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
King's Explorations January 2015 - Present
Assured Rx Pharmacy April 2014 - January 2015
WellCare April 2008 - April 2014
Publix Super Markets July 2005 - October 2008
Winn-Dixie April 2001 - July 2005
Skills
Medicaid, HIPAA, Medicare, Health Insurance, Managed Care, Supervising, Supervision, Pharmacy Benefit..., Medicare Part D, Pharmacy, Disease Management, Strategic Planning, Team Building, Customer Service, Process Improvement, Pharmacy Automation, HMO, Utilization Management
Education
St. Petersburg College
Some College, Business/Commerce, General
St. Petersburg College
WellCare Health Plans August 2014 - Present
WellCare Health Plans June 2007 - Present
WellCare 2007 - 2008
Palmetto GBA 1996 - 2006
Palmetto GBA 1996 - 2006
Skills
Training, Health Insurance, Managed Care, Strategic Planning, Sales, Employee Relations, Health Policy, Long-term Care, Medicare, Leadership, Team Building, Coaching, Process Improvement, Selling, Analysis, Healthcare, Insurance, Employee Benefits, Account Management
Education
PHCC 1992 — 1994
AS Degree in Human Services
St. Petersburg College
BAS Health Services Administration, Health Law
WellCare April 2013 - Present
Skills
Microsoft Excel, Microsoft Word, Microsoft Office, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop, Teaching, HTML, Public Speaking, Budgets, Strategic Planning, Negotiation, C++
Education
St. Petersburg College
Associate of Science (A.S.), Pre-Medicine/Pre-Medical Studies
UnitedHealthcare October 2012 - March 2013
Catalyst Solutions December 2011 - May 2012
Universal Healthcare Associates, LLC 2012 - 2012
Catalyst Search 2011 - 2012
WellCare September 2004 - May 2011
Skills
Business Process..., Business Analysis, Medicare, Health Insurance, Claim, Outlook, Microsoft Office, Diamond/Xcelys, Facets/Networx, HIPAA, Medicaid, Microsoft Excel, Software Documentation, Medical Billing, Healthcare, Healthcare Consulting, Healthcare Information..., Managed Care, Healthcare Management, EHR, Hospitals, Leadership, Healthcare Industry, Provider Relations, HMO, Medicare Part D, Medicaid Managed Care, Process Improvement, Insurance, Access
Education
University of Phoenix 2014 — 2016
BSHA/HIS, Health/Health Care Administration/Management, 3.5
St. Petersburg College
West Pharmaceutical Services July 2015 - Present
Jabil February 2014 - Present
Pall Life Sciences June 2013 - February 2014
Providence Management Corporation March 2011 - June 2013
Euramax International, Inc. April 2010 - August 2010
West Pharmaceutical Services August 2008 - March 2010
WellCare 2007 - 2008
EmCare Inc April 2004 - June 2007
Pepsi Bottling Group December 2002 - February 2004
Freeman Decorating Company May 1998 - August 2001
Skills
Payroll, Employee Benefits, ADP Payroll, PeopleSoft, Benefits Administration, Human Resources, Accounts Receivable, Accounts Payable, Kronos, Account Reconciliation, Payroll Taxes, Movex, FMLA, Payroll Processing, ADP, Ultipro, Oracle
Education
Valencia Community College 1988 — 1992
Undergraduate Studies, Business
Scottsdale Community College 1975 — 1978
Undergraduate Studies, Liberal Arts and Sciences, General Studies and Humanities
UnitedHealthcare August 2011 - Present
WellCare March 2010 - August 2011
Aegon USA May 2007 - March 2010
Shauntee Wertz & Kevon Turner DBA Infinite Solutions November 2002 - July 2005
Skills
Insurance, Business Analysis, Call Center, Risk Management, Process Improvement, Customer Service, Project Management, Microsoft Excel, Software Documentation, Analysis, Leadership, Management, Program Management, Team Building, Training, Access, Visio, Data Analysis, Business Process..., Healthcare, Microsoft Office, Strategic Planning, Coaching, PowerPoint, Contract Negotiation, Testing, Health Insurance, Negotiation, Medicaid, HIPAA, Employee Training, Medicare, Marketing, Accounts Receivable, Claim, CRM, Payroll, Quality Assurance, Team Leadership, Outlook, Customer Satisfaction, Microsoft Word, Time Management, Windows, Proposal Writing, Healthcare Industry, Invoicing, Staff Development, Event Planning, Managed Care
Education
Saint Petersburg College 2014 — 2015
Certificate, Project Management
St. Petersburg College 2013 — 2014
Certificate, Health Services Administration, 3.3
St. Petersburg College 2008 — 2012
Bachelors of Applied Science, International Business, 3.2
St. Petersburg College 2005 — 2008
General Associates, Arts, B
Professional Career Development Institute 2000 — 2001
Diploma, Private Investigation, A
Van Dyke Institute 1995 — 1995
Diploma, Nursing Assistant
Lakewood Sr. High School 1991 — 1995
Diploma, High School/Secondary Diplomas and Certificates
WellCare November 2013 - Present
Exactus Pharmacy Solutions - a WellCare company August 2011 - November 2013
Tampa Bay Tech Solutions, LLC April 2013 - August 2013
WellCare August 2010 - August 2011
WellCare November 2009 - August 2010
WellCare June 2007 - November 2009
CVS Pharmacy December 2005 - February 2007
Skills
Medicare, Managed Care, HIPAA, Software Documentation, Microsoft OS:..., Customer Service, Logmein, Microsoft Server OS:..., Microsoft Office..., I.T. Terminology, Microsoft OS..., Microsoft Server OS, VirtualBox, Labtech, ConnectWise, 50+ WPM typing, MS Visio, VMware, Wireless LAN Security..., Wireless LAN..., Macrium reflect, Google Apps, Configure backup and..., Cisco Desktop agent, Medication Therapy..., Medicare Part D, Pharmacy Operations, PBM, HIPAA Compliance, SIG Coding, Medical Claim Cycle, Member EMR management, Medicare B processing, Medicare D processing, Medicare Part B, Medical Terminology, Medical Insurance Claims, Healthcare Management
Education
Hillsborough Community College 2010 — 2013
A.S. - Network Adm/Cisco/Telecommunications, Information Technology
St. Petersburg College
WellCare August 2012 - Present
WellCare September 2007 - July 2012
Skills
Medicare, Insurance, Managed Care, Direct Sales, Account Management, Medicare Part D, Sales, New Business Development, Sales Management, Health Insurance, Sales Operations, Healthcare, Medicaid, HMO, Call Centers, Long-term Care, Health Policy, Disease Management, Healthcare Industry, Provider Relations, Health Savings Accounts, Employee Benefits, Brokers, Term Life Insurance, Network Development, HIPAA, Claim
Education
Southern University at New Orleans
CarePlus Health Plan April 2010 - Present
Humana October 2008 - April 2010
WellCare March 2002 - September 2008
Skills
Medicare, Managed Care, Health Insurance, HMO, Medicaid, Provider Relations, Network Development, Medicare Part D, Healthcare, Long-term Care, Healthcare Consulting, Healthcare Management, PPO, HIPAA, EHR, Employee Benefits, Healthcare Industry, Insurance, Life Insurance, Health Policy, Disability Insurance, Hospitals, Claim, Revenue Cycle, EMR, Healthcare Information..., Term Life Insurance, Health Savings Accounts, Disease Management, Credentialing, Utilization Management, Home Care, Medical Terminology, Physician Relations, Medicare/Medicaid..., Medical Billing, Medical Coding, Medicaid Managed Care, Health Care Reform, Team Building, Strategic Planning
Education
Santa Fe College
Adoption Related Services of Pinellas and DBA Family Enrichment May 2014 - Present
WellCare October 2013 - Present
Prodigy May 2013 - Present
J & J Faces March 2001 - Present
PARC November 2005 - September 2011
Skills
Case Managment, Non-profits, Community Outreach, Mental Health, Critical Thinking, Social Services, Program Development, Customer Service, Public Speaking, Grant Writing, Event Planning, Crisis Intervention, Research, Community Development, Case Management, Volunteer Management, Nonprofits, Call Center..., Group Therapy, SharePoint
Education
University of South Florida 2011 — 2014
Master of Social Work (MSW), Social Work
St. Petersburg College 2000 — 2011
aa, education
Equian March 2015 - Present
SCIO Health Analytics November 2013 - February 2015
WellCare May 2013 - November 2013
Health Management Associates December 2012 - May 2013
AvMed Health Plans May 2012 - November 2012
AvMed Health Plans March 2010 - May 2012
AvMed Health Plans April 2008 - March 2010
Dartmouth Hitchcock Medical Center October 2007 - March 2008
Dartmouth Hitchcock October 2006 - October 2007
Comcast Cable September 2005 - October 2006
Skills
Auditing, HIPAA, Data Analysis, Insurance, Customer Service, Analysis, Microsoft Excel, Policy, Microsoft Office, Medical Coding, Claim, PowerPoint, Employee Benefits, Medical Records, Medicare, Health Insurance, Amisys, Managed Care, Healthcare, HMO, Process Improvement, Revenue Cycle, Business Objects, Hospitals, Team Leadership, Healthcare Industry, PPO, Fraud, ICD-9, CPT, Contract Management, Macess, Provider Relations, Medicaid, Management, Healthcare Management, Physicians, Healthcare Information...
Education
Saint Leo University 2011 — 2012
Master of Business, Information Security Management
New Hampshire Technical Institute 2007 — 2008
None, Accounting
Champlain College 2001 — 2005
Bachelor's Degree, Criminal Justice
Verizon Telecom August 2012 - July 2014
Bank of America September 2010 - September 2011
Verizon Telecom June 2010 - August 2010
AccentHealth October 2009 - February 2010
WellCare 2010 - 2010
Syniverse Technologies January 2009 - June 2009
Bayview Financial January 2007 - September 2008
Relational Technology Solutions 2007 - August 2008
SAP America December 2007 - January 2008
FIS June 2007 - December 2007
Skills
Solaris, Servers, Disaster Recovery, System Administration, AIX, VMware, Linux, Operating Systems, Unix, Oracle, Networking, Storage, Perl, Data Center, MySQL, Bash, Ksh, PHP, System Migration, Shell Scripting, IBM AIX, Red Hat Linux, Troubleshooting, Senior Administrtator, SAN, System Deployment, System Migrations, Remote Infrastructure..., LPAR, IBM pSeries, Red Hat Enterprise Linux, Disk Arrays, Cluster, Databases, Integration, Virtualization, DNS, Hardware, Microsoft Excel, Microsoft Office, Microsoft Project, CentOS, Team Building, Team Management, Teamwork, Training, Remote Administration, IT Hardware Support, IT Consulting, Professional Services
Education
San Jose City College 1989 — 1992
AS, Computer Information Systems, 305 GPA, Deans List first quarter with 17 units.
Aberdeen Proving Grounds, Ordinance Training School 1980 — 1980
MOS 45G, Army ordinance tactical fire control.
