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
Humana September 2015 - Present
Miami-Dade County April 2014 - Present
CarePlus Health Plan November 2014 - Present
All Family Care Centers August 2009 - Present
Community Outreach Resource Centers Inc. March 2004 - Present
WellCare February 2011 - Present
Skills
Public Speaking, Strategic Planning, Wellness, Team Building, Healthcare, Customer Service, Marketing Strategy, New Business Development, Fitness, Marketing, Nutrition, Social Media, Nonprofits, Entrepreneurship, Sales Management, Event Planning, Small Business, Sales, Public Relations, Healthcare Management, HIPAA, Managed Care, Medicare, Medicaid, Healthcare Consulting, Management, Health Insurance, Insurance, Leadership, Healthcare Industry, Negotiation, Medicine, Process Improvement, Training, EMR, Social Media Marketing, Microsoft Excel, Executive Management, Physicians, Physician Relations, Account Management, Employee Benefits, Business Development, Contract Negotiation, EHR, Provider Relations
Education
Universidad Central del Este
Gateway Health System September 2013 - Present
UnitedHealthcare July 2012 - September 2013
Managed Health Services - Centene Corporation June 2011 - July 2012
WellCare April 2008 - June 2011
Skills
Provider Relations, Negotiation, Systems Analysis, Business Development, Key Account Management, Network Development, PPO, HMO, Medicaid, Health Policy, Healthcare Information..., Healthcare Consulting, Healthcare Management
Education
The University of Akron
Bachelor of Science (BS), Marketing Communications
WellCare April 2013 - Present
UnitedHealth Group May 2010 - April 2013
WellPoint November 2002 - July 2009
Blue Shield of California January 2000 - October 2002
PacifiCare Health Systems January 1999 - December 1999
CalOptima January 1996 - January 1998
PacifiCare (now UnitedHealthcare) January 1993 - December 1996
FHP Health Care January 1990 - December 1992
Skills
Health Insurance, Compliance, Health Plans, Customer Service, Medicare, Enrollment Management, Health Policy, Managed Care, HMO, Medicaid, Policy, Process Improvement, Provider Relations
Education
The University of Texas at Austin
Bachelor of Science (BS), Communication and Media Studies
University of Phoenix
MBA
WellCare January 2014 - Present
Walgreens July 2012 - January 2014
Walgreens September 2010 - July 2012
WellCare June 2007 - September 2008
University Community Hospital February 2007 - June 2007
Walgreens Pharmacy January 2003 - March 2007
Skills
Managed Care, Medication Therapy..., Pharmacists, Pharmacy Benefit..., Pharmacy, Hospitals, Healthcare, Immunization, Patient Counseling, Compounding, Diabetes, Medicare Part D, Pharmacueticals, Oncology, Clinical Pharmacy, Prescription, Certified Immunizer, Community Pharmacy, Cpr Certified, Pharmacokinetics, Pharmacy Practice, Patient Education, Pharmaceutical Care, Medication..., Ambulatory Care, Inpatient, Utilization Management, Pyxis, Patient Safety, Clinical Pharmacology, Pharmacy Consulting, Pharmacy Technicians, Infectious Diseases, Hospital Pharmacy, Pharmacoeconomics, Medicaid, Disease Management, Anticoagulation, Pharmacology, Home Infusion, CPOE, Pharmaceutics, Pharmaceutical Industry, Pharmacotherapy, Public Health, Medical Writing
Education
Touro College 2008 — 2012
Pharm.D., Pharmacy
University of South Florida 2005 — 2007
Bachelors, Biomedical Sciences
Benefit Resource Center, LLC March 2011 - Present
Guardian Healthcare October 2008 - March 2011
WellCare October 2004 - October 2008
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, English, Windows, Research, Outlook, Teaching, Public Speaking, C++, Editing, Strategic Planning, Leadership, Medicare, Sales, Team Building, Healthcare, Insurance, Health Insurance, Employee Benefits, Health Savings Accounts, Long-term Care, Term Life Insurance, Medicaid, Disability Insurance, Brokers, Managed Care, Universal Life, Life Insurance, Healthcare Industry, Health Policy, Fixed Annuities, Long Term Care Insurance, Critical Illness, Workers Compensation, Commercial Insurance, Whole Life, HMO
Education
Troy State University 1970 — 1973
Sidney Lanier High School 1967 — 1970
WellCare January 2013 - Present
Chemo Beanies October 2010 - Present
Coventry Health Care June 2010 - December 2012
LOGISTICARE SOLUTIONS, LLC State May 2009 - August 2009
LogistiCare June 2004 - July 2008
Jewish Hospital & St. Mary's HealthCare May 2003 - June 2004
University of Louisville Healthcare March 2002 - May 2003
HOSPICE CARE OF LOUISIANA January 2001 - December 2001
Skills
Mental Health, Customer Service, Public Relations, Psychotherapy, Marketing, Sales, Policy Analysis, Community Outreach, Non-profits, Program Development, Crisis Intervention, Social Services, Training, Nonprofits, Healthcare, Treatment, Adolescents, Teaching, Public Speaking
Education
Tulane University 2000 — 2001
Master, Social Work
UNIVERSITY OF SOUTHWEST LOUISIANA 1972 — 1976
Bachelor of Arts, Sociology
Bond Financial Network March 2014 - Present
WellCare March 2012 - February 2014
Fidelis Care March 2011 - March 2012
Unity Health System 2009 - 2011
Skills
Life, Accident, Health..., Medicare Advantage, Medicaid Managed Care, Employee Benefits, Customer Service, Medicare, Healthcare, Health Insurance, Insurance, Process Improvement, Training, Microsoft Excel, Leadership, Medicaid
Education
State University of New York College at Brockport 2007 — 2010
Master of Public Administration (MPA), Health/Health Care Administration/Management
UnitedHealth Group October 2013 - Present
WellCare September 2012 - September 2013
WellCare September 2008 - September 2012
WellCare January 2005 - August 2008
Healthfirst March 2004 - January 2005
Healthfirst July 2001 - March 2004
Skills
Customer Service, Employee Benefits, Event Planning, Insurance, Managed Care, Management, Medicaid, Medicare, Long-term Care, Healthcare Industry, Healthcare, Medicare Part D, Network Development, Sales, Strategic Planning, Team Building, Sales Management, Health Insurance, HIPAA, Account Management, Healthcare Consulting, PPO, Claim
Education
State University of New York at Buffalo
Bachelor of Science (BS), Business Administration: Management Information Systems/Human Resources Management
Amway Gobal July 2013 - Present
The Living Word of Christ Worship Center March 2009 - Present
The Living Word of Christ Worship Center March 2009 - Present
I January 2000 - Present
SouthEastern Delivery May 2011 - December 2012
WellCare September 2007 - March 2009
Skills
Preaching, Public Speaking, Teaching, Entrepreneurship, Sales Operations, Community Outreach, Fundraising, Nonprofits, Leadership Development, Microsoft Word, Leadership, Event Planning, Discipleship, Start-ups, Volunteer Management, Team Building, Strategic Planning, Coaching, Program Development, Community Development, Public Relations, Social Networking, Training, Event Management, Marketing, Management, Sales, Small Business, Sales Management, Social Media, Social Media Marketing, Customer Service
Education
Now studying at Trinity Baptist College, Jacksonville, Florida 2012 — 2016
Associate of Science degree Received May 9, 2015, Pastoral Theology
Trinity Baptist College 2012 — 2015
Associate of Science (AS), Pastoral Theology, 3.2 GPA
WellCare Health Plans August 2015 - Present
WellCare Health Plans March 2015 - August 2015
WellCare September 2013 - March 2015
WellCare January 2013 - September 2013
WellCare July 2011 - January 2013
UHS-Pruitt Corporation October 2010 - July 2011
UHS-Pruitt Corporation June 2010 - October 2010
WellCare July 2009 - June 2010
WellCare of Georgia March 2008 - July 2009
WellCare of Georgia June 2007 - March 2008
Skills
Compliance, Quality Management, Public Speaking, Medicaid, Medicare, Provider Relations, Managed Care, Network Development, Technical Writing, Government Relations, Call Center, Profit & Loss Management, Medical Economics, Credentialing, Medicaid Managed Care, NCQA, Training, Health Economics, Healthcare, Call Centers, Healthcare Management, Long-term Care, Contract Negotiation, Health Policy, HMO, Healthcare Information..., P&L Management, HIPAA, Start-ups, EHR, Program Management, Healthcare Industry, Leadership, Healthcare Consulting, Management, Utilization Management, PPO, Quality Improvement, Health Insurance, Disease Management, Strategic Planning, Strategy, Physicians, Policy, Health Care Reform, Revenue Cycle, Revenue Cycle Management, Medicare Part D, Pharmacy Benefit..., Physician Relations
Education
University of Tennessee-Knoxville 1981 — 1985
Tusculum College 2002 — 2003
B.S.
