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
WellCare October 1997 - Present
Paramount Dental February 1996 - September 1996
PHP Health Plans January 1995 - February 1996
Unit Secretary June 1988 - December 1994
Skills
SDLC, Disaster Recovery, HIPAA, Visio, Vendor Management, Integration, SharePoint, IT Management
Education
Queens College 1980 — 1982
Computer Science
Flushing High School, NY 1976 — 1980
High School Diploma
Mahon Consulting Group, LLC May 2006 - 2014
Med-Fraud Solutions, Inc. January 2004 - January 2009
Wellcare 2004 - 2006
Aetna December 1985 - April 2004
Aetna 1989 - 1992
Skills
Fraud, Data Mining, Medicare, Managed Care, Healthcare, Data Analysis, Investigation, Insurance, Healthcare Industry, Certified Fraud Examiner, Health Insurance, Leadership, Analysis, Healthcare Consulting, Claim, Quality Assurance, HIPAA, Healthcare Management, Provider Relations, Health Policy, Claims Management, Public Speaking, Private Investigations, Litigation Support, Auditing, Compliance, Disease Management, Expert Witness, Billing, Fraud Investigations, Audit, Investigations, Claims, Documentation
Education
Rensselaer Polytechnic Institute at Hartford 1993 — 1996
Masters, Health Care Management
CSAA Insurance Group January 2015 - Present
self April 2013 - Present
Erie Insurance Group June 2014 - August 2014
Lord & Taylor June 2013 - December 2013
WellCare December 2004 - April 2013
Quintiles 2003 - 2004
Kansas City Southern Railway 2003 - 2003
Sprint 2000 - 2001
Missouri Gas Energy 1999 - 2000
Wells Fargo (orig First Security Bank) 1998 - 1999
Skills
COBOLII, HLASM, Unix, IBM Mainframe, JES2, ISPF, SDSF, SAS Base, SAS, COBOL, JCL, Testing, DB2, Teradata, SAS macros, Data Warehousing, Requirements Analysis, SDLC, Visio, TFS, Debugging Code, SQL, SQL Tuning, Mentoring, ESP scheduler, Databases, Data Modeling, CLIST, REXX, Oracle, Analysis, ETL, Quality Assurance, Data Integration, StarTeam, Endevor, Mainframe, Database Design, Data Management, Informatica, Endeavor, Data Mining, Toad, Programming, Systems Analysis, Data Analysis, Business Intelligence, TSO, PL/SQL, OLAP
Education
Purdue University 1964 — 1972
Bachelor of Science (BS), Biology Teacher Education
Purdue University Calumet 1973 — 1978
Master of Science (MS, ABD), Educational Leadership and Administration, General, 5.26/6.0
ECPI 1984 — 1985
Certificate, Computer Programming, A+
Ajilon 2012 - Present
Office Team April 2011 - September 2011
WellCare March 2005 - July 2009
Skills
General Office Skills, Customer Service
Education
Robert Morris College 1994 — 1997
Associate of Science (A.S.), Business Administration and Management, General
Preferred Marketing Consultants LLC June 2011 - Present
Cookie Jar of Hope Foundation January 2009 - Present
Family Physicians Group (FPG) June 2010 - June 2011
WellCare December 2003 - April 2010
GCG Financial July 2000 - August 2003
Humana 1995 - 2000
Skills
Microsoft Excel, Healthcare, Managed Care, Insurance, Health Policy, Long-term Care, Strategic Planning, Medicare, Team Building, Employee Benefits, Sales Management, Operations Management, Account Management, Process Improvement, New Business Development
Education
Penn State University 1977 — 1982
BS, Health Planning and Administration
Jabil May 2011 - Present
Accelerated Momentum, Inc. June 2008 - Present
WellCare June 2005 - May 2009
HSN August 2004 - June 2005
Capital One July 1998 - July 2004
Signature Group 1996 - 1998
Skills
Leadership, Marketing, Training, Team Building, Talent Management, Leadership Development, Management, Executive Coaching, Performance Improvement, Emotional Intelligence, E-Learning, Business Development, Coaching, Strategy, Organizational..., Performance Management, Succession Planning, HR Policies, Strategic Planning, Onboarding, Employee Relations, Career Development, Program Management, Start-ups, Human Resources, Change Management, Employee Training, Team Leadership, Mentoring, Employee Engagement, Training & Development
Education
Rollins College 1986 — 1990
BA, Organizational Communication
Kobie Marketing January 2014 - Present
BrandSurge/OvatioMarketing 2006 - 2014
WellCare 2011 - 2013
Advantage Sales & Marketing (PromoPoint Marketing) 2007 - 2010
Tampa Bay Times - Times Publishing Co 2005 - 2007
Gannett: Democrat and Chronicle 2003 - 2005
Eastman Kodak 1991 - 2001
Skills
Advertising, Marketing, Strategy, Strategic Planning, Integrated Marketing, Brand Management, Market Planning, Marketing Strategy, Management, Marketing Management, Sales Management, Public Relations, Marketing Communications, Social Media, Team Building, Creative Direction, Product Development, Account Management, Promotions, Leadership, Product Marketing, Competitive Analysis, Sales, Loyalty Programs, Loyalty Marketing, Brand Loyalty, Customer Loyalty, Loyalty Analytics, Customer Retention, Staff Retention, Retention Strategies, CRM, Social Media Marketing, Digital Marketing, Email Marketing, New Business Development
Education
Roberts Wesleyan College
Master of Science, Strategic Leadership
UnitedHealth Group 2012 - Present
Wellpoint Anthem BC/BS February 2010 - 2012
WellCare August 2007 - September 2010
Humana August 2005 - September 2007
Skills
Customer Service, Process Improvement, Team Building, Customer Satisfaction, Microsoft Office, Change Management, Project Management, Microsoft Excel, ITIL, Operations Management, Sales Management, Team Leadership, Sales, Strategic Planning, Health Insurance, Medicare, Healthcare, Call Centers, Leadership, Employee Benefits, Account Management
Education
Oklahoma State University
Bachelor of Science (BS), Business/Commerce, General
American College of Theology 1997 — 2000
Doctor of Philosophy (Ph.D.), Business Ethics & Principles.
OSU & Villanova 1965 — 1972
BS, Bus. Science & Adm.
Villanova University 1965 — 1968
Business/Managerial Economics
All Metro Health Care January 2015 - Present
3M Health Care April 2014 - December 2014
Treo Solutions October 2009 - April 2014
WellCare May 2009 - October 2009
WellCare January 2004 - May 2009
GHI January 2002 - January 2004
Skills
Program Management, Healthcare, Analytics, Medicaid, Health Policy, Managed Care, Healthcare Consulting, Medicare, Healthcare Management, Strategic Planning, Health Insurance, Healthcare Industry
Education
Pace University 1991 — 1993
MBA, Marketing
University of Vermont 1985 — 1989
BA, Economics
CareCentrix May 2015 - Present
Imagine Health March 2014 - April 2015
WellCare May 2012 - October 2013
WellCare December 2010 - May 2012
WellCare July 2006 - March 2010
HCA 2005 - 2007
Skills
Healthcare Management, Revenue Cycle Management, Healthcare Consulting, Medicare, Medicaid, Managed Care, Network Development, Population Health, Insurance, HIPAA, Provider Relations, Healthcare Industry, Health Insurance, Process Improvement, Healthcare, Claim, Leadership, Health Policy, Credentialing, Management, PPO, Healthcare Information..., Hospitals, EHR, Data Analysis, HMO, Physicians, Software Documentation, Team Building, EMR, Executive Management, Informatics, Medical Billing, Medical Coding, Medicare Part D, Performance Improvement, Physician Relations, Policy, Practice Management, Quality Improvement, Revenue Cycle, Utilization Management, Visio, Case Management, Claims Management, Strategic Planning, Training, Analysis, Access, Vendor Management
Education
University of Florida 2014 — 2016
Bachelor's degree, Health Care Administration/Management
Pasco-Hernando State College
Associate of Arts and Sciences (A.A.S.)
KEPRO July 2014 - Present
Oncure Medical Corp October 2012 - December 2013
Freedom healthcare February 2012 - June 2012
WellCare March 2009 - October 2010
Citrus Healthcare September 2007 - March 2009
Skills
Credentialing, Customer Service, Clerical Skills, Microsoft Excel, Microsoft Office, Receptionist Duties, Office Administration, HMO, Managed Care, HIPAA, Medical Billing, Data Entry, call center, creating correspondences, eCopy, Microsoft Word, Outlook, Medical Terminology, Managing files, Oral & Written..., Time Management, project management..., Filing, document scanner, Setting Appointments, Medical Records, Medicare, Healthcare Information..., Healthcare Industry
Education
Remington College 2006 — 2007
Medical billing and coding, medical billing and coding
Pentacostal Church of God 1988 — 2000
High school, High School/Secondary Diplomas and Certificates
John P. Feit, MBA, CHLC, CHC February 2015 - Present
John P. Feit, MBA, MSCIT, ASBC, CHLC, CEC August 2004 - Present
PharMerica Corporation March 2013 - May 2013
Franklin Templeton Investments April 2011 - September 2011
PSCU Financial Services April 2010 - July 2010
Motivano July 2009 - January 2010
WellCare August 2008 - May 2009
Jagged Peak, Inc. July 2007 - August 2008
Superior Uniform Group November 2005 - June 2007
St. Petersburg College January 2004 - December 2005
Skills
Business Analysis, Vendor Management, E-commerce, SDLC, Integration, Strategy, Project Management, Requirements Analysis, Leadership, Management, Business Intelligence, Analysis, Business Requirements, Training, Content Management, Business Process..., Consulting, Management Consulting, Software Development, Competitive Analysis, PMO, Quality Assurance, Project Planning, Strategic Planning, IT Management, Visio, Program Management, Cross-functional Team..., Security, Requirements Gathering, Operations Management, Business Strategy, Change Management, Process Improvement, User Acceptance Testing, User Interface Design, Business Objects, Data Analysis, Testing, Software Documentation, SEO, Web Design, Web Development, Web Project Management, Legal Research, Healthcare Information..., Digital Strategy, Cloud Computing, Life Coaching, Business Coaching
Education
Association of Accredited Small Business Consultants 2013 — 2013
Accredited Small Business Consultant, Small Business and Management Consultant, B+
Inquestra Learning 2009 — 2009
Business Systems Analysis Certificate (BSAC), Business Systems Analysis
Spencer Institute 2007 — 2007
Certificate, Certified Holistic Life Coach (CHLC)
Regis University 2000 — 2003
Master of Science (M.S.), Computer Information Technology (MSCIT), 3.94
St. Petersburg College 2002 — 2002
Certificate in Leadership and Supervision, Leadership and Supervision
SySoft Center for Software Excellence 2000 — 2000
Corporate Webmaster & E-Commerce Architect, SySoft 3000
Saint Leo University 1998 — 2000
M.B.A., Business Administration, Management and Operations, 3.76
University of Maryland University College 1989 — 1995
B.S., Psychology & Criminology/Criminal Justice, 3.67
The Investigative Institute 1991 — 1992
Certificates, Private Investigation, Advanced Private Investigation, Public Records Research
American Institute for Paralegal Studies 1984 — 1985
Certificate, Paralegal/Legal Assistant, A-
Health Integrated, Inc. April 2015 - Present
WellCare Health Plans June 2014 - January 2015
WellCare March 2013 - June 2014
