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
Origami Owl Custom Jewelry April 2014 - Present
Business Networking International (BNI) October 2012 - Present
Avon October 2011 - Present
Honey Do At Your Service, LLC April 2006 - Present
Thirty-One Gifts April 2014 - March 2015
White Hat Management October 2005 - November 2008
WellCare February 2002 - October 2005
Pasco Beverage January 2002 - February 2003
Foley & Lardner LLP February 1998 - February 2002
Lockheed Martin Specialty Components October 1992 - December 1996
Skills
Nonprofits, Employee Benefits, Public Relations, Corporate Law, Outlook, Contract Negotiation, Public Speaking, Legal Writing, Corporate Governance, Leadership, Strategic Planning, Process Improvement, Customer Service, Healthcare, Research, Litigation, Insurance, Training, Mergers & Acquisitions, Management, Non-profits, Negotiation, Sales, Human Resources, Budgets
Education
Florida Metropolitan University 1993 — 1995
MBA, Business Administration
Florida Metropolitan University 1993 — 1995
Master of Business Administration (M.B.A.), Business Administration and Management, General
Boone County High School 1975 — 1977
diploma
Nationwide Title Clearing, Inc. October 2013 - Present
WellCare February 2010 - October 2013
WellCare August 2007 - February 2010
Lexes Associates August 2006 - August 2007
Litton PRC 1995 - 1998
Motorola Semiconductor 1993 - 1995
Skills
PL/SQL, SDLC, Database Design, SQL Tuning, Data Warehousing, SQL, Microsoft SQL Server, Data Modeling, ETL, Oracle, Requirements Analysis, Visio, Enterprise Architecture, Software Development, Integration, Unix, Testing, ASP.NET, VB.NET, .NET, T-SQL, Databases, Systems Analysis, VBScript, Web Services, XML, SOA, DB2, Web Applications
Education
Florida International University 1989 — 1993
BS, Computer Science
WellCare February 2013 - Present
Florida Agency for Healthcare Administration June 2011 - February 2013
Florida Agency for Healthcare Administration January 2009 - June 2011
Skills
Health Insurance, Managed Care, Healthcare, Medicare, Insurance, Health Policy, Healthcare Management, Healthcare Industry, Medicaid, HIPAA, Data Analysis, Provider Relations, Negotiation, Physician Relations, Claim, Long-term Care
Education
Florida State University 2002 — 2008
Bachelor of Arts (B.A.), English Literature
WellCare January 2014 - Present
Universal Health Care May 2007 - March 2013
Everest University-Lakeland Campus April 2001 - February 2005
Skills
Healthcare, Health Insurance, Medicare, Customer Service, Managed Care, HMO, Microsoft Office, Insurance, Provider Relations, HIPAA, Process Improvement, Medicaid, Microsoft Word, Workers Compensation, Claim, Healthcare Consulting, Long-term Care, Medical Billing, Claims Resolution, Network Development, PPO, Health Policy, Healthcare Management, Medicare Part D, Utilization Management, Credentialing, Disease Management, Healthcare Industry, Claims Management, Physicians, Employee Benefits, Physician Relations, Revenue Cycle, Medical Compliance
Education
Florida Metropolitan University 2001 — 2004
Bachelor, Business Administration and Management, General
Professional Insurance Marketing System Company June 2013 - Present
Universal Health Care June 2012 - March 2013
WellCare August 2008 - May 2012
Compbenefits Vision & Dental December 2006 - April 2008
Skills
Insurance, Health Insurance, Employee Benefits, Managed Care, Medicare Part D, Medicare, Team Building, Sales Management, Management, Disability Insurance, Training, New Business Development, Health Care Reform, Strategic Planning, Health Policy, Sales Operations, Life Insurance, Public Speaking, Medicare Prescription..., Small Business, Leadership, Long-term Care, Health Savings Accounts, Long Term Care Insurance, Marketing, Fixed Annuities, Sales, Retirement, Critical Illness, Group Insurance, Group Medical, Customer Service, Term Life Insurance, Account Management, Marketing Strategy
Education
Florida State University 1985 — 1987
Associate of Arts, Accounting and Business/Management
St Thomas Aquinas 1981 — 1985
High School Diploma
UnitedHealth Group January 2013 - Present
Falu Enterprises, Inc. May 2001 - Present
WellCare January 2006 - May 2012
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop, Teaching, HTML, Public Speaking, Budgets, Strategic Planning, C++, Negotiation, Editing, C, Java, Medicare, Medicaid, Management, Sales, Event Planning, Marketing, Sales Operations, Sales Management, Healthcare Industry, Healthcare, Managed Care
Education
Pace University 1996 — 1998
Graduate Studies, Business Administration and Management, General
University of Maryland Eastern Shore 1993 — 1995
Bachelor's degree, Business Administration and Management, General
Hagerstown Community College 1990 — 1993
Associate's degree, Business, Management, Marketing, and Related Support Services
HealthPlan Services July 2014 - Present
WellCare November 2005 - October 2012
Kash N' Karry February 2005 - November 2005
CVS Pharmacy January 2002 - February 2005
Skills
Medicare Part D, Medicare, Managed Care, Medicaid, HIPAA, Pharmacy Benefit..., Health Insurance, Pharmacy, Utilization Management, Medication Therapy..., Management, Insurance, Health Policy, Call Centers, Pharmacueticals, Prescription, Claim, HMO, Credentialing, Medical Terminology, Medicaid Managed Care, PPO, Process Improvement, Customer Service, Microsoft Excel, Healthcare, Access, Healthcare Industry
Education
Florida Metropolitan University 2004 — 2006
Associate of Science (A.S.), Medical Insurance Billing and Coding, 3.21
Centene Corporation August 2009 - Present
WellCare 2002 - 2009
Humana February 1995 - April 2002
Skills
Utilization Management, Medicaid, Medicare, Healthcare Management, Nursing, Health Insurance, Insurance, CPHM certification, Medicare Part D, Clinical Research, Healthcare Consulting, Managed Care, Health Policy, Healthcare Information..., Network Development, Healthcare, Hospitals, Physicians, Disease Management
Education
Georgia Perimeter College 1975 — 1977
Diploma, License Practical Nurse
Orange County Juvenile Justice Center September 2015 - Present
Ninth Judicial Circuit Court June 2015 - August 2015
Deborah A. Cook Law & Mediation September 2014 - June 2015
Orlando Health September 2012 - September 2014
WellCare March 2012 - August 2012
Moffitt Cancer Center September 2006 - March 2012
BayCare Health System January 2002 - September 2006
Florida Department of Juvenile Justice July 2002 - January 2003
Skills
Mental Health, Crisis Intervention, Behavioral Health, Family Therapy, Therapists, Treatment, Clinical Research, Grief Counseling, Healthcare, Interventions, Prevention, Hospitals, Mental Health Counseling, Inpatient, Psychosocial, Case Management, Medical Social Work, Adolescents, Adolescent Therapy, Pediatrics, Group Therapy, Clinical Supervision, Biopsychosocial..., Rehabilitation, Dual Diagnosis, Suicide Assessment, Case Managment, Child Therapy, Chronic Illness, Couples Counseling, Feeding Disorders, Child Advocacy, Patient Advocacy, Co-occurring Disorders, Domestic Violence..., Anger Management, Westlaw, LexisNexis, Legal Research
Education
Florida Agricultural and Mechanical University, College of Law 2012 — 2016
Doctor of Law (J.D.), Part-Time Program
Rutgers, The State University of New Jersey-New Brunswick 1997 — 1999
Master of Social Work (MSW), Children and Families Clinical Social Work
Temple University 1990 — 1996
Bachelor of Arts (B.A.), Psychology
Health Plan Markets March 2015 - Present
WellCare September 2013 - November 2014
FMO Florida August 2011 - July 2013
Freedom Health October 2008 - July 2011
Humana October 2004 - June 2008
WellCare October 2002 - September 2004
Humana May 1999 - April 2001
UnitedHealth Group November 1993 - October 1998
Skills
Health Policy, Provider Relations, Consumer Healthcare, Medicaid, Disease Management, Managed Care, Utilization Management, Long-term Care, Dentistry, Employee Wellness, Disability Insurance, Insurance, Employee Benefits, Medicare Part D, Health Care Reform, Health Insurance, Medicare, Customer Service, Strategic Planning
Education
Guilford Technical Community College 1981 — 1982
Insurance and Risk Management, Life, Accident, Health, 3.9
RJ Reynolds Sr. High 1978 — 1979
Academic, American History (United States)
Hiawassee 1967 — 1973
Green Dot Corporation November 2013 - Present
AgileThought November 2011 - August 2013
PwC November 2011 - November 2012
HealthPlan Services December 2010 - November 2011
WellCare May 2009 - September 2011
HealhPlan Services 2010 - 2011
Motivano July 2006 - April 2009
Modis 2006 - 2006
PMSI 2002 - 2006
Skills
SDLC, Quality Assurance, Requirements Analysis, SQL, Manual Testing, Management, SharePoint, Requirements Gathering, Leadership, Visio, Software Documentation, Quality Center, Agile Methodologies, User Acceptance Testing, Software Project..., Business Requirements, Microsoft SQL Server, TFS
Education
Florida Metropolitan University 1998 — 2001
Bachelor of Science (B.S.), Computer Science
WellCare January 2014 - Present
Windsor Health Plan 2011 - 2013
CNA Insurance 2005 - 2010
TrustCore Financial 2004 - 2005
CNA Insurance 1996 - 2004
First Investors Corporation 1995 - 1996
Skills
Insurance, Financial Services, Process Improvement, CRM, Claim, Life Insurance, Customer Service, Long Term Care Insurance, Reinsurance, Analysis, Microsoft Excel, Operations Management, Health Insurance, Quality Assurance, Software Documentation, Training, Auditing, SDLC, Long-term Care, Technical Writing, Medicare, Risk Management
Education
Florida Southern College
B.S., Business Administration - Financial Management
The American College 2003 — 2005
CLU, ChFC, Insurance, Consultant
Nicholls State University
Mass Communications, General Studies
Showe and Associates LLC January 2015 - Present
Med-Exec Solutions February 2013 - January 2015
Managed Healthcare Consultant February 2008 - January 2015
ATTAC Consulting Group (ACG) March 2011 - April 2013
Visante® Inc. January 2009 - December 2010
Gorman Health Group November 2005 - December 2008
WellCare September 2004 - November 2005
Medicare y Mucho Mas (MMM) October 2002 - September 2004
The Showe Group September 1997 - October 2002
The Scheur Management Group, Inc. July 1995 - September 1997
Skills
Healthcare, Medicare, Managed Care, Medicaid, Program Management, Compliance, Healthcare Sales, Business Development, Medicare Advantage..., Marketing, Team Building, Training, Fraud, Waste and Abuse, Strategic Planning, Process Improvement, Executive Management, Product Development, Healthcare Information..., Sales, Hospitals, Disease Management, Healthcare Consulting, Health Policy, Healthcare Management, Medicare Part D, Strategy, Cross-functional Team..., Healthcare Industry, Management, Revenue Cycle, Employee Benefits, HIPAA, Leadership, Pharmacy Benefit..., Operations Management, Physician Relations, Network Development, Provider Relations, Health Insurance, Physicians, HMO, Utilization Management, Practice Management, Health Care Reform, Policy, EHR, Revenue Cycle Management, Quality Improvement, Long-term Care, Consulting
Education
University of Maryland College Park 1962 — 1964
Associate of Arts (A.A.)
Georgetown University 1966 — 1968
Bachelor of Arts (B.A.)