UT Southwestern Medical Center December 2012 - Present
WellCare June 2012 - December 2012
Genesis Physicians Group December 2010 - May 2012
The N-Syte Coeus Group, LLC January 2009 - January 2010
American CareSource 2009 - 2010
Williams-Sonoma, Inc. March 2007 - February 2009
Skills
Strategic Planning, Customer Service, Event Planning, Marketing, Healthcare, Sales, Managed Care, Network Contracting, Contract Negotiation, Management, Program Management, Training, Team Building, Public Relations, Medicare, Teamwork, Human Resources, Analysis, Insurance, Negotiation, Project Management, Team Leadership, Marketing Strategy, Contract Management, Policy, Outlook, Employee Benefits, Provider Relations, Community Outreach, Social Media, New Business Development, Sales Management, Research, HIPAA, Project Planning, Process Improvement, Business Development, Physicians, Access, Budgets, Microsoft Word, Data Analysis, Networking, Account Management, Recruiting, Leadership, Healthcare Industry, PowerPoint, Microsoft Office, Salesforce.com
Education
The University of Texas at Arlington 2005 — 2009
Bachleor, Business/Corporate Communications
WellCare August 2005 - Present
Blue Cross Blue Shield of Florida May 1998 - August 2005
St. Johns County Chamber of Commerce September 1997 - May 1998
Skills
EDI, X12, Autosys, HIPAA, Xengine, Biztalk, MOVEIT Central, MOVEit DMZ, Ipswitch, Software Documentation, BizTalk, SDLC, Visio, Healthcare Information..., FTP, Troubleshooting, Requirements Gathering, Systems Analysis, Business Analysis, Vendor Management, Process Improvement, EDI ANSI X12, Testing, Integration, Access, Business Requirements, Data Warehousing, EHR, IT Management, Insurance, Management, Microsoft SQL Server, Requirements Analysis, SQL, SharePoint, Healthcare, Crystal Reports, Leadership, Medicare, Security, Revenue Cycle, Managed Care
Education
The University of Georgia 1993 — 1997
BA
Scion Dental December 2014 - Present
CareSource April 2014 - Present
WellCare 2007 - 2013
Skills
Medicare, Health Insurance, Medicaid, Provider Relations, Managed Care, Claim, Network Development, PPO, Credentialing, Claims Resolution, Provider Enrollment, Team Building
Education
Tennessee State University
Tennessee State University
Business Administration and Management, General
CB Craft Brewers April 2015 - Present
North American Breweries, Inc. January 2014 - December 2014
Mary Kay Independent Business Owner April 2013 - September 2014
WellCare August 2012 - September 2013
Unity Health System July 2011 - August 2012
Unity Health System April 2010 - July 2011
Unity Health System April 2008 - April 2010
Skills
Healthcare, Strategic Planning, Community Outreach, Marketing Communications, Public Relations, Health Insurance, Medicare Advantage, Public Outreach, Presentation Development, Customer Service, Marketing, Management, Sales, Insurance, Strategy, Leadership, Public Speaking, Research, Microsoft Office, Medicare, Training, Accounting
Education
State University of New York College at Brockport 2011 — 2015
Master's Degree, Public Administration
State University of New York College at Brockport 2007 — 2011
Bachelor's Degree, Health Care Administration
WellCare March 2013 - Present
Universal Health Care April 2006 - February 2013
Skills
Medicaid, Network Development, Contract Negotiation, Provider Relations, Medicare, Call Center, Team Building, Microsoft Office, Microsoft Excel, Outlook, HMO, Managed Care
Education
St. Petersburg College 2010 — 2013
Bachelor of Applied Science (BASc), Business Administration, Management and Operations
St. Petersburg College 2008 — 2010
Associate of Science (A.S.), Business Administration, Management and Operations
St. Petersburg Junior College 1992 — 1994
Associate of Arts (AA), General Studies
Alliance group March 2012 - Present
WellCare November 2005 - October 2011
Amerigroup August 2003 - October 2005
Skills
Insurance, Life Insurance, Health Insurance, Employee Benefits, Property & Casualty..., Leadership, Marketing Strategy, Underwriting, Community Development, Medicaid, Medicare, Sales
Education
Ultimate Medical Academy 2013 — 2013
Diploma, medical billing and coding
Peak 10 May 2015 - Present
Presidio September 2014 - December 2014
Humana November 2013 - March 2014
WellCare March 2013 - May 2013
Catalina Marketing August 2012 - November 2012
Tampa Bay Trane September 2011 - May 2012
CareCentrix 2011 - 2011
American Strategic Insurance 2011 - 2011
Talbots 2010 - 2010
Stream Global Services 2008 - 2010
Skills
Soft Skills, Remote computer..., upgrading and..., call center environment..., considerable experience..., Dell Small to medium..., internet connectivity..., Software Quality..., SQL manipulation in..., Received A+ training, Desktop Computers, Dell Computers, Data Recovery, Operating Systems, Ticketing Systems, Remote Access, Windows 95, SQL, Windows Vista, Access, Technical Support, XP, Windows 7, Servers, Active Directory, Training, Scripting in Python, Scripting in LUA, Hardware, Help Desk Support, Laptops, Windows XP
Education
State College of Florida-Manatee-Sarasota 2003 — 2010
Associate of Arts (A.A.), General Studies
Aetna April 2013 - Present
Independent Health October 2012 - April 2013
Excellus BCBS October 2000 - September 2012
Excellus BCBS June 1999 - September 2000
WellCare January 1997 - June 1999
Skills
Health Savings Accounts, Managed Care, Health Insurance, Health Policy, Employee Benefits, Medicare, Insurance, Vendor Management, Health Care Reform, HMO, Healthcare, Brokers, Disability Insurance, Strategic Planning, Process Improvement, Management, Leadership, HIPAA, Provider Relations, Visio, Medicare Part D, Claim, Long-term Care, Benefits Administration, Business Analysis, Underwriting, Term Life Insurance, Team Building, Product Management, Call Centers, Data Analysis
Education
Buffalo State College 1989 — 1994
Bachelor of Science, Economics
WellCare 2010 - Present
Skills
Pharmaceutical Industry, Microsoft Office, Microsoft Excel, Project Management, Clinical Research, PowerPoint, Microsoft Word, Medicare, Disease Management, Pharmacy Benefit..., Medication Therapy..., Managed Care, Healthcare Management, Healthcare, Software Documentation, Training, Medicaid, Teaching, Team Building, Pharmacy, Clinical Pharmacy, Patient Safety, Pharmacists, Medicare Part D, Strategic Planning, Customer Service
Education
University of Puerto Rico, Medical Science Campus
New York State Licensed Life, Accident & Health Insurance Broker January 2010 - Present
Social Business Entrepreneur May 2005 - Present
dba Brian Hodgens November 2010 - February 2011
UnitedHealthcare April 2008 - January 2010
WellCare July 2007 - April 2008
Health Plan Consultant January 2006 - July 2007
I-Flow Corporation January 2002 - December 2005
HealthNow New York Inc. March 1998 - January 2002
Skills
Healthcare, Health Insurance, Micro Health Insurance, International Business, Contract Negotiation, Physician Relations, Sales Management, Medical Devices, Technology..., Product Launch, Product Design, Business Expansion, Sub-Saharan Africa, West Africa, Health Plans, Poverty Reduction, Healthcare Technology, Health Insurance Sales..., Construction, Healthcare..., Healthcare Marketing, Community Development, Strategic Planning, Product Strategy, Managed Care, Social Business, Bottom of Pyramid Sales, Marketing
Education
New School University 1991 — 1994
MS Healthcare Management And Urban Policy, Healthcare Policy
State University of New York at Buffalo - School of Management 1980 — 1984
Bachelor of Science (BS), Business Administration and Management, General
Archer70llc. January 2009 - Present
Wellcare 2008 - 2009
AT&T Telecommunications Greater NY Area December 2006 - August 2008
Sprint 2000 - 2006
Disney 1996 - 2000
Skills
Investment Properties, Sales, Selling, Real Estate, Vacation Homes, Townhomes, Rentals, HUD, Listings, Real Property, Investors, Referrals, Baker
Education
Touro College 1989 — 1991
Business Management
Graphic Communications and Arts Nyc 1984 — 1988
WellCare November 2008 - March 2012
Baptist Health Care January 2007 - July 2008
Citigroup 2002 - 2006
Skills
Analytics, Business Analysis, SAS, Leadership, Business Intelligence, Project Management, Risk Management, SDLC, Segmentation, Financial Modeling, Data Mining, Credit Risk, Data Analysis, Auditing, Systemic Risk, Risk Analytics, Business Strategy, Investments, Statistical Modeling, Sarbanes-Oxley, Derivatives, Alternative Investments, Due Diligence, Liquidity Risk, Compliance, Statistics, Scenario Analysis, Hedging, Executive Reporting, Joint Ventures, Economics, Valuation, International Capital..., International Trade, Arbitrage, Securitization, Econometrics, Monetary Policy, Bonds, Options, Business Process Mapping, Customer Segmentation..., Information Systems..., Financial Instruments, SAS programming
Education
The University of Queensland 2012 — 2013
Master in International Economics and Finance
University of West Florida - College of Business
BSBA, Management Information Systems
Cigna/ Pro Unlimited October 2014 - Present
UnitedHealthcare April 2013 - January 2014
Personally Yours Staffing April 2011 - March 2013
WellCare September 2008 - November 2009
Best Choice Home HealthCare, Inc October 2007 - September 2008
Healthfirst March 2005 - March 2007
PDI, Inc. November 2000 - May 2004
Skills
Microsoft Word, PowerPoint, Outlook, Microsoft Excel, FL& NYS Life, Health,..., SANTRAX, SUSE LINUX OPERATING..., HBOC SCHEDULING BY..., Account Management, Training, Management, Sales, Coaching, Customer Service, New Business Development, Leadership Development, Recruiting, Healthcare, Hiring, Sales Management, Public Speaking, Cold Calling, Sales Operations, Insurance, B2B, CRM, Performance Management, Team Building, Marketing Strategy, Leadership, Call Centers, Customer Satisfaction, Contract Negotiation, Marketing, Medicare, Employee Training, Program Management, Selling, Talent Acquisition, Analysis, Time Management, Software Documentation, Customer Retention, Payroll, Human Resources, Strategic Planning, Temporary Placement, Employee Benefits, Applicant Tracking..., Interviews