The Home Association June 2012 - July 2012
Winter Haven Health and Rehab December 2011 - February 2012
Skills
Managed Care, Healthcare, Healthcare Management, Nursing, Hospitals, Medicare, Medicaid, HIPAA, Health Insurance, Home Care, Case Managment, Long-term Care, Patient Safety, Inpatient, Medical Records, BLS, Health Education, Healthcare Industry, Insurance, Quality Improvement, Team Building, Leadership, EHR, Medical Terminology, Employee Benefits, Disease Management, Utilization Management, Patient Advocacy, Acute Care, Nursing Education, Wound Care, JCAHO, ACLS, Workers Compensation, HMO, Patient Education, Rehabilitation, Credentialing, Medication..., Medical Compliance, Telemetry, ICD-9, Medicine, Behavioral Interviewing, Recruiting, HEDIS, Elder Care, Medical/Surgical, Critical Care, Physicians
Education
Polk Community College 1998 — 2000
Associate of Science (A.S.), Registered Nursing/Registered Nurse
WellCare June 2012 - Present
WellCare August 2011 - June 2012
WellCare May 2008 - August 2011
WellCare July 2007 - May 2008
Aon Consulting May 2000 - July 2007
Skills
Medicare, Medicaid, Healthcare, Compliance, Strategic Planning, Marketing Communications, Health Insurance, Managed Care, Insurance, Healthcare Management, Provider Relations, Account Management, Problem Solving, Cross-functional Team..., Network Development, HIPAA, Hospitals, Training, Marketing, Healthcare Information..., Healthcare Consulting, Management, Business Development, Leadership, Team Building, HMO, Credentialing, Health Policy, Healthcare Industry, Process Improvement
Education
Ohio University
Business Administration and Management, General
hCentive, Inc. March 2013 - Present
Outlook Associates June 2011 - February 2013
hCentive 2013 - 2013
hCentive, Inc. 2013 - 2013
Outlook Associates February 2010 - May 2011
CareFirst FEPOC July 2009 - February 2010
WellCare February 2009 - July 2009
Fox Systems November 2008 - February 2009
ACS July 2008 - October 2008
ACS Healthcare Solutions March 2007 - June 2008
Skills
Requirements Analysis, Medicaid, Software Documentation, HIPAA, Healthcare Information..., SDLC, EDI, Business Analysis, ICD-9, ICD-10, EDI 4010A1, EDI 5010 TR3, NCPDP, HL7, ESB, SOA Governance, HIT, HIE, Health Information..., Healthcare, Business Requirements, Enterprise Architecture, Business Process, Process Improvement, Program Management, Vendor Management, Integration, PMP, SharePoint
Education
University of Maryland University College 2012 — 2014
Master of Business Administration (MBA)
Osmania University 1993 — 1997
Bachelors of Engineering, CIVIL
St. Theresas High School
Optum November 2013 - Present
WellCare March 2013 - November 2013
WellCare August 2011 - March 2013
WellCare June 2008 - August 2011
EDS Group March 2003 - April 2008
Skills
Database Administration, Salesforce.com, Business Analysis, Visio, SDLC, SharePoint, Requirements Analysis, Access, Process Improvement, SQL, Business Process, Data Analysis, MS Project, Analysis, Healthcare, Documentation, Databases, Application Development, Project Planning, Process Engineering, Systems Analysis, Business Process..., Program Management, Problem Solving, Vendor Management, Excel, PL/SQL, Integration, Database Design, Microsoft Office, Business Objects, Project Management, Microsoft Excel, Healthcare Information..., Healthcare Industry, Healthcare Information..., Software Project..., Business Intelligence, Software Development, Software Documentation, CRM, Microsoft SQL Server, Enterprise Architecture, PMP
Education
University of South Florida 2001 — 2002
Masters, Management of Information Systems
Old Dominion University 1997 — 2001
BA, Information Systems
Independent April 2008 - Present
MechoShade Systems, Inc. October 2006 - April 2008
WellCare January 2004 - October 2006
Skills
Negotiation, Event Planning, Microsoft Office, Social Media, Sales Management, Strategic Planning, Entrepreneurship, Start-ups, Recruiting, Team Building, Human Resources, HR Consulting
Education
Queens College 2007 — 2012
BA, Psychology
FHHS
Evolent Health August 2014 - Present
WellCare Health Plans January 2014 - August 2014
WellCare March 2013 - January 2014
Universal Health Care January 2013 - March 2013
Network Health November 2011 - January 2013
Network Health June 2010 - November 2011
Rochester Institute of Technology August 2010 - May 2011
Smart Destinations, Inc. May 2009 - July 2010
Rochester Institute of Technology February 2009 - May 2009
Leveraging Technology, Inc December 2008 - March 2009
Education
Rochester Institute of Technology 2006 — 2010
BS, Marketing
WellCare Health Plans December 2014 - Present
WellCare November 2012 - December 2014
Humana October 2010 - November 2012
Humana November 2004 - October 2010
WebMD 1999 - 2005
Columbia HCA / CCN 1997 - 1999
HPR INC 1995 - 1997
Ortho-McNeil Pharmaceutical 1990 - 1995
Minolta Business Systems 1989 - 1990
Skills
Strategic Planning, Healthcare, Healthcare IT, Sales Management, Account Management, Strategic Leadership, Team Leadership, Relationship Development, Emotional Intelligence, Managed Care, Sales, Contract Negotiation, Marketing, Health Insurance, Employee Benefits, Fundraising, Healthcare Information..., Insurance, Business Development, Management, Leadership, New Business Development, Marketing Strategy, Sales Operations, Strategy, Executive Management, Team Building, Health Policy, Brokers, Customer Retention, Health Savings Accounts, HMO, Health Care Reform, PPO, Healthcare Industry, Disability Insurance, Network Development
Education
Northern Illinois University 1985 — 1989
BS, Economics
WellCare Health Plans August 2014 - Present
WellCare March 2013 - Present
WellMed Medical Management January 2012 - February 2013
Community First Health Plans February 2011 - January 2012
Health First October 2010 - February 2011
Health First January 2010 - October 2010
Health First August 2009 - January 2010
Lakeland Funeral Home June 2006 - May 2008
Skills
Healthcare IT, Process Improvement, Data Integrity, Quality Assurance, Documentation, Project Management, Project Coordination, Microsoft SQL Server, XML Scripting, Healthcare Information..., Software Documentation, Business Intelligence, SQL, Management, EMR, Hospitals, Visio, Medicaid, Managed Care, Vendor Management, Health Information..., Strategic Planning, Microsoft Office, Team Building, System Administration, Health Insurance, Integration, Software Project..., Software Development, Data Analysis, Change Management, Healthcare Consulting, Project Planning, Analysis, Business Analysis, Healthcare, HIPAA, Training, Access, SDLC, Business Requirements, SharePoint, Business Process..., Revenue Cycle, Medicare, EHR, Healthcare Management, HL7, Informatics, MS Project
Education
University of Phoenix 2012 — 2014
Master of Business Administration (MBA), Project Management, 3.7
University of Phoenix 2009 — 2011
Bachelor of Science, Healthcare Information Systems
University of Phoenix 2007 — 2009
Associates of Arts, Healthcare Administration
Polk Community College 2002 — 2004
NA, Nursing
Ultimate Health Plans January 2013 - Present
Universal Health Care January 2012 - January 2013
WellCare April 2010 - January 2012
WellCare August 2008 - April 2010
WellCare December 2006 - August 2008
WellCare October 2006 - December 2006
WellCare October 2005 - October 2006
WellCare April 2005 - October 2005
Jeld-Wen January 2004 - April 2005
Puget Sound Naval Shipyard September 1998 - November 2002
Skills
Visio, Medicare, Data Analysis, Insurance, PowerPoint, Problem Solving, Excel, Outlook, Team Building, Managed Care, Word, Compliance, Access, Microsoft Office, Data Entry, Health Insurance, Medicaid, Documentation, Research, Analysis, Business Analysis, Microsoft Word, Microsoft Excel, HIPAA, Healthcare, Healthcare Industry, Process Improvement, Software Documentation, HMO, Leadership, Training, Provider Relations, Claim
Education
Hillsborough Community College 2009 — 2011
AA, Business Administration
Olympic College 1998 — 2001
AAS, Industrial Trades - Nuclear Mechanics
Tacoma Community College 1994 — 1996
AA, Humanities
University of South Florida
Bachelor of Business Administration (B.B.A.), Accounting and Finance
Healthfirst June 2013 - Present
WellCare December 2011 - June 2013
Health Net (Health Net of the Northeast - Acquired by UnitedHealthcare in 2009) April 2008 - April 2011
Health Net (Health Net of the Northeast - Acquired by UnitedHealthcare in 2009) April 2006 - April 2008
Ryan Community Health Network / CenterCare July 1999 - January 2006
Skills
Macess, Xcelys, Managed Care, Provider Relations, Medicare, Medicaid, Health Insurance, HMO, Network Development, Healthcare, Healthcare Management, Project Management, ICD-9, Insurance, Recruiting, Health Policy, Employee Benefits, Medical Coding, EMR, Clinical Research, Quality Improvement, Home Care, Healthcare Consulting, Interviews, Healthcare Information..., Contract Negotiation, Medical Billing, Medicaid Managed Care, PPO, Physician Relations, NCQA, HIPAA, Hospitals, CPT, Medical Terminology, Policy, Medicare Part D, Long-term Care, Human Resources, Case Managment, Healthcare Industry, Health Plan Operations, Physicians, Medical Compliance
Education
State University of New York College at Purchase 1989 — 1993
Bachelor of Arts, Literature
Rasmussen College January 2014 - Present
Strayer University November 2009 - December 2013
Progressus Therapy November 2007 - June 2009
WellCare January 2007 - December 2007
Office Depot September 2005 - December 2006
Nortel Networks January 2000 - September 2005
Siemens Communications January 1999 - December 1999
Bay Networks July 1995 - December 1998
Fidelity Investments January 1994 - June 1995
Skills
Applicant Tracking..., Talent Acquisition, Onboarding, College Recruiting, Educational Leadership, Adult Education, Global Sourcing, Student Recruiting, Recruiting Management, Career Education, Recruiting, Coaching, Career Development, Team Building, Hiring, Staffing Services, Employee Relations, Interviews, Deferred Compensation, Technical Recruiting, Human Resources, Talent Management, Leadership Development, Organizational..., Employee Benefits, Succession Planning, Conflict Resolution, Benefits Administration, Change Management, Workforce Planning, Performance Management, Leadership, Employee Engagement, Personnel Management, Temporary Staffing, Management, Training, Temporary Placement, New Hire Orientations, Time Management, Taleo, Resume Writing, Career Counseling, Internet Recruiting, Employee Training, Job Fairs, Strategy, Staff Development, HRIS, Job Coaching
Education
University of New Hampshire 1977 — 1980
BSBA, Business Administration
Providence College 1976 — 1977
Accounting
Tolman High School 1974 — 1976
college Prep
Beaconverge Consulting September 2015 - Present
Lucid Analytics 2003 - September 2015
AT&T March 2014 - August 2015
Jumpstart Automotive Group 2010 - 2011
Philadelphia Housing Authority 2008 - 2010
Sprint November 2007 - 2008
