WellCare Health Plans, Inc.
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, FL CEO: Kenneth A. Burdick (Jan 1, 2015–) Revenue: 17.01 billion USD (2017) Subsidiaries: WellCare Health Insurance of Illinois Inc,
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WellCare Health Plans, Inc. Employees
ADP August 2015 - Present
ADP April 2013 - August 2015
Mercer Health & Benefits Consulting June 2012 - April 2013
WellCare Health Plans, Inc. February 2011 - June 2012
WellCare Health Plans, Inc. May 2009 - February 2011
WellCare Health Plans, Inc. February 2009 - May 2009
WellCare Health Plans, Inc. August 2007 - February 2009
WellCare Health Plans, Inc. May 2007 - August 2007
Skills
Project Execution, Benefits Administration, Benefits Communication, Group Presentations, Health Insurance, Employee Benefits, Insurance, Process Improvement, HRIS, Vendor Management, Project Management
Education
University of South Florida 2011 — 2012
MBA, Management
Texas A&M University 2003 — 2007
Bachelor of Science, Interdisciplinary Studies with a specialization in Human Resource Development, Minor in Business
Gateway Health System December 2013 - Present
Gateway Health December 2013 - March 2014
Highland Insurance LLC December 2009 - December 2013
WellCare September 2012 - December 2012
Humana July 2011 - July 2012
WellCare Health Plans, Inc October 2008 - March 2011
American Family Insurance May 2004 - November 2008
IDEX Corporation, Lubriquip Inc. January 2001 - April 2004
General Electric March 1977 - January 2001
Skills
Medicare Advantage, Medicare Supplements, Medicare Prescription..., Health Insurance, Employee Benefits, Long Term Care, Term Life Insurance, Whole Life, Fixed Annuities, Commercial Insurance, Consulting, Operations Management, Program Management, Project Management, Sales Management, Property & Casualty..., Life Insurance, Medicare, Marketplace Exchange...
Education
Central State University
Bachelor's Degree
Kensington University
M.B.A.
Hondros College
Novo Nordisk December 2014 - Present
Novo Nordisk May 2013 - December 2014
Sanofi Pasteur April 2011 - May 2013
BayCare Health System February 2010 - April 2011
WellCare Health Plans, Inc December 2008 - February 2010
Merck & Co., Inc. January 2007 - December 2008
Merck & Co, Inc. May 2004 - January 2007
Merck & Co., Inc March 2000 - June 2004
Skills
Marketing Strategy, Marketing Communications, Social Media Marketing, CRM, Salesforce.com, Digital Marketing, Product Marketing, Health Promotion, Healthcare, Pharmaceutical Industry, Market Research, Project Management, Advertising, Direct Marketing, Online Marketing, Brand Management, Marketing, Product Launch, Online Advertising, Strategy, Cross-functional Team..., Integrated Marketing, Strategic Planning
Education
Peirce College
BA, Management
Art Institute of Philadelphia
Associates, Multimedia & Web Design
UnitedHealth Group November 2013 - Present
Health Care, Insurance, Exchanges Product Development July 2012 - Present
WellCare Health Plans, Inc. April 2006 - July 2012
WellCare Health Plans, Inc. January 2010 - November 2011
WellCare Health Plans March 2006 - January 2010
Aon Consulting April 2003 - March 2006
Towers Watson August 2002 - April 2003
Hewitt Associates 1997 - 2002
Skills
Marketing Communications, Medicare, Employee Benefits, Insurance, Medicaid, Product Management, Program Management, Cross-functional Team..., Health Insurance, HIPAA, Healthcare Consulting, Healthcare, Strategic Planning, Leadership, Training, Managed Care, Marketing, Management, Project Management, Provider Relations, Health Policy, Process Improvement, Medicare Part D, HMO, Healthcare Industry, Network Development, Competitive Analysis, Vendor Management, Benefits Administration, Medicare Prescription..., Medicaid Managed Care, Networking, Compliance, Medicare Advantage
Education
University of Tampa - John H. Sykes College of Business
MBA, Management
Albertus Magnus College
Bachelor of Science (BS), Business Management
N/A
Concise Consulting Services, LLC May 2013 - Present
Universal Health Care, Inc. October 2011 - April 2013
WellCare Health Plans, Inc. June 2009 - June 2012
Concise Consulting Services, LLC. December 2006 - June 2009
Coventry Health Care March 2004 - October 2005
Blue Cross of Northeastern PA October 2002 - February 2004
ACE Ltd. July 1999 - May 2002
CIGNA 1986 - 1999
Skills
Program Management, Integration, HIPAA, SDLC, Business Process..., Visio, Business Analysis, Process Improvement, Insurance, Health Insurance, Vendor Management, SharePoint, Systems Analysis, Business Intelligence, Project Management, Requirements Gathering, Healthcare, Software Documentation, Six Sigma, Software Development, Software Project..., Property & Casualty..., Financial Services, Information Technology, Project Team Management, Managed Care, Management, Medicare, Access, Business Process..., Medicaid, Change Management, Requirements Analysis, Healthcare Information..., Policy, Team Building, Leadership, Healthcare Industry, Healthcare Consulting, Analysis, Outsourcing, Cross-functional Team..., PMO, Business Process, Project Portfolio..., Business Requirements, Quality Assurance, Testing, Data Analysis, IT Strategy
Education
Drexel University 1997 — 2000
MSIS
Temple University
BS
Boston University 1996 — 1997
Project Management Training
University of South Florida 2012 — 2012
Certificate
PMI Tampa Bay 2013 — 2013
PMP Certification
ITIL v3 Foundation Self Study 2014 — 2014
ITIL v3 Foundation - Certification Expected June 2014
TriZetto Corporation May 2014 - Present
HealthPlan Services April 2013 - 2014
Suncoast Neighborly Care / Formerly Neighborly Care Network January 2011 - 2013
WellCare Health Plans, Inc. May 2006 - December 2010
Delta Medical Care, Inc. April 2004 - April 2006
Mavami, Inc. March 1995 - April 2004
Community Behavioral Health- Medicaid MCO April 1995 - April 1998
Mustard Seed Inc. - MCO January 1994 - March 1995
Springfield Hospital - Crozer Keystone Health System 1992 - 1994
Southmore Medical Center 1989 - 1992
Skills
Strategic Planning, Project Management, Leadership, Healthcare Consulting, HIPAA, Health Insurance, Healthcare Management
Education
Virginia Commonwealth University - School of Business
Alfred State College - SUNY College of Technology
Bishop Ludden High School
HealthPlan Services November 2012 - Present
WellCare Health Plans, Inc. July 2008 - April 2012
WellCare Health Plans August 2006 - July 2008
PainCare Holdings, Inc October 2005 - August 2006
Navigant Consulting March 2000 - October 2005
KPMG Consulting, Inc. May 1999 - March 2000
Mazza, Spero & Hougham February 1996 - May 1999
Blue Cross Blue Shield of AZ January 1994 - February 1996
CNR Health January 1992 - December 1993
Skills
Managed Care / Provider, Relationship Development, Consulting, Medicare, Medicaid, Performance Improvement, Litigation Support, Revenue Cycle, Government Relations, Managed Care, Healthcare, Process Improvement, Strategic Planning, Policy, Leadership, Physicians, Strategy, Health Insurance, Insurance, Provider Relations, Health Policy, Program Management, Healthcare Consulting, Network Development, Healthcare Industry, Analysis
Education
Arizona State University, W. P. Carey School of Business 1997 — 1999
MBA, Finance
University of Wisconsin-Stevens Point 1988 — 1992
BS, Accounting and Finance
WellCare Health Plans, Inc. July 2014 - Present
Physicians United Plan February 2013 - June 2014
Premier Health Network August 2012 - November 2012
Brown & Brown 1996 - 2010
Skills
Health Insurance, Healthcare, Software Documentation, Hospitals, Insurance, Medicare, Claim, Access, Microsoft Office, Healthcare Information..., Healthcare Management, Medicaid, HIPAA, EHR
Education
Rollins College
Bachelor of Arts (B.A.), Economics
AAPC 2011 — 2012
CPC, CPC Prep, Medical Terminology, & Anatomy
WellCare Health Plans February 2014 - Present
WellCare Health Plans, Inc. February 2001 - February 2014
Skills
Health Insurance, Healthcare Management, NCQA, Medicare, HEDIS, HIPAA, Microsoft Excel, HMO, SAS, Process Improvement, Provider Relations, Managed Care, Healthcare Information..., Healthcare Industry, Medicaid, Healthcare, Healthcare Consulting, Data Analysis, Visio
Education
Southwestern College 1986 — 1987
BBA, Business Administration
St. Johns College, Kansas 1982 — 1986
A.A., Business, Accounting
Loeb & Troper LLP April 2015 - Present
Visiting Nurse Service of New York June 2014 - Present
Sienna Group LLC April 2013 - June 2014
Blue Cross Blue Shield of Florida April 2011 - April 2013
Nippon Life Benefits May 2010 - April 2011
WellCare Health Plans, Inc. December 2008 - November 2009
UnitedHealth Group July 2004 - December 2008
Oxford Health Plans June 2002 - July 2004
Day, Berry & Howard LLP April 1999 - April 2002
U.S. Attorney's Office, SDNY, U.S. Department of Justice, Criminal Tax Division August 1991 - April 1999
Skills
Privacy Law, HIPAA, Insurance, Medicaid, Medicare, Health Insurance, Managed Care, Health Policy, HMO, Healthcare, Healthcare Industry, Medical Compliance, Employment Law, Healthcare Management, Revenue Cycle, Medicare Part D, Special Investigations, PPO, Healthcare Consulting, Employee Benefits, Policy, Disease Management, Claim, Pharmacy Benefit..., Provider Relations, Fraud, Health Care Reform, Litigation Management, Physicians, Healthcare Information..., Medicaid Managed Care, Health Law
Education
The University of Chicago 1979 — 1983
BA, Political Science
Benjamin N. Cardozo School of Law, Yeshiva University 1983 — 1986
J.D.