WellCare August 2013 - Present
AaSys Group, Inc. January 2011 - May 2013
Numara Software July 2009 - June 2010
Tech Data 2008 - 2009
Tech Data 2002 - 2008
Tech Data 1998 - 2002
Mercantile Department Stores 1995 - 1998
Skills
Marketing, B2B, Strategic Planning, Customer Service, Management, Training, Program Management, Account Management, Salesforce.com, Budgets, Product Development, Analysis, Project Management, Product Marketing, Sales, Business Development, New Business Development, CRM, Email Marketing, Solution Selling, Marketing Management, Competitive Analysis, Lead Generation, Sales Operations, Marketing Communications, Multi-channel Marketing, Direct Marketing, Marketing Strategy, Market Planning, B2B Marketing, Online Marketing, Sales Management
Education
St. Petersburg College
University of Northern Colorado
UnitedHealthcare Medicare Solutions March 2011 - Present
UnitedHealth Group February 2010 - May 2011
UnitedHealth Group February 2008 - February 2010
Associated Home Health August 2007 - February 2008
WellCare 2004 - 2006
UnitedHealth Group January 1998 - 2004
Skills
Microsoft Office, Project Management, Reporting & Analysis, Presentations, Training, Customer Support, Process Improvement, Sales Process, Managed Care, Marketing, Sales Operations, Sales, Medicare, Healthcare, Health Insurance, Healthcare Industry, Long-term Care, Management, Call Centers, Provider Relations, Account Management, Cross-functional Team..., Medicare Part D, Network Development, Sales Presentations, Insurance, Sales Management, Selling, Salesforce.com, Health Policy, Team Leadership, HMO, Health Savings Accounts, Disability Insurance, Customer Retention, Team Building, Leadership, Strategic Planning, Medicaid, Customer Satisfaction, Employee Benefits, Term Life Insurance, Claim
Education
Saint Leo University
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
Aetna May 2015 - Present
Practice iQ August 2013 - May 2015
WellCare April 2013 - August 2013
Aetna January 2010 - April 2013
Missouri Care, Inc. January 2009 - January 2010
Forest Laboratories January 2006 - January 2009
Chiropractic Associates of SE Missouri, LLC February 2000 - September 2006
Skills
Accountable Care, Managed Care, Program Implementation, Operations Management, Healthcare, Strategic Planning, NCQA, Healthcare Management, Provider Relations, Medicaid, Physicians, Contract Negotiation, Health Policy, Network Development, Government Contracting, Contract Management, Hospital Reimbursement, Claims Resolution, Medicare, Healthcare Reimbursement, HIPAA
Education
Logan College of Chiropractic 1996 — 1999
Doctorate of Chiropractic, Chiropractic
Southeast Missouri State University 1989 — 1995
B.S, General Studies
UnitedHealth Group September 2015 - Present
UnitedHealth Group May 2014 - Present
UnitedHealthcare December 2012 - May 2014
WellCare June 2012 - December 2012
WellCare April 2008 - June 2012
UnitedHealthcare January 2007 - April 2008
UnitedHealthcare January 2004 - December 2006
UnitedHealthcare October 2002 - December 2003
Suncoast Motion Picture Company January 1999 - September 2002
ORCInternational January 1998 - January 1999
Skills
GeoNetworks, GeoAccess, Six Sigma, Microsoft Office, HIPAA, Process Improvement, Call Centers, Retail Sales, Market Research, Healthcare Information..., Information Technology, Information Security, Visio, Customer Service, SharePoint, Business Analysis
Education
St. Petersburg College 2006 — 2012
Bachelor of Applied Science (B.A.Sc.), Technology Management
St. Petersburg College 2009 — 2009
Certification, Lean-Six Sigma Green Belt
Collabera November 2014 - Present
Suncoast Solutions June 2013 - November 2014
Farmers Insurance November 2012 - February 2013
Citi Group March 2011 - November 2012
Clarity Services, Inc. May 2010 - March 2011
WellCare September 2009 - March 2010
Shands Healthcare July 2006 - September 2009
Georgia Power Company February 2003 - July 2006
Skills
Actimize, SAS/SQL, OFAC, SAS, SQL*Plus, Oracle SQL, Knowledge Studio, SQL, SAS programming, Fraud, Data Analysis, Access, SharePoint, Risk Management, SDLC, Databases, Software Documentation, Process Improvement, Management, Analytics, Requirements Analysis, Financial Services, Program Management, Financial Risk, Oracle, Requirements Gathering, Project Management, Business Intelligence, Business Analysis, Strategy, Integration, Analysis, Visio, Business Process..., Vendor Management, Training, Banking, Software Project..., Finance, Scrum, Business Process, Business Requirements, Microsoft Office, Customer Service, Agile Methodologies, Team Building, Software Development, Interviews, Documentation, Leadership
Education
South University 2009 — 2012
Master's degree, Criminology - Cyber Crime, 3.6
DeVry University 1999 — 2002
Bachelor of Applied Science (BASc), Computer and Information Sciences and Support Services, 3.34
WellCare 2010 - 2012
Chase June 2005 - February 2009
Skills
Customer Service, Pharmacy, Insurance, Finance, Banking, Computers, DJ, Automotive, Microsoft Office, Serato Scratch Live, Medicine, Electronics, Claims Handling, Claims Resolution, Claims Review
Education
Seminole Community College 2007 — 2009
Pre-Pharmacy Studies
WellCare April 2013 - Present
Amerigroup Corporation May 2012 - April 2013
Children's Healthcare of Atlanta August 2011 - May 2012
Greenville Hospital System September 2008 - May 2011
Health Partners February 2008 - August 2008
Temple University Health System October 2004 - January 2008
Skills
Managed Care, Hospitals
Education
Saint Joseph's University
Master of Science (MS), Health Administration
University of Pittsburgh 1984 — 1988
Bachelor of Science (BS), Business
Archcare April 2014 - Present
Fidelis Care September 2013 - March 2014
Lime Energy 2012 - 2013
EnerPath 2010 - 2012
Touchstone Health 2006 - 2009
EmblemHealth / GHI 2006 - 2009
WellCare 2003 - 2006
Affinity Health Plan 2001 - 2003
Megasys, Inc. 1976 - 2001
Skills
Sales
Education
St. John's University 1972 — 1976
Computer Science
Cardinal Hayes High School 1968 — 1972
Academic High School Degree, Liberal Arts and Sciences/Liberal Studies
Quality Health Plans of New York, Inc. September 2014 - Present
Quality Health Plans of New York, Inc. 2014 - 2015
Care Wisconsin November 2013 - August 2014
RR Donnelley November 2012 - November 2013
Quality Health Plans July 2008 - November 2011
Medical Funding Services April 2007 - December 2007
Quality Health Plans April 2000 - April 2007
WellCare 1995 - 1998
Skills
Sales Management, New Business Development, Strategic Planning, Managed Care, Account Management, Contracting & Network..., Provider Relations, Sales, Healthcare, Process Improvement, Insurance, Employee Benefits, Leadership, HIPAA, Team Building, Training, Medicare, Health Insurance, Healthcare Industry, Medicaid, Healthcare Management
Education
St. Petersburg College 1995 — 1996
Rolls-Royce February 2015 - Present
Rutgers University September 2014 - December 2014
Sikorsky Aircraft June 2014 - August 2014
WellCare April 2012 - May 2014
The Tides Estate September 2011 - February 2012
All County Waterproofing, LLC October 2011 - January 2012
Chase January 2010 - October 2010
New Brunswick Community Interpreter Project October 2008 - April 2010
Washington Mutual Bank June 2005 - August 2007
Skills
Leadership Development, Emotional Intelligence, Time Management, Customer Service, Spanish, PowerPoint, Microsoft Excel, Public Speaking, Microsoft Word, Training, Outlook, Photoshop, Digital Photography, Writing, Interpersonal Skills, Communication Skills, Onboarding, Employee Engagement, Diversity & Inclusion, Leadership
Education
Rutgers, The State University of New Jersey-New Brunswick 2012 — 2015
Master of Human Resource Management
Rutgers, The State University of New Jersey-New Brunswick 2007 — 2011
Bachelor of Arts, Latino & Hispanic Caribbean Studies, Spanish
Passaic County Technical Institute 2003 — 2007
High School, Academy of Finance
BI Wizards November 2009 - Present
ORACLENERD, Inc. November 2009 - Present
ODTUG September 2012 - June 2015
Suncoast Oracle Users Group January 2010 - January 2013
ODTUG September 2011 - June 2012
Full Spectrum April 2009 - October 2009
Revolution Money September 2008 - April 2009
Revolution Money June 2008 - July 2008
Wellcare November 2006 - May 2008
Partnership for Strong Families January 2005 - November 2006
Skills
PL/SQL, Data Modeling, Oracle, OBIEE, Oracle Application..., SQL, Data Warehousing, Database Design, Databases, ETL, Database Administration, SQL*Plus, Business Intelligence, SQL Tuning, Relational Databases, Software Development, Data Warehouse..., Data Architecture, OLTP, Visio, Systems Analysis, Blogging, Community Management, Oracle Applications, OLAP, Event Planning, Requirements Analysis, Beer, Testing, Dimensional Modeling
Education
University of Florida 1991 — 1997
BS, Health Education
Santa Fe Community College 1990 — 1991
Essence Healthcare August 2013 - Present
WellCare April 2011 - Present
WellCare 2011 - 2013
Alexian Brothers Health System March 2003 - April 2011
Skills
HIPAA, Medicare, Benefits Administration, Long-term Care, Insurance, Employee Benefits, Managed Care, Health Insurance, Medicaid, Workers Compensation, Medicare Part D, Health Savings Accounts, Provider Relations, Claim, Health Care Reform, Disability Insurance, Healthcare, COBRA, Utilization Management, Healthcare Consulting, Health Policy
Education
Saint Louis University 1994 — 1998
Bachelor of Arts (B.A.), Sociology
Dell October 2012 - Present
The Jacobson Group August 2011 - September 2012
WellCare January 2009 - December 2010
WellCare HealthCare Plans Inc January 2009 - December 2010
United Health Care January 2006 - December 2008
Skills
Insurance, Medicaid, Commercial Insurance, Workers Compensation, Analysis, Claims Management, Property & Casualty..., Casualty, Management, Medicare, Health Insurance, General Insurance, Employee Benefits, Underwriting, Claim, Process Improvement, Software Documentation, Disability Insurance, HIPAA, Legal Liability, Claim Investigation, Long-term Care, Managed Care, Medical Billing, Claims Resolution, Reinsurance, Liability, Risk Management, CPT, HMO, ICD-9, Access, Life Insurance, Medical Terminology, Medical Coding, Brokers, Call Centers, Healthcare Industry
Education
Sanford-Brown Institute-Tampa 2011 — 2012
Pharmacy Technician, Pharmacy, Technical Program
Hillsborough Community College2006-2008Brandon High School 2006 — 2008
Associate of Arts (A.A.), Pharmaceutical Sciences
brandon high school 1999 — 2003
diploma, High School/Secondary Diploma Programs
WellCare May 2013 - Present
Pageantry Arts January 2005 - Present
Skills
Resume Writing, Job Coaching, Copy Editing, Freelance Writing, Editing, Proofreading, Nursing Management, Case Managment, Emergency Nursing, Leadership, Training, Customer Service, Evaluation, Visual Arts, Adjudication, Colorguard, Marching, Band, Visual Effects, Performing Arts, Theatre, Acting, Teaching English as a..., Fact-checking, Facebook, Web Content, Marketing Copy, Feature Articles, Newsletters, Social Media, Public Speaking, Copywriting, Research, Technical Writing, Teaching, Nursing, Music, Fundraising, Creative Writing, Grant Writing, Event Planning, Community Outreach, Social Networking, Volunteer Management, Staff Development, Software Documentation, Program Development, E-Learning, Instructional Design, ACLS
Education
St. Petersburg College 2001 — 2002
Associate of Science (A.S.), Registered Nursing/Registered Nurse, High Honors
Kforce June 2012 - Present
Ultimate Medical Academy - Tampa August 2010 - May 2012
WellCare December 2006 - November 2007
Liberty Mutual Insurance March 2004 - December 2006
Skills
Notary Public, Youth Mentoring, Lifestyle Coaching, Employee Relations, Management, Payroll, Recruiting, Benefits Administration, Customer Service, Human Resources, Policy, Training, Interviews, Deferred Compensation, Succession Planning, Resume Writing, FMLA, Strategy, HR Policies, Employee Benefits, Hiring, Conflict Resolution, Program Management, Leadership Development, Personnel Management, Team Building, Organizational..., Talent Acquisition, Strategic Planning