Education
College of New Rochelle 1996 — 2000
BACHELOR OF ARTS, DOUBLE CONCENTRATION- SCIENCE & HUMANITIES
The College of New Rochelle 1996 — 2000
Bachelor's degree, Humanities/Humanistic Studies and Science
Prestige Health Choice June 2014 - Present
PCA Medical Group September 2013 - May 2014
Simply Health Care Plans September 2012 - September 2013
WellCare February 2006 - September 2012
Wellcare HMO February 2006 - September 2012
Kepro South July 2004 - September 2006
St. Vincent Medical Center March 2003 - May 2004
Lovelace Community Health Plan July 1996 - March 2003
Presbyterian Healthcare Services May 1991 - September 1999
Nurse Finders, Inc July 1993 - July 1996
Skills
Medicare, Managed Care, Medicaid, Utilization Management, Medicare Supplements, HMO, Health Insurance, Healthcare, NCQA, HEDIS, Photography, Disease Management, Case Managment, Health Policy, Case Management, Nursing, Home Care, HIPAA, Healthcare Management, Hospitals
Education
The University of New Mexico 1989 — 1992
Bachelor of Science, Nursing
Intel Corporation July 2015 - Present
Intel Security October 2012 - Present
HCA Physician Services February 2012 - November 2012
HCA Physician Services April 2011 - January 2012
WellCare March 2008 - April 2011
Skills
Account Management, Budgets, Business Analysis, Business Development, Business Strategy, CRM, Channel Partners, Cloud Computing, Cold Calling, Competitive Analysis, Contract Negotiation, Cross-functional Team..., Customer Service, Data Analysis, Data Center, Direct Sales, Enterprise Software, Executive Management, HIPAA, Healthcare, Healthcare Information..., Lead Generation, Leadership, Managed Care, Management, Marketing Strategy, Marketing, Medicaid, Medicare, Networking, New Business Development, Process Improvement, Product Marketing, Professional Services, Program Management, Project Management, Provider Relations, Recruiting, SaaS, Sales, Sales Management, Sales Operations, Sales Process, Salesforce.com, Security, Selling, Solution Selling, Start-ups, Strategic Partnerships, Strategic Planning
Education
University of South Florida - College of Business Administration 2005 — 2007
MBA
The University of Akron 1998 — 2001
BS, International Business
Aon Hewitt April 2014 - Present
WellCare February 2013 - April 2014
Extend Health July 2012 - December 2012
Aon Hewitt August 2011 - May 2012
Texas Southern University 2010 - 2010
Crayon Club June 2000 - August 2009
Skills
Healthcare, Team Building, Outlook, Leadership, Employee Relations, Medicare, HIPAA, System Administration, Training, Health Insurance, Human Resources, Employee Benefits, Insurance, Access, Customer Service, Talent Acquisition, Benefits Administration, Lotus Notes, Applicant Tracking..., Recruiting, Microsoft Excel, PeopleSoft, Leadership Development, Vendor Management, Talent Management, Employee Engagement, Onboarding, PowerPoint, Process Improvement, Team Leadership, Call Center, Program Development, Deferred Compensation, Time Management, HRIS, Coaching, Microsoft Office, Performance Management, Change Management, Organizational..., COBRA, New Hire Orientations, Employee Training, Policy, Medicare Part D, Conflict Resolution, Data Entry, Flexible Spending..., BPO, Call Centers
Education
Texas Southern University 2008 — 2010
BS, Healthcare Administration
WellCare July 2010 - July 2012
Jocarni Culinary Creations May 2004 - July 2012
Coventry Health Care April 2007 - January 2010
WellCare Health Plans December 2004 - April 2007
WellCare Health Plans December 2003 - December 2004
Humana 1999 - 2003
Pebbles Restaurant 1992 - 1996
Skills
Community Outreach, Insurance, Sales Management, Medicare, Medicare Supplements, Chef, Catering, Marketing Management, Training, Managed Care, Medicaid, Healthcare, Long-term Care, Employee Benefits, Customer Service, Management, Sales, Medicare Part D, Health Insurance, Customer Retention, Leadership, Marketing, HIPAA, Disability Insurance, HMO, Network Development, Provider Relations, Healthcare Industry, Team Building
Education
Culinary Institute of America 1983 — 1985
Associates Degree, Occupational studies
The Culinary Institute of America 1983 — 1985
Associates Degree, Culinary Arts
Queensbury High School 1979 — 1982
Regents Diploma, General Studies
Stericycle August 2014 - Present
WellCare July 2012 - 2014
Sibcy Cline Realtors August 1997 - May 2012
Skills
Investment Properties, Real Estate, Construction, Negotiation, Investments, Corporate Relocation, Relocation Buyers, reloc, Condos, First Time Home Buyers, New Home Sales, Short Sales, Selling, Referrals, Sales, Sellers, Real Estate Transactions, Foreclosures, Residential Homes, Property, Buyer Representation, Investors, REO, Listings, Single Family Homes, Real Estate License, Brokerage, HUD, Buyers, Seniors, Home Staging, Leadership, FHA, Customer Service
Education
Trinity Christian College
Business
WellCare Health Plans March 2014 - Present
WellCare September 2011 - March 2014
WellCare January 2011 - September 2011
Genentech, Inc. August 2010 - January 2011
Genentech February 2006 - August 2010
WellCare July 2003 - January 2006
Holland & Knight LLP January 1998 - July 2003
Summit Strategies May 2002 - January 2003
The Victory Group 1999 - 2000
Trinity College - Hartford 1984 - 1988
Skills
Public Policy, Medicaid, Public Affairs, Legislative Relations, Health Policy, Managed Care, Legislation, Healthcare Industry, Strategy, Policy Analysis, Policy, State Government, Medicare, Health Law, Medicare/Medicaid..., Health Care Reform, Coalitions, Medical Compliance, Government, Healthcare
Education
University of North Carolina at Chapel Hill 2013 — 2016
Dr.PH, Health Leadership
University of Maryland Baltimore 1991 — 1994
Master of Social Work (M.S.W.), Community Organizing and Social Administration
University of Maryland Baltimore 1990 — 1994
JD, Health Law
Trinity College-Hartford 1984 — 1988
BA, Religion and Political Science
Friends School Balitmore 1974 — 1984
Nielsen Marketing Analytics January 2013 - Present
The Woodlawn Organization July 2010 - July 2011
WellCare February 2006 - March 2009
RJ Reynolds October 2007 - October 2008
LPL July 2002 - May 2005
Skills
Marketing, Public Speaking, Customer Service, Microsoft Office, Recruiting, Team Building, Sales, Cold Calling, Account Management, Direct Sales, Sales Operations, Marketing Strategy, Social Media, Community Outreach, Sales Management, Sales Process, B2B, Management, Microsoft Excel, Salesforce.com
Education
Texas Christian University 2002 — 2005
Communications
Virginia State University 2001 — 2002
Communications
AvMed Health Plans October 2012 - Present
WellCare July 2010 - October 2012
Molina Healthcare of New Mexico February 2003 - July 2010
BlueCross BlueShield of New Mexico 1996 - 2002
Skills
Health Policy, Disease Management, Managed Care, Medicaid, Healthcare Management, Medicare, Health Insurance, Utilization Management, Healthcare Consulting, HMO, Healthcare Industry, HEDIS, Physicians, Credentialing, EMR, Healthcare Information..., Hospitals, Claim, Healthcare, EHR, Medicine, Network Development, HIPAA, PPO, Quality Improvement, Physician Relations, Informatics, Provider Relations
Education
The Ohio State University College of Medicine
MD, Medicine
University of Notre Dame
BS, Chemistry
Vanderbilt University School of Medicine
Medical Residency, Internal Medicine
The Brokerage Resource 1992 - Present
Mutual of Omaha 1994 - Present
Long Term Care Insurance Leaders Coalition 2007 - Present
WellCare 2006 - 2009
Consultants & Administrators 1984 - 1992
Provident Indemnity Life Insurance Co 1965 - 1984
Skills
Building Independent..., Medicare, Long Term Care, Medicare Supplements, Dental, New Business Development, Critical Illness, Long-term Care, Dentistry, Insurance, Dental Insurance, Short Term Medical, Brokers, Long Term Care Insurance, Disability Insurance, Life Insurance, Term Life Insurance, Health Insurance, Underwriting, Retirement, Fixed Annuities, Strategic Financial..., Employee Benefits, Small Business, Whole Life, Management, Marketing, Universal Life, 401k
Education
The University of Georgia 1961 — 1965
BBA, Insurance
Temple University 1968 — 1970
MBA Program- no degree, Insurance
American College of Life Underwriters 1966 — 1968
CLU Designation - 1968, Chartered Life Underwriter - CLU
PricewaterhouseCoopers September 2010 - Present
WellCare September 2007 - August 2010
Adecco Employment Services 2005 - 2007
Adecco Employment Services 2002 - 2005
Adecco Employment Services 2000 - 2002
Education
State University of New York College at Oswego 1993 — 1997
Yamile Haibi HR Consulting Services September 2009 - Present
WellCare January 2008 - September 2009
Wild Oats Markets October 2005 - October 2008
Skills
Employee Relations, Succession Planning, Performance Management, HRIS, FMLA, Deferred Compensation, Talent Management, Personnel Management, Human Resources, Union Avoidance, Employee Benefits, Recruiting, Interviews, FLSA, Americans with..., Leadership, Organizational..., Onboarding, Strategic Planning, Management, Training, Organizational Design, Conflict Resolution, Workforce Planning, Talent Acquisition, HR Policies, Non-compete Agreements, Benefits Administration, New Hire Orientations, Policy, Applicant Tracking..., Hiring, PeopleSoft, Sourcing, Employee Engagement, Employment Law, Leadership Development, Employee Training, Temporary Placement, Organizational..., Program Management, College Recruiting, Performance Appraisal, Legal Compliance, Internet Recruiting, Coaching, Technical Recruiting, Human Capital, Payroll, Awarded Best in Largo...