The George Washington University 1974 — 1977
Master of Business Administration (MBA)
Wellcare January 2014 - Present
Avon March 2013 - Present
CROSSMARK September 2013 - January 2014
Daybreak September 2013 - November 2013
Senior Helpers May 2012 - June 2013
Fort Mill Preschool 2012 - 2013
News and Sentinel July 1984 - August 1999
Skills
PowerPoint, Microsoft Word, Microsoft Office, Customer Service, Layout, Graphic Design, Analytical Skills, Sales, Nutrition, Home Care, Customer Satisfaction, Social Networking, Telephone Skills, Management, Event Planning, Typing, Organizational Skills, Fundraising, Training, Case Management, Nonprofits, Community Outreach, Facebook, Advertising, Leadership
Education
Granite State College 2004 — 2008
Bachelor of Science (B.S.), Behavioral Sciences
Everest University Online July 2012 - Present
WellCare February 2008 - August 2012
The Home Depot/ EXPO January 2004 - January 2008
Skills
Training, Leadership Development, Performance Management, Leadership, Human Resources, E-Learning, Program Management, Coaching, Management, Cross-functional Team..., Curriculum Development, Recruiting, Analysis, Public Speaking, Team Building, Employee Training
Education
Florida International University - College of Business Administration 1992 — 1995
MBA, International Business
University of Tennessee-Knoxville - College of Business Administration 1981 — 1985
Bachelor of Science, Finance
IBDJourneys March 2012 - Present
Exakt Marketing 2009 - Present
Meet Miss Write January 2001 - Present
Bisk Education May 2009 - January 2014
WellCare August 2008 - March 2009
Triad Digital Media April 2007 - March 2008
Imaging Network July 2001 - March 2007
World Avenue 2005 - 2007
Skills
Social Media Marketing, SEO, Copywriting, Online Marketing, Blogging, Web Content Management, Content Management, Digital Branding, Public Relations, Trade Publications, Trade Show Coordination, Trade Show Management, Email Marketing, Social Media, Digital Marketing, Advertising, Facebook, Online Advertising, SEM, Direct Marketing, Marketing Communications, Social Networking, Web Content, Web Analytics, Lead Generation, Google Analytics, Press Releases, Website Development, Wordpress, PPC, Newsletters, Editing, Google Adwords, Digital Strategy, Content Development, Digital Media, Writing, SEO copywriting, Corporate Communications, Web Marketing, CMS, Content Strategy, Interactive Marketing, Twitter, Integrated Marketing, Copy Editing, Marketing
Education
Rowan University 2003 — 2005
Bachelor of Arts (B.A.), Journalism
Florida International University 2001 — 2003
Journalism
Florida Atlantic University 1999 — 2001
Communication, Journalism, and Related Programs
WellCare Health Plans August 2015 - Present
WellCare Health Plans October 2013 - August 2015
WellCare April 2013 - October 2013
Health Integrated July 2011 - March 2013
Northside Mental Health Center August 2008 - July 2011
The Center for Drug Free Living August 2007 - May 2008
UCF Office of Research and Commercialization March 2006 - May 2008
Holy Trinity Episcopal Academy 2005 - 2005
Holy Trinity Catholic High School January 2001 - May 2001
Skills
Healthcare, Mental Health, Clinical Research, Mental Health Counseling, Psychology, Child Development, Social Services, Psychotherapy, Research, Outlook, Treatment, Behavioral Health, PowerPoint, CBT, Clinical Supervision, Family Therapy, Leadership, Case Managment, Interventions, Crisis Intervention, Motivational..., Adolescents
Education
University of Central Florida 2005 — 2008
MA
Florida Institute of Technology 2001 — 2005
BA
Rosie Mae Home Care July 2014 - Present
WellCare April 2008 - Present
Skills
Disability Insurance, Health Insurance, Life Insurance, Employee Benefits, Customer Service, Medicare, Insurance, Healthcare
Education
Governors State University
Master of Business Administration (M.B.A.), Business Administration, Management and Operations
WellCare Health Plans September 2014 - Present
WellCare Health Plans August 2013 - September 2014
WellCare May 2013 - August 2013
Tampa Electric October 2008 - June 2009
Allied Aerofoams Product, LLC November 2007 - June 2008
Skills
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Equifax, Leadership, Organization, Multi-tasked, Data Entry, Numerical Ability, Self-driven, Xcelys, SharePoint, PowerPoint, Accounting, Invoicing
Education
University of South Florida 2012 — 2014
Bachelor of Science (B.S.), Accounting
University of South Florida 2012 — 2014
Bachelor of Science (BS), Finance
Florida International University - College of Business Administration 2009 — 2012
Accounting and Finance
WellCare 2014 - Present
GSA Applications - The Leader In Application Processing 2013 - 2014
Glaucoma Associate's Inc. 2012 - 2014
San Diego State University 2011 - 2012
San Diego State University 2011 - 2012
Everest University 2010 - 2011
Ford Motor Company February 2002 - June 2006
Skills
Multi-lingual: Fluent..., Proficiency in:..., Knowledge of..., CPR certified, Florida Notary, Data Entry, Research, Customer Service, Filing, Teamwork, Healthcare, File Management, Cpr Certified, Microsoft Office, Fundraising, Public Speaking, Microsoft Excel, Nonprofits, PowerPoint, Training, Social Media, Invoicing, Event Management
Education
Grand Canyon University
Master's of Science, Professional Counseling
Ultimate Medical Academy 2012 — 2013
Associate of Science (A.S.), Medical Office Management/Administration
Ultimate Medical Academy-Tampa 2011 — 2012
Diploma, Medical Administrative Assistant
Universidade Federal da Bahia 1998 — 2001
Bachelor's degree, Law
Simply Health Care Plans February 2012 - Present
WellCare October 2007 - February 2012
ACS State Healthcare February 2007 - October 2007
ACS State Healthcare October 2003 - February 2007
Florida Medicaid July 2002 - October 2003
ACS Florida Systems March 2001 - July 2002
Tallahassee Memorial Hospital February 2000 - March 2001
KPMG April 1999 - February 2000
Interim/Spherion February 1996 - December 1999
Skills
Provider Relations, Medicaid, Network Development, Provider Contracting, Medicare, Claim Analysis, HEDIS, Quality Management, Data Analysis, HMO, Healthcare Industry, HIPAA, Healthcare Management, Credentialing, Healthcare Consulting, Health Policy, Managed Care, Medical Billing, Policy, Training, PPO, Health Insurance, Claim, Claim Investigation, Healthcare Information..., Hospitals, Healthcare, Software Documentation, EHR, Team Building, Strategic Planning, Disease Management, Medicare Part D
Education
University of Florida 2008 — 2010
MBA, Healthcare Management
Florida Agricultural and Mechanical University 1995 — 2005
BS, political Science
Scotiabank Global Banking and Markets November 2012 - Present
WellCare June 2011 - August 2011
Skills
Languages: English and..., Capital Markets, Trading, Financial Markets, Options
Education
Hamilton College 2008 — 2012
B.A., Economics & French
Phillips Exeter Academy 2006 — 2008
Loyola High School 2001 — 2006
WellCare November 2007 - Present
Skills
Community Development, Event Planning, Public Relations, Marketing, Training, Healthcare, Marketing Communications, Event Management, Marketing Strategy, Fundraising, Leadership, Leadership Development, Nonprofits, Public Speaking, Social Networking, Social Media
Education
University of Phoenix 2014 — 2016
Master of Business Administration (MBA)
Strayer University 2013 — 2014
Master's degree, Marketing/Marketing Management, General
Georgia State University 2001 — 2003
Bachelor of Arts (B.A.), Communication, Journalism, and Related Programs
Oakwood College 1999 — 2001
AT&T June 2012 - Present
GE March 2011 - June 2012
GE February 2008 - February 2010
Symbiosis Technologies Inc March 2005 - May 2008
WellCare May 2007 - February 2008
Chase Paymentech August 2004 - May 2007
Chase Paymentech August 2003 - July 2004
Skills
Quality Assurance, Integration, Software Development, Testing, Unix, Databases, SDLC, Agile Methodologies, Quality Center, Web Applications, Software Project..., Perl, JavaScript, XML, Java, SQL, System Testing, Test Planning, Six Sigma, QTP, Java Enterprise Edition, Visual Basic, Oracle, PL/SQL, Test Automation, Cross-functional Team..., JIRA, Process Improvement, Requirements Analysis, Leadership, Project Management, Strategy, Business Analysis, Software Engineering, System Architecture, Mobile Devices, Program Management
Education
Georgia Tech 2011 — 2013
Masters in Applied Systems Engineering, Engineering
University of Central Florida 2005 — 2007
Masters of Science, Industrial Engineering - Engineering Management
University of South Florida 1999 — 2003
Bachelor of Science, Computer Engineering
University of South Florida 1999 — 2003
Bachelor of Science, Computer Science
Amman Academy 1995 — 1998
High School Degree (Tawjihi), Secondary Education
WellCare 2012 - 2013
American Insurance Association 1999 - 2010
Manning Selvage and Lee 1998 - 1998
Rountree Group 1996 - 1997
Matlock & Associates 1994 - 1995
Equifax 1987 - 1994
Congressman Vic Fazio 1981 - 1986
Skills
Media Spokesperson, Strategic Communications, Government Relations, Public Relations, Public Policy, Message Development, Media Relations, Issues Management, Communications Strategy, Press Releases, Reputation Management, Strategic..., Writing, Speech Writing, Spokesperson, Editing, Issue Advocacy, Earned Media, Talking Points, Op-eds, Position Papers, Pitch Letters, Bylined Articles, News Release Writing, Public Affairs, Strategic Counsel, Corporate Communications, Backgrounders, Strategic Media..., Communications Planning, Press Release..., Key Message Development, Strategy
Education
Georgia State University - J. Mack Robinson College of Business 1994 — 1996
MBA, Marketing
Furman University 1975 — 1979
BA, Political Science
UnitedHealth Group June 2013 - Present
Horizon Blue Cross Blue Shield of New Jersey January 2013 - June 2013
Jawood October 2011 - November 2012
WellCare December 2010 - August 2011
Skills
Requirements Analysis, SQL, Testing, Quality Assurance, Agile Methodologies, Quality Center, Databases, Business Analysis, Data Warehousing, Oracle, Software Documentation, Microsoft SQL Server, DB2, Test Cases, Business Requirements, PMO, Data Migration, Informatica, EDI, HIPAA, SDLC, Visio, Requirements Gathering, Test Planning, Business Process, Software Project...
Education
Schiller International University 2007 — 2008
Master's degree, Computer Engineering, 3.4/4.0
Gujarat University 2001 — 2005
Bachelor's degree, Electrical, Electronics and Communications Engineering, 3.44/4.0
Florida Career College June 2012 - Present
James P. Ashe January 2009 - June 2012
Notary 2010 - 2010
National Telecommuting Institute January 2007 - January 2009
WellCare January 2005 - January 2009
Skills
Notary Public, Microsoft Excel, Microsoft Word, PowerPoint, Medical Office..., Medical Billing & Coding, Medical Records..., Medical Terminology, HIPAA & JCAHO Knowledge, Bookkeeping & Filing, Prescription codes, Project Management, Productivity/Process..., Staff Training and..., Customer Service..., Customer Relationship..., Highly skilled in..., Management, CRM, Medical Records, System Administration, Customer Service, Office Management, Research, Team Building
Education
Florida Career College-Clearwater 2012 — 2014
Associate's degree, Health Services Administration
Florida Career College 2004 — 2005
HIBC, Medical Billing/coding, 4.0
Sinnot School 2001 — 2002
Microsoft Office Certification, MS Office Suite, 4.0
Weymouth High School
High School Diploma, 4
WellCare May 2013 - Present
K&L Gates 2010 - 2012
FirstCare Health Plans 2007 - 2010
FDA July 2005 - August 2007
Laboratory Corp of America 2001 - 2004
Morgan, Lewis & Bockius LLP January 1998 - December 2000
Skills
Corporate Governance, Corporate Law, Licensing, Intellectual Property, Mediation
Education
Georgetown University
BA, English/Pre-Med
University of Pennsylvania Law School
JD, Law
WellCare April 2013 - Present
The Institute for Corporate & Continuing Education @ HCC January 2011 - June 2012
The Corporate Training Center @ HCC September 2008 - May 2010
Staffing Now, Inc. April 2008 - August 2008
Sunbelt Staffing Solutions LLC February 2007 - February 2008
Hillsborough County Department of Aging Services February 2004 - July 2006
Hillsborough County Department of Health and Social Services August 2003 - January 2004
State of Florida February 2001 - August 2003
Skills
Public Speaking, Strategic Planning, Team Building, Training, Coaching, Resume Writing, Recruiting, Organizational..., Process Improvement, Customer Service, Staff Development, Community Outreach, Employee Relations, Program Management, Nonprofits, Project Management, Research, Event Planning, Business Development, Project Planning, Performance Management, Career Counseling, Proposal Writing, Interviews, Social Networking, Fundraising, Employee Training, Leadership, Public Relations, Team Leadership, Analysis, Negotiation, Change Management, Conflict Resolution, Workshop Facilitation, Microsoft Office, Human Resources, Budgets, Contract Negotiation, Data Analysis, Program Development, Management, Management Consulting, Policy, Government, Leadership Development, Marketing, Operations Management, Process Scheduler, Business Planning
Education
Nova Southeastern University 2000 — 2002
MBA, Organizational Leadership
Florida State University 1992 — 1994
BS, Communication
Santa Fe Community College 1989 — 1991
AA, Journalism
Lasalle
Wellcare July 2011 - Present
MyTenSense.com May 2009 - Present
American General Life and Accident July 2010 - July 2011
Universal Health Care November 2007 - November 2009
United American Insurance September 2005 - November 2007
Duval County Public Schools August 2004 - July 2005
The Florida Times Union May 2000 - July 2004
Tallahassee Democrat May 1998 - May 2000
Skills
Life Insurance, Medicare, Retirement, Writing, Editing, Blogging, Public Speaking, Books
Education
University of Florida 1996 — 1998
Bachelor of Science (B.S.), print journalism
Florida Community College at Jacksonville 1994 — 1996
Associate of Arts (A.A.), General Studies
WellCare March 2013 - May 2013
HealthPort LLC January 2011 - March 2013
Delta Dental December 2003 - July 2010
HCA Physician Services October 2001 - December 2002
Skills
Medicare Specialist, Reimbursement Specialist, Medical Billing, HIPAA, Accounts Receivable, Medicare, Medical Terminology, ICD-9, Medicaid, Invoicing, Access, Data Entry, 10 Key, Health Insurance, Insurance, Outlook, CPT, Healthcare Information..., Spreadsheets, Managed Care, Medical Records, Healthcare Management, Healthcare Industry, Customer Service, Hospitals, Benefits Administration, Call Centers, Office Management, Appointment Scheduling, Telephone Skills, Workers Compensation, EDI, Claim, Software Documentation, Medical Coding, Revenue Cycle, Fax, Claims Resolution, Provider Relations, Quality Assurance, Process Scheduler, Claims Management, Healthcare, Healthcare Consulting, EHR, PeopleSoft, Revenue Cycle Management, Visio, HCPCS, Administrative...