Education
Saint Leo University 2010 — 2016
Associate of Arts (A.A.), Human Resources Management/Personnel Administration, General
Villanova University 2008 — 2008
Human Resources Management and Services
Thomas Jefferson Senior High School 1994 — 1997
Business Administration and Management, General
WellCare January 2010 - Present
Allstate November 1996 - December 2009
Skills
Instructional Design, Leadership Development, Coaching, Instructor-led Training, Microsoft Office, Quality Assurance, Call Center, Avaya, Genesys, Performance Management, Talent Management, Outlook, Access, Customer Service, PowerPoint, Word, Excel, Insurance, SharePoint, Compliance, Mentoring, Change Management, Team Building, Technical Training, E-learning, Curriculum Design, Writing, HTML, Customer Relations
Education
St. Petersburg College 1986 — 1989
AA, Marketing
Independent Healthcare Consultant November 2012 - Present
Florida True Health, Inc. January 2012 - October 2012
Independent Managed Care Consultant February 2011 - January 2012
WellCare September 2006 - June 2010
WellCare January 2005 - September 2006
WellCare 2002 - 2005
Skills
Process Improvement, Medicare, Contract Management, Medicaid, Provider Network..., Managed Care, Health Policy, Provider Relations, Network Development, Health Insurance, Community Outreach, Employee Benefits, HIPAA, Healthcare Industry, Leadership, Cross-functional Team..., Healthcare, Management, Disease Management, Policy, PPO, HMO, Claim, Healthcare Management, Healthcare Consulting, HEDIS, Insurance, Strategy, Healthcare Information..., EHR, Physicians, Hospitals, Physician Relations, Recruiting, Credentialing, Revenue Cycle, Executive Management, Medicare Part D, Long-term Care, Utilization Management, Informatics, Quality Improvement, Claims Resolution, Medical Billing, Medicaid Managed Care, Practice Management, Medical Coding, CPT, Pharmacy Benefit..., ICD-9
Education
St. Petersburg College
Dell July 2014 - Present
WellCare January 2013 - July 2014
Nationwide Financial 2004 - February 2013
Dell Services September 1996 - February 2013
YMCA July 2008 - February 2011
Tamba Bay Dragon Boat Club 2008 - 2011
Koan Consulting April 2001 - April 2004
The Great A&P Tea Company April 2001 - April 2002
SourceTrack October 1999 - March 2001
GTE/Verizon October 1995 - September 1996
Skills
Program Management, SDLC, Agile Methodologies, Java, Business Intelligence, Databases, UML, Unix, Oracle, .NET, SQL, Requirements Analysis, Architecture, Microsoft SQL Server, Software Project..., Telecommunications, IT Strategy, Project Management, Enterprise Software, Data Modeling, Software Development, Architectures
Education
State University of New York College at Brockport 1975 — 1976
Masters, Mathematics
Saint John Fisher College 1971 — 1975
BS, Mathematics
State University of New York College at Cortland 1969 — 1970
Chemistry
Trinity Medical Pharmacy June 2014 - July 2015
SouthEastern Guide Dogs 2003 - July 2015
The Medicine Shoppe Pharmacy February 2012 - June 2014
Sun Healthcare Group February 2011 - January 2012
Quality Health Plans July 2006 - April 2010
WellCare March 2006 - June 2006
Eckerd Drugs/CVS Drugs March 2001 - May 2006
Nielsen Media Research June 1985 - July 1998
Skills
Healthcare, Medicaid, Pharmacy, HIPAA, Managed Care, Microsoft Excel, Data Analysis, Provider Relations, Microsoft Office, Pharmacy Benefit..., Medicare Part D, Customer Service, Medicare, Health Insurance, Pharmacy Automation, Data Entry, Healthcare Management, Medical Terminology, Medication Therapy..., Outlook
Education
St. Petersburg College
AA, Customer Service, Communication Skills, Pharmacy Technician
PODS July 2013 - Present
The Coca-Cola Company October 2012 - June 2013
WellCare May 2011 - May 2012
MetLife August 2006 - February 2009
Moffitt Cancer Center May 2006 - July 2006
USAA 2002 - 2005
Intermedia Communications, Inc. 1999 - 2001
The St. Paul Companies & USF+G Insurance 1996 - 1999
First Data Corporation 1996 - 1996
Progressive Insurance 1987 - 1996
Skills
Employee Relations, Employee Engagement, Employee Training, Organizational..., Talent Acquisition, Talent Developer, Succession Planning, SuccessFactors, Labor Relations, Coaching, Union Avoidance, Investigation, Employee Surveys, Exit Surveys, Onboarding, HR Policy Formulation, Affirmative Action..., Diversity Training, Workplace Harassment, Generations at Work, Talent Management, Deferred Compensation, Recruiting, Personnel Management, Leadership, Training, Career Development, Compensation & Benefit, New Hire Orientations, Applicant Tracking..., Benefits Administration, PeopleSoft, Management, Policy, Management Development, Executive Coaching, Technical Recruiting, Leadership Development, Strategy, Interviews, Sourcing, Employer Branding, Employment Law, Hiring, Consulting, Job Descriptions, Performance Appraisal, Resume Writing, Taleo, Conflict Resolution
Education
Saint Leo University
MBA
University of South Carolina-Columbia
M.Ed. & B.A.
WellCare Health Plans April 2015 - Present
WellCare October 2014 - Present
Raymond James Financial Inc. November 2013 - October 2014
Raymond James Financial Inc. September 2012 - November 2013
Raymond James Financial Inc. June 2010 - September 2012
Raymond James Financial Inc. June 2008 - June 2010
Skills
Firewalls, Microsoft Office, VPN, Networking, IT Security Policies, Network Security, Customer Service, Palo Alto Networks, Qualys, Vulnerability Scanning, Help Desk Support, Service Desk, Wireshark, Active Directory, Security Operations, TCP/IP, Computer Hardware, Software, Mobile Devices, Disaster Recovery, Troubleshooting, Information Security, Windows Server, Software Documentation, Security, System Administration, Technical Support, Servers, Windows 7, DNS, Business Analysis, Information Technology, Requirements Analysis, Process Improvement
Education
St. Petersburg College 2008 — 2014
Associate of Science (A.S.), Information Technology
Northeast high school 2004 — 2008
High school diploma, Finance, General
Sage January 2013 - Present
Cegedim Relationship Management January 2011 - December 2012
WellCare August 2010 - December 2010
inVentiv Health July 2009 - December 2009
Barclays April 2008 - April 2009
Nokia India Pvt. Limited April 2006 - August 2007
Skills
Selenium, SDLC, Scrum, Selenium WebDriver, Test Planning, Testing, Quality Center, Quality Assurance, HP Quality Center, User Acceptance Testing, Manual Testing, SQL, Test Automation, Test Cases, Regression Testing, Microsoft SQL Server, Agile Methodologies, Business Analysis, System Testing, Visio, HP QTP, Requirements Analysis, Software Quality..., XML, Oracle, QTP, Databases, Test Strategy, Integration, Test Management, Software Project..., JIRA, Business Intelligence, Unix, SharePoint, Performance Testing, Software Documentation, Requirements Gathering, Analysis
Education
The University of Findlay 2006 — 2008
Master of Business Administration (MBA), Organizational Leadership
Sardar Patel University 2003 — 2005
Master of Science (MS), Electronics
WellCare Health Plans January 2015 - Present
WellCare Health Plans July 2014 - January 2015
WellCare Health Plans January 2014 - January 2015
WellCare October 2012 - January 2014
WellCare October 2011 - October 2012
Skills
Health Insurance, Insurance, Customer Service, Sales, Medicare, Marketing, Microsoft Excel, Managed Care, Microsoft Office, Outlook, Sales Management, Educational Leadership, Education, Process Improvement, Sales Operations, Office Administration, Event Management, Team Leadership, Salesforce.com, Training, Data Entry
Education
St. Petersburg College 2012 — 2014
Bachelor's Degree, Educational Studies
St. Petersburg College 2010 — 2012
Associate of Arts (AA), General Studies
WellCare September 2011 - Present
The Compassionate Friends of Oldham County KY August 2012 - May 2014
Seven Counties Services July 2007 - September 2011
Wellspring Ardery House October 2002 - July 2007
Skills
Healthcare, Case Managment, Mental Health, Public Speaking, Coaching, Leadership Development, Research, Customer Service, Clinical Research, Microsoft Office, Medicaid Managed Care, Medicaid, Case Management, Behavioral Health, Leadership
Education
Spalding University
BA, Psychology
Western Kentucky University
WellCare Health Plans September 2015 - Present
WellCare Health Plans October 2014 - Present
WellCare December 2013 - Present
WellCare October 2012 - December 2013
University of Georgia August 2009 - May 2012
University of Georgia May 2011 - September 2011
University of Georgia May 2010 - August 2010
Skills
SAS, Microsoft Excel, Medicare Advantage, Bidding Process, Modeling, Economics, Medicare, LaTeX, Mathematics, Pricing, Financial Reporting, P/1, Microsoft Office, Forecasting, FM/2, Stochastic Modeling, Financial Risk, Data Analysis, Actuarial Science
Education
The University of Georgia 2009 — 2012
Master of Arts, Mathematics, 3.92
Sichuan University 2005 — 2009
Bachelor of Science, Actuarial Science, 3.5
WellCare January 2012 - July 2012
Midwest Medical Group January 2011 - June 2011
Talbert Medical Group September 2008 - March 2010
CMS-Cap Management Systems May 2007 - September 2008
Skills
Utilization Management, Disease Management, Managed Care, Medicaid, Credentialing, Healthcare Consulting, Healthcare Management, Healthcare, Healthcare Information..., Healthcare Industry, Hospitals, Health Policy, Physicians, Provider Relations, Health Insurance, Medicare, Network Development, HMO, Physician Relations, HEDIS, EHR, Quality Improvement, Medicaid Managed Care, HEALTHCARE QUALITY, EMR, NCQA, Triple Aim, Patient Centered..., ACO operations, Medical Management
Education
Pacific Medical Center
Post Graduate Medical Training, Internal Medicine
Pacific Medical Center
American Board of Emergency Medicine, Certified and Recertified, Internal Medicine Residency Program
Rush Medical College of Rush University Medical Center
Doctor of Medicine (M.D.), Medicine
Washington University in St. Louis
Bachelor of Arts (B.A.), Pre-Medicine/Pre-Medical Studies
Virtual Alliance 2U Field ReviewerAltegra HealthMay 2014 - Present
Altegra Health June 2011 - January 2014
WellCare May 2007 - July 2007
Stellar Partners, Inc. June 2005 - December 2006
Skills
Chart Data Acquisition..., Executive..., Administrative..., Confidentiality, Calendaring, Outlook, Administration, Administrative..., Data Entry, EMR, Medical Records, Online Research, Training
Education
State University of New York Empire State College 2008 — 2010
Bachelor's degree, Sociology
St. Petersburg College 2003 — 2005
Associate of Arts (AA), Liberal Arts and Sciences/Liberal Studies
St. Petersburg College 2001 — 2002
Certificate, Prepress/Desktop Publishing and Digital Imaging Design
WellCare September 2007 - Present
Guaranty Bank December 1989 - November 2006
Skills
Insurance, Banking, Managed Care, Vendor Management, Team Building, Training, Medicare, Fixed Annuities, Healthcare, Health Insurance, Process Improvement, Leadership, Strategic Planning, Life Insurance, Financial Risk, Customer Service, Employee Benefits, Provider Relations, Network Development, Health Policy, Medicaid, Management
Education
Sam Houston State University
WellCare March 2007 - December 2013
New York Hotel Trades Council January 2001 - January 2006
The Robert Wood Johnson Health Network July 1996 - December 2000
Skills
Patient Advocacy, Medicaid, Healthcare Management, Physician Relations, Healthcare, Health Insurance, Medical Billing, EMR, HIPAA, Healthcare Information..., Managed Care, Leadership, Training, Strategic Planning, Healthcare Consulting, Medicare, Health Policy, Healthcare Industry, Physicians, Revenue Cycle, Hospitals, EHR, Process Improvement, Home Care, Claim, Informatics, Insurance, Employee Benefits, Performance Improvement, Clinical Research, Practice Management, Policy