Education
St. Thomas University School of Law
J.D., Employment and Labor Law
CHI St. Luke's Health October 2014 - Present
WellCare March 2011 - October 2014
Cenpatico July 2008 - April 2010
Humana 2000 - 2004
Skills
Contract Negotiation, Healthcare, Medicaid, Health Policy, Healthcare Industry, Medicare, Hospitals, Provider Relations, Healthcare Management, Healthcare Consulting, Strategic Planning, HIPAA, Health Insurance, Managed Care, Process Improvement, Network Development
Education
Texas State University-San Marcos 1992 — 2000
Master's degree, Heatlh Administration, 3.4
Texas State University
BAYADA Home Health Care October 2013 - Present
UMDNJ 2012 - Present
wellcare 2008 - 2012
Skills
Healthcare, Hospitals, Cpr Certified, Public Speaking, PowerPoint, Microsoft Word, Customer Service, Teaching, Fundraising, Event Planning
Education
Hudson County Community College 2012 — 2014
Registered Nursing/Registered Nurse
The Art Institute of New York City 2010 — 2012
associate, Fashion and Fabric Consultant
The Connecticut Dental Health Partnership, administered by BeneCare Dental Plans October 2008 - Present
WellCare 2001 - September 2008
Certus HealthCare 1996 - 2001
Skadden Arps 1993 - 1994
Skadden Arps 1992 - 1993
SITA 1989 - 1991
Education
Stony Brook University 1984 — 1988
B.S., Mathematics
Apria Healthcare December 2014 - Present
Lincare Holdings, Inc December 2012 - March 2014
SOS Staffing 2011 - March 2013
Essence Healthcare 2009 - 2010
WellCare 2007 - 2009
Skills
Sales Management, Marketing Strategy, Direct Sales, New Business Development, Customer Service, Consultative Selling, Account Management, Technical Recruiting, Cold Calling, Leadership, Recruiting, Sales, Sales Process, Selling, Staffing Services, Strategic Planning, Temporary Staffing, Training
Education
SUNY Empire State College 2000 — 2003
B.A., Business, Management and Economics, Business
Churchville Chili
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
Berwick Insurance Group March 2015 - Present
WellCare April 2013 - August 2015
American Income Life September 2012 - March 2013
TIAA-CREF May 2008 - September 2012
Skills
Retirement Planning, Mutual Funds, Fixed Annuities, Retirement, Wealth Management, Series 7, Insurance, Strategic Financial..., Medicare, Life Insurance, 401k, Employee Benefits, Customer Service
Education
The University of Texas at Arlington
New York Life Insurance Company May 2011 - Present
MetLife April 2008 - April 2011
Health First September 2007 - March 2008
WellCare March 2007 - August 2007
Skills
Insurance, Recruiting, Business Planning, Business Relationship..., Health Insurance, Leadership, Finance, Training, Financial Services, Securities, Retirement Planning, Investments, Life Insurance, Financial Risk, Long-term Care, Wealth Management, IRAs, Small Business, Credit
Education
Tribhuvan Vishwavidalaya
EmblemHealth June 2012 - Present
EmblemHealth August 2009 - November 2014
EmblemHealth January 2004 - June 2012
GHI 2001 - 2003
GHI June 1999 - June 2001
WellCare November 1995 - June 1999
Skills
Managed Care, Healthcare, Health Insurance, HIPAA, Medicaid, Medicare, Delegation Oversight, SharePoint, Contract Negotiation, Contract Management, Vendor Management, Vendor Relationships, Vendor Contracts, HMO, PPO, Provider Relations, Network Development, Credentialing, Claim, Physician Relations, Healthcare Management, Healthcare Industry, Customer Service, Microsoft Excel, Training, Team Building, Leadership
Education
Ulster County Community College 1991 — 1994
Associate's degree, Business Administration and Management, General
Wellcare May 2012 - Present
New York Life Insurance Company October 2011 - April 2012
Verizon Wireless May 2009 - October 2011
Skills
Employee Benefits, Insurance, Managed Care, Medicare, Account Management, Customer Retention, Vendor Management, Cold Calling, Benefits Administration, Direct Sales, Sales, Salesforce.com
Education
Centenary College 2011 — 2011
The College of Saint Rose 2005 — 2009
Bachelor of Business Administration (B.B.A.), Marketing
WellCare Health Plans June 2014 - Present
Boyd Unique Investments March 2011 - Present
WellCare January 2010 - June 2014
Take Care Health Systems May 2007 - December 2009
CNC/Access February 2004 - May 2007
Edgecombe Nash Metal Health Center July 1998 - February 2004
Skills
Administrative..., Access, Medical Terminology, Customer Service, Microsoft Excel, PowerPoint, Microsoft Word, Microsoft Office, Event Management, Social Networking, Social Media, Team Building, Public Speaking, Coaching, Human Resources, Budgets, Administrative...
Education
Ultimate Medical Academy 2013 — 2014
Associate's Degree
Northwest Halifax High School 1987 — 1991
Diploma
University of Kentucky College of Public Health September 2015 - Present
Wellcare September 2015 - Present
University of Kentucky August 2014 - Present
University of Kentucky August 2014 - May 2015
Pediatric and Adolescent Associates September 2013 - January 2015
Three Rivers District Health Department 2014 - 2015
The Ohio State University May 2011 - May 2013
Skills
Research, Survey Design, Data Analysis, SAS Programming, Policy Analysis, Financial Analysis, Budgeting, Strategic Planning, Leadership, Teaching, Coaching & Mentoring, Community Outreach, Microsoft Office, Microbiology, Psychology, Public Health, Public Speaking, Program Evaluation
Education
University of Kentucky 2013 — 2015
Master’s Degree, Public Health, 4.0
The Ohio State University 2008 — 2013
Bachelor’s Degree, Microbiology and Psychology, 3.0
Fidelis Care NY June 2009 - Present
WellCare 2008 - 2009
Continental Home Loans February 2008 - September 2008
Wilmington Finance September 2007 - February 2008
Countrywide Home loans March 2006 - February 2007
Argent wholesale June 2003 - March 2006
Skills
Lead Generation, Sales Presentations, Coaching, Market Planning, Event Planning, Customer Retention, Marketing, Sales, Management, Relationship Building, Customer Service, Health Insurance, Social Networking, Sales Management, Insurance, Managed Care, Leadership, Team Building, Strategic Planning, Employee Benefits, New Business Development
Education
State University of New York College at Buffalo
Political Science
Lovesac September 2015 - Present
Lovesac December 2014 - August 2015
The TJX Companies, Inc. June 2014 - November 2014
Brady Corporation January 2014 - October 2014
WellCare June 2013 - December 2013
Synergy Management February 2013 - April 2013
Westchester Community College October 2010 - February 2013
Westchester County Parks Department June 2006 - September 2012
Westchester Community College June 2010 - May 2012
Skills
Leadership, Customer Service, Public Speaking, Community Outreach, Time Management, Management, Microsoft Excel, Cpr Certified, Event Planning, Marketing, Team Leadership, Program Management, Sales, Teamwork, Health Insurance, Social Media Outreach, Healthcare, Microsoft Technologies, AED, Retail, Furniture, Microsoft Office, Microsoft Word, PowerPoint
Education
State University of New York College at Oneonta 2012 — 2014
Sociology, Sociology
Westchester Community College
Associate's Degree, Liberal Arts and Sciences, General Studies and Humanities
Nielsen October 2014 - Present
MedHOK, Inc. January 2014 - October 2014
Bloomin' Brands, Inc. October 2012 - January 2014
WellCare November 2010 - October 2012
WellCare May 2010 - November 2010
WellCare August 2008 - May 2010
WellCare Healthplans, Inc June 2005 - August 2008
WellCare Healthplans, Inc June 2004 - June 2005
Jabil Global Services May 2003 - June 2004
Eckerd Corp. 2000 - 2003
Skills
Disaster Recovery, SDLC, Data Warehousing, Enterprise Architecture, ETL, Business Intelligence, Database Design, Visio, Databases, SQL, Microsoft SQL Server, Requirements Analysis, Database Administration, Vendor Management, Oracle, Team Leadership, ITIL v3 Foundations..., Integration, SharePoint, Virtualization, Software Documentation, Unix, IT Management, Software Development, Security, Data Center, Management, IT Operations, Cloud Computing, Business Analysis, Servers, Software Project..., IT Service Management, Information Technology, System Administration, Leadership, VMware, Data Modeling, ITIL, Systems Analysis, IT Strategy, High Availability, Solution Architecture, SSIS, SOA, Solaris, SSRS, T-SQL, SQL Tuning, Requirements Gathering
Education
Troy University 2006 — 2008
MBA, Information Systems
University of South Florida 1995 — 1998
BS, Information Systems Management
Leto High School 1984 — 1988
WellCare January 2012 - Present
Freedom Health October 2010 - January 2012
Humana November 2006 - August 2010
Skills
Health Insurance, Risk Management, Customer Service, Access, Insurance, Microsoft Excel, Medicare, HIPAA, Mergers & Acquisitions, Process Improvement, Healthcare, Team Building
Education
Strayer University (VA)
Burtanger & Assoc. March 2015 - Present
CenseoHealth August 2013 - March 2015
Burtanger & Assoc. March 2009 - July 2013
ATTAC Consulting Group August 2011 - December 2012
The AmeriHealth Mercy Family of Companies July 2010 - July 2011
Silverlink Communications July 2009 - July 2010
Ingenix Consulting March 2008 - March 2009
Gorman Health Group July 2005 - March 2008
WellCare 2003 - 2005
Harvard Medical School 2001 - 2003
Skills
Strategic Planning, Public Relations, Crisis Communications, Public Speaking, Market Research, Marketing, Business Development, Sales, Brand Management, Healthcare, Managed Care, Medicare
Education
The Ohio State University
