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
Diversified Management Group LLC May 2015 - Present
AmeriHealth Caritas May 2013 - December 2014
AmeriHealth Caritas January 2012 - May 2013
Universal American October 2009 - August 2011
WellCare June 2006 - May 2009
Skills
Provider Relations, HIPAA, Health Insurance, Managed Care, Medicaid, Insurance, Healthcare Information..., Healthcare, Network Development, Process Improvement, Software Documentation, Healthcare Management, Employee Benefits, Medicare, SharePoint, Customer Service, Hospitals, Vendor Management, EMR, EHR
Education
Lansing Community College 1997 — 1999
General Business coursework
Bradley's on 7th February 2015 - Present
Arcserve July 2014 - Present
Mainsail Lodging & Development 2013 - 2014
R Bar 2012 - 2013
WellCare November 2009 - December 2012
Quest Diagnostics October 2009 - November 2010
Quest Diagnostics March 2007 - October 2009
Skills
Customer Service, Insurance, Management, Leadership, Microsoft Excel, Process Improvement, Strategic Planning, Training, Team Building, Business Analysis, Healthcare, Health Insurance, Program Management, Sales, Hospitality, Event Planning, Account Management, Customer Satisfaction, Event Management, Research, Microsoft Word, Microsoft Office, Marketing Strategy, Sales Operations, Sales Management, Social Media
Education
ITT Technical Institute-Tampa 2010 — 2012
Network Systems Administration, Network and System Administration/Administrator
Liberty High School
WellCare March 2012 - Present
Morgan Stanley June 2007 - March 2012
Tunnell Companies, L.P. June 2001 - June 2007
Skills
Employee Benefits, Benefits Administration, Human Resources, New Hire Orientations, Vendor Management, Deferred Compensation, Health Insurance, Open Enrollment, COBRA, Insurance, Onboarding
Education
Kutztown University of Pennsylvania 1998 — 2002
Bachelor of Science (B.S.), Elementary Education and Teaching
WellCare Health Plans May 2014 - Present
WellCare August 2013 - Present
WellCare August 2011 - Present
PharMerica May 2007 - April 2011
Valley Health System October 2006 - May 2007
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Outlook, Photoshop, HTML, Public Speaking, Strategic Planning, Java, Healthcare, Medicaid, Access, HIPAA, Medicare, Provider Relations, Data Entry, Revenue Cycle, Healthcare Management, Insurance, Hospitals, Managed Care, Health Insurance, Software Documentation, Medical Terminology, Physicians
Education
Huntington Junior College 1999 — 2002
"Associates Degree in Medical Assisting", Nursing
Marshall University
None, Registered Nursing/Registered Nurse
Medicity September 2014 - Present
McKesson Health Solutions August 2012 - September 2014
WellCare September 2011 - August 2012
McKesson Health Solutions February 2007 - November 2010
UnitedHealth Group April 2006 - February 2007
Mederi Home Health August 2005 - April 2006
Gould & Lamb, LLC June 1999 - July 2005
Metracomp/Fireman's Fund, Metracomp/St. Paul Fire & Marine January 1997 - January 2000
Skills
Disease Management, Case Managment, Process Improvement, Project Management, Healthcare, Nursing, Medicare, Medicaid, Healthcare Information..., Healthcare Management, Hospitals, EHR, Informatics, Managed Care, Utilization Management, Leadership, EMR, Healthcare Industry, Healthcare Consulting, HIPAA, Inpatient, CPOE, Quality Improvement
Education
Santa Fe Community College 1983 — 1988
ADN, Nursing
Liberty University
Bachelor of Business Administration (B.B.A.), Health/Health Care Administration/Management
Pegasystems April 2015 - Present
DST Health Solutions March 2014 - April 2015
WellCare June 2013 - February 2014
Kaiser Permanente July 2011 - February 2013
WellCare April 2003 - July 2011
WellCare Health Plans April 2003 - July 2011
WellCare Health Plans April 2003 - July 2011
WellCare Health Plans April 2003 - July 2011
WellCare Health Plans April 2003 - July 2011
Skills
Software Documentation, Process Improvement, Employee Benefits, Team Leadership, Business Process..., Cross-functional Team..., Program Management, Medicare, Management, Access, Medicaid, Claim, Analysis, Project Planning, SQL, Provider Relations, HMO, Healthcare, Training, Managed Care, Visio, Policy, HIPAA, Healthcare Information..., Healthcare Industry, Business Process, Data Analysis, Insurance, Health Insurance, Business Analysis, Leadership, Vendor Management
Education
Hudson Valley Community College 1994 — 1995
Business Management & Computer Programming; 2002
WellCare September 2009 - Present
WellCare Health Plans August 2009 - Present
AdminaStar Federal 2000 - 2003
Skills
CMS UM Regulatory..., Case and Disease..., Utilization Management, State Medicaid..., Medicare, Medicaid, Management, Team Building, Healthcare, Process Improvement, Leadership, Strategic Planning, HIPAA, Health Insurance, Policy, Insurance, Training, Managed Care, Program Management
Education
College of Notre Dame of Maryland
Bachelor of Arts (BA), Human Services, General
Harford Community College
RN, Registered Nursing/Registered Nurse
University of Maryland University College
Masters in Management, Business Administration and Management, General
Aetna Better Health June 2015 - Present
WellCare Health Plans April 2014 - June 2015
WellCare October 2013 - April 2014
Chapters Health System August 2012 - October 2013
Managed Health Services - Centene Corporation January 2010 - July 2011
Wheaton Franciscan Healthcare 2008 - 2010
Wheaton Franciscan Healthcare 2007 - 2010
Shafi Medical Center 2006 - 2007
VNA Hospice of Greater Milwaukee 2002 - 2006
Children's Hospital of Wisconsin 2001 - 2006
Skills
Healthcare Management, Healthcare, Hospitals, Pediatrics, EMR, Managed Care, Inpatient, HIPAA, Palliative Care, Medicare, Utilization Management, Patient Safety, Critical Care, EHR, Acute Care, Nursing, Utilization Review, Nursing Education, Medical/Surgical, Hospice, Medicaid Managed Care, Medicare/Medicaid..., Leadership, Strategic Planning, Clinical Research, Healthcare Information..., Quality Improvement
Education
University of South Florida
Executive MBA
New York University School of Medicine 1983 — 1987
Doctor of Medicine (MD)
Harvard University 1979 — 1983
Bachelor's degree, Chemistry, Cum Laude
KMG Insurance Solutions, LLC December 2012 - Present
WellCare June 2011 - January 2013
Universal American September 2008 - June 2011
Skills
Business Development, Sales Management, Marketing, Project Management, Team Building, Strategic Planning, Customer Service, Insurance, New Business Development, Process Improvement, Sales, Management, Healthcare, Coaching, Marketing Strategy, Recruiting, Team Leadership, Leadership, Cross-functional Team..., Budgets, Health Insurance, Account Management, Market Research, Customer Satisfaction, Medicare, Training
Education
Kentucky State University 1983 — 1987
BS, Computer Science
East St. Louis Senoir High 1980 — 1983
High School Diploma, General Studies
Independent Insurance Agent November 2014 - Present
Healthsun September 2013 - October 2014
Coventry Health Care September 2011 - September 2013
WellCare August 2010 - September 2011
Xpert Closings Inc. June 2001 - August 2010
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, English, Windows, Research, Outlook, HTML, Public Speaking, Real Estate, Employee Benefits, Healthcare, Insurance, Marketing, Leadership, Medicare, New Business Development, Sales, Team Building, Managed Care, Health Insurance
Education
Houston Community College 1991 — 1993
Associate's degree, Interior Design
WellCare December 2012 - Present
The FEM Centre September 2011 - October 2012
PSA Healthcare January 2006 - June 2011
Orlando Regional / Arnold Palmer Hospital 2001 - 2003
Skills
Nursing, BLS, Healthcare, Home Care, Hospitals, Skilled Nursing, Patient Safety, ACLS, Long Term Acute Care, Inpatient, Healthcare Management, Medical/Surgical, Medication..., Patient Education, Postpartum, Pediatric Nursing, Obstetrics
Education
Indian River Community College 1995 — 1997
Nursing
Boeing July 2015 - Present
Luxco, Inc. May 2015 - July 2015
Centene Corporation April 2015 - May 2015
Wells Fargo Advisors September 2014 - February 2015
Ameren Illinois March 2014 - September 2014
Faith Lutheran Church of O'Fallon, IL 2008 - March 2014
Great-West Financial March 2013 - October 2013
SSM Health Care Cardinal Glennon Children's Medical Center April 2011 - February 2013
Millikins LLC August 2010 - March 2011
WellCare June 2008 - May 2009
Skills
Customer Service, Healthcare, Microsoft Excel, Time Management, Human Resources, Business Process..., Medical Staff..., Compliance, Financial Analysis, Retirement Savings, Distribution Operations, Management, Insurance, Policy, Distribution Strategies, Medical Billing, Access, Medicare, Event Planning, Project Management, Medicaid, Invoicing, HIPAA, Administrative..., Managed Care, Leadership, Office Management, Software Documentation, Training, Outlook, Payroll, Budgets, Microsoft Word, PowerPoint, Accounting, Process Improvement, Analysis, Microsoft Office, Team Building, Spreadsheets, Research, Administration, Data Entry, Problem Solving, Employee Relations, Healthcare Management, Public Speaking, Recruiting, Onboarding
Education
University of Phoenix 2005 — 2010
Bachelor of Science
Southwestern Illinois College 2007 — 2010
Not Applicable
Indiana University-Purdue University at Indianapolis 1992 — 1996
Continuing Education
Ben Davis High School 1982 — 1985
Diploma
Coldwell Banker Residential Brokerage May 2015 - Present
Keller Williams Advantage II Realty June 2014 - May 2015
Exit Realty Central October 2013 - June 2014
Exit Realty Central January 2013 - December 2013
WellCare August 2012 - December 2012
JC Penney September 2006 - September 2012
Borinquen Container January 1994 - July 2006
Foam Pack July 1987 - December 1993
Miles Laboratories now Bayer January 1975 - June 1987
Skills
Visual Merchandising, Merchandising, Store Management, Fashion, Shrinkage, Sales Management, Retail Sales, Selling, Customer Satisfaction, Inventory Control, Leadership, Loss Prevention, Marketing, Real Estate, Time Management, Investment Properties, Relocation, Customer Service, First Time Home Buyers, Foreclosures, Investors, Sales, Sellers, Short Sales
Education
Inter American University School of Law 1972 — 1974
MA, Criminal Justice
Inter American University Puerto Rico at San German 1963 — 1971
BA, Sociology
WellCare Health Plans September 2014 - Present
WellCare 2011 - September 2014
Kentucky Department of Insurance May 2009 - August 2011
Kentucky Deptartment for Public Health September 2007 - May 2009
AMR Management Services 2005 - 2007
Cabinet for Health and Family Services 2002 - 2005
Skills
Non-profits, Government, Public Speaking, Policy, Healthcare, Program Management, Grant Writing, Medicaid, Policy Analysis, Public Policy, Medicaid Managed Care, Public Health, Team Building, Health Policy, Network Development, Health Insurance, Health Care Reform, Medicare/Medicaid..., Provider Relations, Event Planning, Medicare, Research, HMO, Managed Care, Strategic Planning, Medical Compliance, Healthcare Industry, Insurance, Claim, Healthcare Reimbursement, State Government
Education
Kentucky State University 2004 — 2008
Master, Public Administration
University of Kentucky 1995 — 2000
Bachelor of Arts, Psychology
WellCare July 2013 - Present
HSBC July 2012 - July 2013
Oklahoma State University January 2011 - December 2012
SAS January 2012 - May 2012
The Walt Disney Company September 2011 - February 2012
Oklahoma State University June 2010 - September 2011
Mahindra Satyam June 2007 - December 2009
Skills
Data Warehousing, Data Mining, SAS, SQL, Teradata, Database Marketing, Unix, Oracle SQL, SPSS, Microsoft SQL Server, Analytics, Predictive Modeling, SAS programming, Statistics, SDLC, Performance Tuning, Predictive Analytics, Statistical Modeling, Business Analytics, Business Intelligence, Data Modeling, Logistic Regression, Hadoop, SQL Tuning, Visio, Access, Visual Basic, PL/SQL, Oracle, Decision Trees, Database Design, Unix Shell Scripting, Quantitative Analytics, Big Data, Linear Regression, Database Admin, Segmentation, Business Intelligence..., Regression Testing, Business Analysis, DB2, SAS Base, Toad, Technical Design, Code Review, Code Standards, MySQL, Tableau, Project Planning
Education
Oklahoma State University 2010 — 2012
Master of Science, Management Information Systems
Jawaharlal Nehru Technological University 2003 — 2007
Bachelor of Science, Mechanical Engineering
WellCare Health Plans August 2014 - Present
WellCare June 2013 - August 2014
David's World Cycle November 2011 - June 2013
David's World Cycle July 2012 - April 2013
Lakeland Regional Medical Center June 2009 - July 2012
Walgreens April 1996 - June 2009
Skills
Year-end Close, Monthly Close, General Ledger, Cost Accounting, Microsoft Office, Customer Service, Account Reconciliation, Accounts Receivable, Microsoft Excel, QS1, Bookkeeping, Third Party Billing, Third Party Collections, Inventory Management, Inventory Control, Physical Inventory, Data Entry, Staff Development, Medical Terminology, Drug Purchasing, PowerPoint, Medicare Prescription..., Spreadsheets, Train Staff, Accounts Payable, Hospital Pharmacy, Pharmacy Technicians, Community Pharmacy, Schedules, Invoicing, Payroll, Pharmacy, Hospitals, Management, Medication Therapy...
