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
The MedAmerica Insurance Companies October 2014 - Present
Freelance / Graphic Design Services January 2004 - Present
WellCare July 2013 - September 2014
BJ's Wholesale Club December 2006 - July 2013
Invisible Fence Co. March 2011 - August 2011
Skills
InDesign, Illustrator, Graphic Design, Brand Development, Illustration, Web Design, Typography, Advertising, Logo Design, Posters, Graphics, Web Developers, Search Engines, Marketing, After Effects, Layout, Corporate Branding
Education
SUNY Brockport 2009 — 2011
Bachelor of Applied Science (B.A.Sc.), Marketing
Monroe Community College 2007 — 2009
Associate's degree, Liberal Arts/Graphic Design
Area Agency on Aging July 2015 - Present
Humana August 2013 - Present
State Of Ohio 2005 - Present
WellCare July 2011 - November 2012
Assisted Living Concepts October 2010 - July 2011
WellCare February 2008 - May 2009
Easton Commons 2006 - 2008
Education
Muskingum College 1984 — 1988
BA, Business Mangement, Education
Mount Gilead High School 1980 — 1984
Humana Cert School
Humana Cert School
ResCare March 2009 - February 2014
WellCare March 2007 - September 2008
Sears Holdings Corporation September 1996 - July 2007
Skills
Job Coaching, Employee Relations, Recruiting, Customer Service, Applicant Tracking..., Resume Writing, Human Resources, Interviews, Research, Employee Benefits, Outlook, New Hire Orientations, Microsoft Office
Education
Miami Dade College
Associate's Degree, Undergraduate
Fructuoso Rodriguez
12 Grade
Connor Group September 2014 - Present
Northern Arizona University July 2013 - July 2014
Chicago State University Athletics August 2012 - July 2013
Chicago State University October 2011 - August 2012
University of South Florida February 2011 - October 2011
WellCare January 2010 - November 2010
Crowe Horwath LLP 2008 - 2009
PricewaterhouseCoopers 2006 - 2008
Skills
Strategic Planning, Business Strategy, Business Planning, P&L Management, Complete P&L..., Strategy Formulation, CPA, Sports Management, Sports Industry, Sports Media, Financial Reporting, Auditing, Accounting, Internal Controls, Sports Marketing, Sport Administration, Athletic Administration, Ticket Operations, Management, Financial Analysis, Sarbanes-Oxley Act
Education
Louisiana State University 2006 — 2006
Masters, Accounting
University of South Florida 2001 — 2005
B.S., Accounting
Citi September 2014 - Present
Monroe College January 2003 - Present
Expaticore August 2013 - August 2014
NTT DATA Americas February 2011 - August 2013
PMI 2002 - 2012
Universal Health Care Group, Inc. November 2009 - February 2011
WellCare February 2009 - October 2009
MetLife October 2004 - December 2008
Fidelis Care NY January 2003 - October 2004
IBM Global Services November 2000 - October 2002
Skills
Program Management, Training, Metrics, Project Management, Cross-functional Team..., Vendor Management, Leadership, Analysis, Management, PMP, Strategy, Quality Assurance, Enterprise Software, Software Documentation, Project Planning, CRM, Strategic Planning, Product Management, Access, PMO, Process Improvement
Education
New York Institute of Technology 1998 — 2000
MBA, Business & Information Systems
Vaughn College of Aeronautics 1988 — 1992
BS, BS, Aeronautical Engineering
PwC September 2013 - Present
Blue Cross Blue Shield of Michigan July 2011 - September 2013
WellCare August 2007 - July 2011
Excellus BCBS March 2004 - August 2007
Blue Cross and Blue Shield of North Carolina March 1996 - March 2004
WellPoint December 1981 - March 1996
Skills
Product Management, Product Development, Medicare Part D, Healthcare Industry, Project Management, Product Launch, MS Project, Medicare Advantage, Microsoft Office, Group Medical, Consulting, Executive Management, Healthcare Consulting, Consumer Healthcare, Business Process..., Applications Delivery, P&L Ownership, Health Insurance, Process Improvement, Medicare, Strategic Planning, Managed Care, Management
Education
North Carolina Wesleyan College 1996 — 2000
BS, Business Administration
St Louis Community College
Associates Degree, Business Administration
Highmark October 2012 - August 2013
Ciber January 2012 - July 2013
WellCare January 2012 - June 2012
UnitedHealth Group December 2007 - February 2010
Crestron Electronics February 2003 - September 2007
Betson Enterprises January 2000 - August 2002
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Customer Service, PowerPoint, EDI, Oracle SQL Developer, Full SDLC, Test Automation, C++ Language, Visual Basic, Quality Assurance
Education
New Jersey Institute of Technology 1992 — 1997
Bachelor of Applied Science (BASc), Electrical / Computer Engineering
White & Case LLP April 2015 - Present
WellCare July 2013 - April 2015
Jay Advertising March 2004 - July 2012
Davison Advertising and Design 1999 - 2004
Skills
Adobe Creative Suite, Microsoft Office, Mockups, Comps, Retouching, Layout and Design, Quality Assurance, Copy Editing, Advertising, Image Manipulation, Layout, Graphic Design, Graphics, Newsletters, Direct Mail, Brochures, Logo Design, Email Marketing, Art Direction, Brand Development, Creative Direction, Corporate Identity
Education
Rochester Institute of Technology 1997 — 2000
BS, Printing Management/Design & Typography
Nazareth College of Rochester 1990 — 1993
Fine Arts
WellCare May 2013 - Present
WellCare September 2009 - Present
WellCare September 2006 - September 2009
Skills
Managed Care, Utilization Management, Disease Management, Medicaid, Medicare, Healthcare, Pharmacy, Psychiatry, Provider Relations, Medicine, Inpatient, Health Policy, Healthcare Management, Physicians, Clinical Research, Healthcare Industry, HMO, Healthcare Consulting, Medicare Part D, HIPAA, PPO, Network Development, NCQA, Credentialing, HEDIS, Pharmacy Benefit..., Medicaid Managed Care, Health Insurance
Education
Michigan State University - The Eli Broad Graduate School of Management 1997 — 1999
MBA
Michigan State University 1973 — 1977
D.O., Psychiatry
WellCare Health Plans September 2014 - Present
WellCare April 2012 - September 2014
Target September 2010 - September 2011
TechBridge June 2011 - August 2011
Beazer Homes August 2009 - March 2010
Merritt Mortgage Services September 2007 - September 2008
Hilton Christiana Hotel April 2006 - April 2007
Infinity Broadcasting November 2001 - December 2002
Best Western March 1998 - March 1999
City of Atlanta March 1996 - March 1998
Skills
Creative Development, Administration, Event Planning, Promotions, Event Marketing Strategy, Community Outreach, Community Health, Management, Recruiting, Creative Direction, Public Speaking, Human Resources, Customer Service, Nonprofits, Public Relations, Team Building, System Administration, Program Management, Interviews, Leadership, Project Planning, Event Management
Education
Atlanta Broadcast Institute 2001 — 2002
Certificate, Radio/Broadcasting
Morris Brown College 2000 — 2002
BA, Communications
WellCare Health Plans February 2015 - Present
WellCare Health Plans August 2013 - Present
WellCare Health Plans 2013 - 2014
WellCare November 2012 - August 2013
WellCare June 2011 - November 2012
WellCare October 2008 - June 2011
Healthfirst April 2008 - October 2008
University Health Plans September 2006 - April 2008
Skills
Bilingual-English/Spanis..., Life & Health Insurance..., Community Development, Community Outreach, Marketing Communications, Community Management, Medicare, Medicaid, Marketing Strategy, Development &..., Strategy, Event Planning, Program Management, Lead Generation, Healthcare, Insurance, Health Insurance, Managed Care, Management, Strategic Planning, Team Building, Leadership
Education
Monmouth University 2001 — 2006
Bachelor of Arts (BA), Public Relations/ Journalism
Rutgers University-New Brunswick
Rutgers University-New Brunswick
Visiting Nurse Service of New York June 2009 - Present
WellCare June 2008 - June 2009
GHI December 2006 - June 2008
Touchstone Health February 2006 - December 2006
CenterCare (Ryan Community Health) September 2002 - January 2006
Coordinated Care Solutions January 2000 - February 2002
Americaid Community Care of NJ June 1998 - January 2000
HIP of NJ May 1995 - February 1998
Kaiser Permanente May 1987 - May 1995
Skills
Clinical Research, Case Management, Policy, Managed Care, Utilization Management, HIPAA, Healthcare Management, Provider Relations, Case Managment, Medicaid, Quality Improvement, Healthcare, Medicare, Healthcare Industry, Hospitals, Disease Management, Health Policy
Education
Northern Arizona University 1977 — 1979
Bachelor of Science, Nursing, Registered Nursing/Registered Nurse, 3.7
WellCare January 2010 - Present
Skills
Marketing Communications, Social Media Marketing, Marketing Strategy, Insurance, Marketing, Health Insurance, Budgets, Business Analysis, Microsoft Word, Microsoft Office, Microsoft Excel, Project Management, Healthcare, Healthcare Information..., Cross-functional Team..., Microsoft PowerPoint, Sales, Strategic Planning, Leadership, Training, Team Building, PowerPoint, Account Management, Customer Service, Outlook, Management, Event Planning, Team Leadership, Sales Management, Coaching, Process Improvement, Employee Benefits, Program Management, New Business Development, Medicare, Operations Management, Brokers, Financial Analysis, Leadership Development
Education
Middlesex Community College
Trusted Senior Specialists, LLC January 2002 - Present
Co-Workers In Success 2002 - Present
Cigna-HealthSpring 2005 - Present
HealthSpring 2000 - Present
WellCare 2002 - Present
Other Medicare Insurance Carriers 2002 - Present
Bravo Health 2005 - May 2013
The College Fund December 1998 - December 2002
Skills
Medicare Supplements, Medicare, Long-term Care, Health Insurance, Insurance, Fixed Annuities, Life Insurance, Disability Insurance, Whole Life, Health Savings Accounts, Term Life Insurance, General Insurance, Critical Illness, Brokers, Accident, Small Business, Retirement, IRAs, Marketing, Employee Benefits, Retirement Planning, Financial Planners, Long Term Care Insurance, Property & Casualty..., Managed Care, Commercial Insurance, Universal Life, Underwriting, Umbrella Insurance, Legal Liability, 401k, Dentistry, Claim, Variable Annuities, Leadership, COBRA, Health Care Reform, Insurance Brokerage, Professional Liability, Workers Compensation, Buy-sell Agreements, Commercial Lines, Liability, 401k Rollovers, Estate Planning, Wealth, Series 6, Casualty, Agents, Group Insurance
Education
Missouri Western State University 1972 — 1974
In Results, Marketing
Cognizant Technology Solutions June 2014 - Present
WellCare September 2010 - Present
Cognizant Technology Solutions September 2010 - June 2014
UST Global March 2006 - September 2010
Wellpoint Anthem March 2006 - September 2010
iSmart Business Solutions Private Limited August 2004 - February 2006
Skills
PL/SQL, Requirements Analysis, Microsoft SQL Server, SDLC, Requirements Gathering, Software Project..., HIPAA, EDI ANSI X12, VB.NET, VBScript, VB5, Access, Project Management, MS Project, Visio, Foxpro 2.6, Business Analysis, Agile Methodologies, Business Requirements, Microsoft Project, Oracle, SOA, SQL, Software Development, Data Warehousing, Process Improvement, ASP.NET, Management, Integration, Databases, Business Process, .NET
Education
Mahatma Gandhi University 1992 — 1995
Bachelor of Commerce (B.Com.)