Education
Grand Canyon University 2006 — 2011
Bachelors, Business Administration Healthcare Management
Kaplan University 2005 — 2007
WellCare August 2012 - Present
Insurance / Self Employed January 2005 - August 2012
Skills
New Business Development, Health Insurance, Insurance, Fixed Annuities, Disability Insurance, Employee Benefits, Team Building, Property & Casualty..., Medicare, Term Life Insurance, Long-term Care, Commercial Insurance, Life Insurance, Brokers
Education
Florida International University 2002 — 2004
Rollins College 1998 — 2002
Bachelor's, Biology / Business Admin
Evolent Health November 2013 - Present
UnitedHealth Group September 2012 - November 2013
Coventry Health Care October 2011 - August 2012
Aveta July 2009 - October 2011
Wellcare July 2007 - June 2009
Pan-American Life Insurance July 2006 - July 2007
Louisiana State University August 2003 - July 2005
Alvin Ailey American Dance Theater May 2002 - June 2003
Carnegie Hall 2002 - 2003
Garth Fagan Dance 2001 - 2002
Skills
Medicare, Medicaid, Insurance, Medicare Part D, Actuarial Science, Pricing, Forecasting, Life Insurance, Data Analysis, Managed Care, Claim, Health Insurance, Financial Modeling, Employee Benefits, Access, Valuation
Education
Southern University and Agricultural and Mechanical College at Baton Rouge 2004 — 2005
MS
Florida State University 1999 — 2001
MFA
Louisiana State University 1994 — 1999
BS
WellCare August 2007 - Present
BayCare Health System for Behavioral Health 2006 - 2007
BayCare Health Systems 1998 - 2005
BayCare Health System January 2001 - May 2002
BayCare Health System February 1998 - December 2000
Bayfront Medical Center April 1997 - February 1998
Hospice of the Florida Suncoast March 1993 - April 1997
Hospice of the Florida Suncoast March 1993 - December 1996
Hospice of the Florida Suncoast December 1991 - March 1993
ALLSTATE INSURANCE COMPANY November 1987 - January 1991
Skills
Medicare, Managed Care, Healthcare, Medicaid, Insurance, Process Improvement, Health Insurance, Healthcare Management, HIPAA, Healthcare Information..., Financial Analysis, Auditing, Policy, Sarbanes-Oxley Act, Data Analysis, Microsoft Excel, Budgets, Management, Healthcare Industry, Healthcare Consulting, Strategic Planning, Hospitals, Leadership, Software Documentation, Analysis, Revenue Cycle, Customer Service, Accounts Receivable, Invoicing, Finance, Accounting, Internal Audit, Accounts Payable, Internal Controls, Access, Claim, Data Entry, Executive Management, Financial Risk, General Ledger, HMO, Medicaid Managed Care, Medicare/Medicaid..., Network Development, PPO, Provider Relations, Risk Management, Utilization Management, Variance Analysis
Education
University of Phoenix 2002 — 2004
MBA, Healthcare Management
Florida Metropolitan University 1994 — 1997
BA, Business Administration; Business
WellCare January 2013 - Present
CHRIS Kids February 2011 - January 2013
CHRIS Kids May 2010 - January 2011
Georgia Department of Juvenile Justice August 2009 - May 2010
Skills
Program Management, Program Development, Clinical Data Management, Clinical Supervision, Children, Child Welfare, Child Advocacy, Community Engagement, Community Partnership..., Family Therapy, Quality Assurance, Supervision, Staff Supervision, Personal Development, Staff Development, Policy, Crisis Intervention, Social Services, Therapists, Behavioral Health, Treatment, Mental Health, Nonprofits, Clinical Research, Community Outreach, Case Management, Anger Management, Public Speaking, Adolescents, Leadership, Healthcare, Management
Education
Georgia State University 2009 — 2010
Master, Social Work
State University of New York College at Fredonia 2000 — 2003
Bachelor of Science, Social Work
Olean High School
University at Buffalo
WellCare January 2014 - Present
Humana May 2011 - January 2014
American Income Life Insurance Company 2004 - 2011
Skills
Health Insurance, Life Insurance, Management, Sales Management, Underwriting, Business Analysis, Account Management, Sales, Negotiation, Marketing Strategy, Insurance, Customer Service, Call Centers, Leadership, Team Building, Strategic Planning, Business Strategy
Education
Florida International University 2000 — 2001
Masters of science, Management Information Systems
Florida International University - College of Business Administration 1996 — 1999
Bachelor of Business Administration (BBA), Marketing & International Business
Healthmap Solutions July 2013 - Present
CareCentrix January 2010 - July 2013
WellCare June 2007 - December 2009
Wachovia Securities Financial Network August 2005 - May 2007
PwC November 2000 - June 2003
Deloitte August 1999 - October 2000
Education
Georgetown University 2003 — 2005
MBA
University of Florida
BS, Mathematics
Anthem July 2014 - Present
WellCare January 2014 - July 2014
WellCare June 2012 - January 2014
WellCare August 2011 - June 2012
WellCare May 2010 - August 2011
WellCare Health Plans February 2008 - May 2010
Jamie Eldridge for Congress April 2007 - November 2007
Florida House of Representatives October 2006 - April 2007
Len Turesky for State House District June 2005 - September 2006
Skills
Medicare, Medicaid, Product Development, Product Innovation, Expansion Strategy, Business Growth, Team Leadership, Project Execution, Government Liaison, Government Relations, Plan Implementation, Regulatory Affairs, Profitable Growth, New Business Development, Project Management, Business Development, Strategy, Cross-functional Team..., Managed Care, Program Management, Strategic Planning, Management, Healthcare, Process Improvement, Network Development, Government, HMO, Health Insurance, Insurance, Health Policy, HIPAA, Medical Compliance
Education
University of South Florida 2009 — 2012
MPH, Health Organizations and Management
Florida State University 2001 — 2005
B.S., Philosophy and Political Science
Sunshine State Health Plan March 2013 - Present
Centene Corporation - Sunshine State Health Plan April 2012 - April 2013
Private October 2010 - May 2012
WellCare November 2007 - September 2010
Centene Corporation June 2006 - November 2007
Universal Health Care 2003 - 2005
WellCare of Florida 1999 - 2003
Skills
Provider Relations, Long-term Care, Hospitals, Medicaid, Network Development, Health Policy, Managed Care, Pharmacy Benefit..., Health Insurance, Healthcare Consulting, Insurance, EHR, Healthcare, Utilization Management, Disease Management, Quality Improvement, Medicare, Healthcare Information..., Healthcare Management, Healthcare Industry, Physician Relations, HMO, Medicare Part D, Credentialing, Business Development, HIPAA, Strategy, Physicians, Revenue Cycle, HEDIS, Medicaid Managed Care, Medical Coding
Education
Florida State University 1996 — 1999
BA, Communications, Art History, Theatre
JPMorgan Chase May 2013 - December 2013
Catalina Marketing November 2012 - May 2013
JPMorgan Chase November 2011 - November 2012
HSBC August 2006 - July 2011
Wellcare June 2006 - August 2006
Comunications Assoicates January 2006 - August 2006
Honeywell August 1978 - September 2005
Skills
Project Coordination, Requirements Management, Risk Management, Stakeholder Liaison, Budget Tracking, Prioritization, Issue, Organization &..., Budgets, Process Improvement, Project Management, PMP, SDLC, PMO, Testing, Requirements Analysis, Software Project..., Change Management, Integration, Software Documentation, User Acceptance Testing, Business Process, Management, Leadership, Project Portfolio..., Vendor Management, Outsourcing, Project Planning, Program Management, Requirements Gathering, Strategy, Six Sigma, MS Project, Resource Management, Business Process..., Project Delivery, Visio, IT Strategy, IT Management, Business Intelligence, Business Analysis, ITIL, SharePoint, Information Technology, Agile Project Management, Systems Analysis, Governance, Waterfall
Education
University of Phoenix 2003 — 2005
MBA, Business
Florida Institute of Technology 1982 — 1988
MS, Systems Management
QualMetrix 2013 - Present
Florida True Health (TRUE BLUE) BCBSFL/AmeriHealth Medicaid Program March 2012 - December 2013
CIGNA Healthcare March 2010 - November 2011
United Healthcare April 2007 - March 2010
Metcare 2006 - 2007
WellCare 2005 - 2006
HealthNet LLC 2002 - 2005
AmeriHealth Administrators 2000 - 2002
Skills
Managed Care, Provider Relations, Mental Health, Medicare, Disease Management, Medicaid, Utilization Management, Healthcare Management, Medicare/Medicaid..., Network Development, Infectious Diseases, NCQA, Physicians, EMR, Medicine, Health Policy, Nursing, Healthcare Consulting, Healthcare Industry, Hospitals, Credentialing, Revenue Cycle, Healthcare Information..., Quality Improvement, Clinical Research, HIPAA, Medical Billing, Internal Medicine, HMO, Physician Relations, Informatics, Health Insurance, PPO, Case Managment, Practice Management, Public Health, Home Care, EHR, Medicare/Medicaid..., Healthcare, Family Medicine
Education
Universiteit Gent 1966 — 1971
Doctor of Medicine
New York Military Academy
PruittHealth April 2013 - Present
Managed Health Care Consulting Services, Inc. September 1998 - Present
WellCare 2004 - 2006
Principal Health Care of Georgia February 1996 - August 1998
Aetna Health Plans January 1994 - January 1996
Skills
Managed Care, Medicare, Network Development, Medicaid, Strategy and Employer..., HIPAA, PPO, Health Insurance, Provider Relations, HMO, Hospitals, Strategy, Healthcare Management, Healthcare Consulting, Healthcare Information..., Physicians, Healthcare, Healthcare Industry, Health Policy, Credentialing, Revenue Cycle, Strategic Planning, EMR, EHR, Team Building, Clinical Research, Practice Management, Claim, Start-ups, Medicine, Leadership, Physician Relations, Coaching, Process Improvement, Quality Improvement, Medical Billing, Medical Coding, Contract Negotiation, Informatics, Provider Network..., Marketing, Program Development, Insurance, Contract Management, Talent Management, Pharmacy Benefit..., Nursing, Performance Improvement, Medical Records, HL7
Education
University of Wisconsin-Madison 1980 — 1983
M.A., Health Care Communications
University of Iowa 1978 — 1980
MS, Preventive and Community Health/Communications
Marquette University 1974 — 1978
Bachelor of Science
Georgia State University - J. Mack Robinson College of Business
WellCare March 2011 - Present
Experience Gurus, LLC February 2006 - 2011
WellCare November 2006 - October 2007
Sparrow Interactive November 2003 - February 2006
Kosmo Studios 2001 - 2003
Silver Lake Communications April 1996 - November 2001
Skills
Strategic Planning, Creative Direction, Leadership Development, Business Development, Project Management, Learning Management, Curriculum Design, Sales Skills Training, Microsoft Office, Instructional Design, Team Building, E-Learning, Leadership, Needs Analysis, Change Management, Program Management, Account Management, Organizational..., Public Speaking, Process Improvement, Coaching, Marketing Strategy, Member Experience..., Salesforce.com, Articulate Suite, Captivate, Adobe eLearning Suite, Blended Learning, Sales Management, Healthcare, Marketing, Insurance, Sales, Training, Management, Instructor-led Training, Workshop Facilitation, Analysis, Business Strategy
Education
Florida State University - College of Business 1987 — 1988
MBA, OD
Stetson University 1979 — 1983
BBA, Marketing/Marketing Management, General
American University, Guadalajara, Mexico 1979 — 1979
NA, Spanish/Mexican Culture
WellCare December 2005 - Present
Coventry Health Care March 1997 - November 2005
Education
Aliquippa
Gannon University
MS, Health Administration
Penn State University
BS, Psychology
820 PRODUCTIONS February 2007 - Present
WellCare November 2012 - November 2013
UMA March 2012 - December 2012
Florida A&M University 1998 - 2004
Skills
Healthcare, Medicare, Event Planning, Medicaid, Medication Therapy..., Public Speaking, Certified Immunizer, Pharmacists, Microsoft Office, Clinical Research, Creative Direction, Pharmacy Practice, Insurance, Management, Customer Service, Community Pharmacy, Healthcare Information..., Hospitals, HIPAA, Pharmacy, Cpr Certified, Healthcare Management, Data Entry
Education
Florida A&M University 1998 — 2004
Doctor of Pharmacy (Pharm.D.), Pharmacy, Pharmaceutical Sciences, and Administration
Lighthouse Guild December 2014 - Present
WellCare December 2012 - December 2014
Harlem Hospital Center 2011 - 2012
Guildnet-Jewish Guild for the Blind September 2010 - May 2011
Fordham University 2011 - 2011
Skills
Communication Skills, Short and Long Term..., Ability to assist in..., Work well with..., Case Managment, Social Services, Crisis Intervention, Mental Health, Adults, Mental Health Counseling, CBT, Psychotherapy, Family Therapy, Treatment, Case Management, Motivational..., Clinical Research, Healthcare
Education
Fordham University 2010 — 2012
Master of Social Work (M.S.W.)