Education
International Academy of Design and Technology-Tampa 2003 — 2007
Interior Architecture
WellCare July 2011 - Present
Ohio Department of Job and Family Services January 1989 - September 2009
Skills
Family Support..., Case Managment, Medicaid, Medicare, Managed Care, Utilization Management, Social Services, Health Insurance, Community Outreach, Healthcare, Mental Health, Disease Management, Crisis Intervention
Education
James A Rhodes State College
Clinical/Medical Social Work
Madison High School, Middletown Ohio
United HealthCare June 2012 - Present
Molina Healthcare of Missouri November 2011 - May 2012
Wellcare February 2010 - November 2011
Sisters of Mercy Health Systems March 2007 - October 2009
Mercy Health Plans November 2002 - March 2007
Mercy Health Plans February 1999 - November 2002
Skills
Provider Relations, Network Development, Medicaid, Medicare, HIPAA, Healthcare, Health Insurance, HMO, PPO, Healthcare Consulting, Healthcare Information..., Employee Benefits, Medicare Part D, Hospitals, Healthcare Industry, Credentialing, Health Policy, Disease Management, Utilization Management, Pharmacy Benefit..., Physicians, Healthcare Management
Education
Jefferson College
St. Louis Community College
iHealth Technologies December 2014 - Present
Harvard University August 2012 - Present
WellCare December 2007 - July 2014
WellCare Health Plans Inc 2007 - July 2014
DST Health Solutions May 2005 - July 2007
Perot Systems 1996 - 2005
TRC/Perot Systems 1996 - 2005
Humana 2001 - 2003
MCI 1994 - 1995
NASA - Link Flight Simulation/CAE 1984 - 1994
Skills
Enterprise Architecture, SDLC, Vendor Management, Agile Methodologies, Integration, Software Development, Analysis, SOA, Architectures, Architecture, Java, ESB, Middleware, Linux, Consulting, SQL, Systems Engineering, Enterprise IT Strategy, UML, Simulations, MySQL, Insurance, IT Security Policies, Eclipse, JDBC, Identity Management, Service Oriented..., Hadoop, Architecture Governance, Strategic Architecture, Systems Programming, ADFS 2.0, SAML 2.0, SOA Security, Federated Identity..., Enterprise Design..., Lucene, Real-time Simulation, Satellite Command &..., Satellite Ground Systems, Hyperic, Reliability Engineering, Fault Tree Analysis, EDI ANSI X12, MapReduce, Apache Pig, Business Intelligence, Business Analysis, Management, Enterprise Software
Education
Harvard University 2012 — 2014
Computer Science, Management Information Systems, 4.0 GPA
Troy University 1977 — 1980
BS, Computer Science
JDJC, FHS, MSSOA
Innovabrand May 2015 - Present
UnitedHealth Group June 2011 - Present
PinSanto Foods, Inc January 2010 - Present
WellCare February 2008 - April 2009
Mckesson Hboc January 2000 - May 2008
NYSE February 1997 - December 1999
Skills
Disability Insurance, Employee Benefits, Critical Illness, Claim, Accident, General Insurance, Brokers, Team Building
Education
Kean University 1997 — 1999
Medical Billing and Coding, Medical Insurance Specialist/Medical Biller
WellCare October 2012 - March 2014
Project Renewal 2008 - 2012
Skills
Case Managment, Healthcare, Mental Health, Treatment, Cpr Certified, Behavioral Health, BLS, Disease Management, EMR, Group Therapy, HIPAA, Health Education, Health Promotion, Healthcare Management, Home Care, Managed Care, Medicaid, Medicare, Medication..., Nursing, Nursing Education, Patient Advocacy, Patient Education, Patient Safety, Pediatrics, Utilization Management, Wound Care
Education
Helene Fuld College of Nursing 2006 — 2007
Registered Nursing/Registered Nurse
U.S. Department of Veterans Affairs 2011 - Present
Community Hospital New Port Richey, FL 2008 - 2010
WellCare 2005 - 2009
Skills
Government, Program Management, Healthcare, Microsoft Office, Customer Service, Process Improvement, Public Speaking, Community Outreach, Leadership, Emergency Management, Military, Healthcare Management, Project Management, Research, Mental Health, Policy, Training, Telemedicine, Telehealth, Case Management, Healthcare Information..., Hospitals, Strategic Planning
Education
Southern New Hampshire University 2014 — 2016
Master's degree, Nursing Administration
Walden University 2012 — 2015
Master's degree, Nursing Informatics.
ITT Technical Institute-Tampa 2003 — 2005
Associate of Science (AS), Computer/Information Technology Administration and Management
Community College of Rhode Island 1989 — 1992
Associate of Science (AS), Nursing ADN
University of Rhode Island 1982 — 1984
Bachelor of Arts (BA), Psychology
LOANZ, Inc December 2014 - September 2015
CSG International July 2013 - December 2014
Paylocity June 2011 - July 2013
The Computer Guy March 2006 - May 2011
WellCare September 2004 - September 2005
Skills
Windows Server, VMware, Active Directory, Powershell, Networking, Microsoft SQL Server, SQL, IIS, VMware Infrastructure, Microsoft Exchange, Help Desk Support, Hyper-V, Troubleshooting, Windows, VMware vSphere, Windows Azure, VMware ESX, DevOps
Education
International College 2002 — 2004
Associates, Computer Information Technology
WellCare February 2011 - Present
Wellcare January 2009 - February 2011
WellCare January 2008 - January 2009
Wellcare December 2007 - January 2008
WellCare July 2006 - December 2007
Computer Associates, Inc June 2002 - June 2006
US Navy August 1993 - August 1997
Skills
Oversight, Compliance, Data Analysis, Data Validation, Business Process Design, PBM, Analysis, Medicare, Healthcare
Education
LIU Post 2002 — 2006
Masters, Bachelors, MBA, Finance / Global Economics
Long Island University
MBA, Finance, General
WellCare March 2011 - Present
CERAiT Inc. March 2010 - July 2011
Veredus November 2010 - March 2011
BB Protector Plans Inc. August 2000 - March 2010
Ajilon Consulting Inc. October 1998 - August 2000
CPAS Systems Inc September 1993 - September 1998
Bank of Brazil, Brazil November 1982 - November 1995
NEC Kansay Software Ltd., Osaka, Japan October 1990 - January 1991
TELTEC Telemarketing, Brazil February 1988 - January 1989
Skills
PL/SQL, HTML, Stored Procedures, Data Warehousing, SQL, Application Development, ETL, TFS, Databases, Systems Analysis, Software Development, Database Administration, Oracle Reports, JavaScript, Indexing, Integration, SDLC, Requirements Analysis, Testing, Software Documentation, Unix
Education
Universidade de Brasilia, Brazil 1980 — 1987
BSEE, Electrical Engineering
京都大学 / Kyoto University 1989 — 1991
Research Student - IT courses
大阪大学 1989 — 1989
Japanese Language course
Revel Technology January 2015 - Present
Nimbus Consulting LLC. March 2013 - Present
Exelon 2013 - 2014
WellCare May 2011 - March 2013
ThinOps November 2007 - February 2011
Reliant Energy January 2000 - March 2006
Telxon January 1998 - 2000
BFI 1997 - 1998
Skills
Citrix, Servers, Data Center, Firewalls, VPN, Security, Microsoft SQL Server, Microsoft Certified..., Switches, Routers, Enterprise Software, WAN, Cisco Routers, Virtualization, VMware, Server Architecture, SharePoint, Xen, Operating Systems, Windows Server, DNS, Group Policy, Active Directory, IT Management, Disaster Recovery, IIS, vSphere, Terminal Services, Windows 7, IT Operations, System Deployment, Microsoft Technologies, Citrix Metaframe, Application..., Hyper-V, VDI, System Administration, VMware ESX, Networking, SAN, Microsoft Exchange, VMware vSphere, VMware Infrastructure, Storage Area Networks
Education
Houston Community College 1993 — 1995
Computer Science
Cedar Gate Technologies July 2015 - Present
EmblemHealth January 2013 - July 2015
Medical Card System, Inc. June 2011 - December 2012
Medical Card System, Inc. April 2009 - June 2011
HEALTH PLAN ONE December 2005 - December 2008
WellCare August 2003 - December 2005
Destiny Health 2002 - 2002
IntelliClaim 1999 - 2002
Oxford Health Plans 1991 - 1998
KPMG July 1984 - August 1991
Skills
Capital Raising, Initial Public Offerings, Start Ups & Turnarounds, Start-ups, Insurance, Health Insurance, Budgeting, Strategic Planning, Turn Around Management, Budgets, IPO, Executive Management, Employee Benefits, Managed Care, Business Strategy, Mergers & Acquisitions, Underwriting, HIPAA, Leadership, Healthcare Industry, Financial Analysis, Accounting, Healthcare, Medicare, Process Improvement, Analysis, Medicaid, Provider Relations, HMO, PPO, Finance, Medicare Part D, Health Policy
Education
Hofstra University 1996 — 1998
MBA
The Citadel 1980 — 1984
BS
Wells Fargo November 2013 - May 2015
Sharelendar January 2013 - May 2013
University of South Florida Athletic Department August 2012 - May 2013
T. Rowe Price September 2011 - May 2013
WellCare June 2012 - August 2012
USF Intramurals September 2009 - May 2012
Sam's Club May 2011 - September 2011
The UPS Store June 2010 - May 2011
Suncoast Schools Federal Credit Union February 2009 - August 2009
Save-A-Lot June 2006 - January 2009
Skills
Communication, Group Work, Project Management, Easily Adaptable, Fast Learner, Fast Paced Environment, Love to Learn, Prezi, PowerPoint, Microsoft Word, Outlook, Sports Marketing, Sports Management, Event Management, Social Media Marketing, Data Entry, Microsoft Office, Training, Management, Sales, Leadership Development, Job Coaching, Customer Service, Marketing, Event Planning, Analysis, Retail, Budgets, Facebook, Social Networking, Teamwork, Instagram, Twitter, WordPress, Tumblr, Administrative Work, Social Media, Strong Business Acumen, Intrepid, Market Research, Human Resources, Leadership, Property Claims
Education
Howard University 2015 — 2017
Master of Business Administration (M.B.A.), Marketing, International Business Consulting
University of South Florida 2008 — 2013
Bachelor of Arts/Science, Management, Marketing, Leadership, Psychology
Lely High School 2004 — 2008
Diploma, General Education
WellCare Health Plans March 2014 - Present
WellCare December 2012 - February 2014
WellCare Health Plans July 2012 - December 2012
Weatherby Healthcare July 2011 - October 2012
WellCare July 2010 - June 2012
WellCare Health Plans January 2012 - May 2012
TeamHealth January 2008 - July 2010
Florida Atlantic University September 2006 - January 2008
Cogent HMG July 2004 - January 2008
University of Maryland School of Medicine July 2003 - June 2004
Skills
Medicine, Utilization Management, Health Policy, Patient Safety, Leadership, Team Building, Case Managment, Teaching, Community Outreach, Utilization Review, Teamwork, Case Management, Hospitals, Physicians, Resource Management, Medicaid, Clinical Research, Strategic Planning, Public Speaking, Healthcare, Healthcare Consulting, Medicare, Problem Solving, Provider Relations, Project Management, Healthcare Management, Public Health, Health Education, Clinical Supervision, Physician Relations, Cross-functional Team..., Strategic Leadership, Organizational..., Project Coordination, Stakeholder Management, Patient Advocacy, Direct Patient Care, Quality Patient Care, Collaborative Problem..., Business Strategy, Business Intelligence, Business Process..., Operations Management, Performance Improvement, Cross-cultural Teams, Hiring Personnel, Personnel Management, Health Program Planning, Program Management, Program Development
Education
Howard University 2012 — 2013
★ Executive Master of Business Administration (E.M.B.A.), Business Administration and Management, General, 3.92
Johns Hopkins Hospital 2000 — 2003
Internal Medicine Residency Program
Johns Hopkins School of Medicine 1996 — 2000
★ Doctor of Medicine (M.D.), Medicine
Georgetown University 1992 — 1996
★ Bachelor of Science (B.S.), Chemistry, 3.88
Anthem June 2014 - Present
Humana October 2013 - June 2014
WellCare November 2012 - October 2013
UnitedHealth Group June 2011 - November 2012
Humana March 2005 - June 2011
Humana April 2004 - March 2005
Humana December 2002 - April 2004
Humana Military Healthcare Services December 1999 - December 2002
Skills
Road to ISO 9001:2000, HIAA 2000 Fundamentals..., HIAA 2001 Managed Care..., Public Speaking, Contract Negotiation, Hospital Contracting, Physician Contracting, Ancillary Contracting, Healthcare Industry, Managed Care, Physicians, Hospitals, Medicare, Provider Relations, Healthcare, Medicaid, Employee Benefits, Health Insurance, PPO, Insurance, HIPAA, Credentialing, Health Policy, Network Development, Utilization Management, HMO, Revenue Cycle, Medicaid Managed Care, Healthcare Consulting, Physician Relations, Medical Billing, Healthcare Management, Claims Resolution, Disease Management, Provider Network..., Claim, Medical Terminology, Medicare Part D, Medical Coding, Healthcare Information...