Lady of Life Church High School, Cochin 1981 — 1990
WellCare November 2013 - Present
Areyto Consulting October 2009 - Present
Salem Christian School 2012 - 2015
Bickerdike Redevelopment Corp. August 2010 - December 2012
Chicago Commons November 2009 - June 2010
Division Street Business Development Association October 2000 - February 2009
Chicago's Fiesta Boricua September 1999 - September 2008
Skills
Marketing, Group facilitation, Project Management, Public Relations, Bilingual..., Community Development, Board Development, Community Outreach, Community Organizing, Volunteer Management, Strategic Planning, Non-profits, Event Management, Event Planning, Public Speaking, Leadership Development, Urban Planning, Sustainability, Team Building, Training, Management, New Business Development, Community Engagement, Economic Development, Corporate Social..., Cultural Awareness, Leadership, Nonprofits, Public Policy
Education
Southern New Hampshire University 2009 — 2016
Master of Science (M.S.), Community Economic Development
Northeastern Illinois University 1996 — 1999
DowAksa August 2014 - Present
WellCare 2009 - 2010
The Home Depot 2004 - 2009
Johnson & Johnson 2001 - 2004
DuPont 1999 - 2001
DuPont 1997 - 1999
DuPont 1995 - 1997
Skills
Six Sigma, Process Improvement, Process Engineering, Lean Manufacturing, Business Analysis, P&L Management, Project Implementation, Leadership, Leading Diverse Teams, People Development, Leader, Project Management, Customer Satisfaction, Manufacturing Operations, Direct Sales, Manufacturing..., Diversity, Supply Chain, Supply Chain...
Education
University of Miami - School of Business 2001 — 2003
MBA, Management
North Carolina Agricultural and Technical State University 1990 — 1995
BS, Chemical Engineering
WellCare July 2003 - June 2007
Skills
Sales Management, Leadership, Marketing, Customer Retention, Sales Process, Customer Service, Customer Satisfaction, Sales Operations, Direct Sales, New Business Development, Sales Presentations, Salesforce.com, Marketing Strategy, B2B, Team Building, Selling, Management, Strategic Planning, PowerPoint, Building Relationships, Social Media, Training, Creative Writer
Education
Misericordia University 2011 — 2013
Lackawanna College 2008 — 2011
WellCare July 2012 - Present
NC Stay Fit August 2011 - Present
ADP April 2010 - Present
Skills
Brand Development, Marketing Strategy, Social Media Marketing, Microsoft Office, Marketing Communications, Copywriting, CRM, Advertising, Marketing, Management, Social Networking, Event Management, Event Planning, Editing, Budgets
Education
McNeese State University 2002 — 2006
Bachelor of Science, Mass Communications
WellCare February 2014 - Present
Raymond James Financial Inc. September 1999 - December 2014
Roney & Co. June 1997 - August 1999
Olde Discount Brokerage Firm 1986 - 1988
Olde Discount Brokerage Firm 1986 - 1988
Skills
ITIL, Disaster Recovery, Servers, IT Management, Requirements Analysis, SDLC, Windows Server, IT Strategy, VMware, Microsoft SQL Server, Process Improvement, SharePoint, Active Directory, Vendor Management, Visio, Business Analysis, PMP, Software Project..., SQL, Technical Support, Cisco Technologies, Integration, Troubleshooting, Requirements Gathering, Enterprise Architecture, System Administration, VPN, Windows 7, Databases, IT Operations, IIS, Data Center, Security, DNS, Information Technology, Business Process, Business Process..., IT Service Management, Help Desk Support, Change Management, Software Documentation, Incident Management, Citrix, Microsoft Exchange, Operating Systems, Network Security, Business Continuity, Systems Analysis, PMO
Education
Macomb Community College
Computer Information Systems
HealthPlan Services September 2013 - Present
Universal Healthcare August 2012 - April 2013
WellCare August 2009 - August 2012
CAPITAL ONE SERVICES, INC August 2000 - December 2004
Skills
Process Improvement, Policy, Analysis, Management, Training, Cross-functional Team..., Customer Service, Software Documentation, Auditing, Coaching, Research, Medicare, Time Management, Healthcare, Medicaid, Negotiation, Quality Assurance, Business Process, Strategic Planning, Team Building, Leadership, Call Centers
Education
Maryville College 1993 — 1997
Bachelor of Arts, Computer Science/Business
Pharmaca Integrative Pharmacy February 2015 - August 2015
Boulder Valley I P A June 2014 - November 2014
Enterprise Rent-A-Car February 2014 - June 2014
Paychex July 2012 - March 2013
Paychex January 2012 - July 2012
Excellus BCBS August 2009 - April 2011
Excellus Blue Cross and Blue Shield of the Rochester Area January 2008 - August 2009
WellCare July 2007 - December 2007
Excellus April 2004 - July 2007
Lifetime, Inc June 2000 - August 2004
Skills
HIPAA, Process Improvement, Non-profits, Software Documentation, Project Planning, Analysis, Budgets, Health Insurance, SDLC, Management, Business Analysis, Cross-functional Team..., Testing, Training, System Administration, Business Process, PMP, Time Management, Teamwork, Access, Insurance, Program Management, Sales, Leadership, Performance Management, Troubleshooting, Recruiting, Call Centers, Healthcare, Risk Management, Integration, Microsoft Excel, Human Resources, Quality Assurance, Business Process..., Team Building, Databases, Networking, Vendor Management, Customer Service, MS Project, Requirements Analysis, Business Requirements, Coaching, Nonprofits, Team Leadership, Strategic Planning, Employee Benefits, SharePoint, Business Intelligence
Education
Roberts Wesleyan College 2008 — 2010
Bachelors of Science, Organizational Management
Monroe Community College
Associates of Science, Liberal Arts General Studies
WellCare 2000 - 2013
Young & Franklin 1995 - 2005
Skills
Engineering, AutoCAD, Manufacturing, CAD, SolidWorks, Mechanical Engineering, Project Engineering, Product Design
Education
Mohawk Valley Community College 1957 — 1959
Associate of Arts and Sciences (AAS), Mechanical Engineering, B+
WellCare March 2013 - Present
WellCare July 2007 - Present
Florida Hospital Tampa March 1999 - July 2007
PetSmart 2000 - 2007
Humane Society of Tampa Bay 2000 - 2007
Tunstall Consulting 1997 - 1999
Tymnet 1983 - 1985
Skills
Healthcare, Training, Management, Hospitals, Administrative..., Time Management, Outlook, PowerPoint, Microsoft Excel, Microsoft Office, Microsoft Word, Medicare, Customer Service, Data Entry, Event Planning, Software Documentation, Public Speaking
Education
University South Florida 2007 — 2011
B.S, Business Administration
Monroe Community College
A.S, Business Administration
OTHER TRAINING:Dale Carnegie
Covey Course
lynnfield high school 1973 — 1976
Diploma
WellCare April 2010 - Present
Skills
Health Insurance, Medicare, Team Building, Training, Employee Benefits, Insurance, Managed Care
Education
Missouri State University 1988 — 1991
Centene Corporation August 2012 - Present
Centene Corporation January 2011 - August 2012
WellCare December 2007 - January 2011
WellCare September 2006 - December 2007
WellCare March 2005 - September 2006
Skills
Business Objects, Healthcare Management, Healthcare Analytics, SQL, Financial Analysis, Analysis, HIPAA, Healthcare Information..., Managed Care, Management, Medicaid, Healthcare, Medicare
Education
Mississippi State University - College of Business and Industry 2000 — 2004
BS, Business Information Systems
Havana LTC Pharmacy February 2009 - Present
Carrollwood Pharmacy 1987 - Present
WellCare May 1999 - June 2000
Florida Medicaid Pharmacy Department January 1996 - January 1997
Skills
Medicaid, Management, Program Management, Employee Benefits, Therapists, Clinical Research, Pharmacology, Clinical Trials, Oncology, Pharmaceutics, Pharmacovigilance, Hospitals, Pharmaceutical Industry, Medication Therapy..., Pharmacists
Education
Mercer University 1989 — 1993
Doctor of Pharmacy (Pharm.D.)
Centauri Health Solutions April 2014 - Present
WellCare June 2006 - March 2014
IL Association of Medicaid Health Plans January 2004 - June 2006
Amerigroup Corporation June 2001 - January 2004
Healthcare Leadership Council December 1995 - June 2001
Prudential Healthcare May 1994 - December 1995
54th District, Kansas House of Representatives May 1994 - November 1994
Kansas Legislature, for Representatives Kathleen Sebelius, Ed McKechnie, Tom Sawyer December 1992 - May 1994
Slattery for Congress October 1991 - November 1992
Skills
Medicaid, Medicare, Managed Care, Health Policy, Healthcare, Network Development, Provider Relations, Health Insurance, Legislative Relations, Health Care Reform, Insurance, Policy, Public Policy, HMO, HIPAA, Government, Proposal Writing, Strategy, Leadership, Healthcare Industry, Political Campaigns, Legislation, Politics, Program Management, Public Affairs
Education
Loyola University Chicago School of Law 1999 — 2002
J.D.