Columbia Law School 1990 — 1990
LL.M.
Unum January 2015 - Present
WellCare Health Plans, Inc. February 2012 - December 2014
WellCare Health Plans, Inc. February 2010 - February 2012
Nordstrom, Inc. May 2007 - June 2008
Spherion August 1998 - May 2007
Greenberg Traurig September 1994 - August 1998
KPMG January 1988 - August 1991
Skills
Compliance, Mergers, Contract Negotiation, Litigation Management, SEC reporting, Healthcare, Corporate Governance, Governmental Affairs, Public Policy, Corporate Communications, Community Advocacy, Board Governance, Subsidiaries, Mergers & Acquisitions, SEC filings, Privacy Law
Education
University of Miami School of Law 1991 — 1994
J.D., Law
University of South Florida 1987 — 1988
M.Acc., Accounting
University of South Florida 1983 — 1987
B.Sc., Accounting
iHealth Technologies December 2014 - Present
Harvard University August 2012 - Present
WellCare December 2007 - July 2014
WellCare Health Plans Inc 2007 - July 2014
DST Health Solutions May 2005 - July 2007
Perot Systems 1996 - 2005
TRC/Perot Systems 1996 - 2005
Humana 2001 - 2003
MCI 1994 - 1995
NASA - Link Flight Simulation/CAE 1984 - 1994
Skills
Enterprise Architecture, SDLC, Vendor Management, Agile Methodologies, Integration, Software Development, Analysis, SOA, Architectures, Architecture, Java, ESB, Middleware, Linux, Consulting, SQL, Systems Engineering, Enterprise IT Strategy, UML, Simulations, MySQL, Insurance, IT Security Policies, Eclipse, JDBC, Identity Management, Service Oriented..., Hadoop, Architecture Governance, Strategic Architecture, Systems Programming, ADFS 2.0, SAML 2.0, SOA Security, Federated Identity..., Enterprise Design..., Lucene, Real-time Simulation, Satellite Command &..., Satellite Ground Systems, Hyperic, Reliability Engineering, Fault Tree Analysis, EDI ANSI X12, MapReduce, Apache Pig, Business Intelligence, Business Analysis, Management, Enterprise Software
Education
Harvard University 2012 — 2014
Computer Science, Management Information Systems, 4.0 GPA
Troy University 1977 — 1980
BS, Computer Science
JDJC, FHS, MSSOA
HSN December 2014 - Present
HSN July 2013 - November 2014
HSN July 2013 - November 2014
WellCare Health Plans Inc. 2011 - 2011
The Boston ETIC Coalition 2008 - 2011
Intuition Systems, Inc. September 2006 - February 2008
Skills
Applicant Tracking..., Talent Acquisition, Excel, Microsoft Office, Public Speaking
Education
Florida State University 2004 — 2007
BS, Finance
A Mindful & Insight Counseling January 2012 - Present
G4S May 2012 - February 2013
WellCare Health Plans, Inc. November 2007 - November 2011
MORTON PLANT HOSPITAL, DUAL DIAGNOSIS UNIT October 2010 - May 2011
Credit Suisse June 2006 - September 2007
MTV Networks March 2003 - September 2005
Viacom July 1994 - March 2003
Skills
Mental Health Counseling, Post Secondary Ed..., Research, Healthcare, Psychotherapy, Legal Writing, Software Documentation, Group Therapy, Mental Health, Adolescents, Psychology, Clinical Research, Nonprofits, Community Outreach, Analysis, Public Speaking
Education
Troy University Southeast Campus 2009 — 2011
MS, Counseling & Psychology, Summa Cum Laud 4.0 Grade Point Average
New York Law School 1998 — 2002
Juris Doctor, Law, Cum Laud Graduate
Emdeon Practice Services February 2012 - October 2014
WellCare Health Plans, Inc. June 2006 - December 2011
Education
Central Michigan University 1997 — 1999
Masters of Administration, Health Services
University of Illinois at Chicago College of Nursing 1976 — 1980
BSN, Nursing
Anthem, Inc. March 2012 - Present
UnitedHealth Group May 2011 - March 2012
Amerigroup Corporation November 2010 - April 2011
WellCare Health Plans, Inc. March 2006 - November 2010
Time Warner Inc. July 2005 - February 2006
Henry Schein, Inc. 2002 - 2005
Raines International Inc. 1999 - 2001
Heidrick & Struggles January 1998 - January 1999
Ward Howell International 1995 - 1998
Skills
Applicant Tracking..., Talent Management, Healthcare, Talent Acquisition, Onboarding, Internet Recruiting, Recruiting, Sourcing, College Recruiting, Call Center, Managed Care, Leadership, Employee Benefits, HRIS, Call Centers, Executive Search, Temporary Placement, Interviews, Process Improvement, Human Resources, Benefits Administration, Organizational..., Technical Recruiting, Taleo, Employee Relations, Healthcare Industry, Team Building, Deferred Compensation, Employee Training, Training, Hiring, New Hire Orientations, Workforce Planning, PeopleSoft
Education
Daemen College
University of Buffalo
TRLG Holdings, LLC September 2013 - Present
Brown Advisory Funds May 2012 - Present
BevMo Holdings, LLC April 2011 - Present
The Saranac Group LLC January 2010 - Present
WellCare Health Plans, Inc. June 2009 - December 2009
WellCare Health Plans, Inc. April 2008 - June 2009
DLA Piper US LLP July 2002 - March 2008
The MCI Group January 2001 - July 2002
MCI WorldCom, Inc.; MCI Communications, Inc. December 1995 - January 2001
Hogan & Hartson LLP January 1990 - December 1995
Skills
Corporate Governance, Mergers, Governance, Government, Corporate Law, FCPA, Strategy, Litigation, Privacy Law, Mergers & Acquisitions, Commercial Litigation, Licensing, Intellectual Property, Joint Ventures, Start-ups, Executive Management, Arbitration, Venture Capital, Leadership, Risk Assessment, Restructuring, Corporate Development, Securities Regulation, Private Equity, Due Diligence, IPO, Dispute Resolution
Education
Georgetown University Law Center 1979 — 1982
J.D.