Education
Indiana University Bloomington 1986 — 1991
Bachelor's degree, B.G.S. "Liberal Arts and Humanities"
Sullivan University 1994 — 1995
Paralegal Diploma, Paralegal Studies
Not Currently employed April 2009 - Present
Citrus Health Care April 2008 - January 2009
Amerigroup January 2004 - April 2008
Amerigroup Florid January 2004 - April 2008
WellCare 2000 - 2004
Pediatric Healthcare 1998 - 1999
Skills
Medicare, Credentialing, Provider Relations, Healthcare Management, Healthcare, Network Development, Managed Care, Medicaid, HMO, Contract Negotiation, Provider Contracting, EMR, Healthcare Information..., Hospitals, Healthcare Industry, Health Insurance, Insurance, Healthcare Consulting, Revenue Cycle, PPO, HIPAA, EHR, Performance Improvement, Team Building, Physicians, CPT, Medical Billing, Home Care, Medical Terminology, Utilization Management, Medical Coding, Medicine, Nursing, Patient Safety, Health Policy, Medical Records, Physician Relations, Practice Management, Management, Strategic Planning, Process Improvement, Leadership
Education
Katharine Gibbs School 1980 — 1981
One, Secretarial
Hillsborough Community College
AA, Business
Bloomin' Brands, Inc. October 2012 - Present
Arbitration Forums Inc January 2011 - October 2012
SAIC October 2008 - November 2010
WellCare September 2007 - May 2008
Fidelity National Information Services May 2005 - September 2007
Computer Management Corp. February 2005 - June 2005
E-Smart Technologies January 2004 - February 2005
Skills
SOA, Java Enterprise Edition, Integration, Spring, Architecture, Databases, SDLC, Web Services, XML, ESB, Security, Java, SOAP, Software Development, Enterprise Architecture, JBoss Application Server, Agile Methodologies, J2EE, R, Statistical Learning
Education
Stanford University 2015 — 2016
Statistical Learning
The Johns Hopkins University 2014 — 2015
Data Science, With Distinction
Jones International University 2008 — 2010
MBA, Information Security, 4.0
Tampa College 1989 — 1993
BSCS, Computer Science, 3.67
Excellus Blue Cross Blue Shield February 2011 - Present
Health Alliance Medical Plans June 2005 - March 2011
WellCare November 2000 - May 2005
UnitedHealthcare February 2000 - November 2000
CIGNA Healthcare July 1999 - February 2000
CIGNA Healthcare May 1996 - July 1999
CIGNA Healthcare January 1995 - May 1996
Skills
Managed Care, Provider Relations, Network Development, Hospitals, Strategic Planning, Physicians, Credentialing, Medicare, Medicaid, Health Insurance, HMO, Contract Negotiation, Data Analysis, Health Care Reform, Healthcare, Healthcare Consulting, Healthcare Management, Insurance, Leadership, Medicaid Managed Care, Healthcare Industry, Physician Relations, PPO
Education
Lewis University
BA
WellCare
Skills
Training, Instructional Design, Case Management, Coaching, Leadership Development, Team Building, Employee Training, Training Delivery
Education
Illinois State University
Bachelor's of Science, Psychology
Nova Southeastern University
Master's of Science degree, Counselor Education/School Counseling and Guidance Services
BlueCross BlueShield of South Carolina December 2013 - Present
WellCare September 2013 - November 2013
Medical Mutual of Ohio/Carolina Care Plan October 2007 - August 2013
Medical Mutual/Carolina Care Plan October 2005 - October 2007
Physician Services of South Carolina August 2003 - August 2005
Three Rivers Medical Assoicates, Inc,. April 1999 - May 2003
Sentinel Health Partners (Camden OB/GYN Associates) April 1997 - December 1998
Camden OB/GYN July 1990 - April 1997
Skills
Health Insurance, Insurance, Employee Benefits, Medicare, Managed Care, Outlook, HIPAA, Benefits Administration, Healthcare, Medicaid, Microsoft Excel, Provider Relations, Microsoft Office, Medical Billing, Hospitals, Physicians, Credentialing, Network Development, PPO, CPT, Medical Coding, ICD-9, Health Policy, HMO, Disease Management, Utilization Management
Education
Indiana University Bloomington
Bachelor of Arts (BA), Psychology
Booz Allen Hamilton March 2015 - Present
SWB Consulting Group February 2014 - Present
Navigant Consulting 2012 - February 2014
WellCare August 2011 - 2012
Quality Organization September 2010 - August 2011
Ovations/Evercare/UnitedHealth Group August 2007 - April 2009
Commission on Children- Parent Leadership Training Institute 1997 - 2009
Unison Health Plan 2005 - 2007
Healthnet, Northeast 1998 - 2004
Excellus Blue Cross Blue Shield 1992 - 1995
Skills
Network Development, Sales, Managed Care, Medicare, Medicaid, Health Insurance, Insurance, Strategy, Data Analysis, Healthcare, Marketing, Leadership, Process Improvement, Strategic Planning, Health Policy, Quality Improvement, Health Care Reform, Program Management, Training, Policy, Hospitals, Start-ups, Healthcare Information..., Management, Healthcare Consulting, EHR, Analysis, Performance Improvement, Healthcare Management, Healthcare Industry, Government, Management Consulting, Revenue Cycle, HIPAA, Physicians, Executive Management, Consulting, Finance, Informatics, Public Health, Organizational..., EMR, Public Policy, Published Author, Accountable Care, Population Health, Diversity & Inclusion, Health Economics, Policy Analysis, Bundled Payment
Education
University of Chicago 1989 — 1991
MPP/MHA, public policy
Harvard University, John F. Kennedy School of Government
Syracuse University
Centene Corporation December 2014 - Present
MSO - PR October 2013 - December 2014
Coordinated Care Management LLC February 2010 - October 2013
Palmetto Physician Connections July 2010 - January 2012
Universal Health Care July 2008 - February 2010
WellCare June 2002 - May 2008
US Army May 1989 - June 2002
Humana June 2000 - May 2002
Florida 1st HealthPlan February 1998 - June 2000
Skills
HMO, Managed Care, Risk, Medicare, Health Insurance, Medicaid, Contract Negotiation, Budgeting, Financial Analysis, Insurance, Healthcare, Contract Negotiations, Budgets, Pay for Perf, Business Development, Medical Economics, IBNR, Service Fund, Incentive Programs, HEDIS, Financial Risk, Management, Claim, Healthcare Consulting, Analysis, Healthcare Industry, Provider Relations, Network Development, Process Improvement, Medicaid Managed Care, Executive Management, Auditing, PPO, HIPAA, Long-term Care, Healthcare Management, Health Policy, Medicare Part D, Medical Billing, Health Economics, Mergers & Acquisitions, Disease Management, Contract Management, Employee Benefits, Provider Network..., IPAs, Network Expansion, Network Strategy, Credentialing, Healthcare Reimbursement
Education
Philadelphia University 1989 — 1993
BS
La Salle University 1989 — 1991
Military Science
Bilirakis for Congress December 2013 - Present
ER Grace Consulting, LLC October 2013 - Present
Bilirakis for Congress August 2012 - December 2013
EG Collegiate Career Consulting May 2009 - December 2013
Bilirakis for Congress May 2011 - July 2012
Sterling Payment Technologies June 2008 - October 2010
WellCare July 2007 - June 2008
Parker & Lynch, a subsidiary of the MPS Group September 2004 - July 2007
PepsiCo - Tropicana November 1997 - August 2004
Eckerd May 1996 - November 1997
Skills
Analysis, Accounting, Strategic Planning, Fundraising, Budgets, Public Relations, Internal Audit, Auditing, Training, Management, Leadership, Finance, Strategy, Forecasting, Business Process..., Executive Management, Mergers & Acquisitions, Management Consulting, Financial Analysis, Process Improvement, Small Business, Sarbanes-Oxley Act, Team Building, Start-ups, Business Planning, Strategic Financial..., Business Strategy, Policy, Contract Negotiation, Financial Reporting, Human Resources, Financial Planning
Education
Long Island University, C.W. Post Campus 1988 — 1992
Bachelor of Science (B.S.), Accounting
University of Alabama January 2012 - May 2012
Jackson Health System January 2008 - December 2010
WellCare June 2006 - January 2008
Skills
Healthcare, Hospitals, HIPAA, EMR, Medicare, Medical Terminology, EHR, Patient Safety, Public Health, Health Insurance, Case Managment, Health Education, Inpatient, PowerPoint, Customer Service, Cerner, ACE, ePremis, Medicaid, Life & Health Insurance..., HBOC, Showcase, Managed Care, Pediatrics, Quality Improvement, Enrollment Management, Nursing Education, Wound Care, Critical Care, Health Policy, Informatics
Education
University of Alabama 2011 — 2015
Kaplan University 2010 — 2011
Nursing
WellCare Health Plans March 2014 - Present
WellCare Health Plans February 2014 - Present
WellCare February 2013 - Present
HCA 2012 - Present
Florida Career College October 2011 - Present
HCA Saint Petersburg General Hospital October 2011 - Present
Florida Career College August 2011 - Present
Hip Expressions Belly Dance Studio 2011 - 2012
HCA Largo Medical Center December 2008 - September 2011
Suncoast Hospital November 2007 - December 2008
Skills
BLS, ACLS, Supervising, Nursing, Healthcare, Clinical Research, Cpr Certified, Healthcare Management, Hospitals, Critical Care, Critical Thinking, Pediatrics, Teaching, Phlebotomy, Surgery, Adults, EMR, Home Care, Medication..., Nursing Education, Medical/Surgical, Palliative Care, Inpatient, Leadership, Vital Signs, EKG, Patient Education, Adult Education, Health Education, ICU, Patient Safety, Wellness, Medical Education, IV, Patient Advocacy, Mental Health, Medicine, Registered Nurses, Telemetry, Acute Care, Venipuncture, Treatment, PALS, Pain Management
Education
Dr. Sears Health Coach 2013 — 2014
Foods, Nutrition, and Wellness Studies, General
St. Petersburg College 2011 — 2013
Bachelor's degree, Registered Nursing/Registered Nurse, 3.3
St. Petersburg College 2004 — 2010
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Keiser College 2007 — 2008
Practical nursing, Nursing
Saint Petersburg College
Baccalaureate, Science
Saint Petersburg College Pinellas
Associate; Associate, Science; Applied Arts; Nursing
Discover Financial Services August 2014 - Present
Discover Financial Services May 2011 - August 2014
WellCare January 2011 - April 2011
DeVry University/Keller Graduate School of Management September 2008 - April 2011
Graduate Leverage February 2006 - October 2010
Esquire Deposition Services February 2004 - February 2006
JPMorgan Chase April 2003 - February 2004
Household Finance May 2000 - April 2003
Skills
Project Management, Process Improvement, Change Management, Operations Management, Collaborative Problem..., Student Loans, Call Center, Teaching Adults, Project Coordination, PMP, Staff Development, Program Development, Scuba Diving, Business Process..., Business Process, Public Speaking, Team Building, Strategic Planning, Strategic Leadership, Forecasting, Leadership, Management, Sales, Visio, Training, Analysis, Software Documentation, Business Analysis, Risk Management, Competitive Analysis, Sales Operations, Cross-functional Team..., Six Sigma, Portfolio Management, Team Leadership, Program Management, Salesforce.com, Entrepreneurship, Data Analysis, Strategy, CRM, Financial Services, SDLC, PMO, Project Portfolio..., Vendor Management, Management Consulting, Business Intelligence, Analytics, Budgets
Education
Keller Graduate School of Management of DeVry University 2004 — 2007
MBA w/ Distinction
Western Illinois University 1991 — 1995
BA
Mendota High School 1987 — 1991
himagine solutions January 2014 - Present