Indiana University 2005 — 2009
Bachelors Degree, General Studies- Social and Behavioral Science
valley Stream South
WellCare July 2011 - Present
Bankers Financial Corporation 2008 - 2011
Protiviti 2005 - 2008
Ernst & Young, LLP 1993 - 2005
Skills
Enterprise Risk..., Internal Audit, Risk Management, Internal Controls, Strategy, Financial Analysis, Accounting, Financial Reporting, Business Process, Finance, Sarbanes-Oxley Act, Management, Auditing, Assurance, Leadership, Financial Risk, Strategic Planning, CPA, Information Technology, Sarbanes-Oxley, Executive Management, Compliance, US GAAP, Risk Mitigation, Medicare, Medicaid, Medicaid Managed Care, Managed Care
Education
Florida State University - College of Business 1990 — 1993
Bachelor of Science (B.S.), Accounting and Finance
Column Technologies April 2010 - Present
Column Technologies September 2006 - May 2010
WellCare 2003 - 2006
Clarke American October 1995 - December 2002
Skills
Information Technology, Account Management, ITIL, IT Service Management, Data Center, IT Management, Disaster Recovery, Vendor Management, Virtualization, IT Strategy, Cloud Computing, Business Analysis, Leadership, Strategy, Pre-sales, Enterprise Software, Training, Managed Services, Software Project..., SaaS, Requirements Analysis, Integration, SDLC, Professional Services, Outsourcing, IT Operations, Solution Architecture, Solution Selling, Service Desk, Management, CRM, Process Improvement, Business Intelligence, Business Development, Project Management, Requirements Gathering, Change Management, Service Management, Consulting, Business Process, Business Process...
Education
Florida State University - College of Business 1986 — 1990
BS, Finance / Marketing
Apria Healthcare July 2015 - Present
Gannett September 2014 - June 2015
American Care Medical Centers April 2013 - August 2014
WellCare March 2006 - March 2011
AstraZeneca February 2001 - August 2005
Merck 2000 - 2001
Harris Management Group August 1997 - August 2000
Skills
Strategic Planning, Sales Management, Leadership, Customer Service, Account Management, Cold Calling, Coaching, Sales, Social Media, Event Planning, Social Media Marketing, Social Networking, Marketing, New Business Development, Team Building, Management
Education
Florida State University 1993 — 1997
Bachelor of Science (B.S.), Music
Choctawhatchee High School 1989 — 1993
ISACA June 2015 - Present
WellCare June 2011 - Present
Skills
IT Audit, IT Infrastructure, Internal Audi, Certified Internal..., Certified Information..., Certified Public..., Data Analysis, MS SQL, Internal Audit, CPA, CISA, Infrastructure, Sarbanes-Oxley Act, Microsoft SQL Server, Internal Controls, COSO, Finance, Auditing, SAS70, Sarbanes-Oxley, Risk Assessment, ERP, Business Process, External Audit, Information Security, COBIT, Financial Audits, Financial Reporting, SEC filings, SOX 404, Financial Statements, Accounting, Enterprise Risk..., Financial Risk, Quality Auditing, Operational Risk..., Financial Accounting, Certified Fraud Examiner, GAAP, Assurance, Risk Management, Governance, US GAAP, Financial Analysis, Business Process..., Accounts Receivable, Fraud, Accounts Payable, Business Continuity, Corporate Governance
Education
University of South Florida 1991 — 1993
BS
Florida State University - College of Business 1990 — 1991
MBA
Florida State University - College of Business 1986 — 1990
BS
WellCare Health Plans June 2015 - Present
WellCare Health Plans June 2014 - June 2015
WellCare January 2008 - June 2014
QualChoice 2004 - 2007
Skills
Provider Relations, HMO, Medicaid, Network Development, Medicare, Credentialing, Appeals, Claims, Special Projects, Managed Care, HIPAA, Performance Improvement, Payments, Benefits, Health, Insurance, Healthcare, Process Improvement, Compliance, Auditing, Policy, Reconciliation, Audit, Customer Service, Hospitals, Data Analysis, Revenue Cycle, Healthcare Industry, Health Insurance, Healthcare Consulting, Revenue Cycle Management, ICD-9, Medicaid Managed Care, Team Building, Claims Management, Healthcare Information..., Healthcare Management, Health Policy, Quality Improvement, Physician Relations, Call Centers, Medical Billing, EHR, PPO, Physicians, Pharmacy, Medical Coding
Education
Franklin University 2005 — 2007
BS, Business/Health Admin
AlphaCare of New York, Inc. March 2014 - Present
Centene Corporation August 2011 - March 2014
WellCare 2002 - 2010
La Cruz Azul de PR 2001 - 2002
Skills
Managed Care, Health Insurance, Medicaid, Medicare, Insurance, Business Analysis, Healthcare Information..., Program Management, Underwriting, Process Improvement, HIPAA, Analytics, Healthcare, Network Development, Project Management
Education
George Mason University 1989 — 1991
MBA, Finance
United States Military Academy at West Point 1981 — 1985
BS, Computer Science
Secureus February 2015 - Present
Health Crare Partners IPA September 2013 - January 2015
Access Medicare July 2011 - September 2013
WellCare August 2007 - January 2011
Center Care Health Plan April 2003 - July 2007
Education
Pohs Institute 2011 — 2011
Life, Accident and Health License, Insurance
Gujarat University 1992 — 1992
Post Graduate in Marketing and Sales Mgt., Marketing and Sales Mgt
M.S Univesity 1988 — 1991
Bachelor of Science (BS), Chemistry, A
Amerigroup Corporation March 2011 - Present
WellCare April 2010 - August 2010
WellCare April 2007 - April 2010
Aetna Retiree Markets April 2005 - April 2007
Aetna February 2002 - April 2005
PriceWaterhouseCoopers 2000 - 2002
Blue Cross Blue Shield of Florida 1997 - 2000
Towers Perrin 1992 - 1997
Skills
Strategic Planning, Product Management, Product Development, Corporate Development, Marketing Communications, Direct to Consumer, Leadership, Marketing Management, Managed Care, Medicaid, Medicare, Team Building, Marketing Strategy, Healthcare Management, Strategy, Healthcare, Medicare Part D, Health Policy, Budgets, Health Insurance, Insurance, Marketing, Healthcare Consulting, Physicians, Network Development, Cross-functional Team..., Change Management, Disease Management, Management, HIPAA, Provider Relations, HMO, Healthcare Industry, Product Launch, Pharmacy Benefit...
