing
Rutgers, The State University of New Jersey-Camden 1980 — 1982
Nursing
Haddon Heights High School 1976 — 1980
diploma
Visiting Angels April 2004 - Present
WellCare August 2004 - May 2007
Amerigroup Corporation 2003 - 2004
Physicians Healthcare Plans 1997 - 2003
Skills
Managed Care, Contract Negotiation, Insurance, Medicaid, Medicare, Elder Care, Home Care, Social Networking, Social Media, Case Management, Healthcare Management, Long-term Care, Healthcare, Nursing, Strategic Planning, HIPAA, Team Building, Hospitals
Education
Almeda College
BS, Healthcare Management
Valencia Community College 1993 — 1995
Nursing
ECPI College of Technology
medical records technician, Medical Records Technology
Rutgers, The State University of New Jersey-Camden 1980 — 1982
Nursing
Rutgers, The State University of New Jersey-Camden 1980 — 1982
Nursing
Haddon Heights High School 1976 — 1980
diploma
Lance D. Marshall's WellCare Experience December 2011 - December 2012
Job Regional VIce President Network Management Medicare,Central Region at Anthem
Industry Hospital & Health Care
Experience
Anthem, Inc. June 2014 - Present
Correct Care Solutions March 2013 - June 2014
WellCare December 2011 - December 2012
Providias Health Connections April 2011 - January 2012
Principal Financial Group September 2009 - November 2010
Principal Financial Group September 2008 - November 2010
CIGNA Healthcare February 2006 - September 2008
CIGNA Healthcare November 2004 - January 2006
Skills
Strategic Planning, Product Management, Leadership, Health Plan Operations, Change Management, Healthcare, Medicaid, Contract Negotiation, Strategy, Medicare, Physicians, Hospitals, Provider Relations, HMO, PPO, Network Development, Managed Care, Healthcare Industry, Health Insurance, Insurance, Health Policy, Practice Management, HIPAA, Process Improvement, Healthcare Consulting, Healthcare Information..., Executive Management, Healthcare Management, Program Management, Informatics, EHR, Medicare Part D, Revenue Cycle, Management, Credentialing, Claim, Medical Billing, Pharmacy Benefit..., Quality Improvement, Analysis, Disease Management, EMR, Revenue Cycle Management, Medicine, Physician Relations, Medical Coding, Strategic Partnerships, Employee Benefits, ICD-9, Utilization Management
Education
Cumberland College 1974 — 1978
BS, Health Care
Anthem, Inc. June 2014 - Present
Correct Care Solutions March 2013 - June 2014
WellCare December 2011 - December 2012
Providias Health Connections April 2011 - January 2012
Principal Financial Group September 2009 - November 2010
Principal Financial Group September 2008 - November 2010
CIGNA Healthcare February 2006 - September 2008
CIGNA Healthcare November 2004 - January 2006
Skills
Strategic Planning, Product Management, Leadership, Health Plan Operations, Change Management, Healthcare, Medicaid, Contract Negotiation, Strategy, Medicare, Physicians, Hospitals, Provider Relations, HMO, PPO, Network Development, Managed Care, Healthcare Industry, Health Insurance, Insurance, Health Policy, Practice Management, HIPAA, Process Improvement, Healthcare Consulting, Healthcare Information..., Executive Management, Healthcare Management, Program Management, Informatics, EHR, Medicare Part D, Revenue Cycle, Management, Credentialing, Claim, Medical Billing, Pharmacy Benefit..., Quality Improvement, Analysis, Disease Management, EMR, Revenue Cycle Management, Medicine, Physician Relations, Medical Coding, Strategic Partnerships, Employee Benefits, ICD-9, Utilization Management
Education
Cumberland College 1974 — 1978
BS, Health Care
Laurel Sweeney's WellCare Experience 1991 - 1998
Job Associate Broker, Prudential Nutshell Realty
Industry Real Estate
Experience
Prudential Nutshell Realty March 2000 - Present
Rondout Valley School 1998 - 2001
WellCare 1991 - 1998
Benedictine Hospital 1984 - 1988
Skills
Real Estate, Sellers, Leadership, Relocation, 55+ Communities, Buyers, Real Property, Referrals, Marketing, National Association of..., Buyer Representation, First Time Home Buyers, Residential Homes, Listings, Condos, Sales
Education
Dutchess Community College
Associates degree in applied science, Registered Nursing/Registered Nurse
Prudential Nutshell Realty March 2000 - Present
Rondout Valley School 1998 - 2001
WellCare 1991 - 1998
Benedictine Hospital 1984 - 1988
Skills
Real Estate, Sellers, Leadership, Relocation, 55+ Communities, Buyers, Real Property, Referrals, Marketing, National Association of..., Buyer Representation, First Time Home Buyers, Residential Homes, Listings, Condos, Sales
Education
Dutchess Community College
Associates degree in applied science, Registered Nursing/Registered Nurse
Hector Dessis Hector Dessis's WellCare Experience April 2011 - February 2014
Job Benefit Consultant
Industry Insurance
Experience
Dessis Agency June 2015 - Present
Dessis Agency June 2015 - Present
Magick Entertainment June 1998 - Present
WellCare April 2011 - February 2014
Essence Healthcare September 2009 - April 2011
Essence Healthcare 2009 - 2011
New York Life May 2008 - January 2010
National Income Life 2006 - 2008
Sensis 2003 - 2006
Bose Corporation 1996 - 2000
Skills
Medicare, Insurance, Life Insurance, Healthcare, Process Improvement, Term Life Insurance, Customer Service, Health Insurance, New Business Development, Sales, Account Management, Employee Benefits, Social Media Marketing, Managed Care, Strategic Planning, Team Building, Marketing, Trade Shows, Sales Management, Microsoft Excel, Leadership, Disability Insurance, Medicaid, Training, Call Centers, Long-term Care, Outlook, HIPAA, Access, Provider Relations, Fixed Annuities, Cold Calling, Customer Retention
Education
Finger Lakes Community College 1996 — 2000
State University of New York College at Cortland 1991 — 1995
Lyons 1986 — 1991
Dessis Agency June 2015 - Present
Dessis Agency June 2015 - Present
Magick Entertainment June 1998 - Present
WellCare April 2011 - February 2014
Essence Healthcare September 2009 - April 2011
Essence Healthcare 2009 - 2011
New York Life May 2008 - January 2010
National Income Life 2006 - 2008
Sensis 2003 - 2006
Bose Corporation 1996 - 2000
Skills
Medicare, Insurance, Life Insurance, Healthcare, Process Improvement, Term Life Insurance, Customer Service, Health Insurance, New Business Development, Sales, Account Management, Employee Benefits, Social Media Marketing, Managed Care, Strategic Planning, Team Building, Marketing, Trade Shows, Sales Management, Microsoft Excel, Leadership, Disability Insurance, Medicaid, Training, Call Centers, Long-term Care, Outlook, HIPAA, Access, Provider Relations, Fixed Annuities, Cold Calling, Customer Retention
Education
Finger Lakes Community College 1996 — 2000
State University of New York College at Cortland 1991 — 1995
Lyons 1986 — 1991
David Parrish David Parrish's WellCare Experience May 2008 - September 2009
Job VicePresident, Human Resources at Family Health Network
Industry Human Resources
Experience
DLP Consulting, Inc. October 2013 - Present
Family Health Network September 2009 - September 2013
WellCare May 2008 - September 2009
Instant Print Promotions October 2004 - May 2008
Special Data Processing June 2003 - September 2005
APAC Customer Services May 2000 - October 2002
ACNielsen August 1998 - April 2000
Ameritech/AT&T May 1995 - July 1998
Skills
Performance Management, Recruiting, Personnel Management, Human Resources, HR Policies, Training, Project Management, Employee Recognition, Process Improvement, Leadership, Employee Training, Equal Employment..., Employee Relations, Strategic Planning, Account Management, Deferred Compensation, Employee Engagement, Succession Planning, Interviews, Hiring, Labor Relations, Talent Management, Call Centers, Management, Coaching, Temporary Placement, New Hire Orientations, Workforce Planning, Talent Acquisition, Onboarding, Applicant Tracking..., Benefits Administration, Screening, HRIS, Compensation & Benefit, FMLA
Education
DePaul University 1994 — 1996
Illinois State University 1989 — 1993
Human Resources Management
DLP Consulting, Inc. October 2013 - Present
Family Health Network September 2009 - September 2013
WellCare May 2008 - September 2009
Instant Print Promotions October 2004 - May 2008
Special Data Processing June 2003 - September 2005
APAC Customer Services May 2000 - October 2002
ACNielsen August 1998 - April 2000
Ameritech/AT&T May 1995 - July 1998
Skills
Performance Management, Recruiting, Personnel Management, Human Resources, HR Policies, Training, Project Management, Employee Recognition, Process Improvement, Leadership, Employee Training, Equal Employment..., Employee Relations, Strategic Planning, Account Management, Deferred Compensation, Employee Engagement, Succession Planning, Interviews, Hiring, Labor Relations, Talent Management, Call Centers, Management, Coaching, Temporary Placement, New Hire Orientations, Workforce Planning, Talent Acquisition, Onboarding, Applicant Tracking..., Benefits Administration, Screening, HRIS, Compensation & Benefit, FMLA
Education
DePaul University 1994 — 1996
Illinois State University 1989 — 1993
Human Resources Management
Steven Glick Steven Glick's WellCare Experience November 2004 - 2006
Job President, Paragon Properties Development
Industry Hospital & Health Care
Experience
Paragon Properties Development September 2006 - Present
WellCare November 2004 - 2006
WellCare Health Plans, Inc. 2004 - 2006
Netegrity March 2000 - June 2002
J.P. Morgan September 1998 - February 2000
Mercer Management Consulting March 1993 - March 1996
Education
Harvard University 2002 — 2004
MS, Computer Science
Wharton 1996 — 1998
MBA, Business
Cornell University 1988 — 1992
BA, Economics
Paragon Properties Development September 2006 - Present
WellCare November 2004 - 2006
WellCare Health Plans, Inc. 2004 - 2006
Netegrity March 2000 - June 2002
J.P. Morgan September 1998 - February 2000
Mercer Management Consulting March 1993 - March 1996
Education
Harvard University 2002 — 2004
MS, Computer Science
Wharton 1996 — 1998
MBA, Business
Cornell University 1988 — 1992
BA, Economics
Dana Harris, SQA, CSSGB, PAHM's WellCare Experience April 2012 - October 2013
Job Sr. IT Consultant Specializing in Software QA & Design & Healthcare IT Implementations
Industry Information Technology and Services
Experience
Blue Eagle Consulting, Inc May 2015 - Present
Children's Medical Center September 2014 - November 2014
WellPoint September 2013 - September 2014
WellCare April 2012 - October 2013
DHM, Inc February 2003 - January 2013
The TriZetto Group August 2010 - April 2012
MEDecision April 2009 - June 2010
Independence Blue Cross August 2008 - February 2009
Exelon January 2008 - June 2008
Comcast Interactive Media January 2007 - January 2008
Skills
Requirements Analysis, Quality Center, MS Project, Quality Assurance, Testing, SharePoint, Microsoft SQL Server, .NET, Waterfall, Process Improvement, Software Quality..., UML, SDLC, Oracle, HTML, Databases, Software Project..., Six Sigma, Systems Analysis, Test Planning, Business Analysis, Healthcare Information..., User Acceptance Testing, Microsoft Office, Software Documentation, Regression Testing, XML, SQL, Agile Methodologies, Cross-functional Team..., Java, Resource Management, Business Requirements, Integration, Software Development, Test Cases, Visio, HP Quality Center
Education
Landmark Education 2013 — 2013
Advance Coursework, Organizational Leadership
Eastern University 2006 — 2007
MBA, Project Management
Temple University 1994 — 1999
BS & BBA, Computer & Infomation Sciences & Business Administration (Strategic Management)
Blue Eagle Consulting, Inc May 2015 - Present
Children's Medical Center September 2014 - November 2014
WellPoint September 2013 - September 2014
WellCare April 2012 - October 2013
DHM, Inc February 2003 - January 2013
The TriZetto Group August 2010 - April 2012
MEDecision April 2009 - June 2010
Independence Blue Cross August 2008 - February 2009
Exelon January 2008 - June 2008
Comcast Interactive Media January 2007 - January 2008
Skills
Requirements Analysis, Quality Center, MS Project, Quality Assurance, Testing, SharePoint, Microsoft SQL Server, .NET, Waterfall, Process Improvement, Software Quality..., UML, SDLC, Oracle, HTML, Databases, Software Project..., Six Sigma, Systems Analysis, Test Planning, Business Analysis, Healthcare Information..., User Acceptance Testing, Microsoft Office, Software Documentation, Regression Testing, XML, SQL, Agile Methodologies, Cross-functional Team..., Java, Resource Management, Business Requirements, Integration, Software Development, Test Cases, Visio, HP Quality Center
Education
Landmark Education 2013 — 2013
Advance Coursework, Organizational Leadership
Eastern University 2006 — 2007
MBA, Project Management
Temple University 1994 — 1999
BS & BBA, Computer & Infomation Sciences & Business Administration (Strategic Management)
Ann Lim-Greene Ann Lim-Greene's WellCare Experience March 2005 - March 2011
Job Finance and Analytics Advisor at ALG Healthcare Finance and Analytics LLC
Industry Insurance
Experience
ALG Healthcare Finance and Analytics LLC August 2014 - Present
Medical Home Network January 2012 - June 2014
WellCare March 2005 - March 2011
Harmony Health Plan July 2002 - June 2004
CIGNA Healthcare July 2000 - February 2002
Wellpoint, formerly Rush Prudential June 1997 - June 2000
Kaiser Permanente - Northeast Region June 1989 - May 1997
Skills
Medicare, Medicaid, Managed Care, Provider Relations, Health Economics, Health Policy, HMO, Healthcare Consulting, PPO, Health Insurance, Healthcare, Healthcare Information..., Data Analysis, Process Improvement, Disease Management, Healthcare Management, Network Development, Executive Management, Medicaid Managed Care, SAS, Software Documentation, Healthcare Industry, Utilization Management, Revenue Cycle Management, Medicine, Performance Improvement, Hospitals, Insurance, HIPAA, Physician Relations, Revenue Cycle, Physicians, Medicare Part D, Pharmacy Benefit..., Quality Improvement, EHR, Informatics, Medical Billing, Claim, Long-term Care, Healthcare Finance
Education
University of Massachusetts, Amherst 1987 — 1989
MBA
University of Massachusetts, Amherst 1987 — 1989
MPH, Health Care Administration
Cornell University 1982 — 1985
BS, Life Sciences
ALG Healthcare Finance and Analytics LLC August 2014 - Present
Medical Home Network January 2012 - June 2014
WellCare March 2005 - March 2011
Harmony Health Plan July 2002 - June 2004
CIGNA Healthcare July 2000 - February 2002
Wellpoint, formerly Rush Prudential June 1997 - June 2000
Kaiser Permanente - Northeast Region June 1989 - May 1997
Skills
Medicare, Medicaid, Managed Care, Provider Relations, Health Economics, Health Policy, HMO, Healthcare Consulting, PPO, Health Insurance, Healthcare, Healthcare Information..., Data Analysis, Process Improvement, Disease Management, Healthcare Management, Network Development, Executive Management, Medicaid Managed Care, SAS, Software Documentation, Healthcare Industry, Utilization Management, Revenue Cycle Management, Medicine, Performance Improvement, Hospitals, Insurance, HIPAA, Physician Relations, Revenue Cycle, Physicians, Medicare Part D, Pharmacy Benefit..., Quality Improvement, EHR, Informatics, Medical Billing, Claim, Long-term Care, Healthcare Finance
Education
University of Massachusetts, Amherst 1987 — 1989
MBA
University of Massachusetts, Amherst 1987 — 1989
MPH, Health Care Administration
Cornell University 1982 — 1985
BS, Life Sciences
Jesica Gutierrez's WellCare Experience January 2006 - January 2007
Job
Industry
Experience
WellCare January 2006 - January 2007
JPMorgan Chase January 2000 - January 2005
JPMorgan Chase January 2000 - January 2005
Skills
PowerPoint, Customer Service, Microsoft Word, Call Centers, Outlook, Microsoft Excel, Access, Telephone Skills, Administrative..., English, Sales, Windows, Retail, Management, Teamwork, Time Management, Strategic Planning, Research, Process Improvement, Leadership
Education
Edison Community College
WellCare January 2006 - January 2007
JPMorgan Chase January 2000 - January 2005
JPMorgan Chase January 2000 - January 2005
Skills
PowerPoint, Customer Service, Microsoft Word, Call Centers, Outlook, Microsoft Excel, Access, Telephone Skills, Administrative..., English, Sales, Windows, Retail, Management, Teamwork, Time Management, Strategic Planning, Research, Process Improvement, Leadership
Education
Edison Community College
Pam Barker Waldhelm Pam Barker Waldhelm's WellCare Experience 2003 - 2004
Job Data Warehouse & Business Intelligence Architect
Industry Information Technology and Services
Experience
Wells Fargo Bank May 2008 - Present
A Plus Vacuum August 2005 - Present
Microsoft December 2007 - May 2008
LendingTree October 2004 - December 2007
Encore Consulting 2004 - 2004
WellCare 2003 - 2004
LendingTree July 2003 - September 2003
Tech Data 2000 - June 2003
Tech Data 1997 - 2000
Tech Data 1994 - 1997
Skills
Data Warehousing, Business Intelligence, SSIS, ETL, SSRS, Microsoft SQL Server, Database Design, Analysis Services, Databases, OLAP, Data Warehouse..., Software Development, Relational Databases, Database Administration, Dimensional Modeling, SDLC, Data Modeling, Business Analysis, Analysis, Enterprise Architecture
Education
University of South Florida 1975 — 1977
Chemistry
St. Petersburg College 1972 — 1975
Notre Dame Academy 1968 — 1972
Eckerd College
Business
Wells Fargo Bank May 2008 - Present
A Plus Vacuum August 2005 - Present
Microsoft December 2007 - May 2008
LendingTree October 2004 - December 2007
Encore Consulting 2004 - 2004
WellCare 2003 - 2004
LendingTree July 2003 - September 2003
Tech Data 2000 - June 2003
Tech Data 1997 - 2000
Tech Data 1994 - 1997
Skills
Data Warehousing, Business Intelligence, SSIS, ETL, SSRS, Microsoft SQL Server, Database Design, Analysis Services, Databases, OLAP, Data Warehouse..., Software Development, Relational Databases, Database Administration, Dimensional Modeling, SDLC, Data Modeling, Business Analysis, Analysis, Enterprise Architecture
Education
University of South Florida 1975 — 1977
Chemistry
St. Petersburg College 1972 — 1975
Notre Dame Academy 1968 — 1972
Eckerd College
Business
Ratna Soni Ratna Soni's WellCare Experience 2012 - February 2014
Job Network Management Rep at WellCare
Industry
Experience
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas February 2014 - Present
WellCare 2012 - February 2014
Skills
Managed Care, Medicaid, Provider Relations, Medicare, Network Development, HIPAA, Healthcare Industry, Health Insurance, Healthcare Consulting, Revenue Cycle, Healthcare Information..., Pharmacy Benefit..., Healthcare Management, Health Policy
Education
Duquesne University 2002 — 2007
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas February 2014 - Present
WellCare 2012 - February 2014
Skills
Managed Care, Medicaid, Provider Relations, Medicare, Network Development, HIPAA, Healthcare Industry, Health Insurance, Healthcare Consulting, Revenue Cycle, Healthcare Information..., Pharmacy Benefit..., Healthcare Management, Health Policy
Education
Duquesne University 2002 — 2007
Michael Pryce Michael Pryce's WellCare Experience December 2007 - August 2008
Job Owner of Multiworks Consolidated Services LLC and Real Estate Paralegal/ Real Estate Consultant
Industry Real Estate
Experience
Multiworks Consolidated Services LLC January 2012 - Present
Self Employed January 2009 - Present
MetroPlus Health Plan August 2008 - January 2009
WellCare December 2007 - August 2008
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, English, Windows, Research, Outlook, Public Speaking
Education
CUNY New York City College of Technology 2004 — 2006
Legal Assistant/Paralegal
CUNY Medgar Evers College 1997 — 1999
Psychology
Multiworks Consolidated Services LLC January 2012 - Present
Self Employed January 2009 - Present
MetroPlus Health Plan August 2008 - January 2009
WellCare December 2007 - August 2008
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, English, Windows, Research, Outlook, Public Speaking
Education
CUNY New York City College of Technology 2004 — 2006
Legal Assistant/Paralegal
CUNY Medgar Evers College 1997 — 1999
Psychology
Heather Hayhoe Heather Hayhoe's WellCare Experience February 2011 - July 2011
Job National HEDIS Medical Record Review Manager at Amerigroup Corporation
Industry Insurance
Experience
Anthem, Inc. July 2011 - Present
WellCare February 2011 - July 2011
WellCare October 2010 - February 2011
WellCare January 2007 - October 2010
CareSource Management Group July 2004 - January 2007
CareSource August 2003 - June 2004
UnitedHealth Group November 2000 - July 2003
Skills
Medicare, Medicaid, HEDIS, Quality Management, Managed Care, Process Improvement, Data Analysis, Compliance, Access, Excel, Documentation, Strategic Planning, Program Management, MS Project, Vendor Management, SharePoint, HIPAA, Healthcare, Informatics, Microsoft Excel, Provider Relations, Software Documentation, Training
Education
Davenport University 1995 — 2002
BA, Information Technology
Anthem, Inc. July 2011 - Present
WellCare February 2011 - July 2011
WellCare October 2010 - February 2011
WellCare January 2007 - October 2010
CareSource Management Group July 2004 - January 2007
CareSource August 2003 - June 2004
UnitedHealth Group November 2000 - July 2003
Skills
Medicare, Medicaid, HEDIS, Quality Management, Managed Care, Process Improvement, Data Analysis, Compliance, Access, Excel, Documentation, Strategic Planning, Program Management, MS Project, Vendor Management, SharePoint, HIPAA, Healthcare, Informatics, Microsoft Excel, Provider Relations, Software Documentation, Training
Education
Davenport University 1995 — 2002
BA, Information Technology
Sam Medure Sam Medure's WellCare Experience March 2010 - Present
Job at WellCare
Industry Pharmaceuticals
Experience
WellCare March 2010 - Present
Catalyst Rx May 2008 - May 2010
PharmaCare April 1998 - May 2008
PharmaCare February 1991 - March 1998
Education
Duquesne University 1984 — 1989
BS, Pharmacy
WellCare March 2010 - Present
Catalyst Rx May 2008 - May 2010
PharmaCare April 1998 - May 2008
PharmaCare February 1991 - March 1998
Education
Duquesne University 1984 — 1989
BS, Pharmacy
Bryan McKnight's WellCare Experience October 2012 - Present
Job Network Engineer, Sr at WellCare Health Plans, Inc.