The University of Kansas 1986 — 1990
BS, Political Science, Human Resources
Topeka High School
WellCare Health Plans March 2015 - Present
New D.O.O.R.S. (a Limu Company) May 2013 - Present
WellCare February 2012 - Present
WellCare of GA February 2010 - March 2012
WellCare of GA July 2007 - February 2010
WellCare October 2005 - July 2007
Skills
Provider Relations, Claims Resolution, Great People Skills, Contract Management, Integrity, Optimistic, Partnership Development, Reporting & Analysis, Health Policy, Software Documentation, Credentialing, Managed Care, Salesforce.com, HIPAA, Physician Relations, PPO, Hospitals, Revenue Cycle Management, Partnerships, Employee Benefits, Healthcare Industry, Medicaid, Revenue Cycle, Network Development, Access, Executive Management, Healthcare Consulting, Medicare Part D, Leadership, Vendor Management, Healthcare Management, Claim, Analytics, Health Insurance, Six Sigma, EHR, HMO, Healthcare Information..., Pharmacy Benefit..., Process Improvement, Medicare, Healthcare, Insurance, Medical Billing, Physicians, Medical Coding, Medical Compliance, Workers Compensation, Medicaid Managed Care, Disease Management
Education
Mississippi State University 2003 — 2004
B.B.A, Real Estate
Mississippi State University - College of Business and Industry 2003 — 2004
BA, Business Administration
Mississippi State University 2001 — 2003
B.S, Accounting
Mississippi State University - College of Business and Industry 2001 — 2003
BS, Accounting
Northeast Community College 1998 — 2000
AA, Accounting
Northeast Community College 1998 — 2000
A.A, Accounting
VillageCareMAX February 2014 - Present
RA Healthcare Consulting March 2013 - February 2014
VNSNY CHOICE Health Plans February 2012 - February 2013
VNSNY CHOICE Health Plans March 2009 - February 2012
RA Healthcare Consulting January 2006 - March 2009
Heritage Health Systems October 2005 - November 2006
WellCare 2003 - 2005
Aetna September 1994 - November 2002
Aetna US Healthcare 1994 - 1999
Preferred Health Network 1990 - 1994
Skills
Managed Care, Network Development, Healthcare Consulting, Coaching, Medicare, Provider Relations, Healthcare, Negotiation, HMO, Healthcare Industry, Health Policy, Hospitals, Healthcare Management, Medicaid, PPO, Revenue Cycle, Health Insurance, Leadership, Contract Negotiation, Physicians, Physician Relations, Insurance, Practice Management, Home Care, Long-term Care, Medicaid Managed Care, Disease Management, Performance Improvement, Accountable Care, Capitation, Employee Benefits, Physician Network..., IPAs, Team Building, Leadership Development, Team Leadership, EHR, Nonprofits, Strategic Planning, HIPAA
Education
New York University 1980 — 1985
MPA, Healthcare Administration
Queens College 1972 — 1977
BA, Human Relations
Jones Day April 2013 - Present
Nelson Mullins November 2010 - April 2013
Epstein Becker & Green, P.C. August 2010 - November 2010
Haynsworth Sinkler Boyd, P.A. May 2008 - August 2008
WellCare March 2006 - August 2007
Georgia Health Policy Center September 2003 - March 2006
Department of Health and Human Services September 2001 - September 2003
Skills
Medicaid, Litigation, Healthcare, Health Policy, Civil Litigation, Public Policy, Policy, Criminal Law, HIPAA, Commercial Litigation, Health Law
Education
University of Georgia School of Law 2007 — 2010
JD, Law
The Johns Hopkins University 2000 — 2002
MHS, Health Policy
Mercer University 1996 — 2000
BS, Biology
Cognizant Technology Solutions December 2014 - Present
WellCare February 2012 - November 2014
GE Healthcare June 2011 - January 2012
Patni Computer Systems October 2009 - June 2011
St. Jude Medical November 2004 - October 2009
Patni Computer Services August 2003 - November 2004
RQSYS August 2002 - August 2003
Multiple Companies July 2001 - July 2002
Skills
Testing, Requirements Analysis, Requirements Management, Requirements Gathering, ClearCase, Medical Devices, ClearQuest, Telelogic DOORS, Software Project..., Quality Center, Scrum, Test Management, Software Development, SDLC, Business Requirements, Test Planning, Rational Team Concert, Team Leadership, Business Analysis, System Testing, Test Automation, Systems Engineering, Medical Device Product..., Process Improvement, Software Design, Test Strategy, Software Quality..., User Acceptance Testing, Analysis, Visio, Test Cases, Usability Design, Offshore Project..., Validation, Software Requirements, Project Management, Agile Project Management, Software Documentation, Rally, Human Factors, Class II and Class III..., Standards Compliance, SharePoint, Microsoft Excel, PowerPoint, RequisitePro, Blueprint, TFS, ICD-10, ICD-9
Education
Madurai Kamaraj University 1997 — 2001
B.E, Electronics and Communication Engineering
Chinmaya Vidyalaya 1983 — 1997
Higher Secondary, Mathematics and Biology
Stinkdigital January 2012 - Present
Designkitchen January 2010 - January 2012
The Pampered Chef November 2009 - December 2009
Hoffman York May 2009 - November 2009
Dyson September 2009 - September 2009
{akimbo} July 2008 - August 2008
WellCare June 2006 - August 2006
Skills
Strategy, Advertising, Interactive Marketing, Marketing, Competitive Analysis, Management, Project Management, Account Management, Product Management, Product Development, Budgets, Project Planning, Interactive Advertising, Time Management, Research, Digital Strategy, Negotiation, Integrated Marketing, Digital Marketing, Digital Media, Creative Strategy
Education
Miami University 2005 — 2009
Bachelor of Philosophy, Focus of Study Included: Marketing, Communication, Cultures, European Cinema/ Culture
Sherwin Williams May 2009 - Present
WellCare April 2008 - May 2009
TriHealth October 2001 - April 2008
Skills
PowerPoint, Microsoft Excel, Microsoft Office, Customer Service, Outlook, Microsoft Word, Event Planning, Time Management, Administrative..., Lotus Notes, Process Scheduler, Data Entry, Office Management, Sales, Research, Leadership, Inventory Management, Teamwork, Budgets
Education
Western Illinois University 1997 — 1999
Master of Science (M.S.), Kinesiology and Exercise Science / Sports Management
Northern Illinois University 1992 — 1996
Bachelor of Science (BS), Health and Physical Education/Fitness
Horizon Blue Cross Blue Shield of New Jersey August 2013 - Present
UnitedHealth Group January 2013 - August 2013
WellCare October 2008 - November 2012
WellCare January 2008 - October 2008
Skills
Medicare, Insurance, Health Insurance, Managed Care, Employee Benefits, New Business Development, Compliance, Training, Staff Development, Selling, Team Building, Term Life Insurance, Long-term Care, Coaching, Underwriting, Commercial Insurance, Customer Retention, Healthcare Industry, Recruiting, HMO, Management, Program Management, Claim, Health Savings Accounts, Sales, Call Centers, Community Outreach, Health Policy, Process Improvement, Disability Insurance, HIPAA, Leadership, Network Development, Medicaid, PPO, Healthcare Information..., Healthcare Management, Workers Compensation, Direct Sales, Strategic Planning, Life Insurance, Policy, Provider Relations, Marketing, Marketing Strategy, Benefits Administration, Brokers, Cold Calling, Accident, Physicians
Education
Rutgers, The State University of New Jersey-Newark 2003 — 2006
BA, Sociology/Psychology
Middlesex County College
AAS, Medical Laboratory Technician (ASCP)
WellCare November 2012 - Present
WellCare November 2012 - Present
Amerigroup Corporation August 2011 - November 2012
WellPoint February 2010 - August 2011
WellCare November 2008 - March 2010
WellCare March 2007 - September 2008
Medco May 2005 - March 2007
Tampa Pain Relief July 2004 - May 2005
Empire BCBS April 2000 - July 2004
Times Mirror Magazines March 1998 - February 2000
Skills
Medicaid, Health Insurance, Data Entry, PeopleSoft, Visio, Recruiting, Human Resources, HIPAA, Medicare, Onboarding, Insurance, Managed Care, Healthcare, Payroll, Healthcare Management, HRIS, Training
Education
ST. RAYMOND ACADEMY FOR GIRLS 1983 — 1987
Specialized, Business Dynamics and Secretarial Science
Monroe College
Business Administrative
WellCare September 2013 - Present
Coventry Health Care September 2007 - June 2013
Molina Healthcare of Michigan 2001 - 2007
SelectCare 1996 - 2001
Health Alliance Plan 1984 - 1995
Sinai Hospital of Detroit 1977 - 1984
Ernst & Young LLP 1975 - 1978
Skills
Managed Care, Health Insurance, Medicaid, Medicare, Provider Relations, Insurance, Healthcare, Network Development
Education
Michigan State University 1971 — 1974
Bachelor of Arts, Business Administration and Management, General
Aetna August 2014 - Present
Blue Cross Blue Shield of Florida August 2011 - June 2014
WellPoint January 2011 - August 2011
WellCare March 2006 - January 2011
Skills
Business Analysis, Data Analysis, SAS/SQL, Medicaid, Medicare, Data Profiling, Quality, Managed Care, Regulatory Reporting, Disease Management, Healthcare Consulting, Strategy, Healthcare Management, Healthcare Information..., Analytics, Healthcare, Healthcare Industry, HIPAA, SAS, Insurance, Data Mining, Physicians, Management, Analysis, EHR, SAS programming, Software Documentation
Education
New College of Florida 1992 — 1996
BA, Anthropology, International Relations
University of South Florida
MA, Applied Anthropology
University of South Florida
MSPH, Epidemiology
Beyond Organic February 2013 - Present
Self employed October 2009 - Present
WellCare 2007 - 2009
Health Net August 2004 - August 2007
Skills
Wellness, Management, Policy, Recruiting, Social Networking, Public Speaking, Coaching, Healthcare, Retail, Event Planning, Marketing, Social Media Marketing, Nutritional Counseling, Wellness Coaching, Health, Healthy Lifestyles, Healthy Eating, Business, Marketing Strategy, Leadership, Leadership Development, Nutrition, Sports, Training, Time Management, Nonprofits, Business Development, Health Education, Supplements, Lifestyle, Entrepreneurship, Customer Service, Social Media, Fundraising, Fitness, Public Relations, Team Building, Strategic Planning, Microsoft Word, Research, Small Business, Marketing Communications, Sales Management, Nutrition Education, Sales, Weight, Holistic Health, Sports Nutrition, Wellbeing, Corporations
Education
Monmouth University 1989 — 1995
Bachelor of Science (B.S.), Business Administration and Management, General
Trinity School of Natural Health 2008 — 2009
Nutrition certificate, Nutritionist
SIU School of Medicine November 2010 - Present
Medicine Shoppe International October 2004 - August 2009
WellCare February 2003 - October 2004
CIGNA June 2002 - December 2002
Aetna 1999 - 2002
Anthem 1990 - 1998
Education
Southern Illinois University, Edwardsville 1986 — 1989
B.S., Economics
Madison High School 1975 — 1979
Monmouth College
Wellcare October 2009 - Present
The Nielsen Company 2004 - 2009
The Nielsen Company 2000 - 2004
ACNielsen 1998 - 2000
Supermarkets General Corporation (Pathmark), Woodbridge, NJ 1998 - 1999
The Nielsen Company 1997 - 1998
Meridian Consulting Group 1993 - 1997
MERIDIAN CONSULTING GROUP WESTPORT, CT 1993 - 1997
SUPERMARKETS GENERAL CORPORATION (PATHMARK), WOODBRIDGE, NJ 1992 - 1993
Supermarkets General Corporation (Pathmark), Woodbridge, NJ 1990 - 1992
Skills
Process Improvement, Cross-functional Team..., Marketing, Strategy, Management, MS Project, Project Planning, Product Management, Projects, Program Management, Account Management, Sales, Business Analysis, Business Development, Quality Improvement, Portfolio Management, Analytics, Databases, Software Project..., Data Warehousing
Education
Montclair State University 1979 — 1984
Bachelor of Science (BS), Accounting
West Orange High School 1976 — 1979
Business
APS Healthcare - a subsidiary of KEPRO June 2012 - Present
Brian Grant Foundation January 2015 - Present
Athlete's Touch (Networking Group) April 2014 - Present
Aetna July 2011 - May 2012
Self - Employed April 2009 - June 2011
Universal Health Care July 2007 - April 2009
WellCare October 2005 - March 2007
Blue Cross Blue Shield NC May 2004 - October 2005
CorSolutions Medical August 2002 - November 2003
Aetna March 2000 - August 2002
Skills
Leadership, Medicaid, Leadership Development, Managed Care, Medicare, CRM, Team Building, Insurance, Strategic Planning, Process Improvement, Management, Network Development, Call Centers, Management Consulting, Call Center, Analytics, Quality Management, Health Insurance, Healthcare, Training, Healthcare Industry
Education
Muhlenberg College 1980 — 1984
Bachelor's Degree, Economics and Business
University of South Florida 2007 — 2007
Certification, Professional Fitness Training
Millville Senior High School 1976 — 1980
Diploma, College Prep
UnitedHealth Group November 2014 - Present
WellCare March 2012 - November 2014
HCA West Florida April 2007 - March 2012
HCA North & West Florida September 2004 - April 2007
Capital One 1996 - 2004
Skills
Healthcare, Talent Acquisition, Online Marketing, Social Media Marketing, Social Media, Compensation & Benefit, Recruiting, Contract Recruitment, Internet Recruiting, Customer Service, Team Building, Time Management, Training, Workforce Planning, Temporary Staffing, Temporary Placement, Technical Recruiting, Taleo, Talent Management, Staffing Services, Sourcing, Screening Resumes, Social Networking, Resume Writing, Performance Management, Onboarding, New Hire Orientations, Management, Managed Care, Leadership Development, Leadership, Interviews, Human Resources, Hospitals, Hiring, HRIS, Executive Search, Employee Relations, Employee Benefits, College Recruiting, Cold Calling, Career Development, Deferred Compensation, Benefits Negotiation, Benefits Administration, Applicant Tracking...