Education
Icahn School of Medicine at Mount Sinai 1989 — 1991
MBA, Health Care Administration
Franklin & Marshall College 1982 — 1986
BA, Economics
Parsippany High School
Parsippany High School
Parsippany High School
WellCare August 2013 - Present
Gates Corporation July 2011 - June 2013
DHL Global Mail January 2009 - July 2011
Accel Inc August 2006 - July 2008
Accel Inc August 2001 - August 2006
Federated Department Stores November 2000 - April 2001
MCS Canon June 2000 - November 2000
Skills
Employee Relations, Personnel Management, Change Management, Payroll, Leadership, Talent Management, Employee Engagement, Performance Management, HR Consulting, HR Policies, Succession Planning, HRIS, Deferred Compensation, Organizational..., Employment Law, Recruiting, Training, Human Resources, Hiring, Team Building, Management, Benefits Administration, Negotiation
Education
Northern Kentucky University 2011 — 2013
Masters in Science, Executive Leadership & Organizational Change
Franklin University 2005 — 2007
MBA, Human Resources Leadership
Rutgers University-New Brunswick 1996 — 2000
BA, Management and Labor Studies
WellCare Health Plans April 2014 - Present
WellCare Health Plans, Inc. February 2012 - April 2014
WellCare January 2011 - April 2012
WellCare August 2008 - January 2011
Wellpoint/HMC February 2008 - August 2008
Northside Hospital 2001 - 2008
Skills
Interpersonal Skill, Written & Oral..., Oral & Written..., Acute Care, Teamwork, Cross-functional Team..., Training, Committees, Ad Hoc Reporting, Managed Care, Case Managment, Healthcare Management, Disease Management, HEDIS, Patient Safety, Medical Compliance, Nursing, Accreditation, Quality Assurance, Healthcare, Data Analysis, Provider Relations, Hospitals, HIPAA, Healthcare Industry, Physicians, Health Policy, EMR, EHR, Clinical Research, Patient Advocacy, Medicaid, Healthcare Information..., JCAHO, Quality Improvement, HMO, Software Documentation, NCQA, Medicaid Managed Care, Health Insurance, Utilization Management, Healthcare Consulting, Home Care, Physician Relations, Utilization Review, Credentialing, Medicine, Community Health, Informatics, Case Management
Education
Georgia State University - J. Mack Robinson College of Business 2012 — 2014
MBA/MHA, Business and Health Administration
Mercer University 1998 — 2001
Bachelor of Science, Nursing
Express Employment Professionals April 2014 - Present
Myself Only October 2012 - Present
Time Customer Service August 2012 - September 2012
U.S. Census Bureau -- Census Coverage Management April 2010 - May 2010
WellCare January 2008 - March 2008
Dixie Staffing July 2005 - January 2007
Precision Paper, Inc. October 2002 - March 2003
Skills
Graphic Design, Typography, Social Media, Clerical Skills, Warehouse Control, Event Planning, Assembly Lines, Desktop Publishing, Drawing, Photoshop, Pagemaker, PowerPoint, Logistics, Multimedia, Web Typography, Web Design, Microsoft Excel, Windows Movie Maker, Tax Preparation, Landscaping, Retail, Federal Government, Census, Fine Art, Art History, Administrative Support, Illustration, Illustrator, Digital Imaging, Pressure Washing, Painting
Education
Florida Metropolitan University 2003 — 2006
Associate of Arts (A.A.), Commercial and Advertising Art
WellCare Health Plans May 2015 - Present
WellCare March 2009 - Present
WellCare March 2009 - June 2011
Baxter Healthcare 2000 - 2008
Baxter 2000 - 2008
Skills
Medical Devices, Leadership, Training, Human Resources, Process Improvement, Auditing, Customer Service, Quality Assurance, Cross-functional Team..., Team Building, Management, Healthcare, Six Sigma, Performance Management, Call Centers, Software Documentation, Lean Manufacturing, Project Management
Education
Florida State University - College of Business 1997 — 1999
BS, HR Management
St. Petersburg College 1995 — 1997
Associates in Science
Aetna June 2013 - Present
TMG Health September 2011 - May 2013
WellCare Health Plans, Inc. August 2005 - August 2011
WellCare November 2003 - July 2005
Audio Visual Innovations August 2002 - October 2003
Accenture May 2001 - July 2002
Skills
Six Sigma, HIPAA, Healthcare, Process Improvement, Medicare, Managed Care, Business Process..., Medicaid, Health Information..., Employer Groups, Leadership, Cross-functional Team..., Program Management, Strategy, Quality Assurance, Management, Project Management, Outsourcing, Healthcare Information..., Budgets, Hospitals, Health Insurance, Health Policy, Software Documentation, Vendor Management, Microsoft SQL Server, Business Analysis, Insurance, Healthcare Management, Medicare Part D, SDLC, Strategic Planning, Analysis
Education
Florida State University 1997 — 2001
Bachelor of Science, Finance & Management Information Systems
JPMorgan Chase July 2011 - Present
Bene International School October 2010 - April 2011
Meridian Asset Services November 2009 - October 2010
Wellcare November 2007 - December 2008
United Healthcare February 2001 - November 2007
CitiFinancial f.k.a. IMC Mortgage 1997 - 2001
IMC Mortgage 1997 - 2001
Chase Manhattan Mortgage Corporation July 1994 - September 1996
Carteret Savings Bank 1988 - 1994
Equitable Mortgage Group 1986 - 1988
Skills
Department Management, Reconciliation, Data Analysis, Customer Relations, Insurance, Quality Assurance, Supervisory Skills, Government, Management, Account Reconciliation, Team Building, Customer Service, Project Management, Team Leadership, Auditing, Mortgage Lending, Healthcare, Leadership, Coaching, Time Management, Banking, Finance
Education
Florida Metropolitan University 1999 — 2004
Bachelor of Science, Criminal Justice
American Institute of Banking 1983 — 1984
Humana September 2014 - Present
Humana March 2012 - Present
WellCare July 2010 - August 2011
CIGNA Healthcare January 2008 - June 2010
Skills
Provider Relations, Network Development, Managed Care, Medicaid, Healthcare, HMO, Health Insurance, Credentialing, Healthcare Management, PPO, HIPAA, Insurance, Revenue Cycle, Healthcare Industry, Health Policy, Customer Service, Strategic Planning, Team Building, Leadership, EMR, Practice Management, EHR, Medicare
Education
Florida International University 2005 — 2007
MHSA, Healthcare Services Administration
University of Central Florida 2000 — 2004
Bachelors, Healthcare Services Administration
WellPoint February 2014 - Present
WellPoint September 2011 - February 2014
Centene Corporation March 2010 - September 2011
Carolina Crescent Health Plan April 2009 - April 2010
Carolina Crescent Health Plan January 2008 - April 2009
WellCare October 2007 - February 2008
Carolina Care Plan 2002 - 2007
Electronic Data Systems (EDS) 1997 - 2002
Skills
HEDIS, Medicaid, Provider Relations, Process Improvement, Network Development, HMO, Quality Improvement, NCQA, Data Analysis, Managed Care, Healthcare, Contract Negotiation, Recruiting, HIPAA, Credentialing, Disease Management, Employee Benefits, Health Policy, Insurance, Medicaid Managed Care, Medicare
Education
Francis Marion University
Allstate January 2014 - Present
Vectorlearning (Redvector, Smarttean and Care2learn 2009 - June 2013
WellCare 2008 - 2009
Baywest January 2005 - July 2008
Talk America June 2003 - January 2005
Morris Communications May 2002 - May 2003
Bellsouth April 1994 - May 2002
Skills
B2B, Sales, Salesforce.com, Account Management, Call Centers, Selling, Lead Generation, E-Learning, Sales Presentations, Sales Management, Sales Process, Team Building, Cold Calling, Training, Team Leadership, Customer Service, Direct Sales, Sales Operations, Online Marketing, Strategic Planning, Leadership, CRM, Strategic Partnerships, Marketing, New Business Development, Email Marketing, Coaching, Telemarketing, Marketing Strategy, Customer Retention, Solution Selling, Management, SaaS, Contract Negotiation, Market Planning, Business Development, Strategy, Start-ups, Commercial Insurance, Commercial Lines, Insurance, Health Insurance, Life Insurance, Property & Casualty..., Term Life Insurance, Umbrella Insurance, Long Term Care Insurance, Agency Development
Education
Florida Metropolitan University 1990 — 1993
Bachelor's degree, Business Administration and Management, General
Hand and Stone Massage and Facial Spa May 2014 - Present
Orange Blossom Massage Spa August 2013 - Present
Tera Firma Massage August 2006 - Present
Salon Jolie Massage and Hair Day Spa August 2011 - August 2013
WellCare December 2008 - June 2011
Skills
Tension Headaches, Shoulder and frozen..., Piriformis syndrome, Deep Tissue Massage, Relaxation Therapy, Hot Stone Relaxation..., Craniosacral Therapy, Reflexology, Body Therapy, scrubs, 2 hour Massages, Couples Massages, Headaches, Therapeutic Massage, Microsoft Office, Customer Service, Healthcare, Pain Management, Prevention, Hiring, Wellness, Spa, Digital Printing, Offset Printing, Project Management, Screen Printing, Marketing, Leadership, Management, Team Building, Strategic Planning, Sales
Education
Alpha School of Massage - Jacksonville, Florida 2005 — 2006
Certified Massage Therapist, Massage Therapy/Therapeutic Massage
Florida Community College at Jacksonville 1977 — 1979
General Business, Business Administration and Management, General
UnitedHealthcare September 2014 - Present
Optum December 2009 - September 2014
WellCare March 2008 - December 2009
Ingenix March 2006 - March 2008
Walmart January 2003 - March 2006
Skills
Software Documentation, Analytics, Claim, Claim Investigation, Claims Management, Criminal Investigations, Data Analysis, Fraud, Fraud Detection, HIPAA, Health Insurance, Healthcare, Insurance, Interviews, Investigation, Managed Care, Medicaid, Medicare, Policy, Private Investigations, Report Writing, Surveillance
Education
Florida State University 2012 — 2014
Master of Public Administration (M.P.A.)
St. Cloud State University 1997 — 2001
B.A., Criminal Justice
TEKsystems February 2012 - Present
COMSYS 2009 - Present
Wellcare 2015 - 2015
Wellcare 2015 - 2015
Comsys IT Services November 2009 - February 2012
Skills
SDLC, Project Management, EHR, HIPAA, Healthcare, HL7, PMO, SharePoint, Healthcare Information..., Program Management, ETL, Software Project..., Project Portfolio..., IT Management, Informatics, Agile Project Management, Strategy, Cross-functional Team..., Release Management, Enterprise Architecture, Requirements Gathering, Software Development, ICD-10, Technical Recruiting, EMR, EDI, CPOE, Business Intelligence, IT Strategy, Data Warehousing, PMP, Business Analysis
Education
George Mason University 1971 — 1974
Molina Healthcare January 2014 - Present
Physicians United Plan September 2012 - November 2013
BayCare Health System September 2011 - September 2012
Global TPA dba Freedom Health 2009 - August 2011
WellCare January 2000 - March 2009
UnitedHealth Group 1998 - 2000
Winter Haven Hospital 1988 - 1998
Education
Florida International University 1983 — 1985
BS, Health Services Administration
Florida State University 1981 — 1983
Computer Science
Maricopa Integrated Health System/DMG April 2015 - Present
John C. Lincoln Health Network July 2014 - April 2015
WellCare November 2013 - July 2014
Cancer Treatment Centers of America® August 2013 - October 2013
American Express January 2008 - August 2013
Deer Valley Unified School District January 2002 - January 2008
Christiana Hospital July 1999 - January 2002
Scottsdale Healthcare February 1990 - July 1999
Skills
Travel Arrangements, Outlook, Data Entry, Event Planning, Executive Support, Strategic Planning, Confidentiality, Concur, Business Correspondence, Travel Planning, Office Management, PowerPoint, Calendaring, Office Administration, Time Management, Process Scheduler, Lotus Notes, Microsoft Excel, Microsoft Word, Calendars, Team Building, Payroll, Expenses, SharePoint, Editing, Telephone Skills, Fax, Microsoft Office, Administrative Work, 10 Key, Executive..., Executive Level..., Coordinating Events, Travel Management, Organization, Meeting Planning, Internet Explorer, PeopleSoft, Customer Service, Business Travel, Spreadsheets, Office Equipment, Management, Organizational..., Filing, Payments, Visio, Expense Reports, International Travel, Expense Management
Education
Glendale Community College 1983 — 1984
Journalism/English
Glendale Community College
Mass Communications
WellCare May 2012 - Present
Remedios Rodriguez, P.A. February 2008 - Present
Skills
Healthcare, Medicaid, Managed Care, Medicare, Healthcare Management, Health Insurance, Health Policy, Start-ups, Team Building, Leadership, Case Managment, Management, Disease Management, Utilization Management, HIPAA, Contract Negotiation, Program Management, Strategic Planning, Healthcare Consulting, Budgets, Insurance, Marketing, Healthcare Information..., Network Development, Healthcare Industry, Mergers & Acquisitions, Medicaid Managed Care, Executive Management, HMO, Medical Compliance, Medicare Part D, Claim, Provider Relations, Physicians, Organizational..., Credentialing, Revenue Cycle, Behavioral Health, Health Care Reform, Business Development, Practice Management, Quality Improvement, Physician Relations, NCQA, Case Management