Dartmouth College 1975 — 1979
A.B., History
WellCare Health Plans, Inc Loan CoordinatorEValue Mortgage / HillsDale Financial2006 - 2007
Oceans Funding 2004 - 2006
Education
Florida State University 2000 — 2004
Bachelors of Science
Paragon Properties Development September 2006 - Present
WellCare November 2004 - 2006
WellCare Health Plans, Inc. 2004 - 2006
Netegrity March 2000 - June 2002
J.P. Morgan September 1998 - February 2000
Mercer Management Consulting March 1993 - March 1996
Education
Harvard University 2002 — 2004
MS, Computer Science
Wharton 1996 — 1998
MBA, Business
Cornell University 1988 — 1992
BA, Economics
WellCare Health Plans April 2014 - Present
WellCare Health Plans, Inc. May 2013 - April 2014
Best Buy May 2007 - April 2013
Best Buy November 2005 - May 2007
Coventry Health Care August 2004 - November 2005
Best Buy June 2002 - November 2005
Skills
Human Resources, Retail, Time Management, Customer Service, Leadership, Administrative..., Store Management, Payroll, Merchandising, Expense Management, Inventory Management, Office Management, PowerPoint, Planograms, WebEx, Microsoft Office, Visual Merchandising, Meeting Planning, Office Administration, Hiring, Travel Arrangements, Bilingual-English/Spanis..., Income Statement, P&L, Customer Experience, MS Excel Pivot Tables, Event Management, Taleo, Event Planning, Driving Results, Outlook, SharePoint, InfoPath, Administrative..., Loss Prevention, Customer Satisfaction, Team Building, Employee Training, Microsoft Excel
Education
DeVry University 2013 — 2015
Bachelor's Degree, Bachelors of Science in Management specializing in Business Information Systems
Hillsborough Community College 2005 — 2010
AA, Business Administration
Centra Health June 2015 - Present
Integral Health Plan November 2014 - March 2015
WellCare Health Plans, Inc. May 2013 - November 2014
Gillespie Law Firm, LLC January 2010 - April 2013
Bramnick Rodriguez Mitterhoff Grabas & Woodruff, LLC July 2008 - August 2009
Circuit Court for Baltimore City August 2006 - August 2007
Skills
Commercial Litigation, Civil Litigation, Health Law, Corporate Law, Legal Research, Legal Compliance, Contract Law, Legal Issues, Legal Writing, Licensing, Westlaw, Privacy Law, Legal Advice, Arbitration, Courts
Education
University of Maryland School of Law 2003 — 2006
J.D., Law
The George Washington University 1998 — 2002
B.A., International Affairs
Exeter High School 1994 — 1998
Diploma
The Institute of Internal Auditors Inc. March 2014 - Present
Institute of Internal Auditors - Central Florida Chapter June 2007 - Present
The Institute of Internal Auditors July 2011 - March 2014
IIA - Learning Solutions Committee December 2010 - April 2012
WellCare Health Plans, Inc. January 2011 - July 2011
AirTran Airways October 2007 - January 2011
FedEx Services 2006 - 2007
Pilkington 2002 - 2006
Pilkington 2000 - 2002
Sky Financial Group 1997 - 2000
Skills
Auditing, Banking, Enterprise Risk..., Financial Reporting, Governance, IT Audit, Internal Audit, Internal Controls, Leadership, Policy, Program Management, Property Tax, Quality Assurance, Quality Auditing, Risk Management, Sales, Sarbanes-Oxley, Sarbanes-Oxley Act, Training, Sales
Education
University of Toledo 1988 — 1993
BBA, Accounting
Purdue University Calumet
Anthem, Inc. January 2014 - Present
Amerigroup Corporation January 2012 - January 2014
AMERIGROUP August 2006 - January 2012
Whiskey Park September 2003 - August 2006
WellCare December 2002 - August 2006
WellCare Health Plans, Inc. 2002 - 2006
HealthPlan Services April 1997 - December 2002
Hyde Park Cafe October 1999 - September 2001
Bally Total Fitness May 1998 - March 2000
The Loft March 1996 - April 1998
Skills
Process Improvement, EDI, Vendor Management, Visio, Six Sigma, Management, Leadership, Sales, Software Documentation, Team Building, Business Analysis, Insurance, Business Process..., Change Management, Managed Care, Training, Operations Management, HIPAA, Healthcare Management, Medicaid, Strategic Planning, Healthcare Information..., Healthcare, Medicare, Healthcare Consulting, Hospitals, Data Analysis, Quality Assurance, Healthcare Industry, Program Management, Cross-functional Team..., Health Insurance, Access, SDLC, EHR, Call Centers, Executive Management, Revenue Cycle, Provider Relations, SharePoint, Performance Improvement, Policy, EMR, Informatics, Claim
Education
Juran Institute 2006 — 2007
Black Belt, Six Sigma
ITT Tech 2005 — 2006
Information Technology
Keller University 2001 — 2001
Financial Accounting and Planning
Emerson College 1986 — 1989
Mass Communication, Masters Program
Bridgewater State University 1980 — 1984
Bachelor of Arts, Communications
JSA Healthcare Corporation a DaVita HealthCare Partners Company November 2014 - Present
Physicians United Plan April 2012 - June 2014
Physicians United Plan June 2011 - April 2012
Physicians United Plan October 2008 - June 2011
Revolution Health Group LLC April 2006 - October 2008
WellCare Health Plans, Inc. October 2005 - March 2006
WellCare Health Plans, Inc. March 2003 - September 2005
Deloitte Consulting June 2001 - August 2001
Tyco International 1998 - 2000
Merrill Lynch 1996 - 1998
Skills
Process Improvement, Strategic Planning, Healthcare, Insurance, Team Building, Budget, Financial Analysis, Change Management, Managed Care, Contract Negotiation, Data Analysis, Budgets, Project Management, Strategy, Marketing, Analysis, Cross-functional Team..., Management, Medicare, Leadership, Business Analysis, HIPAA, Medicaid, Accounting, Management Consulting, Training, Health Insurance, Program Management, Mergers, Healthcare Management, Finance, Financial Modeling, Healthcare Information..., Vendor Management, Start-ups, Forecasting, Business Strategy, Operations Management, Business Process..., Customer Service, Strategic Financial..., Vendor Relationship...
Education
Harvard Business School 2000 — 2002
MBA, General Management
University of South Florida 1992 — 1996
BA, Finance and Accounting
WellCare Health Plans February 2015 - Present
WellCare Health Plans, Inc. July 2012 - Present
St. Petersburg College January 2011 - Present
Mark D Ruise LLC October 2009 - January 2012
PricewaterhouseCoopers LLP January 2006 - July 2009
Office Depot Inc. February 2004 - November 2005
Enterprise Rent-A-Car June 2001 - December 2003
Arthur Andersen LLP 1998 - 2001
Skills
Internal Audit, SOX 404, Auditing, Accounting, Financial Analysis, Sarbanes-Oxley Act, Financial Reporting, Risk Assessment, Internal Controls, Financial Accounting, Enterprise Risk...