Masters, Journalism
The Ohio State University
Bachelors, Communications
3M Health Care April 2014 - Present
Treo Solutions November 2011 - Present
WellCare February 2010 - October 2011
WellCare December 2007 - February 2010
Skills
Population Health, Value Based Purchasing, Risk Adjustment, Medicaid, Healthcare Consulting, Risk Optimization, Accountable Care, Accountable Care..., Health Policy, Medicare, Managed Care, Payment Transformation, Healthcare Industry, Healthcare Information..., Healthcare Management, HIPAA, Health Insurance, Healthcare, Leadership, Provider Relations, Data Analysis, Hospitals, Strategic Planning, Process Improvement, @Risk, Revenue Cycle, Network Management
Education
University of South Florida 2007 — 2007
MBA, Healthcare-Entreprenuership-Management
University of Alabama 2000 — 2005
BS, Health Administration
DragonSearch 2013 - Present
Learner First November 2012 - June 2013
UnitedHealthcare October 2007 - October 2012
UnitedHealth Group October 2005 - September 2007
WellCare June 2005 - September 2005
Skills
SharePoint, Visio, E-Learning, Adobe Creative Suite, Video Production, Video Editing, Audio Editing, Graphic Design, Technical Writing, Creative Writing, Information Technology, News Writing
Education
Syracuse University 2000 — 2004
Bachelor of Science (BS), Communication and Media Studies
UPMC March 2015 - Present
University of Wisconsin Milwaukee March 2014 - March 2015
American Family Insurance November 2011 - October 2013
WellCare June 2009 - November 2011
Concurrent Technologies Corporation May 2009 - May 2009
Merial July 2006 - February 2009
AOL March 2006 - July 2006
RSA / Fiserv November 2005 - December 2005
TDS™ August 2005 - November 2005
McGraw-Hill Education August 2004 - June 2005
Skills
PL/SQL, Data Warehousing, Data Modeling, Business Intelligence, ETL, Oracle, SDLC, Informatica, Databases, Business Objects, Enterprise Architecture, SQL, Requirements Gathering, Integration, Oracle Warehouse Builder, Software Development, Performance Tuning, Oracle Applications, ERP, Testing, Data Marts, Toad
Education
State University of New York at Buffalo 1989 — 1994
B.S. Business Administration, MIS, Accounting, Management, Finance
Blue Cross Blue Shield of Florida May 2011 - Present
WellCare January 2011 - May 2011
WellCare Health Plans, Inc June 2009 - January 2011
Mount Cambridge IPA September 2008 - June 2009
Connecticare Health Insurance, Inc May 2006 - September 2008
Education
University of South Florida 2011 — 2013
Masters, Public Health, Health Policy and Management
The University of Connecticut School of Business 2003 — 2007
Bachelor of Science, Health Care Management, Finance
Legacy Health Medical Group, LLC January 2013 - Present
Largo Medical Center August 2012 - Present
Ascentia Home Health Care November 2011 - Present
Oak Manor Senior Living Community July 2011 - Present
Wright's Health Care and Rehabilitation Center July 2011 - Present
ToroSoleil, LLC July 2011 - Present
Belleair Health Care Center May 2011 - Present
WellCare August 2012 - December 2012
Diagnostic Clinic Medical Group PA July 2010 - August 2012
Skills
Clinical Research, Medicine, Management, Healthcare, Healthcare Management, Hospitals, Patient Safety, EMR, Board Certified, Public Speaking
Education
University of South Florida 2007 — 2010
Internal Medicine Residency, Internal Medicine Residency Program
Wright State University Boonshoft School of Medicine 2003 — 2007
Doctor of Medicine (M.D.), Medicine
The University of Akron 1999 — 2002
Bachelor's degree, Natural Sciences
KOMEDIX HEALTHCARE August 2014 - Present
ccastilleja@komedixhc.com 2014 - 2015
WellCare March 2013 - July 2014
WellCare Health Plans Inc. August 2010 - March 2013
Skills
Account Management, Medicare, Long-term Care, Sales Management, Life Insurance, Strategic Planning, Medicaid, Insurance, Health Insurance, Employee Benefits, Managed Care, Health Savings Accounts, HMO, Disability Insurance, Healthcare Industry, Medicare Part D, Health Care Reform, Provider Relations, Healthcare, Health Policy, PPO, Term Life Insurance, Brokers, Healthcare Consulting, Fixed Annuities, Whole Life, Long Term Care Insurance, Sales Presentations, Executive Management, Healthcare Management
Education
Southwest Texas State University
Political Science
Texas State University
WellCare August 2013 - Present
WellCare May 2012 - August 2013
Trenam Kemker July 2006 - May 2012
Fowler White Boggs Banker 2005 - 2006
Lott and Friedland 2002 - 2005
Education
The Ohio State University Moritz College of Law 1999 — 2002
Juris Doctorate
University of Miami 1995 — 1999
BSC
Bexley High School 1992 — 1995
WellCare 2008 — 2018
Education
The University of Texas at Arlington - College of Business 1996 — 2000
MBA, Health Care Management
Kaiser Foundation Health Plan February 2012 - Present
Zenith American Solutions January 2011 - February 2012
WellCare November 2005 - July 2010
Definity Health April 2004 - February 2005
GHI October 2002 - April 2004
Oxford Health Plans July 1999 - July 2001
Great-West Life July 1996 - June 1999
Harvard Pilgrim Health Care 1985 - 1995
Skills
Insurance, Health Policy, Contract Management, Managed Care, Management, Enterprise Software, HIPAA, Claim, Leadership, Process Improvement, Contract Negotiation, Healthcare, Medicare, Operations Management, Team Building, Customer Service, Call Centers, System Administration, Health Insurance, HMO, Strategic Planning, Vendor Management, Project Management, Business Process..., Medicaid, Mergers & Acquisitions, Analysis, Training, Hospitals, Healthcare Information..., Program Management, Healthcare Industry, Healthcare Consulting, Healthcare Management, Change Management, Strategy, Software Documentation, Employee Benefits, Employee Relations, SDLC, Performance Management, Budgets, Provider Relations, Medicare Part D, Network Development, Disease Management, Executive Management, Revenue Cycle, Utilization Management
Education
State University of New York College at Oneonta 1972 — 1976
Leidos September 2014 - Present
Sentry Insurance March 2014 - July 2014
Aflac October 2012 - February 2013
WellCare March 2012 - August 2012
BlueCross BlueShield of Tennessee September 2011 - January 2012
Emdeon 2010 - 2011
McKesson August 2009 - March 2010
AT&T August 2008 - April 2009
FUNDtech February 2008 - August 2008
InComm 2007 - 2007
Skills
Project Management, PMP, SDLC, Vendor Management, Software Project..., PMO, Business Analysis, Requirements Analysis, Visio, Resource Management, Requirements Gathering, Project Portfolio..., Business Requirements, Technical Recruiting, Consulting
Education
University of Alabama at Birmingham 1984 — 1989
MBA
WellCare July 2006 - Present
JPMorgan Chase October 2001 - June 2006
Humana 1990 - 2001
Skills
Medicare, Copywriting, Marketing Communications, Strategic Planning, Newsletters, Internal Communications, Advertising, Email Marketing, Direct Mail, Direct Marketing, Press Releases, Corporate Branding, Content Management, Brand Development, Creative Direction, Public Relations, Corporate Communications, Media Relations, Strategic Communications, Marketing, Team Building, Creative Writing, Copy Editing
Education
University at Albany, SUNY
Simply Health Care Plans July 2013 - Present
Simply Health Care Plans February 2012 - June 2013
WellCare October 2010 - February 2012
WellCare March 2009 - October 2010
WellCare Health Plans June 2007 - March 2009
WellCare May 2006 - July 2007
WellCare November 2005 - May 2006
Skills
Provider Relations, Network Development, HMO, PPO, Health Insurance, Claim, Provider Network..., Medicare, HIPAA, Healthcare Management, Medicaid Managed Care, Physician Relations, Credentialing, Customer Service, EHR, Healthcare, Healthcare Industry, Managed Care, Management, Medicaid, Insurance, Strategic Planning, Team Building, Healthcare Consulting, Healthcare Information..., Hospitals
Education
Troy University
Business Administration and Management, General
Xerox January 2015 - Present
Xerox June 2013 - December 2014
Scott & White Health Plan August 2010 - June 2013
Axiom Systems August 2010 - June 2013
Quebe Systems, Inc. March 2008 - July 2010
eHealthPartners December 2004 - July 2008
Neighborhood Health Plan March 2007 - June 2008
WellCare January 2005 - March 2007
Aloha Care January 2002 - May 2004
Aloha Care January 2000 - January 2001
Skills
Healthcare, .NET, SQL Server, Team Leadership, C#, HIPAA, Strategic Planning, Database Design, Architecture, SQL, Software Development, Enterprise Architecture, Data Warehousing, SOA, IT Management, Team Building, Product Development, Databases, Programming, Business Strategy, Visual Studio, Problem Solving, Microsoft SQL Server, Requirements Analysis, Software Project..., SDLC, Business Analysis, IT Strategy
Education
The University of Texas at Austin 2011 — 2012
Master of Science (M.S.), Engineering, 3.96
University of Phoenix 2003 — 2005
Bachelor of Science (B.S.), Information Technology, 3.85
Healthesystems May 2013 - Present
WellCare October 2010 - April 2013
PMSI April 2007 - October 2010
Skills
SDLC, Vendor Management, Information Technology, Disaster Recovery, SharePoint, Healthcare, Business Intelligence, Visio, Business Analysis, Oracle, Enterprise Architecture
Education
The Ohio State University Fisher College of Business 1986 — 1988
MBA, Information Technology
The Ohio State University 1979 — 1983
BSBA, Computer Science
Stow High
TriZetto, A Cognizant Company March 2015 - Present