Education
Seton Hall University 2003 — 2005
Masters, Healthcare Administration
Anthem April 2014 - Present
WellCare March 2013 - March 2014
WellCare September 2011 - March 2013
Principal Healthcare 2008 - November 2010
Cigna 2007 - 2008
Cigna 2007 - 2008
Cigna 2007 - 2008
Cigna 2007 - 2008
UnitedHealth Group 2004 - 2005
UnitedHealth Group 2003 - 2004
Skills
Health Insurance, Managed Care, Medicare, Medicaid, Sales, Leadership, Physicians, Hospitals, Provider Relations, Health Care Reform, Insurance, Health Policy, Healthcare, Healthcare Industry, Healthcare Management, HIPAA, Team Building, HMO, Healthcare Consulting, Pharmacy Benefit..., Healthcare Information..., Employee Benefits, Disease Management, Health Savings Accounts, Medicare Part D, Strategic Planning, Revenue Cycle, Executive Management, Network Development, Utilization Management, Long-term Care, Disability Insurance, Brokers, Practice Management, Claim, Physician Relations, PPO, Revenue Cycle Management
Education
University of Colorado Colorado Springs 2003 — 2004
MBA, Finance/healthcare
Simpson University 1971 — 1975
Bachelor’s Degree, Clinical Psychology
HealthPlan Services January 2014 - Present
HealthPlan Services March 2013 - December 2013
Universal Health Care July 2012 - March 2013
WellCare June 2010 - July 2012
PepsiCo March 2006 - 2010
Quaker Tropicana Gatorade, division of PepsiCo January 2005 - March 2006
Tropicana, Division of PepsiCo October 2003 - December 2004
Tropicana, division of PepsiCo March 2001 - October 2003
Tropicana, division of PepsiCo January 2000 - March 2001
KPMG LLP January 1996 - January 2000
Skills
Financial Analysis, Process Improvement, Strategic Planning, Project Implementation, Forecasting, Strategy, Change Management, Program Management, Analysis, Finance, Account Management, Management, Training, Marketing, Budgets, Cross-functional Team..., Software Documentation, Project Management, Auditing, Healthcare, Sarbanes-Oxley Act, Product Development, Sales
Education
University of Florida - Warrington College Of Business 2002 — 2003
M.B.A
Saint Joseph's University 1993 — 1996
B.S, Accounting
WellCare Health Plans May 2015 - Present
WellCare March 2014 - Present
WellCare May 2012 - March 2014
WellCare November 2010 - April 2012
WellCare February 2008 - November 2010
WellCare August 2006 - February 2008
WellCare February 2006 - August 2006
Skills
Medicare, Analysis, Medical Terminology, Medical Billing, Project Management, Medical Coding, Medicare/Medicaid..., Microsoft Excel, Access, Claim, Access Database, PowerPoint, Medicaid Managed Care, Microsoft Office, Microsoft Word, Bookkeeping, Accounting, Basic Accounting, Contractual Agreements, Supervisory Skills, Staff Supervision, Staff Training, System Configuration, Reporting & Analysis, Configuration Management, ICD-10, Job Coaching
Education
St. Petersburg College 2012 — 2015
Business Administration and Management, General
Beacon Hogh School 2003 — 2006
NY State Regents Diploma
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & Texas July 2015 - Present
WellCare February 2008 - July 2015
Skills
Medicaid, Claim, HIPAA, Healthcare, Healthcare Management, Strategic Planning, Provider Relations, Training, Team Building, Health Policy, Management, Sales, Customer Service, Medicare Part D, Leadership, New Business Development, Employee Benefits, Health Care Reform, Long-term Care, Health Savings Accounts, Disease Management, Sales Management, Disability Insurance, Microsoft Excel, Healthcare Industry, Retirement Planning, Nonprofits, Marketing Strategy, Healthcare Consulting, Benefits Administration, Life Insurance, HMO, Healthcare Analytics, Brokers, Term Life Insurance, Physician Relations, Customer Retention, Medicare/Medicaid..., Healthcare Reimbursement, Recruiting, Licensed Life, Customer Satisfaction, HEDIS, Network Development, PPO, Managed Care, Insurance, Health Insurance, Medicare, Process Improvement
Education
St. Mary's University 2003 — 2007
BA, Biology with a Minor in Chemistry
Walgreens Boots Alliance August 2012 - Present
UnitedHealth Group February 2012 - June 2012
CCS Medical 2011 - February 2012
Suncoast Hospice November 2010 - 2011
WellCare January 2008 - November 2010
Walgreens February 2006 - January 2008
Chairman Inc September 2000 - June 2006
General Nutrition Center, Franchising June 1995 - September 2000
Belleair Surgery Center March 1993 - June 1995
M. Foster MD, Internal Medicine/Geriatric 1987 - 1993
Education
St. Petersburg College 2015 — 2016
Certified Coding Associate, Health Information Technology
University of Phoenix 2007 — 2009
AA, Health Care Administration, Hospital and Health Care Facilities Administration/Management, 3.44
Full Sail University June 2015 - Present
Full Sail University January 2012 - Present
Full Sail University December 2009 - December 2011
AACSB International February 2008 - December 2009
WellCare September 2007 - January 2008
Aquent 2007 - 2008
Paradise Advertising and Marketing, Inc. May 2005 - September 2007
Skills
Copywriting, Blogging, Editing, Music, Writing, Editorial, Creative Writing, Social Media Marketing, Social Media, Mac, Creative Direction, Broadcast, Online Marketing, Newsletters, Facebook, Advertising, Final Cut Pro, Graphic Design, Video Production, Content Management, Digital Marketing, Video, Digital Media, Adobe Creative Suite, Social Networking, Multimedia, WordPress, Brand Development, Copy Editing, Video Editing, Press Releases, InDesign, Marketing, Public Relations, Integrated Marketing, Web Design, Dreamweaver, New Media, Publishing, Corporate Branding, Content Strategy, Web Content, Publications, Books, SEO
Education
University of South Florida 2003 — 2005
Bachelor of Arts, Mass Communications/Advertising
St. Petersburg College 2001 — 2003
Associate of Arts, Mass Communications, Music
Teamwork Retail / Retail Cloud Technologies April 2014 - Present
Sterling Payment Technologies December 2013 - April 2014
MedHOK Healthcare Solutions May 2012 - October 2013
WellCare December 2010 - May 2012
UnitedHealth Group August 2010 - December 2010
CCS Medical August 2008 - August 2010
Skills
Photoshop, Illustrator, Software Documentation, Training, HIPAA, Healthcare, Access, Project Management, Medicare, Microsoft Excel, Medicaid, Microsoft Word, Data Entry, Customer Service, Visio, Process Improvement, Healthcare Information..., Managed Care, Insurance, Troubleshooting, Vendor Management, Leadership, Data Analysis, Call Centers, Requirements Gathering, WordPress, Analysis, Integration, Management, GoDaddy, Regression Testing, Auditing, SEO, Software Quality..., Web Hosting, Computer Software..., Technical Documentation, Spring Ahead, JIRA Ticketing System, SnagIt, HTML 5, Audacity, Microsoft Visual Studio..., Dreamweaver, VPN, Magento, Smartsheets, Microsoft Business...
Education
St. Petersburg College 2011 — 2014
Bachelor of Applied Science (B.A.Sc.), Management and Organizational Leadership
St. Petersburg College 2007 — 2010
AA, Mass Communications
UnitedHealth Group August 2012 - Present
Combined Insurance March 2014 - April 2015
Aflac February 2012 - February 2014
WellCare April 2011 - December 2011
UnitedHealth Group September 2005 - April 2011
Enterprise Rent-A-Car September 2002 - September 2004
Skills
Insurance, PeopleSoft, Health Insurance, Compliance, Strategic Financial..., Employee Benefits, Medicare, Team Building, Leadership, Fixed Annuities, Program Management, Term Life Insurance, Disability Insurance, Customer Service, Underwriting, Small Business, Life Insurance, Coaching, Employee Relations, Long-term Care, Management, Customer Retention, Medicare Part D, Cold Calling, Property & Casualty..., Training, Sales, Accident, Benefits Administration, Healthcare, General Insurance
Education
Webster University 1999 — 2002
Bachelor of Arts, Broadcasting
St. Louis Community College 1990 — 1994
Associate of Arts, Broadcasting
Northwest High School
Coldwell Banker Premier August 2015 - Present
Expert-Compare January 2015 - Present
Independent Broker / Non-Captive June 2013 - Present
MedicareCompareUSA June 2014 - January 2015
WellCare June 2011 - June 2013
Skills
Health Insurance, Insurance, Disability Insurance, Healthcare, Medicare, Team Building, Employee Benefits, Managed Care, Term Life Insurance, Sales, Call Centers, Long-term Care, Health Savings Accounts, Risk Management, Customer Service, Leadership, Management, Training, Recruiting, Real Estate, Real Estate Transactions
Education
Kirkwood sr High 1989 — 1992
Southwestern Illinois College
Convergence Consulting Group February 2013 - Present
IBM Global Business Services September 2010 - February 2013
Ciancio Consulting September 2009 - September 2010
WellCare February 2008 - July 2010
The Home Depot January 2004 - February 2008
Bisk Education 2001 - 2004
Skills
Business Objects, Requirements Gathering, Crystal Reports, Report Development, SQL DB2, Microsoft SQL Server, Cognos BI 10.1.1, Cognos 8.x, 10.0, 10.1,..., Oracle SQL, Framework Manager..., Process Improvement, Management, Business Process..., Leadership, Analysis, Customer Experience, Analytics, Business Analysis, Business Intelligence, Consulting, Program Management, Strategy, SDLC, Requirements Analysis
Education
Saint Leo University 2001 — 2003
Bachelors of Arts, Accounting / Business Administration
Blue Health Intelligence July 2014 - Present
VeriFone November 2013 - July 2014
SOE Software October 2012 - November 2013
Self-Employed January 2012 - August 2013
WellCare August 2012 - October 2012
Finish Line May 2012 - October 2012
Southeastern University January 2012 - May 2012
Skills
Quality Assurance, Management, QA Engineering, Marketing, Databases, Data Entry, Database Management, Regression Testing, Selenium Testing, Software Development, TFS, ALMComplete, TestComplete, LoadComplete, ClearQuest, Visual Basic, Microsoft Word, Microsoft Excel, Photoshop, Dreamweaver, PowerPoint, SharePoint, Notepad, Access, WordPress, Spreadsheet Design, SEO, Web Design, Application Development, Records Management, Training, Advertising, Staff Supervision, Brochures, Posters, Redmine, Customer Service, Staff Training, OnTime, Test Rail, Logo Design, Event Planning, Social Networking, Testing, SDLC, Leadership
Education
Southeastern University 2007 — 2012
Bachelor of Science (BS), Management Information Systems
Southeastern University 2007 — 2012
Bachelor of Science (BS), Business Management
Aflac 2013 - Present
WellCare October 2009 - January 2013
Florida Cancer Institute October 2008 - October 2009
BayCare Health System March 2000 - August 2008
HealthSouth August 1997 - March 2000
Skills
Insurance, Life Insurance, Disability Insurance, Dental Insurance, Medical Education, Patient Education, Patient Advocacy, Direct Patient Care, Nursing Care, Nursing Education
Education
St. Petersburg College 1995 — 1997
Associate's Degree, Registered Nursing/Registered Nurse, Honors
WellCare Health Plans May 2015 - Present
WellCare Health Plans January 2015 - May 2015
WellCare Health Plans April 2014 - January 2015
WellCare April 2013 - April 2014
Price Chopper Supermarkets May 2009 - April 2013
Price Chopper Supermarkets February 2006 - April 2013
Siena College September 2011 - December 2011
Skills
Time Management, Team Leadership, Strategic Planning, Team Building, Microsoft Word, Process Change, Analytical Skills, Project Coordination, Team Oriented, Customer Service, Merchandising, Microsoft Excel, Social Media, Training, SQL, PowerPoint, PL/SQL, SharePoint, Requirements Analysis
Education
Siena College 2010 — 2012
Bachelor of Science (B.S.), Management
WellCare April 2007 - Present
Citrus County Board of County Commissioners November 2004 - April 2007
Manatron May 2004 - October 2004
Manatron August 2000 - May 2004
WLT Software May 1994 - August 2000
Skills