Education
Mitchell College 1992 — 1994
Associate of Science (A.S.), Elementary Education and Teaching, 3.96
Hanesbrands Inc. September 2014 - January 2015
Wellcare December 2012 - March 2013
Education
Mount St. Mary's University 2010 — 2012
Master of Business Administration (MBA), Finance, General
Southwest Minnesota State University 2006 — 2008
Bachelor of Business Administration (BBA), Accounting and Finance
University of Kentucky November 2012 - Present
WellCare August 2011 - January 2012
KVC Behavioral Healthcare November 2010 - August 2011
Buckhorn Children & Family Services October 2007 - July 2010
Walt Disney World January 2005 - June 2005
Skills
Art, Case Managment, Health Education, HIV prevention, Child Welfare, Veterans, Clinical Research, Mental Health Counseling, Adolescents, Case Management, Motivational..., Interventions, Nonprofits, Social Services, Public Speaking
Education
University of Kentucky 2010 — 2012
Master's degree, Social Work
Morehead State University 2003 — 2007
Bachelor of Science (BS), Psychology
Total Medical Management LLC September 2014 - May 2015
Total Medical Management LLC February 2014 - September 2014
WellCare April 2013 - March 2014
WellCare January 2006 - April 2013
Skills
Provider Relations, Medicare, Medicaid, Managed Care, Health Insurance, Network Development, HMO, HIPAA, Medicare Part D, PPO, Credentialing, Utilization Management, Healthcare Industry, Healthcare, Claim, Physicians, Healthcare Consulting, Medical Billing, Health Policy, Medicaid Managed Care
Education
Miami Dade College 2013 — 2015
Associate of Arts (AA), Business Administration, Management and Operations
National Life Group April 2015 - Present
Bee Peachy May 2012 - Present
WellCare August 2011 - Present
Skills
Marketing Strategy, Management, Marketing, Competitive Analysis, Social Media, Sales, Negotiation, Microsoft Office, Leadership, Customer Service, Event Planning, PowerPoint, Team Building, Training
Education
Syracuse University - Martin J. Whitman School of Management 2015 — 2017
Master of Business Administration (M.B.A.), Business Administration and Management, General
North Carolina Agricultural and Technical State University 2005 — 2010
Chemistry, Chemistry
Ultimate Software June 2014 - Present
WellCare June 2010 - June 2014
Masterex Technologies Inc March 2010 - June 2010
New York University January 2008 - March 2010
Skills
Kanban, SDLC, Project Management, Informatica, Business Intelligence, Predictive Analytics, Cognos, Requirements Analysis, Agile Methodologies, Requirements Gathering, Business Analysis, SQL, Oracle, Visio, Testing, SAS, EDI, SharePoint, PL/SQL, Data Modeling, Microsoft SQL Server, Database Design, Quality Assurance, HIPAA, Java, Healthcare, Microsoft Excel, ETL, Data Warehousing, Unix
Education
New York University 2008 — 2010
Master's degree, Computer Systems Networking and Telecommunications
Mumbai University
Bachelor's degree, Computer Systems Networking and Telecommunications
The Depository Trust & Clearing Corporation March 2014 - Present
Acclaris February 2013 - February 2014
WellCare July 2012 - October 2012
Outback Steakhouse International April 2008 - July 2012
Applied Systems Intelligence March 2008 - March 2008
SetFocus 2007 - 2008
Comcast Cable July 2006 - November 2007
Vanderbilt University (ISIS program) 2004 - 2004
Skills
Database Administration, C++, UML, Java, Databases, Microsoft SQL Server, JavaScript, XML, Database Design, HTML, Quality Assurance, T-SQL, SQL, Data Warehousing, Technical Support, Visio, SharePoint, Analysis, Servers, Oracle, Windows 7, Computer Hardware
Education
Setfocus 2007 — 2008
SQL DBA, Database Administration
North Carolina Agricultural and Technical State University 2003 — 2006
B.S., Computer Science
Vanderbilt University 2004 — 2004
Internship, Embedded Systems
Wolters Kluwer June 2013 - Present
UnitedHealth Group May 2012 - June 2013
Hospital and Healthcare October 2011 - May 2012
WellCare July 2011 - September 2011
Senior Level Consulting June 2011 - July 2011
Sysmex America, Inc. January 2011 - May 2011
Abbott Laboratories August 2010 - January 2011
Wolters Kluwer, Inc. October 2006 - August 2010
Discover Financial Services June 2006 - October 2006
Staples March 2005 - May 2006
Skills
Direct Sourcing, Full-cycle Recruiting, Talent Acquisition, Building Relationships, Negotiation, Cold Calling, Research, Closing, Talent Management, Account Management, Healthcare, Mental Health, Nurses, Mining, Results Oriented, Interviewing, Salary Negotiation, SDLC, Interviews, Sourcing, Recruiting, Benefits Negotiation, Managed Care, Human Resources, Training, Internet Recruiting
Education
Northern Illinois University 1993 — 1995
Bachelor of Arts, Interpersonal Communication and Public Speaking
College of Lake County 1991 — 1993
Associates of Arts, General Education
WellCare October 2012 - Present
Guitar International, LLC 2008 - 2010
MOSI (Museum of Science & Industry) February 1992 - June 1993
Skills
Copy Editing, Copywriting, Online Marketing, AP Style, Microsoft Word, Microsoft Office, Email Marketing, Social Media Marketing, Marketing Communications, Marketing, Jewelry Design, Advertising, Handmade Jewelry, Organic Gardening, Soil Fertility, Urban Gardening, Editing, Social Media
Education
Louisiana State University 1982 — 1988
Bachelor's degree, Biology
PRXStrategies Senior Scientific LiaisonJ&J Ortho McNeil JanssenMarch 2008 - March 2013
AstraZeneca 2013 - 2013
WellCare March 2007 - March 2008
Novartis September 2000 - March 2007
ProxyMed Healthcare Technology 1993 - 2000
Humana August 1990 - July 1993
Skills
Medical Affairs, Managed Care, Pharmacy, Clinical Development, Pharmacists, Clinical Research, Neurology, Cardiology, Rheumatology, Health Economics, Pharmacology, Diabetes, Outcomes Research, Medical Writing, Clinical Trials, Pharmacy Benefit..., Oncology, Gastroenterology, Therapeutic Areas, Infectious Diseases, Pharmaceutical Industry, Managed Markets, Endocrinology
Education
Mercer University 1985 — 1989
Pharm D, Pharmacy
St. Petersburg College
Achieve Real Estate LLC June 2014 - Present
WellCare February 2013 - Present
Prudential Midlands Real Estate March 2007 - June 2014
Palmetto GBA, a subsidiary of BCBS January 2012 - February 2013
Palmetto GBA, a subsidiary of BCBS June 2009 - January 2012
NMRS, Suggs & Kelly, NPJP & McWhirter May 1988 - September 2006
Skills
Insurance, Process Improvement, Medicare, Managed Care, Claim, Employee Benefits, Vendor Management, Business Analysis, Medicaid, HIPAA, Customer Service, Healthcare
Education
Midlands Technical College 1990 — 1992
Paralegal/Legal Assistant, Certified Paralegal
University of South Carolina-Columbia 1984 — 1988
Bachelor of Science (BS), Business Administration and Management, General
Strayer University of South Carolina
Master of Business Administration (MBA), Health/Health Care Administration/Management
WellCare January 2013 - Present
Molina Healthcare September 2010 - October 2012
Kelly for Maximus December 2009 - September 2010
Inovalon January 2009 - December 2009
Marion General Hospital November 2006 - September 2008
Interim Health care March 2004 - November 2006
Anthem Blue Cross Blue Shield August 2003 - March 2004
Permedion January 2002 - August 2003
Marion General Hospital August 1997 - January 2002
Skills
Utilization Management, concurrent review, Medicare appeals review, HMO, PPO, Medicaid Managed Care, Registered Nurses
Education
Marion Technical College 1994 — 1996
Associates Degree; RN, Nursing obtained; Ohio and Florida
Marion Harding High School 1982 — 1986
High school diploma, High school diploma
Fidelis Care November 2010 - Present
Affinity Health Plan September 2004 - November 2010
WellCare February 2000 - September 2004
Education
Monroe College
Gilead Sciences March 2015 - Present
Fresenius Medical Care March 2014 - Present
WellCare May 2011 - March 2014
Humana February 2011 - May 2011
Harbor Light Recruiting, Inc December 2007 - May 2011
Concentra 2004 - 2007
Skills
Applicant Tracking..., Talent Acquisition, Recruiting, College Recruiting, Onboarding, Internet Recruiting, Employee Relations, Benefits Negotiation, Technical Recruiting, Talent Management, Sourcing, Healthcare, Resume Writing, Program Management, Background Checks, Workforce Planning, Training, Hiring, Employee Benefits, Screening, Recruitment Advertising, HRIS, Interviews, Payroll, Career Development, Contract Recruitment, Screening Resumes, Benefits Administration, Employee Engagement, Personnel Management, Vendor Management, Permanent Placement, New Hire Orientations, HR Consulting, Coaching, Time Management, HR Policies, Performance Management, Leadership Development, Succession Planning, Behavioral Interviewing, Temporary Placement, Employee Training, Organizational..., FMLA, Taleo, Employer Branding
Education
National-Louis University 1996 — 1997
Master of Science (M.S.)
National Louis University 1991 — 1995
Bachelor of Arts (B.A.)