Ultimate Medical Academy March 2013 - January 2014
University of Phoenix October 2009 - February 2013
CIGNA Healthcare August 2008 - May 2009
WellCare April 2007 - June 2008
Skills
Speaker/Trainer, Change & Refinement..., Upside Down Marketer, Referral Market..., Start-up/Turn-Around..., Cross-Pollinator of..., Developer Relations, Project Implementation, Creative Development &..., Event Management, Event Planning, Strategic Planning, Creative Direction, Referrals, Public Speaking, Public Relations, Training, Microsoft Office, Non-profits, Fundraising, Leadership Development, Salesforce.com, Staffing Development, Recruiting, Talent Acquisition, Business Development, Project Management, Emotional Intelligence, Mentoring, Performance Management, Employee Relations, Onboarding, Management, Admissions, Adult Education, Career Counseling, Leadership, Coaching, B2B, Market Research, Team Leadership, Lead Generation, Metric Development, Enrollment Management, Cross-functional Team..., Student Financial Aid, Student Recruiting, Sales, Retaining Customers, Entrepreneurship
Education
Lee University 2002 — 2005
BS, PSM, Cum Laude
Lee University
Bachelor of Science (BS)
Optum January 2013 - March 2015
Optum Insight June 2009 - November 2012
AIM Healthcare January 2004 - May 2009
WellCare 2002 - 2004
Florida Memorial Health Network 2001 - 2002
American Medical Healthcare 1996 - 2001
American Medical Security 1991 - 1996
Skills
Achieve Results, Result Oriented, Customer Satisfaction, Problem Management, Coaching, Operations Management, Financial Analysis, Business Planning, Data Analysis, Data Mining, Pricing Analysis
Education
University of Wisconsin-Madison 1984 — 1989
Bachelor of Science (B.S.), English Language and Literature, General
Ealing College of Higher Education
Semester Abroad, Business Administration and Management, General
Keller Graduate School of Management of DeVry University
UnitedHealth Group May 2015 - Present
WellCare June 2013 - April 2015
WellCare April 2012 - June 2013
WellCare February 2012 - May 2012
WellCare September 2009 - March 2012
WellCare July 2005 - November 2009
IBM January 2003 - July 2005
PwC December 2000 - January 2003
Procter & Gamble July 1998 - December 2000
Skills
Vendor Management, Program Management, Cross-functional Team..., Leadership, Analytics, Business Analysis, Project Management, Process Improvement, Risk Management, Business Process..., Training, Healthcare, Project Planning, SDLC, SharePoint, Compliance, Requirements Analysis, Team Leadership, Business Intelligence, Enterprise Software, Operations Management, Business Requirements, Strategic Planning, Quality Assurance, Medicaid Managed Care, Visio, Software Documentation, Medicare Advantage, Management, Business Process, HIPAA, Medicare, Strategy, Health Insurance, Contract Management, Contract Negotiation
Education
Indiana University Bloomington 1992 — 1996
BA, Telecommunications
SurePayroll September 2014 - Present
SurePayroll December 2013 - Present
Envy Us Creations Salon April 2011 - Present
Bankers Life and Casualty January 2011 - August 2013
WellCare June 2008 - October 2010
Edward Don & Co June 2007 - June 2008
J'sona Inc February 2005 - April 2007
Jsona Inc January 2004 - February 2005
First USA October 2002 - December 2003
Safelite AutoGlass November 2001 - October 2002
Skills
Training, Customer Service, Leadership, Management, Time Management, Sales, Troubleshooting, Employee Benefits, Policy, Customer Retention, Accounting, Process Scheduler, Marketing Strategy, Credit, Process Improvement, Outlook
Education
Keller Graduate School of Management of DeVry University 2015 — 2016
Master's Degree, Human Resources Management/Personnel Administration, General
Robert Morris university 2012 — 2015
Bachelor of Business Administration (B.B.A.), Management
Robert Morris University 2010 — 2012
Associate of Arts (A.A.), Business Administration
WellCare Health Plans March 2015 - Present
WellCare June 2011 - February 2015
Skills
Business Analysis, Business Process..., Business Requirements, Data Analysis, Health Insurance, Insurance, Managed Care, Medicaid, Medicare, Process Improvement, Requirements Gathering, SAS, Financial Modeling, HIPAA, Provider Relations
Education
Hamilton College 2008 — 2011
Bachelors, Economics
WellCare January 2009 - Present
The Event Factory August 2006 - January 2014
BayCare Health System August 2003 - August 2006
Skills
NCQA Accreditation, Regulatory Compliance, Medicare, Medicaid, Compliance Audits, Quality Assurance, Health Insurance, Quality Auditing, Project Management, Process Improvement, Insurance, Managed Care, Claim, Provider Relations, HIPAA, Quality Management, Visio, HEDIS/CAHPS/HOS/STARS, URAC Accreditation, Bi-Lingual in..., MS Excel Pivot Tables, Oracle Applications, Photoshop, Production Management, Event Management, Event Planning, Digital Photography, Graphic Design, Customer Service, Hospitals, Notary Public, Access
Education
Liberty University 2011 — 2015
Attaining Bachelors of Science Fall 2015, Business Administration, Healthcare Management
Hillsborough Community College 1984 — 1985
Chicago Public Schools November 2013 - Present
Events By CHI August 2004 - Present
Heartland Health Center September 2013 - February 2015
Gas Group March 2011 - March 2013
Amazing Medical Care December 2010 - February 2011
Advocate Christ Medical Center August 2009 - March 2010
WellCare October 2008 - September 2009
Four Yours Truly September 2007 - July 2008
Advocate Illinois Masonic Medical Center August 2006 - July 2007
Advocate Health Care June 2004 - July 2006
Skills
Healthcare..., Human Resources, Event Planning, Healthcare, Customer Service, Outlook, Strategic Planning, Employee Relations, Team Building, Microsoft Word, PowerPoint, Microsoft Office, Public Speaking, Microsoft Excel, Project Management, Program Development, Policy, Non-profits, Healthcare Management, Training, Nonprofits, Recruiting, Program Management, Management, Leadership, Community Outreach, Budgets, Leadership Development
Education
Keller Graduate School of Management 2011 — 2014
Master of Project Management, Project Management
Keller Graduate School of Management of DeVry University 2009 — 2011
Master, Public Administration; Non Profit/Health Services Management
Keller Graduate School of Management of DeVry University 2005 — 2007
M.B.A., Human Resources Management
Northern Illinois University 1998 — 2004
Bachelor of Science, Community Health-Health Administration
DTCC June 2008 - January 2014
JPMorgan Chase March 2002 - July 2008
WellCare 2007 - 2007
Franklin Templeton Investments November 1997 - March 2002
Skills
Financial Services, Vendor Management, Program Management, Customer Service, Business Analysis, Project Management, Team Leadership, Risk Management, System Administration, Relationship Management, Team Building, Equities, Strategic Planning, Banking, Management
Education
International Academy of Design and Technology-Tampa 2010 — 2013
Bachelor’s Degree, Fashion/Apparel Design
St. Petersburg College 1997 — 1999
Associate of Science (A.S.), Criminal Justice and Corrections
CareCentrix October 2014 - Present
WellCare September 2012 - October 2014
Universal American October 2007 - September 2012
UAM 2007 - 2012
UAM 2007 - 2012
UAM 2007 - 2012
Michigan State University November 1993 - September 2000
Weill Cornell Medical College June 1990 - August 1993
Skills
Green Belt, Six Sigma, Policy Writing, CMS, Team Leadership, Market Analysis, Sales Support, Federal Law, Cross-functional Team..., Executive Management
Education
Thomas M. Cooley Law School 1999 — 2004
Doctor of Law (JD)-completed online with BAU, General Studies
Long Island University, C.W. Post Campus 1989 — 1991
Master's degree, Biochemistry and Molecular Biology
SUNY Albany 1985 — 1989
Bachelor of Science (BS), Molecular Biology
Magellan Health Services March 2010 - Present
WellCare December 2007 - December 2009
Ceridian September 1997 - November 2007
Skills
Six Sigma, Change Management, Strategic Planning, Leadership, Call Center, Continuous Improvement, Business Process..., Workshop Facilitation, Process Improvement, Business Process..., Operational Excellence, Program Management, Cross-functional Team..., Performance Management, Performance Improvement, Metrics, Business Analysis, Project Management, Outsourcing, Quality Assurance, Management, Training, Strategy, Call Centers, Process Engineering, Quality Management, Project Portfolio..., PMO, Analytics, Team Leadership, Lean Manufacturing
Education
Hofstra University 1991 — 1994
MBA, Finance
New York University - Polytechnic School of Engineering 1980 — 1984
BS, Aerospace Engineering
RGA October 2009 - Present
WellCare September 2007 - July 2008
Bravo Health January 2005 - June 2007
Colonial Penn Life Insurance 1988 - 2004
Skills
Medicare, Managed Care, Medicaid, HIPAA, Long-term Care, Call Centers, Healthcare, Customer Service, Sales, Leadership Development, Team Building, Healthcare Management, Training, Insurance, Instructional Design, Project Management
Education
Kutztown University of Pennsylvania 1985 — 1989
Crowne Plaza Louisville May 2015 - Present
Embassy Suites May 2015 - Present
Stock Yards Bank & Trust May 2014 - May 2015
Digital Connections Inc July 2012 - May 2014
WellCare October 2011 - July 2012
Norton Healthcare February 2011 - October 2011
Ford Motor Company December 2010 - January 2011
Ed's Computer Repair October 2004 - November 2010
American Messaging November 2006 - November 2008
Skills
Active Directory, Network Administration, Windows 7, Cisco Technologies, Networking, Operating Systems, VMware, Windows Server, Troubleshooting, Security, Microsoft Exchange, Microsoft Office, Help Desk Support, Wireless Networking, Blackberry, Switches, Dell PowerEdge Servers, Dell Workstations, Citrix, Micros, Epitome, Delphi, Cisco Routers, Network Installation, Desktop Administration, Cisco IOS, Windows Phone, Dell Computers, Cisco Routing &..., CommVault, SMS, Forefront, Cisco VoIP, Cisco Call Manager, Unity, Mobile Devices, iPad, iPhone, Android, Mobile Device Management, Cisco Certified, VMware View, VoIP, Hardware, Firewalls, Routers, Servers, Network Security
Education
Western Govenors University 2015 — 2016
Bachelor's Degree, Information Technology-Security
Jefferson Community College 2010 — 2010
Associate of Applied Science, Network and System Administration/Administrator
Jefferson Community College 2010 — 2010
Certificate of Cisco Networking Enhanced
Jefferson Community College 2010 — 2010
Certificate of Information Technology Fundamentals
Carat USA July 2015 - Present
Starcom MediaVest Group March 2015 - June 2015
Starcom MediaVest Group September 2013 - February 2015
Starcom MediaVest Group May 2012 - August 2013
WellCare June 2011 - August 2011
Richmond Kidney Center November 2010 - January 2011
Education
Hamilton College 2008 — 2012
Bachelor of Arts (B.A.), Economics
University of Melbourne 2010 — 2010
Study Abroad
Oak Knoll 2004 — 2008
High School
ConnectiCare February 2014 - July 2015
Benchmark Senior Living May 2013 - February 2014
WellCare May 2010 - May 2012
Health Net August 2004 - November 2009
Lumenos 2002 - 2004
Aetna 1996 - 2001
US Healthcare May 1994 - July 1996
US Healthcare November 1987 - April 1994