Education
Rochester Institute of Technology 1996 — 1999
Bachelor of Science (BS), Accounting
Sabbatical (Voluntary work) January 2014 - Present
WellCare Health Plans, Inc. June 2008 - January 2014
Independent Contractor September 2006 - June 2008
United Landmark Associates September 2005 - September 2006
Tenet Healthcare System December 1999 - June 2005
Vertis Communications 1997 - 1999
Skills
Marketing Communications, Marketing Strategy, Marketing Management, Advertising, Account Management, Event Planning, Public Relations, Marketing, Email Marketing, Social Media Marketing, Direct Mail, Lead Generation, Online Marketing, Direct Marketing, Copywriting, Strategic Planning, Creative Direction, Digital Marketing, CRM, Brand Development, Strategy, Competitive Analysis, Integrated Marketing, Sales, New Business Development, Training, Marketing Research, Management
Education
University of South Florida 1999 — 2003
English and American Literature, Classical History
WellCare Health Plans, Inc. March 2014 - Present
WellCare Health Plans, Inc. February 2012 - Present
Adjunct Faculty Member - University of Phoenix February 2012 - Present
Adjunct Faculty Member - Rasmussen College December 2012 - Present
WellCare Health Plans, Inc. October 2009 - March 2012
WellCare Health Plans, Inc August 2007 - September 2009
Alamo / National Car Rental March 2002 - June 2007
Alamo / National Car Rental May 1999 - February 2002
Central Talk Media April 1997 - May 1999
Atico International 1996 - 1997
Skills
Business Intelligence, Business Process..., Vendor Management, Program Management, Project Management, Software Project..., Project Planning, Requirements Analysis, System Administration, Cognos, System Deployment, Microsoft SQL Server, Analytics, Agile Methodologies
Education
Dakota State University 2007 — 2010
► Masters of Science in Information Systems (MSIS), Data Management
Kean University
► Business Management (B.S)
Brookdale Community College
► Computer Science Program (A.A.S), Computer Programming
Focus August 2014 - Present
WellCare Health Plans, Inc. February 2010 - August 2014
Self Employed November 2005 - January 2012
Ericho Communications June 2008 - March 2010
RLM Public Relations August 2007 - May 2008
Jacobs Technology February 2007 - July 2007
Tutarus Corporation January 2005 - January 2007
Skills
Media Relations, Marketing Communications, Public Relations, Strategic Communications, Corporate Communications, Management, Email Marketing, Integrated Marketing, Marketing Strategy, Copywriting, Direct Marketing, Publicity, Brand Development, Customer Experience, Customer Retention, Press Releases, Brand Loyalty, Writing, Social Media, Account Management, Strategic Planning, Social Media Marketing, Online Marketing, Internal Communications, Digital Marketing, Lead Generation, Brand Management, Customer Engagement, Loyalty Marketing, Online Advertising, Marketing, Medicare Advantage, Medicare, Healthcare, Medicaid Managed Care
Education
University of North Alabama 2004 — 2009
M.A., English, Rhetoric & American Literature
Faulkner University 1998 — 2002
B.A., English
Lawrence county high school
EDICIONES SM January 2015 - Present
National University College Online January 2015 - Present
IntelliData Solutions Group, Inc. Puerto Rico January 2015 - Present
TransCita January 2015 - January 2015
Professional Consulting Psychoeducational Services, Inc. 2009 - January 2015
Ballester Hermanos Inc. 2010 - 2012
Antonio O. Marrero, Esq. & Associates 2007 - 2012
PharmPix, Corp. - Pharmacy Benefit Management (PBM) 2009 - 2010
WellCare Health Plans, Inc. August 2009 - November 2009
MD MedicareChoice,Inc. 2007 - 2009
Skills
Fully Bilingual, Ability to work under..., High Volume of Tasks, Proofreading, Proposal Writing, Report Writing, Speech Writing, Resume Writing, Corporate Communications, Internal Communications, Crisis Communications, Meeting Planning, Meeting Deadlines, Meeting Management, Organizing Meetings, Business Meetings, Corporate Meetings, Task Management, Task Analysis, Group Presentations, Group Training, Team Supervision, Supervisory Skills, Organizational..., Team Coordination, Training Coordination, Research, Implementation Of..., Development Of Policies, Policy Writing, Health Insurance, Compliance Management, Enrollment Management, Open Enrollment, Critical Thinking, Management, Medicare, Project Management, Medicare Part D, Strategic Planning, HIPAA, Microsoft Office, Employee Training, Executive Management, Access, Pharmacy Benefit..., Documentations, Policy Analysis, Process Improvement, Leadership Development
Education
Nova Southeastern University 2015 — 2017
Doctor of Education (Ed.D.), Educational/Instructional Technology, Distance Education
University of Phoenix 2012 — 2013
Master in Business Administration, Project Management
University of Phoenix 2009 — 2012
Bachelor in Sciences of Business, Management
Universidad de Puerto Rico 1996 — 1997
Facturacion de Planes Medicos, Servicios de Salud, Division de Educacion Continua - Recinto de Bayamon
It Works Global August 2013 - Present
RediClinic January 2011 - January 2012
Bravo Health September 2009 - January 2011
WellCare Health Plans, Inc. September 2007 - September 2009
Texas Medicaid & Healthcare Partnership May 2005 - July 2007
Skills
Managed Care, Medicaid, Medicare, Provider Contracting, New Business Development, Claims Resolution, Utilization Management, Start-ups, Project Management, Healthcare Industry, Leadership, Healthcare Management, Provider Relations, PPO, Healthcare, HIPAA, Physician Relations
Education
St. Mary's University 2000 — 2003
BBA
WellCare Health Plans, Inc July 2014 - April 2015
STS AeroStaff Services April 2014 - May 2014
Aerotek September 2013 - September 2013
Swissport January 2007 - September 2013
Non-Profit Organization January 2010 - December 2011
Rho-Jean Corp October 2000 - January 2004
Skills
Aircraft, Aircraft Maintenance, Aircraft Systems, Microsoft Excel, Customer Service, Microsoft Office, Sourcing, Training, Microsoft Word, Management, Leadership, PowerPoint, Outlook, Team Building, Troubleshooting, Analytical Thinking, Bi-Lingual, Technological..., Technical Proficiency, Problem Solving, Multi-Tasking
Education
Aviation Institute of Maintenance-Manassas 2005 — 2006
Vocational Degree, Airframe Mechanics and Aircraft Maintenance Technology/Technician
Montgomery College Rockville Campus 2003 — 2004
General Studies, General Studies
Quince Orchard High School 1999 — 2003
High School Diploma, General Studies
Kane's Furniture February 2015 - Present
Freelance Graphic Designer September 2014 - Present
WellCare Health Plans Inc. September 2008 - September 2014
WellCare Health Plans, Inc. June 2006 - September 2008
Randstad/Aquent 2004 - 2006
Innovative Projects 2000 - 2004
Association for Career and Technical Education 1998 - 2000
The Gazette Newspaper 1996 - 1998
Skills
Corporate Branding, Creative Direction, Art Direction, Graphic Design, Copywriting, Brochures, Logo Design, Advertising, Posters, Graphics, QuarkXPress, Creative Services, Direct Mail, Brand Development, Corporate Identity, Adobe Acrobat, Layout, Newsletters, Collateral, Adobe Creative Suite, Marketing Communications, Image Manipulation, Marketing, Catalogs, Pre-press, Magazines, Typography, Leadership, Photoshop, InDesign, Mac, Branding, Stationery, Print, Branding & Identity, Flyers, Business Cards, Illustrator, Dreamweaver, Management, Strategic Planning, Print Production, Team Building, Email Marketing, Customer Service
Education
Northern Virginia Community College 1997 — 2002
Arts of Applied Science, Design
Richard Montgomery High School 1978 — 1981
General Education, General education
WellCare Health Plans April 2015 - Present
Jacks Hill Writing & Editing Services August 2012 - Present
NSS July 2013 - February 2015
BlueGlass Interactive, Inc. February 2013 - April 2013
INTO University of South Florida May 2011 - February 2013
U.S. Department of Energy Solar Decathlon 2011 May 2010 - September 2011
WellCare Health Plans, Inc. August 2010 - May 2011
Make-A-Wish Foundation of Central & Northern Florida January 2010 - May 2010
ChappellRoberts September 2009 - December 2009
Skills
Copy Editing, Proofreading, Content Development, Content Marketing, Internal Communications, Sitecore, Publicity, Copywriting, Strategic Communications, Marketing Communications, Developmental Editing, InDesign, Creative Writing, Press Releases, Media Relations, Press Release..., Feature Articles, Journalism, AP Style, Project Management, Public Speaking, Photoshop, Content Management, Adobe Creative Suite, Higher Education, Spanish-English, Vocus, News Writing, Project Coordination, Customer Service, Web Editing, Market Research, Communication Training, Cision, Public Relations, Blogging, Newsletters, Editing, Social Media
Education
University of South Florida 2009 — 2011
Bachelor's Degree, Mass Communication (Public Relations), Magna cum laude
Hillsborough Community College 2007 — 2009
Associate's Degree, Mass Communications
Citi June 2015 - Present
ADP November 2013 - June 2015
ADP Recruiting & Talent 2012 - 2014