Surgical Care Affiliates August 2015 - Present
WellCare August 2013 - August 2015
WellCare August 2011 - June 2013
WellCare February 2011 - August 2011
WellCare May 2007 - February 2011
Bank of America January 2006 - April 2007
Kelly Services March 2003 - December 2005
Kelly Services October 2002 - March 2003
Skills
Insurance, Talent Management, Financial Services, Employee Relations, Employee Engagement, Human Resources, Performance Management, HR Policies, Recruiting, New Hire Orientations, Coaching, Interviews, Hiring, Sourcing, Deferred Compensation, Process Improvement, Management, Succession Planning, Employee Benefits, Leadership, Training, Employment Law, Temporary Placement, Temporary Staffing, Onboarding, Policy, Applicant Tracking..., Benefits Administration, Personnel Management, Talent Acquisition, Team Building, Taleo, Healthcare, Customer Service, Health Insurance, Medicare, Managed Care, Medicaid, HIPAA
Education
Marist College
Bachelor of Arts (BA), Communications, Graduated with Honors - cum laude
TeleTech July 2015 - Present
WellCare October 2013 - December 2014
Sitel July 2007 - October 2013
Convergys September 1999 - July 2007
Planet Hollywood International May 1997 - September 1999
Hyatt Hotels Corporation May 1988 - May 1997
Skills
Talent Acquisition, Employee Engagement, Performance Management, Employee Relations, BPO, Talent Management, HRIS, Workforce Planning, Succession Planning, Onboarding, Outsourcing, Process Improvement, Call Centers, Leadership, Change Management, Vendor Management, Strategy, Executive Management, Leadership Development, Sourcing, Organizational Design, Talent Developer, Thought Leadership, Deferred Compensation, Personnel Management, HR Consulting, HR Policies, Recruiting, HR Transformation, Employee Benefits, Performance Appraisal, Organizational..., Strategic HR, Technical Recruiting, Labor Relations, Executive Search, Benefits Administration, Organizational..., Employee Training, Screening, Interviews, Training, Job Descriptions, Team Management, Workforce Management, Compensation & Benefit, Incentive Programs, Training Delivery
Education
Mercyhurst University 1984 — 1988
BA, Business
WellCare January 2010 - July 2014
Nielsen February 2000 - December 2009
Digital Fusion - formally PowerCerv 1996 - 2000
Talbot's 1994 - 1996
Time Warner Inc. - formally TCS Time Customer Service 1989 - 1994
Skills
Oracle, Data Warehousing, Data Modeling, Enterprise Software, SDLC, SQL, Database Design, Business Intelligence, Databases, Enterprise Architecture, SOA, ETL, Requirements Analysis, Microsoft SQL Server, SharePoint, Visio, Business Analysis, Architectures, Management, Architecture, Requirements Gathering, XML, Web Applications, Solution Architecture, Software Project..., Information Architecture, Disaster Recovery, SSIS, PostgreSQL
Education
Nassau Community College 1978 — 1985
Associate of Applied Sciences, Information Technology
Taktikus June 2014 - Present
Healthfirst July 2013 - June 2014
Healthfirst October 2006 - June 2014
WellCare December 2005 - August 2006
Healthfirst September 2002 - December 2005
Chadick Ellig, Inc. 1998 - 2002
Skills
Medicare, Strategy, Managed Care, Management, Analytics, Leadership, Team Building, Process Improvement, Relationship Management, Health Insurance, Medicaid, Marketing, Call Centers, New Business Development, Strategic Planning, Training, Contract Negotiation, Healthcare, Medicare Part D, Coaching, Sales, HMO, Selling, Sales Operations, Hospitals, Insurance, Account Management, Healthcare Management, Network Development, Performance Improvement, Recruiting, Healthcare Industry, Sales Management, HIPAA, Executive Management, Employee Benefits, Revenue Cycle, Home Care, Provider Relations, Healthcare Information..., Healthcare Consulting, Cold Calling, Health Policy, Long-term Care, Physicians, Customer Retention, Sales Presentations, Physician Relations, Practice Management, Strategic Partnerships
Education
Mercy College 2013 — 2015
Master of Business Administration (MBA), Operations & Finance
Mercy College 1994 — 1998
BS, Political Science
WellCare April 2013 - Present
Healthfirst April 2012 - April 2013
Healthfirst April 2011 - March 2012
CZ September 2008 - April 2011
CZ November 2009 - February 2010
CZ June 2007 - September 2008
CZ December 2005 - May 2007
Skills
Healthcare, Strategy, Project Management, Strategic Planning, Business Analysis, Analysis, Policy, Change Management, Health Policy, Coaching, Data Analysis, Management Consulting, Organizational..., Process Improvement, Program Management
Education
Maastricht University 2000 — 2006
MS, Health Science
Fidelis Care June 2014 - Present
WellCare August 2011 - February 2014
Spring Youth Baseball January 2010 - January 2014
Albany Community Action Partnership April 2011 - November 2012
Tully Rinckey PLLC June 2010 - August 2011
Baker Public Relations (2008 - 2009) November 2008 - May 2010
ACAP 2008 - 2009
Bowl New England July 2006 - July 2008
Regent Communications Co., Inc March 2002 - January 2006
Tele-Media Communications, Inc. March 1996 - February 2002
Skills
Marketing Strategy, Press Releases, Public Speaking, Leadership, Fundraising, Digital Marketing, Strategic Communications, Newsletters, Public Relations, Event Management, Management, Copywriting, Marketing, Media Relations, Community Outreach, Editing, Publicity, Event Planning, Broadcast, Television, Radio, Training, Entertainment, Budgets
Education
Minot State University 1981 — 1986
Bachelor of Arts
Six Flags June 2014 - July 2015
WellCare November 2013 - May 2014
CVS Pharmacy April 2013 - February 2014
Righttime Medical Care June 2012 - January 2013
Morehouse College January 2010 - May 2012
Skills
Research, Public Speaking, Chemistry, PowerPoint, Microsoft Office, Microsoft Word, Data Analysis, Microsoft Excel, NMR spectroscopy, Customer Service, Critical Thinking, NMR, Event Planning, Leadership, SPSS, Teaching, Editing, Nonprofits, Spanish, Community Outreach, Social Networking, Fundraising, Higher Education, Volunteer Management, Mathematics, Facebook, Teamwork, Time Management, Leadership Development, Statistics, Access, Social Media, Grant Writing, Pharmacy, Analysis, Marketing, Program Development, Management
Education
Meharry Medical College 2015 — 2016
Master’s Degree, Health Professions and Related Clinical Sciences, Other
Morehouse College 2008 — 2012
Bachelor of Science (B.S.), Chemistry
Gonzaga College High School 2004 — 2008
High School Diploma, Chemistry
Healthesystems February 2015 - Present
WellCare February 2011 - January 2015
PriceWaterhouseCoopers April 2003 - December 2010
PricewaterhouseCoopers April 2000 - December 2003
ARIS September 1996 - April 2000
CD DATA/Orange Systems February 1992 - September 1996
Connex Pipe Systems, Inc. February 1988 - November 1991
Peoples Banking & Trust Co June 1986 - February 1988
Heinrich Enterprises December 1985 - June 1986
Skills
XML, PL/SQL, Microsoft SQL Server, Oracle, Quality Center, Web Services, Integration, SDLC, Test Automation, Software Quality..., Visual Studio, Visual Basic, Test Planning, Quality Assurance, Eclipse, Unix, Requirements Analysis, SQL
Education
Marietta College 1984 — 1986
B.S., Computer Science
Parkersburg Community College/WVU-P 1981 — 1984
A.A.S, Electronics Engineering Technology
University of South Florida Pediatric Epidemiology Center IT Business AnalystHealthPlan ServicesMarch 2010 - July 2010
WellCare September 2009 - March 2010
Palmetto GBA December 2008 - May 2009
Premier, Inc. May 2008 - October 2008
Blue Cross Blue Shield SC May 2007 - April 2008
First Consulting Group February 2006 - April 2007
Health Management Systems August 1994 - September 2005
Education
New York University 1966 — 1970
BA, English, History, French
WellCare December 2009 - Present
Skills
Customer Service, Insurance, Management, Leadership, Microsoft Excel
Education
Northern Essex Community College
Registered Nursing/Registered Nurse
CareCore National January 2005 - Present
WellCare 1984 - 1996
Skills
Managed Care, Utilization Management, Medicaid, Medicare, Provider Relations, Healthcare Management, HIPAA, Healthcare, Health Insurance, HMO, Healthcare Industry, Network Development, PPO, Pharmacy Benefit..., Healthcare Information..., Healthcare Consulting, Revenue Cycle, Disease Management, Hospitals, EMR, EHR, Informatics, Practice Management, Physician Relations, Home Care, Health Policy, NCQA, Physicians, Medical Billing, Revenue Cycle Management, Medicare Part D, Medicare/Medicaid..., Medical Compliance, Accountable Care, Medicaid Managed Care, Provider Network..., Healthcare Analytics, Health Information..., HEDIS, Utilization Review, Credentialing, Physician Network..., Pharmacy, Health Care Reform, Epic Systems, Medical Home, Quality Improvement, Medicine, Nursing, Patient Safety
Education
Marist College
University of Missouri-Columbia
MedSpring Urgent Care June 2012 - Present
CVS Caremark Corporation 2011 - May 2012
WellCare August 2005 - 2009
Capital One 1999 - 2005
Capital One Auto Finance 1999 - 2005
Capital One Financial 1999 - 2005
Booz Allen Hamilton 1995 - 1999
3M 1991 - 1994
Skills
Product Management, Strategic Planning, Strategy, Cross-functional Team..., Segmentation, Analytics, Competitive Analysis, Product Marketing, Marketing, Product Development, Executive Management, P&L Management, Business Process..., Leadership, Strategic Partnerships
Education
University of Michigan - Stephen M. Ross School of Business 1994 — 1996
MBA
Michigan Technological University 1986 — 1991
BS, Chemical Engineering
WellCare November 2004 - Present
JPMorgan Chase July 2000 - November 2004
Skills