US Healthcare December 1985 - November 1987
Skills
Health Insurance, Healthcare, Managed Care, Health Policy, Medicare, Business Development, Performance Management, Sales Rep Training, Strategic Planning, Consultative Selling..., Relationship..., Coaching Staff, HMO, Selling, Insurance, Leadership, Brokers, Competitive Analysis, Medicaid, Employee Benefits, Training, Management, Sales Operations, Salesforce.com, Strategy, Sales, Team Building
Education
City University of New York-Queens College
BA, Sociology, Elementary Education
Lafayette College
Pre-med
Southern Connecticut State University
Public Health, 3.8
KEBB Consulting January 2009 - Present
Blue Cross & Blue Shield of Rhode Island May 2008 - December 2008
HMSA Blue Cross and Blue Shield of Hawaii November 2007 - May 2008
WellCare May 2007 - November 2007
Blue Cross and Blue Shield of NC September 2004 - May 2007
Kaiser Permanente July 2004 - September 2004
SeeBeyond Inc. June 2002 - June 2004
Blue Cross & Blue Shield Association July 2000 - June 2002
Skills
Requirements Analysis, Software Development..., SDLC, Data Warehousing, PMP, IT Strategy, Vendor Management, Enterprise Architecture, Business Analysis, Business Process..., Business Intelligence, SharePoint, Strategy, Visio, IT Management, Program Management, Business Requirements, Analysis, Requirements Gathering, Project Portfolio..., Recruiting, Software Project..., Cross-functional Team..., Change Management
Education
Harvard University 2012 — 2012
Online Course, Bits: The Computer Science of Digital Information, Completed
The University of Georgia 1981 — 1984
Information Systems
Wills High School 1977 — 1980
High School Diploma
Aetna HealthCare 2012 - Present
Coventry Health Care, an Aetna Company 2012 - 2015
Coventry Health Care, an Aetna Company 2012 - 2015
Estate Planning Concepts 2011 - 2012
WellCare 2010 - 2011
Coldwell Banker 2004 - 2010
Aflac 2002 - 2002
Liberty National Life Insurance Company 2000 - 2002
Blue Circle Williams/Ply Mart; Dixie Home Crafters 1996 - 2000
Allstate 1990 - 1996
Skills
Health Insurance, Microsoft Office, Foreclosures, Medicare, Insurance, Microsoft Word, Investors, Microsoft Excel, Brokers, Term Life Insurance, Leadership, Sales, Selling, Underwriting, Health Savings Accounts
Education
Lee University 1977 — 1980
Bachelor of Business Administration (BBA), Business Administration and Management, General
WellCare January 2015 - Present
PharmMD December 2013 - December 2014
University Medical Center of Southern Nevada March 2013 - December 2013
CVS Caremark Corporation March 2012 - February 2013
Rite Aid Pharmacy September 2008 - March 2012
Skills
Pharmacy, Pharmacy Practice, Retail, Pharmacists, Healthcare Management, Public Health, Community Pharmacy, Pharmacy Consulting, Proficient Typing Skills, Programming, Computer Science, Medication Therapy..., Healthcare, Patient Counseling, Immunization, Compounding, Clinical Pharmacy, Certified Immunizer, Management, Pharmacy Automation, Patient Education, Medicare Part D
Education
LIU Brooklyn 2002 — 2008
Doctor of Pharmacy (Pharm.D.), Pharmacy
Long Island University 2002 — 2008
Doctor of Pharmacy (PharmD), Pharmacy
Humana January 2015 - Present
WellCare May 2013 - December 2014
Universal Health Care January 2013 - March 2013
Universal Health Care January 2009 - January 2013
Skills
Health Insurance, Medicare, HMO, Medicaid, Managed Care, Medicare Part D, PPO, Utilization Management, Credentialing, Healthcare, Leadership, Medicaid Managed Care, CPT, Claims Handling, ICD-9, Claim Investigation, Medical Compliance, Medical Billing, Process Improvement, Healthcare Industry, Access
Education
Juniata College 2000 — 2004
Bachelor of Science (BS), Criminal Justice
Comprehensive Health Insurance, Inc. 2007 - Present
Wellcare 2007 - Present
Skills
Journal Entries, General Ledger, Tax Preparation, Tax Returns, Income Tax
Education
Iona College 1989 — 1992
Bachelor of Business Administration (BBA), Public Accounting
NextEra Power Resources 2010 - Present
The Bentek Group August 2009 - February 2010
WellCare April 2007 - August 2009
Oracle June 2000 - April 2007
Brandt Information Services May 1999 - June 2000
Romac International 1997 - 1999
Skills
PL/SQL, Oracle, SQL, Database Design, XML, Java
Education
Indiana University-Southeast 1988 — 1991
Wellcare March 2011 - Present
WellCare August 2005 - Present
Education
Howard University
University of Maryland - Robert H. Smith School of Business
Master of Business Administration (MBA)
Health Data Vision, Inc. April 2015 - Present
Risk Adjustment Coding Consultants January 2010 - Present
Aetna/Coventry December 2009 - April 2015
WellCare 2004 - December 2009
Skills
Managed Care, Healthcare Industry, Medicare, Health Insurance, Disease Management, Healthcare Information..., Insurance, HIPAA, Medicaid, Utilization Management, Visio, Healthcare, Medical Coding, Healthcare Management, Claim, Process Improvement, Leadership, Hospitals, Outlook, Healthcare Consulting, Provider Relations, Training, Revenue Cycle, Microsoft Excel, Software Documentation, Physician Relations, HMO, Credentialing, EHR, Strategic Planning, Physicians, Health Policy, Long-term Care, Medical Billing, Quality Improvement, EMR, Home Care, Medical Terminology, Informatics
Education
Kent State University 1983 — 1987
BS, RECREATIONAL THERAPY
Kent State University Kent Oh
HealthPlan Services November 2012 - Present
PMSI September 2011 - November 2012
WellCare November 2006 - September 2011
PharMerica 2004 - 2006
Carpenter Technology 1998 - 2004
Berk-Tek 1994 - 1998
Skills
Databases, IT Outsourcing, Stakeholder Management, PMP, PMO, Software Development, IT Management, Vendor Management, Agile Methodologies, Agile Project Management, Business Analysis, Business Process, Business Process..., CRM, Change Management, Disaster Recovery, Enterprise Architecture, Enterprise Software, Governance, IT Service Management, IT Strategy, ITIL, Information Technology, Integration, MS Project, Management, Process Improvement, Program Management, Project Delivery, Project Management, Project Portfolio..., Quality Assurance, Requirements Analysis, SDLC, SharePoint, Visio
Education
Kutztown University of Pennsylvania 2001 — 2003
BSBA, Management
Keystone 1982 — 1984
AA, Computer Science
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas March 2014 - Present
WellCare October 2012 - September 2013
Liberty Mutual Insurance Company April 2009 - October 2012
Northwestern Mutual Financial Network July 2008 - October 2008
Skills
Disability Insurance, Life Insurance, Strategic Financial..., Retirement Planning, Investments, Fixed Annuities, Retirement, Insurance, Financial Analysis, Long-term Care, Mutual Funds, Financial Planners, Financial Modeling, Wealth Management, Securities, Asset Allocation, Estate Planning, Finance, Strategy, Sales, Employee Benefits, Marketing, CRM
Education
Hampton University 2003 — 2007
Bachelor of Science (B.S.), Business Management
Hampton University 2003 — 2007
BACHELOR'S OF SCIENCE DEGREE, Business Management
WellCare Health Plans 2013 - Present
Comverse February 2012 - June 2013
Palestina Scrivo Properties, Inc. August 2010 - January 2012
Newmark Knight Frank Global Managment Services, LLC September 2009 - September 2011
Newmark Knight Frank Global Managment Services, LLC June 2007 - August 2009
WellCare July 2005 - May 2007
Dearborn Risk Managment, Inc 1999 - 2005
Gerling Global Reinsurance Corporation of America 1998 - 1999
Homestead Insuance Company 1995 - 1998
Capital Credit Corporation 1993 - 1994
Skills
Webfiling, Oracle Applications, Oracle Discoverer, Consolidated Financial..., System Implementations, ADP Payroll, ADP ReportSmith, General Ledger, Insurance, Statutory Accounting, Microsoft Excel, Corporate Tax, XBRL, CPA - Pending
Education
Inter-American University of Puerto Rico-Metropolitan Campus 1984 — 1989
Bachelor's degree, Business Administration and Management, General
New Jersey CPA
One Call Care Management December 2014 - Present
One Call Care Management June 2013 - November 2014
One Call Care Management March 2012 - June 2013
WellCare March 2009 - March 2012
WellCare Health Plans August 2007 - March 2009
WellCare Health Plans January 2006 - August 2007
National Multiple Sclerosis Society - Mid Florida Chapter May 2004 - December 2005
Carolinas Medical Center January 2002 - April 2004
Skills
Managed Care, Medicare, Medicaid, Provider Relations, Network Development, Program Management, Workers Compensation, Medicare Part D, Community Outreach, Strategic Planning, Team Building, Credentialing, Executive Management, Training, Healthcare Consulting, Leadership, Health Insurance, Process Improvement, Healthcare, Insurance, Healthcare Management, Healthcare Industry, Healthcare Information..., PPO, Revenue Cycle
Education
University of North Carolina at Charlotte 2001 — 2003
MHA, Masters in Health Administration
High Point University 1996 — 2000
Bachelors of Science, Biology, Business, Education
WellCare December 2012 - Present
Raymond James & Associates October 2008 - October 2012
Raymond James & Associates January 2005 - October 2008
Raymond James & Associates January 2002 - January 2005
Raymond James & Associates January 1999 - January 2002
Raymond James & Associates January 1997 - January 1999
Raymond James & Associates August 1994 - January 1999
Skills
ITIL, Incident Management, Asset, Visio, Asset Management, Process Improvement, Change Management, Procurement, Excel, PowerPoint, Word, Configuration Management, Microsoft Excel, Microsoft Word, Asset Managment, SharePoint, Management, Program Management, Leadership, Business Analysis, Analysis, IT Management, IT Operations, Active Directory, SDLC, IT Asset Management, Disaster Recovery, Software Documentation, IT Service Management, Integration, Requirements Analysis, Technical Support, Information Technology, IT Strategy, Vendor Management, Help Desk Support, PMP, Requirements Gathering, Business Process..., Hardware, Enterprise Architecture, Business Process, CMDB, Systems Analysis
Education
St. Petersburg College 2007 — 2008
Technology Management
Kent State University 1985 — 1987
West Coast Officials Association March 2015 - Present
Organo Gold April 2010 - Present
Center Academy January 2009 - Present
West Coast Officials Association September 1998 - Present
West Coast Officials Association March 2013 - February 2015
West Coast Officials Association September 2007 - June 2010
Seminole Tribe of Florida Hard Rock Casino July 2008 - January 2009
WellCare July 2007 - February 2008
Citibank June 2006 - June 2007
Citibank January 2003 - June 2006
Skills
Team Building, Employee Relations, Relationship Management, Workshop Facilitation, Conflict Resolution, Time Management, Instructional Design, Classroom, Highly effective, Coaching, Call Center, Leadership Development, Performance Management, Process Improvement, Change Management, Strategic Planning, Team Leadership, Succession Planning, Risk Management, Executive Management, Training Delivery, Cross-functional Team..., Management, Call Centers, Leadership, Recruiting, Training, Public Speaking, Staff Development, Human Resources, Program Management, Customer Service, Negotiation, Policy, Strategy, Organizational...