PL/SQL, Systems Analysis, Informatica, Cognos, SQL Tuning, Problem Solving, Database Design, Data Warehousing, ETL, Data Modeling, SQL, Software Development, Programming, SDLC, Databases, Requirements Analysis, Documentation, Testing, Oracle SQL, Software Design, Software Documentation, TFS, Microsoft SQL Server, Visio, Oracle, Business Analysis, Unix, Unix Shell Scripting, Visual Basic, C#, Oracle SQL Developer
Education
St. Petersburg College 2003 — 2003
Oracle Certification, Oracle Database Developer
Hillsborough Community College 1984 — 1990
Computer Science
University of South Florida 1982 — 1984
Computer Science
WellCare December 2011 - Present
PMSI April 2007 - December 2011
SCC Soft Computer August 2004 - April 2007
Eckerd May 1996 - August 2004
Skills
Pharmacy Operations, Informatics, Business Analytics, Healthcare, Microstrategy, Microsoft Office, Data Analysis, Data Mapping, Pharmacy Automation, Management, Visio, Pharmacy, Pharmacy Benefit..., Managed Care, HIPAA, Business Analysis, SDLC, Business Intelligence, Analysis, Medicaid, Requirements Analysis, Analytics, Healthcare Industry
Education
St. Petersburg College
Evolent Health 2014 - Present
WellCare 2010 - 2013
WellCare 2009 - 2010
WellCare 2007 - 2009
Vertafore Inc./AMS Benefits 2003 - 2006
USAA 1993 - 2003
Skills
Process Improvement, Medicare, Health Insurance, Strategic Planning, Business Process..., Managed Care, Insurance, Vendor Management, Team Building, Medicaid, Project Management, Program Management, Software Documentation, Strategy, Management, Cross-functional Team..., Medicare Part D, Healthcare, Leadership, Budgets, Quality Assurance, Proposal Writing, Integration, Training, HIPAA, Medicare Advantage, New Business Development
Education
Saint Leo University 2002 — 2004
MBA, Business Administration/Management
University of South Florida 1990 — 1994
BA
Health Integrated, Inc. March 2015 - Present
Norcross Consulting Services January 1992 - Present
WellCare September 2012 - March 2015
CareCentrix March 2010 - August 2012
Suncoast Medical Clinic June 2009 - February 2010
LifePath Hospice June 2008 - June 2009
Citrus Health Care, Inc. 2007 - 2008
Pure Fitness Tampa (formerly Lady BodFit) February 2004 - September 2007
Humana Medical Plans, Tampa, FL January 1996 - February 2004
Suncoast Hospital, Largo, FL January 1988 - January 1996
Skills
Utilization Management, Legal Nurse Consulting, Hospice, Outpatient Clinical..., Healthcare Risk..., Medicaid, Medicare &..., Ancillary Contracting, Nurse Expert, Medicare, Managed Care, Medicaid, Risk Management, Healthcare, Medicine, PPO, Healthcare Management, Disease Management, Clinical Research, Health Policy, Nursing, Network Development, HMO, Case Managment, Home Care, Medical Billing, Provider Relations, Hospitals, Leadership, Patient Safety, Healthcare Industry, Health Insurance, HIPAA, Healthcare Consulting, EHR, Physicians, Healthcare Information..., Quality Improvement, Critical Care, EMR, Inpatient, Revenue Cycle, Physician Relations, Medical Coding, Credentialing, Medical Terminology, Medicare Part D, Medical Records, Pharmacy Benefit..., Case Management, Management
Education
St. Petersburg College 1983 — 1986
Nursing, Nursing Science
American Institute of Medical Law 1982 — 1984
Certificate Healthcare Risk Management
WellCare May 2008 - Present
DST Health Solutions August 2005 - May 2008
Perot Systems June 1998 - August 2005
DataViews June 1994 - July 1995
CAE-Link 1992 - June 1994
CAE 1986 - 1993
Skills
Architecture, Healthcare, SOA, Enterprise Architecture, Application Development, Web Services, HIT, EHR, Dynatrace, Application Performance..., Software Development, Application Architecture, Business Analysis, SDLC, JBoss Application Server, Requirements Analysis, Agile Methodologies, Solution Architecture, Data Modeling, Software Project..., Security, UML, Software Design, Architectures, Data Warehousing, XML, Database Design, Java Enterprise Edition, Hadoop, Pig, Hbase, Drools, Ambari, Sqoop, Integration, Apache Pig, HBase
Education
University of Saskatchewan 1981 — 1986
B. Sc with Distinction, Computer Science
Southern Alberta Institute of Technology 1976 — 1978
Avionics
The Broach School - Zephyrhills 2013 - Present
WellCare March 2009 - October 2011
DOGTEK February 2010 - December 2010
Insurance Administrative Solutions, LLC January 2006 - December 2008
Spheris February 2004 - February 2005
BayCare Health Systems February 2000 - February 2004
Skills
Public Speaking, Healthcare, Management, Marketing, Program Management, Advertising, Coaching, Recruiting, Account Management, Business Development, Contract Negotiation, Customer Service, Leadership, Marketing Strategy, Microsoft Excel, Sales, Social Media, Strategic Planning, Strategy, Team Building, Time Management
Education
University of Phoenix 2009 — 2012
Bachelor's, Organizational Innovations
St. Petersburg College 2000 — 2003
Nursing
MedHOK Healthcare Solutions February 2012 - Present
Wellcare July 2008 - February 2012
Skills
Software Documentation, Medicare, HIPAA, SQL, Requirements Analysis, Software Configuration..., Visio, Business Analysis, HTML, MySQL, Microsoft Office, Healthcare Information..., PL/SQL, XML, System Configuration, Microsoft Excel, PowerPoint, SaaS, html5, Java, Python, Access, SharePoint, HTML 5, Process Improvement, Leadership, SDLC
Education
St. Petersburg College 2014 — 2015
Bachelor's Degree, Technology Development and Management - Software Development
St. Petersburg College 2006 — 2008
A.A., Health Science
Healthesystems May 2015 - Present
WellCare May 2007 - May 2015
HSN January 2006 - March 2007
Eckerd June 1998 - July 2005
IBM Global Services June 1998 - July 2005
Skills
Unix, Software Development, Oracle, Requirements Analysis, SDLC, Enterprise Architecture, Data Warehousing, Visio, Business Analysis, Requirements Gathering, SQL, Vendor Management, ETL, Resource Management, Business Intelligence, IT Management, SharePoint, Software Project..., Systems Analysis, PL/SQL, Databases, Data Modeling, IT Strategy, Software Documentation, Solution Architecture, Database Design, Business Requirements, Business Process, User Acceptance Testing, Process Improvement, Access, Architectures, Unix Shell Scripting, Information Technology, Project Management, EDI, Data Integration, Agile Methodologies, Integration, Healthcare Information..., Leadership Development, Organizational..., Process Management, Team Leadership, Cross-functional Team..., Team Management, Coaching & Mentoring, Data Analysis, Corporate Communications, Strategic Planning
Education
University of Florida 1994 — 1998
Bachelor of Science degree in Business Administration, Major in Computer and Information Science
Santa Fe Community College 1987 — 1989
Associate's degree, General Studies
Ambay Health Network LLC (formerly Perfect Managed Care LLC) February 2007 - Present
WellCare January 2001 - December 2006
United Healthcare Insurance 1990 - 2000
Medcare HMO 1998 - 1999
Skills
Strategic Planning, Insurance, Managed Care, HMO, Credentialing, Claim, Network Development, Training, Leadership, Medicaid, Analytics, Employee Benefits, Provider Relations, HIPAA, Policy, Health Insurance, Process Improvement, Health Policy, Healthcare Management, Healthcare Consulting, Medicare Part D, Physicians, Healthcare, Healthcare Industry, Quality Assurance, Management, PPO
Education
St. Joseph's College (IN) 1997 — 1998
none, Business Management
Bishop Noll Institute
Humana October 2014 - Present
Humana February 2014 - October 2014
MedHOK Healthcare Solutions July 2012 - February 2014
MedHOK Healthcare Solutions July 2011 - July 2012
WellCare October 2007 - July 2011
WellCare October 2007 - March 2009
Danka Office Imaging May 2003 - October 2007
Danka Office Imaging May 2003 - October 2007
ALBRITTON ROOFING INDUSTRIES, INC January 2001 - May 2003
US Army July 1997 - November 2000
Skills
Project Implementation, Claims, Configuration Management, Claim, Medicare, Process Improvement, Organizational..., Operations Management, Project Management, Program Management, Business Process..., Training, Leadership, Software Documentation, Healthcare, Policy, Business Analysis, Software Project..., Insurance, Health Insurance, Healthcare Consulting, Recruiting, Budgets, Management, Medicaid, Analysis, Strategic Planning, Healthcare Industry, Managed Care, HIPAA, Customer Service, Team Building, Access, Visio, Vendor Management, Data Analysis, SDLC, Troubleshooting, Cross-functional Team..., Employee Benefits, Healthcare Information..., Team Leadership, Testing, Health Policy, Start-ups, Integration, Call Centers, Provider Relations, PMP, Sales
Education
St. Petersburg College
Associates
WellCare January 2012 - Present
PwC January 2011 - October 2011
PricewaterhouseCoopers December 2004 - December 2010
CGS April 2003 - December 2004
CGS March 1997 - April 2003
Olsten Staffing Services July 1996 - February 1997
Self-Employed February 1996 - July 1996
University of South Florida July 1995 - December 1995
University of South Florida July 1994 - December 1995
Skills
Oracle SQL, SQL Server, SQL, MS Office Suite, Excel, Access, Word, PowerPoint, Reporting & Analysis, Product Support, Relational Databases, Quality Center, Quality Assurance, Team Leadership, User Acceptance Testing, Metrics, Metrics Analysis
Education
University of South Florida 1993 — 1995
MBA, Information Systems
University of South Florida 1991 — 1993
B.A., Mathematics
St. Petersburg College 1988 — 1991
A.A, Mathematics
WellCare June 2013 - Present
WellCare August 2008 - May 2013
WellCare September 2007 - July 2008
Tech Data March 2005 - September 2007
Tech Data June 2003 - March 2005
Tech Data July 2000 - July 2003
Micro Data Systems September 1998 - July 2000
Skills
Network Security, CISSP, TCP/IP, Information Security, Symantec Data Loss..., Cisco Routing &..., Network Architecture, Computer Security, Cisco Technologies, Cisco Routers, Data Center, Security, IPS, Pre-sales, Hardware, Networking, Information Security..., Firewalls, WAN, Penetration Testing, Routers, VPN, Disaster Recovery, SDLC, VMware, Vulnerability Management, Virtualization
Education
St. Petersburg College
Associate of Arts (A.A.), Engineering
Wellcare March 2012 - Present
Healthfirst April 2011 - March 2012
GuildNet April 2008 - April 2011
Continuum Hospice Care 2006 - 2008
Courtyard Group 2004 - 2006
Skills
Healthcare Information..., EHR, EMR, Healthcare, Healthcare Management, Visio, HIPAA, Healthcare Consulting, Medicaid, Medicare
Education
University of San Francisco 2001 — 2003
MSN, Clinical Systems Management
University of San Francisco - School of Management 2001 — 2003
MBA, Management
Rutgers University-New Brunswick 1994 — 1999
BSN, Nursing
Wipro Technologies May 2013 - Present
TEKSystems, Inc. for Geisinger Health Plan September 2012 - December 2012
Strategic Management & Technology Services, LLC. 2011 - 2012
TEKSystems, Inc. for WellDyneRx, Inc. 2010 - 2011
CIBER, Inc. for Pinellas County Health and Human Services 2009 - 2010
WellCare 2007 - 2008
Gentiva Health Services, Inc. 2006 - 2007
TEKSystems, Inc. for Blue Cross Blue Shield of Florida 2006 - 2006
Marriott Vacation Club International 2005 - 2006
CIBER, Inc. for Florida Department of Health, Office of Vital Statistics 2003 - 2005
Skills
Vendor Management, SDLC, Program Management, Leadership, Risk Management, Change Management, Management, CRM, PMO, Software Documentation, Project Management, Time Management, Strategic Planning, Business Analysis, Outsourcing, Scope, Integration, Governance, Information Technology, Business Intelligence, PMP, IT Management, Visio, Business Process, Enterprise Software, Resource Management, Strategy, Requirements Analysis, MS Project, Process Improvement, Requirements Gathering, Communications..., Analysis, PMO Development, Project Portfolio..., Team Building, Call Centers, Quality Assurance, Healthcare, SharePoint, Business Process..., Agile Project Management, Executive Management, Software Project..., Team Leadership, Policy, Enterprise Architecture, Disaster Recovery, Project Delivery, ePMO - Enterprise...