SAS programming, SAS Macros, SAS Base, SQL, PL/SQL, SPDS Server, Oracle, Unix, Data Warehousing, ETL, 1099 Preparation, SAS Enterprise Guide, Toad, SQL Navigator, SDLC, Business Analysis, Requirements Analysis, Visual Studio, Notepad++, MS Access, Microsoft Excel, MS Project, Microsoft Office, Visio, Microsoft Word, IBM Mainframe, SharePoint, Process Improvement, Quality Assurance, SAS, Analysis, Access
Education
Marquette University 1990 — 1995
MBA, Masters in Business Administration
University of Wisconsin-Milwaukee 1985 — 1989
Bachelor of Business Administration (B.B.A.), Management Information Systems
MedHOK, Inc. October 2013 - Present
MedHOK Healthcare Solutions July 2012 - October 2013
WellCare May 2005 - June 2012
Charles Rutenberg Realty Inc. November 2008 - May 2009
Capital One August 1998 - March 2005
National Market Share Inc / Campaign Tel Ltd November 1994 - August 1998
Education
New York Institute of Technology-Old Westbury 2006 — 2011
Bachelor of Science - Information Technology - Summa Cum Laude
Robinson High School 1992 — 1995
High School Diploma
Freedom Health, Optimum HealthCare & America's 1st Choice 2009 - Present
WellCare August 2007 - April 2009
WellCare Health Plans, Inc. November 2006 - July 2007
VNU / ACNielsen November 1999 - June 2005
Skills
Medicaid, Executive Management, Public Relations, Crisis Communications, Managed Care, Health Insurance, Insurance, Healthcare, Healthcare Management, Medicare, HIPAA, Management, Leadership, Health Policy, Corporate Communications, Network Development, Healthcare Industry, Policy, Provider Relations, Employee Benefits, Physician Relations, Patient Advocacy, Process Improvement
Education
New York University 2002 — 2004
Public Relations Certificate, Public Relations, Advertising, and Applied Communication
Sacred Heart University 1991 — 1996
Bachelor of Science (BS), Legal Administration
WellCare May 2007 - Present
Priority One Financial June 2006 - January 2007
Verizon February 1989 - March 2006
Education
Monroe Community College 1982 — 1984
AIG December 2012 - Present
JP Morgan Chase November 2009 - December 2012
Citifinancial October 2006 - November 2009
Freddie Mac August 2005 - October 2006
WellCare March 2005 - August 2005
eBay November 2004 - March 2005
Skills
SAS, Business Objects, Cognos, Unix, Crystal Reports, Visual Basic, Microsoft Office, Toad, TRIAD, Enterprise Manager, SQL, Oracle, Mainframe, Financial Risk, Credit Cards
Education
Oklahoma State University 2002 — 2004
Master of Science, Industrial Engineering and Management
Nagpur University 1997 — 2001
Bachelor of Engineering, Production Engineering
Catholic Health Initiatives January 2015 - Present
Catholic Health Initiatives April 2014 - Present
Catholic Health Initiatives April 2014 - Present
Catholic Health Initiatives February 2013 - Present
Catholic Health Initiatives April 2014 - January 2015
UnitedHealth Group June 2011 - February 2013
Ernst & Young October 2009 - June 2011
WellCare February 2009 - November 2009
WellCare July 2004 - February 2009
Navigant Consulting 2002 - 2004
Education
University of Tampa - John H. Sykes College of Business 1998 — 2002
Maryville College 1998 — 2000
Cognosante February 2015 - Present
Cognosante October 2014 - Present
WellCare June 2009 - November 2014
Independence Blue Cross January 2005 - June 2009
ComplexCorp October 2001 - February 2005
JPMorgan Chase January 2001 - September 2001
Lucent Technologies July 2000 - December 2000
Skills
SDLC, Requirements Analysis, Business Analysis, Visio, Systems Analysis, Requirements Gathering, SharePoint, Data Warehousing, Databases, Business Intelligence, Vendor Management, Microsoft SQL Server, SQL, Project Management, Enterprise Architecture, MS Project, ITIL, Project Portfolio..., Business Process, ERP, Software Development, IT Service Management, Resource Management, Integration, Team Management, Performance Management
Education
New Jersey Institute of Technology - School of Management 1999 — 2001
Master's degree, Management Information Systems
St.Paul - Indore 1982 — 1995
General Motors 2013 - Present
Wellcare Inc. Tampa, Florida 2005 - 2013
Wellcare August 2005 - July 2006
Eckerd 1997 - 2005
Eckerd 1997 - 2005
Skills
SDLC, Enterprise Architecture, SOA, Requirements Analysis, Software Project..., SQL, Agile Methodologies, Integration, PL/SQL, EDI, Oracle, Web Services, Program Management, Process Improvement, Database Design, Architecture, Vendor Management, Business Analysis, Data Modeling, Software Development, Project Management, Data Integration, Solution Architecture, Application Architecture, Cross-functional Team..., TFS, Resource Management, EAI, WCF, Architectures
Education
National Institute of Technology Warangal 1992 — 1996
Bachelor of Technology (BTech), Electronics and Communications Engineering
Roch Memorial High School 1978 — 1990
1990, High School
WellCare January 2013 - Present
MannKind Corporation March 2008 - January 2013
MannKind Corp April 2007 - April 2008
sanofi-aventis U.S. 2003 - 2007
Oxford Health Plans 1995 - 2004
Skills
Clinical Research, Managed Care, Pharmaceutical Industry, Clinical Development, Clinical Trials, Diabetes, Oncology, Medicaid, Biotechnology, Medicare, Utilization Management, Health Economics, Regulatory Submissions, Medical Affairs, Lifesciences, Pharmacology, IND, Drug Development, CRO, Healthcare
Education
New York Medical College 1980 — 1984
Doctor of Medicine (MD)
Williams College 1975 — 1979
Biology, General
WellCare July 2008 - Present
Wellcare/Harmony Behavioral Health July 2008 - Present
Humana Health November 2007 - July 2008
CIGNA Behavioral Health May 2003 - January 2007
USA Professional Karate June 1999 - May 2003
Relax the Back Store May 1995 - December 1998
Education
Norfolk State University 1993 — 1998
State University
Bachelor, Science Health Services Management
UnitedHealth Group April 2013 - Present
United Health Care November 2009 - April 2013
Hartford Healthcare System September 2009 - November 2009
WellCare June 2007 - August 2009
United Healthcare 2004 - 2007
Oxford Health plans 1994 - 2007
Skills
Vendor Management, Managed Care, Medicare, Mergers & Acquisitions, Outsourcing, Leadership, Healthcare Management, Management, Disease Management, Utilization Management, Performance Management, Due Diligence, Health Insurance, Claim, Financial Risk
Education
Pace University 1994 — 1998
MBA, Finance
Marist College 1985 — 1989
BS, Finance
Consulting August 2015 - Present
Wellcare Health Plans June 2012 - June 2015
Wellcare Health Plans January 2007 - June 2012
WellCare 2007 - February 2012
Skills
Proven Healthcare Leader, HIPAA, Managed Care, Process Improvement, Provider Relations, Medicare, Health Insurance, Medical Coding, Personnel Management, Leadership, Medicaid, Medical Records, Healthcare, Inpatient, Healthcare Consulting, Insurance, Training, EMR, Business Analysis, Healthcare Management, Utilization Management, EHR
Education
National-Louis University 1994 — 1996
MSM, Masters Management
Medical College of Georgia at Augusta University 1985 — 1987
BS, health Information
Catholic Health Initiatives July 2015 - Present
Avalon Healthcare Solutions December 2013 - June 2015
Francisco Partners June 2013 - June 2015
CareCentrix November 2012 - June 2013
CareCentrix September 2010 - November 2012
Warnes Consulting April 2010 - September 2010
WellCare July 2007 - April 2010
Priority Health June 1999 - June 2007
Grand Valley Health Plan 1990 - 1999
Montcalm County CMH 1986 - 1990
Skills
Healthcare Management, Utilization Management, Healthcare, Health Policy, Hospitals, Clinical Research, Strategic Planning, Medicine, Program Management, Managed Care, Medicaid, Medicare
Education
Michigan State University
BS, Chemistry
Michigan State University
MA, Psychology
Southern California University
PhD, Psychology
Westchester Hematology Oncology Assoc. June 1996 - Present
Evelyn Rodriguez-Rivard Consulting December 2010 - May 2015
Hospital for Special Surgery May 1994 - June 1996
WellCare December 1991 - May 1994
Skills
Customer Service, Human Resources, Medical Billing, Medical Coding, Chemotherapy, Specialty Pharmaceutical, Patient Education, Patient Counseling, Financial Analysis, Practice Management, Health Insurance, Managed Care, Hospitals, Healthcare Management, Healthcare, Outlook, Physician Relations, Healthcare Information..., Physicians, HIPAA, Clinical Research, EHR, Medicare, Medicine, EMR, Management, Healthcare Consulting, Revenue Cycle, Medical Terminology, Healthcare Industry, Leadership, Training, Strategic Planning, Patient Safety, Team Building
Education
Mercy College 2000 — 2005
Bachelor’s Degree, Organizational Management, BS
Dimestone Consulting October 2002 - Present
Dimestone 2002 - Present
America's 1st Choice 2006 - 2011
WellCare December 1996 - October 2002
Well Care HMO, Inc. 1996 - 2002
Skills
Medicaid, Healthcare Management, HMO, Medicare, Health Policy, Insurance, Data Analysis, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Industry, Managed Care, Healthcare Information..., Physicians, HIPAA, Practice Management
Education
Miami Dade College
IBM 2008 - 2009
WellCare 2006 - 2008
ACS 2003 - 2006
AlphasoftServices 2001 - 2003
Skills
Solution Architecture, SOA, Requirements Analysis, SDLC, Business Analysis, EDI, WebSphere MQ, EAI, Enterprise Architecture, Integration, Oracle, PL/SQL, Requirements Gathering, Web Services
Education
Nagpur University 1993 — 1997
B E, Computer Technology
MetLife January 2012 - Present
WellCare June 2010 - January 2012
Carnival Cruise Lines February 2008 - June 2010
Southern Wine & Spirits April 2007 - February 2008
Office Depot December 2005 - March 2007
Verizon January 2004 - December 2005
Wildfire Communications January 2000 - January 2003
Dharma computers 1996 - 1999
Skills
ETL, Data Warehousing, Data Integration, Datastage, Teradata, Informatica, OBIEE, DAC, Oracle, Unix, ODI, C, C++, Shell Scripts, Most of the Unix Flavors, Databases - Oracle, SQL..., OBIA, Data Warehouse Admin...