TriZetto Corporation November 2013 - March 2015
The TriZetto Group March 2012 - October 2013
WellCare June 2011 - April 2012
BravoHealth Inc February 2003 - May 2011
Bravohealth February 2001 - August 2010
Bravo Health July 2006 - April 2007
Skills
Medicare, Health Insurance, Medicaid, Insurance, HIPAA, Claim, Process Improvement, Managed Care, Healthcare Information..., Healthcare Industry, Healthcare, Provider Relations, Healthcare Consulting, SharePoint, QNXT, Data Analysis, Program Management, Business Analysis, Vendor Management, Business Intelligence, SDLC, Management, Training, Analysis, Software Documentation
Education
Strayer University (DE)
Bachelor of Science (BS), Accounting
Strayer University- 2006
B.S, Accounting
WellCare January 2012 - Present
PMSI July 2010 - January 2012
PMSI 2010 - 2011
The Nielsen Company August 1995 - February 2009
Nielsen Media Research 1994 - 2009
Skills
Regression Testing, Quality Assurance, Agile Methodologies, Quality Center, Software Quality..., SDLC, User Acceptance Testing, Analytics, SQL, Data Analysis, Visio, System Testing, Test Planning, Waterfall, Software Project..., Microsoft SQL Server, Requirements Analysis, Integration, Test Cases, HP Quality Center
Education
The University of Tennessee at Chattanooga 1986 — 1990
BS, Computer Science Information Systems
School
School
School
Cigna HealthSpring October 2009 - Present
WellCare September 2006 - September 2009
Centers for Medicare and Medicaid Services, DHHS January 2004 - August 2006
Skills
Managed Care, Healthcare, Cross-functional Team..., Medicare, Medicaid, Program Management, Health Insurance, Government, Team Building, Change Management, HIPAA, Healthcare Management, Healthcare Information..., Project Management, Leadership, Strategic Planning, Employee Benefits, Health Policy, Medicare Part D, Process Improvement, Healthcare Consulting, Executive Management, Insurance, Strategy, Healthcare Industry, HMO, Performance Improvement
Education
The George Washington University 1974 — 1978
MSA, Government Admistration
University of Maryland College Park 1969 — 1973
BS, Business
AnazaoHealth Corporation September 2014 - Present
One Stop Compounding Pharmacy October 2013 - August 2014
Coram Infusion and Specialty Pharmacy January 2013 - October 2013
WellCare Health Plans, Inc. January 2011 - January 2013
WellCare 2009 - January 2013
Sun Pharmacy 2007 - 2008
Skills
Managed Care, Medicaid, Medicare, Health Policy, Medication Therapy..., Pharmacy Benefit..., Pharmacy, HIPAA, Healthcare Management, Clinical Research, Patient Safety, Long-term Care, Pharmacy Automation, Disease Management, Healthcare, Utilization Management, Healthcare Information..., HMO, Provider Relations, Pharmaceutical Industry, Health Insurance, Medicare Part D, Healthcare Industry, Pharmacists, Diabetes, Informatics
Education
Temple University
PwC January 2012 - Present
WellCare July 2009 - January 2012
WellCare April 2006 - July 2009
WellCare September 2006 - March 2007
WellCare April 2006 - September 2006
Sitel July 2003 - April 2006
Sodexho October 2002 - May 2003
Tops Friendly Markets June 1998 - August 2002
Skills
HIPAA, Vendor Management, Vendor Relations, Contract Management, Customer Relations, Excel, Healthcare, KPI, Microsoft Office, Outlook, Outsourcing, PowerPoint, Visio, Word
Education
State University of New York College at Buffalo 1999 — 2001
Bachelor of Arts, Psychology
University of Tampa 1997 — 1999
Bachelor of Arts, Psychology
WellCare March 2012 - Present
Tampa General Hospital July 2011 - March 2012
PricewaterhouseCoopers June 2010 - April 2011
PricewaterhouseCoopers September 2006 - December 2009
HSBC December 2004 - August 2006
Capital One September 2000 - December 2004
Capital One September 1998 - September 2000
Skills
Emptoris, Contract Management, Client Services, Technology, Project Management, Technical Writing, Documentum, Building Relationships, Quality Assurance, People-oriented, Customer Service, Talent Acquisition, Call Center, Banking, Credit
Education
University of South Florida 2000 — 2011
Bachelor of Arts, Public Relations
The George Washington University 1998 — 2004
Associate's Certificate, Project Management
Hillsborough Community College 1989 — 1992
Associate of Arts, Liberal Arts
Amerigroup Corporation November 2011 - March 2012
Tre Metis Corporation 2008 - December 2011
Foundational Health Centers July 2011 - September 2011
Florida Healthcare Plus, Inc June 2011 - August 2011
Citrus Health Care 2008 - 2010
Physicians United Plan November 2005 - June 2008
RECC Holdings 2007 - 2008
CareOne Health Plans 2005 - 2005
WellCare 1998 - 2005
WellCare 1998 - 2005
Skills
Regulatory Affairs, Medicare, Managed Care, Physician Network..., Medicaid, Contract Negotiation, IPAs, Ancillary Services, Provider Relations, Microsoft Word, Microsoft Excel, Outlook, Provider Network..., PowerPoint, MSOs, Long-term Care, PPO, HMO, Privacy Law, Training, Healthcare Industry, Management, Insurance, HIPAA, Leadership, Network Development, Healthcare, Healthcare Consulting, Healthcare Management, Health Insurance, Executive Management, Physicians, Healthcare Information..., Hospitals, Revenue Cycle, Policy, Employee Benefits, Health Policy, Provider Contracting, Compliance, Long Term Care, Privacy, Notary Public, Government Liaison, Utilization Management, Claim, Program Management, Medicare Part D, Disease Management, Physician Relations
Education
Troy University
Hillsborough Community College
Associate of Arts (A.A.)
Centene Corporation May 2011 - Present
WellCare April 2009 - April 2011
Merrill Lynch Capital Healthcare 2003 - 2008
Northwestern Mutual Life Insurance Company May 2002 - August 2002
Education
University of Virginia - Darden Graduate School of Business Administration
MBA
The Johns Hopkins University - Paul H. Nitze School of Advanced International Studies (SAIS)
MA, International Relations
Yale University
BA, History
WellCare Health Plans June 2014 - Present
WellCare March 2012 - Present
WellCare January 2011 - March 2012
WellCare March 2009 - March 2011
ConnectiCare September 1995 - March 2009
HealthChoice of CT 1993 - 1996
HealthChoice of CT 1993 - 1995
Skills
Managed Care, Medicaid, Health Insurance, Medicare, HIPAA, Health Policy, Healthcare, Insurance, Healthcare Industry, Healthcare Management, Health Economics, Healthcare Information..., Disability Insurance, Employee Benefits, Network Development, PPO, Provider Relations, Process Improvement, Informatics, Medicare Part D, Healthcare Consulting, HMO, Disease Management, Utilization Management, Pharmacy Benefit..., Claim, Revenue Cycle, Quality Improvement, Physicians, Physician Relations, Health Information..., Practice Management, EHR, EMR, Credentialing, Hospitals, Medical Billing, Health Care Reform, Revenue Cycle Management
Education
The University of Connecticut 1989 — 1993
Bachelor of Science (BS), Health/Health Care Administration/Management
The University of Connecticut School of Business 1989 — 1993
BS, Health Systems Management
Lewis S. Mills High School 1985 — 1989
WellCare June 2013 - December 2014
WellCare March 2012 - June 2013
Health Net April 2006 - May 2011
East River Medical Imaging June 2001 - April 2006
Skills
Provider Relations, Network Development, Medicaid, HMO, Medicare, Managed Care, HIPAA, Health Insurance, Hospitals, PPO, Healthcare Industry, Process Improvement, Utilization Management, Health Policy, Credentialing
Education
The University of Connecticut School of Business 1997 — 2001
Bachelor of Science (BS), Health/Health Care Administration/Management
Nielsen Catalina Solutions July 2012 - Present
WellCare April 2010 - December 2011
NetDirector LLC January 2008 - March 2010
Nielsen Media Research 1994 - 2008
Skills
Web Services, XML, Java Enterprise Edition, SQL, Java, Agile Methodologies, SOA, Enterprise Architecture, SDLC, Software Development, EJB, .NET, Microsoft SQL Server, Architecture, JBoss Application Server, Sybase, WCF, XSLT, Data Modeling, C#
Education
State University of New York College at Buffalo 1985 — 1990
BS Computer Science, Minor Mathematics
Serve May 2011 - Present
Wellcare November 2006 - May 2011
OSI Restaurant Partners, LLC July 2003 - November 2006
Eckerd Corporation June 2001 - July 2003
Mediacentric Group 2001 - 2002
Mediacentric September 2000 - May 2001
Reptron Manufacturing June 1999 - August 2000
Education
University of South Florida 1998 — 2000
M.S., Management Information Systems
The University of Kansas 1988 — 1992
B.S., Accounting/Business Administration
WellCare Health Plans January 2015 - Present
WellCare August 2013 - Present
WellCare September 2012 - Present
WellCare August 2010 - December 2012
WellCare September 2006 - August 2010
Hometown Health June 1999 - January 2004
Education
Syracuse University
BS, Clinical Dietetics
WellCare Health Plans September 2014 - Present
WellCare Health Plans May 2013 - September 2014
WellCare March 2012 - May 2013
Directions for Mental Health, Inc February 2009 - March 2012
Directions for Mental Health February 2007 - April 2009
Columbus Literacy Council January 1996 - January 1997
Shands Hospital January 1993 - January 1995
Skills
Leadership, Analysis, Healthcare, Quality Improvement, Program Management, Nonprofits, Strategic Planning, Mental Health, Process Improvement, Vendor Relationship..., Project Management, Medicaid Managed Care, PDCA, CQI, Community Outreach, Microsoft Word, Microsoft Excel, Risk Management, Staff Development, Technical Writing, Microsoft Publisher, Training, FMEA, Customer Service, Policy Analysis