WellCare 2003 - 2005
LabOne 1994 - 2001
Trans World Airlines 1988 - 1990
Skills
ETL, SQL, SAS, SAS programming, Data Analysis, Business Intelligence, Business Analysis, Analysis, Analytics, Business Analytics, Business Process..., Data Integration, Data Management, Data Mining, Data Modeling, Data Warehousing, Databases, Enterprise Architecture, Enterprise Software, Integration, OLAP, Predictive Analytics, Process Improvement, Requirements Analysis, Requirements Gathering, SDLC, Software Development, Software Project..., Solution Architecture, Unix
Education
University of Texas at Dallas 1990 — 1994
MBA, Business Administration
Oklahoma State University 1982 — 1986
BS, Industrial Engineering and Management
Valicor February 2011 - Present
WellCare August 2010 - January 2011
Enerfab 2009 - 2009
Skills
Event Planning, Marketing Communications, Marketing, Community Outreach, Social Media, Sales, PowerPoint, Social Media Marketing, Event Management, Customer Service, Sports Marketing, Leadership, Facebook, Microsoft Office, Microsoft Word, Public Relations, Microsoft Excel, Account Management, Management, Social Networking, Market Research, Marketing Strategy, Public Speaking, Time Management, Outlook, Data Analysis
Education
Thomas More College 2013 — 2015
Master of Business Administration (M.B.A.), Business Administration and Management, General, 3.75 GPA
Northern Kentucky University 2006 — 2010
Bachelor of Science (B.S.), Marketing/Marketing Management, General
Moeller High School 2002 — 2006
Geographic Solutions, Inc. November 2013 - Present
WellCare November 2012 - May 2013
MedRisk, Inc. October 2011 - September 2012
Lockheed Martin July 2003 - December 2011
Lockheed Martin August 2000 - July 2003
GHR Systems March 2000 - July 2000
Honeywell August 1997 - December 1999
Lockheed Martin October 1992 - July 1997
Skills
Documentation, Development Tools, Root Cause Analysis, Functional..., Software Configuration..., Build Engineering, Release Engineering, Unit Testing, Systems Engineering, Software Documentation, Requirements Management, Databases, Testing, ClearQuest, Software Development, Integration, Software Implementation, ClearCase, Configuration Management, Solaris, Requirements Analysis, Test Planning, Visual Studio, Unix, Regression Testing, Program Management, IIS, Process Improvement, Windows Server, VMware, Software Quality..., Web Applications
Education
Southern Polytechnic State University 1993 — 1999
MS, Computer Science
Rochester Institute of Technology 1986 — 1992
BS, Computer Engineering Technology
Chaminade High School
Optum at United Health Group (UNH) September 2011 - Present
Universal American January 2009 - August 2011
WellCare February 2004 - January 2009
Sitel August 1999 - January 2004
Bank of America August 1993 - January 1998
Skills
Strategic Planning, Call Centers, Healthcare, Acquisition Integration, Operations Management, Process Improvement, Vendor Management, IT Strategy, Leadership, Program Management, Cross-functional Team..., Customer Service, Six Sigma, Customer Experience, Call Center, Business Process..., Team Building, Team Leadership, Business Analysis, Analytics, Managed Care, Enterprise Software, Business Intelligence, Strategy, Leadership Development, Change Management, Performance Management, Medicare
Education
Northwestern University - Kellogg School of Management
Master of Business Administration (MBA)
University of South Florida
BA, Mass Communications
First Coast Service Options, Inc. July 2012 - Present
Jackson Health System January 2012 - Present
WellCare June 2011 - January 2012
WellCare Health Plans,Inc December 2009 - June 2011
Wellcare Health Plan January 2008 - December 2009
Florida Hospital East August 2007 - December 2007
Florida Hospital February 2007 - December 2007
Florida Hospital East July 2007 - August 2007
GOOD SAMARITAN HOSPITAL February 2006 - August 2006
PERSONAL NETWORK INDPENDENCE November 2005 - August 2006
Skills
Compliance, Medicare, Managed Care, Supervisory Skills, Auditing, Policy, Training, Access, Healthcare
Education
Nova Southeastern University 2009 — 2010
Master of Business Administration Degree, 2010
University of Central Florida 2006 — 2007
Bachelor of Science Degree, Health Information Management; 2007
Palm Beach Community College 2000 — 2006
Associate of Art, 2004
Physician Business Services, LLC December 2009 - Present
CIGNA Healthcare April 2008 - December 2009
Great-West Healthcare November 2007 - April 2008
WellCare February 2007 - October 2007
CIGNA Behavioral Health August 2005 - February 2007
Skills
Provider Relations, Managed Care, Medicare, Healthcare, Healthcare Industry, Healthcare Management, Insurance, Claim, Hospitals, Health Insurance, Network Development, HIPAA, Medicaid, Contract Negotiation, Customer Service, Medical Billing, Credentialing, Policy, Healthcare Information..., Physicians, Training, PPO, Management, Employee Benefits, Healthcare Consulting, Behavioral Health, Leadership, Health Policy, Process Improvement, Revenue Cycle, HMO, Medical Compliance, Public Speaking, Case Managment, Quality Improvement, Physician Relations, Program Development, Pharmacy Benefit...
Education
Nova Southeastern University 1998 — 2000
MBA, Business Administration and Management, General
University of South Florida 1990 — 1994
Bachelor of Arts (B.A.), Psychology
Colegio Santiago Apostol 1978 — 1990
High School Diploma
Abacus Squared, LLC 2010 - Present
The Mosaic Company 2012 - 2012
PCSB 2004 - 2011
WellCare 2003 - 2004
Kforce Inc. 2002 - 2004
Bunch and Associates, Inc February 2001 - October 2002
Mahendran Systems 2001 - 2002
Publix Supermarkets August 2000 - February 2001
AHOLD, BI-LO Supermarkets January 1998 - August 2000
Skills
SAP, FM, Business Process, SAP R/3, EDI, Requirements Analysis, Business Requirements, Accounting, Analysis, Business Analysis, ERP, Integration, Project Implementation, Visio, SDLC, Process Improvement, Systems Analysis, MS Project, Business Process Design, Business Process..., Gap Analysis, Team Leadership, Vendor Management, User Acceptance Testing, Documentation, Software Project..., Requirements Gathering, Program Management, Project Management, Management, Solutions engineeer, Sales Executive Level 1, IT Management, Business Intelligence, ITIL, Cross-functional Team..., SharePoint, IT Strategy, Oracle, Software Documentation, Consulting, Software Development
Education
Pennsylvania State University
MBA - IP, MIS
Pennsylvania State University-Erie Campus
BS, Accounting
University of South Florida
www.zaasti.com
CBAP
WellCare January 2014 - Present
Florida Virtual School November 2010 - May 2013
Kaplan University April 2009 - November 2010
Liberty Mutual Insurance September 2008 - April 2009
Intercept IT 2004 - 2005
Skills
Employer Branding, Human Capital, Recruitment Advertising, Staff Development, Instructional Design, Applicant Tracking..., Distance Learning, Interviews, Temporary Placement, Team Leadership, Curriculum Design, Human Resources, Training, Career Counseling, Recruiting, Talent Acquisition, Leadership, Personnel Management, E-Learning, Leadership Development, Employee Training, Learning Management..., College Recruiting, Onboarding, Team Building, Employee Relations, Management, Talent Management, Organizational..., Resume Writing, Adult Education, Networking, Learning Management, Project Management, Career Development
Education
Rollins College
Master, Human Resources
Health Care Center for the Homeless/Orange Blossom Family Health Center November 2013 - Present
Physicians United Plan August 2011 - January 2013
Purdue University I-HITEC September 2010 - July 2011
Purdue University September 2007 - August 2010
WellCare November 2002 - February 2007
Surgient May 2000 - November 2002
Data Race, Inc. 1995 - 2000
Skills
Security, ERP, PBX, VoIP, HIPAA, Data Center, Disaster Recovery, Business Continuity, Telecommunications, ITIL, EHR, Vendor Management, Management, Process Improvement, Project Management, Change Management, Software Documentation, Integration, Visio, Network Administration, Business Strategy, Information Technology, Computer Security, Information Security, Program Management, Business Analysis, Healthcare Information..., Cisco Technologies, IT Strategy, IT Management, SharePoint, IT Operations, SDLC, System Administration, Enterprise Architecture
Education
Purdue University 2008 — 2010
BA, Psychology, English
TIBCO Software September 2010 - Present
Alberta Investment Management Corporation (AIMCo) 2011 - 2013
Infinite Business Solutions April 2009 - August 2010
Fogg and Fogg, Inc. June 2007 - April 2009
WellCare July 2004 - June 2007
Eckerd May 2003 - July 2004
Software Architects, Inc. August 1994 - July 2004
Nielsen Media Research April 2003 - May 2003
Workers Temporary Staffing March 2003 - April 2003
Evatone, Inc. March 2003 - March 2003
Skills
Architecture, .NET, IT Governance, BPMN, SOA, Enterprise Architecture, UML, Web Services, XML, RUP, SQL, OOP, TOGAF, Distributed Systems, Knowledge Management, Process Development, C#, IT Strategy, EAI, Business Management, Java, C++, Business Architecture, Visual Studio, SOA Governance, Agile, SQL Server, Middleware, ESB, Application Architecture, ASP.NET, WCF, OOAD, Integration Architecture, Software Engineering, Architecture Frameworks, Solution Architecture
Education
Rensselaer Polytechnic Institute 1977 — 1981
Bachelor of Science (BS), Aerospace, Aeronautical and Astronautical Engineering
UnitedHealth Group December 2013 - Present
Physician Partners March 2012 - December 2013
WellCare February 2011 - March 2012
Amedisys Home Health February 2010 - February 2011
Community Services February 2005 - February 2010
Boston University September 2004 - September 2005
Community Family Adult Day Health September 1997 - August 2004
Mt. Auburn Hospital January 1990 - January 1997
Skills
Nursing, Acute Care, Medicare Advantage, Medicaid Managed Care, Chronic Care Management, Disease Management, Chronic Illness, Medical/Surgical, Chemotherapy, Oncology, Home Care, Research, Nonprofits, Medical Records, Medical Transcription, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Healthcare, Community Outreach
Education
Lawrence Memorial Hospital School of Nursing 1987 — 1990
Nursing Diploma, Nursing
Regis College 1987 — 1990
BSN Candidate, Nursing
WellCare February 2012 - Present
University of Rochester Medical Center February 2010 - July 2011
Excellus Inc January 1995 - November 2005
Excellus Inc January 1988 - January 1995
Drexel Burnham Lambert Inc January 1986 - January 1988
Skills
Dedicated to supporting..., Effective..., Experienced analyst of..., Experienced health plan..., Technical..., CMS Audit MRR , P4P QI..., Health Insurance..., Human Subjects..., Fellow Academy of..., NYS Health Insurance..., •Base SAS, SAS SQL,..., •Proficient with large..., •MS Office Suite..., Membership & billing,..., CMS 1500, UB92, 5010,..., Cost control programs:..., CMS & AMA coding...