Education
Mangalore University 1990 — 1994
BE In E&C, Electronics and Communications
Anthem March 2015 - Present
Consulting services 2011 - 2015
Outcomes Health Information Solutions, An Altegra Health Company 2012 - 2014
naviHealth, Inc. 2011 - 2012
WellCare 2009 - 2011
Outcomes Health Information Solutions 2008 - 2009
Outcomes Health Information Solutions 2007 - 2008
Outcomes Health Information Solutions 2005 - 2007
Outcomes Health Information Solutions 2004 - 2005
Outcomes Health Information Solutions 2002 - 2004
Skills
Risk Adjustment, HEDIS, Analytics, Program Management, Healthcare, Marketing, Managed Care, Medicare, Medicaid, Healthcare Industry, Healthcare Information..., Health Insurance, Healthcare Consulting, Quality Improvement, @Risk, Healthcare Management, Revenue Cycle, Medical Coding, HIPAA, Health Policy, Medical Cost Containment, Data Analysis, EMR, Provider Relations, Strategy, Disease Management, Medicare Part D, Informatics, Physicians, Process Improvement, EHR, Practice Management, Strategic Planning, Executive Management, Business Development
Education
AAPC
CPC, Certified Professional Coder
New York University
RN, Nursing
University of South Florida
BA, Mass Communications
Ryder System, Inc. September 2014 - Present
Viamericas Corporation March 2014 - August 2014
BayCare Health System February 2007 - September 2013
Wells Fargo February 2006 - February 2007
WellCare 2005 - 2006
Social Service Coordinators 2004 - 2006
U.S. Census Bureau 1997 - 2002
Skills
CSLA, ASP.NET, SharePoint, C#, .NET, Microsoft SQL Server, Agile Methodologies, SDLC, Web Services, SOA, SQL, XML, Oracle, TFS, WCF, SSRS, Visual Studio, T-SQL, Database Design, LINQ, HL7, ASP.NET MVC, Application Architecture, UML, WinForms, JavaScript, ADO.NET, Entity Framework, IIS, Software Development..., OOAD, SSIS, Silverlight, ASP, PostSharp, MVVM, HTML 5, VB.NET, MVC, Databases, jQuery, Design Patterns, Integration, Sparx Enterprise..., HTML5
Education
McGill University 1978 — 1979
University of Montreal 1974 — 1976
B.Sc., Geo.Physics
Mont-Saint-Louis
WellDyneRx / TechUSA October 2014 - Present
HealthPlan Services / DayStar Consulting February 2013 - October 2014
WellCare September 2010 - February 2013
FAS Group January 2001 - August 2010
Aeroturbine 2007 - 2009
TracFone Wireless 2000 - 2004
CitiBank International January 1996 - January 2001
AmeriMark, Inc January 1992 - January 1996
FUJI PHOTO FILM, INC February 1988 - January 1991
MICHELIN TIRE CORPORATION January 1985 - January 1988
Skills
Information Security, Information Technology, Change Management, Strategic Planning, PMO, Disaster Recovery, Process Improvement, IT Management, ITIL, Risk Management, Business Continuity, Program Management, SDLC, IT Strategy, Project Management, Project Portfolio..., IT Audit, Project Planning, MS Project, Software Project..., PMP, Business Process, Testing, Software Documentation, Integration, Cross-functional Team..., Outsourcing, Microsoft Project
Education
Clemson University 1986 — 1989
MBA Studies, International Operations
Nicholls State University 1976 — 1979
BA, Computer Science Studies
WellCare April 2006 - Present
WellCare 2006 - 2012
Healthfirst October 2004 - March 2006
Miller Brewing Company April 2003 - October 2004
Education
LIU Post 1994 — 2000
MPA, Health Administration
Logic Information Systems 2011 - Present
OLR August 2010 - August 2011
WellCare 2009 - 2010
Perry Ellis International / Tropical Sportswear Int'l March 1996 - November 2008
Perry Ellis International 1996 - 2008
PricewaterhouseCoopers 1979 - 1996
Price Waterhouse 1977 - 1995
Bank of Commerce 1970 - 1975
Skills
Business Analysis, Business Process, ERP, Integration, Leadership, Management, Oracle, Oracle E-Business Suite, Program Management, Quality Assurance, Requirements Analysis, Retail, Sourcing, Warehouse Management, SDLC, Business Intelligence, Project Management
Education
New York University 1972 — 1977
AA - BS, Information Systems
New York University 1970 — 1974
Bachelor's degree, Computer Science
Towers Watson June 2014 - Present
Catamaran June 2011 - Present
Walgreens October 2010 - June 2011
Walgreens Health Initiatives January 2009 - October 2010
Walgreens Health Initiatives June 2007 - January 2009
Palos Community Hospital June 2005 - June 2007
WellCare January 2004 - June 2005
Gundersen Lutheran 2001 - 2004
The University of Arizona Medical Center July 2000 - June 2001
Medco July 1999 - June 2000
Education
University of Illinois at Chicago 1995 — 1999
PharmD, Pharmacy
Loyola University Chicago
Helios (formerly PMSI & Progressive Medical) December 2014 - Present
PMSI November 2012 - Present
PMSI July 2011 - November 2012
PMSI August 2010 - February 2011
WellCare May 2007 - August 2010
Verizon Data Services January 2000 - March 2006
Verizon 2000 - 2006
GTE Data Services 1988 - 2000
Skills
Business Requirements, SDLC, Software Development, Program Management, Requirements Analysis, Cross-functional Team..., Business Solutions..., Business Analysis, Leadership, Systems Analysis, Integration, Business Process, Management, SOA, Team Management, User Acceptance Testing, Strategy, Business Intelligence, Software Documentation, Business Process..., SQL, Telecommunications, ITIL, Project Portfolio..., SharePoint, Requirements Gathering, Vendor Management, Agile Methodologies, Product Development, Resource Management, Visio, COBOL, PMO, Quality Assurance, Process Improvement, Software Project..., Project Management
Education
Monroe Community College 1980 — 1982
AAS, Behaviorial Sciences
WellCare Health Plans December 2014 - Present
WellCare February 2013 - November 2014
WellCare February 2010 - January 2013
Florida Department of Children and Families June 2009 - February 2010
OptumHealth February 2008 - May 2009
St. Francis Residence I 1998 - 2008
Skills
Medicare, Healthcare, Health Insurance, Medicaid, Employee Benefits, Medicare Part D, Managed Care, HIPAA, HMO, Insurance, Provider Relations, Healthcare Industry, Healthcare Management, Claim, Process Improvement, Health Policy, PPO, Call Centers, Healthcare Information..., Credentialing, Software Documentation, Access
Education
New York University
WellCare February 2013 - Present
WellCare June 2009 - January 2013
Gerdau Ameristeel April 2008 - January 2009
Gerdau Ameristeel November 2005 - April 2008
Maidenform 1999 - 2005
Genesis Direct 1998 - 1999
Genesis Direct/Proteam 1998 - 1998
Blue Cross Blue Shield of New Jersey 1992 - 1997
Skills
Treasury Management, Cash Management, Financial Analysis, Financial Reporting, Risk Management, Forecasting, Accounting, Process Improvement, Cash Flow Forecasting, Financial Modeling, Mergers, Corporate Finance, Liquidity Management, Mergers, Strategic Financial..., Treasury, Finance, Financial Planning, Management
Education
Pace University 1994 — 1997
MBA, Finance & Investments
Montclair State University 1985 — 1989
BS, Finance
AIM Specialty Health April 2015 - Present
Family Health Network December 2012 - Present
WellCare 2005 - December 2012
WellCare September 2002 - December 2012
Harmony Health Plans 2002 - 2005
Security Associates International, Inc 1998 - 2001
Reliance Protection 1990 - 1998
Skills
Regulatory Affairs, HIPAA, Managed Care, Health Insurance, Process Improvement, Insurance, Healthcare, Risk Management, Software Documentation, Compliance, Management, Visio, Leadership, Medicaid, Legal Compliance, Vendor Management, Business Process..., Provider Relations, Government Program, Medicare, Compliance Training, Small Group..., Corporate Compliance, Affordable Care Act, Medicare-Medicaid..., Internal Auditing, Project management, Federal and State..., Claims Resolution, Appeals and Grievances, Delegated Oversight
Education
National Louis University
Computer Science
University of Phoenix
Business Administration
WellCare September 2013 - Present
Coventry Health Care September 2007 - June 2013
Molina Healthcare 2001 - 2007
SelectCare 1996 - 2001
Health Allliance Plan 1987 - 1995
Skills
Healthcare, Strategic Planning, Process Improvement, Healthcare Industry, Managed Care, Health Insurance, Medicare, Medicaid, Healthcare Information..., Health Policy, Leadership
Education
Michigan State University 1971 — 1975
BA, Business
Michigan State University
Univita Health Inc December 2014 - Present
WellCare December 2012 - Present
Windsor Health Group (Acquired by WellCare) June 2011 - September 2012
Forest Health Services July 2004 - July 2011
Blue Cross Blue Shield of Michigan January 2002 - July 2004
Health Management Associates January 2000 - July 2002
Illinois Hospital Association 1995 - 1998
Skills
Strategic Planning, Marketing Strategy, Marketing Communications, managed care contracting, Federal & State..., Policy Analysis, Provider Network..., Medicare/Medicaid..., Public Relations, Strategy, Business Development, Team Building, Managed Care, Provider Relations, HIPAA, Medicare/Medicaid..., Healthcare, Healthcare Industry, Marketing, Hospitals, Process Improvement, Management, Leadership, Healthcare Information..., Medicare
Education
Michigan State University
BA, American Public Affaris - James Madison College
Northern Michigan University
MPA, General & Health Administration
Simply Health Care Plans April 2012 - March 2013
WellCare September 2004 - April 2012
Florida Blue 1999 - 2004
Skills
Provider Relations, Network Development, Medicare, Provider Contracting, Managed Care, Ancillary Services, Medicaid Managed Care, Vendor Management, HMO, Healthcare, Medicaid, PPO, Healthcare Information..., HIPAA, Credentialing, Healthcare Consulting
Education
Montclair State University 1980 — 1982
BS, Business Administration
Prout Memorial
PSCU March 2015 - Present
Bayshore Solutions November 2013 - March 2015
WellCare April 2012 - September 2013
PwC November 2008 - April 2012
PwC December 2006 - October 2008
State Farm Insurance June 2005 - November 2006
State Farm Insurance January 1998 - June 2005
State Farm Insurance January 1995 - December 1997
Skills
Organizational Design, Succession Planning, Talent Management, HR Consulting, Performance Management, HRIS, PeopleSoft, Performance Improvement, Talent Acquisition, Employee Relations, Human Resources, Mergers, Organizational..., Recruiting, Change Management, Management Consulting, Strategy, HR Policies, Leadership, Management, Leadership Development, Coaching, Policy, Personnel Management
Education
Michigan State University 1985 — 1989
Psychology, BA
Express Scripts November 2009 - Present
WellCare 2005 - 2009
Community Health Services February 2005 - January 2006
Arrow Pharmacy and Nutrition Center January 2002 - January 2006
Skills
clinical, pharmacist, sales, Pharmacy Benefit..., Healthcare, Managed Care, Medicare Part D, Medication Therapy..., Medicaid, Medicare, Healthcare Management, Pharmacists, Network Development, Sales, Healthcare Consulting, HIPAA, Process Improvement, Healthcare Information..., Healthcare Industry, Long-term Care, Provider Relations, Performance Improvement, Health Policy, Informatics, Clinical Pharmacy, Data Analysis, Insurance
Education
Massachusetts College of Pharmacy and Health Sciences 1998 — 2001
Pharm.D., Pharmacy
University of Connecticut 1993 — 1997
BS, Pharmacy
Wellcare August 2011 - Present
Veredus 2012 - 2012
Carchex 2007 - 2012
HPC Healthcare / Lifepath Hospice April 2002 - May 2011
PricewaterhouseCoopers LLP March 1996 - June 2001
Litigation Reprographics and Support Services October 1990 - March 1996
Computer Product Resources January 1992 - January 1993
Skills
Windows NT, Arcserve, Microsoft SQL Server, Microsoft Exchange, PC Anywhere, Lotus Notes, Active Directory, Windows Server, DHCP, Servers, Network Administration, Troubleshooting, Cisco Technologies, Citrix, Networking, Process Improvement, Software Installation, System Administration, Technical Support, Windows 7