Education
Kean University 1979 — 1984
BS Bachelor of Science, Management Science
Kean University 1979 — 1984
Bachelor of Science (BS), Business Administration and Management, General
MVP Health Care March 2011 - Present
MVP Health Care December 2008 - February 2011
MVP Health Care September 2003 - November 2008
GHI August 1999 - September 2003
WellCare June 1996 - August 1999
Blue Shield of Northeast New York June 1990 - June 1996
Skills
Change Management, Release Management, Metrics, Analytics,..., Analytics, Business Process..., Business Analysis, Process Improvement, Visio, Requirements Analysis, Business Requirements, Access, Data Analysis, ITIL v3 Foundations..., ITIL, Project Management, KPI implementation, KPI Reports, Change Control Board, BMC Remedy, Business Intelligence, Software Documentation, Requirements Gathering, Business Objects, IT Service Management
Education
Hudson Valley Community College 1980 — 1981
AAS, Transportation Distribution Management
Hudson Valley Community College 1978 — 1980
AAS, Accounting
WellCare July 2007 - Present
Albert Einstein Crisis Response Center June 2005 - June 2007
UHAUL May 2005 - March 2006
Education
UNIVERSITY OF PHOENIX 2008 — 2010
NONE, MBA
La Salle University 2002 — 2005
St. Vincent's Home Health November 2014 - Present
Magellan Health Services October 2006 - June 2014
Wellcare October 2005 - October 2006
Skills
Healthcare, Managed Care, Medicaid, Medicare, Health Insurance, Mental Health, Leadership, Healthcare Management, HIPAA, Insurance, Case Management, Access, Team Building, Hospitals, Process Improvement, Management, Strategic Planning, Sales, Community Outreach
Education
Jacksonville University
Bachelor of Business
WellCare Health Plans February 2014 - Present
WellCare November 2009 - Present
Amerigroup Corporation March 2005 - September 2009
J.P. Morgan Chase & Co. September 2002 - March 2005
Williams - Sonoma 1999 - 2002
Skills
Process Improvement, Microsoft Word, Project Planning, Management, Time Management, Access, Leadership, Software Documentation, Troubleshooting, Coaching, Budgets, Team Building, Team Leadership, Customer Service, Outlook, Microsoft Excel, PowerPoint, Customer Satisfaction, SharePoint, Sales, Quality Assurance, Training, Analysis, Cross-functional Team..., Call Centers, Medicare, Customer Experience, Visio, Medicaid
Education
International Academy of Design 1993 — 1999
BFA, Interior Design
Strategy&, part of the PwC network (formerly Booz & Company) January 2009 - Present
Booz & Company January 2009 - March 2014
WellCare 2003 - January 2009
McKinsey & Company August 2001 - July 2003
Skills
Acquisition Integration, Management Consulting, Business Strategy, Strategy, Business Process..., Program Management, Corporate Development, Mergers, Strategic Planning, Organizational Design, Process Improvement, IT Strategy, Financial Modeling, Analytics, Business Transformation, Cross-functional Team..., Change Management, Operational Excellence, Business Analysis, Business Process..., Business Development, Operations Management, Mergers & Acquisitions, Analysis, Start-ups, Executive Management, Leadership, Process Engineering, Management
Education
University of Pennsylvania - The Wharton School 2006 — 2008
Executive MBA, General Management
Dartmouth College - The Tuck School of Business at Dartmouth 2001 — 2001
Business Bridge Program, Management
Massachusetts Institute of Technology 1999 — 2001
MS, Nuclear Engineering
Indian Institute of Technology (Banaras Hindu University), Varanasi 1995 — 1999
B.Tech, Ceramic Engineering
SBOA
Care One Urgent Care centers of Florida February 2013 - Present
Tampa General Hospital November 2010 - March 2013
PODS September 2009 - February 2011
PODS August 2010 - November 2010
United Health Care October 2007 - May 2009
United Healthcare Ovations 2007 - 2008
Wellcare November 2005 - January 2007
JPMorgan Chase 1999 - 2004
Skills
Training, Call Center, Interviews, Sales, Marketing, Team Building, Vendor Management, Strategic Planning, Performance Management, Coaching, Account Management, Employee Training, Microsoft Office, Strategy, Call Centers, Process Improvement, Leadership, Forecasting, Team Management, Management, Operations Management, Customer Service, Human Resources, Customer Satisfaction, Recruiting, Team Leadership, Analysis, Change Management, Cross-functional Team..., Program Management, Leadership Development
Education
University of Phoenix 2002 — 2015
Business Management
Knox College 1984 — 1989
Family Christian Health Center May 2009 - January 2010
Wellcare 2008 - January 2010
Education
Illinois State University
BS, Mass Communication
Roosevelt University
MPA, Healthcare
Coding Services Group May 2014 - Present
WellCare July 2012 - May 2014
Sanford Brown Institute July 2010 - May 2012
Skin & Laser Medical Center June 2007 - September 2009
Skills
Office Management, Administrative..., Outlook, Microsoft Office, Data Entry, Customer Service, Microsoft Excel, Microsoft Word, PowerPoint, Event Planning, Healthcare, Office Administration, Invoicing, Payroll, Accounts Receivable, Accounts Payable, Human Resources, Medical Terminology, Healthcare Management, Research
Education
Herzing University-Winter Park 2008 — 2011
Bachelor of Science (BS), Health/Health Care Administration/Management
Herzing University-Winter Park 2006 — 2011
Associate of Science (AS), Medical Billing and Coding
WellCare January 2008 - Present
Senior Lifestyle Corporation November 2005 - October 2007
Mather LifeWays January 2001 - November 2005
Age Options November 1999 - January 2001
Skills
Event Planning, Healthcare Management, Budgets, HIPAA, Healthcare, Leadership, Marketing, Medicaid, Medicare, Social Services, Managed Care, Community Development, Program Development, Community Outreach, Management, Strategic Planning, Training, Program Management, Health Insurance, Public Speaking, Customer Service
Education
Roosevelt University 1988 — 1989
MPA, Public Administration
Illinois State University 1983 — 1987
B.S., Business Administration
PointRight Inc. April 2014 - Present
Kili Chivers October 2013 - April 2014
Family Health Network January 2013 - October 2013
WellCare Health Plans March 2009 - December 2012
WellCare March 2008 - March 2009
Legacy Consulting Services- Contractor with WellCare Health Plans Inc. (PFFS) May 2007 - February 2008
Skills
Network Contracting, Contract Negotiation, Contract Management, Provider Relations, Long-term Care, Medicaid Managed Care, Medicare/Medicaid..., Medicare Advantage, Claims Resolution, Management, Proposal Writing, Network Development, Business Process..., Hospital Contracting, Written & Oral..., TANF, Hiring Employees, Training, Business Expansion, Team Management, Data Analysis, Program Implementation, Credentialing, Healthcare, Managed Care, Medicare, Process Improvement, Insurance
Education
University of Hawaii at Manoa 2001 — 2005
BA, Sociology
Konan University 2002 — 2003
Japanese
Huntington National Bank February 2010 - Present
Wellcare August 2008 - February 2010
Skills
Retail Banking, Consumer Lending, Insurance, Mortgage Lending, Medicare, Health Policy, Medicare Part D, Health Savings Accounts, Health Insurance, Long-term Care, Medicaid, Open Enrollment
Education
Indiana University Bloomington 1997 — 2001
Finance, Managment
Benefits Plus 2011 - Present
WellCare September 2011 - November 2012
UnitedHealthcare August 2008 - September 2011
Western & Southern Financial Group September 2009 - May 2010
Aflac August 2007 - September 2009
Skills
Insurance, Health Insurance, Life Insurance, Employee Benefits, Whole Life
Education
Lakeland Community College 2004 — 2006
Microcomputer Specialist, Information Technology, 3.0
M.T.I. Business College 1995 — 1996
Computer Management, Information Technology, 3.3
Nassua University Medical Center June 2011 - Present
LIHN June 2006 - Present
WellCare 2005 - 2006
HealthFirst March 2002 - June 2005
HealthFirst March 2002 - June 2005
Skills
Revenue Cycle, Physician Relations, Provider Relations, Network Development, Managed Care, Hospitals, Healthcare Management, Healthcare Information..., Healthcare Industry, Healthcare, Health Insurance, Credentialing
Education
LIU Post 1992 — 1996
MPH, Healthcare
Molly College 1984 — 1986
Bachelor's degree, Business
Nantucket Cottage Hospital July 2015 - Present
Nantucket Cottage Hospital July 2012 - Present
HES 2007 - Present
WellCare 2002 - Present
D2Hawkeye January 2006 - December 2007
IntelliClaim January 1999 - February 2005
Oxford Health Plans September 1997 - November 1998
Aetna Health Plans 1992 - 1996
Lincoln National Group 1988 - 1992
Skills
Managed Care, Medicare, Medicaid, Healthcare Consulting, Healthcare Information..., Healthcare, Healthcare Industry, Healthcare Management, HIPAA, Health Policy, Health Insurance, Strategic Planning, Revenue Cycle, Process Improvement, Hospitals, EHR, Informatics, Physicians, Leadership, Executive Management
Education
Loyola University Chicago 1979 — 1984
Doctor of Law (J.D.)
University of Michigan 1974 — 1976
MHSA
Harvard University 1969 — 1973
A.B.