Education
Rochester Institute of Technology
School, Computer Science and Technology
Western Michigan University
Master of Arts, Applied Behavior Analysis
Columbia University
Bachelor of Arts, Psychology
The Depository Trust & Clearing Corporation 2013 - 2014
WellCare October 2012 - May 2013
Lime Light CRM May 2010 - September 2012
HealthPlan Services April 2008 - May 2010
Ensemble Chimes Global February 2007 - January 2008
Chimes September 2005 - February 2007
Compuware - Vantage Group September 2004 - September 2005
General Motors - Technical Education Program January 2003 - January 2004
Compuware 2002 - 2003
Skills
SQL, MySQL, PHP, AJAX, JavaScript, CSS, XML, Databases, Ruby on Rails, Oracle, Software Development, Unix, Testing, SDLC, Apache, jQuery, Web Services, Web Development
Education
Oakland University 2000 — 2004
Bachelor of Science (BS), Management Information Systems, General
Aetna July 2015 - Present
Consolidated Healthcare Solutions January 2010 - July 2015
Summacare August 2013 - November 2014
Ohio State University Extension May 2013 - August 2013
WellCare July 2012 - November 2012
Automated Health Systems November 2010 - June 2012
CareSource Management Group August 2009 - February 2010
Humana November 2005 - August 2009
Columbia Sportswear Co August 1999 - January 2005
Levi Strauss & Co. 1994 - 1999
Skills
Merchandising, Insurance, Medicare, Healthcare, Medicaid, Strategic Planning, Customer Service, Customer Relations, Public Relations, Problem Solving, Public Speaking, Microsoft Office, Event Planning, Marketing Strategy, Product Development, Account Management, Compliance, Team Building, Sales Management, Supervisory Skills, Coaching, Spanish, Advertising, Hiring, Promotions, Non-profits, Event Management, Retail, English, Word, Administration, Marketing, Recruiting, Customer Satisfaction
Education
Defiance College 1979 — 1982
Social Work
Owens Community College
Business, Management, Marketing, and Related Support Services, 3.87
Owens Community College
Tinora High School
Magellan Health Services August 2010 - Present
Voice of Distress Relieved June 2010 - Present
Oasis Counseling October 2007 - Present
WellCare 2010 - 2010
Tampa Bay Academy May 2006 - February 2009
Friends of Children May 2003 - February 2006
Skills
Mental Health, Adolescents, Stress Management, Mental Health Counseling, Counseling, Treatment, Psychotherapy, Case Management, Social Services, Behavioral Health, Crisis Intervention, Group Therapy, Program Development, Anger Management, CBT, Community Outreach, Supervisory Skills, Personal Development, Non-profits, Medicaid, Utilization Management, Nonprofits, Fundraising, Family Therapy
Education
Nova Southeastern University 2000 — 2002
MS, Mental Health Counseling
University of Florida 1995 — 1998
BS, Psychology
Plantation High School 1992 — 1995
High School Diploma, General Education
Boston Government Services December 2014 - Present
SCI Consulting March 2009 - January 2015
WellCare 2007 - 2008
ERA/Keller Williams 2005 - 2007
Kenda Systems 2001 - 2005
TMP Worldwide 2000 - 2001
Anthem 1997 - 2000
Freight Master Systems 1996 - 1997
Skills
Analytical Skills, Technical Support, Troubleshooting, Organization, Desktop Administration, Software Installation, Remote Desktop, Windows 7 Migration, Printers, Cisco VPN, Online Research, Desktop Computers, Help Desk Support, Networking, Microsoft Exchange, Active Directory, Windows XP, Databases, Servers, SDLC, Business Analysis, Information Technology, SQL
Education
Purdue University 1994 — 1997
AS Science, Computer Technology
WellCare Health Plans February 2015 - Present
WellCare October 2012 - February 2015
Citi April 2012 - September 2012
Citi February 2010 - May 2012
Citi July 2008 - February 2010
Citi February 2007 - June 2008
Skills
Visio, SQL, Microsoft SQL Server, SDLC, VBA, VBScript, Visual Basic, Visual Studio, Software Development, VB.NET, Microsoft Office, Software Documentation, Requirements Analysis, Access, Microsoft Excel, Requirements Gathering, Analysis, C++, Java, Networking, Macro, C#, Excel Programming, CSS, Testing, Crystal Reports, Databases, Outlook, PHP, MySQL, Objective-C, iPhone Application..., HTML, Scripting, Command Prompt, System Testing, Regression Testing, Android Development, Access Programming, Systems Automation, Microsoft XNA Framework, XML, Autosys, Quick Test Professional, JavaScript, OpenGL, Big Data, Hadoop, Business Analysis, UNIX
Education
Rasmussen College-Florida 2012 — 2015
Bachelor's degree, COMPUTER SCIENCE, 3.75
Rasmussen College-Florida 2012 — 2013
Associates of Science, Software Application Development, 3.52
Rasmussen College-Florida 2012 — 2013
College Certificate, Software Application Development, 3.41
University of South Florida 2002 — 2006
Bachelor's degree, MAJOR: Political Science. MINOR: Business Administration, 3.3
WellCare July 2007 - January 2013
Horizon Bay Retirement Living March 2003 - June 2007
Heidrick & Struggles 1989 - 2002
Prudential-Bache Capital Funding 1986 - 1988
Skills
Medicare, Health Insurance, Medicaid, Managed Care, HIPAA, Healthcare, Outlook, Insurance, Process Improvement, Healthcare Management, Administrative..., Access, Microsoft Excel, PeopleSoft, Visio, Provider Relations, Microsoft Office, Software Documentation, Employee Benefits, Team Building, Management, Public Speaking, Human Resources
Education
Robert Morris University - Illinois 1986 — 1987
Freedom Health February 2014 - Present
WellCare October 2009 - February 2014
Humana November 2000 - May 2005
Skills
Insurance, Leadership, Microsoft Excel, Process Improvement, Training, Team Building, Business Analysis
Education
Oakland University
Bachelor of Science (BS), Elementary Education and Teaching
Capital One November 2011 - Present
WellCare July 2011 - October 2011
ExaFort January 2011 - May 2011
University of New Orleans August 2008 - August 2010
Gray & Company, Inc. June 2009 - August 2009
Skills
Java, SQL, Web Services, Eclipse, Force.com, Oracle, Unix, C#, XML, Microsoft SQL Server, C, Requirements Analysis, .NET, Visual Studio, Agile Methodologies, PL/SQL, Linux, Visual Basic, Visio
Education
University of New Orleans 2008 — 2010
Master of Science (M.S.), Computer Science
Osmania University 2003 — 2007
Bachelor of Engineering (B.E.), Computer Science
Independent Insurance Agent October 2013 - Present
WellCare June 2012 - October 2013
Soaring In The Spirit Ministry March 2011 - May 2011
Congregations Caring for Children and Families June 2009 - March 2010
New York Life Insurance Company June 2006 - February 2009
Skills
Networking, Team Building, Life Insurance, Customer Service, Insurance, Community Outreach, Nonprofits, Coaching, Leadership Development, Teamwork, Leadership, Public Speaking, Training, Health Insurance, Marketing, Event Planning, Fundraising
Education
Ottawa University 2009 — 2011
B.A., Business Administration
American Baptist College 1987 — 1989
3 years toward a Bachelor's Degree in Theology, Theology
Disability Experts Of Florida June 2015 - Present
Medicaid Eligibility & Denial Solutions (MEDS) 2014 - 2015
WellCare September 2014 - November 2014
Adreima August 2011 - January 2013
CRS Medical Benefits Inc April 1997 - December 2010
Emdeon Practice Services formerly WebMd April 2004 - July 2006
Skills
Social Services, Social Security..., Public Policy, Healthcare, Policy Analysis, Increasing Revenue, medicaid, Public Relations, Government Relations, Documentation, Account Management, Microsoft Office, Logistics, Inventory Management, Training & Development, Medicaid, Software Documentation, Individual Assessment, Charity Governance, Team Leadership, Software Installation, Website Development, Claim, Policy, Medical Records, Medicare, Appeals, Revenue Cycle, HIPAA, Legal Research, Customer Service, Employee Benefits, Legal Writing, Public Speaking, Employee Training, Management, Leadership, Community Outreach
Education
Keiser University, Paralegal Studies 2003-2005Pasco-Hernando Community College 2004 — 2006
Paralegal Studies
Pasco-Hernando State College 1990 — 1991
Clinical Psychology
Hernando High School 1987 — 1989
Diploma, Business/Managerial Economics
WellCare Health Plans August 2014 - Present
WellCare March 2013 - Present
ValueOptions March 2012 - February 2013
ValueOptions August 2008 - March 2012
Shands Jacksonville July 2007 - August 2008
Agency For Health Care Administration-Medicaid November 2004 - July 2007
Agency for Health Care Administration (AHCA) August 2001 - November 2004
Agency for Health Care Administration (AHCA) March 1998 - August 2001
Skills
Strategic Partnerships, medicaid expansion, Medicaid Managed Care, Innovation Development, Telehealth, Mental Health, Sales Operations, New Business Development, Team Leadership, Team Management, Marketing Strategy, Public Health, Medicare/Medicaid..., Corporate Communications, New Business Procurement, Healthcare, Behavioral Health, Strategy, Provider Relations, Medicaid, Medicare, Leadership, Program Development, Management, Recruiting, Training, Managed Care, Health Policy, Quality Improvement, Process Improvement, HMO, Network Development, CRM, Healthcare Management, Public Relations, Physicians, Contract Negotiation, Project Management, Strategic Planning, Healthcare Industry, Utilization Management, Budgets, Healthcare Consulting, Disease Management, HIPAA, Physician Relations
Education
Ohio University 1986 — 1990
Journalism, Communication and Media Studies
Vermilion High School 1982 — 1986
High School Diploma
Wellcare March 2015 - Present
Corinthian Medical IPA August 2013 - Present
Fidelis Care November 2012 - December 2012
Amidacare October 2011 - August 2012
Office Team/Memorial Sloan Kettering Cancer Center July 2009 - March 2010
New York-Presbyterian Community Health Plan April 2008 - March 2009
Temporary Excellence November 2006 - March 2008
Skills
Healthcare, Microsoft Office, HIPAA, Customer Service, Data Entry, Administrative Office..., Medicaid, Bilingual-English/Spanis..., Office Organizing, HMO, Managed Care, Healthcare Management, Access, Medicare, Clerical Skills, Outlook, Employee Benefits
Education
Plaza College 2004 — 2006
Associate Degree, Information Science
Plaza College 2004 — 2006
ASSOCIATE DEGREE; High School, INFORMATION SCIENCE; 2004
Verifone June 2015 - Present
WellCare Health Plans March 2013 - May 2015
WellCare Health Plans September 2010 - March 2013
WellCare September 2007 - September 2010
CATscan2000 October 2000 - October 2002
Skills
Microsoft Office, SharePoint, Oracle Financials, Imaging, Unclaimed Property, 1099s, Tracker, Image Now by Lexmark, Ryan Tracker, Property, Digital Imaging, Lotus Notes, Expenses, Invoicing, Oracle E-Business Suite, Accounts Payable, Process Improvement, Microsoft Excel, Auditing, Management, Financial Analysis, Budgets, Sarbanes-Oxley Act, Accounting, Software Documentation, Access, Outlook, Analysis, Team Building, Insurance, Business Process..., Leadership, Financial Reporting, Vendor Management, Training, Customer Service, HIPAA, Health Insurance, Program Management