Education
St. Petersburg College 1980 — 1984
Computer Science
PSCU Financial Services October 2011 - Present
JP Morgan Chase June 2010 - October 2011
American Strategic Insurance February 2010 - July 2010
WellCare September 2006 - May 2009
Interiors by Decorating Den 2004 - 2007
American Strategic Insurance July 2004 - July 2005
HealthPlan Services July 2002 - June 2004
IBM Global Services August 1998 - June 2002
Walgreens 1979 - January 1986
Skills
Project Management, Business Analysis, Information Technology, Supply Chain, Warehousing, Process Improvement, Management, Leadership, Software Documentation, Budgets, Quality Assurance, Training, Risk Management, Vendor Management, Project Planning, Business Process..., PMO
Education
St. Petersburg College 2000 — 2002
Certificate, Information Technology
Project Management Institute
PMP, Project Management
Scrum Alliance
Certified Scrum Master, Agile Scrum Management
WellCare VP - ITWellCare Health Plans2005 - Present
WellCare Healthplans 2005 - Present
Amisys Synertech Inc 1989 - 2005
Skills
HIPAA, SDLC, Healthcare Information..., Process Improvement, Business Analysis, Vendor Management, Enterprise Architecture, Business Process..., IT Strategy, Business Intelligence, Visio, Disaster Recovery, Software Development, IT Management, SharePoint
Education
St. Norbert College
UnitedHealth Group January 2015 - Present
Self Employed September 2013 - December 2014
CVS Caremark Corporation September 2012 - August 2013
eMason, Inc. September 2010 - April 2012
WellCare May 2009 - August 2010
WellCare December 2007 - April 2009
Acclaris 2004 - 2007
PricewaterhouseCoopers 2000 - 2003
Skills
Process Improvement, Business Process..., Visio, Call Centers, Vendor Management, Business Analysis, SharePoint, Disaster Recovery, Business Process, Program Management, Change Management, Business Intelligence, SDLC, Software Documentation, Management, Cross-functional Team..., Quality Assurance, IT Management, Requirements Gathering, Integration, Requirements Analysis
Education
Rutgers, The State University of New Jersey-New Brunswick 1993 — 1998
Bachelor of Science (B.S.), Economics and Administration of Justice
Open Systems Technologies April 2008 - Present
WellCare Health Plans, Inc. 2004 - 2008
WellCare 2004 - 2008
Ariba 1999 - 2000
Skills
Testing, SQL, Quality Center, SDLC, Quality Assurance, Databases, QTP, LoadRunner, Java, Business Analysis, Software Documentation, .NET, Automation, Project Management, Test Cases, Enterprise Architecture, Performance Testing, Agile Methodologies, Analysis, Microsoft SQL Server
Education
University of Florida - Warrington College Of Business 1996 — 1998
Bachelor of Business Administration (B.B.A.), Decision and Information Science
Santa Fe Community College 1993 — 1995
Associate's degree
Healthesystems March 2015 - Present
Healthesystems October 2012 - Present
Bisk Education August 2012 - October 2012
American Express May 2012 - August 2012
Cox Target Media November 2011 - May 2012
WellCare July 2011 - September 2011
YMCA 2011 - 2011
The Athene Group March 2008 - July 2010
GunnAllen September 2005 - March 2008
New York Life 1999 - 2005
Skills
Management, Test Planning, Test Cases, Business Analysis, SDLC, Project Management, SharePoint, Requirements Gathering, Financial Services, Business Intelligence, Process Improvement, Visio, CRM, Requirements Analysis, SQL, Team Leadership, Leadership, Salesforce.com, Microsoft Excel, Recruiting, Program Management, Microsoft Office
Education
New School University 1996 — 1999
ba, urban studies
Skidmore College 1993 — 1995
Evolent Health August 2014 - Present
WellCare February 2010 - August 2014
Accenture December 2005 - February 2010
Mercy Health Plans December 2001 - December 2005
Skills
Business Process..., Process Improvement, Healthcare, Business Analysis, Performance Improvement, Acquisition Integration, Management Consulting, Medicaid, Healthcare Information..., Vendor Management, Change Management, HIPAA, Medicare, Program Management, Project Management, Strategic Planning, Business Process, Data Analysis, Business Process Design, Operations Management, SDLC, Strategy, Software Documentation, Cross-functional Team...
Education
Saint Louis University 2000 — 2002
Masters, Health Administration
Saint Mary's University of Minnesota 1996 — 2000
Bachelors, Accounting
WellCare July 2007 - Present
Jabil July 2002 - July 2007
Skills
SDLC, Vendor Management, Disaster Recovery, Visio, Enterprise Architecture, Process Improvement, Integration, PMP, Business Analysis, IT Management, SharePoint, Requirements Analysis, IT Strategy, Business Process..., Program Management, Business Intelligence, Databases, SQL
Education
Saint John Fisher College 1988 — 1992
Bachelor of Science (B.S.), Mathematics
WellCare Sr. Technical Project ManagerComprehensive Health Management2007 - Present
WellCare Health Plans 2006 - Present
Healthcare Industry 2006 - Present
Education
St. Petersburg College 1968 — 1969
Syniverse Technologies May 2012 - Present
Cott Beverages March 2012 - May 2012
Cott Beverages May 2008 - March 2012
WellCare May 2005 - May 2008
KPMG July 2003 - May 2005
Skills
Sarbanes-Oxley Act, SEC filings, Internal Controls, Accounting, Financial Reporting, Essbase, Assurance, GAAP, Sarbanes-Oxley, Variance Analysis, General Ledger, US GAAP, SEC Filings, Financial Statements, Auditing
Education
Southeastern University 2000 — 2003
Accounting
US Army Corps of Engineers February 2009 - Present
US Army Corps of Engineers August 2008 - August 2009
US Army Corps of Engineers April 2006 - August 2008
WellCare 2005 - 2006
Raymond James Financial 2001 - 2005
Raymond James Financial 1999 - 2001
Raymond James Financial 1998 - 1999
Skills
Solaris, TCP/IP, Apache, Suse, RedHat, Unix, DNS, Data Center, Network Security, System Administration, Red Hat Linux, Perl, Hardware, Operating Systems, Storage Area Networks, SAN, Servers, AIX, Security, HP-UX, Routers, Switches, Shell Scripting, Netbackup, Networking, WAN, LDAP, Cisco Routers, Databases, Nagios, IT Operations, Infrastructure, Disaster Recovery
Education
St. Petersburg College 1992 — 1994
General
US Tech Solutions May 2015 - Present
Forest Laboratories August 2006 - March 2014
Wellcare 2004 - 2006
Magellan Behavioral Health 2000 - 2003
Skills
Visio, SQL, Access, Excel, Business Analysis, Microsoft Excel, Process Improvement, Troubleshooting, Data Analysis, SDLC, Healthcare, Requirements Gathering, Software Documentation, SAP, Analytics, Analysis, Data Warehousing
Education
South Gujarat University 1979 — 1981
B Sc., Zoology, First Class
PSCU March 2015 - Present
University of South Florida June 2013 - November 2014
WellCare August 2012 - June 2013
PSCU January 2009 - July 2012
PSCU Financial Services January 2007 - January 2009
Coca-Cola Enterprises May 2005 - October 2006
Danka Office Imaging October 2000 - April 2005
U.S. Air Force January 1998 - January 2000
U.S. Air Force January 1995 - January 1998
Skills
Training, Instructional Design, E-Learning, Program Management, Learning Management, Instructor-led Training, Captivate, Coaching, ADDIE, Needs Analysis, Curriculum Design, Analysis, Camtasia, Blended Learning, Project Management, Software Documentation, Performance Consulting, Human Resources, Training Delivery, SnagIt, Articulate Suite
Education
University of Phoenix 2002 — 2003
MA, Organizational Management
Southern Illinois University, Carbondale 1999 — 2000
BS, Workforce Education & Development
WellCare Health Plans March 2015 - Present
WellCare December 2011 - March 2015
WellCare February 2010 - December 2011
WellCare June 2006 - February 2010
WellCare October 2003 - June 2006
Skills
HIPAA, SQL, Quality Center, User Acceptance Testing, Visio, Software Documentation, Customer Service, Requirements Gathering, SharePoint, Unix, System Administration, Vendor Management, Access, Quality Assurance, Business Analysis
Education
Springfield College 2011 — 2013
Master's of Science, Organizational Management And Leadership
Springfield College 2009 — 2011
B.S., Human Services
Ascend Rehab September 2014 - Present
WellCare November 2006 - March 2014
Getty Images 2004 - 2006
Securitas 2002 - 2004
Ikea 1989 - 2001
Skills
Employee Relations, Performance Management, Succession Planning, Human Resources, Recruiting, Deferred Compensation, Change Management, Organizational..., Management, Employment Law, Personnel Management, Budgets, Employee Benefits, Policy, Leadership, Program Management, Team Building, Strategy, Onboarding, Payroll, PeopleSoft
Education
Seton Hall University 1973 — 1977
Bachlor of Science, Business Administration
Partners Urgent Care September 2014 - Present
Fresenius Medical Care May 2014 - Present
MedSpring Urgent Care July 2011 - May 2014
WellCare January 2009 - July 2011
WellCare March 2008 - January 2009
Walker & Dunlop August 2005 - March 2008
TeleTech August 2003 - August 2005
TeleTech October 2001 - July 2003
TeleTech March 2000 - October 2001
TeleTech October 1999 - March 2000
Skills
Business Process..., Medicare, Strategy, Healthcare, HIPAA, Leadership, Medicaid, Enterprise Software, Project Planning, Disaster Recovery, Medicare Part D, Product Development, Executive Management, Customer Service, Process Improvement, Procurement, Health Insurance, Auditing, Strategic Planning, Operations Management, CRM, Business Development, Vendor Management, Outsourcing, Mergers & Acquisitions, Product Management, Program Management, Call Centers, Analytics, BPO, Global Marketing, Training, Start-ups, Cross-functional Team..., Healthcare Industry, Management, Insurance, Business Analysis, Healthcare Consulting, P&L Management, Business Process, Performance Management
Education
Southern Methodist University 1992 — 1997
BS, Computer Engineering
Southern Methodist University 1992 — 1997
BS, Mathematics
wellcare March 2006 - Present
Skills
Medicare, Medicaid, Provider Relations
Education
St. Francis College 1975 — 1980
METROPOLITIAN LIFE INSURANCE COMPANY April 2008 - August 2009
WellCare April 2007 - April 2009
New York Life 1997 - 2009
New York Life Insurance Company January 1997 - January 2006
New York Life Insurance Company January 1999 - January 2005