Industry Insurance
Experience
WellCare October 2012 - Present
XpoNet February 2011 - October 2012
DeVry University January 2010 - February 2011
Collegiate Housing Services October 2008 - December 2010
Osceola County School District February 2010 - August 2010
DeVry University October 2008 - February 2010
Paradox Computers February 2008 - January 2009
Super K-Mart Store February 2008 - December 2008
Walmart 2007 - 2007
Skills
Computer Repair, Network Engineering, Network Design, Troubleshooting, Active Directory, PowerPoint, Excel, Microsoft Excel, Microsoft Office, EIGRP, Operating Systems, DNS, Wireless Networking, Cisco Technologies, Help Desk Support, Computer Hardware, Windows Server, Laptops, Microsoft Exchange, Wireless, Linux, Routers, VLAN, Routing, Firewalls, VMware ESX, VPN, Leadership, Management, System Administration, Windows, Windows 7, Software Installation, Hyper-V, Access, Cisco IOS, DHCP, Outlook, Security, Customer Service, Data Center, Networking, Servers, VoIP, XP
Education
DeVry University 2008 — 2012
Bachelors of Science, Network and Communications Management, 3.2
Sarasota County Technical Institute 2006 — 2008
Vocational, Computer Tech and Programming
WellCare October 2012 - Present
XpoNet February 2011 - October 2012
DeVry University January 2010 - February 2011
Collegiate Housing Services October 2008 - December 2010
Osceola County School District February 2010 - August 2010
DeVry University October 2008 - February 2010
Paradox Computers February 2008 - January 2009
Super K-Mart Store February 2008 - December 2008
Walmart 2007 - 2007
Skills
Computer Repair, Network Engineering, Network Design, Troubleshooting, Active Directory, PowerPoint, Excel, Microsoft Excel, Microsoft Office, EIGRP, Operating Systems, DNS, Wireless Networking, Cisco Technologies, Help Desk Support, Computer Hardware, Windows Server, Laptops, Microsoft Exchange, Wireless, Linux, Routers, VLAN, Routing, Firewalls, VMware ESX, VPN, Leadership, Management, System Administration, Windows, Windows 7, Software Installation, Hyper-V, Access, Cisco IOS, DHCP, Outlook, Security, Customer Service, Data Center, Networking, Servers, VoIP, XP
Education
DeVry University 2008 — 2012
Bachelors of Science, Network and Communications Management, 3.2
Sarasota County Technical Institute 2006 — 2008
Vocational, Computer Tech and Programming
Beth Berkobein Beth Berkobein's WellCare Experience March 2011 - April 2012
Job Database Architect
Industry Information Technology and Services
Experience
Pinellas County Government October 2014 - June 2015
Fidelity National Information Services September 2012 - April 2013
WellCare March 2011 - April 2012
PricewaterhouseCoopers 1997 - 2010
IBM Global Services 1996 - 1997
Skills
Disaster Recovery, ITIL, Oracle SQL, SDLC, IT Strategy, Enterprise Architecture, Oracle 9i, Oracle, Databases, Data Warehousing, Business Analysis, Solution Architecture, Business Process, Integration, Business Intelligence, Database Design, Unix, PL/SQL, SQL, Requirements Analysis, IT Management, Project Management, Data Modeling, ETL, Visio, SOA, ERP
Education
University of South Florida
Bachelor of Arts, English & Philosophy
Emory University 1984 — 1986
West Geauga High School
Pinellas County Government October 2014 - June 2015
Fidelity National Information Services September 2012 - April 2013
WellCare March 2011 - April 2012
PricewaterhouseCoopers 1997 - 2010
IBM Global Services 1996 - 1997
Skills
Disaster Recovery, ITIL, Oracle SQL, SDLC, IT Strategy, Enterprise Architecture, Oracle 9i, Oracle, Databases, Data Warehousing, Business Analysis, Solution Architecture, Business Process, Integration, Business Intelligence, Database Design, Unix, PL/SQL, SQL, Requirements Analysis, IT Management, Project Management, Data Modeling, ETL, Visio, SOA, ERP
Education
University of South Florida
Bachelor of Arts, English & Philosophy
Emory University 1984 — 1986
West Geauga High School
Ellen Mininberg-Scott RN BSN's WellCare Experience March 2004 - October 2006
Job RN Case Manager
Industry Insurance
Experience
American Health Holding February 2015 - Present
self January 2014 - April 2014
MetLife July 2013 - December 2013
United healthcare April 2007 - January 2013
Aetna November 2006 - April 2007
WellCare March 2004 - October 2006
First Coast Service Options, Inc. June 2002 - April 2004
HealthNet February 1999 - April 2004
Skills
Medicare, Medicaid, Utilization Management, Commercial Insurance, Disease Management, Case Management, Utilization Review, Home Care, Healthcare Industry, Hospitals, Communication Skills, Discharge planning, Leadership, Team Management, Medical Records, Clinical Research, Nursing, Acute Care, Medical Coding, Managed Care, ICD-9, Healthcare, Healthcare Management, Patient Advocacy, Medical Case Management, Quality Improvement, Oncology, Inpatient, Workers Compensation, NCQA, Medicaid Managed Care, Healthcare Consulting, Surgery, Provider Relations, HIPAA, HMO, Elder Care, Claim, Health Policy, Physician Relations, Patient Safety, Long-term Care, Health Education, Patient Education, Medical/Surgical, Medical Terminology, Home Health Agencies, Critical Care, Medication..., EMR
Education
Fairfield University 1988 — 1990
Coder, Health Services Administration
Southern Connecticut State University 1982 — 1986
Bachelor's of Science in Nursing, Registered Nursing/Registered Nurse/ school age child psychology
American Health Holding February 2015 - Present
self January 2014 - April 2014
MetLife July 2013 - December 2013
United healthcare April 2007 - January 2013
Aetna November 2006 - April 2007
WellCare March 2004 - October 2006
First Coast Service Options, Inc. June 2002 - April 2004
HealthNet February 1999 - April 2004
Skills
Medicare, Medicaid, Utilization Management, Commercial Insurance, Disease Management, Case Management, Utilization Review, Home Care, Healthcare Industry, Hospitals, Communication Skills, Discharge planning, Leadership, Team Management, Medical Records, Clinical Research, Nursing, Acute Care, Medical Coding, Managed Care, ICD-9, Healthcare, Healthcare Management, Patient Advocacy, Medical Case Management, Quality Improvement, Oncology, Inpatient, Workers Compensation, NCQA, Medicaid Managed Care, Healthcare Consulting, Surgery, Provider Relations, HIPAA, HMO, Elder Care, Claim, Health Policy, Physician Relations, Patient Safety, Long-term Care, Health Education, Patient Education, Medical/Surgical, Medical Terminology, Home Health Agencies, Critical Care, Medication..., EMR
Education
Fairfield University 1988 — 1990
Coder, Health Services Administration
Southern Connecticut State University 1982 — 1986
Bachelor's of Science in Nursing, Registered Nursing/Registered Nurse/ school age child psychology
David Jeans David Jeans's WellCare Experience 2008 - 2010
Job Vice President, Corporate Analytics at CDPHP
Industry Hospital & Health Care
Experience
CDPHP 2012 - Present
Outcomes Health Information Solutions 2010 - 2012
WellCare 2008 - 2010
GSK 2004 - 2008
SAS October 2000 - April 2004
SAS October 1997 - October 2000
Education
Duke University - The Fuqua School of Business 2006 — 2007
MBA
North Carolina State University 1987 — 1991
BS
CDPHP 2012 - Present
Outcomes Health Information Solutions 2010 - 2012
WellCare 2008 - 2010
GSK 2004 - 2008
SAS October 2000 - April 2004
SAS October 1997 - October 2000
Education
Duke University - The Fuqua School of Business 2006 — 2007
MBA
North Carolina State University 1987 — 1991
BS
Aaron Brown Aaron Brown's WellCare Experience 2011 - 2011
Job Vice President and Lead Operations Resourcing Partner at Barclays
Industry Financial Services
Experience
Barclays 2015 - Present
Futurestep, A Korn Ferry Company 2014 - 2015
Yoh, A Day & Zimmermann Company 2013 - 2014
WellCare 2011 - 2011
SunGard 2007 - 2011
Unisys 2005 - 2007
Lockheed Martin 2002 - 2005
T. Williams Consulting (TWC Group) 1999 - 2001
Lockheed Martin 1989 - 1999
Skills
Interviewing, Employer Branding, Employee Referral..., Performance Metrics, Talent Acquisition, Employment Law, Technical Recruiting, New Employee Orientation, Hiring, Sourcing, Executive Search, Applicant Tracking..., Workforce Planning, Coaching, Full-cycle Recruiting, Change Management, Vendor Management, Process Improvement, HR Strategy, Recruitment/Retention, College Recruiting, HR Policies, Social Media, Compliance, Recruitment Process..., Managed Service..., University Relations, Internet Recruiting, Diversity Recruitment, OFCCP, Background Checks, Recruitment Operations, Global Recruitment
Education
Drexel University 2002 — 2016
Bachelor's Degree
New Hampshire Technical Institute 1981 — 1983
Associate's Degree
Barclays 2015 - Present
Futurestep, A Korn Ferry Company 2014 - 2015
Yoh, A Day & Zimmermann Company 2013 - 2014
WellCare 2011 - 2011
SunGard 2007 - 2011
Unisys 2005 - 2007
Lockheed Martin 2002 - 2005
T. Williams Consulting (TWC Group) 1999 - 2001
Lockheed Martin 1989 - 1999
Skills
Interviewing, Employer Branding, Employee Referral..., Performance Metrics, Talent Acquisition, Employment Law, Technical Recruiting, New Employee Orientation, Hiring, Sourcing, Executive Search, Applicant Tracking..., Workforce Planning, Coaching, Full-cycle Recruiting, Change Management, Vendor Management, Process Improvement, HR Strategy, Recruitment/Retention, College Recruiting, HR Policies, Social Media, Compliance, Recruitment Process..., Managed Service..., University Relations, Internet Recruiting, Diversity Recruitment, OFCCP, Background Checks, Recruitment Operations, Global Recruitment
Education
Drexel University 2002 — 2016
Bachelor's Degree
New Hampshire Technical Institute 1981 — 1983
Associate's Degree
Tammie Spivey Tammie Spivey's WellCare Experience November 2005 - May 2008
Job Business Healthcare
Industry Health, Wellness and Fitness
Experience
WellCare November 2005 - May 2008
Education
Eastern Michigan University 1989 — 1993
WellCare November 2005 - May 2008
Education
Eastern Michigan University 1989 — 1993
Trujillo Marisol's WellCare Experience October 2012 - Present
Job Medicaid Sales Supervisor at WellCare
Industry Insurance
Experience
WellCare October 2012 - Present
WellCare August 2009 - October 2012
Skills
Public Speaking, Customer Relations, Administration, Healthcare, Internet Recruiting, Coaching, Microsoft Excel, Microsoft Office, Microsoft Word, Insurance, Health Insurance, Medicare, Claim, Public Relations, Customer Service
Education
Dutchess Community College 2002 — 2004
Applied science, Criminal Justice
WellCare October 2012 - Present
WellCare August 2009 - October 2012
Skills
Public Speaking, Customer Relations, Administration, Healthcare, Internet Recruiting, Coaching, Microsoft Excel, Microsoft Office, Microsoft Word, Insurance, Health Insurance, Medicare, Claim, Public Relations, Customer Service
Education
Dutchess Community College 2002 — 2004
Applied science, Criminal Justice
Jeanette Rios's WellCare Experience October 2002 - Present
Job Community Relations Specialist at StayWell Health Plan. A WellCare Company
Industry Insurance
Experience
WellCare October 2002 - Present
Skills
Public Relations, Event Planning, Public Speaking, Community Outreach, Health Insurance, Marketing, Insurance, Healthcare, Community Development, Event Management, Fundraising, Training, Nonprofits, Leadership, Strategic Planning, Volunteer Management, Policy, Team Building, Leadership Development, Medicaid, Coaching, Program Development, Small Business, Grant Writing, Social Networking, Provider Relations, Media Relations, Medicare, Newsletters, Social Media, Budgets, Grants, Case Management
Education
SUNY FARMINGDALE 1989 — 1991
N/A, Mortuary Science and Embalming/Embalmer
Farmingdale State University of New York
Mort
WellCare October 2002 - Present
Skills
Public Relations, Event Planning, Public Speaking, Community Outreach, Health Insurance, Marketing, Insurance, Healthcare, Community Development, Event Management, Fundraising, Training, Nonprofits, Leadership, Strategic Planning, Volunteer Management, Policy, Team Building, Leadership Development, Medicaid, Coaching, Program Development, Small Business, Grant Writing, Social Networking, Provider Relations, Media Relations, Medicare, Newsletters, Social Media, Budgets, Grants, Case Management
Education
SUNY FARMINGDALE 1989 — 1991
N/A, Mortuary Science and Embalming/Embalmer
Farmingdale State University of New York
Mort
Jacqueline Ramos's WellCare Experience January 2011 - February 2012
Job Clinical Specialist at Conifer Health Solutions
Industry Hospital & Health Care
Experience
Conifer Health Solutions February 2012 - Present
WellCare January 2011 - February 2012
Universal Health Care June 2010 - January 2011
BayCare Health System September 2009 - January 2011
Bayfront Medical Center February 2008 - October 2008
Temple University Health System April 1998 - January 2008
COMPREHENSIVE MEDICAL CARE May 1989 - April 1998
Skills
Nursing, Utilization Management, SuperUser for Cerner,..., User Experience with..., Case Managment, Certified Professional..., Hospitals, Customer Service, HIPAA, EMR Training, EHR, Healthcare, Mental Health, CMS, Medicare/Medicaid..., Managed Care, Medical Coding, Employee Training, Interpreting, Translation, Utilization Review, Behavioral Health, Telephone Triage, Prior Authorization, UM Resolutions, Inpatient, Medicare, Epic Systems, Clinical Research, Informatics, Revenue Cycle, Meditech, Cerner, Emergency Room, Surgery, Software Documentation, Vital Signs, Medicaid, Healthcare Consulting, Patient Safety, EMR, Patient Education, Acute Care, Quality Improvement, Medical Terminology, JCAHO, Patient Advocacy, Healthcare Management, Physician Relations, Medical Records
Education
Galen School of Nursing-Tampa Bay 2008 — 2009
Nursing, Nursing Education
Temple University 2002 — 2004
General Studies
Community College of Philadelphia 1994 — 1996
Liberal Arts and Sciences, General Studies and Humanities
Conifer Health Solutions February 2012 - Present
WellCare January 2011 - February 2012
Universal Health Care June 2010 - January 2011
BayCare Health System September 2009 - January 2011
Bayfront Medical Center February 2008 - October 2008
Temple University Health System April 1998 - January 2008
COMPREHENSIVE MEDICAL CARE May 1989 - April 1998
Skills
Nursing, Utilization Management, SuperUser for Cerner,..., User Experience with..., Case Managment, Certified Professional..., Hospitals, Customer Service, HIPAA, EMR Training, EHR, Healthcare, Mental Health, CMS, Medicare/Medicaid..., Managed Care, Medical Coding, Employee Training, Interpreting, Translation, Utilization Review, Behavioral Health, Telephone Triage, Prior Authorization, UM Resolutions, Inpatient, Medicare, Epic Systems, Clinical Research, Informatics, Revenue Cycle, Meditech, Cerner, Emergency Room, Surgery, Software Documentation, Vital Signs, Medicaid, Healthcare Consulting, Patient Safety, EMR, Patient Education, Acute Care, Quality Improvement, Medical Terminology, JCAHO, Patient Advocacy, Healthcare Management, Physician Relations, Medical Records
Education
Galen School of Nursing-Tampa Bay 2008 — 2009
Nursing, Nursing Education
Temple University 2002 — 2004
General Studies
Community College of Philadelphia 1994 — 1996
Liberal Arts and Sciences, General Studies and Humanities
Alicia Scott Alicia Scott's WellCare Experience January 1998 - January 2001
Job Community Education Representative at Gulfside Regional Hospice
Industry Hospital & Health Care
Experience
Gulfside Regional Hospice November 2010 - Present
Amedisys February 2006 - November 2010
BayCare Health System January 2001 - February 2006
WellCare January 1998 - January 2001
Skills
Health Education, Senior Living, Assisted Living, Hospice, Home Care, Dementia Care, Elder Care, Patient Advocacy, Cardiac Care, Nursing, Patient Education, Palliative Care, Healthcare, Direct Patient Care, HIPAA, Medical Terminology, Patient Safety, BLS, Nursing Education, Cpr Certified, Alzheimer's disease, Gerontology, Medication..., Hospitals, Healthcare Industry, Community Outreach, Telemetry, Geriatric Nursing, Nursing Care, Vital Signs, Physician Relations, Utilization Management, Case Managment, Utilization Review, Home Health Agencies
Education
D G Erwin Technical Center 1993 — 1994
Licensed Practical Nursing, Nursing
Gulfside Regional Hospice November 2010 - Present
Amedisys February 2006 - November 2010
BayCare Health System January 2001 - February 2006
WellCare January 1998 - January 2001
Skills
Health Education, Senior Living, Assisted Living, Hospice, Home Care, Dementia Care, Elder Care, Patient Advocacy, Cardiac Care, Nursing, Patient Education, Palliative Care, Healthcare, Direct Patient Care, HIPAA, Medical Terminology, Patient Safety, BLS, Nursing Education, Cpr Certified, Alzheimer's disease, Gerontology, Medication..., Hospitals, Healthcare Industry, Community Outreach, Telemetry, Geriatric Nursing, Nursing Care, Vital Signs, Physician Relations, Utilization Management, Case Managment, Utilization Review, Home Health Agencies
Education