WellCare Health Plans Inc. 2007 - 2012
ARAMARK June 2006 - September 2007
VirtualEdge Recruiting 2002 - 2006
White Amber Inc. 2000 - 2002
Kelly Services 1998 - 2002
Best Mex Inc. 1989 - 1998
Skills
Vendor Management, HRIS, Talent Management, Talent Acquisition, Metrics, Benefits, Project Planning, MS Project, Payroll, Healthcare, Software Implementation, Budget Management, Open Enrollment, HR Transformation, Operational HR, Employee Relations, Shared Services, Shared Service Center, Strategic Planning, Applicant Tracking..., Human Capital Management, Benefits Administration, Performance Management, HR Strategy, Recruitment/Retention, Onboarding, ADP, Hiring, Employee Benefits, Change Management, Process Improvement, Interviewing, Sourcing, HR Consulting, Mentoring, Vendor Relations, Team Building, Business Process..., Outsourcing, Contract Negotiations, Global HR, BPO, Team Leadership, Human Resources, Recruiting, Personnel Management, Budgets, Management, ADP Payroll, Interviews
Education
Temple University - Fox School of Business and Management 1998 — 2000
MS
Georgia State University - J. Mack Robinson College of Business 1989 — 1994
BA
Raymond James Financial Inc. February 2013 - Present
Techgecko, Inc. July 2002 - Present
ITT Technical Institute June 2000 - Present
Universal Health Care September 2011 - February 2013
WellCare Health Plans, Inc. March 2003 - September 2011
WellCare Health Plans, Inc. May 2005 - June 2006
H. Lee Moffitt Cancer Center & Research Institute January 1999 - May 2003
All Children’s Hospital January 1995 - January 1999
Skills
VMware, Virtualization, Disaster Recovery, Data Center, System Administration, Architecture, Active Directory, Windows, Windows Server, Problem Solving, TCP/IP, Troubleshooting, DNS, vSphere, Healthcare, HIPAA, Server Architecture, Security, Information Security, Vendor Management, Integration, Servers, Microsoft Exchange, Computer Hardware, DHCP, Hardware, Software Documentation, Network Security, Cloud Computing, VMware ESX, ITIL, SharePoint, IT Management, Citrix, Storage, Microsoft SQL Server, VMware Infrastructure, Enterprise Architecture, Group Policy, Network Administration, Windows 7, SQL, IIS, Firewalls, Cisco UCS, SOX Compliancy, VCP 4, MCSE, CCNA, MCT
Education
University of Florida 1988 — 1992
Bachelor of Science (B.S.), Business Administration
WellCare Health Plans, Inc. August 2013 - Present
Centene Corporation August 2012 - July 2013
Delta Dental June 2010 - February 2011
Fresenius Medical Care N America June 2009 - April 2010
Healthport July 2007 - June 2009
Sallie Mae May 2004 - June 2007
St. Vincent Hospital November 2001 - January 2004
Skills
Insurance, Customer Service, Microsoft Office, Data Entry, Time Management, Hospitals, CPT, Public Speaking, Medical Records, Microsoft Word, Outlook, Clinical Research, Call Centers, PowerPoint, Microsoft Excel, Medical Terminology, Medicaid, Medicare, Social Networking, Databases, Treatment, Leadership, Claims Management, Referrals, Authorization, Healthcare, ICD-9, HIPAA, Provider Relations, Medicaid Managed Care, HMO, Health Insurance, Training, Sales, Marketing
Education
University of Phoenix 2015 — 2017
Bachelor of Applied Science (B.A.Sc.), Health/Health Care Administration/Management
Georgia Perimeter College 2009 — 2013
N/A, Registered Nursing/Registered Nurse, 3.0
WellCare Health Plans April 2014 - Present
WellCare Health Plans, Inc. February 2012 - April 2014
WellCare January 2011 - April 2012
WellCare August 2008 - January 2011
Wellpoint/HMC February 2008 - August 2008
Northside Hospital 2001 - 2008
Skills
Interpersonal Skill, Written & Oral..., Oral & Written..., Acute Care, Teamwork, Cross-functional Team..., Training, Committees, Ad Hoc Reporting, Managed Care, Case Managment, Healthcare Management, Disease Management, HEDIS, Patient Safety, Medical Compliance, Nursing, Accreditation, Quality Assurance, Healthcare, Data Analysis, Provider Relations, Hospitals, HIPAA, Healthcare Industry, Physicians, Health Policy, EMR, EHR, Clinical Research, Patient Advocacy, Medicaid, Healthcare Information..., JCAHO, Quality Improvement, HMO, Software Documentation, NCQA, Medicaid Managed Care, Health Insurance, Utilization Management, Healthcare Consulting, Home Care, Physician Relations, Utilization Review, Credentialing, Medicine, Community Health, Informatics, Case Management
Education
Georgia State University - J. Mack Robinson College of Business 2012 — 2014
MBA/MHA, Business and Health Administration
Mercer University 1998 — 2001
Bachelor of Science, Nursing
HealthPlan Services July 2013 - Present
Universal Health Care May 2010 - January 2013
WELLCARE HEALTH PLANS, INC. March 2006 - May 2010
AON CONSULTING June 2004 - February 2006
Bank of America May 1993 - September 2003
UNITED STATES OF AMERICA ARMY NATIONAL GUARD November 1988 - November 1996
Skills
Program Management, Cross-functional Team..., Analysis, Six Sigma, Leadership, Six Sigma Green Belt..., Product Management, Product Development, Management, Business Process..., Marketing Communications, Marketing Operations, Vendor Management, Data Analysis, Medicare Advantage, Medicaid, Training, Insurance, Provider Relations, Health Insurance, Call Centers, Strategic Planning, Healthcare Information..., Sales, Healthcare, Medicare, Process Improvement, Software Documentation, 834 EDI Files, 820 EDI Files, Licensed Life Insurance..., Budget Forecasts, Budget Monitoring, Budget Reconciliation, Budgets, Business Analysis, Business Process, Business Strategy, Employee Benefits, Finacial Management, Financial Analysis, Financial Reporting, HIPAA, HMO, Healthcare Consulting, Healthcare Industry, Healthcare Management, Integration, Managed Care, Market Research
Education
University of South Florida
B.A., Mass Communications
Aetna June 2013 - Present
TMG Health September 2011 - May 2013
WellCare Health Plans, Inc. August 2005 - August 2011
WellCare November 2003 - July 2005
Audio Visual Innovations August 2002 - October 2003
Accenture May 2001 - July 2002
Skills
Six Sigma, HIPAA, Healthcare, Process Improvement, Medicare, Managed Care, Business Process..., Medicaid, Health Information..., Employer Groups, Leadership, Cross-functional Team..., Program Management, Strategy, Quality Assurance, Management, Project Management, Outsourcing, Healthcare Information..., Budgets, Hospitals, Health Insurance, Health Policy, Software Documentation, Vendor Management, Microsoft SQL Server, Business Analysis, Insurance, Healthcare Management, Medicare Part D, SDLC, Strategic Planning, Analysis
Education
Florida State University 1997 — 2001
Bachelor of Science, Finance & Management Information Systems
WellCare Health Plans May 2015 - Present
WellCare Health Plans March 2014 - April 2015
WellCare Health Plans, Inc. May 2013 - March 2014
WellCare Health Plans, Inc. August 2011 - May 2013
Ceridian Corporation June 2010 - August 2011
WellCare Health Plans, Inc. May 2004 - June 2010
JP Morgan Chase & Company May 2002 - May 2004
United States Air Force December 1993 - May 1998
Skills
Talent Acquisition, Applicant Tracking..., Onboarding, College Recruiting, Employee Relations, Recruiting, Internet Recruiting, Behavioral Interviewing, Employer Branding, Vendor Management, Cold Calling, Interviews, Employee Engagement, Strategic Planning, Sourcing, Coaching, Temporary Placement, Performance Management, Labor Relations, Taleo, Succession Planning, Management, Training, Benefits Negotiation, Leadership Development, Business Process..., HR Consulting, Screening Resumes, Leadership, Screening, Human Resources, Workforce Planning, Organizational..., FMLA, Strategic Sourcing, Personnel Management, PeopleSoft, Employee Training, New Hire Orientations, Temporary Staffing, Staffing Services, Deferred Compensation, Executive Search, Contract Recruitment, Career Counseling, Resume Writing, Career Development, Business Development, SDLC, HR Policies
Education
LEAN's Recruiter Academy Certified Recruiter Program for Healthcare Recruiters 2013 — 2013
Linked-In Recruiter Courses 2012 — 2013
WellCare University - Internal Continuing Education 2012 — 2013
University of South Florida 2003 — 2005
Bachelor's Degree, Psychology
Hillsborough Community College
Associate in Arts Degree
CitiBank March 2011 - Present
WellCare Health Plans, Inc. 2009 - 2011
MetLife, Inc. 1998 - 2009
Skills
Due Diligence, Mergers, CPA, Health Insurance, Enterprise Risk..., Financial Risk, Statutory Accounting, GAAP, Securities
Education
MBA
University of Illinois
Eastern Virginia Medical School June 2014 - Present
Children's Hospital of The King's Daughters April 2014 - Present
Campbell Healthcare Consulting, Inc. October 2012 - Present
Malcolm Baldrige National Quality Award March 2011 - Present
Institute for Healthcare Quality Research and Education April 2010 - Present
University of South Florida May 2011 - April 2014
Shriners Hospitals for Children March 2011 - April 2014
WellCare Health Plans, Inc December 2010 - April 2011
WellCare Health Plans, Inc July 2009 - December 2010
WellCare Health Plans, Inc March 2008 - July 2009
Skills
Lean Six Sigma Master...