Education
Pasco-Hernando State College 1998 — 1999
Gulf High School 1995 — 1998
East Lake High School 1994 — 1995
Veritage LLC April 2015 - Present
WellCare Health Plans May 2014 - March 2015
WellCare August 2013 - April 2014
WellCare October 2012 - July 2013
WellCare December 2011 - October 2012
WellCare February 2011 - December 2011
Skills
Configuration Management, Systems Analysis, Excel, SQL, Training Skills, Data Analysis, Team Leadership, Test Planning, Training, Project Management, Databases, Management, Networking, Leadership, Analysis, Software Documentation, Medicaid, Process Improvement
Education
University of South Florida 2008 — 2012
Adult Education Teaching Certificate, Adult and Continuing Education and Teaching
University of South Florida College of Medicine 2008 — 2010
Master of Arts (M.A.), Bioethics and Medical Humanities, A
Rockford College 2004 — 2008
Bachelor of Science (BS), Biochemistry
U.S. Bureau of Labor Statistics June 2015 - Present
MassMutual Financial Group 2014 - September 2014
JLL 2013 - 2013
Enova International 2013 - 2013
Northwestern Mutual 2011 - December 2012
Waddell & Reed March 2010 - July 2011
WellCare 2009 - 2010
Skills
Finance, Marketing, Life Insurance, Strategic Financial..., Customer Service, Financial Analysis, Retirement Planning, Insurance, Employee Benefits, Leadership, Strategic Planning, Financial Services, Investments, Risk Management, Microsoft Excel, Banking, Financial Modeling, Disability Insurance, Fixed Annuities, Financial Planning, Health Insurance, Analysis, Portfolio Management, Sales, Asset Management, Public Speaking, Access, Education Funding, Real Estate, Budgets, Long Term Care Insurance, Small Business, Crunching Numbers, Financial Planners, Whole Life, Statistical Data..., Statistical Modeling, Statistics, Six Sigma
Education
Walden University 2013 — 2015
Masters of Science (M.S.), Information Technology
Roosevelt University 2010 — 2012
Master of Arts (M.A.), Economics, 3.33 GPA
Roosevelt University 2005 — 2009
Bachelor of Arts (B.A.), Economics
Walden University 2013 — 2014
Graduate Certificate, Computer and Information Systems
Jones College Prep HS 1999 — 2004
High School Diploma, Accounting and Business/Management
Xcenda May 2014 - Present
WellCare June 2008 - November 2013
WellCare Health Plans 2008 - November 2013
GE Financial Services (Xerox Capital Services) January 2007 - November 2007
GE Commercial Finance (Xerox Capital Services) May 2002 - January 2007
Xerox Corporation February 1998 - May 2002
Skills
Process Improvement, Microsoft Office, Disaster Recovery, Leadership, PMO, Visio, Databases, Business Intelligence, Program Management, Software Project..., Requirements Analysis, Servers, SDLC, Business Process..., Software Documentation, Outsourcing, Project Management, Six Sigma, Human Resources, Testing, Analysis, Budgets, MS Project, Cross-functional Team..., Business Analysis, PMP, Vendor Management, Business Process, Integration, Requirements Gathering, SharePoint, Technical Support, IT Management, Business Requirements, Project Portfolio..., Systems Analysis
Education
University of Tampa - John H. Sykes College of Business 1993 — 1995
MBA, MIS
Penn State University 1984 — 1988
Bachelor of Science (BS), Business Administration and Management, General
WellCare Health Plans April 2014 - Present
WellCare April 2011 - April 2014
Rite Aid January 2007 - May 2011
Rite Aid May 2006 - December 2006
Rite Aid June 2002 - May 2006
Midwestern University, Chicago College of Pharmacy August 2001 - June 2002
Illinois Department of Professional Regulation August 2000 - June 2002
Skills
HIPAA, Medicaid, Medicare, Corporate Integrity..., Corporate Compliance, Regulatory Law, Pharmacy Law, Information Security, DEA, State Boards of Pharmacy, Pharmacy, Licensing, FWA, Leadership, USA PATRIOT Act, Healthcare Compliance, Internal Investigations, Medical Compliance, Administrative Law, Corporate Law, Healthcare, Healthcare Industry, Hospitals, Managed Care, Health Policy, Privacy Law, Pharmacists, Policy, Medicare Part D, Pharmacy Benefit..., Healthcare Consulting, Regulatory Affairs, Legal Compliance
Education
Ohio Northern University—Claude W. Pettit College of Law 1997 — 2000
J.D., Law
Ohio Northern University 1993 — 2000
Ohio Northern University 1993 — 1998
BSPh, Pharmacy
Salesforce.com October 2011 - Present
Solstice Enterprise Software November 2007 - October 2011
WellCare April 2004 - 2007
Software Architects April 2000 - April 2004
Publix Super Markets Inc. 2000 - 2003
Skills
Business Analysis, Visual Studio, Visio, SDLC, SOA, Architecture, Software Development, C++, Integration, Agile Methodologies, SQL, Java, Project Management, Business Process..., Program Management, Linux, Requirements Analysis, Web Services, Enterprise Architecture, SharePoint, Software Project..., .NET, Vendor Management, XML, Quality Assurance, C#, Architectures, Microsoft SQL Server
Education
Northern Virginia Community College 1990 — 1993
WellCare Health Plans February 2015 - Present
WellCare January 2012 - Present
Skills
Data Mining, Data Modeling, Data Warehousing, ETL, Informatica, PL/SQL, Erwin, SQL Tuning, Data Marts, Cognos, Business Intelligence, Database Design, Enterprise Architecture, Oracle SQL, SDLC, Data Analysis, Databases, SQL, SQL Server, Application Development, SSIS, SOA, Architecture, Crystal Reports, SharePoint, Unix, IT Strategy, Visio, Database Administration, Systems Analysis, IT Management, Integration, Software Project..., Data Management, Healthcare, Agile, MS Project, Requirements Gathering, Vendor Management, PMP, Analysis, Analytics, Requirements Analysis, OLAP, SAS, Microsoft SQL Server, Software Development, Data Integration, Oracle, Business Objects
Education
Penn State University 1997 — 2000
MSIS, Data Warehouse & Data Mining
Penn State University 1996 — 2000
MBA, Business
Osmania University 1991 — 1993
PG, Mathematics
Osmania University 1987 — 1990
BS, Biology, Chemistry, Physics
MaaS360 by Fiberlink, an IBM company April 2014 - Present
Truven Health Analytics November 2012 - April 2014
Truven Health Analytics, formerly Health at Thomson Reuters August 2010 - April 2014
WellCare October 2008 - August 2010
UnitedHealth Group August 2003 - October 2008
Medicare Supplement October 2004 - July 2006
Ovations August 2003 - October 2004
Dollar Financial Group October 2002 - May 2003
TRANSUNION LLC August 1997 - October 2002
THE REHAB STATION May 1995 - July 1997
Skills
Direct Mail, Telemarketing, Content Management, Process Engineering, Executive Management, Healthcare, Call Center, Negotiation, Project Planning, Managed Care, Analytics, Marketing Automation, Vendor Management, Segmentation, Database Marketing, Marketing Strategy, Email Marketing, Direct Marketing, Budget Management, Marketing Operations, Strategic Planning, Online Marketing, Sales Support, Cross-functional Team..., Demand Generation, Digital Marketing, Team Leadership, B2B, Program Management, Business Analysis, Process Improvement, Data Analysis, Budgeting, Salesforce.com, Eloqua, Budgets, CRM
Education
Philadelphia University 1999 — 2001
MBA, Marketing
Virginia Commonwealth University 1988 — 1992
BS, Business
UnitedHealth Group March 2014 - Present
WellCare October 2012 - Present
Greycourt 2011 - 2011
Skills
Customer Service, Call Centers, Health Insurance, Insurance, Medicare, Employee Benefits, Process Improvement, Claim, HIPAA, Software Documentation, Outlook, Training
Education
Penn State University 2007 — 2011
Bachelor of Science (BS), Sociology, Honors
CVS Health October 2014 - Present
CVS Health February 2014 - October 2014
WellCare July 2013 - February 2014
WellCare June 2012 - July 2013
CVS Pharmacy August 2010 - June 2012
Skills
Pharmacists, Pharmacy, Medication Therapy..., Pharmacy Benefit..., Clinical Pharmacy, Immunization, Medicare Part D, Community Pharmacy, Managed Care, Pharmacology
Education
University of Florida 2006 — 2010
Doctor of Pharmacy (Pharm.D.), Pharmacy
Pasco-Hernando Community College 2003 — 2006
Associate of Arts (A.A.)
WellCare September 2012 - Present
CVS Pharmacy May 2012 - September 2012
CVS Pharmacy 2012 - 2012
Hero School 2011 - 2011
Skills
Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Photoshop, Customer Service, C++, Research, C, Java, HTML, Social Media, Teamwork, Public Speaking, Matlab, Windows, English, AutoCAD, Illustrator, SQL, Medicare Part D, Data Entry
Education
Pima Medical Institute-Las Vegas 2011 — 2012
Pharmacy Technician, Pharmacy
Everest College Merrillville IN 2004 — 2005
MAA, Health/Health Care Administration/Management
BayCare Health System October 2011 - Present
WellCare April 2011 - October 2011
Albert Einstein Healthcare Network 2009 - 2010
Mount Nittany Medical Center 2005 - 2008
Skills
Nursing, Healthcare Management, Managed Care, Medical/Surgical, Medicine, Medicare, Surgery, Telemetry, ICU, Hospitals, Home Care, Healthcare Consulting, Healthcare, EHR, Critical Care, ACLS
Education
Penn State University
Bachelors of Science in Nursing, Nursing
Citi January 2015 - Present
Citi December 2013 - January 2015
WellCare June 2012 - October 2013
PricewaterhouseCoopers June 2005 - March 2012
WRS Infrastructure & Environment July 2001 - June 2005
Skills
Internal Audit, Microsoft Excel, Financial Accounting, PeopleSoft, Data Analysis, Accounts Receivable, Accounting, Managerial Finance, Accounts Payable, Lotus Notes, Taleo, Negotiation, Financial Analysis, Financial Modeling, Corporate Finance, Forecasting, PowerPoint, IFS, GFS, Contractual Agreements, Ad Hoc Reporting, Compliance Regulations, Execution of Business..., Team Management, Analytical Skills, Communication, Flexibility, Quality Management, Trend Analysis, Microsoft Word, PeopleSoft Financial, ADP Payroll, Outlook, Procurement, Transportation Industry, Supplier Quality..., Experienced Business..., Management, Finance, Auditing, Analysis, Leadership, Process Improvement
Education
Western Governors University 2009 — 2013
Bachelor of Applied Science (BASc), Accounting
Rockhurst University
Organizing and Managing A/P, Accounting
WellCare Health Plans January 2015 - Present
WellCare November 2013 - Present
WellCare January 2010 - November 2013
Metropolitan Life Insurance Company October 2007 - December 2009
Honeywell Sensing & Control January 1995 - October 2007
Household Mortgage Service June 1990 - December 1994
Skills
Human Resources, Recruiting, Leadership Development, HR Policies, HR Transformation, HR Consulting, Change Management, Legal Compliance, Career Development, Coaching, Culture Change, Process Improvement, Executive Coaching, Conflict Resolution, Succession Planning, Organizational..., Organizational..., Organizational Design, Six Sigma, Talent Acquisition, Talent Management, Training Delivery, Project Management, Employee Training, Leadership, Personnel Management, Strategy, Training
Education
Northern Illinois University 1988 — 1990
B.S.