D G Erwin Technical Center 1993 — 1994
Licensed Practical Nursing, Nursing
Tammie Peterson, MBA/HCM's WellCare Experience November 2005 - May 2008
Job Specializing in the ACA and Government Health InsuranceMedicaid/Medicare
Industry Insurance
Experience
AADD - All About Developmental Disabilities March 2015 - Present
SRA International (Aerotek Staffing)-Contract position ending Feb. 2015 September 2014 - February 2015
Jewish Family & Career Services of Atlanta October 2013 - August 2014
Social Service Coordinators November 2011 - October 2013
Peach State Health Plan September 2010 - May 2011
Precision Weight Loss Center/Vital Health Care Group February 2009 - September 2009
WellCare November 2005 - May 2008
ALLIED HEALTH GROUP April 2005 - August 2005
THE EMORY CLINIC November 2004 - March 2005
Northwest Airlines May 1995 - January 2003
Skills
Skilled Photographer, Excellent at Marketing, Enjoy Public Health and..., Health, Community Relations, Customer Service, Microsoft Office, Event Management, Word, Event Planning, Excel, Customer Relations, Public Speaking, Data Entry, Writing, PowerPoint, Outlook, Strategic Planning, Public Relations, Photography, Voice Over, Acting, Microsoft Word, Microsoft Excel, Community Outreach, Community Development, Case Managment, Medicare, Research, Health Insurance, Program Management, Team Building, Management, Healthcare, Leadership, HIPAA, Marketing, Business Development, Insurance, Leadership Development, Social Media, Training
Education
Pro-Data, Inc-Training and Consulting Services 2015 — 2015
CAPM Certification, Project Management
Strayer University-Georgia 2012 — 2013
Executive Graduate Certificate, Marketing/Marketing Management, General
University of Phoenix 2003 — 2005
MBA, Healthcare Management
Eastern Michigan University
BA, Communications & Journalism
AADD - All About Developmental Disabilities March 2015 - Present
SRA International (Aerotek Staffing)-Contract position ending Feb. 2015 September 2014 - February 2015
Jewish Family & Career Services of Atlanta October 2013 - August 2014
Social Service Coordinators November 2011 - October 2013
Peach State Health Plan September 2010 - May 2011
Precision Weight Loss Center/Vital Health Care Group February 2009 - September 2009
WellCare November 2005 - May 2008
ALLIED HEALTH GROUP April 2005 - August 2005
THE EMORY CLINIC November 2004 - March 2005
Northwest Airlines May 1995 - January 2003
Skills
Skilled Photographer, Excellent at Marketing, Enjoy Public Health and..., Health, Community Relations, Customer Service, Microsoft Office, Event Management, Word, Event Planning, Excel, Customer Relations, Public Speaking, Data Entry, Writing, PowerPoint, Outlook, Strategic Planning, Public Relations, Photography, Voice Over, Acting, Microsoft Word, Microsoft Excel, Community Outreach, Community Development, Case Managment, Medicare, Research, Health Insurance, Program Management, Team Building, Management, Healthcare, Leadership, HIPAA, Marketing, Business Development, Insurance, Leadership Development, Social Media, Training
Education
Pro-Data, Inc-Training and Consulting Services 2015 — 2015
CAPM Certification, Project Management
Strayer University-Georgia 2012 — 2013
Executive Graduate Certificate, Marketing/Marketing Management, General
University of Phoenix 2003 — 2005
MBA, Healthcare Management
Eastern Michigan University
BA, Communications & Journalism
Crystal Warwell Walker Crystal Warwell Walker's WellCare Experience July 2012 - Present
Job Senior Director, External Communications at WellCare
Industry Insurance
Experience
WellCare Health Plans March 2015 - Present
WellCare July 2012 - Present
The Coca-Cola Company May 2009 - July 2012
The Coca-Cola Company May 2006 - May 2009
Calpine Corporation May 2002 - May 2006
Motorola Solutions May 1999 - May 2002
Motorola Solutions May 1999 - May 2001
Skills
Public Relations, Marketing Communications, Corporate Communications, Media Relations, Internal & External..., Corporate Development, Internal Communications, Press Releases, Advertising, Strategic Communications, Marketing, Strategic Planning, Program Management
Education
University of Florida
Master of Arts (M.A.), Public Relations/Japanese
Florida Agricultural and Mechanical University 1990 — 1994
Bachelor of Science (B.S.), Magazine Journalism
WellCare Health Plans March 2015 - Present
WellCare July 2012 - Present
The Coca-Cola Company May 2009 - July 2012
The Coca-Cola Company May 2006 - May 2009
Calpine Corporation May 2002 - May 2006
Motorola Solutions May 1999 - May 2002
Motorola Solutions May 1999 - May 2001
Skills
Public Relations, Marketing Communications, Corporate Communications, Media Relations, Internal & External..., Corporate Development, Internal Communications, Press Releases, Advertising, Strategic Communications, Marketing, Strategic Planning, Program Management
Education
University of Florida
Master of Arts (M.A.), Public Relations/Japanese
Florida Agricultural and Mechanical University 1990 — 1994
Bachelor of Science (B.S.), Magazine Journalism
Christopher Mills Sr.'s WellCare Experience January 2012 - June 2012
Job TFS Administrator at Wynright Corporation
Industry Information Technology and Services
Experience
Wynright Corporation February 2015 - Present
American Express August 2013 - December 2014
Geographic Solutions, Inc. June 2012 - August 2013
WellCare January 2012 - June 2012
Citizens Property Insurance June 2010 - January 2012
Technisource August 2008 - May 2010
Skills
ITIL, Java, VMware, Perforce, SDLC, Operating Systems, Release Engineering, HIPAA, Visual Studio, XML, Microsoft SQL Server, Integration, Jenkins, Continuous Integration, Software Documentation, Agile Methodologies, Visual Studio 2012..., Change Management, IIS, Scom, Testing, Scrum, .NET, C#, SCOM, System Deployment, Active Directory
Education
University of Phoenix (Online) 2009 — 2011
Masters Program
Computer Tutors 2009 — 2010
Certifications
Florida Agricultural and Mechanical University 2001 — 2007
Bachelors
Wynright Corporation February 2015 - Present
American Express August 2013 - December 2014
Geographic Solutions, Inc. June 2012 - August 2013
WellCare January 2012 - June 2012
Citizens Property Insurance June 2010 - January 2012
Technisource August 2008 - May 2010
Skills
ITIL, Java, VMware, Perforce, SDLC, Operating Systems, Release Engineering, HIPAA, Visual Studio, XML, Microsoft SQL Server, Integration, Jenkins, Continuous Integration, Software Documentation, Agile Methodologies, Visual Studio 2012..., Change Management, IIS, Scom, Testing, Scrum, .NET, C#, SCOM, System Deployment, Active Directory
Education
University of Phoenix (Online) 2009 — 2011
Masters Program
Computer Tutors 2009 — 2010
Certifications
Florida Agricultural and Mechanical University 2001 — 2007
Bachelors
Peter Sperico FNP MSN LNC MSCC NCM Peter Sperico FNP MSN LNC MSCC NCM's WellCare Experience November 2012 - March 2013
Job Medical Case Manager at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans June 2014 - Present
JustAnswers.com March 2012 - Present
PETER SPERICO NURSE PRACTITIONER IN FAMILY MEDICINE PC February 2011 - Present
Resource Staffing Group Inc. for Florida Medical Quality Assurance, Inc March 2014 - June 2014
Capricorn Systems, Inc. for Well Care January 2014 - March 2014
Shore Acres Nursing and Rehabilitation March 2013 - July 2013
WellCare November 2012 - March 2013
Simply Better Health Care October 2012 - November 2012
Village Care of New York July 2011 - January 2012
Support Claims Services April 2010 - July 2011
Skills
Nursing, Critical Care, Medicare, Quality Assurance, Expert Witness, Utilization Review, Wound Care, Family Medicine, Medical Case Consultant, Medicare Set Aside, Legal Nurse Consultant, Emergency Medicine, Firefighting, Fire Safety, Heavy Rescue, SCUBA Rescue, Hazmat Tech, Clinical Research, Insurance, Claims Management, Healthcare, Healthcare Management, Hospitals, Medicine
Education
Long Island University, C.W. Post Campus 2007 — 2009
Masters in Science in Nursing (MSN), Family Nurse Practitioner - Advance Practice Nursing, 3.45
Long Island University, C.W. Post Campus 2005 — 2007
Bachelor of Science (BS), Nursing Science, 3.45
LIU Brooklyn 2002 — 2003
Certification, Legal Nurse Consultant, 3.5
New York Institute of Technology-Old Westbury 1989 — 1990
Computer and Information Sciences, General
Farmingdale State University of New York 1986 — 1988
Associates Degree in Nursing (ASN), Nursing, 3.32
SUNY Stony Brook 1982 — 1985
3 years of Study, Solid State Physic & Large Molecular Chemistry
WellCare Health Plans June 2014 - Present
JustAnswers.com March 2012 - Present
PETER SPERICO NURSE PRACTITIONER IN FAMILY MEDICINE PC February 2011 - Present
Resource Staffing Group Inc. for Florida Medical Quality Assurance, Inc March 2014 - June 2014
Capricorn Systems, Inc. for Well Care January 2014 - March 2014
Shore Acres Nursing and Rehabilitation March 2013 - July 2013
WellCare November 2012 - March 2013
Simply Better Health Care October 2012 - November 2012
Village Care of New York July 2011 - January 2012
Support Claims Services April 2010 - July 2011
Skills
Nursing, Critical Care, Medicare, Quality Assurance, Expert Witness, Utilization Review, Wound Care, Family Medicine, Medical Case Consultant, Medicare Set Aside, Legal Nurse Consultant, Emergency Medicine, Firefighting, Fire Safety, Heavy Rescue, SCUBA Rescue, Hazmat Tech, Clinical Research, Insurance, Claims Management, Healthcare, Healthcare Management, Hospitals, Medicine
Education
Long Island University, C.W. Post Campus 2007 — 2009
Masters in Science in Nursing (MSN), Family Nurse Practitioner - Advance Practice Nursing, 3.45
Long Island University, C.W. Post Campus 2005 — 2007
Bachelor of Science (BS), Nursing Science, 3.45
LIU Brooklyn 2002 — 2003
Certification, Legal Nurse Consultant, 3.5
New York Institute of Technology-Old Westbury 1989 — 1990
Computer and Information Sciences, General
Farmingdale State University of New York 1986 — 1988
Associates Degree in Nursing (ASN), Nursing, 3.32
SUNY Stony Brook 1982 — 1985
3 years of Study, Solid State Physic & Large Molecular Chemistry
Noreen Ash Noreen Ash's WellCare Experience July 2013 - Present
Job Manager, Coding Analysis
Industry Insurance
Experience
WellCare July 2013 - Present
ConnectiCare August 2010 - July 2013
ConnectiCare September 2006 - July 2010
ConnectiCare July 2004 - August 2006
ConnectiCare July 2001 - June 2004
ConnectiCare January 1999 - June 2001
ConnectiCare March 1998 - December 1998
ConnectiCare March 1997 - February 1998
New Britain General Hospital March 1992 - March 1997
Cigna Healthcare March 1990 - February 1992
Skills
Insurance, Medicare, Process Improvement, HIPAA, Claim, Healthcare, Medicaid, Team Building, Data Analysis, Business Analysis, Analysis, Access, Enterprise Software, Health Insurance, Employee Benefits, Leadership, Managed Care, Microsoft SQL Server, Program Management, Training, Operations Management, Software Documentation
Education
Eastern Connecticut State University
WellCare July 2013 - Present
ConnectiCare August 2010 - July 2013
ConnectiCare September 2006 - July 2010
ConnectiCare July 2004 - August 2006
ConnectiCare July 2001 - June 2004
ConnectiCare January 1999 - June 2001
ConnectiCare March 1998 - December 1998
ConnectiCare March 1997 - February 1998
New Britain General Hospital March 1992 - March 1997
Cigna Healthcare March 1990 - February 1992
Skills
Insurance, Medicare, Process Improvement, HIPAA, Claim, Healthcare, Medicaid, Team Building, Data Analysis, Business Analysis, Analysis, Access, Enterprise Software, Health Insurance, Employee Benefits, Leadership, Managed Care, Microsoft SQL Server, Program Management, Training, Operations Management, Software Documentation
Education
Eastern Connecticut State University
Elida Cruz's WellCare Experience March 2011 - May 2013
Job Patient Community Relationship Specialist at JenCare Medical Center
Industry Banking
Experience
JenCare Medical Center September 2014 - Present
Family Health Network May 2013 - April 2014
WellCare March 2011 - May 2013
City of Chicago September 2010 - February 2011
JPMorgan Chase September 2007 - January 2010
USBank June 2006 - January 2007
charter one bank 2004 - 2006
Citibank 2000 - 2002
puerto Rican chamber of commerce 1994 - 2001
Banco Popular de Puerto Rico 1996 - 1998
Skills
Banking, Commercial Lending, Finance, Portfolio Management, Commercial Banking, Integrated Marketing, Underwriting, Loans, Insurance, Risk Management, Credit, Relationship Management, Financial Services, Mortgage Lending, Credit Analysis, Cross Selling, Retail Banking
Education
DePaul University
Bachelor's Degree, Business/Managerial Economics
International School of Ministry 2011 — 2014
Bachelor's Degree, Pastoral Studies
Robert Morris University - Illinois 1982 — 1983
Associate's Degree, Business Administration and Management, General
JenCare Medical Center September 2014 - Present
Family Health Network May 2013 - April 2014
WellCare March 2011 - May 2013
City of Chicago September 2010 - February 2011
JPMorgan Chase September 2007 - January 2010
USBank June 2006 - January 2007
charter one bank 2004 - 2006
Citibank 2000 - 2002
puerto Rican chamber of commerce 1994 - 2001
Banco Popular de Puerto Rico 1996 - 1998
Skills
Banking, Commercial Lending, Finance, Portfolio Management, Commercial Banking, Integrated Marketing, Underwriting, Loans, Insurance, Risk Management, Credit, Relationship Management, Financial Services, Mortgage Lending, Credit Analysis, Cross Selling, Retail Banking
Education
DePaul University
Bachelor's Degree, Business/Managerial Economics
International School of Ministry 2011 — 2014
Bachelor's Degree, Pastoral Studies
Robert Morris University - Illinois 1982 — 1983
Associate's Degree, Business Administration and Management, General
Christine Saunders Christine Saunders's WellCare Experience January 2005 - August 2010
Job RN at Bayshore Residence and Rehabilitation Center
Industry Hospital & Health Care
Experience
Bayshore Residence and Rehabilitation Center September 2013 - Present
CareBear Home Care October 2011 - June 2013
Brandon Health and Rehabilitation May 2012 - June 2012
Westchester Gardens March 2012 - May 2012
Tampa General Hospital February 2011 - March 2011
WellCare January 2005 - August 2010
Capital One August 1998 - October 2004
Skills
Client Communication, Personal Care, Care Planning, Health Insurance, Appeals, Medicare, Medicaid, Claims Resolution, Credit Cards, Customer Service, Issue Resolution, Finance, Nursing, Cpr Certified, BLS, Direct Patient Care, Healthcare, Managed Care, Patient Safety, Patient Advocacy, Medical Terminology, CPR Certified, Clinical Research, HIPAA, Home Care
Education
Concorde Career Institute-Tampa 2011 — 2013
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Concorde Career Institute-Tampa 2010 — 2011
Patient Care Technician/CNA, Nursing Assistant/Aide and Patient Care Assistant/Aide
Bayshore Residence and Rehabilitation Center September 2013 - Present
CareBear Home Care October 2011 - June 2013
Brandon Health and Rehabilitation May 2012 - June 2012
Westchester Gardens March 2012 - May 2012
Tampa General Hospital February 2011 - March 2011
WellCare January 2005 - August 2010
Capital One August 1998 - October 2004
Skills
Client Communication, Personal Care, Care Planning, Health Insurance, Appeals, Medicare, Medicaid, Claims Resolution, Credit Cards, Customer Service, Issue Resolution, Finance, Nursing, Cpr Certified, BLS, Direct Patient Care, Healthcare, Managed Care, Patient Safety, Patient Advocacy, Medical Terminology, CPR Certified, Clinical Research, HIPAA, Home Care
Education
Concorde Career Institute-Tampa 2011 — 2013
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Concorde Career Institute-Tampa 2010 — 2011
Patient Care Technician/CNA, Nursing Assistant/Aide and Patient Care Assistant/Aide
Ryan R. Nimtz Ryan R. Nimtz's WellCare Experience July 2012 - February 2015
Job Pharmacy Operations Director
Industry Pharmaceuticals
Experience
WellCare Health Plans February 2015 - Present
WellCare July 2012 - February 2015
WellCare July 2011 - June 2012
Walgreens August 2007 - June 2011
Advanced Pharmacy Practice Rotations May 2010 - May 2011
Drake University August 2008 - May 2009
Skills
Organizational Learning, Thought Leadership, Innovative Thinking, Managed Care, Medication Therapy..., Healthcare, Public Speaking, PowerPoint, Clinical Research, Medicare, Pharmacy Benefit...
Education
Drake University 2005 — 2011
PharmD, Pharmacy
Drake University 2005 — 2011
Masters of Business Administration, Business
WellCare Health Plans February 2015 - Present
WellCare July 2012 - February 2015
WellCare July 2011 - June 2012
Walgreens August 2007 - June 2011
Advanced Pharmacy Practice Rotations May 2010 - May 2011
Drake University August 2008 - May 2009
Skills
Organizational Learning, Thought Leadership, Innovative Thinking, Managed Care, Medication Therapy..., Healthcare, Public Speaking, PowerPoint, Clinical Research, Medicare, Pharmacy Benefit...