Education
Loyola University New Orleans 1989 — 1992
Bachelor of Arts, English Writing
Jesuit
Tenet Healthcare June 2013 - Present
Coventry Health Care of Florida 2009 - June 2013
WellCare 2005 - 2009
Skills
Network Development, Provider Relations, HMO, Health Insurance, Managed Care, PPO, Medicare, Insurance, Medicaid, Disability Insurance, Long-term Care, Health Policy
Education
University of Miami - School of Business 1989 — 1991
MBA, Finance and Marketing
North Carolina State University 1983 — 1988
BA, Business Management
Allcare June 2006 - Present
Wellcare June 1999 - June 2006
Technics September 1980 - September 1992
Education
New College of California
Capstone Pediatrics, PLLC 2013 - Present
Capstone Healthcare Consulting, LLC April 2012 - Present
Unitedhealthcare Community Plan of Tennessee (formerly AmeriChoice) December 2008 - March 2012
WellCare 2007 - 2008
Bureau of TennCare, State of Tennessee 2004 - 2007
Universal Care of Tennessee 2000 - 2003
Kaiser Permanente 1991 - 1995
Skills
Medicaid, Managed Care, Health Plans, Medicare, Utilization Management, Managed Long Term Care, Network Development, Dual Integration, Medical..., Operations, Health Policy, HIPAA, Behavioral Health, Long-term Care, HMO, Health Insurance, Healthcare, Disease Management, Provider Relations, Healthcare Consulting, Healthcare Industry, Physicians, Healthcare Management, Quality Improvement, Physician Relations, Revenue Cycle, Leadership, Pharmacy Benefit..., Healthcare Information..., Revenue Cycle Management, Medicare Part D, EHR, Credentialing, Hospitals, Informatics, Practice Management
Education
Michigan State University
PhD
University of California, Berkeley
BA
WellCare Health Plans March 2014 - Present
WellCare August 2007 - March 2014
Ceridian July 1999 - August 2007
Skills
Stored Procedures, Application Design, SQL, Application Development, EDI, HIPAA, PL/SQL, Data Modeling, Microsoft SQL Server, Requirements Analysis, Requirements Gathering, Systems Analysis, Software Documentation, Software Development, Software Design, SDLC, Oracle
Education
Nichols College 1986 — 1993
BS, Mgmt Information Services
WellCare 2012 - Present
Skills
Access, Customer Service, Employee Benefits, Health Insurance, Insurance, Medicare, Recruiting, Sales, Strategic Planning
Education
Mercy College
IntegriGuard March 2010 - Present
WellCare February 2005 - March 2009
Skills
Outlook, Medicare, Healthcare, HIPAA, Insurance, Medicaid
Education
Miami Dade College 1979 — 1982
South Miami Senior 1975 — 1978
Major Requirements
Humana August 2014 - Present
Humana May 2009 - Present
Humana, Inc May 2009 - Present
WellCare HMO, Inc October 2006 - May 2009
WellCare November 1999 - May 2009
WellCare HMO, Inc May 2004 - October 2006
WellCare HMO, Inc August 2003 - May 2004
WellCare HMO, Inc December 2000 - July 2003
WellCare HMO, Inc December 1999 - December 2000
Kesh Air April 1999 - August 1999
Skills
Medicare, Medicaid, Managed Care, Network Development, Healthcare, PPO, Credentialing, Provider Relations, HIPAA, Practice Management, Revenue Cycle, Physicians, Healthcare Industry, Health Policy, Hospitals, Healthcare Management, ICD-9, Healthcare Consulting, Revenue Cycle Management, Recruiting, Insurance, Physician Relations, EHR, Medical Billing, Healthcare Information..., HMO, Health Insurance, Utilization Management, EMR, Quality Improvement, Disease Management, Home Care, CPT, Claim, Performance Improvement, Employee Benefits, Meditech, Long-term Care, Medical Coding, Informatics, Medical Terminology, Medicare Part D, Data Entry, Epic Systems, Medical Records, Data Analysis, Nursing, Claims Resolution, JCAHO, Patient Safety
Education
Miami Dade College 1996 — 1999
Miami Dade Community College
degree, Business Administration
HSN April 2012 - Present
Assurant Solutions July 2011 - March 2012
Sentinel Screening LLC December 2009 - December 2010
WellCare February 2009 - November 2009
Bloomin' Brands, Inc. April 2005 - March 2008
Skills
Release Management, Software Quality..., Business Analysis, Agile Methodologies, Data Analysis, Software Implementation, TFS, Software Configuration..., Software Deployment
Education
Loyola University Chicago
Ciber 2012 - Present
WellCare 2012 - Present
Education
New Jersey Institute of Technology 1994 — 1997
B.S, ELECTRICAL ENGINEER / Computer
WellCare March 2010 - Present
Partners in Care February 2009 - Present
Next Stage Senior Care April 2009 - August 2009
Careguide Coordinated Care Solutions June 2008 - April 2009
Care Managers Inc. -Consultant February 2008 - May 2008
Amerigroup April 2006 - February 2008
Sana La Rana with Pfizer inc April 2003 - April 2006
Beth Abraham Health Services April 2005 - February 2006
The Bridge Inc. - Mental Health Program December 2003 - March 2005
Hebrew Hospital Home 2003 - 2005
Education
Loyola University New Orleans 2010 — 2012
Masters, Health Care Systems Management
Troy State University
Bachelors, Nursing; nursing and science
Lehman College
Nursing
WellCare January 2012 - Present
Sears Holdings Corporation December 2008 - December 2011
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop, HTML
Education
Rasmussen College-Florida 2008 — 2010
Associate of Science (A.S.), Medical Administrative/Executive Assistant and Medical Secretary
Manchester Community College 1995 — 1998
Associate of Arts (A.A.), Visual Fine Art
Rocky Hill High School 1990 — 1994
Diploma, General Studies
WellCare September 2013 - Present
Cognosante April 2013 - September 2013
Universal Health Care August 2010 - March 2013
Beneport 2010 - 2010
AT&T / 4 Precision Marketing 2008 - 2010
Employee Benefit Communications 2002 - 2008
Skills
2-15 Life Health and..., Employee Benefits, Training, Health Insurance, Recruiting, Management, Disability Insurance, Sales, Human Resources, Marketing, Claim, Customer Retention, Insurance, Brokers, Managed Care, Medicare
Education
Penn State University 1995 — 2000
Marketing
McGill University 1998 — 1998
Organizational Behavior Studies
WellCare December 2008 - Present
Tampa General Hospital 2005 - 2008
National Healing Corporation 2000 - 2005
Education
Northern Essex Community College 1984 — 1986
Associate of Science (AS), Registered Nursing/Registered Nurse
WellCare January 2011 - Present
WellCare of Georgia January 2009 - January 2011
Healthy Mothers, Healthy Babies Coalition of Georgia April 2004 - May 2006
Healthy Mothers, Healthy Babies Coalition of Georgia June 2000 - April 2004
Skills
Leadership, Strategic Planning, Medicaid, Managed Care, Healthcare, Health Insurance, Community Outreach, Public Speaking, Customer Service, Microsoft Office, Medicare, Case Management, HIPAA, Utilization Management, Health Policy, Healthcare Management, Disease Management, Insurance, Provider Relations, Long-term Care
Education
University of Phoenix 2002 — 2004
Master of Arts (M.A.), Organizational Management
Mercer University 1999 — 2002
Bachelor's of Science, Human Services, General
WellCare April 2013 - Present
Allstate March 2012 - March 2013
MMO July 2009 - May 2011
Skills
Customer Service, Health Insurance, Medicare
Education
McNeese State University 2002 — 2006
BS, General Studies
Molina Healthcare 2014 - Present
Avalon Healthcare Solutions November 2013 - June 2014
WellCare January 2013 - November 2013
Blue Cross Blue Shield of Minnesota April 2012 - January 2013
WellCare March 2011 - March 2012
Amerigroup Corporation May 2009 - March 2011
Skills
Utilization Management, Healthcare, HEDIS, Healthcare Consulting, Quality Improvement, Medicine, Healthcare Information..., Healthcare Management, Medicare, Managed Care, Disease Management, HIPAA, NCQA, Medicaid, Health Insurance
Education
Loyola University New Orleans 2009 — 2011
Masters, of Science in Nursing
University of St. Francis 2004 — 2007
Bachelor, Nursing
Park Center High School
Maxim Healthcare Services July 2015 - Present
Molina Healthcare March 2015 - May 2015
OccuVAX September 2014 - December 2014
Insight Global, December 2013 - May 2014
WellCare December 2011 - August 2013
WellPoint July 2006 - 2011
Community CarePlus September 2005 - July 2006
Community CarePlus 2000 - 2001
Skills
Insurance, Claim, Employee Benefits, SDLC, Underwriting, Business Analysis, Disability Insurance, HEDIS, Quality Improvement
Education
Maryville University of Saint Louis 2002 — 2005
Masters Health Administration, Health/Health Care Administration/Management
Maryville University of Saint Louis 1993 — 1996
Bachelor of Science (BS), Healthcare Management
Primerica Financial Services August 2007 - Present
WellCare 2003 - August 2007
Lutheran Social Services of Illinois 2001 - 2003
Client 2001 - 2001
Education
National Louis University 1997 — 2003
B.A., Psychology/Human Services
Coventry Health Care October 2010 - Present
WellCare February 2005 - October 2010
Education
Miami Dade College
United HealthCare Community Plan June 2014 - Present
HealthPlus Amerigroup June 2011 - August 2013
United Healthcare October 2010 - June 2011
WellCare August 2008 - February 2010
Skills
Medicare, Network Development, Health Insurance, Managed Care, HIPAA, HMO, Provider Relations, Healthcare, Healthcare Management, Team Building, Strategic Planning, Customer Service, Sales Process, Healthcare Industry, Leadership, Insurance, Health Policy, Process Improvement, EHR, Medicare Part D, Hospitals, Disease Management, PPO, Employee Benefits, Utilization Management, Long-term Care, Credentialing, Healthcare Consulting, Health Care Reform, Disability Insurance, Healthcare Information..., Health Savings Accounts, Medical Compliance, Pharmacy Benefit..., Physician Relations, Revenue Cycle, Training, Home Care, Physicians
Education
Mercy College 2001 — 2006
Business Administration, Concentration Management
North Shore-LIJ Health System Franklin Hospital September 2013 - Present
WellCare September 2013 - May 2014
North Shore-LIJ Health System Southside Hospital November 2010 - September 2013
Lutheran Long Term Home Health Care Program 2009 - 2012
Visiting Nurse Association of Long Island September 2003 - March 2009
North Babylon School District September 1998 - June 2007
Good Samaritan Home Care 1995 - May 2000
Winthrop-University Hospital September 1984 - January 1995
Skills
Nursing, Utilization Management, Med/Surg, Home Care, Discharge Planning, BLS, Medical/Surgical, Utilization Review, Acute Care, Inpatient, Patient Advocacy, Nursing Education, Registered Nurses, Telemetry, Disease Management, Hospitals, Medicine, Palliative Care, Home Health Agencies, Healthcare, Critical Care, Patient Safety, Wound Care
Education
Molloy College 1978 — 1984
Bachelor of Science, Nursing
Aetna May 2013 - Present
Amerigroup Corporation January 2010 - May 2013
Healthfirst March 2009 - January 2010
Centerlight Health System March 2008 - March 2009
Touchstone Health May 2006 - January 2008
WellCare August 2003 - May 2006
Education
New York University 1999 — 2003
Bachelor of Arts (B.A.)
WellCare December 2012 - Present
Education
Marshall University
WellCare August 2007 - Present
American Stock Exchange May 1979 - May 2005
NAVY May 1974 - May 1978
Skills
Health Insurance, Employee Benefits, Insurance, Medicare, Disability Insurance, Health Savings Accounts, Term Life Insurance
Education
Monroe Community College 1986 — 1988
Associate's degree, MANAGEMENT ACCOUNTING
DEWITT CLINTON HS 1970 — 1974
WellCare December 2011 - Present
Brandon Regional Hospital August 2010 - December 2011
Skills
Medicaid, Medicare, Managed Care, Healthcare, Medicare Part D, Pharmacy Benefit..., Pharmacy, HIPAA, Disease Management, Pharmaceutical Industry, Hospitals, Healthcare Industry
Education
New England College 2004 — 2006
Master's degree, Management
Northeastern University 1983 — 1987
Bachelor's degree, Pharmacy