New York Life Insurance Company January 1997 - January 1999
Education
Saint Leo University 1999 — 2001
BA, HUMAN RESOURCES ADMINISTRATION
NOVA SOUTEASTERN UNIVERSITY
MASTER OF ARTS, BUSINESS ADMINISTRATION (2003)
NOVA SOUTHEASTERN UNIVERSITY
MASTER OF SCIENCE, HUMAN RESOURCES MANAGEMENT (2004)
Allstate Insurance Agency March 2014 - October 2014
Union National Life Insurance July 2013 - March 2014
Wellcare July 2011 - September 2013
Union National Life Insurance November 2010 - March 2011
ICF International August 2006 - March 2009
FEMA October 2005 - August 2006
Education
University of Phoenix 2006 — 2008
Master of Business Administration (M.B.A.), Business Administration/Public Administration
Southern University and Agricultural and Mechanical College at Baton Rouge
Bachelor of Science (B.S.), Sociology
AXIOM Systems, Inc. (Key Benefit Administrators, Inc.) April 2014 - Present
Data Masons Software April 2013 - April 2014
Wellcare October 2012 - April 2013
OptumInsight (Previously Ingenix/Caremedic) February 2010 - July 2012
Caremedic May 2008 - October 2008
Jagged Peak, Independent Consultant March 2008 - April 2008
Veredus - Health Integrated February 2007 - February 2008
BenefitOne of America, Inc. August 2005 - February 2007
Rapidigm, Bayer Corporation February 2005 - July 2005
Eckerd Corporation 2001 - 2005
Skills
EDI, Access, Software Documentation, XML, Integration, Business Analysis, Databases, HIPAA, Visual Basic, Process Improvement, Microsoft SQL Server, SDLC, SQL, Analysis, Quality Assurance, Systems Analysis
Education
St. Petersburg College 2009 — 2009
Certificate, Healthcare Informatics
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1990 — 1993
University of Pittsburgh 1975 — 1979
Bachelor of Science, Computer Science
New York Life Insurance Company December 2011 - Present
HealthPlan Services September 2010 - October 2011
WellCare April 2007 - August 2010
Catalina Marketing October 1999 - April 2007
Education
St. Petersburg College 1982 — 1984
Associate in Science, Medical Technology
WellCare March 2011 - Present
WellCare Health Plans March 2008 - February 2011
WellCare Health Plans November 2006 - March 2008
Skills
Cisco Technologies, NEC PBX, Voice Mail, Video Conferencing, Visio, Call Centers, Troubleshooting, Vendor Management, Software Documentation, Disaster Recovery, Data Center, Security, VMware, Active Directory, Business Analysis, SDLC, Process Improvement, Avaya
Education
University of South Florida 1996 — 1998
Bachelor of Science (B.S.), Political Science and Government
St. Petersburg College 1994 — 1996
Sunbelt Staffing July 2010 - Present
GLENRIDGE July 2009 - November 2009
WellCare April 2008 - May 2009
WellCare June 2007 - April 2008
CIGNA Behavioral Health August 2004 - January 2007
MAGELLAN HEALTH SERVICE January 2001 - January 2002
State of Florida January 1995 - January 2000
Skills
Medicaid, Medicare, Managed Care, Recruiting, Employee Benefits, Team Building, Public Speaking, Provider Relations, Management, Benefits Administration, Customer Service, Access, Credentialing, Time Management, Call Center, Coaching
Education
Saint Leo University 1991 — 1994
BA, Theater
WellCare September 2011 - October 2013
Ultimate Home Care April 2011 - September 2011
Meadow Lane Surgery Center April 2010 - September 2011
Mease Dunedin Hospital September 2008 - May 2010
Education
St. Petersburg College
BSN, Registered Nursing/Registered Nurse
St. Petersburg College
ASN, Registered Nursing/Registered Nurse
St. Petersburg College
Associate of Arts (AA), General Studies
WellCare 2011 - Present
Wyeth Pharmaceuticals 2003 - 2009
Wyeth Pharmaceuticals 1993 - 2003
Skills
Healthcare, Employee Benefits, Medicare, Teaching, Training, Managed Care, Sales, Microsoft Word, Insurance
Education
Spelman College 1988 — 1992
B.S., Mathematics
WellCare March 2011 - Present
WellCare September 2007 - December 2011
WellCare January 2004 - September 2007
CIGNA Healthcare 1998 - 2004
Skills
Medicare
Education
St. Petersburg College
HealthPlus, Amerigroup (WellPoint) May 2014 - Present
Amerigroup Corporation December 2008 - May 2014
Healthfirst January 2007 - December 2008
WellCare March 2005 - November 2006
UnitedHealth Group November 2001 - February 2005
Intrade 2000 - 2001
Oxford Health Plans May 1996 - March 2000
Bloomberg June 1994 - September 1995
Skills
Managed Care, Medicaid, Medicare, Healthcare, Healthcare Management, Healthcare Information..., HIPAA, Health Insurance, Provider Relations, Hospitals, Healthcare Consulting, Network Development, Process Improvement, Healthcare Industry, Strategic Planning
Education
Seton Hall University 1996 — 2000
MA
The College of New Jersey 1990 — 1994
BA
WellCare Health Plans May 2015 - Present
WellCare December 2011 - April 2015
WellCare Health Plans, Inc August 2008 - December 2011
Information Technology Data Warehouse August 2007 - September 2008
ICoordinated Benefits Plans, Inc November 2006 - July 2007
WellCare Health Plans, Inc October 2005 - October 2006
KePRO South February 2002 - October 2005
Blue Cross Blue Shield of Florida, CGBU July 1998 - January 2002
Aegon\Bankers United Life February 1997 - July 1998
Aetna Life & Casualty January 1993 - October 1996
Skills
Business Analysis, Software Documentation, SQL, SDLC, Data Analysis, Integration, Process Improvement, Data Warehousing, Oracle, Microsoft SQL Server, Software Development, Analysis, Database Design, Program Management, Testing
Education
St. Petersburg College 1998 — 2001
Associates, Science Computer Programming
St. Petersburg College
Bachelors, Technology Management
WellCare
Skills
Managed Care
Education
Southeastern Louisiana University 1992 — 1995
Bachelor's degree, Marketing
Tribridge January 2015 - Present
Sleep Management Solutions (a CareCentrix company) September 2011 - December 2014
Freedom Health Plans May 2009 - August 2011
WellCare March 2008 - May 2009
Gentiva Health Services June 2003 - March 2008
Skills
Network Administration, Network Security, Network Design, HL7, System Configuration, Process Improvement, Visio, Software Documentation, Analysis, HIPAA, Virtualization, Desktop Application..., Firewalls, Wireless Networking, Remote Troubleshooting, Cloud Computing, Network Infrastructure, Application Servers, Routing Protocols, MPLS VPN
Education
Hillsborough Community College 2013 — 2014
CompTIA Network+, Computer Systems Networking
St. Petersburg College
Health Information Management
WellCare Health Plans May 2014 - Present
WellCare 2012 - Present
WellCare Health Plan October 2008 - Present
Department of Community Health November 2005 - October 2008
Education
South Carolina State University 1975 — 1979
Bachelor's degree, Business/Managerial Economics
Walterboro High School 1971 — 1975
GED
Walterboro High School 1971 — 1974
GED
The Family Medicine Clinic January 2015 - Present
Center for Medicine Endocrinology and Diabetes March 2009 - January 2015
WellCare March 2008 - March 2009
Zeus HealthSystems 2003 - 2008
Harbin Clinic August 1990 - October 2003
Skills
Healthcare, Healthcare Management, Customer Service
Education
Shorter University 1990 — 1994
BS, Political Science
Universal Health Care March 2012 - Present
WellCare April 2010 - Present
Comcel d haiti 2004 - 2010
Communication Cellulaires d'Haiti 2004 - 2010
COMCEL January 2006 - September 2009
COMCEL July 2004 - January 2006
COMCEL January 2001 - March 2004
Education
Southern Polytechnic State University 2000 — 2003
Magna Cum Laude, Computer Science
Computer Learning Center 1997 — 2000
Summa Cum Laude, Computer Programming
Faculté des Sciences - UEH 1990 — 1994
Bachelor, Electronic Engineering Curriculum
SourceMedical June 2014 - Present
WellCare March 2010 - March 2014
Johnson & Johnson January 2005 - November 2007
Johnson & Johnson April 2000 - December 2004
Johnson & Johnson January 1998 - April 2000
Merck January 1996 - December 1997
Merck April 1994 - December 1995
Merck June 1992 - April 1994
Merck January 1989 - June 1992
Skills
Account Management, Business Development, Gastroenterology, Hospitals, Human Resources, Leadership, Management, Marketing, Program Management, Recruiting, Sales, Sales Operations, Strategic Planning, Strategy, Training, Team Building
Education
Spelman College 1984 — 1988
Bachelor of Science (B.S.), Chemistry
Midwest Marketing Associates May 2014 - Present
1099 Insuranace Broker June 2013 - June 2014
WellCare June 2011 - June 2013
Wells Fargo Home Mortgage September 2010 - April 2011
CBS Radio February 2009 - May 2010
Citibank September 2000 - June 2008
Skills
Customer Service, Cold Calling, Sales, Health Insurance, Account Management, Medicare, Banking, B2B, Microsoft Word, Microsoft Excel, Marketing Communications, retail management, Home Equity Loans, Home Equity Lines of..., Medicaid
Education
Webster University 2001 — 2002
Master of Arts (M.A.), Marketing
Webster University 1999 — 2001
Master of Business Administration (MBA), Business
Southern Illinois University, Carbondale
Bachelor's degree, Communications
WellCare 2009 - Present
Sharp & Children's MRI Center 1995 - 2005
Medical Imaging Center of Southern California 1987 - 1995
Skills
PowerPoint, Microsoft Word, Microsoft Office, Medicaid, Customer Service, Microsoft Excel, Credentialing, English, Access, Taleo, Internal Audit, External Audit, Medical Terminology, Health Insurance, Managed Care
Education
Westlake School For Girls 1974 — 1979
Santa Monica College
Psychology
WellCare May 2011 - Present
FIS November 2007 - April 2011
Intellect Technical Solutions July 2007 - April 2011
Skills
SQL Server, Access, SSIS, Visual Basic, T-SQL, SSRS, Databases, Microsoft SQL Server, Taleo, Business Objects, SharePoint, VBA, Business Analysis
Education
Schiller International University 2007 — 2009
MBA, Information Technology
WellCare August 2007 - Present
Orange County Public Schools August 2007 - March 2015
Skills
Pediatrics, HIPAA, Medicare, Public Speaking, Staff Development, Home Care, Healthcare Information..., Adult Education, Public Health, Critical Thinking, Program Development, EHR, Phlebotomy, Nursing Education, Medical/Surgical, Patient Advocacy, Patient Education, Medication..., IV, Inpatient, Quality Improvement, Community Health, Cerner, Medicaid, Medical Coding, Health Promotion, Registered Nurses, Managed Care, Disease Management, Wellness, Utilization Management, Long-term Care