Education
Drake University 2005 — 2011
PharmD, Pharmacy
Drake University 2005 — 2011
Masters of Business Administration, Business
Jennifer Sampson Jennifer Sampson's WellCare Experience February 2012 - April 2015
Job Director, Medical Economics at UnitedHealth Group
Industry Insurance
Experience
UnitedHealth Group April 2015 - Present
WellCare February 2012 - April 2015
PODS May 2011 - February 2012
WellCare July 2009 - May 2011
McNichols Company March 2007 - February 2009
Federal Reserve Bank of Philadelphia June 2005 - January 2007
Federal Reserve Bank of Philadelphia October 2000 - June 2005
Skills
Problem Solving, Data Analysis, Access, Analysis, SAS, Excel, Microsoft Office, Financial Analysis, Forecasting, Marketing Strategy, Word, PowerPoint, Business Analysis, Writing, Microsoft Excel, Healthcare Analytics, Healthcare Industry, Analytics, Leadership, Training, Competitive Analysis, Project Management, Marketing, Databases, Microsoft Word, Finance
Education
Drexel University 2005 — 2007
MBA, Business Administration, MIS
Stockton University 1996 — 2000
BA, Economics
UnitedHealth Group April 2015 - Present
WellCare February 2012 - April 2015
PODS May 2011 - February 2012
WellCare July 2009 - May 2011
McNichols Company March 2007 - February 2009
Federal Reserve Bank of Philadelphia June 2005 - January 2007
Federal Reserve Bank of Philadelphia October 2000 - June 2005
Skills
Problem Solving, Data Analysis, Access, Analysis, SAS, Excel, Microsoft Office, Financial Analysis, Forecasting, Marketing Strategy, Word, PowerPoint, Business Analysis, Writing, Microsoft Excel, Healthcare Analytics, Healthcare Industry, Analytics, Leadership, Training, Competitive Analysis, Project Management, Marketing, Databases, Microsoft Word, Finance
Education
Drexel University 2005 — 2007
MBA, Business Administration, MIS
Stockton University 1996 — 2000
BA, Economics
Victor Alberto Diaz, MD, MPH, MPA Victor Alberto Diaz, MD, MPH, MPA's WellCare Experience July 2007 - April 2010
Job Medical Director, Texas/Louisiana at WellCare Health Plans
Industry Hospital & Health Care
Experience
WellCare Health Plans May 2014 - Present
Concentra September 2006 - April 2014
NCQA 1996 - 2013
WellCare July 2007 - April 2010
Humana Military Healthcare Services 2002 - 2004
WellPoint 1996 - 2002
Aetna Health Plans 1993 - 1996
CIGNA Healthcare 1990 - 1993
Skills
Managed Care, Medical Management, Medicare, Healthcare Management, Utilization Management, Disease Management, Healthcare, Health, Clinical, Case Management, Health Insurance, Care Management, EMR, Quality Management, Public Health, Strategic Planning, Credentialing, Prevention, Wellness, Team Building, Process Improvement, Case Managment, Clinical Research, Management, Medicaid, Healthcare Industry, Medicine, Practice Management, EHR, Employee Benefits, Quality Improvement, Healthcare Information..., Health Policy, Family Medicine, NCQA, Physicians, HIPAA, Provider Relations, Physician Relations, Accreditation
Education
Universidad Autónoma de Nuevo León 1967 — 1973
M.D., Medicine (Physician)
Duke University School of Medicine
Family Med Residency, Residency in Family Medicine
University of San Francisco - School of Management
M.P.A., Health Services Administration
Harvard Medical School
Fellowship, Fellowship in Clinical Epidemiology
Harvard T.H. Chan School of Public Health
M.P.H., Epidemiology
The University of Texas at Austin
B.A., Microbiology
WellCare Health Plans May 2014 - Present
Concentra September 2006 - April 2014
NCQA 1996 - 2013
WellCare July 2007 - April 2010
Humana Military Healthcare Services 2002 - 2004
WellPoint 1996 - 2002
Aetna Health Plans 1993 - 1996
CIGNA Healthcare 1990 - 1993
Skills
Managed Care, Medical Management, Medicare, Healthcare Management, Utilization Management, Disease Management, Healthcare, Health, Clinical, Case Management, Health Insurance, Care Management, EMR, Quality Management, Public Health, Strategic Planning, Credentialing, Prevention, Wellness, Team Building, Process Improvement, Case Managment, Clinical Research, Management, Medicaid, Healthcare Industry, Medicine, Practice Management, EHR, Employee Benefits, Quality Improvement, Healthcare Information..., Health Policy, Family Medicine, NCQA, Physicians, HIPAA, Provider Relations, Physician Relations, Accreditation
Education
Universidad Autónoma de Nuevo León 1967 — 1973
M.D., Medicine (Physician)
Duke University School of Medicine
Family Med Residency, Residency in Family Medicine
University of San Francisco - School of Management
M.P.A., Health Services Administration
Harvard Medical School
Fellowship, Fellowship in Clinical Epidemiology
Harvard T.H. Chan School of Public Health
M.P.H., Epidemiology
The University of Texas at Austin
B.A., Microbiology
Antwan Maddox Antwan Maddox's WellCare Experience June 2010 - August 2010
Job Software Quality/IT Systems Analyst at Cyprexx Services
Industry Computer Software
Experience
Cyprexx Services August 2010 - Present
Catalina Marketing 2015 - 2015
Jackson Hewitt Tax Service Inc. 2014 - 2014
Jackson Hewitt Tax Service Inc. 2014 - 2014
Randstad Technologies US 2012 - 2012
Kforce 2012 - 2012
KForce 2012 - 2012
WellCare June 2010 - August 2010
IDEAL Technology Corp. August 2007 - April 2010
Veredus 2010 - 2010
Skills
Testing, Visual Studio, Java, SQL, Quality Assurance, C++, StarTeam, Linux, C, C#, Shell Scripting, White Box Testing, Program Management, Software Quality..., Software Development, SDLC, Quality Center, Test Planning, Microsoft SQL Server, User Acceptance Testing, Test Automation, Regression Testing, SharePoint, Test Cases, Databases, Software Documentation, Manual Testing, Business Analysis, Agile Methodologies, Web Applications, Requirements Analysis, Windows, XML, VB.NET, TFS, Software Project..., Visio, Project Management, ASP.NET, Visual Basic, Defect Tracking, Web Services, Unix, Integration
Education
Keller Graduate School of Management of DeVry University 2010 — 2012
Master of Business Administration (M.B.A.), Business, 3.75
DeVry University-Florida 2001 — 2004
Bachelor of Science (B.S.), Computer and Information Systems Security/Information Assurance, 3.89
Cyprexx Services August 2010 - Present
Catalina Marketing 2015 - 2015
Jackson Hewitt Tax Service Inc. 2014 - 2014
Jackson Hewitt Tax Service Inc. 2014 - 2014
Randstad Technologies US 2012 - 2012
Kforce 2012 - 2012
KForce 2012 - 2012
WellCare June 2010 - August 2010
IDEAL Technology Corp. August 2007 - April 2010
Veredus 2010 - 2010
Skills
Testing, Visual Studio, Java, SQL, Quality Assurance, C++, StarTeam, Linux, C, C#, Shell Scripting, White Box Testing, Program Management, Software Quality..., Software Development, SDLC, Quality Center, Test Planning, Microsoft SQL Server, User Acceptance Testing, Test Automation, Regression Testing, SharePoint, Test Cases, Databases, Software Documentation, Manual Testing, Business Analysis, Agile Methodologies, Web Applications, Requirements Analysis, Windows, XML, VB.NET, TFS, Software Project..., Visio, Project Management, ASP.NET, Visual Basic, Defect Tracking, Web Services, Unix, Integration
Education
Keller Graduate School of Management of DeVry University 2010 — 2012
Master of Business Administration (M.B.A.), Business, 3.75
DeVry University-Florida 2001 — 2004
Bachelor of Science (B.S.), Computer and Information Systems Security/Information Assurance, 3.89
Lorrie Steele Lorrie Steele's WellCare Experience 2004 - 2005
Job Client Manager
Industry Hospital & Health Care
Experience
Connolly iHealth Technologies July 2015 - Present
Aetna July 2014 - Present
UnitedHealth Group August 2012 - November 2013
Barnes Health Care Services January 2005 - August 2012
WellCare 2004 - 2005
Vista Health Plan (Conventry) 2001 - 2004
Consultec 1997 - 1999
Skills
Medicaid, Managed Care, Provider Relations, Medicaid Managed Care, Provider Contracting, Credentialing, Healthcare, HMO, PPO, Medicare, Healthcare Information..., Physicians, Hospitals, EHR, Training, Network Development, Recruiting, Healthcare Industry, HIPAA, Healthcare Management, Practice Management, Policy, EMR, Business Development, Health Insurance, Healthcare Consulting, Insurance, Revenue Cycle, Health Policy, Medical Billing, Medical Coding, Medicare Part D, Quality Improvement, Home Care
Education
College of the Mainland 1993 — 1996
Health Sciences
Des Moines Area Community College 1986 — 1988
AS, Legal Assistant
Connolly iHealth Technologies July 2015 - Present
Aetna July 2014 - Present
UnitedHealth Group August 2012 - November 2013
Barnes Health Care Services January 2005 - August 2012
WellCare 2004 - 2005
Vista Health Plan (Conventry) 2001 - 2004
Consultec 1997 - 1999
Skills
Medicaid, Managed Care, Provider Relations, Medicaid Managed Care, Provider Contracting, Credentialing, Healthcare, HMO, PPO, Medicare, Healthcare Information..., Physicians, Hospitals, EHR, Training, Network Development, Recruiting, Healthcare Industry, HIPAA, Healthcare Management, Practice Management, Policy, EMR, Business Development, Health Insurance, Healthcare Consulting, Insurance, Revenue Cycle, Health Policy, Medical Billing, Medical Coding, Medicare Part D, Quality Improvement, Home Care
Education
College of the Mainland 1993 — 1996
Health Sciences
Des Moines Area Community College 1986 — 1988
AS, Legal Assistant
Carole Matyas's WellCare Experience August 2011 - Present
Job Healthcare Executive
Industry Hospital & Health Care
Experience
WellCare August 2011 - Present
Bay Care Health System January 2010 - July 2011
Magellan Health Services April 2006 - August 2009
Schaller Anderson February 2004 - March 2006
ValueOptions April 1999 - January 2004
Skills
Utilization Management, Medicaid, Behavioral Health, Managed Care, Healthcare, Medicare, Mental Health, Provider Relations, Practice Management, Physician Relations, HIPAA, PPO, Medicine, Social Services, Disease Management, Case Managment, Health Policy, Medicaid Managed Care, Performance Improvement, Health Insurance, Revenue Cycle, Program Development, Physicians, Healthcare Management, Hospitals, Case Management
Education
Marywood University 1974 — 1979
MSW, Social Work
East Stroudsburg University of Pennsylvania 1974 — 1976
East Stroudsburg High School
WellCare August 2011 - Present
Bay Care Health System January 2010 - July 2011
Magellan Health Services April 2006 - August 2009
Schaller Anderson February 2004 - March 2006
ValueOptions April 1999 - January 2004
Skills
Utilization Management, Medicaid, Behavioral Health, Managed Care, Healthcare, Medicare, Mental Health, Provider Relations, Practice Management, Physician Relations, HIPAA, PPO, Medicine, Social Services, Disease Management, Case Managment, Health Policy, Medicaid Managed Care, Performance Improvement, Health Insurance, Revenue Cycle, Program Development, Physicians, Healthcare Management, Hospitals, Case Management
Education
Marywood University 1974 — 1979
MSW, Social Work
East Stroudsburg University of Pennsylvania 1974 — 1976
East Stroudsburg High School
Archie Hamilton Archie Hamilton's WellCare Experience April 2013 - June 2015
Job Behavioral Health Manager
Industry Hospital & Health Care
Experience
Qsource June 2015 - Present
WellCare April 2013 - June 2015
Aetna January 2009 - March 2013
BJC Behavioral Health 2006 - 2009
Skills
Healthcare, Behavioral Health, Case Management, Mental Health, Case Managment, Psychotherapy, Public Speaking, Hospitals, Mental Health Counseling, Utilization Management, Motivational..., Clinical Research, Crisis Intervention, Group Therapy, Family Therapy, Insurance, CBT, Employee Benefits, Motivational...
Education
Covenant Theological Seminary 2003 — 2005
Master of Arts (M.A.), Counseling Psychology
The University of Memphis 1996 — 2001
Bachelor of Arts (B.A.), Philosophy
White Station 1992 — 1996
Qsource June 2015 - Present
WellCare April 2013 - June 2015
Aetna January 2009 - March 2013
BJC Behavioral Health 2006 - 2009
Skills
Healthcare, Behavioral Health, Case Management, Mental Health, Case Managment, Psychotherapy, Public Speaking, Hospitals, Mental Health Counseling, Utilization Management, Motivational..., Clinical Research, Crisis Intervention, Group Therapy, Family Therapy, Insurance, CBT, Employee Benefits, Motivational...
Education
Covenant Theological Seminary 2003 — 2005
Master of Arts (M.A.), Counseling Psychology
The University of Memphis 1996 — 2001
Bachelor of Arts (B.A.), Philosophy
White Station 1992 — 1996
Geoffrey L. Petrie's WellCare Experience December 2009 - Present
Job Senior Director, Regulatory Affairs and Compliance
Industry Insurance
Experience
WellCare December 2009 - Present
WellCare Health Plans 2006 - 2015
WellCare May 2006 - December 2009
Florida Agency for Health Care Administration January 2005 - May 2006
Florida Agency for Health Care Administration August 2003 - January 2005
Skills
Health Insurance, Managed Care, Health Policy, Medicaid, Regulatory Affairs, Healthcare, Medicare, HIPAA, Healthcare Management, Contract Negotiation, Medical Compliance, HMO, Healthcare Industry, Medicare Part D, Healthcare Consulting, Provider Relations, Leadership, Insurance, Process Improvement
Education
Emory University 1989 — 1993
Bachelor of Arts, Political Science
The Canterbury School of Florida
General
WellCare December 2009 - Present
WellCare Health Plans 2006 - 2015
WellCare May 2006 - December 2009
Florida Agency for Health Care Administration January 2005 - May 2006
Florida Agency for Health Care Administration August 2003 - January 2005
Skills
Health Insurance, Managed Care, Health Policy, Medicaid, Regulatory Affairs, Healthcare, Medicare, HIPAA, Healthcare Management, Contract Negotiation, Medical Compliance, HMO, Healthcare Industry, Medicare Part D, Healthcare Consulting, Provider Relations, Leadership, Insurance, Process Improvement
Education
Emory University 1989 — 1993
Bachelor of Arts, Political Science
The Canterbury School of Florida
General
David Choi's WellCare Experience April 2009 - June 2009
Job
Industry Management Consulting
Experience
BCBSNC March 2015 - Present
SCAN Health Plan February 2013 - February 2015
Regional Health Insurance Company August 2012 - December 2012
HCSC February 2011 - August 2012
WellPoint November 2009 - February 2011
Express Scripts June 2009 - November 2009
WellCare April 2009 - June 2009
WellPoint February 2009 - April 2009
Independence Blue Cross June 2008 - January 2009
Highmark March 2008 - June 2008
Skills
Healthcare, Strategy, Management, Business Analysis, Process Improvement, Training, Integration, Management Consulting, Project Management, Health Insurance, Healthcare Consulting, Business Process..., Healthcare Information..., Change Management, Insurance, Medicare, Product Development, Data Analysis, Enterprise Software, Governance
Education
University of Minnesota - Carlson School of Management 2003 — 2005
Minor
University of Minnesota-Twin Cities 2001 — 2005
B.BMEn
Pohang University of Science and Technology 2004 — 2004
Eidgenössische Technische Hochschule Zürich 2003 — 2003
BCBSNC March 2015 - Present
SCAN Health Plan February 2013 - February 2015
Regional Health Insurance Company August 2012 - December 2012
HCSC February 2011 - August 2012
WellPoint November 2009 - February 2011
Express Scripts June 2009 - November 2009
WellCare April 2009 - June 2009
WellPoint February 2009 - April 2009
Independence Blue Cross June 2008 - January 2009
Highmark March 2008 - June 2008
Skills
Healthcare, Strategy, Management, Business Analysis, Process Improvement, Training, Integration, Management Consulting, Project Management, Health Insurance, Healthcare Consulting, Business Process..., Healthcare Information..., Change Management, Insurance, Medicare, Product Development, Data Analysis, Enterprise Software, Governance
Education
University of Minnesota - Carlson School of Management 2003 — 2005
Minor
University of Minnesota-Twin Cities 2001 — 2005
B.BMEn
Pohang University of Science and Technology 2004 — 2004
Eidgenössische Technische Hochschule Zürich 2003 — 2003
Joe Chung's WellCare Experience May 2007 - July 2007
Job Software Engineer at Microsoft
Industry Computer Software
Experience
Microsoft August 2014 - Present
WageWorks September 2013 - May 2014
BST Global November 2012 - April 2013
Microsoft December 2007 - October 2012
Crosspointe Schools Online August 2007 - November 2007
WellCare May 2007 - July 2007
Bayshore Solutions November 2006 - May 2007
Citigroup August 2006 - October 2006
Curtiss Wright February 2002 - July 2006
American Tower 2000 - 2000
Skills
ASP.NET, Microsoft SQL Server, IIS, Silverlight, Windows Server, C#, Visual Studio, .NET, Software Development, XML, Agile Methodologies, JavaScript, SQL, SharePoint, Web Services, Web Applications, Visual Basic, jQuery, WCF, T-SQL, ASP.NET MVC, CSS, AJAX, HTML, LINQ, VB.NET, HTML 5, Web Development
Education
Duke University 1988 — 1992
B.S., Computer Science
Microsoft August 2014 - Present
WageWorks September 2013 - May 2014
BST Global November 2012 - April 2013
Microsoft December 2007 - October 2012
Crosspointe Schools Online August 2007 - November 2007
WellCare May 2007 - July 2007
Bayshore Solutions November 2006 - May 2007
Citigroup August 2006 - October 2006
Curtiss Wright February 2002 - July 2006
American Tower 2000 - 2000
Skills
ASP.NET, Microsoft SQL Server, IIS, Silverlight, Windows Server, C#, Visual Studio, .NET, Software Development, XML, Agile Methodologies, JavaScript, SQL, SharePoint, Web Services, Web Applications, Visual Basic, jQuery, WCF, T-SQL, ASP.NET MVC, CSS, AJAX, HTML, LINQ, VB.NET, HTML 5, Web Development
Education
Duke University 1988 — 1992
B.S., Computer Science
Nancy Westbrook's WellCare Experience May 2006 - Present
Job Director at WellCare
Industry Health, Wellness and Fitness
Experience
WellCare May 2006 - Present
WellCare Healthplans Inc. 2006 - Present
WellCare Health Plans, Inc. 2006 - Present
Education
Emory University School of Medicine 1978 — 1979
MMSc, Nutrition
Florida State University 1973 — 1977
WellCare May 2006 - Present
WellCare Healthplans Inc. 2006 - Present
WellCare Health Plans, Inc. 2006 - Present
Education
Emory University School of Medicine 1978 — 1979
MMSc, Nutrition
Florida State University 1973 — 1977
Luke Lovgren's WellCare Experience June 2013 - March 2015
Job Director, Medicare/Medicaid Encounters at WellCare
Industry Insurance
Experience
WellCare Health Plans March 2015 - Present
WellCare June 2013 - March 2015
WellCare July 2008 - June 2013
General Electric, Xerox Capital Services June 2000 - October 2007
GE Commercial Finance (XCS) June 2000 - October 2007
GE Commercial Finance (Xerox Capital Services) 2000 - 2007
Skills
Business Strategy, Business Process..., Change Management, Six Sigma, Performance Management, Management, Business Analysis, Cross-functional Team..., Process Improvement, Financial Analysis, Team Building, Budgets, Continuous Improvement, Customer Service, Data Analysis, Analysis, Operations Management, Strategic Planning, Project Management, Finance, Team Leadership, Insurance, Leadership, Executive Management, Risk Management, Program Management, New Business Development, Forecasting, Vendor Management, Sales, CRM, Management Consulting, Strategy
Education
University of Phoenix 2001 — 2003
Master of Business Administration (MBA)
Eckerd College 1996 — 2000
Bachelor of Science, International Business
WellCare Health Plans March 2015 - Present
WellCare June 2013 - March 2015
WellCare July 2008 - June 2013
General Electric, Xerox Capital Services June 2000 - October 2007
GE Commercial Finance (XCS) June 2000 - October 2007
GE Commercial Finance (Xerox Capital Services) 2000 - 2007
Skills
Business Strategy, Business Process..., Change Management, Six Sigma, Performance Management, Management, Business Analysis, Cross-functional Team..., Process Improvement, Financial Analysis, Team Building, Budgets, Continuous Improvement, Customer Service, Data Analysis, Analysis, Operations Management, Strategic Planning, Project Management, Finance, Team Leadership, Insurance, Leadership, Executive Management, Risk Management, Program Management, New Business Development, Forecasting, Vendor Management, Sales, CRM, Management Consulting, Strategy
Education
University of Phoenix 2001 — 2003
Master of Business Administration (MBA)
Eckerd College 1996 — 2000
Bachelor of Science, International Business
Mike Chernicky's WellCare Experience 2011 - Present
Job Business Data Analyst
Industry Information Technology and Services
Experience
WellCare 2011 - Present
Verizon April 2008 - July 2011
Infinitive Resources April 2008 - July 2011
Prudential Tropical Realty January 2004 - September 2009
Prudential Tropical Realty January 2004 - September 2009
Verizon Data Services March 1998 - November 2003
Verizon Data Services January 2001 - January 2003
Verizon Data Services January 1998 - January 2001
Education