Education
University of Amsterdam 2005 — 2006
Post-Doctoral Fellow, Neuroscience
University of South Florida 1997 — 2004
PhD, Cognitive and Neural Sciences
East Tennessee State University 1995 — 1997
MA, Psychology
University of Cincinnati 1990 — 1994
BA, Psychology
Practice Unite September 2013 - Present
Catasys June 2011 - March 2013
Bravo Health December 2009 - May 2010
WellCare Health Plans, Inc December 2007 - December 2009
Health Net 2001 - 2006
Skills
New Business Development, Contract Negotiation, Provider Relations, Network Contracting, Business Development, Key Account Management, Microsoft Office, Recruiting, Medicaid, Network Development, Management, Managed Care, Medicare, Health Policy, Credentialing, Healthcare Industry, Insurance, Healthcare Management, Process Improvement, Healthcare Consulting, HIPAA, Healthcare, Health Insurance, Leadership, Claim, Training, Hospitals, Physicians, Healthcare Information..., Medical Billing, Employee Benefits
Education
Ocean County College 1998 — 1999
Business Administration
Georgian Court College 1996 — 1998
Liberal Arts
Monsignor Donovan High School 1992 — 1996
Diploma
iHealth Technologies November 2008 - Present
CareCentrix May 2007 - October 2008
WellCare Health Plans, Inc. April 2006 - May 2007
WellCare Health Plans, Inc. November 2003 - April 2006
Skills
Managed Care, Medicare, Medicaid, Health Insurance, HIPAA, Provider Relations, Healthcare, Healthcare Management, Insurance, Network Development, Healthcare Consulting, HMO, Hospitals, Health Policy, Healthcare Industry, Claim, Credentialing
Education
Florida State University - College of Business
BS, Marketing
Equifax November 2014 - Present
Kobie Marketing December 2010 - October 2014
Wellcare Health Plans Inc December 2007 - January 2011
The IMPAC Group December 2006 - December 2007
AAA Auto Club South April 2005 - December 2006
Wells Fargo January 2004 - April 2005
Wells Fargo January 2001 - January 2004
Skills
SAS/R/Statistica/SQL, Behavioral Segmentation..., Decision Trees, General Linear Models, Non Linear Generalized..., Neural Networks, Missing Data Imputation..., Ensemble Methodologies, Marketing Mix..., Customer Lifetime ..., Attribution Modeling, Supervised Learning, Unsupervised Learning, Sampling Techniques, Experimental Design, SAS Macro Facility, SAS Enterprise Miner, SAS Arrays, SAS Enterprise Guide, Statistica, R, Advanced Microsoft Excel, Statistics, SAS, Data Mining, Leadership, Management, Predictive Analytics, Predictive Modeling, Statistical Modeling, Direct Marketing, Data Analysis, Customer Acquisition, Consulting, Marketing Strategy, SQL, Business Analysis, Credit Cards, Financial Services, Sales
Education
Golden Gate University
Master of Science, Financial Engineering
Roger Williams University
Bachelor of Science, Business Administration
King & Spalding LLP 2012 - Present
WellCare Health Plans, Inc. 2010 - 2012
U.S. Department of Justice 2005 - 2009
Education
University of Virginia School of Law
Emory University
Levementum, LLC November 2012 - Present
CloudTrigger, LLC August 2010 - November 2012
Astadia, Inc. July 2007 - August 2010
Astadia Client - Williams Scotsman May 2009 - July 2010
Mentor Corporation January 2008 - February 2010
AAA Cooper Transportation January 2008 - July 2009
BroadSoft February 2009 - April 2009
Amerisource Bergen Specialty Healthcare, Inc February 2008 - June 2008
WellCare Health Plans, Inc October 2006 - July 2007
Wellcare Inc. September 2006 - July 2007
Skills
Integration, Quality Assurance, User Acceptance Testing, Change Control, Process Consulting, Requirements Analysis, SDLC, Salesforce.com, Business Analysis, SQL Server, XML, Web Services, Agile, SQL, JavaScript, SaaS, Software Development, Process Improvement, Business Process..., Data Migration, Requirements Gathering, ERP, Testing, Customer Relations, Business Requirements, Agile Methodologies, Cast Iron, Data Analysis, Microsoft SQL Server, CRM, Cloud Computing, Project Management, Change Management, Software Project..., Enterprise Software, Databases, Enterprise Architecture, Data Warehousing, Software Documentation, Database Design, Salesforce.com..., SFDC, Solution Architecture, Business Intelligence, Systems Analysis
Education
Fordham University, Lincoln Center Campus 1985 — 1986
Masters of Business Administration (incomplete), International Finance
Hofstra University 1979 — 1981
BBA, Public Accounting
WellCare Health Plans, Inc March 2015 - Present
Skills
ACLS, BLS, Inpatient, Nursing, Hospitals, Healthcare, Behavioral Health, Substance Use Disorders, Correctional Medicine
Education
Hult International Business School 2015 — 2016
Master of Business Administration (M.B.A.)