Education
St. Petersburg College 1991 — 1994
Associate's degree, Registered Nursing/Registered Nurse
Humana June 2014 - Present
Matrix Medical Network August 2012 - March 2014
WellCare December 2011 - August 2012
NE GA Diagnostic Clinic August 2010 - July 2011
Peachtree Orthopaedic Clinic June 2010 - August 2010
UHS PRUITT September 2007 - May 2010
Skills
Medical Billing, HIPAA, Medical Terminology, EMR, Healthcare Management, Accounts Receivable, Healthcare, Hospitals, Medical Coding, CPT, ICD-9, Revenue Cycle, Accounts Payable, Outlook, Centricity, Medical Records, Medicare, Medicaid, EHR, HCPCS, Software Documentation, Healthcare Information..., Credentialing, Medical Compliance, Revenue Cycle Management, Health Information..., Provider Relations, ICD-10, Epic Systems, Physicians, Medicine, Informatics, Internal Medicine, Clinical Research, Medicare/Medicaid..., Physician Coding, Healthcare Reimbursement, Healthcare Consulting, Meditech, ICD-9-CM
Education
Schiller International University 2013 — 2015
Bachelor's Degree, Registered Nursing/Registered Nurse
Capella University 2009 — 2011
Health Informatics
Independent Living Systems, LLC January 2014 - August 2015
Florida Healthcare Plus May 2012 - December 2013
WellCare April 2011 - May 2012
WellCare Health Plans Inc January 2009 - April 2011
WellCare Health Plans Inc December 2006 - January 2009
Palms of Pasadena Hospital January 2001 - December 2006
Skills
Access, Software Documentation, Visio, Insurance, Medicare, Data Analysis, Healthcare, SharePoint, Microsoft Excel, Healthcare Information..., Custom Reporting, Reporting Analysis, Outlook, Microsoft Office, PowerPoint, HIPAA, Health Insurance, Healthcare Management, Medicaid, Managed Care, Healthcare Industry
Education
St. Petersburg College
Bachelors, Technology Management
St. Petersburg College
A.S, Network Support Specialist
UnitedHealth Group October 2009 - Present
UnitedHealth Group 2008 - 2009
WellCare May 2006 - August 2008
BayCare Health System June 1998 - December 2007
Skills
Managed Care, Nursing, Hospitals, Medicare, Home Care, Inpatient, Clinical Research, Acute Care, Medicaid, Case Managment, Public Health, Oncology, Medical/Surgical, Medical Records, Utilization Review, Healthcare Management, Healthcare, HIPAA, Disease Management, Critical Care, EMR, Healthcare Information..., Elder Care, Utilization Management, Nursing Care, BLS, Patient Education, Patient Safety, Wound Care, Orthopedic, Informatics, IV, JCAHO, Palliative Care, Registered Nurses, Cerner, Direct Patient Care, HEDIS, Health Insurance
Education
St. Petersburg College
BSN, Nursing
University of South Florida
Bachelor of Science (B.S.), Nursing
Kaiser Foundation Health Plan Department Manager of Palliative CareKaiser Permanente2008 - Present
WellCare September 2007 - September 2008
WellCare September 2007 - September 2008
HealthNet January 2006 - September 2006
HealthNet January 2006 - August 2006
HealthNet January 2006 - August 2006
Skills
Healthcare Management, JCAHO, Clinical Documentation, Healthcare, Medicare, Patient Safety, Managed Care, HMO, Process Improvement, Performance Improvement, Medicaid, Healthcare Industry, Compliance, Nursing, Health Plans, Quality Management, Home Care, Program Management, Operations Management
Education
Rutgers, The State University of New Jersey-Newark
BSN, Nursing
HealthPlan Services July 2013 - Present
Citi June 2012 - June 2013
WellCare December 2011 - April 2012
Talbots December 2006 - June 2011
AEGON USA February 2005 - December 2006
Pinellas County Government November 2004 - February 2005
Accenture October 2004 - November 2004
Pepsico Food & Beverages - Tropicana September 2003 - April 2004
State of Florida, Department of Education August 2002 - August 2003
Data Scan Technologies June 2001 - January 2002
Skills
Fileaid, PL/SQL, Oracle, SQL, COBOL, DB2, Testing, Business Requirements, Oracle E-Business Suite, Crystal Reports, Mainframe
Education
St. Petersburg College 2012 — 2012
Continuing Education, Introduction to Java Programming
Valparaiso University, Indiana 1979 — 1984
BS, Mechanical Engineering
Northwestern University, Illinois
Summers 1981, 1982, 1983
WellCare February 2012 - Present
Florida Hospital Healthcare Systems, Inc. 2011 - 2012
Lake Mary Imaging, Inc. 2010 - 2011
Professional Marketing Services, Inc. 2003 - 2010
Aetna 1993 - 2003
Education
Seminole Community College
WellCare March 2010 - Present
Wellpoint Anthem July 2002 - February 2010
Skills
Health Insurance, Provider Relations, SDLC, Claim, Business Analysis, Medicare, Medicaid Managed Care, HEDIS, Process Improvement
Education
Rutgers University
Master of Business Administration (MBA)
WellCare March 2011 - Present
Education
SUNY Oneonta 2008 — 2010
Bachelor of Science (B.S.), Business/Managerial Economics
Schenectady County Community College 2005 — 2007
Associate's degree, Humanities and Social Sciences
WellCare Health Plans July 2014 - Present
WellCare February 2011 - Present
WellStar Health System 2005 - 2011
Skills
Utilization Review, Nursing, Healthcare Management, Utilization Management, Medicare, Managed Care, Medicaid, Medicaid Managed Care, HIPAA, NCQA, Hospitals, BLS, Health Education, Medical Case Management, Cpr Certified, JCAHO, ICD-9, ACLS, Healthcare Industry, Patient Advocacy, Accreditation, Acute Care, Case Management, Case Managment, Clinical Research, EHR, Disease Management, Critical Care, Epic Systems, HMO, HEDIS, EMR, Health Insurance, Healthcare, Healthcare Consulting, Healthcare Information..., Inpatient, Health Policy, Medicine, Network Development, Patient Safety, Physicians, Public Health, Quality Improvement, Informatics, Revenue Cycle, Provider Relations, Physician Relations
Education
Rutgers, The State University of New Jersey-Newark 2003 — 2005
B.Sc, Registered Nursing/Registered Nurse
UMDNJ
Georgia State University
University of Lagos
WellCare 2012 - Present
United Healthcare August 2010 - 2012
Aetna June 2007 - February 2010
HealthPlan Services March 2005 - June 2007
Skills
Microsoft Office, Adobe Acrobat, Relationship Development, Consultative Selling, Training & Development, Account Management, Group Health, Medicare, Health Insurance, Term Life Insurance, B2B Marketing
Education
St. Petersburg College 2011 — 2013
Currently pursuing Associates, Business Administration and Management, General
Dixie Hollins High School 1994 — 1997
Diploma, General Studies
Centene Corporation February 2012 - Present
WellCare March 2009 - February 2012
WellCare July 2006 - March 2009
Skills
Public Speaking, Healthcare, Health Insurance, Leadership, Team Leadership, Leadership Development, Business, Marketing
Education
Tennessee Temple University 2010 — 2013
Doctor of Philosophy (Ph.D.), Organizational Leadership
Shorter University-College of Adult & Professional Programs 2008 — 2010
Master of Arts (M.A.), Business Leadership
Shorter University-College of Adult & Professional Programs 2005 — 2008
Bachelor of Science, Human Services
WellCare February 2008 - November 2012
Skills
Certified Professional..., Certified Professional..., Certified Professional..., Medicare, Medicaid, HIPAA, Provider Relations, Medical Coding, Health Insurance, CPT, Managed Care, ICD-9, Medical Billing, Medical Terminology, Healthcare Management, Credentialing, ICD-10, Healthcare, Healthcare Information..., EHR, EMR, Revenue Cycle, Medical Records, Healthcare Reimbursement
Education
St. Petersburg College 2010 — 2012
Bachelor's degree, Health/Health Care Administration/Management
St. Petersburg College 2007 — 2008
Associate's degree, Health Information/Medical Records Technology/Technician
Hillsborough Community College 2006 — 2007
Medical Insurance Specialist/Medical Biller
WellCare April 2013 - Present
Universal Health Care June 2012 - April 2013
United States Air Force June 2011 - February 2012
Sports Fan-Attic June 2008 - May 2011
Skills
Customer Service, Computer-savvy, Microsoft Office, Managerial, Multi-tasked, Friendly Personality, Determination, Always Punctual, Healthcare, Medicare, Medicare Advantage, Medicaid, Call Center, Process Improvement, Health Insurance, Team Building, Call Centers, Data Entry
Education
St. Petersburg College 2009 — 2015
Working on AA, Business
Osceola High School 2004 — 2008
HS Diploma, General
WellCare November 2007 - Present
CIGNA Behavioral Health June 2006 - January 2007
Skills
Utilization Management, Managed Care, Provider Relations, Health Policy, Healthcare Management, Utilization Review, Insurance, Home Care, HMO
Education
State University of New York at Albany 1994 — 1996
Sociology
Schenectady County Community College 1992 — 1994
Associate of Arts and Sciences (AAS), Human Services, General
WellCare April 2012 - Present
Progressive Insurance March 2005 - December 2005
Bluegrass Family Health March 1998 - November 2004
Skills
Medical Coding, Claims Auditing, PIP, Account Reconciliation, Coordination of Benefits, Claims Resolution, Workers' Compensation...
Education
Sullivan University 2001 — 2004
Bachelor of Science (B.S.), Business Administration and Management, General
Southeastern Louisiana University 1992 — 1994
Registered Nursing/Registered Nurse
Moffitt Cancer Center November 2013 - Present
WellCare April 2012 - November 2013
Skills
Customer Service, Insurance, Management, Microsoft Excel, Process Improvement, Training, Healthcare, Leadership, Strategic Planning, Team Building, Health Insurance, Employee Benefits, Outlook, Data Analysis, Sales Management, Medicare, Analysis, Program Management
Education
South University 2011 — 2012
Associate of Science (A.S.), Pre-Nursing Studies
WellCare Health Plans March 2014 - Present
WellCare February 2012 - February 2014
Florida Hospital January 2011 - February 2012
Professional Marketing Services, Inc. March 2003 - December 2009
Aetna February 1994 - February 2003
Skills
HIPAA, Healthcare Industry, Medicaid, Managed Care, Insurance, Medicare, Provider Relations, Health Insurance, Healthcare, Healthcare Information...
Education
Seminole State College of Florida
Bachelor's Degree, Health/Health Care Administration/Management