Edinboro University of Pennsylvania 1974 — 1978
BA, Mathematics
Edinboro University of Pennsylvania
BA; work, Mathematics; Computer Science
WellCare 2011 - Present
Verizon April 2008 - July 2011
Infinitive Resources April 2008 - July 2011
Prudential Tropical Realty January 2004 - September 2009
Prudential Tropical Realty January 2004 - September 2009
Verizon Data Services March 1998 - November 2003
Verizon Data Services January 2001 - January 2003
Verizon Data Services January 1998 - January 2001
Education
Edinboro University of Pennsylvania 1974 — 1978
BA, Mathematics
Edinboro University of Pennsylvania
BA; work, Mathematics; Computer Science
Sidhartha Jain , PMP's WellCare Experience September 2005 - Present
Job Development Manager at WellCare
Industry Information Technology and Services
Experience
WellCare September 2005 - Present
Affilliated Computer Systems March 2003 - September 2005
McDonalds Restaurants October 2002 - February 2003
Health Care Research Center (Procter & Gamble Pharmaceuticals) September 2001 - September 2002
IstarSystems (Subsidiary of Toyota Motors) December 2000 - August 2001
Deutsche Bank 1997 - 2000
Globsyn Technologies 1998 - 1998
Karol Bagh 1980 - 1995
Skills
Medicare, Medicaid, Managed Care, Healthcare, HIPAA, Six Sigma, Budgets, Business Process..., Strategic Planning, Outsourcing Management, Quality Assurance, .NET, Oracle, SDLC, Business Analysis, Project Management, Cross Functional..., Data Analysis, Enterprise Architecture, Leadership, Data Warehousing, Vendor Management, Program Management, PMP, Project Portfolio..., Resource Management, SOA, Requirements Analysis, Microsoft SQL Server, PL/SQL, SQL, MS Project, Data Center, Agile Methodologies, User Acceptance Testing, Integration, Visio, Software Project..., Systems Analysis, Process Improvement, Healthcare Information..., Software Development, Software Documentation, Disaster Recovery
Education
Delhi University 1993 — 1996
Bachelor of Science (B.Sc.), Computer Science
Manav Sthali 1980 — 1993
High School, High School/Secondary Diplomas and Certificates
WellCare September 2005 - Present
Affilliated Computer Systems March 2003 - September 2005
McDonalds Restaurants October 2002 - February 2003
Health Care Research Center (Procter & Gamble Pharmaceuticals) September 2001 - September 2002
IstarSystems (Subsidiary of Toyota Motors) December 2000 - August 2001
Deutsche Bank 1997 - 2000
Globsyn Technologies 1998 - 1998
Karol Bagh 1980 - 1995
Skills
Medicare, Medicaid, Managed Care, Healthcare, HIPAA, Six Sigma, Budgets, Business Process..., Strategic Planning, Outsourcing Management, Quality Assurance, .NET, Oracle, SDLC, Business Analysis, Project Management, Cross Functional..., Data Analysis, Enterprise Architecture, Leadership, Data Warehousing, Vendor Management, Program Management, PMP, Project Portfolio..., Resource Management, SOA, Requirements Analysis, Microsoft SQL Server, PL/SQL, SQL, MS Project, Data Center, Agile Methodologies, User Acceptance Testing, Integration, Visio, Software Project..., Systems Analysis, Process Improvement, Healthcare Information..., Software Development, Software Documentation, Disaster Recovery
Education
Delhi University 1993 — 1996
Bachelor of Science (B.Sc.), Computer Science
Manav Sthali 1980 — 1993
High School, High School/Secondary Diplomas and Certificates
Loni Coleman's WellCare Experience March 2008 - July 2012
Job Informatics Consultant/Lead at Aetna
Industry Hospital & Health Care
Experience
Aetna June 2014 - Present
Aetna December 2013 - Present
Coventry Health Care - An AETNA Company July 2012 - Present
WellCare March 2008 - July 2012
Market Street Mortgage January 2000 - July 2007
CCN\Medview November 1994 - November 1999
Skills
MS Project, Visual Basic, Visio, Project Management, Business Intelligence, COGNOS BI, P/L SQL, SDLC, Crystal Reports, Data Warehousing, Software Design, Systems Analysis, Requirements Analysis, SharePoint, Process Improvement, T-SQL, PL/SQL, Requirements Gathering, Microsoft SQL Server, Software Documentation, SQL, Data Modeling, Integration, Data Analysis, ETL, Analysis, Business Analysis, Cognos, Databases, Software Project..., Database Design, Business Process..., Full SDLC, Agile Methodologies, .NET, Management, ROI Management, Business Process, Enterprise Architecture, Access, Business Requirements, SSIS, Vendor Management
Education
Duke University 1977 — 1980
Mahopac High School
Aetna June 2014 - Present
Aetna December 2013 - Present
Coventry Health Care - An AETNA Company July 2012 - Present
WellCare March 2008 - July 2012
Market Street Mortgage January 2000 - July 2007
CCN\Medview November 1994 - November 1999
Skills
MS Project, Visual Basic, Visio, Project Management, Business Intelligence, COGNOS BI, P/L SQL, SDLC, Crystal Reports, Data Warehousing, Software Design, Systems Analysis, Requirements Analysis, SharePoint, Process Improvement, T-SQL, PL/SQL, Requirements Gathering, Microsoft SQL Server, Software Documentation, SQL, Data Modeling, Integration, Data Analysis, ETL, Analysis, Business Analysis, Cognos, Databases, Software Project..., Database Design, Business Process..., Full SDLC, Agile Methodologies, .NET, Management, ROI Management, Business Process, Enterprise Architecture, Access, Business Requirements, SSIS, Vendor Management
Education
Duke University 1977 — 1980
Mahopac High School
Amy Russo's WellCare Experience May 2009 - April 2012
Job Project Manager, MSO JV Oversight at Humana
Industry Insurance
Experience
Humana April 2015 - Present
Independent Healthcare Consultant June 2014 - April 2015
MedHOK Healthcare Solutions May 2013 - May 2014
WellCare Health Plans, Inc. May 2012 - May 2013
WellCare May 2009 - April 2012
WellCare April 2007 - April 2009
WellCare September 2006 - April 2007
Danka Office Imaging 2005 - 2006
Danka Office Imaging 2004 - 2005
Danka Office Imaging 2001 - 2004
Skills
Medicaid, Health Insurance, Medicare, Provider Relations, Managed Care, Process Improvement, Healthcare, Operations Management, Vendor Management, Insurance, Project Management, Claim, Software Documentation, HIPAA, Healthcare Information..., Analysis, Healthcare Management, Business Process..., Healthcare Industry, Health Policy, Cross-functional Team..., Healthcare Consulting, Account Management, SDLC, Policy, Strategic Planning, Leadership, Access
Education
Eckerd College 2002 — 2005
Bachelor's Degree, Business Administration, Management and Operations, Honors
Humana April 2015 - Present
Independent Healthcare Consultant June 2014 - April 2015
MedHOK Healthcare Solutions May 2013 - May 2014
WellCare Health Plans, Inc. May 2012 - May 2013
WellCare May 2009 - April 2012
WellCare April 2007 - April 2009
WellCare September 2006 - April 2007
Danka Office Imaging 2005 - 2006
Danka Office Imaging 2004 - 2005
Danka Office Imaging 2001 - 2004
Skills
Medicaid, Health Insurance, Medicare, Provider Relations, Managed Care, Process Improvement, Healthcare, Operations Management, Vendor Management, Insurance, Project Management, Claim, Software Documentation, HIPAA, Healthcare Information..., Analysis, Healthcare Management, Business Process..., Healthcare Industry, Health Policy, Cross-functional Team..., Healthcare Consulting, Account Management, SDLC, Policy, Strategic Planning, Leadership, Access
Education
Eckerd College 2002 — 2005
Bachelor's Degree, Business Administration, Management and Operations, Honors
Gareth E. (Gary) Massard's WellCare Experience 2008 - 2009
Job Director, Medical Cost Trend and Risk Management at Humana
Industry Insurance
Experience
Humana Inc. February 2014 - Present
Humana Inc. January 2009 - February 2014
WellCare 2008 - 2009
Blue Cross Blue Shield of Florida 1991 - 2007
Federal Reserve Bank - Jacksonville FL Branch 1990 - 1991
Della Porta Insurance Group 1987 - 1989
United States Navy 1983 - 1987
Skills
Medicare, Healthcare, Healthcare Industry, Insurance, Managed Care, Health Insurance, Mentoring, Leadership, Healthcare Management, Strategic Planning, Process Improvement, Provider Relations, Health Policy, PPO, HIPAA, Budgets, Healthcare Consulting, Team Building, Employee Benefits, Performance Improvement, Leadership Development, Healthcare Information..., Training, Management, Sales, Disease Management, Executive Management, Medicaid, Forecasting, Claim, Long-term Care
Education
Duke University - The Fuqua School of Business 1995 — 1996
MBA, Health Services Management
Purdue University 1979 — 1983
BS, Management/Industrial Relations
St. Francis High School 1975 — 1979
Mountain View, CA
Humana Inc. February 2014 - Present
Humana Inc. January 2009 - February 2014
WellCare 2008 - 2009
Blue Cross Blue Shield of Florida 1991 - 2007
Federal Reserve Bank - Jacksonville FL Branch 1990 - 1991
Della Porta Insurance Group 1987 - 1989
United States Navy 1983 - 1987
Skills
Medicare, Healthcare, Healthcare Industry, Insurance, Managed Care, Health Insurance, Mentoring, Leadership, Healthcare Management, Strategic Planning, Process Improvement, Provider Relations, Health Policy, PPO, HIPAA, Budgets, Healthcare Consulting, Team Building, Employee Benefits, Performance Improvement, Leadership Development, Healthcare Information..., Training, Management, Sales, Disease Management, Executive Management, Medicaid, Forecasting, Claim, Long-term Care
Education
Duke University - The Fuqua School of Business 1995 — 1996
MBA, Health Services Management
Purdue University 1979 — 1983
BS, Management/Industrial Relations
St. Francis High School 1975 — 1979
Mountain View, CA
Michael Juliano's WellCare Experience January 2009 - December 2012
Job Experienced Training & Development Professional
Industry Hospitality
Experience
Outback Steakhouse December 2012 - July 2015
WellCare January 2009 - December 2012
WellCare October 2007 - January 2009
T. Rowe Price June 2004 - April 2007
T. Rowe Price June 2001 - June 2004
Skills
Captivate, Training, Instructional Design, SharePoint, E-Learning, PowerPoint, Needs Analysis, Project Coordination, Multimedia, Software Documentation, Learning Management..., Vendor Management, Leadership, Process Improvement
Education
University of South Florida 1989 — 1992
BA, Criminology
Embry-Riddle Aeronautical University 1988 — 1989
Outback Steakhouse December 2012 - July 2015
WellCare January 2009 - December 2012
WellCare October 2007 - January 2009
T. Rowe Price June 2004 - April 2007
T. Rowe Price June 2001 - June 2004
Skills
Captivate, Training, Instructional Design, SharePoint, E-Learning, PowerPoint, Needs Analysis, Project Coordination, Multimedia, Software Documentation, Learning Management..., Vendor Management, Leadership, Process Improvement
Education
University of South Florida 1989 — 1992
BA, Criminology
Embry-Riddle Aeronautical University 1988 — 1989
Anthony Valdés's WellCare Experience June 2013 - Present
Job Vice President, Market Performance at WellCare
Industry Health, Wellness and Fitness
Experience
WellCare June 2013 - Present
Healthways 2009 - June 2013
UnitedHealth Group 2006 - 2009
AmeriChoice 2005 - 2006
AmeriChoice 2003 - 2005
Circle.com 2001 - 2002
Circle.com 2000 - 2001
Procter & Gamble 1995 - 2000
United Technologies 1990 - 1993
Skills
Medicaid, Vendor Relations, Forecasting, Budgeting, Business Planning, Financial Planning, Managed Care, Healthcare, Healthcare Management, Health Insurance, Contract Negotiations, Strategic Planning, Cross-functional Team..., Executive Management, Financial Management, Financial Analysis, Budget Management, Operations Management, Insurance, Health, Contract Negotiation, Healthcare Industry, Budgets, Disease Management, Process Improvement, Managerial Finance, Healthcare Consulting, Leadership, New Business Development, Business Strategy, Team Leadership, Medicare, Strategic Financial..., Entrepreneurship, Provider Relations, Utilization Management, Analysis
Education
Duke University - The Fuqua School of Business 1993 — 1995
MBA
Florida State University 1985 — 1990
Bachelor of Science, Finance
Jesuit High School 1981 — 1985
WellCare June 2013 - Present
Healthways 2009 - June 2013
UnitedHealth Group 2006 - 2009
AmeriChoice 2005 - 2006
AmeriChoice 2003 - 2005
Circle.com 2001 - 2002
Circle.com 2000 - 2001
Procter & Gamble 1995 - 2000
United Technologies 1990 - 1993
Skills
Medicaid, Vendor Relations, Forecasting, Budgeting, Business Planning, Financial Planning, Managed Care, Healthcare, Healthcare Management, Health Insurance, Contract Negotiations, Strategic Planning, Cross-functional Team..., Executive Management, Financial Management, Financial Analysis, Budget Management, Operations Management, Insurance, Health, Contract Negotiation, Healthcare Industry, Budgets, Disease Management, Process Improvement, Managerial Finance, Healthcare Consulting, Leadership, New Business Development, Business Strategy, Team Leadership, Medicare, Strategic Financial..., Entrepreneurship, Provider Relations, Utilization Management, Analysis
Education
Duke University - The Fuqua School of Business 1993 — 1995
MBA
Florida State University 1985 — 1990
Bachelor of Science, Finance
Jesuit High School 1981 — 1985
Katherine Kannard's WellCare Experience July 2005 - September 2008
Job Healthcare Executive
Industry Executive Office
Experience
United Healthcare September 2008 - Present
WellCare July 2005 - September 2008
Education
Emory University 1985 — 1988
BA, International Political Science
United Healthcare September 2008 - Present
WellCare July 2005 - September 2008
Education
Emory University 1985 — 1988
BA, International Political Science
Coree Allen's WellCare Experience January 2003 - June 2008
Job Clinical Manager at CVS Caremark
Industry Hospital & Health Care
Experience
CVS Caremark June 2008 - Present
WellCare January 2003 - June 2008
Skills
Pharmacy Benefit..., Medicare Part D
Education
Florida Agricultural and Mechanical University 1994 — 2001
pharmd, pharmacy
CVS Caremark June 2008 - Present
WellCare January 2003 - June 2008
Skills
Pharmacy Benefit..., Medicare Part D
Education
Florida Agricultural and Mechanical University 1994 — 2001
pharmd, pharmacy
Christopher Foreman's WellCare Experience June 2012 - Present
Job ManagerBusiness Operations and Analytics
Industry Hospital & Health Care
Experience
WellCare June 2012 - Present
Tech Data September 2009 - May 2012
Tech Data August 2006 - September 2009
Accenture November 2000 - August 2006
Skills
Process Improvement, Solution Selling, Business Analysis, Program Management, Vendor Management, Business Development, Forecasting, Business Intelligence, Operations Management, Account Management, Analytics, Budgets, Data Analysis, Enterprise Software, Strategy
Education
Florida State University 2010 — 2013
Master of Business Administration (M.B.A.), Business Administration and Management, General
Florida Agricultural and Mechanical University 1996 — 2000
Bachelor of Science, Industrial Engineering
WellCare June 2012 - Present
Tech Data September 2009 - May 2012
Tech Data August 2006 - September 2009
Accenture November 2000 - August 2006
Skills
Process Improvement, Solution Selling, Business Analysis, Program Management, Vendor Management, Business Development, Forecasting, Business Intelligence, Operations Management, Account Management, Analytics, Budgets, Data Analysis, Enterprise Software, Strategy
Education
Florida State University 2010 — 2013
Master of Business Administration (M.B.A.), Business Administration and Management, General
Florida Agricultural and Mechanical University 1996 — 2000
Bachelor of Science, Industrial Engineering
Rose Rich's WellCare Experience September 2007 - August 2010
Job Benefits Specialist at Combined Worksite Solutions
Industry Insurance
Experience
Combined Worksite Solutions January 2015 - Present
WellCare September 2007 - August 2010
Humana February 2006 - September 2007
Skills
Medicare Supplements, Strategic Planning, Medicare, Disability Insurance, Team Building, Medicare Part D, Health Insurance, Leadership, Managed Care
Education
Dillard University 1972 — 1976
BA, Business
Combined Worksite Solutions January 2015 - Present
WellCare September 2007 - August 2010
Humana February 2006 - September 2007
Skills
Medicare Supplements, Strategic Planning, Medicare, Disability Insurance, Team Building, Medicare Part D, Health Insurance, Leadership, Managed Care
Education
Dillard University 1972 — 1976
BA, Business
Harsh Sahay's WellCare Experience January 2006 - May 2008
Job Operations Analyst at The World Bank (The Middle East & North Africa Region)
Industry Financial Services
Experience
The World Bank (Middle East & North Africa Region) November 2014 - Present
The World Bank (East Asia & Pacific Region) August 2012 - November 2014
The World Bank (Latin America & Caribbean Region) July 2010 - August 2012
UBS Wealth Management July 2009 - June 2010
WellCare January 2006 - May 2008
Skills
PowerPoint, Microsoft Excel, Financial Modeling, Financial Analysis, Microsoft Office, Microsoft Word, Bloomberg, Bloomberg Terminal, Valuation, Corporate Finance, Access, SAS, Portfolio Management, Data Analysis, Economics, Research, Investments, Policy
Education
The George Washington University - School of Business 2008 — 2010
Master's degree, Finance, General
Purdue University 2002 — 2005
Bachelor's degree, Electrical and Electronics Engineering
Delhi Public School - R. K. Puram 1997 — 2001
The World Bank (Middle East & North Africa Region) November 2014 - Present
The World Bank (East Asia & Pacific Region) August 2012 - November 2014
The World Bank (Latin America & Caribbean Region) July 2010 - August 2012
UBS Wealth Management July 2009 - June 2010
WellCare January 2006 - May 2008
Skills
PowerPoint, Microsoft Excel, Financial Modeling, Financial Analysis, Microsoft Office, Microsoft Word, Bloomberg, Bloomberg Terminal, Valuation, Corporate Finance, Access, SAS, Portfolio Management, Data Analysis, Economics, Research, Investments, Policy
Education
The George Washington University - School of Business 2008 — 2010
Master's degree, Finance, General
Purdue University 2002 — 2005
Bachelor's degree, Electrical and Electronics Engineering
Delhi Public School - R. K. Puram 1997 — 2001
Lesa (Madden) Stage's WellCare Experience October 2012 - March 2013
Job Senior Manager, Proposals at IAP Worldwide Services
Industry Defense & Space
Experience
IAP Worldwide Services November 2011 - Present
WellCare October 2012 - March 2013
CoCENTRIX March 2012 - September 2012
Avaya Government Solutions April 2003 - February 2010
High Performance Technologies, Inc. December 2001 - October 2002
Integic 2000 - 2001
Perot Systems October 1995 - March 2000
GTE Vantage Solutions June 1992 - June 1994
GTE Government Information Services August 1990 - February 1992
Skills
Proposal Writing, Government Contracting, Program Management, Government, Business Development, Strategic Planning, Strategy, Management, Leadership, Marketing, Budgets, Team Building, Advertising, Marketing Communications, Team Leadership, RFP, Press Releases, Marketing Strategy, Public Relations, Training, Product Marketing, Editing, Technical Writing, Product Development, Project Planning, Project Management, Change Management, Product Management, Cross-functional Team..., Corporate Communications, Analysis, Integration, Sales, Salesforce.com, Vendor Management, Operations Management, Process Improvement, New Business Development, CRM, Contract Negotiation, Software Documentation, Procurement, Strategic Partnerships, Policy, Competitive Analysis, Human Resources, Management Consulting, DoD, Telecommunications, Business Process...
Education
Cornell University 1985 — 1989
B.S., Communications
IAP Worldwide Services November 2011 - Present
WellCare October 2012 - March 2013
CoCENTRIX March 2012 - September 2012
Avaya Government Solutions April 2003 - February 2010
High Performance Technologies, Inc. December 2001 - October 2002
Integic 2000 - 2001
Perot Systems October 1995 - March 2000
GTE Vantage Solutions June 1992 - June 1994
GTE Government Information Services August 1990 - February 1992
Skills
Proposal Writing, Government Contracting, Program Management, Government, Business Development, Strategic Planning, Strategy, Management, Leadership, Marketing, Budgets, Team Building, Advertising, Marketing Communications, Team Leadership, RFP, Press Releases, Marketing Strategy, Public Relations, Training, Product Marketing, Editing, Technical Writing, Product Development, Project Planning, Project Management, Change Management, Product Management, Cross-functional Team..., Corporate Communications, Analysis, Integration, Sales, Salesforce.com, Vendor Management, Operations Management, Process Improvement, New Business Development, CRM, Contract Negotiation, Software Documentation, Procurement, Strategic Partnerships, Policy, Competitive Analysis, Human Resources, Management Consulting, DoD, Telecommunications, Business Process...