Southeastern Guide Dogs 2013 - Present
CertainTeed Corporation April 2009 - 2013
WellCare 2007 - 2008
Cott Beverages Inc. 2005 - 2007
Cott Beverages 2003 - 2005
Cott Beverages 2001 - 2002
Spherion 1998 - 2001
Johnson & Johnson 1996 - 1998
Ethicon, Johnson & Johnson 1990 - 1996
Skills
Talent Management, Employee Relations, Onboarding, Performance Management, Deferred Compensation, Organizational..., HRIS, Succession Planning, Labor Relations, Change Management, Workforce Planning, Human Resources
Education
Rosemont College
BA, Psychology
Rosemont College
Bachelor's degree, Psychology
WellCare Director SIUWellCare Healthplans Inc.2008 - Present
Education
Rowan University
Wellcare Sr. Operations Support SpecialistWellCare Health Plans2007 - Present
Education
Pace University 1967 — 1971
Freedom Health Inc & Optimum HealthCare Inc 2008 - Present
America's 1st Choice 2008 - Present
WellCare April 2006 - May 2008
Universal Healthcare May 2003 - April 2006
Education
Rollins College - Crummer Graduate School of Business 2001 — 2003
MBA, Finance & Accounting
CareCentrix August 2013 - Present
Aston Martin Bentley Rolls-Royce Motor Cars March 1999 - Present
Webworldvision.com October 1992 - Present
CareCentrix September 2012 - August 2013
WellCare January 2010 - October 2012
Wellcare Group November 2007 - September 2012
WellCare October 2008 - January 2010
Capital One Financial February 2001 - September 2008
Capital One 2001 - 2004
Skills
Leadership, Process Improvement, Analysis, Business Analysis, Business Process..., Management, Vendor Management, Analytics, Cross-functional Team..., Data Analysis, Team Building, SharePoint, Call Centers, Business Intelligence, CRM, Risk Management, Insurance, Strategic Planning, Software Documentation, Visio, Program Management, Call Center, Operations Management, Project Management, Access, Training, HIPAA, Integration, Team Leadership, SDLC, Consulting, Data Modeling, Data Warehousing, Business Development, Requirements Analysis, Strategy, Medicare, Health Insurance, Business Process, Business Requirements, Systems Analysis, Operational Analysis, Healthcare Analytics, Coaching, Forecasting, Management Consulting, Outsourcing, Healthcare Industry, Visualization
Education
Northwestern University - Kellogg School of Management
Lean Six Sigma
St. Petersburg College 1999 — 2003
International Business, Computer Science
Instituto Cultural Peruano Norteamericano 1979 — 1982
teaching, English
Nielsen August 2011 - Present
Amerigroup Corporation October 2010 - April 2011
WellCare August 2008 - August 2010
GE Commercial Finance/XCS May 2002 - October 2007
Xerox Corporation October 2001 - April 2002
Xerox Corporation January 1999 - September 2001
Education
Pace University-Pleasantville/Briarcliff Campus
Bachelors, Marketing
Family Health Network January 2014 - Present
Family Health Network September 2010 - Present
WellCare March 2007 - April 2011
G.D. Searle 1999 - 2001
Skills
HMO, Healthcare, Health Policy, Healthcare Industry, Healthcare Management, Managed Care, Medicaid, Medicare, Network Development, Provider Relations, Hospitals
Education
Quinlan School of Business, Loyola University Chicago 1991 — 1993
MBA
University of Iowa 1984 — 1988
Caliber Assoc. May 2015 - Present
Vocal Productions NYC 2011 - Present
Solomon Page Group March 2012 - Present
Self September 2011 - Present
Self 2011 - Present
Davis & Gilbert LLP November 2014 - March 2015
WellCare 2012 - 2012
Skills
Music, Singing, Opera, Arts Administration, Theatre, Microsoft Excel, Database Administration, Administrative..., Voice Lessons, Classical, Vocal, Teaching, Acting, Musical Theatre, Oratorio, Performing Arts, Stage
Education
The University of British Columbia / UBC 2009 — 2011
Master of Music, Voice and Opera
Portland State University 2004 — 2009
Bachelor of Music
eBay September 2012 - Present
eBay May 2011 - September 2012
University of South Florida August 2009 - April 2011
WellCare February 2006 - August 2009
ITC Solutions August 2005 - December 2007
Signal Transduction Laboratory, Las Vegas, Nevada September 2003 - August 2005
Education
University of Nevada-Las Vegas 2003 — 2005
Osmania University
WellCare Health Plans April 2014 - Present
WellCare Health Plans February 2013 - Present
WellCare Health Plans, Inc. August 2008 - Present
WellCare March 2008 - July 2008
WellCare September 2005 - March 2008
Aetna Health Plans October 2003 - September 2005
Aetna 2003 - 2005
PacifiCare June 2001 - October 2003
Cyntergy Corporation September 1994 - 2001
Skills
Medicare, Medicare Part D, Medicaid, Managed Care, Health Insurance, Provider Relations, Healthcare Industry, HIPAA, HMO, Healthcare, Auditing, Health Policy, Financial Reporting, Invoicing, Claim, Healthcare Management, Process Improvement, Leadership, Strategic Planning
Education
Radford University 1992 — 1994
BBA
WellCare April 2013 - Present
Value Options July 2005 - April 2013
Horizon Health December 1995 - July 2005
Horizon Health December 1993 - December 1995
Skills
Mental Health, Case Managment, Management, Leadership, Behavioral Health, Social Services, Mental Health Counseling, Case Management, Healthcare, Managed Care, Crisis Intervention, Community Outreach, Utilization Management, Program Development, Hospitals, Medicaid, HIPAA, Clinical Research, Healthcare Management, Healthcare Information..., Health Policy, Medicare, Psychotherapy, Quality Improvement, Treatment, Public Health
Education
University of Central Florida 1993 — 1995
MHA, Masters in Healthcare Administration
Rollins College 1989 — 1993
BA, Psychology
Torchmark Corporation August 2012 - Present
Torchmark Corporation August 2009 - August 2012
WellCare April 2005 - July 2009
CommunityCare HMO February 1996 - April 2005
Skills
Actuaries, Risk Management, Health Insurance, Insurance, Actuarial Science, Medicare, Financial Analysis
Education
Oklahoma State University 1992 — 1995
MS, Mathematics
Phillips University 1988 — 1992
BS, Applied Mathematics and Computing Science
Family Health Network January 2015 - Present
Family Health Network August 2013 - December 2014
Family Health Network February 2012 - July 2013
Chrysler LLC July 2010 - February 2012
WellCare August 2007 - August 2010
Skills
Hiring, Customer Service, Inventory Management, Coaching, Talent Acquisition, Recruiting, Leadership, Process Improvement, Employee Relations, Sales, Strategic Planning, Personnel Management, Training, Employee Benefits, Performance Management, Management, Team Building, Human Resources, Healthcare, Applicant Tracking...
Education
Northern Illinois University 2001 — 2006
BS, Management
Brighton Health Group January 2014 - Present
GK Health Ventures January 2010 - December 2013
WellCare March 2008 - December 2009
Aveta 2006 - 2008
Geisinger Health Plan 2005 - 2006
Oxford Health Plans 1997 - 2005
Prudential Financial 1995 - 1997
Skills
Actuarial, Managed Care, Health Economics, Healthcare, Medicare, Medicaid
Education
Princeton University 1984 — 1988
BSE, Engineering
Wakely Consulting Group April 2012 - Present
OptumInsight March 2011 - March 2012
WellCare January 2009 - October 2010
WellCare March 2007 - December 2008
Coventry Health Care June 2002 - March 2007
Anthem May 1995 - June 2002
Skills
Health Insurance, Insurance, Underwriting, Employee Benefits, Risk Management, Provider Relations, Property & Casualty..., HMO, Reinsurance, Medicare
Education
Purdue University 1991 — 1995
Bachelor of Science (B.S.), Mathematics and Statistics
Wellcare Health plan June 2007 - Present
WellCare 2007 - Present
UnitedHealthcare 1995 - 2007
United Healthcare 1995 - 2007
Oxford Health Plans 1995 - 2007
Skills
Medicare, Provider Relations, Medicaid, Managed Care, Network Development, Health Insurance, HMO, PPO, Credentialing, HIPAA, Healthcare Management, Healthcare, Healthcare Industry, Claim, Insurance
Education
Norwalk Community College 2009 — 2009
EKG, Extended Studies and Workforce Education
Post College Waterbury CT 1977 — 1979
Early Childhood Education
WellCare Health Plans, Inc. July 2014 - Present
WellCare January 2013 - Present
WellCare Health Plans, Inc. October 2011 - March 2013
WellCare Health Plans, Inc. May 2005 - April 2012
The Estee Lauder Companies, Inc. 2002 - 2005
Latham & Watkins 1997 - 2002
Skills
Corporate Law, Securities, Corporate Governance, Legal Research, Due Diligence, Legal Compliance, Securities Regulation, Executive Pay, Mergers, Regulatory Affairs, Legal Documents, Health Care Fraud, Medicaid, SEC filings, Health Insurance, Auditing, Commercial Litigation, Employment Law, Executive Management, Enterprise Risk..., Health Law, Insurance, Intellectual Property, Internal Audit, Legal Writing, Licensing, Litigation, Mergers, Privacy Law, Process Improvement, Risk Management
Education
State University of New York College at Purchase 1993 — 1997
Bachelor of Arts (B.A.), Literature
Aetna 2014 - Present
WellCare January 2012 - August 2013
WellCare April 2011 - December 2011
Kaiser Permanente 2010 - 2010
Coventry Health Care 2008 - 2010
Coventry Health Care 2007 - 2008
Coventry Health Care 2006 - 2007
Coventry Health Care 2006 - 2006
Skills
Claim, Healthcare, HIPAA, Hospitals, Healthcare Management, Contract Negotiation, Process Improvement, Claims Resolution, Leadership, PPO, Healthcare Industry, HMO, Training, Healthcare Consulting, Management, Health Policy, Physicians
Education
Rockford University 2000 — 2004
BA, English Literature and Philosophy
Francis Howell
Health Republic Insurance of New York March 2014 - Present
Centers Plan for Healthy Living MLTCP January 2012 - March 2014
HealthPlus PHSP February 2010 - January 2012
HealthPlus PHSP November 2007 - February 2010
WellCare June 2005 - November 2007
Elderplan September 2001 - June 2005
Healthfirst 1998 - 2001
Skills
Medicare, Medicaid, Managed Care, HIPAA, HMO, Health Insurance, Healthcare, Provider Relations, Healthcare Management, Insurance, Network Development, Health Policy, Process Improvement, Healthcare Industry, Medicare Part D, Healthcare Information..., Healthcare Consulting, Strategic Planning, Contract Negotiation, Pharmacy Benefit..., Long-term Care, Compliance, Credentialing
Education
Pace University - Lubin School of Business
Business Management
WellCare September 2012 - Present
Bible League International June 2010 - February 2012
St Lucie Medical Center June 2005 - November 2009
Ascension Health 2001 - 2003
Media One 1995 - 1999
First Data 1991 - 1994
AT&T 1985 - 1991
Brown Group, Inc. 1980 - 1985
Skills
Corporate Communications, Crisis Communications, Issues Management, Merger Communications, Community Relations, Public Affairs, Public Relations, Media Relations, Video Production, Corporate Branding, Employee Communications, Marketing Communications, Newsletters, Editing, Writing, Event Management, Public Speaking, Strategic Communications, Internal Communications, Copywriting, Executive Communications, Speech Writing, Employee Engagement, Crisis Management, Publicity, Brand Management, Brand Developement, Advertising, Focus Groups, Web Content Management, Intranet Strategy, Nonprofits, Communication Training, Strategy, Mergers & Acquisitions, Leadership, Copy Editing, Community Development
Education
Webster University 1989 — 1992
M.A., Media Communications
Northwestern University
Bachelor of Science, Speech
WellCare Health Plans March 2014 - Present
WellCare March 2010 - Present
WellCare July 2006 - March 2010
Blue Cross and Blue Shield of Illinois, New Mexico, Oklahoma & Texas June 2001 - May 2006
Skills
Insurance, Medicaid, Medicare, Actuarial Science, Health Insurance, Managed Care, Life Insurance, HIPAA, Healthcare Consulting, Claim, Healthcare Industry, Employee Benefits, Provider Relations, Data Analysis, Healthcare, Disability Insurance, Reinsurance, Underwriting, Process Improvement
Education
Princeton University 1990 — 1994
Bachelor of Applied Science (BASc), Chemical Engineering
WellCare Health Plans July 2012 - Present
Lakeland Regional Medical Center June 2009 - June 2012
WellCare October 2006 - May 2009
Doctors Care Network 2001 - 2002
North Shore-LIJ Health System 2001 - 2002
Skills