Education
University of Miami 2002 — 2004
J.D., Law
Georgia State University 1985 — 1987
M.S., Counseling Psychology
Mercer University 1981 — 1984
B.A., Psychology, Spanish
St. Puis X High School 1978 — 1981
High School Diploma
Aeon Consulting LLC November 2010 - Present
WellCare April 2005 - November 2010
180 Connect, Inc. March 2003 - April 2005
Steven Douglas Associates 2004 - 2004
Mastec, Inc. January 2001 - February 2003
Precision Response Corporation June 1999 - August 2000
Accenture February 1997 - June 1999
Andersen Consulting February 1997 - June 1999
Skills
ERP, Leadership, Management, Oracle, Oracle Applications, Oracle E-Business Suite, Process Improvement, Software Documentation, Business Analysis, Business Process..., Business Intelligence, Integration, Program Management, Vendor Management, Visio, SDLC, Team Building, Disaster Recovery, Project Management, Healthcare Information..., SharePoint
Education
Florida State University 1994 — 1996
Masters, Public Administration
Florida State University 1990 — 1994
BS, Communication
Wellcare September 2008 - Present
Wellcare May 2005 - September 2008
Education
Florida International University 1990 — 1992
CareCentrix May 2012 - February 2013
WellCare May 2005 - May 2012
Accenture 2001 - 2005
Education
Florida State University - College of Business 1997 — 2001
WellCare February 2013 - Present
WellCare October 2006 - February 2013
Children's Healthcare of Atlanta March 2003 - September 2006
CCN Managed Care Inc June 1997 - June 2001
Skills
Medicaid, Managed Care, Health Insurance, Health Policy, Medicare, HIPAA, Healthcare, Insurance, Process Improvement, Healthcare Information..., Healthcare Management, Provider Relations, Healthcare Consulting, Hospitals, Healthcare Industry, Claim, Employee Benefits, Medicare Part D, Revenue Cycle, Disease Management, Pharmacy Benefit..., EMR, Policy, Data Analysis, Quality Improvement, Accreditation, Physicians, HMO, Medical Billing, Utilization Management, EHR, Access, Medical Compliance, Software Documentation
Education
Mercer University - Stetson School of Business and Economics 1998 — 2000
MS, Healthcare Policy & Administration
Florida Southern College 1992 — 1996
BS, Biology/Chemistry
Advantage by Sunshine Health Plan at Centene Corp. December 2013 - Present
Centene Corporation January 2012 - Present
Centene Corporation March 2011 - Present
Centene Corporation April 2012 - December 2013
JCC Suncoast (Pinellas Florida) September 2009 - February 2011
Aflac September 2008 - April 2010
Amerigroup April 2007 - July 2007
United Healthcare August 2006 - April 2007
WellCare February 2000 - July 2006
Skills
Health Insurance, Medicare, Managed Care, Medicaid, Provider Relations, Insurance, Healthcare, Customer Service, Strategic Planning, HMO, Event Planning, Team Building, Marketing, Fundraising, Public Speaking, Employee Benefits, Community Outreach, Healthcare Management, Sales, Hospitals, Long-term Care, Leadership, Network Development, Policy, Credentialing, Physicians, Health Policy, HIPAA, Claim, Access, Healthcare Industry, Medicare Part D, Training, Analysis, Disease Management, EHR, EMR, Elder Care, HEDIS
Education
University of Phoenix 2006 — 2008
MBA, Business
Gannon University 1991 — 1995
BA, Marketing, Business, Communication
WellCare January 2013 - Present
WellCare March 2011 - January 2013
WellCare March 2009 - March 2011
WellCare November 2007 - March 2009
Peach State Health Plan 2006 - 2007
Centene Corporation 2002 - 2007
Lovelace October 2000 - December 2002
Skills
Managed Care, Medicaid, Health Insurance, Medicare, Healthcare, Process Improvement, Provider Relations, Health Policy, HIPAA, Healthcare Industry, Healthcare Information..., Project Management, Insurance, Disease Management, Healthcare Consulting
Education
Florida State University - College of Business 1992 — 1996
BS, Marketing
WellCare June 2012 - Present
Somaxon Pharmaceuticals July 2010 - December 2011
CareerArc Group October 2009 - July 2010
Latham & Watkins February 2005 - September 2009
Shearman & Sterling October 2002 - February 2005
Skills
Mergers, Securities Offerings, IPO, Securities, Legal Services, Pharmaceutical Law, Corporate Governance, Corporate Law, Licensing, Start-ups, Intellectual Property, Managed Care, Due Diligence, Legal Assistance, Strategy, Joint Ventures, Mergers & Acquisitions, Private Equity, Investment Banking
Education
Georgetown University Law Center 1999 — 2002
JD
Washington and Lee University 1995 — 1999
BA, Politics, Romance Languages
Florida Hospital Association September 2013 - Present
WellCare January 2012 - September 2013
National Strategies, Inc. December 2008 - December 2011
Dutko Poole McKinley 2004 - September 2008
Skills
Health Policy, Political Consulting, Government, Politics, Public Policy, Governmental Affairs, Strategic Communications, Political Communication, Political Campaigns, Contract Negotiation, Legislative Research, Policy Analysis, Legislative Affairs, Legislative Relations, Legal Research, Legislation, Public Relations, Research, State Government, Grassroots Organizing, Coalitions, Public Affairs, Economic Development, Local Government, Media Relations, Policy, Administrative Law, Strategic Planning, Program Management, Social Media
Education
Florida State University 2003 — 2004
M.S., American Politics and Public Policy
Florida State University 2000 — 2003
B.S., Political Science and American History
PwC May 2015 - Present
The Nathan Trapuzzano Memorial Foundation March 2015 - Present
New York Life Insurance Company May 2014 - May 2015
PwC June 2011 - May 2014
Sykes April 2009 - June 2011
WellCare March 2007 - April 2009
KPMG December 2004 - March 2007
Skills
Auditing, Sarbanes-Oxley, Microsoft Word, PowerPoint, Internal Controls, Sarbanes-Oxley Act, Accounting, Financial Reporting, Internal Audit, Finance, Financial Analysis, Financial Accounting, Process Improvement
Education
Florida State University - College of Business 2003 — 2004
Masters of Accounting, Accounting and Finance
Florida State University - College of Business 1999 — 2003
BS in Accounting and Finance, Accounting and Finance
Brighton Health Group February 2014 - Present
Touchstone Health October 2009 - February 2014
Compliant DRG October 2009 - January 2013
WellCare January 2007 - March 2009
Touchstone Health January 2003 - January 2007
Oxford Health Plans 1995 - 2003
Skills
Financial Modeling, Medicare, Financial Analysis, Medicaid, Insurance, Forecasting, Provider Relations, Managed Care, Budgets, Strategic Planning, Business Process..., Claim, Contract Negotiation, HIPAA, Sales, Healthcare, Management, Leadership, Team Building, Business Planning, Call Centers, Process Improvement, Start-ups, Analysis, Executive Management, Finance, Healthcare Consulting, Health Insurance, Business Development, HMO, Strategic Financial..., Healthcare Industry, Health Policy, Due Diligence, PPO, Network Development, Healthcare Information..., Healthcare Management, Employee Benefits, Managerial Finance, Revenue Cycle, Financial Planning
Education
Fordham Gabelli School of Business 1998 — 2000
MBA, Finance
The University of Connecticut 1988 — 1992
BS, Applied Mathematics
CIS by Deloitte August 2014 - Present
Chapters Health System January 2014 - August 2014
Bausch + Lomb August 2008 - January 2014
CareCentrix 2006 - 2008
Blue Cross Blue Shield Association January 2005 - January 2006
CIGNA Healthcare 2003 - 2005
WellCare 2003 - 2004
Blue Cross Blue Shield 1999 - 2003
Skills
Managed Care, Health Insurance, Cross-functional Team..., Medicaid, Medicare, Employee Benefits, Healthcare, HIPAA, Provider Relations, Healthcare Industry, Healthcare Management, Healthcare Information..., Utilization Management, Hospitals, Team Building, Pharmacy Benefit..., Strategy, Strategic Planning, Management, Leadership, Network Development, Healthcare Consulting, Analysis, Pharmacy, HMO, Contract Negotiation, EHR, Pharmaceutical Industry, Process Improvement
Education
Florida State University - College of Business 2005 — 2008
MBA, Business
University of South Florida
WellCare January 2008 - March 2008
Education
Florida Metropolitan University 2003 — 2006
Associate in Commercial Arts, Graphic design
HSBC November 2013 - Present
WellCare July 2012 - October 2013
HSBC April 2005 - July 2012
Capital One 2003 - 2005
Capital One 1996 - 2003
Skills
Call Center, Change Management, Project Management, Credit, Management, Usability, Credit Cards, Software Quality, Vendor Management, Process Improvement, SDLC, Risk Management, Quality Center, Banking, User Acceptance Testing, Coaching, Call Centers, Leadership, Quality Assurance, Requirements Gathering, Resource Management, Strategy, Team Management, Testing, Project Portfolio..., Business Analysis, Business Requirements, PMO, Software Project..., Visio, PMP, Business Process, Business Process..., Requirements Analysis, Software Quality..., Integration, Project Delivery, Following Up, HP Quality Center
Education
The George Washington University 2002 — 2004
Masters Certificate, Project Management
Florida State College at Jacksonville
Communications
Evolent Health June 2014 - Present
HD Supply July 2013 - June 2014
WellCare September 2009 - July 2013
BDO Seidman, LLP December 2007 - September 2009
Colonial Bank January 2004 - December 2007
Plaut Consulting 2002 - 2004
Skills
Talent Acquisition, Employee Benefits, Employee Relations, Applicant Tracking..., Onboarding, Healthcare, Human Resources, Personnel Management, Deferred Compensation, Benefits Administration, HRIS, Management, Workforce Planning, Succession Planning
Education
Georgia State University - J. Mack Robinson College of Business 2006 — 2008
Masters, Human Resource Management
University of Georgia - Terry College of Business 1996 — 2000
BBA, Management
WellCare April 2005 - Present
HealthCare Partners 2005 - 2005
Royal Health Care 1999 - 2004
United Healthcare 1995 - 1999
Education
Fordham Gabelli School of Business
MBA
Fordham University
BA
WellCare Health Plans, Inc July 2004 - Present
WellCare 2004 - 2009
Education
Florida Metropolitan University 1978 — 1996
IASIS Integrated Care Solutions March 2015 - Present
WellCare January 2013 - Present
HealthCare USA July 2009 - December 2012
Centene Corporation June 2008 - July 2009
GDIT 2006 - 2008
gentiva 2004 - 2006
US Government March 1999 - August 2004
Skills
Organizational..., Team Leadership, Healthcare Management, Healthcare, Quality Management, Nursing, Data Analysis, Managed Care, Compliance, Process Improvement, Quality Assurance, Mentoring, PowerPoint, Excel, Documentation, Word, Medicaid, Access, Microsoft Office, Policy, Problem Solving, Strategic Planning, Team Building, Research, Administration, Accreditation, Outlook, Change Management, Performance Improvement, Public Speaking, Analysis, Supervisory Skills, Health, Utilization Management, Microsoft Word, Mediare, Special Needs..., Process Quality..., Project Management, Management, Quality Improvement..., Patient Safety, Utilization Review, Medicare, HEDIS, Software Documentation, System Administration, HMO, Disease Management, Medicaid Managed Care
Education
Grand Canyon University 2011 — 2013
MSN, Emphasis in Public Health
Grand Canyon University 2007 — 2008
BSN, Nursing
St. John. Hospital School of Nursing 1982 — 1985
Diploma, Nursing
GE Aviation & Energy September 2012 - Present
Diamond Designs By Valecia February 2007 - Present
Freedom Health/Global TPA September 2010 - August 2012
WellCare November 2008 - September 2010
Florida Office of the Attorney General January 2006 - November 2008
Department of Financial Services May 2004 - January 2006
Fringe Benefits Management Company April 2000 - April 2004
Skills
Compliance Management, Auditing, Regulatory Affairs, Ethics, Privacy, HIPAA, Risk Assessment, Par D Oversight, Privacy Law, Policy, Internal Audit, Quality Auditing, Insurance, Employee Benefits, Operations Management, Legal Compliance, Risk Management, Medicaid, Medicare, Business Process..., Regulatory Requirements, Healthcare, Regulations, Leadership
Education
Florida State University - College of Business 2002 — 2004
B.S, Accounting
Florida State University - College of Business 1994 — 1996
BS, Marketing Management
Davens Ceramic Center April 2009 - July 2011
Wellcare 2011 - 2011
CNN On-Air Promotions January 2008 - November 2008
Starbucks Coffee Company August 2004 - November 2007