Education
Cornell University 1985 — 1989
B.S., Communications
Diane Fischer's WellCare Experience March 2006 - Present
Job Director at WellCare
Industry Hospital & Health Care
Experience
WellCare March 2006 - Present
Tampa Connection 2007 - 2009
RBC Dain Rauscher September 2002 - March 2006
Goldman Sachs December 1997 - May 2002
Education
DePaul University - Charles H. Kellstadt Graduate School of Business 2000 — 2002
M.B.A., Finance
Indiana University Bloomington 1986 — 1991
Arts & Sciences, Criminal Justice
WellCare March 2006 - Present
Tampa Connection 2007 - 2009
RBC Dain Rauscher September 2002 - March 2006
Goldman Sachs December 1997 - May 2002
Education
DePaul University - Charles H. Kellstadt Graduate School of Business 2000 — 2002
M.B.A., Finance
Indiana University Bloomington 1986 — 1991
Arts & Sciences, Criminal Justice
Hassan Tirmizi's WellCare Experience 2007 - 2009
Job Process Manager (PMO) at Humana Healthcare
Industry Health, Wellness and Fitness
Experience
Humana July 2010 - Present
Gentiva Health Services 2009 - 2010
WellCare 2007 - 2009
HSBC September 2005 - November 2007
Verizon Wireless September 2002 - November 2005
Skills
SDLC, Visio, Quality Assurance, Testing, Program Management, User Acceptance Testing, Analysis, Management, Leadership, Software Development, Test Planning, Business Requirements, Team Building, Quality Center, .NET
Education
Saint Leo University 2013 — 2016
Master of Business Administration (MBA), Health/Health Care Administration/Management, 3.8
DeVry University 1997 — 2000
CIS, Computer Sci
Humana July 2010 - Present
Gentiva Health Services 2009 - 2010
WellCare 2007 - 2009
HSBC September 2005 - November 2007
Verizon Wireless September 2002 - November 2005
Skills
SDLC, Visio, Quality Assurance, Testing, Program Management, User Acceptance Testing, Analysis, Management, Leadership, Software Development, Test Planning, Business Requirements, Team Building, Quality Center, .NET
Education
Saint Leo University 2013 — 2016
Master of Business Administration (MBA), Health/Health Care Administration/Management, 3.8
DeVry University 1997 — 2000
CIS, Computer Sci
Eugene Pebworth's WellCare Experience May 2006 - September 2007
Job Sr. Learning Specialist at Health Integrated
Industry Education Management
Experience
Health Integrated 2009 - Present
MetLife October 2007 - April 2009
WellCare May 2006 - September 2007
JPMorgan Chase September 2005 - April 2006
JPMorgan Chase May 2003 - August 2005
Morgan Stanley March 2002 - May 2003
Morgan Stanley March 2001 - February 2002
Skills
Team Building, Program Management, Blended Learning, ADDIE, Instructor-led Training, Coaching, Project Management, Training Delivery, Workshop Facilitation, Learning Management, Performance Management, Technical Writing, Leadership, Change Management, Lotus Notes, Employee Engagement, SharePoint, Strategic Planning, Analysis, Management, Training, HIPAA, Healthcare, Training & Development, Virtual Training, Customer Service..., Google Docs, Training Facilitation
Education
Robert Morris University 1995 — 1997
MS, Communication & Information Science
Duquesne University 1988 — 1992
Bachelor of Arts, Communications
Health Integrated 2009 - Present
MetLife October 2007 - April 2009
WellCare May 2006 - September 2007
JPMorgan Chase September 2005 - April 2006
JPMorgan Chase May 2003 - August 2005
Morgan Stanley March 2002 - May 2003
Morgan Stanley March 2001 - February 2002
Skills
Team Building, Program Management, Blended Learning, ADDIE, Instructor-led Training, Coaching, Project Management, Training Delivery, Workshop Facilitation, Learning Management, Performance Management, Technical Writing, Leadership, Change Management, Lotus Notes, Employee Engagement, SharePoint, Strategic Planning, Analysis, Management, Training, HIPAA, Healthcare, Training & Development, Virtual Training, Customer Service..., Google Docs, Training Facilitation
Education
Robert Morris University 1995 — 1997
MS, Communication & Information Science
Duquesne University 1988 — 1992
Bachelor of Arts, Communications
Debra Demry's WellCare Experience October 2009 - May 2010
Job Physician Recruiter at Coventry Health Care, an Aetna Company
Industry Hospital & Health Care
Experience
Coventry Health Care November 2011 - Present
eHDL, LLC May 2010 - November 2011
WellCare October 2009 - May 2010
MCM Managed Care Consultants March 1999 - February 2007
Metropolitan Health Network, Inc. (Metcare) September 1997 - March 1999
MedPartners, Inc. May 1996 - September 1997
Humana Health Care Plans, Inc. March 1990 - May 1996
Skills
Managed Care, Medicaid, Network Development, Provider Relations, Credentialing, Provider Recruitment, Utilization Management, HMO/PPO, Microsoft Excel, PowerPoint, Microsoft Word, Medical Billing, ICD-9, Workers Compensation, Independent Medical..., Medicare Advantage, EHR, Healthcare, Physicians, Healthcare Management, Hospitals, Contract Negotiation, Physician Network..., Supervisory Skills, Medicaid Managed Care, Medicare Risk..., Health Policy, HIPAA, Healthcare Industry, Healthcare Consulting, Practice Management, Claim, HMO, Revenue Cycle, Physician Relations, Health Insurance, Healthcare Information..., HEDIS
Education
D'Amore-McKim School of Business at Northeastern University 1983 — 1985
MBA, Business
Pitzer College 1976 — 1979
BA, Psychology, Organizational Studies
Coventry Health Care November 2011 - Present
eHDL, LLC May 2010 - November 2011
WellCare October 2009 - May 2010
MCM Managed Care Consultants March 1999 - February 2007
Metropolitan Health Network, Inc. (Metcare) September 1997 - March 1999
MedPartners, Inc. May 1996 - September 1997
Humana Health Care Plans, Inc. March 1990 - May 1996
Skills
Managed Care, Medicaid, Network Development, Provider Relations, Credentialing, Provider Recruitment, Utilization Management, HMO/PPO, Microsoft Excel, PowerPoint, Microsoft Word, Medical Billing, ICD-9, Workers Compensation, Independent Medical..., Medicare Advantage, EHR, Healthcare, Physicians, Healthcare Management, Hospitals, Contract Negotiation, Physician Network..., Supervisory Skills, Medicaid Managed Care, Medicare Risk..., Health Policy, HIPAA, Healthcare Industry, Healthcare Consulting, Practice Management, Claim, HMO, Revenue Cycle, Physician Relations, Health Insurance, Healthcare Information..., HEDIS
Education
D'Amore-McKim School of Business at Northeastern University 1983 — 1985
MBA, Business
Pitzer College 1976 — 1979
BA, Psychology, Organizational Studies
Don Dolan's WellCare Experience February 2002 - July 2004
Job Manager, Reporting and Analytics
Industry Information Technology and Services
Experience
Benefit Administrative Systems February 2014 - Present
Family Health Network June 2013 - February 2014
CONSILINK July 2012 - June 2013
Medical Home Network September 2011 - July 2012
Rush University Medical Center July 2004 - August 2011
WellCare February 2002 - July 2004
Unicare March 1995 - February 2002
Skills
Access, Business Intelligence, Data Analysis, Analytics, Microsoft SQL Server, Analysis, Data Warehousing, ETL, Healthcare Analytics, Healthcare Information..., Data Mining, SQL, Data Quality, HEDIS, HIPAA, Data Integration, Reporting & Analysis, Business Requirements, Technical Documentation, Business Process..., Medicaid, Medicaid Managed Care, Managed Care, Data Analytics, Healthcare Industry, Data Modeling, Informatics, Healthcare Information..., Healthcare Reimbursement, Microsoft Excel
Education
DePaul University
Bachelor of Arts - with concentration in Data Analysis
Benefit Administrative Systems February 2014 - Present
Family Health Network June 2013 - February 2014
CONSILINK July 2012 - June 2013
Medical Home Network September 2011 - July 2012
Rush University Medical Center July 2004 - August 2011
WellCare February 2002 - July 2004
Unicare March 1995 - February 2002
Skills
Access, Business Intelligence, Data Analysis, Analytics, Microsoft SQL Server, Analysis, Data Warehousing, ETL, Healthcare Analytics, Healthcare Information..., Data Mining, SQL, Data Quality, HEDIS, HIPAA, Data Integration, Reporting & Analysis, Business Requirements, Technical Documentation, Business Process..., Medicaid, Medicaid Managed Care, Managed Care, Data Analytics, Healthcare Industry, Data Modeling, Informatics, Healthcare Information..., Healthcare Reimbursement, Microsoft Excel
Education
DePaul University
Bachelor of Arts - with concentration in Data Analysis
Alethea Williams, Sr. Investigator, AHFI, CFE's WellCare Experience February 2009 - August 2009
Job Sr. Fraud Investigator at Amerigroup Corporation
Industry Insurance
Experience
Amerigroup Corporation September 2010 - Present
Amerigroup Corporation August 2009 - September 2010
WellCare February 2009 - August 2009
TriCenturion, Program Safeguard Contractor December 2003 - January 2009
HCA Patient Account Services January 2003 - December 2003
Blue Cross Blue Shield Florida January 1996 - January 2003
Skills
Medicare, Medicaid, Medical Terminology, Data Analysis, Fraud Investigations, Fraud Analysis, Certified Fraud Examiner, Fraud Prevention, Insurance Fraud, Healthcare, Commercial Insurance, Compliance, Compliance Audits, Data Mining, EDI-Watch, Rat-Stats, FACETS, Lexis Nexis, SIRIS, Analysis, Claim, Fraud, Insurance, Investigation, Lexis, Managed Care, Medical Compliance, Process Improvement, Quality Auditing, Social Skills, Training, Policy, HIPAA, Health Insurance
Education
Eckerd College 2006 — 2009
Business Management/Law & Justice
Amerigroup Corporation September 2010 - Present
Amerigroup Corporation August 2009 - September 2010
WellCare February 2009 - August 2009
TriCenturion, Program Safeguard Contractor December 2003 - January 2009
HCA Patient Account Services January 2003 - December 2003
Blue Cross Blue Shield Florida January 1996 - January 2003
Skills
Medicare, Medicaid, Medical Terminology, Data Analysis, Fraud Investigations, Fraud Analysis, Certified Fraud Examiner, Fraud Prevention, Insurance Fraud, Healthcare, Commercial Insurance, Compliance, Compliance Audits, Data Mining, EDI-Watch, Rat-Stats, FACETS, Lexis Nexis, SIRIS, Analysis, Claim, Fraud, Insurance, Investigation, Lexis, Managed Care, Medical Compliance, Process Improvement, Quality Auditing, Social Skills, Training, Policy, HIPAA, Health Insurance
Education
Eckerd College 2006 — 2009
Business Management/Law & Justice
Richard Hanks, LUTCF's WellCare Experience September 2010 - May 2015
Job Medicare Regional Sales Manager at Blue Cross and Blue Shield of Illinois, a division of HCSC
Industry Insurance
Experience
Blue Cross and Blue Shield of Illinois, a division of HCSC May 2015 - Present
WellCare September 2010 - May 2015
Humana April 2004 - September 2010
MetLife June 2001 - April 2004
Goldenberg Hehmeyer Trading Co Ltd July 1999 - November 2000
Stafford Trading November 1998 - July 1999
UBS Investment Bank 1996 - 1998
Skills
Medicare Advantage, Insurance, Medicare, Health Insurance, Managed Care, Sales Management, Marketing, Management, Sales, Account Management, New Business Development, Life Insurance, Underwriting, Disability Insurance, Sales Operations, Brokers, Direct Sales, Business Development, Employee Benefits, Salesforce.com, Term Life Insurance, Property & Casualty...
Education
DePaul University 1985 — 1990
B.S., Financial Management
Blue Cross and Blue Shield of Illinois, a division of HCSC May 2015 - Present
WellCare September 2010 - May 2015
Humana April 2004 - September 2010
MetLife June 2001 - April 2004
Goldenberg Hehmeyer Trading Co Ltd July 1999 - November 2000
Stafford Trading November 1998 - July 1999
UBS Investment Bank 1996 - 1998
Skills
Medicare Advantage, Insurance, Medicare, Health Insurance, Managed Care, Sales Management, Marketing, Management, Sales, Account Management, New Business Development, Life Insurance, Underwriting, Disability Insurance, Sales Operations, Brokers, Direct Sales, Business Development, Employee Benefits, Salesforce.com, Term Life Insurance, Property & Casualty...
Education
DePaul University 1985 — 1990
B.S., Financial Management
Rebecca McQueen's WellCare Experience September 2009 - January 2011
Job Director of Managed Care and ACO Executive at Sacred Heart Health System
Industry Hospital & Health Care
Experience
Sacred Heart Health System January 2011 - Present
WellCare September 2009 - January 2011
West Florida Hospital 1998 - 2009
Coventry Health Care / Principal Health Care of Florida, Inc. July 1997 - December 1998
PROMINA Health System 1993 - July 1997
SouthCare 1985 - 1993
Prudential Healthcare / PruCare 1981 - 1984
Skills
Managed Care, Medicaid Managed Care, Medicare Advantage, Population Health, HMO, PPO, Quality Improvement, Healthcare Industry, Physician Relations, Utilization Management, Disease Management, Employee Benefits, Leadership, Revenue Cycle Management, Health Policy, HIPAA, Physicians
Education
Emory University - Rollins School of Public Health 1977 — 1979
MPH, Health Administration
Emory University 1972 — 1976
B.S., Biology
Sacred Heart Health System January 2011 - Present
WellCare September 2009 - January 2011
West Florida Hospital 1998 - 2009
Coventry Health Care / Principal Health Care of Florida, Inc. July 1997 - December 1998
PROMINA Health System 1993 - July 1997
SouthCare 1985 - 1993
Prudential Healthcare / PruCare 1981 - 1984
Skills
Managed Care, Medicaid Managed Care, Medicare Advantage, Population Health, HMO, PPO, Quality Improvement, Healthcare Industry, Physician Relations, Utilization Management, Disease Management, Employee Benefits, Leadership, Revenue Cycle Management, Health Policy, HIPAA, Physicians
Education
Emory University - Rollins School of Public Health 1977 — 1979
MPH, Health Administration
Emory University 1972 — 1976
B.S., Biology
Christopher Catuogno's WellCare Experience February 1997 - March 1998
Job Sr Manager at Raytheon
Industry Defense & Space
Experience
Raytheon June 2014 - Present
Raytheon Space and Airborne Systems November 2011 - Present
Raytheon Network Centric Systems April 2009 - November 2011
Raytheon July 2001 - August 2008
Raytheon April 1998 - July 2001
WellCare February 1997 - March 1998
Skills
Project Management, Process Improvement, Six Sigma, Virtualization, Management, Telecommunications, Server Architecture, Computer Science, Liaison, Process Design, Systems Engineering, Earned Value Management, Security Clearance, Program Management, DoD, Government Contracting, Defense, Integration, Aerospace, Proposal Writing, PMP, Requirements Management, Engineering Management
Education
Nova Southeastern University 2004 — 2007
MS, Information Technology w/ Emphasis on Security
Eckerd College 1998 — 2002
BA, Business Management
Raytheon June 2014 - Present
Raytheon Space and Airborne Systems November 2011 - Present
Raytheon Network Centric Systems April 2009 - November 2011
Raytheon July 2001 - August 2008
Raytheon April 1998 - July 2001
WellCare February 1997 - March 1998
Skills
Project Management, Process Improvement, Six Sigma, Virtualization, Management, Telecommunications, Server Architecture, Computer Science, Liaison, Process Design, Systems Engineering, Earned Value Management, Security Clearance, Program Management, DoD, Government Contracting, Defense, Integration, Aerospace, Proposal Writing, PMP, Requirements Management, Engineering Management
Education
Nova Southeastern University 2004 — 2007
MS, Information Technology w/ Emphasis on Security
Eckerd College 1998 — 2002
BA, Business Management
Angela Waggoner (Henao)'s WellCare Experience March 2011 - July 2012
Job Health Care Professional
Industry Hospital & Health Care
Experience
WellCare March 2011 - July 2012
WellCare 2009 - February 2011
WellCare 2006 - 2009
Skills
Medicare, Process Improvement, Managed Care, HIPAA, Insurance, Healthcare Management, Claim, Healthcare Information..., Medicaid, Healthcare Industry, Program Management, Health Insurance, Healthcare Consulting, Healthcare, PPO, Network Development, HMO, Credentialing, Business Process..., Pharmacy Benefit..., Provider Relations, Revenue Cycle
Education
Escuela de Ingeniería de Antioquia 1993 — 1999
WellCare March 2011 - July 2012
WellCare 2009 - February 2011
WellCare 2006 - 2009
Skills
Medicare, Process Improvement, Managed Care, HIPAA, Insurance, Healthcare Management, Claim, Healthcare Information..., Medicaid, Healthcare Industry, Program Management, Health Insurance, Healthcare Consulting, Healthcare, PPO, Network Development, HMO, Credentialing, Business Process..., Pharmacy Benefit..., Provider Relations, Revenue Cycle
Education
Escuela de Ingeniería de Antioquia 1993 — 1999
Madeline Medley's WellCare Experience July 2011 - October 2013
Job Executive Director and Founder
Industry Human Resources
Experience
Adopt A Family Association June 2007 - Present
WellCare July 2011 - October 2013
Department of Veterans Affairs July 2009 - August 2010
National City Bank March 1996 - April 2008
Skills
Training, Employee Benefits, Human Resources, Leadership, Nonprofits, Management, Fundraising, Healthcare, Deferred Compensation, Case Management, Medicare, Sales, FMLA, Disability Insurance, Medicaid
Education
Bryant and Stratton College 2009 — 2010
Bachelor, Business Administration
Cuyahoga Community College 2004 — 2006
Associate's degree, Human Resources Management/Personnel Administration, General
Adopt A Family Association June 2007 - Present
WellCare July 2011 - October 2013
Department of Veterans Affairs July 2009 - August 2010
National City Bank March 1996 - April 2008
Skills
Training, Employee Benefits, Human Resources, Leadership, Nonprofits, Management, Fundraising, Healthcare, Deferred Compensation, Case Management, Medicare, Sales, FMLA, Disability Insurance, Medicaid
Education
Bryant and Stratton College 2009 — 2010
Bachelor, Business Administration
Cuyahoga Community College 2004 — 2006
Associate's degree, Human Resources Management/Personnel Administration, General
Judy Conley's WellCare Experience May 2004 - August 2008
Job Chief Healthcare Administrator at Ultimate Health Plans
Industry Hospital & Health Care
Experience
Ultimate Health Plans September 2012 - Present
Neighborly Care Network January 2011 - June 2011
Physicians United Plan September 2008 - March 2011
WellCare May 2004 - August 2008
AvMed Health Plans 1999 - 2003
Skills
Healthcare, Medicaid, Healthcare Management, Medicare, Change Management, HEDIS, Disease Management, Managed Care, Quality Management, Case Management, Process Improvement, Leadership, HIPAA, Clinical Research, Healthcare Industry, Nursing, Hospitals, Training, Utilization Management, Case Managment, EHR, Policy, Physicians, Health Insurance, NCQA, Quality Improvement, Physician Relations, Healthcare Consulting, Healthcare Information..., Medical Compliance, Performance Improvement, Provider Relations, Health Policy, Management, EMR, Credentialing, Accreditation, Network Development, HMO, Medicine, Revenue Cycle, Long-term Care, Medical Billing, Medical Coding
Education
Pasco-Hernando Community College 1977 — 1979
AS, Nursing
Eckerd College
HealthCare Administration
Ultimate Health Plans September 2012 - Present
Neighborly Care Network January 2011 - June 2011
Physicians United Plan September 2008 - March 2011
WellCare May 2004 - August 2008
AvMed Health Plans 1999 - 2003
Skills