Managed Care, Healthcare, Process Improvement, Healthcare Management, HIPAA, Medicare, Analysis, Hospitals, Access, Healthcare Information..., Medicaid, Strategic Planning, Management, Contract Negotiation, Software Documentation, Healthcare Consulting, Leadership, Contract Management, EHR, Policy, SQL, SAS, Microsoft Office, MS Excel Pivot Tables, Excel Dashboards, Reporting & Analysis, Report Writing, KPI Reports, KPI Dashboards
Education
Queens College 1987 — 1991
Bachelor of Science, Computer Science
WellCare September 2013 - Present
Absolute Total Care June 2009 - September 2013
Qualis Health Plan December 2008 - June 2009
Carolina Crescent Health Plan July 2007 - December 2008
Carolina Care Plan 2007 - 2008
POMCO June 1993 - February 2006
Skills
Medical Coding, Health Policy, Employee Benefits, Quality Assurance, Healthcare Consulting, Software Documentation, Network Development, Medical Terminology, Access, Data Analysis, Informatics, Analysis, Leadership, Physicians, Pharmacy, Call Centers, Provider Relations, Provider Network..., Quality Improvement, NCQA, Medicaid Managed Care, Process Improvement
Education
University of Phoenix 2014 — 2016
MHA, Informatics
Saint Joseph's College 1988 — 1995
BSPA, Health Care Administration
Onondaga Community College 1984 — 1985
AS, Nursing
wellcare December 2004 - Present
Fidelis Care of NY September 2001 - November 2004
Skills
Health Insurance, Insurance, Provider Relations, Medicare, HMO, Customer Service, Call Center, Claim, Medicaid, Data Entry, Outlook, Microsoft Excel
Education
Queens College
Bachelor of Science (BS), Business Managment, Marketing
NavSoft Technologies, Inc. February 2008 - Present
UnitedHealthcare July 2012 - October 2014
IU Health Plans January 2012 - June 2012
Baldwins & Lyons, Inc. January 2010 - December 2011
Indiana Department of Environmental Management April 2009 - January 2010
Rexnord May 2008 - March 2009
Baldwins & Lyons, Inc. November 2007 - April 2008
Rexnord October 2005 - October 2007
Verizon October 2004 - September 2005
WellCare September 2004 - October 2004
Skills
BizTalk, .NET, WCF/Web services, Web Services, ASP.NET, SDLC, C#, Microsoft SQL Server, WCF, SOA, XML, VB.NET, Enterprise Architecture, XSLT, SQL, SharePoint, Business Analysis, Agile Methodologies, Architecture, Software Development, JavaScript, Databases, Integration
Education
Osmania University 1995 — 1998
Masters, Computer Applications
WellCare January 2003 - Present
Intermedia Communications/Worldcom January 1999 - January 2001
Proven Edge Software January 1997 - January 1999
Sensidyne January 1995 - January 1996
Tech Data January 1994 - January 1995
10 Net November 1987 - January 1991
Skills
Product Management, Budgeting, Advertising, Marketing Strategy, Creative Development, Medicare, Cross-functional Team..., Marketing Communications, Marketing Management, Managed Care, Product Marketing, Competitive Analysis, Market Planning, Project Management, Marketing, Market Research, Lead Generation
Education
University of South Florida 1991 — 1993
M.B.A
Otterbein College 1983 — 1987
B.A, Business Administration; French
WellCare June 2012 - November 2012
Hewlett-Packard August 2011 - May 2012
BCBSNC February 2011 - August 2011
AT&T September 2009 - February 2011
Skills
EDI, SOA, SOAP, EAI, Java Enterprise Edition, Websphere, XSLT, JBoss Application Server, ESB, Tomcat, Weblogic, Web Services, Spring, Hibernate, Ant, EDIFECS, HIPAA 5010, EDI ANSI X12, adobe flex, HIPAA, DB2, WebSphere Application..., Unix, JMS, WebSphere
Education
Texas A&M University-Commerce 2007 — 2008
Master's degree, Industrial Engineering, 3.22/4.00
Osmania University 2002 — 2006
Bachelor of Engineering, Mechanical Engineering
GoHealth April 2015 - Present
WellCare February 2011 - March 2014
Robert Morris College March 2006 - November 2008
Robert Morris College July 2006 - September 2007
Skills
Resume Writing, Change Management, Marketing, Job Search Strategies, Employee Benefits, Applicant Tracking..., Interviews, Career Development, HRIS, Customer Service, Recruiting, College Recruiting, Public Speaking, Training, Onboarding, Human Resources, Staff Development, Talent Acquisition, Talent Management, Internet Recruiting, Career Counseling, Employee Relations, Career Management, Benefits Administration, Leadership Development, Customer Satisfaction, Benefits Negotiation, Employer Branding, Leadership, Sourcing, Temporary Placement, Technical Recruiting, Contract Recruitment, Higher Education, Screening Resumes, Workforce Planning
Education
Robert Morris University - Illinois 2001 — 2003
B.A., Management
Blue Cross Blue Shield Nebraka November 2012 - Present
WellMark BCBS IOWA November 2011 - Present
Blue Cross Blue Shield Of Nebraska January 2009 - December 2011
SUMMA CARE INSURANCE January 2008 - December 2008
EDS, an HP company April 2006 - December 2008
WellCare August 2005 - May 2006
Wipro 2002 - 2005
Wipro GE Medical Systems 2002 - 2005
Wipro Technologies 2000 - 2005
Skills
Microsoft SQL Server, BizTalk, .NET, SOA, WCF, EDI, SSIS, Software Project..., Agile Methodologies, SQL, SharePoint, Integration, SDLC
Education
Osmania University
Master's degree, Computer Science
Blue Cross Blue Shield of Michigan August 2015 - Present
General Motors January 2014 - Present
ForeSee September 2013 - January 2014
Enabil Solutions April 2013 - July 2013
HCL Technologies November 2011 - March 2013
Wells Fargo December 2010 - November 2011
WellCare September 2010 - November 2010
Nielsen April 2007 - November 2009
Oracle January 2007 - March 2007
Softcon August 2006 - January 2007
Skills
Oracle RAC, Oracle, PL/SQL, Performance Tuning, RMAN, Database Design, Shell Scripting, SQL Tuning, Databases, AIX, SQL, High Availability, Data Migration, Oracle HR, Oracle Applications, OBIEE, Oracle E-Business Suite, Data Warehousing, Oracle Dataguard
Education
Osmania University 1998 — 2000
PG MISCA, Management Information systems & Computer applications, Second
Osmania University 1992 — 1995
Bachelor of Engineering (BEng), Civil, First
Akron Public Schools October 2013 - Present
The University of Akron September 2012 - Present
The Lippman School October 2012 - September 2013
WellCare November 2006 - April 2011
Skills
Curriculum Development, Teaching, Higher Education, Managed Care, Project Management, Contract Negotiation
Education
Ohio University 1987 — 1993
Bachelors & Masters Degree, Health Service Administration
Ohio University
Master's degree, Health Services Administration
Notre Dame College
Teacher Education and Professional Development, Specific Subject Areas
Independant Health Care Consultant October 2011 - Present
Gorman Health Group April 2014 - April 2014
Elderplan February 2014 - February 2014
WellCare October 2013 - January 2014
Trillium Community Health Plan August 2013 - November 2013
AvMed Health Plans March 2013 - November 2013
Paramount Health Care April 2013 - June 2013
naviHealth, Inc. August 2012 - December 2012
Windsor Health Plan October 2011 - April 2012
WellCare August 2010 - May 2011
Skills
Medicaid, Provider Relations, Managed Care, Healthcare, Medicare, Health Policy, NCQA, HIPAA, Process Improvement, Performance Improvement, Accreditation, Quality Improvement, HEDIS, HMO, Case Managment, Leadership, Health Insurance, Utilization Management, Nursing, Healthcare Management, Healthcare Consulting, Healthcare Industry, Case Management, Disease Management, Revenue Cycle, Healthcare Information...
Education
Saint Joseph's College 2007 — 2009
MBA, Quality, Leadership, Economics
Otterbein University 1992 — 1994
Bachelor's Degree, Nursing Science
West Virginia University at Parkersburg 1977 — 1979
Associate's Degree, Nursing Science
WellCare July 2005 - April 2007
Education
Penn State University 1998 — 2002
Communication, Journalism
Penn State University 1998 — 2002
Communication, Speech Communication
WellCare 2010 - Present
The Computer Guyz 2008 - 2009
Suncoast Medical Clinic 1999 - 2004
Skills
Software Installation, Windows 7, Active Directory, Operating Systems, Computer Hardware, XP, Software Documentation, Visio, Windows Server, SharePoint, Technical Support, Servers, DNS, DHCP, Disaster Recovery, Group Policy, Citrix, Microsoft Exchange, BMC Remedy, Hardware, Windows XP, Network Administration
Education
Pinellas Technical Education Center-Clearwater 1997 — 1997
Diploma, Computer Technology/Computer Systems Technology, A
Pinellas Technical Education Center-Clearwater 1991 — 1992
Diploma, Industrial Electronics Technology/Technician, B
Frontier Central High School 1986 — 1989
High School, Mathematics, Drafting, and Industrial Arts, B
WellCare June 2011 - Present
WellCare July 2007 - May 2013
WellCare Health Plans July 2007 - June 2012
Donnelley Marketing 1988 - 1996
Skills
SDLC, Analytics, Healthcare Information..., Database Marketing, Health Insurance, Data Analysis, HIPAA, Business Intelligence, Project Management, Analysis, HMO, Visio, Process Improvement, Call Centers, Telecommunications..., Integration, Invoicing, Databases, Leadership, Network Development, Billing Systems
Education
Northwestern University
University of Illinois at Chicago
Health Care Service Corporation November 2011 - Present
Health Care Service Corporation 2006 - 2011
WellCare 2002 - 2006
Rocky Mountain Health Plans 2001 - 2002
CommunityCare Managed HealthCare Plans 1995 - 2001
Education
University of Tulsa College of Law 1988 — 1991
JD, Healthcare
Oklahoma State University 1983 — 1987
BS, Business Management
WellCare Health Plans May 2014 - Present
WellCare October 2011 - May 2014
UHG (Unified Healthcare Group) 2002 - 2009
Mercer (SynHRgy HR Technology) 1999 - 2001
CIGNA Healthcare 1998 - 1999
Loomis 1997 - 1998
Cigna Property & Casualty 1987 - 1997
Skills
Customer Service, Insurance, Brokers, Health Insurance, Outsourcing, Medicare, Employee Benefits, Sales, Account Management, Leadership, Healthcare Management, Customer Retention, Call Centers, Team Building, Managed Care
Education
Oglethorpe University
IFCO Systems August 2012 - June 2013
Masonite June 2011 - July 2012
Wellcare 2011 - 2011
DSE, Inc. March 2007 - July 2010
The Revere Group 2004 - 2006
GunnAllen Financial 2004 - 2006
Aidman, Piser & Company 1998 - 2003
Zellerbach Associates 1988 - 1998
Skills
Outlook, Office Management, Microsoft Office, PowerPoint, Accounts Payable, Employee Relations, Accounts Receivable, Visio, Process Scheduler, Human Resources, Microsoft Excel, Customer Service, Team Building, Budgets
Education
Rider University
A.A., Secretarial Science, Minor: Business Administration
H&R Block August 2014 - Present
WellCare September 2013 - July 2014
Bisk Education February 2012 - September 2013
AAA Auto Club South January 2011 - February 2012
Charmyn Group, LLC May 2007 - October 2010
All-Star Flooring Solutions August 2004 - May 2007
Skills
Email Marketing, Marketing Strategy, Direct Marketing, Interactive Marketing, Marketing Management, Marketing, Integrated Marketing, Google Analytics, Copywriting, Advertising, Creative Direction, Marketing Communications, Brand Management, Facebook, Analytics, B2B, Strategy, Direct Mail, Multi-channel Marketing, Press Releases, Web Marketing, Segmentation, Online Marketing, Leadership, Management, Sales, Online Advertising
Education
Northern Kentucky University
Bachelor’s Degree, Marketing
Northern Kentucky University
Bachelor's degree, Marketing
HealthPlan Services September 2015 - Present
WellCare December 2012 - September 2015
HealthPlan Services August 2010 - November 2012
Tech USA April 2010 - August 2010
The Nielsen Company December 2005 - April 2010
Real Diehl Realty Inc. June 2001 - December 2005
Verizon Data Services (GTEDS) July 1997 - June 2001
Electronic Data Systems April 1994 - July 1997
United States Army Reserve 1988 - 1992
US Army October 1984 - October 1986
Skills
Business Analysis, Visio, Access, Software Documentation, Process Improvement, Project Management, Database Administration, SQL, Data Analysis, Microsoft Office, Microsoft Excel, Real Estate Transactions, Analysis, Databases, Oracle, PowerPoint, Customer Service, Accounting, JCL, Troubleshooting, MS Project, System Administration, Analytics, Integration, Microsoft SQL Server, Disaster Recovery, Microsoft Word, SDLC, TSO, Salesforce.com, SharePoint, HTML, Database Design, Medicare Claims..., Medicaid Claims...