Borders Books & Music February 1998 - April 2002
Skills
Training, Customer Service
Education
Georgia State University - J. Mack Robinson College of Business 1996 — 2000
BBA, Hospitality Administration
PSCU Financial Services June 2007 - Present
WellCare 2013 - 2013
Eastern Financial Florida Credit Union 2000 - 2007
Roadhouse Grill, Inc. 1996 - 1999
Marriott Bay Point Resort 1994 - 1996
Skills
Campaign Management, Campaign Strategies, Results Focused..., Innovative Thinking, Project / Event..., Strategic Marketing..., Cross-functional Team..., Copywriting, Customer Satisfaction, Lead Generation, Team Building, Strategic Planning, Leadership, Marketing Communications, Market Planning, Marketing, Brand Development, Advertising, Budgets, Social Media Marketing, Strategy, B2B, Banking, Management, Marketing Strategy, Public Relations, Sales
Education
Florida State University 1987 — 1989
Bachelor of Science, Public Relations
Gulf Coast Community College 1985 — 1987
Associate of Arts, Communications
Healthesystems August 2014 - Present
Coca-Cola Refreshments March 2013 - July 2014
Universal Health Care June 2012 - March 2013
WellCare March 2012 - June 2012
WellCare September 2007 - March 2012
Skills
Medicare, Process Improvement, Strategic Planning, Data Analysis, Healthcare Management, Team Leadership, Medicaid, Leadership, Health Insurance, Management, Call Centers, Healthcare Information..., Training, Outlook, Analysis, Access, Software Documentation, Healthcare, HIPAA, Insurance, Business Analysis, Quality Assurance, Vendor Management, Visio
Education
Florida State University 1998 — 2000
WellCare February 2009 - Present
Dycom Industries February 2008 - November 2008
Liberty Medical Supply January 2006 - February 2008
Walt Disney World June 2004 - January 2006
University of Maryland Medical System May 2002 - May 2004
Arthur Andersen LLP January 2001 - May 2002
Skills
Sarbanes-Oxley Act, Auditing, Internal Controls, Financial Reporting, Accounting, Sarbanes-Oxley, Internal Audit, Financial Analysis, General Ledger, GAAP, Accounts Payable, Accounts Receivable, Variance Analysis, Consolidation, US GAAP
Education
Florida State University 1999 — 2000
MAcc, Audit
Florida State University 1997 — 1999
BS, Accounting
MCC June 2008 - Present
Wellcare 2002 - 2008
Education
Georgia Perimeter College 1999 — 2001
ServData, Inc 2009 - Present
Doctor's Group Management, Inc 2001 - 2006
WellCare 1996 - 2000
PacifiCare Health Systems 1993 - 1995
Skills
Provider Relations, Medicare/Medicaid..., Provider Network..., Data Warehousing, Medicare, Medicaid Managed Care, Managed Care, MSO, Contract Negotiation, Healthcare Consulting, Revenue Cycle, Health Insurance, Healthcare Industry, Management, Healthcare, Healthcare Management, Hospitals, Medicaid, HMO
Education
Florida International University 1991 — 1998
Bachelor's degree, Criminal Justice and Corrections
Alere, Inc. 2012 - Present
WellCare 2005 - 2012
Swiss Re May 2004 - May 2005
HealthMarkets 2001 - 2005
EmblemHealth 1997 - 2001
CIGNA Healthcare 1993 - 1996
Cummings & Lockwood 1991 - 1993
Skills
Medicaid Managed Care, Medicare Advantage, Compliance, Regulatory Affairs, Health Insurance, Legal, Medicaid, Health Care Fraud, HIPAA, Insurance Regulatory, Managed Care, Healthcare, Provider Relations, Claim, Insurance, Leadership, Program Management, Health Policy, Project Management, Government, Healthcare Industry
Education
Fordham University School of Law
Juris Doctor
Lower Merion High School
Wesleyan University
B.A., History
Emblem Health August 2015 - Present
BlueCross BlueShield of Tennessee June 2013 - October 2014
WellCare March 2008 - May 2013
Independence Blue Cross January 1997 - March 2008
Skills
Consumer Marketing, Medicare, Managed Care, Health Insurance, Healthcare, Strategic Planning, Medicaid, Cross-functional Team..., Analytics, Process Improvement, Vendor Management, Executive Management, Product Management, Marketing Strategy, Product Development, Customer Retention, Leadership Development, Product Innovation, Entrepreneurship, Financial Analysis, Strategy Execution, Compliance, Building Relationships, Growth Management, Collaboration, Change Management, Insurance, Medicare Part D, Health Policy, Employee Benefits, HIPAA, Claim, HMO, Network Development, Strategy, Management, Provider Relations, Sales Operations, Health Care Reform, Marketing, Sales, Healthcare Industry, Leadership, Pharmacy Benefit..., Healthcare Consulting, Health Savings Accounts, Customer Experience, Long-term Care, Disease Management, Healthcare Information...
Education
Georgetown University Law Center 1993 — 1994
LLM (Masters of Law)
Ohio Northern University—Claude W. Pettit College of Law 1990 — 1993
JD
University of South Florida 1985 — 1990
BS, Accounting
University of Central Florida August 2014 - Present
WellCare January 2010 - August 2014
Centers for Medicare & Medicaid Services May 2006 - January 2010
Centers for Medicare & Medicaid Services October 2002 - May 2006
Centers for Medicare & Medicaid Services January 2005 - May 2005
Centers for Medicare & Medicaid Services September 1999 - October 2002
ACOG October 1997 - August 1998
Bureau of Labor Statistics June 1997 - October 1997
Joint Economic Committee, US Congress September 1996 - June 1997
Skills
Medicare, Medicaid, Health Insurance, Public Policy, Policy, Health, Policy Analysis, Government Relations, Healthcare, Managed Care, Government, Program Management
Education
Aberdeen University 1998 — 1999
MSc, Business Management
Georgetown University 1996 — 1998
MPP, Public Policy
Ohio University 1992 — 1996
BSJ, Journalism
WellCare April 2010 - Present
AT&T Corp November 2009 - April 2010
LANDIS+GYR INC December 2006 - March 2009
APS Healthcare October 2003 - December 2006
GE CAPITAL CARD SERVICES February 2002 - January 2003
UPS CORP January 2001 - January 2002
LONDON BRIDGE INC January 2000 - January 2001
london bridge 2000 - 2001
INTERLAND INC January 2000 - January 2000
SECURITY LINK INC January 1996 - January 2000
Skills
Microsoft SQL Server, Access, Business Intelligence, Data Warehousing, ETL, SQL, Crystal Reports, Databases, Microsoft Excel, Oracle, Requirements Analysis, Testing, T-SQL, Data Analysis, Visual Basic
Education
Kennesaw State University
Georgia State University
New York University - Polytechnic School of Engineering
BSEE, Electronic Engineering
Southern Polytechnic State University
WellCare Health Plans October 2013 - Present
WellCare January 2012 - October 2013
Raymond James Financials February 2011 - December 2011
AAA Auto Club South October 2007 - January 2011
HSBC Mortgage Services July 2003 - July 2006
Computer Science Dept of Florida Institue of Technology 2000 - 2002
Education
University of South Florida - College of Business Administration 2004 — 2008
MBA, Finance & Management
Florida Institute of Technology
Master, Software Engineering
Northwestern Polytechnic University
Bachelor, Computer Science and Engineering
Aetna May 2015 - Present
St. Matthew's University June 2013 - January 2015
UnitedHealth Group September 2009 - June 2013
UnitedHealth Group 2009 - 2013
WellCare 2006 - 2008
Skills
Clinical Trials, Healthcare, Health Policy, Public Health, Utilization Management, Managed Care, Health Insurance, Medicine, Disease Management, Health Education, Clinical Research, Revenue Cycle, Hospitals, NCQA, Medicare, Medicaid, Healthcare Management, HEDIS, Informatics, Healthcare Consulting, Inpatient, HIPAA, Patient Safety, Practice Management, Board Certified, EMR, Network Development, Oncology, Physicians, HMO, Strategic Planning, Case Managment, Behavioral Health, EHR, Surgery, Pediatrics, Healthcare Industry, Physician Relations, Treatment, Quality Improvement, Provider Relations, Healthcare Information..., Home Care, Family Medicine, Critical Care, Nursing, Prevention, Medical Education, Internal Medicine, Credentialing
Education
Loyola University New Orleans College of Law 2015 — 2016
Florida Agricultural and Mechanical University, College of Law 2012 — 2016
Doctor of Law (JD)
Loyola University Chicago School of Law 2014 — 2015
The George Washington University - School of Business 2005 — 2007
MBA, Healthcare
Harvard Medical School 1991 — 1993
Brigham & Women's Hospital, Fellow, Reproductive Endocrinology and Fertility
University of California, Los Angeles 1989 — 1991
Cedars-Sinai Medical Center-Resident OB/GYN
New York Medical College 1983 — 1987
MD
Washington University in St. Louis 1979 — 1983
BA
Loyola University Chicago School of Law
Healthcare Law
Humana January 2011 - Present
The Staffing Resource Group, Inc August 2009 - November 2010
WellCare January 2007 - May 2009
Computer Management Consultants March 2004 - December 2006
MISource Medical & Science June 2002 - December 2002
CGI October 1999 - May 2002
Allegis (formerly known as Aerotek) February 1997 - August 1999
Skills
Recruiting, Process Improvement, Temporary Placement, Internet Recruiting, Insurance, Human Resources, Applicant Tracking..., Employee Benefits, Technical Recruiting, Hiring, Interviews, Screening, Training, Management, Onboarding, Resume Writing, Talent Acquisition, SDLC, Sourcing, Employee Relations, Access, HR Consulting, Leadership, Time Management, Healthcare, Talent Management, Team Building, Taleo, Microsoft Excel, Benefits Negotiation, Contract Recruitment, Staffing Services, College Recruiting
Education
Florida Metropolitan University 1992 — 1995
Bachelors, Management/Marketing
Cardinal Mooney High School
WellCare June 2008 - Present
Harmony Health Plan June 2008 - Present
Enterprise Rent-A-Car September 1996 - February 2007
Skills
Coaching, Customer Satisfaction, Accounting, Employee Benefits, Insurance, Leadership, Process Improvement, Program Management, Sales, Sales Operations, Training
Education
Grambling State University
Bachelor's degree
WellCare August 2011 - Present
Now I See Designs October 2008 - December 2013
WellCare June 2008 - August 2011
Quality Distribution May 2005 - April 2008
Education
Florida State University 1997 — 2000
Sports Medicine
Florida State University 1996 — 2000
Florida State University 1996 — 2000
Florida State University 1996 — 2000
WellCare February 2011 - Present
Amerigroup Corporation September 2010 - March 2011
US Census Bureau May 2010 - September 2010
Healthlfirst 1996 - 2009
Skills
Sales Presentations, Training, Sales Management, Cold Calling, Managed Care, Medicaid, Sales Operations, Team Building, Healthcare, Employee Training, Call Centers, B2B, Program Management, Performance Management, Selling, Insurance, Customer Service, Event Planning, Direct Sales, Account Management, Sales, Management, Strategic Planning, Sales Process, Recruiting, Health Insurance, Medicare, Hospitals, Salesforce.com, New Business Development, Microsoft Excel, Marketing Strategy, Process Improvement, Coaching, Microsoft Office, Leadership, Public Speaking, Employee Benefits, Hiring, PowerPoint, Microsoft Word, Marketing, Contract Negotiation, Team Leadership, Budgets, Customer Satisfaction, Leadership Development, Employee Relations, Executive Management
Education
Fordham University
Liberal Arts and Sciences/Liberal Studies
Century PHO at Norwegian Hospital July 2014 - Present
North American Medical Management May 2012 - July 2014
WellCare October 2007 - April 2012
Humana September 1999 - April 2006
Education
Governors State University 2003 — 2005
B.A., Business Administration and Management, General
Wellcare March 2008 - December 2010
Ranstad North Amrica May 2007 - October 2007
City of Tampa October 2003 - January 2007
PwC February 2002 - October 2002
Advantec Solutions January 2000 - April 2001
DEXIA 1996 - 1999
Skills
Accounting, Access, Payroll, Accounts Payable, Budgets, Accounts Receivable, Strategic Planning, Management, Analysis, Microsoft Excel, Account Reconciliation, Customer Service, Inventory Management, Team Leadership, Public Speaking, Staff Supervision, Training, General Ledger
Education
University of Phoenix 2013 — 2014
Master of Business Administration (MBA), Business Administration and Management, General
Florida Metropolitan University 1999 — 2003
BSc, Accounting
The Convent High School
WellCare Health Plans April 2014 - Present
WellCare February 2012 - April 2014
WellCare March 2010 - January 2012
WellCare June 2009 - February 2010
Skills
Insurance, Health Insurance, Medicare, Medicaid, Financial Analysis, HIPAA, Process Improvement, Provider Relations, Claim, HMO, Managed Care, Auditing, Medicare Part D, Medical Billing, Sarbanes-Oxley Act, Network Development, Fin, SAS Base, SAS, Cost Reduction Analysis, Access, Leadership, Visio
Education
Florida International University 2010 — 2012
Master of Business Administration (M.B.A.)