Thomas Maercklein Insurance May 2001 - Present
WellCare 2000 - 2001
Connecticut Motor Club 1989 - 1999
Skills
Insurance, Health Insurance, Employee Benefits, Disability Insurance, Medicare Prescription..., Medicare Advantage, Medicare Supplement, Life Insurance, Long Term Care Insurance, Medicare, Term Life Insurance, Dentistry, Brokers
Education
Ithaca College 1972 — 1976
History
Ithaca College 1972 — 1976
History, Physical Education
Washington Regional Medical Center 2009 - Present
WellCare February 2005 - August 2008
Education
John Brown University 2010 — 2013
Master's
Regis University
B.S., Nursing
WellCare January 2012 - Present
Health Plus July 2003 - January 2012
Oxford 1996 - 2000
Skills
Managed Care, Pharmaceutical Sales, Medicare, HIPAA, Healthcare Management, Healthcare Consulting, Revenue Cycle, Healthcare Information..., Medical Billing, Utilization Management, HMO, Hospitals, EMR, Credentialing, Healthcare Industry, Medicare Part D, Medical Terminology, Insurance, ICD-9, CPT, Claim, Medical Coding
Education
Iona College
Health/Health Care Administration/Management
MonaVie June 2007 - Present
Long Island Health Network July 2006 - Present
WellCare July 2005 - July 2006
WellCare Health Plans, Inc 2005 - 2006
Healthfirst March 2002 - July 2005
Education
LIU Post
MPA, Health Care Administration
Molloy College
BA, Business Administration
PaySpan, Inc. February 2015 - Present
Children's Healthcare of Atlanta May 2013 - February 2015
CareCentrix December 2010 - May 2013
WellCare 2008 - 2010
AT&T 2006 - 2008
BellSouth 1994 - 2006
BellSouth Long Distance 2001 - 2005
Skills
Vendor Management, Leadership, Process Improvement, Call Centers, Managed Care, Strategic Planning, Management Consulting, Management, Cross-functional Team..., Strategy, Mergers, Call Center, Operations Management, Program Management, Business Analysis, Change Management, Healthcare, Team Building, Forecasting, Medicare, HIPAA, Leadership Development, Analysis, Executive Management, Business Process..., Business Strategy
Education
Harvard Business School 1988 — 1990
MBA
United States Military Academy at West Point 1979 — 1983
B.S., Economics
WellCare August 2007 - Present
National General Insurance 2014 - 2014
National General Insurance 2014 - 2014
National General Insurance 2014 - 2014
National General Insurance 2014 - 2014
National General Insurance 2014 - 2014
National General Insurance 2014 - 2014
Wellpoint Anthem October 2005 - August 2007
Skills
Product Management, Performance Management, Competitive Analysis, Training, Market Research, Marketing, Sourcing, Process Improvement, Healthcare, Forecasting, Leadership, Customer Satisfaction, Management, Vendor Management, Business Development, Coaching, Medicaid, Operations Management, Recruiting, Marketing Strategy, Cross-functional Team..., Selling, Disability Insurance, Long-term Care, Medicare Part D, Healthcare Industry, Health Savings Accounts, HIPAA, Sales Presentations, Brokers, Healthcare Consulting, Benefits Administration, Sales Process, HMO, Term Life Insurance, CRM, Provider Relations, Cold Calling
Education
Kent State University 1985 — 1990
Bachelor of Science (BS), Business Administration and Management, General
One Call Care Management January 2014 - Present
TechHealth December 2009 - January 2014
Cobham Mission Systems July 2009 - December 2009
WellCare 2007 - 2009
Rose-Hulman Institute of Technology 2006 - 2007
VTS Consultants Inc. 2005 - 2007
CREW Technical Services 2002 - 2005
Journal and Courier 2001 - 2002
Purdue University 1999 - 2002
Skills
Software Documentation, Visio, Training, Instructional Design, Technical Writing, Leadership, Quality Assurance, Process Improvement, Project Management, Healthcare, Microsoft Excel, Customer Service, Research, Management, SDLC
Education
Purdue University 1999 — 2002
M.F.A., Creative Writing
Hope College 1994 — 1999
B.A., English, Psychology
Holland Christian High School 1990 — 1994
WellCare January 2007 - Present
EDS November 1998 - January 2007
Electronic Data Systems October 1996 - November 1998
Education
University of Alabama at Birmingham 2010 — 2014
Masters, Health Informatics
Midfield High School 1980 — 2009
Keller Graduate School of Management of DeVry University 2002 — 2005
MS, Information Systems Management
Jacksonville State University 1989 — 1993
B.S., Computer Information Systems
WellCare August 2008 - December 2009
WellCare May 2008 - August 2008
WellCare August 2005 - May 2008
WellCare August 2005 - May 2008
Waters CPA Group September 2003 - August 2005
The TriZetto Group January 2000 - April 2002
GBA Firestone June 1992 - August 1999
Raytheon August 1987 - August 1989
Loral Systems Group January 1986 - August 1987
Education
Illinois Institute of Technology 1989 — 1992
MBA, Operations & Finance
Illinois Institute of Technology 1989 — 1992
Juris Doctorate
University of Wisconsin-Madison 1981 — 1985
BSECE/CS, Electrical and Computer Engineering w/ Computer Science
Florida Blue May 2015 - Present
Family Physicians Group March 2009 - May 2015
Jacksonville Humane Society 2010 - July 2012
MDI June 2010 - June 2011
Centene Corporation 2010 - 2011
WellCare 2006 - 2009
Aetna December 2000 - July 2004
GlaxoSmithKline January 2000 - December 2000
Skills
Quality, HEDIS, Utilization Management, Medicaid, Disease Management, Managed Care, Medicare, Credentialing, Hospitals, Clinical Research, Healthcare Industry, Practice Management, HIPAA, Medicine, Healthcare, Health Policy, Healthcare Consulting, NCQA, Patient Safety, Healthcare Information..., Physicians, Healthcare Management, Revenue Cycle, Accreditation, Health Insurance, Public Health, HMO, Quality Improvement, Network Development, EMR, Provider Relations, Health Education, Leadership, EHR, Pharmacy Benefit..., Medicare Part D, Physician Relations, Informatics, Nursing, Home Care, Medical Billing, Inpatient, Medical Education, Medical Coding
Education
Northeast Ohio Medical University (NEOMED) 1982 — 1985
MD
Kent State University 1978 — 1982
BS, Biology and Chemistry
Matrix Medical Network October 2012 - Present
WellCare May 2011 - September 2012
Humana October 2008 - March 2011
Amerigroup Corporation October 2007 - July 2008
Fidelis Care NY September 2006 - May 2007
Davis Vision February 2001 - September 2006
Skills
Call Center..., Healthcare Management, Customer Service..., Customer Service..., Project Management, Avaya Communication..., Cisco Call Manager, Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, Call Centers, Management
Education
Laguardia Community College 1988 — 1989
Computer Technology/Computer Systems Technology
Freedom health care March 2009 - Present
WellCare March 2007 - March 2009
Eagle Global Logistics March 2002 - March 2007
Eagle Global Logistics September 2000 - February 2002
Skills
Business Process..., Customer Service, Process Improvement, Insurance, Visio, Data Analysis, Business Analysis, Access, HIPAA, Vendor Management, Call Centers, Analysis, SharePoint, SDLC, Software Documentation, Training, Leadership, Healthcare
Education
ITT Technical Institute-Tampa 2003 — 2005
Associate of Science (AS), Computer Systems Networking and Telecommunications
Software Technology, Inc May 2011 - Present
BD March 2014 - September 2014
WellCare February 2012 - January 2014
Skills
Medicare, Microsoft Office, Business Intelligence, Analysis, Microsoft SQL Server, SQL, Business Analysis, SDLC, SAS, ETL, Access, Unix, Visual Studio, Data Warehousing, Requirements Analysis, Visio, Data Analysis, Databases, Software Documentation
Education
Jawaharlal Nehru Technological University
WellCare December 2004 - Present
Education
Medical University of South Carolina 2000 — 2002
MHA, Health Administration
Hampton University 1994 — 1998
BS, Marketing
WellCare September 2013 - Present
WellPoint October 2005 - December 2009
WellPoint March 2002 - September 2005
WellPoint March 2001 - March 2002
Blue Cross Blue Shield of Missouri January 1998 - February 2001
Skills
Cross-functional Team..., Leadership, Team Building, Medicare, Business Analysis, Insurance, Employee Benefits, Health Insurance, Managed Care, Budgets, Management, Claim, Customer Service, Process Improvement, Strategic Planning, Healthcare
Education
Illinois State University
B.S., Accounting
Louisiana Army National Guard May 2015 - Present
Self Employed December 2013 - Present
WellCare February 2013 - December 2013
Skills
Training, Organizational..., Public Speaking, Leadership Development, Real Estate, Process Improvement, Community Outreach, Strategic Planning, Team Building, Health Insurance, Coaching, Leadership
Education
Liberty University 2009 — 2012
Master of Divinity (M.Div.), Chaplaincy
Scotlandville Magnet/Southern University
ADP February 2013 - Present
Geneva Consulting Group October 2012 - February 2013
IAP Worldwide Services December 2010 - October 2012
WellCare July 2007 - December 2010
Metaldyne July 2004 - July 2007
Unilever 1996 - 2004
Skills
PeopleSoft, HRIS, Payroll, Benefits Administration, Performance Management, Talent Acquisition, Process Improvement, Data Analysis, Vendor Management, Excel, SharePoint, Word, Documentation, Compliance, ADP, Program Management, Policy, Microsoft Office, PowerPoint, Analysis, Visio, Requirements Analysis, Budgeting, Applicant Tracking..., Outlook, Troubleshooting, Security, Testing, Problem Solving, Metrics, Database Administration, ADP Payroll, Integration, Employee Benefits, Software Documentation, Training, Budgets
Education
Kaplan University 2012 — 2014
BS-BA, HR and IT
WellCare September 2013 - Present
Prometric Testing Center August 2011 - July 2013
Our Lady of Mercy Medical Center January 1989 - January 2006
Damon Clinical Lab Beth Israel Hospital January 1988 - January 1989
Lenox Hill Hospital January 1982 - January 1988
Skills
Healthcare, System Administration, Data Analysis, Operations Management, Supervisory Skills, Customer Relations, Customer Service, Documentation, Problem Solving, Hospitals, Operating Systems, Databases, Computer Hardware, Testing, C++, Analysis, Quality Assurance
Education
Herbert H. Lehman College
Certificate, Computer Programming
Bronx Community College
AAS, Medical Laboratory Technology
Iona College
BS, Healthcare Management
Marshall and Sterling Insurance January 2012 - Present
Palmiter Benefits Group LLC. October 1996 - January 2012
WellCare September 1986 - October 1995
Skills
Strategic Planning, Real Estate, Negotiation, Business Planning, Customer Service, Sales Management, Sales, Risk Management, Marketing, Account Management, Health Insurance, Underwriting, Disability Insurance, Employee Benefits, New Business Development, Team Building, Health Savings Accounts, Marketing Strategy, Sales Process
Education
Hartwick College 1980 — 1984
Bachelor of Arts, Business and Economics
Mount Kisco Medical Group February 2014 - Present
HealthCare Partners IPA & MSO 2013 - February 2014
WellCare 2004 - 2013
IntegraMed 2001 - 2004
Skills
Health Insurance, Mergers & Acquisitions, Executive Management, Healthcare Management, Healthcare, Insurance, Managed Care, Medicare, Provider Relations, Medicaid, Process Improvement, Claim, Network Development, HIPAA, Team Building, Health Policy, HMO, Medicare Part D, New Business Development, Healthcare Industry, Strategic Planning, Contract Negotiation, Sales Management, Healthcare Information..., Underwriting, Employee Benefits
Education
University of Rochester 1983 — 1985
Master's Degree, Public Policy Analysis
Hamilton College 1979 — 1983
Bachelor of Arts (B.A.), Political Science and Government
EQT Corporation April 2011 - Present
WellCare September 2010 - March 2011
Education
Jawaharlal Nehru Technological University
Bachelor in computer science engineering, Computers
WellCare August 2011 - Present
Fidelis Care NY March 2006 - October 2010
Beth Abraham Family of Health Services January 2001 - March 2006
Beth Abraham Family of Health Services September 1997 - January 2001
Skills
Home Care, Personnel Management, Medicaid, Healthcare Management, Strategy, Customer Service, Healthcare, Leadership, Case Managment, Strategic Planning, Program Development, Program Management, Clinical Research, Mergers & Acquisitions, Team Building, Nursing, Marketing, Performance Improvement, Performance Management, Medicare, Case Management, Quality Improvement, Disease Management, Managed Care, Utilization Management, Provider Relations
Education
LIU Brooklyn
MS/MBA, Community Health/Management
Stony Brook University
BSN, Nursing
WellCare Health Plans March 2015 - Present
WellCare October 2011 - Present
Ceridian (Military One Source) January 2011 - October 2011
CIGNA Healthcare February 2005 - December 2010
CIGNA Healthcare April 2000 - January 2005
Blue Cross Blue Shield of Tennessee April 1996 - March 2000
Army National Guard February 1991 - February 2000
Skills
Call Center, Performance Management, Employee Relations, Forecasting, Hiring, Call Centers, Human Resources, Customer Service, Interviews, Training, Employee Benefits, Operations Management, Management, Leadership, Coaching, Project Planning, Customer Satisfaction, Analysis, Process Improvement
Education
Liberty University 2006 — 2008
MBA
West Virginia University 1991 — 1995
Bachelor of Arts
Aetna August 2009 - Present
WellCare September 2007 - August 2009
Anthem October 2003 - September 2007
Skills
Medicare Advantage, Medicare Prescription..., Brokers, Health Insurance, Insurance, Medicare, Sales, HMO, Leadership, Employee Benefits, Managed Care, Marketing, Disability Insurance, Health Savings Accounts, Management, PPO
Education
Kent State University 1982 — 1985
Bachelor of Arts (B.A.) and Bachelor of Science (B.S.), Psychology & Criminal Justice, 3.8 GPA
WellCare September 2010 - February 2011
WellCare October 2008 - February 2011
United Health Group January 2007 - November 2007
Education
International Academy of Design 2004 — 2006
Associates, Fashion
Wellcare October 2011 - Present
Amerigroup Corporation October 2006 - October 2011
Human Resource Administration July 1994 - October 2007
Skills
Medicaid, Managed Care, Healthcare Management, Home Care
Education
LIU Brooklyn 1999 — 2002
WellCare December 2012 - Present
WellCare January 2010 - December 2012
WellCare August 2002 - January 2010
Unicare July 1997 - August 2002
Health Care Service Corporation December 1996 - July 1997
Health Care Service Corporation April 1996 - December 1996
Skills
16 years of HEDIS...