Healthcare, Medicaid, Healthcare Management, Medicare, Change Management, HEDIS, Disease Management, Managed Care, Quality Management, Case Management, Process Improvement, Leadership, HIPAA, Clinical Research, Healthcare Industry, Nursing, Hospitals, Training, Utilization Management, Case Managment, EHR, Policy, Physicians, Health Insurance, NCQA, Quality Improvement, Physician Relations, Healthcare Consulting, Healthcare Information..., Medical Compliance, Performance Improvement, Provider Relations, Health Policy, Management, EMR, Credentialing, Accreditation, Network Development, HMO, Medicine, Revenue Cycle, Long-term Care, Medical Billing, Medical Coding
Education
Pasco-Hernando Community College 1977 — 1979
AS, Nursing
Eckerd College
HealthCare Administration
Jeffery M Smith's WellCare Experience October 2004 - December 2006
Job General Manager at Columbia Dental
Industry Medical Practice
Experience
Columbia Dental, PC March 2013 - Present
CT Family Care, LLC March 2012 - November 2012
Bristol Gastroenterology Associates, PC September 2009 - December 2010
Nelson Ambulance Service August 2007 - September 2009
WellCare October 2004 - December 2006
Anthem December 2001 - November 2004
CONNECTICUT MULTISPECIALTY GROUP, PC March 2001 - December 2001
KIZMET’S KEEPSAKES November 2000 - March 2001
CENTER FOR THE HEALING ARTS, PC April 1999 - November 2000
OB-GYN GROUP OF MANCHESTER, PC July 1997 - April 1999
Skills
Credentialing, Medicare, Practice Management, Revenue Cycle, Healthcare, HIPAA, Healthcare Management, Medicaid Managed Care, Medicare Advantage, Medical Billing, Medicare/Medicaid..., Hospitals, Managed Care, EMR
Education
Sacred Heart University 1994 — 1999
MBA, Health Care Administration
Dartmouth College 1977 — 1981
BA, Psychology/Health Care Studies
Manchester High Schoool
Manchester High Schoool
Columbia Dental, PC March 2013 - Present
CT Family Care, LLC March 2012 - November 2012
Bristol Gastroenterology Associates, PC September 2009 - December 2010
Nelson Ambulance Service August 2007 - September 2009
WellCare October 2004 - December 2006
Anthem December 2001 - November 2004
CONNECTICUT MULTISPECIALTY GROUP, PC March 2001 - December 2001
KIZMET’S KEEPSAKES November 2000 - March 2001
CENTER FOR THE HEALING ARTS, PC April 1999 - November 2000
OB-GYN GROUP OF MANCHESTER, PC July 1997 - April 1999
Skills
Credentialing, Medicare, Practice Management, Revenue Cycle, Healthcare, HIPAA, Healthcare Management, Medicaid Managed Care, Medicare Advantage, Medical Billing, Medicare/Medicaid..., Hospitals, Managed Care, EMR
Education
Sacred Heart University 1994 — 1999
MBA, Health Care Administration
Dartmouth College 1977 — 1981
BA, Psychology/Health Care Studies
Manchester High Schoool
Manchester High Schoool
Richard Parnell's WellCare Experience August 2013 - Present
Job Sr. Manager, Hospital Contracting at WellCare
Industry Hospital & Health Care
Experience
WellCare August 2013 - Present
WellCare August 2012 - August 2013
WellCare September 2011 - August 2012
WellCare March 2010 - August 2011
Amerigroup Corporation March 2009 - February 2010
WellCare January 2006 - March 2009
Community Choice Health Plan January 2005 - January 2006
Skills
Provider Relations, Medicaid, Managed Care, Hospital Contracting, Network Development, HMO, Medicare Part D, Provider Network..., Credentialing, Healthcare Industry, HIPAA, Health Insurance, Medicare, PPO, Medicaid Managed Care, Healthcare Consulting, Health Policy
Education
Pace University 2006 — 2008
MPA, Healthcare Administration
Delaware State University 2000 — 2005
B.S., Management Information Systems
WellCare August 2013 - Present
WellCare August 2012 - August 2013
WellCare September 2011 - August 2012
WellCare March 2010 - August 2011
Amerigroup Corporation March 2009 - February 2010
WellCare January 2006 - March 2009
Community Choice Health Plan January 2005 - January 2006
Skills
Provider Relations, Medicaid, Managed Care, Hospital Contracting, Network Development, HMO, Medicare Part D, Provider Network..., Credentialing, Healthcare Industry, HIPAA, Health Insurance, Medicare, PPO, Medicaid Managed Care, Healthcare Consulting, Health Policy
Education
Pace University 2006 — 2008
MPA, Healthcare Administration
Delaware State University 2000 — 2005
B.S., Management Information Systems
Ross Gilmore's WellCare Experience October 2005 - January 2006
Job Pharmacy Analyst
Industry Information Technology and Services
Experience
Community Health Systems, Inc. January 2012 - Present
SCC Soft Computer July 2006 - December 2011
AnazaoHealth January 2006 - July 2006
WellCare October 2005 - January 2006
Inova Health System November 1999 - May 2005
Georgetown University Hospital September 1990 - September 1999
Women's Heart Program at George Washington University Hospital September 1987 - September 1993
US Navy August 1984 - August 1988
Skills
Hospitals, Healthcare, Healthcare Information..., EMR, Strategic Planning, Clinical Research, HL7, Healthcare Management, Microsoft Excel, Team Building, New Business Development, Software Documentation, Process Improvement, PowerPoint, EHR, Project Management, Microsoft Office, Customer Service, Negotiation, Outlook, Access, Ambulatory, Analysis, Business Analysis, CPOE, Change Management, Cerner, ICD-9, Healthcare Industry, Healthcare Consulting, Health Information..., Health Information..., HIPAA, Epic Systems, Data Analysis, Compounding, Clinical Decision..., Informatics, Inpatient, Leadership, Managed Care, Management, Medicaid, Medical Terminology, Medicare, Meditech, Microsoft Word, Nursing, Patient Safety, Pharmacy
Education
National-Louis University 1986 — 1987
B.S, Hospital Administration
Community College of Philadelphia 1982 — 1984
AS, Social Work, 3.8
Community Health Systems, Inc. January 2012 - Present
SCC Soft Computer July 2006 - December 2011
AnazaoHealth January 2006 - July 2006
WellCare October 2005 - January 2006
Inova Health System November 1999 - May 2005
Georgetown University Hospital September 1990 - September 1999
Women's Heart Program at George Washington University Hospital September 1987 - September 1993
US Navy August 1984 - August 1988
Skills
Hospitals, Healthcare, Healthcare Information..., EMR, Strategic Planning, Clinical Research, HL7, Healthcare Management, Microsoft Excel, Team Building, New Business Development, Software Documentation, Process Improvement, PowerPoint, EHR, Project Management, Microsoft Office, Customer Service, Negotiation, Outlook, Access, Ambulatory, Analysis, Business Analysis, CPOE, Change Management, Cerner, ICD-9, Healthcare Industry, Healthcare Consulting, Health Information..., Health Information..., HIPAA, Epic Systems, Data Analysis, Compounding, Clinical Decision..., Informatics, Inpatient, Leadership, Managed Care, Management, Medicaid, Medical Terminology, Medicare, Meditech, Microsoft Word, Nursing, Patient Safety, Pharmacy
Education
National-Louis University 1986 — 1987
B.S, Hospital Administration
Community College of Philadelphia 1982 — 1984
AS, Social Work, 3.8
Dyanne Albino's WellCare Experience March 2012 - Present
Job Provider Appeal Coordinator at WellCare
Industry Health, Wellness and Fitness
Experience
WellCare March 2012 - Present
CompCare February 2007 - February 2012
Skills
Wellness, Nutrition, Fitness, Microsoft Office
Education
Essex County College
WellCare March 2012 - Present
CompCare February 2007 - February 2012
Skills
Wellness, Nutrition, Fitness, Microsoft Office
Education
Essex County College
Darian Whitehead's WellCare Experience November 2010 - December 2012
Job Corporate Provider Network Account Executive at AmeriHealth Caritas
Industry Hospital & Health Care
Experience
AmeriHealth Caritas January 2013 - Present
WellCare November 2010 - December 2012
Florida Medical Providers September 2005 - December 2009
Florida Medical Providers Inc October 1994 - December 2009
Florida Medical Providers July 2002 - August 2005
Florida Medical Providers January 1998 - June 2002
Florida Medical Providers October 1994 - December 1997
Skills
Provider Relations, Account Management, Training, Hospitals, Revenue Cycle, Healthcare Information..., HIPAA, EMR, Healthcare Consulting, Leadership, Insurance
Education
Florida Agricultural and Mechanical University 1989 — 1994
B.S, Health Care Management
AmeriHealth Caritas January 2013 - Present
WellCare November 2010 - December 2012
Florida Medical Providers September 2005 - December 2009
Florida Medical Providers Inc October 1994 - December 2009
Florida Medical Providers July 2002 - August 2005
Florida Medical Providers January 1998 - June 2002
Florida Medical Providers October 1994 - December 1997
Skills
Provider Relations, Account Management, Training, Hospitals, Revenue Cycle, Healthcare Information..., HIPAA, EMR, Healthcare Consulting, Leadership, Insurance
Education
Florida Agricultural and Mechanical University 1989 — 1994
B.S, Health Care Management
Raynetta Waller's WellCare Experience October 2010 - July 2014
Job President at Managed Care Professional (Medicare Medicaid) / Affordable Care Advisor (ACA)
Industry Insurance
Experience
Managed Care Professional (Medicare Medicaid) / Affordable Care Advisor (ACA) July 2014 - Present
WellCare Health Plans August 2010 - Present
WellCare October 2010 - July 2014
Healthspring July 2004 - January 2009
Humana March 1995 - October 2002
Med Care HMO March 1985 - February 1992
Skills
Medicare, Health Insurance, Healthcare Industry, Healthcare, Insurance, Sales, Project Management, Employee Benefits, Healthcare Management
Education
DePaul University 1987 — 1992
Bachelor's degree, Business, Management, Marketing, and Related Support Services, 4.0
DePaul University
Business, Management, Marketing, and Related Support Services
Managed Care Professional (Medicare Medicaid) / Affordable Care Advisor (ACA) July 2014 - Present
WellCare Health Plans August 2010 - Present
WellCare October 2010 - July 2014
Healthspring July 2004 - January 2009
Humana March 1995 - October 2002
Med Care HMO March 1985 - February 1992
Skills
Medicare, Health Insurance, Healthcare Industry, Healthcare, Insurance, Sales, Project Management, Employee Benefits, Healthcare Management
Education
DePaul University 1987 — 1992
Bachelor's degree, Business, Management, Marketing, and Related Support Services, 4.0
DePaul University
Business, Management, Marketing, and Related Support Services
Djuanua Dee Jones-Biddings's WellCare Experience August 2006 - November 2009
Job Benefits Counselor at Univers Health Solutions
Industry Health, Wellness and Fitness
Experience
Univers Health Solutions October 2012 - Present
Preferred Marketing Consultants June 2011 - Present
Family Physicians Group January 2011 - June 2011
Self Employed January 2010 - June 2011
WellCare August 2006 - November 2009
Skills
Medicare, Healthcare, Medicare Part D, Managed Care, Health Policy, Insurance, Medicaid, Long-term Care, Employee Benefits, Provider Relations, Healthcare Management
Education
Everest University-North Orlando 1987 — 1988
Business Administration and Management, General, 3.64
Maynard Evans High School 1983 — 1986
Diploma, General Studies
Univers Health Solutions October 2012 - Present
Preferred Marketing Consultants June 2011 - Present
Family Physicians Group January 2011 - June 2011
Self Employed January 2010 - June 2011
WellCare August 2006 - November 2009
Skills
Medicare, Healthcare, Medicare Part D, Managed Care, Health Policy, Insurance, Medicaid, Long-term Care, Employee Benefits, Provider Relations, Healthcare Management
Education
Everest University-North Orlando 1987 — 1988
Business Administration and Management, General, 3.64
Maynard Evans High School 1983 — 1986
Diploma, General Studies
Takeya Simmons's WellCare Experience January 2010 - January 2012
Job Healthcare Service Manager
Industry Hospital & Health Care
Experience
WellCare January 2010 - January 2012
Swerdlin & Company October 2007 - June 2009
Well Care January 2003 - August 2007
Skills
Healthcare, Medical Terminology, Cpr Certified, Customer Service, Management, Budget, Marketing Communications, Patient Support, Microsoft Office, Organizational..., Health Insurance, Medical Records, Medical Billing, Operations Management, Advocacy
Education
Keller Graduate School of Management of DeVry University 2010 — 2014
Master of Business Administration (MBA), Health Services Administration
Concordia University-Wisconsin 2006 — 2010
Bachelor of Science (BS), Health/Health Care Administration/Management
WellCare January 2010 - January 2012
Swerdlin & Company October 2007 - June 2009
Well Care January 2003 - August 2007
Skills
Healthcare, Medical Terminology, Cpr Certified, Customer Service, Management, Budget, Marketing Communications, Patient Support, Microsoft Office, Organizational..., Health Insurance, Medical Records, Medical Billing, Operations Management, Advocacy
Education
Keller Graduate School of Management of DeVry University 2010 — 2014
Master of Business Administration (MBA), Health Services Administration
Concordia University-Wisconsin 2006 — 2010
Bachelor of Science (BS), Health/Health Care Administration/Management
Scottie T. Harris's WellCare Experience September 2012 - September 2013
Job Business System Analyst at AIG
Industry Information Technology and Services
Experience
AIG October 2014 - Present
UnitedHealth Group September 2013 - Present
WellCare September 2012 - September 2013
UnitedHealth Group July 2010 - August 2012
UnitedHealth Group December 2003 - July 2010
Source Interlink Companies April 2002 - November 2003
ComputerNet Resource Group December 1999 - August 2001
Skills
Project Management, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Public Speaking, Customer Service, Research, Windows, Strategic Planning, English, Outlook, Photoshop, HTML, Social Media, Event Planning, Teaching, Budgets, Negotiation, Editing, C++, Requirements Analysis, Requirements Gathering, Business Analysis
Education
University of Tampa - John H. Sykes College of Business 2010 — 2013
Bachelor's Degree, Management Information Systems, 3.12
Francis Marion University 1993 — 1999
Electrical Engineering Technology
Florence-Darlington Technical College 1995 — 1997
Associate of Science (AS), Electronic Engineering Technology
Andrew Jackson High School
Andrew Jackson High School
AIG October 2014 - Present
UnitedHealth Group September 2013 - Present
WellCare September 2012 - September 2013
UnitedHealth Group July 2010 - August 2012
UnitedHealth Group December 2003 - July 2010
Source Interlink Companies April 2002 - November 2003
ComputerNet Resource Group December 1999 - August 2001
Skills
Project Management, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Public Speaking, Customer Service, Research, Windows, Strategic Planning, English, Outlook, Photoshop, HTML, Social Media, Event Planning, Teaching, Budgets, Negotiation, Editing, C++, Requirements Analysis, Requirements Gathering, Business Analysis
Education
University of Tampa - John H. Sykes College of Business 2010 — 2013
Bachelor's Degree, Management Information Systems, 3.12
Francis Marion University 1993 — 1999
Electrical Engineering Technology
Florence-Darlington Technical College 1995 — 1997
Associate of Science (AS), Electronic Engineering Technology
Andrew Jackson High School
Andrew Jackson High School
Duane Duggins's WellCare Experience July 2010 - June 2015
Job Associate Manager, Consulting Services
Industry Hospital & Health Care
Experience
LexiCode June 2015 - Present
WellCare July 2010 - June 2015
W&D Associates, LLC. July 2008 - June 2015
IASIS Healthcare March 2007 - October 2009
IASIS Healthcare July 2006 - March 2007
H. Lee Moffitt Cancer and Research Center February 2005 - June 2006
Skills
Medical Coding, Revenue Cycle, Healthcare Management, Healthcare Information..., Health Information..., Hospitals, CPT, Inpatient, ICD-9, Medicare, Managed Care, Healthcare, Medical Records, EMR, HIPAA, Medical Terminology, Medicaid, EHR, Health Insurance, Healthcare Consulting
Education
Florida Agricultural and Mechanical University
B.S., Health Information Management
LexiCode June 2015 - Present
WellCare July 2010 - June 2015
W&D Associates, LLC. July 2008 - June 2015
IASIS Healthcare March 2007 - October 2009
IASIS Healthcare July 2006 - March 2007
H. Lee Moffitt Cancer and Research Center February 2005 - June 2006
Skills
Medical Coding, Revenue Cycle, Healthcare Management, Healthcare Information..., Health Information..., Hospitals, CPT, Inpatient, ICD-9, Medicare, Managed Care, Healthcare, Medical Records, EMR, HIPAA, Medical Terminology, Medicaid, EHR, Health Insurance, Healthcare Consulting
Education
Florida Agricultural and Mechanical University
B.S., Health Information Management
Darrel Davis's WellCare Experience November 2005 - November 2012
Job Adjunct Professor Religion at Strayer University
Industry Hospital & Health Care
Experience
Strayer University June 2014 - Present
MetLife May 2013 - Present
U.S. Army Reserve August 2009 - Present
Comfort Keepers 2014 - 2014
Comfort Keepers 2014 - 2014
Universal Health Care December 2012 - April 2013
WellCare November 2005 - November 2012
Walgreens Pharmacy October 1995 - November 2005
Skills
Medicare, Medicaid, Health Insurance, Policy, Insurance, Employee Relations, Pharmacy, Medicine, Healthcare, HIPAA, Managed Care, Customer Service, Healthcare Management, PowerPoint, Microsoft Office, Data Entry, Leadership, Microsoft Word, Microsoft Excel, Outlook, Team Building, Preaching, Evangelism, Exhortation, Singing, Public Speaking, Conflict Resolution, Marketing, Sales, Leadership Development, Process Improvement, Training
Education
Liberty University 2009 — 2014
Master's Degree, Divinity/Ministry
Argosy University 2006 — 2008
Bachelor, Business Administration
St. Petersburg College 2003 — 2004
Associates of Arts, Pre-Pharmacy
TBT 1994 — 1998
Diplomat, Certified Nursing Assistant
Hoop it Up
Orlando Champions, Hoopology
FAMU
Florida Agricultural and Mechanical University
Florida Agricultural and Mechanical University
Monroe Middle School
Strayer University June 2014 - Present
MetLife May 2013 - Present
U.S. Army Reserve August 2009 - Present
Comfort Keepers 2014 - 2014
Comfort Keepers 2014 - 2014
Universal Health Care December 2012 - April 2013
WellCare November 2005 - November 2012
Walgreens Pharmacy October 1995 - November 2005
Skills
Medicare, Medicaid, Health Insurance, Policy, Insurance, Employee Relations, Pharmacy, Medicine, Healthcare, HIPAA, Managed Care, Customer Service, Healthcare Management, PowerPoint, Microsoft Office, Data Entry, Leadership, Microsoft Word, Microsoft Excel, Outlook, Team Building, Preaching, Evangelism, Exhortation, Singing, Public Speaking, Conflict Resolution, Marketing, Sales, Leadership Development, Process Improvement, Training
Education
Liberty University 2009 — 2014
Master's Degree, Divinity/Ministry
Argosy University 2006 — 2008
Bachelor, Business Administration
St. Petersburg College 2003 — 2004
Associates of Arts, Pre-Pharmacy
TBT 1994 — 1998
Diplomat, Certified Nursing Assistant
Hoop it Up
Orlando Champions, Hoopology
FAMU
Florida Agricultural and Mechanical University
Florida Agricultural and Mechanical University
Monroe Middle School
Merlyn Otto's WellCare Experience September 2004 - February 2009
Job Tax & Accounting Professional
Industry Accounting
Experience
Tax Consulting February 2009 - Present
WellCare September 2004 - February 2009
Ernst & Young June 2000 - September 2004
CORPTAX, Inc. June 1998 - June 2000
Education
DePaul University 1986 — 1987
Master of Science In Taxation, Taxation
University of Illinois at Urbana-Champaign 1969 — 1973
Bachelor of Science in Accounting, Accounting
Tax Consulting February 2009 - Present
WellCare September 2004 - February 2009
Ernst & Young June 2000 - September 2004
CORPTAX, Inc. June 1998 - June 2000
Education
DePaul University 1986 — 1987
Master of Science In Taxation, Taxation