University of Phoenix 2010 — 2011
Bachelor's Degree, Registered Nursing/Registered Nurse
AvMed February 2015 - Present
CareCentrix February 2013 - February 2015
Moffitt Cancer Center March 2012 - February 2013
WellCare Health Plans, Inc. February 2011 - March 2012
WellCare Health Plans, Inc. 2007 - February 2011
Skills
Managed Care, Medicare, Health Insurance, Healthcare, SAS, Medicaid, Insurance, Data Analysis, Process Improvement, HIPAA, Financial Analysis, Visio, Hospitals, Access, Healthcare Management, Health Policy, Business Analysis, Analysis, Healthcare Information..., Claim, Healthcare Analytics, Healthcare Consulting, Business Intelligence, Health Economics, Analytics, Healthcare Industry, Provider Relations, Revenue Cycle
Education
University of Tampa 2007 — 2009
MBA, Finance
Baruch College, City University of New York (CUNY) 1999 — 2003
BBA, Finance
WellCare Health Plans, Inc. August 2010 - Present
Sykes Enterprises, Incorporated May 2004 - August 2010
Sweetbay Supermarket October 1998 - May 2004
Education
Saint Leo University
Bachelor of Arts, Business Administration
Information Options Florida, Inc. June 2014 - Present
WellCare Health Plans, Inc. August 2013 - June 2014
L'Equipe Solutions March 2012 - August 2013
DST Health Solutions August 2006 - January 2012
OakScape, Inc. November 2005 - June 2006
Marriott Vacation Club International February 2005 - October 2005
LCI Gaming, Inc October 2001 - February 2005
Marriott Vacation Club International November 2000 - October 2001
Sonitrol/Entergy/ADT May 1995 - November 2000
Integrated Management Services, Inc (IMS) January 1995 - May 1995
Skills
Start-up Ventures, Turnaround Initiatives, Application Architecture, Requirements Analysis, Strategic Planning, Strategic Partnerships, Application Security, Financial Systems, Bank Systems Development, Energy Industry Systems, Real Estate Industry..., Healthcare Systems..., SaaS, Agile Methodologies, Business Strategy, Software Development, Enterprise Architecture, SOA, Strategy, Start-ups, Process Improvement, Business Development, Security, Management, Cloud Computing, Databases
Education
University of Florida 1975 — 1979
Bachelor of Science (B.Sc.), Computer and Information Sciences
WellCare Health Plans, Inc. February 2008 - Present
Education
The Berkeley College 1985 — 1987
WellCare Health Plans Inc 2010 - Present
WellCare Health Plans, Inc. 2005 - 2010
Skills
Accounting, Healthcare, Sarbanes-Oxley Act, Internal Controls, Process Improvement, Strategic Planning, General Ledger, Auditing, Software Documentation, Sarbanes-Oxley, Leadership, PeopleSoft, Accounts Payable, Movex, Analysis, Policy, HIPAA, Budgets, Insurance, Team Building, Customer Service, Management, Medicaid, Medicare, Business Analysis, Payroll, Invoicing, Financial Analysis, Accounts Receivable, Access, Forecasting, Account Reconciliation, Variance Analysis, Financial Reporting
Education
Arizona State University 1976 — 1980
Wexford Health Sources February 2013 - Present
The Medicine Shoppe February 2010 - February 2013
Humana, Inc November 2007 - September 2009
WellCare Health Plans, Inc June 2007 - November 2007
Eckerd PatientCare Network 2004 - 2005
Skills
Medication Therapy..., Pharmacy Automation, Pharmacy Benefit..., Healthcare Consulting, Medicare Prescription..., Pharmacoeconomics, Certified Immunizer, Patient Counseling, Medicare Part D, Managed Care, Clinical Research, Pharmacists, Pharmacokinetics
Education
Florida Agricultural and Mechanical University 1998 — 2004
Doctorate, Pharmacy
Ft Myers High School
WellCare Health Plans, Inc. November 2012 - Present
BCBSTX March 2006 - October 2012
Humana Military HealtheCare Services-TRICARE 2004 - March 2006
Humana Military HealthCare Services-TRICARE April 1998 - 2004
Morehouse School of Medicine June 1987 - May 1998
Humana MedFirst September 1982 - June 1987
Emory Healthcare November 1980 - September 1982
Skills
Healthcare Management, Healthcare, Managed Care, Health Insurance, Physicians, Healthcare Information..., Medicare, Medicine, HIPAA, Disease Management, Medicaid, Hospitals
Education
American College of Physician Executives 1982 — 2013
Administrative Medicine, Lifetime Member
Emory University School of Medicine 1976 — 1980
Residency and Ambulatory Fellowship, Internal Medicline, Board Certified
University of Iowa Roy J. and Lucille A. Carver College of Medicine 1972 — 1976
University of Iowa 1970 — 1972
Masters Degree, Zoology/Animal Biology
Coe College 1966 — 1970
Bachelor's degree, Biology, General, Magna Cum Laude
Freedom Health, Optimum HealthCare & America's 1st Choice 2009 - Present
WellCare August 2007 - April 2009
WellCare Health Plans, Inc. November 2006 - July 2007
VNU / ACNielsen November 1999 - June 2005
Skills
Medicaid, Executive Management, Public Relations, Crisis Communications, Managed Care, Health Insurance, Insurance, Healthcare, Healthcare Management, Medicare, HIPAA, Management, Leadership, Health Policy, Corporate Communications, Network Development, Healthcare Industry, Policy, Provider Relations, Employee Benefits, Physician Relations, Patient Advocacy, Process Improvement
Education
New York University 2002 — 2004
Public Relations Certificate, Public Relations, Advertising, and Applied Communication
Sacred Heart University 1991 — 1996
Bachelor of Science (BS), Legal Administration
WellCare May 2006 - Present
WellCare Healthplans Inc. 2006 - Present
WellCare Health Plans, Inc. 2006 - Present
Education
Emory University School of Medicine 1978 — 1979
MMSc, Nutrition
Florida State University 1973 — 1977
PwC September 2012 - Present
HealthPlan Services July 2010 - May 2012
WellCare Health Plans, Inc June 2007 - July 2010
Catalina Marketing July 2005 - May 2007
Nielsen Media Research June 2003 - June 2005
Cablevision April 1999 - September 2002
Ernst & Young 1997 - 1999
SCC Soft Computer 1991 - 1997
Skills
SDLC, Business Analysis, Process Improvement, Vendor Management, Visio, Program Management, Project Management, Business Process..., PMP, Healthcare, MS Project, Integration, Leadership, Strategic Planning, CRM, IT Strategy, Governance, Enterprise Software, Analysis, Business Intelligence, Data Warehousing, PMO, Access, Six Sigma, Enterprise Architecture, Quality Assurance, Business Process, Change Management, Software Development, Resource Management, ITIL, IT Management, Process Engineering, Requirements Gathering, Management, SQL, Disaster Recovery
Education
University of South Florida 1991 — 1993
MS - Graduate Studies, Health Care Administration
Austin Peay State University 1982 — 1986
BS, Medical Technology, Computer Science
WellCare Health Plans, Inc. August 2014 - Present
WellCare Health Plans January 2013 - August 2014
WellCare Health Plans February 2012 - January 2013
WellCare Health Plans July 2007 - February 2012
CCS Medical July 2006 - June 2007
Rumberger, Kirk & Caldwell, P.A. August 2003 - June 2006
Education
Stetson University
M.B.A., Business Administration
Stetson University College of Law
J.D., Law
University of Tampa
Bachelor of Science (B.S.)
Universal American August 2013 - Present
National Association of ACOs October 2013 - Present
McKinsey Solutions September 2011 - August 2013
McKinsey & Company September 2011 - September 2012
The AmeriHealth Mercy Family of Companies August 2010 - August 2011
Bravo Health September 2006 - July 2010
Bravo Health August 2006 - July 2010
WellCare 2003 - 2005
WellCare Health Plans, Inc. 2003 - 2004
Citigroup 2001 - 2003
Skills
Mergers, Cross-functional Team..., Healthcare, Strategic Planning, Business Strategy, Financial Modeling, Business Development, Managed Care, Business Process..., Executive Management, Contract Negotiation, Process Improvement, Team Building, Mergers & Acquisitions, Leadership, Vendor Management, Strategy, New Business Development, Financial Analysis, Medicare, Management Consulting, Management, Insurance, Program Management, Start-ups, Product Management, Analytics, Change Management, Business Analysis, Strategic Partnerships, Business Intelligence, P&L Management, Corporate Development, Disease Management, Population Health
Education
Stanford University Graduate School of Business 1999 — 2001
MBA
Colorado College 1993 — 1996
BA, Economics, Mathematics
Highlands Ranch High School 1989 — 1992
HealthPlan Services March 2013 - Present
Universal Health Care April 2012 - March 2013
WellCare Health Plans, Inc. September 2011 - April 2012
WellCare Health Plans, Inc. August 2009 - September 2011
WellCare Health Plans, Inc. October 2007 - August 2009
Skills
Medicare, Health Insurance, Medicaid, Vendor Management, Managed Care, HIPAA, Healthcare Industry, Medicare Part D, Healthcare, Process Improvement, Healthcare Management, Strategic Planning, Leadership, Business Process..., HMO, Business Analysis, Analysis, Training, Account Management, Management, Data Analysis, Team Building, Cross-functional Team..., Operations Management, Visio, Access, Call Centers, CRM, Analytics, Claim, Health Policy, Insurance, Life Insurance, Pharmacy Benefit..., Provider Relations, Customer Satisfaction, Employee Benefits, Healthcare Consulting
Education
University of South Florida 2005 — 2007
Master of Business Administration (MBA), Focus Tracks in: Management, International Business, & Marketing
University of South Florida 1993 — 1996
Bachelor of Science (B.S.), Marketing
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
WellCare January 2006 - Present
WellCare Health Plans, Inc. January 2006 - Present
Manhattan Associates April 2001 - September 2005
Renaissance Cruises January 1988 - September 1991
Skills
Outlook, Administrative Support, Visio, Administration, PowerPoint, Access, Word, Excel, Scheduling, Telephone Skills, Documentation, Insurance, Customer Service, Microsoft Office, SharePoint, Healthcare, Customer Relations, Supervisory Skills, Problem Solving, Compliance, Inventory Management, Process Improvement, Budgeting, Research, Lotus Notes, Mentoring, Billing, Writing, Conferences, Public Speaking, Event Planning, Medicare, Office Management, Team Building, Event Management, Time Management, Medicaid, Business Process...