Education
Indiana University-Purdue University at Indianapolis 1977 — 1983
Bachelor's degree, Registered Nursing/Registered Nurse
UnitedHealthcare November 2011 - Present
WellCare August 2007 - November 2011
Achievement Medical Associates October 2005 - August 2007
Baylor College of Medicine April 1996 - November 2004
Skills
PPO, HMO, Health Insurance, Medicaid, Managed Care, Medicare Part D, HIPAA, Insurance, Claim, Health Policy, Utilization Management, Claims Resolution, Healthcare Industry, Healthcare, Healthcare Management, Employee Benefits, Revenue Cycle, Physicians, Healthcare Consulting, Healthcare Information..., Disease Management, Medical Billing, Practice Management, Physician Relations
Education
Houston Community College 1978 — 1979
WellCare Health Plans March 2013 - Present
WellCare September 2011 - February 2013
WellCare Health Plans February 2010 - August 2011
NJVC October 2008 - January 2010
DAI October 2007 - September 2008
iHRMS LLC August 2005 - September 2007
Eckerd August 2001 - July 2005
Avaya August 2000 - July 2001
Lucent Technologies February 1999 - July 2000
Origin Technology in Business November 1995 - January 1999
Skills
SDLC, Data Warehousing, Microsoft SQL Server, SQL, Business Intelligence, Requirements Analysis, SharePoint, Business Analysis, Visio, PL/SQL, Oracle, Solaris, High Availability, Unix, Linux
Education
Lamar University 1991 — 1994
Master's degree, Computer Science
Blue Health Intelligence October 2014 - Present
Time Warner Inc. May 2012 - Present
WellCare February 2006 - May 2012
Freddie Mac November 2005 - February 2006
Verizon Data Services September 2003 - October 2005
Wipro Technologies November 1999 - January 2001
Skills
Data Warehousing, Business Intelligence, ETL, Informatica, SDLC, Data Modeling, Data Integration, Business Objects, PL/SQL, Oracle, Business Analysis, Enterprise Architecture, Integration, Database Design, Requirements Analysis, Systems Analysis, Unix, Requirements Gathering, SQL Tuning, Cognos, Unix Shell Scripting, Analysis, Databases, Visio, OLAP, EDI, SQL, SAS, Data Warehouse..., Microsoft SQL Server, Software Project..., Netezza, SOA, PowerCenter, Oracle 9i, Teradata, ERWIN, HRIS Database Management, workday, Crystal Reports, MSQL, Project Management, Team Leadership, Pentaho
Education
University of Louisiana at Lafayette 2002 — 2004
Masters, Computer Science
University of Louisiana at Lafayette 2001 — 2002
Masters, Telecommunications
Jawaharlal Nehru Technological University 1995 — 1999
Bachelors, Computer Science
WellCare June 2013 - Present
Capital District Physician's Health Plan March 2010 - June 2013
Empire Blue Cross Blue Shield June 2006 - March 2010
Zachary's Pastry Shoppe May 2004 - June 2006
Skills
Microsoft Office, Insurance, PowerPoint, Team Building, Healthcare, Outlook, Strategic Planning, Sales, Microsoft Excel, Public Speaking, Data Entry, Medicaid, Medicare, Utilization Management, Medicaid Managed Care, Provider Relations, Managed Care, Hospitals, Event Planning, Utilization Review, Critical Thinking, NCQA, Disease Management, Medical Case Management, Health Insurance, HIPAA, Health Policy, Customer Service, Case Management
Education
The Culinary Institute of America 1998 — 2000
Associates Degree with Honors, Baking & Pastry
Hudson Valley Community College 1978 — 1980
Associate Degree Applied Science in Nursing, Registered Nursing/Registered Nurse
Molina Healthcare August 2015 - Present
Absolute Total Care June 2014 - Present
WellCare October 2013 - June 2014
inVentiv Medical Management February 2013 - September 2013
Alere, Inc. January 1999 - February 2013
Gentiva Hospice 2010 - 2011
Carolina Home Healthcare 1995 - 1999
Palmetto Health Richland 1990 - 1995
Skills
Wellness, Healthcare, Home Care, Patient Advocacy, Pain Management, Disease Management, Utilization Management, Direct Patient Care, Patient Education, Symptom Management, Palliative Care, Hospice, Acute Care, Oncology, Wound Care, Case Managment, Nursing Education, BLS, Registered Nurses, Medical/Surgical, End of Life, Medication..., Utilization Review, IV, Telemetry, Nursing Management, Case Management, Nursing Care, Inpatient, ICU, Emergency Nursing, Triage, Nursing Process
Education
Lander University
Bachelor of Science (BS)
University of Phoenix
Master of Science (MS)
Coronado Health Partners August 2008 - Present
NASA Neuroscience and Spince Associates 2006 - 2008
WellCare 2003 - 2006
Skills
HIPAA, Medical Billing, Healthcare Industry, Managed Care, Medicaid, Provider Relations, Medicare, Healthcare, Physician Coding, Credentialing, Medical Terminology, Provider Enrollment, Microsoft Office, Customer Service, Kronos Timekeeping, Physician Credentialing, Physician Quality..., Microsoft Excel, Microsoft Word, Council for Affordable..., Chart Audit, Medicare EHR Incentive..., eClinical Works, Provider Enrollment,..., American Academy of..., ICD-10
Education
Hodges University
WellCare August 2013 - Present
Texas Home Health 2011 - Present
Coventry Health Care July 2012 - May 2013
Anderson Merchandisers July 2011 - August 2012
Staples April 2009 - August 2010
Conn's June 2007 - December 2008
Skills
Microsoft Office, Customer Service, Grant Writing, Accounts Receivable, Home Health Agencies, Health Insurance, General Insurance, Sales, Medicare
Education
University of Texas at Tyler 2012 — 2014
Master of Business Administration (MBA), Health/Health Care Administration/Management
Texas Southern University 2009 — 2011
Bachelor of Science (B.S.), Health Administration
Houston Community College 2007 — 2009
Associate of Arts (A.A.)
WellCare September 2012 - Present
WellCare June 2012 - September 2012
WellCare November 2010 - May 2012
WellCare June 2007 - July 2009
Skills
Insurance, Health Insurance, Medicare, Medicaid, Business Analysis, Provider Relations, Requirements Gathering, Business Requirements, Process Improvement, Healthcare Information...
Education
University of Central Florida 2009 — 2011
Bachelor of Science (B.S.), Health Services Administration
Keiser University-Ft Lauderdale 2007 — 2009
Associate of Arts (A.A.), Health Services Administration
Cognizant Business Consulting April 2012 - Present
WellCare 2012 - Present
Accenture March 2009 - March 2012
WellPoint 2009 - 2012
Accenture March 2006 - February 2009
Skills
XML, Requirements Analysis, SDLC, User Acceptance Testing, Resource Management, Business Intelligence, SharePoint, Test Management, Microsoft SQL Server
Education
Jaypee University of Information Technology
Bachelor of Technology (B.Tech.), Information Technology
ESolutions Integrated Inc. December 2010 - Present
Citigroup Properties Limited April 2009 - November 2010
WellCare August 2008 - March 2009
Mutual of Omaha July 2007 - June 2008
Sprint / Nextel April 2006 - March 2007
Wesgrow Software Ltd June 2005 - March 2006
Wesgrow Software Ltd June 2005 - March 2006
Vishaka InfoTech July 2004 - May 2005
State Bank of India June 2003 - July 2004
Education
Jawaharlal Nehru University
Master of Technology (M.Tech.), Electrical, Electronics and Communications Engineering
Self October 2014 - Present
Self-employed 1995 - Present
WellCare 2005 - 2009
WellCare 2005 - 2009
Skills
Insurance, Commercial Insurance, Underwriting, Property & Casualty..., General Insurance
Education
Lewis University 1986 — 1991
Bachelor of Arts (BA), Marketing
WellCare September 2013 - Present
Aflac June 2013 - September 2013
Carolina Care Plan 2002 - 2013
Carolina Care Plan 2002 - 2013
Mutual Health Services 2002 - 2012
BlueCross BlueShield of Tennessee May 1992 - August 2001
Skills
Claims Resolution, Claims Auditing, Claims Handling, Claim, Insurance, Medicaid, Training, Analysis, Process Improvement, Quality Assurance, HMO, Provider Relations, Claims Management, PPO, Management, Claim Investigation, Health Insurance, Subrogation
Education
Hiwassee College 1984 — 1987
Associate's degree, Liberal Arts and Sciences, General Studies and Humanities
MedHOK, Inc. January 2011 - Present
WellCare July 2008 - September 2010
WellCare July 2005 - July 2007
Skills
Training, SQL, Medicare, Manage Client..., Project Management, Regulatory Requirements, Medicare Part D, Healthcare, Visio, Microsoft Excel, Call Centers, Managed Care, HIPAA, Medicaid, Pharmacy Benefit..., Process Improvement, Healthcare Information..., Software Documentation
Education
University of Minnesota College of Pharmacy 1995 — 1998
Doctorate of Pharmacy
Inver Hills Community College 1992 — 1995
Associate of Arts (A.A.), Pharmacy
LogistiCare April 2013 - Present
Bank of America July 2007 - January 2013
Family Service of Rhode Island August 2005 - April 2007
WellCare May 2004 - May 2006
Skills
MS Office 2007●..., Oracle ● Insight ●..., WebDiva ● ARIBA ●..., Insurance Enrollee &..., Medical Records..., Operations Training &..., Project Liaison, Analyst, Invoices/Expense...
Education
Stone Academy-Hamden 1981 — 1982
Diploma, Executive Secretarial Program
Howard University 1978 — 1982
Bachelor of Science (BS), Liberal Arts and Sciences/Liberal Studies
James H. Hillhouse High School 1974 — 1978
Academic, Academic
Fidelis Care February 2015 - Present
WellCare May 2011 - February 2015
Fidelis Care April 2008 - May 2011
Dept. of Public Welfare February 2002 - April 2008
Skills
Health Insurance, Insurance, Managed Care, Sales, Account Management, Medicare, Employee Benefits, Sales Management, Customer Service, Cold Calling, Direct Sales
Education
King's College
Bachelor of Arts (B.A.), Elementary Education and Teaching
WellCare Health Plans October 2004 - September 2013
WellCare 2004 - 2013
Skills
Insurance, Sales, Health Insurance
Education
Michigan State University 1991 — 1994
Bachelor of Arts (BA), Sociology and Anthropology, 3.2
Kalamazoo Valley Community College 1986 — 1991
Associate of Arts (AA), Sociology, 3.1
Union Bank December 2013 - June 2015
Inovalon September 2011 - November 2013
Workers' Compensation Insurance Rating Bureau February 2010 - August 2011
Bank of America July 2009 - January 2010
Wellcare July 2008 - June 2009
Education
Jawaharlal Nehru Technological University 2003 — 2007
Bachelor’s Degree, Computer Science