Education
Regis University 2010 — 2012
Master of Science (M.S.), Database Technologies, 3.972
Saint Leo University 2007 — 2009
B.S., Computer Information Systems
Tidewater Community College 1987 — 1991
A.A.S., Computer Information Systems
Tidewater Community College 1987 — 1991
Certificate, General Accounting
WellCare November 2013 - Present
Opportunity Resources Inc. October 2011 - May 2013
Community Service Group July 2009 - October 2011
Philhaven Hospital May 2009 - May 2010
United States Air Force February 2003 - February 2007
Skills
Crisis Intervention, Case Managment, Social Services, Mental Health, Autism Spectrum..., Intellectual..., Traumatic Brain Injury, Behavioral Health, Veterans, Veterans Benefits, Substance Use Disorders, Substance Abuse..., Microsoft Office, Policy, Psychology, Mental Health Counseling, Group Therapy, Nonprofits, Treatment, Case Management, Customer Service, Training, Healthcare, Leadership, Time Management, Team Building, Microsoft Excel, Management, Communication, PowerPoint, Microsoft Word, Data Entry
Education
Penn State University 2009 — 2015
Bachelor of Science (B.S.), Psychology, Business option
WellCare June 2014 - Present
Dr. Michael Rowe July 2006 - October 2013
InterSecurities, Inc. 1997 - 2000
Skills
Insurance, Hospitals, Customer Service, Filing, Telephone Skills, Community Outreach, Typing, Microsoft Word, Some Excel, E-Learning, Online Research, Phone Skills, Phone Manner, Customer Oriented, Electronic Filing, Research, Problem Resolution, Health Insurance
Education
St. Petersburg College 2011 — 2013
BAHSA, Health Services Administration, Sub plan Emergency Services, 3.237
St. Petersburg College 2010 — 2011
Associate of Arts (AA), Health Services Administration, 3.0
PTech 2003 — 2005
Certification, Medical Assisting, A
Norwalk Community College 1983 — 1985
Associates in Science, Secretarial Sciences
WellCare 2011 - Present
CompCare Partners, LLC June 2011 - September 2011
Magellan Behavioral Health August 2009 - June 2010
Memorial Regional Hospital 2004 - 2008
Skills
Mental Health, Utilization Management, Counseling Psychology, Family Therapy, Group Therapy, Therapists, Individual Counselling, Mental Illness, Hospitals, Stress Management, Disease Management, Crisis Intervention, Career Counseling, Clinical Supervision, Health Insurance, Conflict Resolution, Health Policy, Healthcare Industry, Healthcare Consulting, Inpatient, Psychiatry, Self-esteem, Wellness, Physicians, Healthcare, Case Management, Medicaid, Managed Care, HIPAA, Medicare, Mental Health Counseling, Psychotherapy, Behavioral Health, Healthcare Management, Social Services, Treatment, Clinical Research, Training, Healthcare Information..., Adolescents, Program Development, Community Outreach, Insurance
Education
Nova Southeastern University 1998 — 2000
Master's degree, Mental Health Counseling/Counselor
University of Southern Maine 1988 — 1992
Bachelor's degree, Communication, General
Humana June 2014 - Present
Humana May 2012 - June 2014
Aetna April 2007 - May 2012
Aetna August 2005 - March 2007
WellCare 2004 - 2005
ComPsych 1999 - 2004
Advocate Health Care March 1998 - March 1999
Advocate Health Care December 1996 - February 1998
Thorek Memorial Hospital May 1994 - November 1996
Skills
healthcare, healthcare industry, Credentialing, Contract Negotiations, Managed Care, Provider Relations, Network Development, Provider Contracting, Health Insurance, Contract Negotiation, Healthcare Industry, Healthcare, Process Improvement, HIPAA, Medicaid, Health Policy, Medicare, HMO, Medicare Part D, Healthcare Consulting, Revenue Cycle, Healthcare Reimbursement, PPO
Education
Roosevelt University
Bachelor's degree, Organizational Leadership
University of Illinois at Chicago
Discovery Point Lutz February 2014 - Present
Syniverse Technologies March 2011 - July 2013
WellCare March 2007 - March 2011
PwC April 2002 - November 2004
Skills
Financial Analysis, Financial Reporting, Forecasting, Accounting, Process Improvement, Strategic Financial..., Managerial Finance, Financial Modeling, Financial planning and..., Microsoft Excel, Contract Negotiation, Analysis, Finance, Strategy, Management, Leadership, Analytics, Budgets, Program Management, Business Strategy, Mergers & Acquisitions, Business Process..., Performance Management, Variance Analysis, Access, Contract Management, Strategic Planning, Data Analysis, Business Intelligence, Business Development, SharePoint, CPA
Education
Nova Southeastern University 1996 — 1999
BA, Accounting
WellCare May 2005 - Present
Education
Nyack College 2008 — 2012
BA, Psychology
WellCare February 2003 - Present
HealthPlan Services 1999 - 2001
UnitedHealthcare January 1989 - April 1998
Skills
Vendor Management, Process Improvement, Medicare, Medicaid, HEDIS, Claims, Customer Relations, Call Center, Quality Management, Budgeting, Customer Service, Call Centers, Business Process..., Customer Experience, Performance Management, Budgets, Change Management, Claim, Performance Improvement, Leadership, Healthcare, Training, Healthcare Consulting, Strategic Planning, Management, HIPAA, Insurance, Health Insurance, Cross-functional Team..., Managed Care, Healthcare Industry
Education
Robert Morris University
Bachelor of Science (BS), Business Administration and Management, General
WellCare August 2011 - April 2014
WellCare August 2008 - August 2011
Donna Ruge Court Reporting 2004 - 2008
State Farm Insurance (C.Webb) 1998 - 2003
Skills
Community Outreach, HIPAA, Health Education, Insurance, Medicaid, Medicare
Education
Hillsborough Community College
Nursing Science
University of Florida
Insurance
Rasmussen College-Florida 1990 — 1992
Associate of Science (A.S.), Medical/Clinical Assistant, 4.0
Pasco-Hernando Community College
Computer Science
WellCare 2007 - Present
Nielsen Media Research 1999 - 2007
Home Shopping Network 1998 - 1999
Skills
EMC VMAX, EMC Clariion CX4-960, EMC Celera NS-960, IBM XIV, Brocade DCX and 48000..., Solutions Enabler, Naviseccli, Unisphere, Symmetrix Management..., Symmetrix Performance..., EMC Replication Manager, Open Replicator, SANCopy, TimeFinder Clones and...
Education
Rochester Institute of Technology 1985 — 1990
Bachelor's degree, Electrical Engineering Technology
WellCare March 2012 - Present
Rocky Mountain Health Management Corporation (RMHMC) March 2009 - August 2011
Rocky Mountain Health Management Corp (RMHMC) December 2008 - March 2009
Colorado Structures Inc March 2006 - September 2008
Apria Healthcare November 2004 - March 2006
Apria Healthcare November 2004 - August 2005
Apria Healthcare January 2001 - February 2002
Apria Healthcare November 2000 - January 2001
Apria Healthcare April 1999 - November 2000
Skills
Avaya, Coaching, Integration, Process Improvement, Healthcare, Managed Care, Quality Assurance, Healthcare Management, Access, Data Entry, Microsoft Excel, Outlook, Microsoft Office, Team Building, Microsoft Word, Data Analysis, Salesforce.com, SharePoint, Project Management, Regulatory Documentation
Education
William R. Boone High School
Regis University
Little Greek July 2013 - Present
Highlander Partners Healthcare Fund August 2006 - June 2013
WellCare February 2005 - July 2006
Stephens Inc. October 2000 - January 2005
Ernst & Young September 1997 - September 2000
Skills
Financial Analysis, Financial Modeling, Portfolio Management, Asset Management, Corporate Finance, Investments, Valuation, Securities, Equity Research, Alternative Investments, Private Equity
Education
Oral Roberts University 1986 — 1990
BS, Accounting
FirstCare Health Plans July 2015 - Present
Ultimate Health Plans February 2012 - July 2015
Coventry Health Care May 2011 - February 2012
WellCare October 2005 - May 2011
Skills
Health Insurance, Managed Care, Medicaid, Insurance, Employee Benefits, Medicare, HIPAA, Provider Relations, Medicare Part D, Long-term Care, Healthcare, Sales, Team Building, Customer Service, Healthcare Information..., Call Centers, Strategic Planning, Training, Healthcare Consulting, Healthcare Industry, Leadership, Claim, Disability Insurance, Disease Management, Health Care Reform, Health Policy, Health Savings Accounts, Life Insurance, Process Improvement
Education
State University of New York College at Cortland 2002 — 2005
Bachelor's degree, Kinesiology and Exercise Science
Onondaga Community College 2001 — 2002
Associate of Science (AS), Criminal Justice/Police Science
Ollie’s Bunch Home Daycare January 2009 - Present
Ollie's Bunch Home Daycare 2009 - Present
Comcast Cable June 2008 - June 2009
Comcast Communications January 2008 - January 2009
WellCare June 2007 - May 2008
Well Care Health Insurance January 2007 - January 2008
U.S. Bank January 2000 - January 2006
American Express – Financial Service Company January 1997 - January 2000
Lawrence Hall Youth Service January 1996 - January 1997
Thomas J. Coates & Associates January 1993 - January 1996
Skills
Pro-active and Strategic, Ability to Multi-Task, Strong Oral and Written..., Organized and detailed..., Proven Time Management, Financial Savvy, Innovative Critical..., Highly self-motivated
Education
Information Professionals, Inc
Roosevelt University 1987 — 1989
No degree, Business Administration and Management, General
Englewood High School 1972 — 1976
Diploma, General Studies
Roosevelt University
Marketing
Health Net November 2014 - Present
Zenith Insurance Company (United States) April 2013 - November 2014
WellCare February 2012 - February 2013
Carlson Wagonlit Travel January 2011 - February 2012
Telecross Labs Inc March 2009 - November 2010
IVRCL Infrastructures and Projects Ltd July 2008 - January 2009
Skills
Informatica, Data Warehousing, SAP Data Services, PL/SQL, Unix, Microsoft SQL Server, XML, B2B, EDI, Healthcare, Oracle, Autosys, Toad, JIRA, Tortoise SVN, Appworx, SQL, OLAP, Oracle SQL Developer, SDLC, Databases
Education
University of New Haven 2009 — 2011
Master of Science (M.S.)
Osmania University 2004 — 2008
Bachelor of Engineering (BE)
WellCare January 2011 - Present
Skills
•Proficient in SQL..., Project Management, Access, Business Analysis, Analysis
Education
Nova Southeastern University 2007 — 2009
Master of Business Administration (MBA), MBA
Nova Southeastern University 2003 — 2007
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Dell July 2012 - Present
Florida Orthopaedic Institute April 2012 - July 2012
WellCare August 2011 - April 2012
Freedom Health October 2010 - August 2011
Freedom Health July 2009 - October 2010
WellCare September 2008 - July 2009
WellCare July 2007 - September 2008
WellCare May 2005 - July 2007
Harrington Benefit Services January 2004 - April 2005
Skills
Claims Handling, Customer Service, Medical Terminology, Configurations, Communication, Root Cause Problem...
Education
Howard W. Blake High School 1997 — 1999
High School, High School/Secondary Diplomas and Certificates
Nova Southeastern University
Castle Point Veterans Affairs Hospital November 2012 - Present
WellCare June 2007 - July 2011
Education
Penn State University 2013 — 2015
Master of Public Administration (MPA), Health/Health Care Administration/Management
University of Phoenix 2010 — 2012
Bachelor of Science (B.S.), Health/Health Care Administration/Management
Allergan May 2011 - Present
T-Mobile November 2010 - April 2011
WellCare January 2009 - October 2010
Skills
Salesforce.com, Visualforce Pages, Apex Programming, Cloud Computing, Apex Data Loader, Oracle PL/SQL..., DataStage, Oracle, Unix, Netezza, DB2, ETL Tools, Agile Methodologies, Informatica
Education
Osmania University
Bachelor of Engineering (BEng)
Osmania University
Master’s Degree, Business Administration and Management
WellCare Health Plans March 2015 - Present
WellCare December 2012 - March 2015
WellCare November 2009 - December 2012
Renaissance Health Systems August 2008 - November 2009
Skills
Medicare, Provider Relations, Managed Care, Medicaid, Network Development, HIPAA, Health Insurance, HMO, PPO, Credentialing, Healthcare, Insurance, Healthcare Management
Education
University of North Florida 2008 — 2009
Master of Public Health (MPH)
University of North Florida 2005 — 2008
Bachelor of Science (BS), Health Science
Nova Southeastern University 2004 — 2005