University of Illinois at Urbana-Champaign 1969 — 1973
Bachelor of Science in Accounting, Accounting
Javit Thekkumkattil's WellCare Experience January 2011 - May 2012
Job President, FreseniusRx at Fresenius Medical Care
Industry Medical Practice
Experience
Fresenius Medical Care March 2015 - Present
Fresenius Medical Care May 2012 - March 2015
WellCare January 2011 - May 2012
WellCare October 2007 - December 2010
Walgreens September 2004 - October 2007
Skills
Healthcare, Pharmacy Automation, Disease Management, Medicaid, Pharmacy, Medicare, Medicare Part D, Hospitals, Pharmacy Benefit..., Management, Cross-functional Team..., Product Launch, Provider Relations, Healthcare Information..., Managed Care, Healthcare Consulting, Data Analysis, Healthcare Management, Pharmaceutical Industry, Healthcare Industry, Oncology, HIPAA, Process Improvement, Clinical Research, Team Building, Project Management, Microsoft Office, Patient Safety, Strategic Planning, Health Insurance, Clinical Trials, EMR, EHR, Health Policy, Leadership, Utilization Management, Diabetes, Infectious Diseases, Informatics, Pharmaceutical Sales, Customer Service, Insurance
Education
Florida Agricultural and Mechanical University 1998 — 2004
Pharm D, Pharmacy
Fresenius Medical Care March 2015 - Present
Fresenius Medical Care May 2012 - March 2015
WellCare January 2011 - May 2012
WellCare October 2007 - December 2010
Walgreens September 2004 - October 2007
Skills
Healthcare, Pharmacy Automation, Disease Management, Medicaid, Pharmacy, Medicare, Medicare Part D, Hospitals, Pharmacy Benefit..., Management, Cross-functional Team..., Product Launch, Provider Relations, Healthcare Information..., Managed Care, Healthcare Consulting, Data Analysis, Healthcare Management, Pharmaceutical Industry, Healthcare Industry, Oncology, HIPAA, Process Improvement, Clinical Research, Team Building, Project Management, Microsoft Office, Patient Safety, Strategic Planning, Health Insurance, Clinical Trials, EMR, EHR, Health Policy, Leadership, Utilization Management, Diabetes, Infectious Diseases, Informatics, Pharmaceutical Sales, Customer Service, Insurance
Education
Florida Agricultural and Mechanical University 1998 — 2004
Pharm D, Pharmacy
Rosemary Van Der Meulen's WellCare Experience October 1995 - December 1999
Job Information Technology and Services Professional
Industry Information Technology and Services
Experience
Ulster County Information Services May 2011 - Present
Ottaway Newspapers January 1999 - December 2010
WellCare October 1995 - December 1999
Comet Software September 1993 - October 1995
Skills
AS400, Citrix, Alteris / Carbon Copy, Routers, TCP/IP, VPN, Cisco Technologies, Firewalls, DHCP, IBM iSeries, Networking, OSPF, Disaster Recovery, DNS, Cisco IOS, Routing, Troubleshooting, Servers
Education
Dominican College of Blauvelt 1989 — 1992
B.S., Management Information Systems
Ulster County Information Services May 2011 - Present
Ottaway Newspapers January 1999 - December 2010
WellCare October 1995 - December 1999
Comet Software September 1993 - October 1995
Skills
AS400, Citrix, Alteris / Carbon Copy, Routers, TCP/IP, VPN, Cisco Technologies, Firewalls, DHCP, IBM iSeries, Networking, OSPF, Disaster Recovery, DNS, Cisco IOS, Routing, Troubleshooting, Servers
Education
Dominican College of Blauvelt 1989 — 1992
B.S., Management Information Systems
Sherri Oliver's WellCare Experience May 2007 - October 2007
Job Senior Consultant
Industry Information Technology and Services
Experience
CSpring April 2015 - Present
Roche Diagnostics October 2012 - March 2015
Allegient, LLC September 2010 - May 2012
Eli Lilly and Company October 2007 - September 2010
WellCare May 2007 - October 2007
ISPE October 2006 - May 2007
United Landmark Associates October 2005 - October 2006
Madden, Inc May 2005 - October 2005
Martin Lithograph July 2002 - May 2005
Skills
SharePoint, SharePoint Designer, HTML, Photoshop, Web Development, Web Design, CSS, Project Management, Dreamweaver, Business Process, HTML 5, Illustrator, Flash, JavaScript, InfoPath, OS X, Illustration, Mac OS X, Adobe Creative Suite, InDesign, Fireworks, QuarkXPress, Graphic Design, Visual Arts
Education
Minneapolis Community and Technical College 2000 — 2002
Internet and Web Technology
Eastern Florida State College 1997 — 1999
Fine Arts and Graphic Design
CSpring April 2015 - Present
Roche Diagnostics October 2012 - March 2015
Allegient, LLC September 2010 - May 2012
Eli Lilly and Company October 2007 - September 2010
WellCare May 2007 - October 2007
ISPE October 2006 - May 2007
United Landmark Associates October 2005 - October 2006
Madden, Inc May 2005 - October 2005
Martin Lithograph July 2002 - May 2005
Skills
SharePoint, SharePoint Designer, HTML, Photoshop, Web Development, Web Design, CSS, Project Management, Dreamweaver, Business Process, HTML 5, Illustrator, Flash, JavaScript, InfoPath, OS X, Illustration, Mac OS X, Adobe Creative Suite, InDesign, Fireworks, QuarkXPress, Graphic Design, Visual Arts
Education
Minneapolis Community and Technical College 2000 — 2002
Internet and Web Technology
Eastern Florida State College 1997 — 1999
Fine Arts and Graphic Design
Steve Geppert's WellCare Experience October 2008 - August 2012
Job Quality Assurance at Express Scripts
Industry Insurance
Experience
Express Scripts September 2012 - Present
WellCare October 2008 - August 2012
Skills
Insurance, Health Insurance, Employee Benefits, Customer Service, Leadership, Management, Strategic Planning, Training, Process Improvement, Team Building
Education
Eastern Illinois University 1997 — 2001
Bachelor of Arts (BA), History
Express Scripts September 2012 - Present
WellCare October 2008 - August 2012
Skills
Insurance, Health Insurance, Employee Benefits, Customer Service, Leadership, Management, Strategic Planning, Training, Process Improvement, Team Building
Education
Eastern Illinois University 1997 — 2001
Bachelor of Arts (BA), History
Beth Baertschi's WellCare Experience January 2000 - May 2007
Job Utilization Management Manager at iCare Health Solutions
Industry Insurance
Experience
ICARE Health Solutions July 2014 - Present
Physicians United Plan March 2013 - April 2014
Universal Health Care September 2011 - March 2013
Freedom Health March 2008 - September 2011
Citrus Health Care, Inc January 2007 - February 2008
WellCare January 2000 - May 2007
Skills
Case Managment, Medicare, Medicaid, Managed Care, HMO, Provider Relations, Management, Supervising, Hiring Employees, Process Improvement, Presentations, Healthcare, Disease Management, Medicare Part D, Health Insurance, Call Centers, Healthcare Industry, HIPAA, Healthcare Information..., Utilization Management, Healthcare Consulting, Healthcare Management, Policy, EHR, Nursing, Insurance, EMR, Physicians, Hospitals, Claim, Case Management, Health Policy, Medicaid Managed Care, PPO, Utilization Review, NCQA, Long-term Care, Credentialing, ICD-9, Home Care, Leadership
Education
D G Erwin Technical Center 1994 — 1995
License Practical Nurse, Nursing Education
Hillsborough Community College 1992 — 1994
Business Administration and Management, General
Hillsborough Community College
ICARE Health Solutions July 2014 - Present
Physicians United Plan March 2013 - April 2014
Universal Health Care September 2011 - March 2013
Freedom Health March 2008 - September 2011
Citrus Health Care, Inc January 2007 - February 2008
WellCare January 2000 - May 2007
Skills
Case Managment, Medicare, Medicaid, Managed Care, HMO, Provider Relations, Management, Supervising, Hiring Employees, Process Improvement, Presentations, Healthcare, Disease Management, Medicare Part D, Health Insurance, Call Centers, Healthcare Industry, HIPAA, Healthcare Information..., Utilization Management, Healthcare Consulting, Healthcare Management, Policy, EHR, Nursing, Insurance, EMR, Physicians, Hospitals, Claim, Case Management, Health Policy, Medicaid Managed Care, PPO, Utilization Review, NCQA, Long-term Care, Credentialing, ICD-9, Home Care, Leadership
Education
D G Erwin Technical Center 1994 — 1995
License Practical Nurse, Nursing Education
Hillsborough Community College 1992 — 1994
Business Administration and Management, General
Hillsborough Community College
ratna soni's WellCare Experience June 2012 - Present
Job Network Management Rep at WellCare
Industry Insurance
Experience
WellCare June 2012 - Present
Education
Duquesne University
WellCare June 2012 - Present
Education
Duquesne University
Wanda Livingston's WellCare Experience April 2006 - Present
Job Sr Provider Relations Representative at WellCare
Industry Insurance
Experience
WellCare April 2006 - Present
BCBSGA/WellPoint April 1984 - April 2006
Skills
Managed Care, Medicaid Managed Care, Contract Negotiation, Medicare, HEDIS
Education
Columbus State University 1972 — 1973
WellCare April 2006 - Present
BCBSGA/WellPoint April 1984 - April 2006
Skills
Managed Care, Medicaid Managed Care, Contract Negotiation, Medicare, HEDIS
Education
Columbus State University 1972 — 1973
Isalethe Ramos's WellCare Experience August 2010 - Present
Job Pharmacy Technician at WellCare
Industry Insurance
Experience
WellCare August 2010 - Present
CVS Caremark Corporation January 2010 - December 2011
Starbucks October 2007 - December 2009
Skills
Spanish-speaking, English, Musicians, Pianist, Basketball Coaching
Education
Everest University-Tampa 2010 — 2011
Pharmacy technician
Everest University-Tampa 2009 — 2011
Register Pharmacy Technician, Register Supervisor
WellCare August 2010 - Present
CVS Caremark Corporation January 2010 - December 2011
Starbucks October 2007 - December 2009
Skills
Spanish-speaking, English, Musicians, Pianist, Basketball Coaching
Education
Everest University-Tampa 2010 — 2011
Pharmacy technician
Everest University-Tampa 2009 — 2011
Register Pharmacy Technician, Register Supervisor
joyce arrington's WellCare Experience May 2007 - December 2013
Job Happy retirement
Industry Insurance
Experience
Retirement after 50 years as an RN January 2014 - Present
WellCare May 2007 - December 2013
VNA of NPR January 2004 - May 2006
VNA, Atlanta, Ga September 1993 - September 2003
Southern Regional Medical Center June 1984 - May 1993
Doctors Memorial Hospital , Atlanta, GA February 1980 - September 1984
South Fulton Hospital May 1965 - April 1980
Skills
Utilization Management, Health Insurance, Provider Relations, Utilization Review, Healthcare Management, Health Policy, Insurance, Workers Compensation, Claim, Home Care
Education
Joliet University 1980 — 1983
Bachelor's Degree, Health Arts, excellent
Piedmont Hospital School of Nursing 1961 — 1964
Registered Nursing/Registered Nurse
Emory University 1960 — 1961
Pre -nursing
Retirement after 50 years as an RN January 2014 - Present
WellCare May 2007 - December 2013
VNA of NPR January 2004 - May 2006
VNA, Atlanta, Ga September 1993 - September 2003
Southern Regional Medical Center June 1984 - May 1993
Doctors Memorial Hospital , Atlanta, GA February 1980 - September 1984
South Fulton Hospital May 1965 - April 1980
Skills
Utilization Management, Health Insurance, Provider Relations, Utilization Review, Healthcare Management, Health Policy, Insurance, Workers Compensation, Claim, Home Care
Education
Joliet University 1980 — 1983
Bachelor's Degree, Health Arts, excellent
Piedmont Hospital School of Nursing 1961 — 1964
Registered Nursing/Registered Nurse
Emory University 1960 — 1961
Pre -nursing
Vicky Hugger's WellCare Experience June 2008 - June 2012
Job Quality Assurance Analyst at New York Life Insurance Company (Contractor)
Industry
Experience
New York Life Insurance Company (Contractor) October 2014 - Present
WellSystems March 2014 - September 2014
Teksystems-Excellus BCBS November 2013 - March 2014
PMSI August 2013 - November 2013
Xerox/S2Tech June 2012 - May 2013
WellCare June 2008 - June 2012
UnitedHealth Group April 2007 - July 2008
Amerigroup January 2007 - April 2007
Humana March 2006 - 2007
Skills
Quality Assurance, Testing, Access, Process Improvement, Software Documentation, Analysis, Healthcare Industry, SDLC, Business Analysis, Integration, Software Quality..., Test Planning, Quality Center, Test Cases, SharePoint, User Acceptance Testing, Regression Testing, Agile Methodologies, System Testing, Software Development
Education
D G Erwin Technical Center 2011 — 2013
Practical Nursing, Vocational Nursing and Nursing Assistants, A
New York Life Insurance Company (Contractor) October 2014 - Present
WellSystems March 2014 - September 2014
Teksystems-Excellus BCBS November 2013 - March 2014
PMSI August 2013 - November 2013
Xerox/S2Tech June 2012 - May 2013
WellCare June 2008 - June 2012
UnitedHealth Group April 2007 - July 2008
Amerigroup January 2007 - April 2007
Humana March 2006 - 2007
Skills
Quality Assurance, Testing, Access, Process Improvement, Software Documentation, Analysis, Healthcare Industry, SDLC, Business Analysis, Integration, Software Quality..., Test Planning, Quality Center, Test Cases, SharePoint, User Acceptance Testing, Regression Testing, Agile Methodologies, System Testing, Software Development
Education
D G Erwin Technical Center 2011 — 2013
Practical Nursing, Vocational Nursing and Nursing Assistants, A
Seth Adelman's WellCare Experience December 2005 - May 2006
Job Revenue Recognition Analyst at TracFone Wireless
Industry Telecommunications
Experience
TracFone Wireless November 2007 - Present
Costa Crociere May 2006 - October 2007
WellCare December 2005 - May 2006
Emdeon Practice Services 1999 - 2005
Skills
Forecasting, Business Analysis, Telecommunications, Analysis, Process Improvement, Competitive Analysis, Financial Analysis, Access, Cross-functional Team..., Cognos, Product Management, Data Analysis, Management, Business Intelligence, Analytics, Financial Reporting, Budgets
Education
University of South Florida 2001 — 2005
Master of Business Administration (MBA)
Cornell University 1994 — 1998
Bachelor's degree, Biology/Biological Sciences, General
Manalapan High School 1990 — 1994
TracFone Wireless November 2007 - Present
Costa Crociere May 2006 - October 2007
WellCare December 2005 - May 2006
Emdeon Practice Services 1999 - 2005
Skills
Forecasting, Business Analysis, Telecommunications, Analysis, Process Improvement, Competitive Analysis, Financial Analysis, Access, Cross-functional Team..., Cognos, Product Management, Data Analysis, Management, Business Intelligence, Analytics, Financial Reporting, Budgets
Education
University of South Florida 2001 — 2005
Master of Business Administration (MBA)
Cornell University 1994 — 1998
Bachelor's degree, Biology/Biological Sciences, General
Manalapan High School 1990 — 1994
Kevin Pettet's WellCare Experience October 2010 - August 2012
Job Revenue Reconciliation Analyst at WellCare
Industry Insurance
Experience
WellCare October 2010 - August 2012
Skills
Leadership, Insurance
Education
Everest University-Brandon 1993 — 1998
Master of Business Administration (M.B.A.), Business Administration and Management, General
Everest University-Tampa 1993 — 1998
Master of Business Administration (MBA), Business Administration and Management, General
WellCare October 2010 - August 2012
Skills
Leadership, Insurance
Education
Everest University-Brandon 1993 — 1998
Master of Business Administration (M.B.A.), Business Administration and Management, General
Everest University-Tampa 1993 — 1998
Master of Business Administration (MBA), Business Administration and Management, General
Juan Corporan's WellCare Experience January 2008 - May 2008
Job Mortgage Specialist at Wells Fargo Home Mortgage
Industry Banking
Experience
Wells Fargo Home Mortgage September 2008 - Present
WellCare January 2008 - May 2008
Healthfirst January 2005 - December 2007
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Editing, C++, C, Java
Education
CUNY Bronx Community College
Wells Fargo Home Mortgage September 2008 - Present
WellCare January 2008 - May 2008
Healthfirst January 2005 - December 2007
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets, Negotiation, Editing, C++, C, Java
Education
CUNY Bronx Community College
Kimberly Wooten's WellCare Experience January 2007 - Present
Job Quality Improvement Project Manger, SR
Industry Insurance
Experience
WellCare January 2007 - Present
Ceres HealthCare, Inc April 1998 - December 2006
Grange Insurance April 1995 - March 1998
Skills
Managed Care, Health Insurance, Medicaid, Medicare, Quality Improvement, HEDIS, HIPAA, NCQA, User Acceptance Testing, Project Management, Data Analysis, Regulatory Documentation, Healthcare, Project Planning, Insurance, Microsoft Office
Education
Polaris Career Center 1995 — 1996
Certification, Administrative Assistant and Secretarial Science, General, A
Cuyahoga Community College 1986 — 1989
Associate of Arts and Sciences (AAS), Early Childhood Education and Teaching
WellCare January 2007 - Present
Ceres HealthCare, Inc April 1998 - December 2006
Grange Insurance April 1995 - March 1998
Skills
Managed Care, Health Insurance, Medicaid, Medicare, Quality Improvement, HEDIS, HIPAA, NCQA, User Acceptance Testing, Project Management, Data Analysis, Regulatory Documentation, Healthcare, Project Planning, Insurance, Microsoft Office
Education
Polaris Career Center 1995 — 1996
Certification, Administrative Assistant and Secretarial Science, General, A
Cuyahoga Community College 1986 — 1989
Associate of Arts and Sciences (AAS), Early Childhood Education and Teaching
Lisa Stokes's WellCare Experience 2008 - 2013
Job Marketing Professional
Industry Insurance
Experience
Bright House Networks December 2013 - June 2014
WellCare 2008 - 2013
AVI-SPL 2006 - 2007
McKim & Creed 2005 - 2006
Transitions Optical 2004 - 2005
Skills
Marketing Communications, Account Management, Public Relations, Marketing, Marketing Strategy, Strategic Planning, Email Marketing, Creative Direction, Leadership
Education
East Carolina University 1998 — 2001
Bachelor of Arts (BA), Communication and Media Studies
University of Alaska Anchorage 1997 — 1998
Bright House Networks December 2013 - June 2014
WellCare 2008 - 2013
AVI-SPL 2006 - 2007
McKim & Creed 2005 - 2006
Transitions Optical 2004 - 2005
Skills
Marketing Communications, Account Management, Public Relations, Marketing, Marketing Strategy, Strategic Planning, Email Marketing, Creative Direction, Leadership
Education
East Carolina University 1998 — 2001
Bachelor of Arts (BA), Communication and Media Studies
University of Alaska Anchorage 1997 — 1998
Marilu Fuentes's WellCare Experience October 2011 - September 2013
Job
Industry
Experience
Forest City Rather November 2013 - Present
WellCare October 2011 - September 2013
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, Sales, Leadership, Training, Photoshop, Bilingual Communications, Customer Service, Real Estate, General Ledger, Healthcare, Outlook, PowerPoint, Team Leadership, Team Building, Time Management, Web Design, Windows XP, Yardi, MRI Software, Nexus
Education
DeVry University 2015 — 2018
Bachelor's degree, Health Service Management
Forest City Rather November 2013 - Present
WellCare October 2011 - September 2013
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, Sales, Leadership, Training, Photoshop, Bilingual Communications, Customer Service, Real Estate, General Ledger, Healthcare, Outlook, PowerPoint, Team Leadership, Team Building, Time Management, Web Design, Windows XP, Yardi, MRI Software, Nexus
Education
DeVry University 2015 — 2018
Bachelor's degree, Health Service Management
Kaiser Permanente
Cardinal Health
Mayo Clinic
HCA
Baxter Healthcare
Providence Health & Services
Fresenius Medical Care
Carolinas Healthcare System