State University of New York College at Buffalo 2004 — 2008
Bachelor of Business Administration (B.B.A.), Marketing
WellCare Managed care January 2009 - Present
WellCare January 2008 - Present
Access Health Solutions March 2007 - March 2008
Memorial Healthcare System January 2000 - February 2007
MHS January 2005 - January 2007
Prudential Healthcare/Aetna January 1999 - January 2000
Hialeah Hospital January 1998 - January 1999
Mercy Hospital January 1997 - January 1999
Tenet Network Management January 1996 - January 1997
Humana Medical Plans January 1994 - January 1996
Education
University of Florida
Bachelors of Science Healthcare Administration
Florida Atlantic University
Diploma
Berkeley School of Nursing - California
Optum Rx June 2012 - Present
WellCare March 2009 - May 2011
SCAN Health Plan September 2006 - March 2009
UnitedHealthcare September 2005 - August 2006
Pacific Life January 2002 - September 2005
Education
Fullerton College
Zomermaand Management Services, Inc. October 1998 - Present
WellCare Health Plans, Inc. December 2006 - November 2008
WellCare May 2004 - December 2006
WellCare May 2003 - May 2004
Physician Corporation of America February 1993 - September 1997
Citibank May 1986 - January 1993
Education
Fordham Gabelli School of Business 1974 — 1976
MBA, Finance/Operations
Hope College 1968 — 1972
BA, Mathematics, Business Administration
WellCare Compliance AnalystHumana1989 - 2002
Education
Governors State University 2003 — 2005
B.A, Business Administration
Allianz Life March 2013 - Present
Allianz Life September 2012 - March 2013
WellCare January 2011 - August 2012
Buck Consultants May 2010 - October 2010
Skills
Strategic Communications, Life Insurance, Long Term Care Insurance, Regulatory Affairs, Reinsurance, SAS, VBA, SAS/SQL, SQL, Embedded Value
Education
Georgia State University - J. Mack Robinson College of Business 2008 — 2010
Bachelor's degree, Actuarial Science
Georgia State University 2007 — 2010
B.B.A, Actuarial Science, Magna Cum Laude
WellCare November 2010 - Present
Citrus Heathcare June 2008 - September 2010
Education
Florida Metropolitan University 1994 — 1998
MBA, Business Management/Marketing
Wellcare November 2012 - Present
Salve Regina University January 2011 - Present
Skills
Nursing, Nursing Education, BLS, Pediatrics, ACLS, Healthcare Management, Nursing Care, Nursing Process, Nursing Documentation, Home Care, Nursing Research, Oncology Nursing, Primary Care, Public Health, Healthcare, Acute Care, Critical Care
Education
Gonzaga University 2013 — 2015
DNP
State University of New York at Stony Brook 2007 — 2010
MS, Adult Health
Rhode Island College
BS, Nursing
Florida Blue June 2014 - Present
WellCare February 2012 - June 2014
Board of County Commissioners, Hillsborough County 2011 - April 2012
Representative James W. Grant December 2010 - October 2011
Senator Charlie Justice January 2007 - November 2010
Skills
Legislative Relations, Public Policy, Legislation, Political Campaigns, Policy Analysis, Public Affairs, State Government, Strategic Communications, Government, Policy, Media Relations, Public Relations, Community Outreach, Non-profits, Public Speaking, Grassroots Organizing, Fundraising, Politics, Community Development, Speech Writing, Legislative Affairs, Political Consulting, Governmental Affairs, Message Development, Grant Writing, Political Communication, Nonprofits, Coalitions, Health Policy, Economic Development
Education
University of West Florida - College of Business 2010 — 2012
Master's degree, Organizational Leadership
Florida State University 1996 — 2000
B.A., International Affairs
WellCare Senior Business Systems AnalystWellCareOctober 2006 - July 2010
Education
Florida Metropolitan University 2000 — 2005
BS, Computer Programming
All Children's Hospital HRHorizon Bay Retirement Living2006 - 2008
WellCare 2004 - 2006
CAE January 2002 - March 2004
Skills
Human Resources, Employee Relations, Onboarding, Talent Acquisition, Benefits Administration, HRIS, Applicant Tracking..., Recruiting, PeopleSoft, College Recruiting, Internet Recruiting, Coaching, Project Planning, Strategic Planning, Teamwork, Project Management, Psychometrics, Outlook, Instructional Design, Executive Coaching, Data Analysis, Team Building, Change Management
Education
Keller Graduate School of Management 2009 — 2010
Masters, Project Management
Florida State University 1990 — 1994
Bachelors, Psychology
Synergy Insurance Marketing September 2013 - Present
Patient Care Home Health Services September 2009 - Present
WellCare January 1999 - September 2008
Skills
Health Insurance, Medicare, Insurance, Long-term Care, Employee Benefits, Disability Insurance, Disease Management, Strategic Planning, Healthcare Management, Term Life Insurance, Customer Service, Life Insurance, Team Building, Account Management, Hospitals, Sales Management, Marketing, Coaching, Managed Care, Marketing Strategy, Provider Relations, Health Policy, Medicaid, Health Savings Accounts, Healthcare, PowerPoint, Sales, Workers Compensation, Process Improvement, Brokers, Direct Sales, Negotiation, Claim, HIPAA, Contract Negotiation, Medicare Part D
Education
Georgia Perimeter College 1997 — 1999
AA, Marketing Sales
HealthPlan Services April 2013 - Present
Universal Healh Care August 2012 - March 2013
WellCare 2009 - 2012
WellCare 2007 - 2009
Transcontinental Lending Group/Premier Investment Group 2004 - 2007
Tech Data 1999 - 2003
Skills
Medicare, Insurance, Process Improvement, HIPAA, Health Insurance, Call Centers, Managed Care, Medicaid, Healthcare, Customer Service, Management, Cross-functional Team..., Claim, Medicare Part D
Education
Florida Metropolitan University
Bachelor of Business Administration (B.B.A.)
Magellan Health Services April 2014 - Present
Magellan Health Services August 2010 - April 2014
WellCare 2009 - 2010
Highland Rivers Community Service Board 2001 - 2005
Skills
Mental Health, Therapists, Utilization Management, Child Development, Psychotherapy, Behavioral Health, Case Managment, Healthcare Management, ICU, Healthcare, Medicare, Managed Care, Mental Health Counseling, Case Management, Social Services
Education
Georgia State University 1997 — 2000
Doctor of Philosophy (Ph.D.), Counseling
University of South Florida 1995 — 1996
Master of Arts (M.A.), Counselor Education
University of Central Florida 1994 — 1994
Counselor Education
Nipissing University 1992 — 1994
Psychology Honors Program
National Center for Paralegal Training 1990 — 1990
Litigation Honors Certificate
University of Florida 1985 — 1989
Bachelor of Arts (B.A.), Criminology
Martin County High School
Duke Energy (previously Progress Energy) October 2011 - November 2012
Universal American March 2011 - July 2011
WellCare November 2008 - October 2010
WellCare September 2007 - November 2008
Gentiva Health Services March 2007 - May 2007
PwC July 2006 - March 2007
Hapag-Lloyd AG (previously CP Ships) March 2004 - June 2006
Eckerd March 2003 - March 2004
Marriott Vacation Club International September 2002 - December 2002
VERIZON BUSINESS SYSTEMS (FORMERLY INTERMEDIA) April 2000 - June 2002
Skills
Business Analysis, Requirements Analysis, SDLC
Education
Georgia State University
BBA
Nova Southeastern University
MBA
Weld County March 2007 - Present
WellCare October 2005 - February 2007
Rocky Mountain Health Plans February 2002 - October 2005
Skills
Software Documentation, Microsoft Office, Program Management, Process Improvement, Training, Microsoft Excel, Project Coordination, Troubleshooting, Healthcare, Business Analysis, Business Process...
Education
University of Wyoming 2001 — 2001
Graceland University 1998 — 2001
Bachelor of Arts (B.A.), Mathematics
WellCare Health Plans April 2014 - Present
WellCare 2011 - April 2014
GCF Valuation November 2007 - December 2011
PeerComps, a subsidiary of GCF Valuation November 2007 - March 2010
Skills
SAS, SQL, Databases, Data Analysis, Visio, Access, Microsoft Office, SharePoint, Statistics, Analysis, Analytics, PowerPoint, Project Management, Business Analysis, Outlook, SDLC, Research, Data Management, Hoovers, Xcelys, UAT coordination, Legal Research, Oracle, UAT Coordination, Healthcare Information..., Management, Leadership, Medicare, Software Documentation, Medicaid, Process Improvement
Education
University of West Florida 2014 — 2016
MS, Administration
Florida State University 2008 — 2009
MS, Library & Information Studies
University of South Florida 2005 — 2007
BA, Psychology
WellCare March 2003 - Present
Canada Life 2002 - 2003
Towers Watson 1999 - 2002
Milliman 1994 - 1999
Education
Georgia State University
MBA, Finance
University of Florida
BS, Mathematics
WellCare February 2012 - Present
Palm Beach Institute August 2011 - January 2012
Turning Point of Tampa November 2007 - August 2011
The St. Petersburg Times February 2007 - November 2007
Suncoast Community Health Centers, Inc. February 2003 - February 2007
Windmoor Health Care June 2001 - November 2002
Skills
Leadership, Coaching, Social Services, Mental Health, Marketing, Microsoft Office, Adolescents, Strategic Planning, Public Relations, Marketing Strategy, Management, Crisis Intervention, Treatment, Budgets, Volunteer Management, Organizational..., Leadership Development, Fundraising, Community Development, Teaching, Grant Writing
Education
University of South Florida 1997 — 1999
B.A., Psychology
Franklin Pierce College 1995 — 1997
WellCare June 2011 - Present
Lennar Tampa June 2010 - June 2011
Kirkland, Russ, Murphy & Tapp January 2008 - May 2010
Ernst & Young January 2006 - December 2007
Skills
Auditing, Payroll, Internal Audit, Excel, Internal Controls, Sarbanes-Oxley Act, GAAP, Accounting, Financial Reporting, SEC filings, External Audit, Sarbanes-Oxley, Assurance, Enterprise Risk..., CPA, Financial Accounting, Financial Analysis, IT Audit, General Ledger
Education
Florida State University 2002 — 2005
Master's degree, Accounting
Polk Community College 1998 — 2002
Associate of Science (AS), Accounting
Cenpatico Contract NegotiatorCenpaticoNovember 2013 - Present
Humana June 2009 - September 2012
Wellcare April 2008 - June 2009
GA Dept. of Community Health November 2005 - April 2008
State of Florida January 1972 - October 2005
Skills
Contract Management, Government Contract..., Volunteer Management, Fundraising, Board of Director..., Medicare, Program Management, Board of Directors, Policy, Managed Care, Medicaid, Negotiation, Healthcare, Leadership, Workshop Facilitation, Training, Case Management, Interviews, Social Services, Employee Benefits, Coaching
Education
Southern Illinois University, Carbondale 1992 — 1993
BS, Adult and Continuing Education and Teaching
Florida Community College at Jacksonville
Associate of Arts (AA), Business
WellCare Health Plans August 2013 - Present
WellCare May 2012 - April 2013
Northrop Grumman Corporation August 2008 - May 2010
Centers for Disease Control and Prevention January 2008 - August 2008
Education
Florida State University College of Law 2010 — 2013
Juris Doctorate
University of Florida 2006 — 2008
Master of Public Health (M.P.H.), Management and Policy
University of Florida 2002 — 2006
Bachelor of Science (B.S.), Health Education
Milliman August 2013 - May 2014
Aetna January 2012 - August 2013
WellCare February 2011 - October 2011
Kaiser Permanente September 2006 - June 2010
Skills
Healthcare, Medicare, Managed Care, Contract Management, Quality Metrics, Nutrition, Clinical Research, Health Insurance, Leadership, Healthcare Information..., Training, Process Improvement, Data Analysis, Healthcare Management, Team Building
Education
Georgia State University 1999 — 2002
Masters Degree, Business Administration and Health Administration
University of Arizona 1987 — 1992
Bachelor of Science (B.S.), Nutritional Sciences