Education
University of South Florida 2008 — 2010
MPA, Public Administration
University of South Florida 2008 — 2010
Graduate Certificate, Nonprofit Management
The Ohio State University 1996 — 1997
BA, Womens Studies
University of Florida 1993 — 1995
AA
WellCare March 2012 - Present
Petrizzo Strategic Group January 2008 - January 2012
U.S. Representative Tim Mahoney January 2007 - February 2008
U.S. Representative Jim Davis (FL-11) January 1997 - January 2007
State Representative Jim Davis May 1992 - December 1996
Skills
Government Affairs, Government Relations, Public Policy, Legislative, Grassroots Organizing, Government, Legislative Relations, Politics
Education
The George Washington University 1985 — 1988
MA, Legislative Affairs
University of South Florida 1978 — 1982
BA, Political Science
Zephyrhills High School 1974 — 1978
Raymond James Financial, Inc. June 2015 - Present
JPMorgan Chase & Co. November 2010 - June 2015
WellCare July 2010 - November 2010
Threshold Consulting Services April 2007 - June 2010
Gentiva Health Services August 2006 - April 2007
Verizon 2003 - 2006
New York Life 2001 - 2002
Prudential Insurance August 2000 - April 2001
MetLife April 1999 - August 2000
Associated Merchandising Corporation April 1998 - April 1999
Skills
SDLC, Data Warehousing, Business Analysis, ETL, Requirements Analysis, Business Intelligence, SQL, Data Modeling, Integration, Informatica
Education
Stevens Institute of Technology 1996 — 1999
Master of Science, Management
Stevens Institute of Technology 1996 — 1999
MS Management, Information Management
William L. Mertz, Attorney-at-Law June 2012 - Present
WellCare September 2008 - June 2012
PharMerica February 2001 - December 2007
Eckerd January 1999 - January 2001
Eckerd January 1995 - January 1999
Skills
Managed Care, Medicaid, Licensing, Litigation Management, Medicare Part D, Pharmacy, Long-term Care, HMO, Contract Negotiation, Medicaid Managed Care, Commercial Litigation, HIPAA, Legal Writing, Medical Compliance, Health Insurance, Legal Compliance, Health Law, Employment Law, Hospitals, Healthcare, Health Policy, Corporate Law, Insurance, Healthcare Industry, Medicare, Pharmacy Benefit..., Joint Ventures, Mergers & Acquisitions, Provider Relations, Policy, PPO, Litigation, Patents, Claim, Employee Benefits, Internal Investigations, Due Diligence, Healthcare Management, Corporate Governance, Regulatory Affairs, Healthcare Consulting, Appeals, Legal Research
Education
University of Pittsburgh School of Law 1987 — 1990
J.D
The College of Wooster 1982 — 1986
B.A, History
WellMed Medical Management May 2009 - Present
WellCare September 2007 - May 2009
ACS/Texas Medicaid & Healthcare Partnership 2005 - 2007
A Few Questions Consulting 2004 - 2005
Skills
Managed Care, Medicaid, Provider Relations, HIPAA, Healthcare Management, Healthcare Information..., Health Insurance, Healthcare Consulting, EHR, EMR, Process Improvement, Network Development, Healthcare, Strategic Planning, Business Process..., Change Management, Healthcare Industry, Physician Relations, Health Policy, Physicians
Education
The University of Texas at San Antonio
BA, Psychology
WellCare 2007 - August 2008
Kforce, Inc 2000 - 2007
Kforce Professional Staffing 2000 - 2007
Education
University of Tampa - John H. Sykes College of Business 2000 — 2001
MBA, Finance
University of Louisiana at Monroe 1993 — 1999
BBA, Finance
Universidad de Salamanca 1997 — 1997
Cert., Business, Language
Wellcare December 2012 - Present
Value Options July 2010 - December 2012
Mental Health Care, Inc. January 2005 - July 2010
Skills
Behavioral Health, Crisis Intervention, Psychotherapy, Social Services, Mental Health Counseling, Group Therapy, Family Therapy, Treatment, Program Development, Medicaid, Healthcare, Utilization Management, Call Center
Education
University of Maryland Baltimore 1999 — 2002
Master of Social Work (MSW)
Towson University 1993 — 1998
Psychology
Jefferson Law Firm, LLC June 2015 - Present
WellCare 2010 - Present
Managed Care Outsource January 2009 - Present
Med Law Solutions April 2004 - Present
Alabama Office of Courts February 2012 - February 2013
Grady Health System March 2002 - June 2008
Skills
Medical Records, Medicine, Managed Care, Medical/Surgical, Home Care, Nursing, ICU, Wound Care, Case Management, Medicare, Legal Research, Critical Care, Medical-Surgical, Clinical Research, Healthcare, Healthcare Management
Education
Miles Law School 2010 — 2013
Juris Doctorate
Troy University 2000 — 2001
MBA, Business
University of Alabama at Birmingham 1989 — 1993
BSN, Nursing
CIGNA Healthcare June 2012 - Present
MedSaveUSA (formerly First Service Administrators, Inc.) May 2009 - June 2012
WellCare May 2005 - February 2009
WellCare February 2003 - May 2005
CIGNA HealthCare of Florida, Inc. April 2001 - October 2002
CIGNA HealthCare of Florida, Inc. April 1998 - April 2001
Education
University of Tampa 1990 — 1993
MBA, Business Administration
University at Buffalo 1978 — 1981
BS, Accounting
Marist College 2001 - Present
WellCare 1986 - 1993
Education
State University of New York College at Oneonta 1977 — 1980
BA, Speech Communications, Business
Optum Health Behavioral Services June 2013 - Present
OptumHealth November 2009 - June 2013
WellCare February 2007 - November 2009
CIGNA Behavioral Health November 2004 - January 2007
Comprehensive Behavioral Healthcare, Inc August 2003 - November 2004
Family Services Centers Healthy Families Program September 2001 - July 2003
Directions For Mental Health November 1999 - September 2001
Skills
Behavioral Health, Motivational..., Mental Health, Adolescents, Group Therapy, Psychotherapy, Crisis Intervention, Family Therapy, Healthcare, Chemical Dependency, Clinical Supervision, Case Managment, Treatment, Psychology, Social Services, Mental Health Counseling, Counseling Psychology, Managing a Virtual Team, Quality Improvement, Clinical Training, Health Care Coaching
Education
University of Connecticut at Storrs 1977 — 1980
Master of Arts (M.A.), Marital and Family Therapy
Sweet Briar College
Bachelor of Arts (B.A.), Psychology
Stone Ridge
High School, College/University Preparatory and Advanced High School/Secondary Diploma Program
WellCare July 2012 - Present
WellCare September 2009 - July 2012
Raymond James Financial June 2008 - December 2008
Jacobs Engineering January 2008 - June 2008
Citigroup 1994 - 2006
Skills
SharePoint, SAS, Vendor Management, Visual Basic, Budgets, Unix, Access, Microsoft Excel, Data Warehousing, Visual Studio, Process Improvement, SAS programming, SDLC, Business Analysis, Toad, Data Analysis, OLAP, Business Intelligence, Databases, Visio, SQL, Analysis, Business Process..., T-SQL, Requirements Gathering, Integration, Database Design, PMO, Systems Analysis, Project Management, HIPAA, Software Documentation, IT Operations, Management, IT Strategy, Microsoft SQL Server, Oracle, Requirements Analysis, User Acceptance Testing, PL/SQL, Healthcare, Banking, Cross-functional Team..., Leadership, Training, Business Requirements, Medicare, Software Project..., Team Building, Testing
Education
Syracuse University 1989 — 1993
Mathematics
University of Tampa - John H. Sykes College of Business
Computer Information Systems
Prestige Health Choice September 2013 - Present
UnitedHealthcare November 2011 - September 2013
Simply Healthcare Plans / Better Health. LLC. January 2010 - October 2011
WellCare 2005 - 2009
Blue Cross Blue Shield of Florida 2002 - 2005
Skills
Provider Contracting, Managed Care, Credentialing, Network Development, Healthcare Management, Healthcare, Contract Negotiations, Health Insurance, Contract Management, Strategic Planning, Physician Relations, Healthcare Industry, Insurance, Medicare, Risk, Hospitals, PPO, Revenue Cycle, Physicians, Health Policy, Healthcare Consulting, EMR, Medicaid, Practice Management, HIPAA, Quality Improvement, HMO, Contract Negotiation
Education
St. Thomas University 1995 — 1997
Master's of Science, Healthcare Administration
WellCare February 2010 - Present
WellCare 2008 - February 2010
WellCare 2006 - 2007
WellCare 2004 - 2006
Skills
EDI, HIPAA, SQL, Business Analysis, Requirements Analysis, Integration, X12, Healthcare Information..., BizTalk, Business Requirements, Healthcare, Requirements Gathering, Business Process..., Health Insurance, Medicare, Systems Analysis, PL/SQL, Business Process, EDI ANSI X12, Business Process Design, BPML, Business Objects, Cognos, Data Modeling, ETL, Linux, Microsoft SQL Server, Quality Assurance, SDLC, Information Technology, Business Intelligence, Data Warehousing
Education
Suffolk County Community College 1986 — 1988
AAS, Computers
Marwood Group March 2015 - Present
WeiserMazars LLP April 2014 - February 2015
Marwood Group December 2011 - March 2014
US Imaging Network November 2010 - December 2011
WellCare July 2010 - January 2011
WellCare July 2003 - January 2011
Citigroup February 2000 - April 2002
InterExchange October 1998 - January 2000
Skills
Managed Care, Medicare, Medicaid, Health Insurance, Healthcare, Insurance, Provider Relations, HIPAA, Network Development, Health Policy, Healthcare Consulting, Healthcare Management, Healthcare Industry, Hospitals, Medicare Part D, HMO, Claim, Long-term Care, Revenue Cycle, Employee Benefits, PPO, Executive Management, Health Care Reform, Physicians
Education
University of Delaware - Lerner College of Business and Economics 2001 — 2003
MBA
State University of New York College at Buffalo 1996 — 1998
BA
Tulane University 1994 — 1996
Health Integrated, Inc. January 2013 - Present
WellCare September 2009 - January 2013
Skills
Medicare, Healthcare, Medicaid, Managed Care, Health Insurance, Healthcare Management, Provider Relations, HIPAA, Utilization Management, Disease Management, Nursing, Insurance, Long-term Care, Hospitals, Case Managment, Workers Compensation, Claim, Professional Mentoring
Education
State University of New York at New Paltz
Bachelor's degree, Nursing
Ulster County Community College
Associate's degree, Registered Nursing/Registered Nurse
CareCentrix March 2014 - Present
WellCare August 2011 - February 2014
Excellus BCBS March 2008 - June 2011
University of Rochester, Strong Hospital/University Orthopedics October 2006 - February 2008
University of Rochester, Strong Hospital January 2005 - October 2006
MVP Health Care (formerly Preferred Care) September 1999 - December 2005
Branch of the service, Army October 1991 - July 1994
Skills
Accounting, Medicare, Medicaid, Medical Billing, Medical Coding, Data Analysis, Analysis, Health Insurance, ICD-9, CPT, Healthcare, Insurance, Claim, Provider Relations, Managed Care, Hospitals
Education
State University of New York College at Brockport 1988 — 1991
Gen Ed
WellCare PresidentACS Consulting GroupFebruary 2006 - December 2006
Education
The University of New Mexico 1977 — 1979
BA, Anthropology
USF College of Behavioral & Community Sciences January 2012 - Present
pinnacle consulting llc April 2010 - January 2012
Wellcare 2011 - 2012
WellCare 2011 - 2012
WellCare 2011 - 2012
Techgene Solutions January 2008 - April 2010
Skills
Web Applications, Mobile Applications, Windows software..., SQL, Unix, WCF, Web Services, VB.NET, Agile Methodologies, C#, ASP.NET, Perl, .NET, XSLT, XML, Software Development, iOS development, SOA, IIS, MVC, Objective-C, AJAX, JSON
Education
University of South Florida 2014 — 2016
Master of Business Administration (MBA)
Texas A&M University 2006 — 2007
Masters, Electrical Engineering
R.M.D. Engineering College 2002 — 2006
Bachelor's degree, Electrical and Electronics Engineering
SFS High School
Affinity Health Plan May 2015 - Present
Emmanuel Midy Photography January 2009 - Present
WellCare June 2010 - May 2015
Farmers Insurance February 2007 - November 2009
State Farm Insurance February 2003 - February 2007
Skills
Insurance, Health Insurance, Property & Casualty..., Commercial Insurance, Casualty, Medicare, Claim, Fixed Annuities, Underwriting, Accident, General Insurance, Liability, Long-term Care, Employee Benefits, Life Insurance, Sales, Team Building, Managed Care, Provider Relations, Sales Operations, Account Management, Executive Management, Claims Management, Management, Casualty Insurance
Education
State University of New York College at Old Westbury 1997 — 2000
B.S., Politics, Economics, and Society
WellCare Senior Software EngineerCeridianMay 1997 - July 2007
Education
University of South Florida 1989 — 1991
B.S., Management Information Systems
St. Petersburg College 1987 — 1989
A.A, Business Administration
United Health Care October 2012 - Present
Wellcare June 2010 - Present
Skills
Disease Management, Healthcare, Healthcare Management, Hospitals, Managed Care, Medicaid, Nursing, Medicare
Education
Boston College
Tufts University
Wells Fargo Bank February 2011 - Present
Wells Fargo Bank June 2008 - February 2011
Wells Fargo Bank August 2004 - June 2008
Wells Fargo Bank August 2002 - August 2004
Wells Fargo Bank August 2001 - August 2002
Compuware July 1996 - March 2001
Computer Horizons October 1995 - June 1996
WellCare July 1992 - October 1995
Computer Horizons April 1991 - March 1992
Lincoln Savings Bank October 1990 - April 1991
Skills
Quality Assurance, CSTE, Software Testing Life..., Software Testing, Testing, Databases, SQL, Oracle, Microsoft SQL Server, DB2, Visual Basic, COBOL, Software Development, Data Warehousing, Systems Analysis, JCL, Mainframe, Access
Education
State University of New York at New Paltz 1987 — 1990
BS Computer Science, Computer Science, Math
WellCare Director-Diagnostic and Rehab ServicesNicholas H. Noyes Memorial Hospital2003 - 2008
Education
University at Buffalo
Masters, Economics/Finance
Faith United Methodist Church June 2014 - Present
WellCare June 2012 - March 2013
PFS at Johns Hopkins Health System 1992 - June 2012
Skills
Microsoft Excel, Microsoft Office, HIPAA, Healthcare Information..., Process Improvement, Medicare, Healthcare, Healthcare Management, Requirements Gathering, Invoicing, SDLC
Education
Stevenson University 2007 — 2010
BS, Business Information Systems
Community College of Baltimore County 2003 — 2006
AA, Computer Information Systems
JSA Healthcare Corporation December 2012 - Present
Best Group IPA, Inc. July 2009 - December 2012
WellCare March 2003 - July 2009
Aetna August 2000 - March 2003
Skills
Healthcare, Strategic Planning, Hospitals, Healthcare Management, Public Speaking, Team Building, Healthcare Information..., Business Strategy, Clinical Research, Change Management, Project Management, Non-profits, Network Development, Provider Relations, Medicaid, Management Consulting, Healthcare Consulting, Leadership Development, Healthcare Industry, Physician Relations, Organizational..., Insurance, Coaching, Contract Negotiation, Executive Management, Entrepreneurship, Practice Management, Governance, Recruiting, Performance Improvement, Business Planning, Managed Care, Process Improvement, Medicare, Training, Management
Education
State University of New York College at Old Westbury
Business Administration and Management, General
State University of New York Empire State College
Business Administration and Management, General
wellcare March 2011 - Present
Education
Texas Tech University 1964 — 1968
bba, mgmt
Wellcare February 2006 - Present
Skills
Insurance, Customer Service, Health Insurance, Leadership, Process Improvement, Training, Team Building, Strategic Planning, Recruiting, Medicare, Medicaid, Managed Care
Education
Universidad Metropolitana
Bachelor of Business Administration (B.B.A.)
WellCare October 2012 - Present
OptumHealth March 2011 - October 2012
Florida Department of Corrections April 1998 - March 2011
Skills
Certified Base...
Education
The University of Georgia
Bachelor of Business Administration (B.B.A.), Marketing
WellCare July 2009 - Present
Skills
Pharmacy, Medicare Part D, Managed Care, Pharmacy Benefit..., Pharmaceutical Industry, Insurance, Medicare, PowerPoint, Medicaid, Disease Management, Healthcare, Pharmacists, Health Policy, Utilization Management, HIPAA, Health Insurance
Education
The University of Georgia 2003 — 2009
Doctor of Pharmacy (PharmD), Pharmacy
Lunasol Institute November 2011 - February 2012
Wellcare 2012 - 2012
Dr. Joel B. Rose March 2009 - October 2011
Skills
Excellent people skills,
Education
Ultimate Medical Academy 2008 — 2009
Certificate of Completion, BXMO/MCLA, 4.0
WellCare September 2011 - Present
Skills
Social Services, Community Outreach, Managed Care, Program Development, Nonprofits, Healthcare, Community Development, Psychotherapy, Grants, Grant Writing
Education
University of Kentucky 2010 — 2011
Master's degree, Social Work
The University of Georgia 2006 — 2010
Bachelor of Social Work, Social Work
Dayhuff Group/Burger King Corporation April 2014 - Present
Cognizant Technology Solutions November 2011 - March 2013
WellCare 2011 - 2013
Skills
Informatica, Oracle, Microsoft SQL Server, Unix, Data Modeling, Cognos, Sybase PowerDesigner, Autosys, Netezza, Data Warehousing
Education
The University of Akron
Master's degree, Computer Science
North Florida Women's Care July 2009 - Present
Freedom Health April 2008 - April 2009
WellCare August 2002 - April 2008
Skills
Root Cause Analysis, Customer Service, System Configuration, Data Analysis, Data Entry, Ad Hoc Reporting, Microsoft Office, Data Management, Accounts Receivable, Photography, Healthcare Information..., Insurance
Education
Leon High School 1985 — 1987
Tallahassee Community College
WellCare October 2013 - Present
Skills
Healthcare, Process Improvement, Leadership
Education
State University of New York College at Brockport 1994 — 1996
Master's degree, Public Administration
University of Kent 1989 — 1991
Master's degree, Social Work
West London Institute of Higher Education, University of London 1981 — 1984
Bachelor’s Degree, English and Linguistics
WellMed Medical Management July 2014 - Present
WellCare Health Plans December 2006 - October 2013
American Medical Society January 1997 - December 2009
WellCare September 2007 - August 2009
WellCare December 2006 - August 2007
Fortis Insurance February 2002 - December 2006
JK Harris and Com April 1997 - December 2002
Self-Emplyed Business Owner October 1995 - December 1996
U.S. Air Force July 1974 - January 1996
Skills
Sales & Marketing..., Compliance Focused, Market Share Growth, Brand growth, Opertions Management, Instructor-led Training, Experienced Trainer, Self-Employed, Successful Business..., Model Office, Employee Benefits, Brand Management, Health Insurance, Insurance, Leadership, Managed Care, Management, Market Share, Medicare, Team Building, Training
Education
University of Oklahoma - Price College of Business 1984 — 1987
Master's degree, Business/Managerial Economics
Texas State University 1982 — 1984
Bachelor of Business Administration (BBA), Computer and Information Sciences and Support Services, 3.6