Education
University of Maryland College Park 1971 — 1974
Transporters, Executive Transportation, LLC. April 2012 - Present
WellCare Health Plans, Inc. 2008 - May 2009
Home Depot At Home Services October 2004 - February 2008
The Home Depot 2003 - 2008
Skills
Leadership, Management, Human Resources, Customer Satisfaction, Quality Assurance, Strategic Planning, Microsoft Excel, Forecasting, Marketing Strategy, Customer Service, Budgets, Performance Management, Process Improvement, Project Management, Coaching, Microsoft Office, Retail, Call Centers, Team Leadership, Sales, Call Center, Vendor Management, PowerPoint, Team Building, Training, Operations Management
Education
Strayer University-Florida 2007 — 2012
AAA Auto Club South September 2013 - Present
Dell Professional Services March 2013 - October 2013
Hillsborough County Sheriffs Office March 2010 - March 2013
WellCare September 2008 - March 2010
WellCare Health Plans, Inc. September 2008 - March 2010
US Army March 2008 - August 2008
Home Depot At Home Services March 2005 - February 2008
Motivano September 2001 - January 2005
School District of Hillsborough County January 2000 - September 2001
Skills
Business Analysis, Business Intelligence, Customer Satisfaction, Customer Service, Databases, Microsoft SQL Server, Process Improvement, SDLC, SQL, Security, Software Documentation, Training, VMware, Windows Server
Education
University of South Florida 2001 — 2004
Bachelor of Science (BS), Computer Science
WellCare February 2000 - Present
WellCare HMO Inc. 2000 - Present
WellCare Health Plans, Inc. 2000 - Present
Evolutions Healthcare Systems, Inc. November 1998 - February 2000
Evolutions HealthCare Systems October 1998 - February 2000
Nimble Boats 1986 - 1998
Skills
Visual Basic, SQL, SDLC, Microsoft SQL Server, PL/SQL, Visio, EDI, Data Warehousing, Access, Business Analysis, Requirements Analysis, Databases, ASP.NET, Oracle, Software Documentation, XML, Troubleshooting, SharePoint, Process Improvement, Disaster Recovery, Vendor Management, Web Applications, Visual Studio, Integration, Requirements Gathering, Unix, ETL
Education
University of South Florida 1996 — 1998
Bachelor of Science (B.S.), Management Information Systems, General
University of South Florida 1996 — 1998
MIS, MIS Business
Rehmann April 2013 - November 2014
New York Life Insurance Company February 2012 - March 2013
AmeriLife Group April 2010 - March 2011
WellCare Health Plans, Inc. October 2009 - April 2010
WellCare Health Plans, Inc. October 2008 - October 2009
WellCare Health Plans, Inc. June 2006 - October 2008
KPMG LLP 2003 - 2006
Skills
Financial Analysis, GAAP, Sarbanes-Oxley, External Audit, SEC filings, Sarbanes-Oxley Act, Insurance, Auditing, Internal Controls, Strategic Financial..., Process Improvement, Accounting, Financial Modeling, Forecasting, Financial Reporting
Education
Central Michigan University 1999 — 2003
BS in BA, Accounting, Business Law
Orthofix May 2014 - Present
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas February 2011 - May 2014
Vitacost.com December 2010 - February 2011
WellCare Health Plans, Inc. August 2009 - November 2010
Point Blank Enterprises, Inc. September 2003 - May 2009
Skills
Data Warehousing, Cognos, ETL, ERP, Business Intelligence, Dimensional Modeling, Data Modeling, Data Integration, Teradata, SSIS, Data Warehouse..., Informatica, OLAP, Master Data Management, Oracle, SSRS, Business Analysis
Education
Southern Methodist University - Cox School of Business
Graduate Certificate in Business Intelligence and Analytics
Jiwaji University
Master of Computer Applications (MCA)
WellCare Health Plans April 2014 - Present
WellCare Health Plans February 2013 - Present
WellCare Health Plans, Inc. August 2008 - Present
WellCare March 2008 - July 2008
WellCare September 2005 - March 2008
Aetna Health Plans October 2003 - September 2005
Aetna 2003 - 2005
PacifiCare June 2001 - October 2003
Cyntergy Corporation September 1994 - 2001
Skills
Medicare, Medicare Part D, Medicaid, Managed Care, Health Insurance, Provider Relations, Healthcare Industry, HIPAA, HMO, Healthcare, Auditing, Health Policy, Financial Reporting, Invoicing, Claim, Healthcare Management, Process Improvement, Leadership, Strategic Planning
Education
Radford University 1992 — 1994
BBA
Catalina Marketing November 2014 - Present
HealthPlan Services January 2013 - September 2014
Citi Group April 2012 - December 2012
WellCare Health Plans, Inc. August 2010 - April 2012
WellCare Health Plans, Inc. April 2007 - April 2012
WellCare Health Plans, Inc. October 2006 - April 2012
Publix 2005 - 2006
AT&T 1998 - 2001
Skills
Quality Assurance, Testing, Test Planning, Test Cases, Automation, System Testing, Scripting, QTP, QC, Requirements Analysis, User Acceptance Testing, Quality Center, Manual Testing, Performance Testing, Regression Testing, Databases, Web Applications, Defect Tracking, SDLC, SQL, Excel, Integration, LoadRunner, PL/SQL, Test Director, VBScript, SoapUI, Visio, Test Strategy, Web Testing, Toad, Test Execution, Integration Testing, SharePoint, Waterfall, Software Quality..., Functional Testing, Load Testing, Test Estimation, Visual Basic, ISTQB, Black Box Testing, TFS, XML Schema, SiteScope, Web Services, Test Automation..., HP Performance Center, Test Automation, Agile Testing
Education
Essex County College
NA
Carecentrix July 2012 - Present
CareCentrix, Ancillary benefits manager January 2012 - October 2012
WellCare Health Plans, Inc. July 2011 - September 2011
WellCare Health Plans May 2006 - July 2011
WellCare June 2008 - August 2009
Gentiva Health Services May 1999 - February 2006
Shands Homecare 1995 - 1999
Skills
Certified in Health..., Health Policy, Managed Care, Medicare, Health Care Compliance, Medicaid, Disease Management, Utilization Management, Healthcare, Home Care, Medical Compliance, Cross-functional Team..., HIPAA, Clinical Research, Health Insurance, Healthcare Management
Education
Emory University 1978 — 1979
Master of Medical Science, Clinical Nutrition with Education minor
Florida State University
Bachelor of Science, Clinical Nutrition/Dietetics
Massachusetts General Hospital Dietetic Internship
Dietetics and Clinical Nutrition Services
Humana April 2015 - Present
Independent Healthcare Consultant June 2014 - April 2015
MedHOK Healthcare Solutions May 2013 - May 2014
WellCare Health Plans, Inc. May 2012 - May 2013
WellCare May 2009 - April 2012
WellCare April 2007 - April 2009
WellCare September 2006 - April 2007
Danka Office Imaging 2005 - 2006
Danka Office Imaging 2004 - 2005
Danka Office Imaging 2001 - 2004
Skills
Medicaid, Health Insurance, Medicare, Provider Relations, Managed Care, Process Improvement, Healthcare, Operations Management, Vendor Management, Insurance, Project Management, Claim, Software Documentation, HIPAA, Healthcare Information..., Analysis, Healthcare Management, Business Process..., Healthcare Industry, Health Policy, Cross-functional Team..., Healthcare Consulting, Account Management, SDLC, Policy, Strategic Planning, Leadership, Access
Education
Eckerd College 2002 — 2005
Bachelor's Degree, Business Administration, Management and Operations, Honors
WellCare Health Plans, Inc. June 2005 - Present
Fred Pryor Seminars September 2002 - May 2005
Kuhn & Wittenborn Advertising September 1998 - October 2001
Barkley September 1997 - September 1998
the Sunflower Group August 1993 - September 1997
Skills
Advertising, Marketing Communications, Marketing, Direct Marketing, Management, Email Marketing, Strategic Planning, Social Media Marketing, Digital Marketing, HIPAA, Health Insurance, Marketing Strategy, Lead Generation, Team Building, Marketing Management, Leadership, Account Management
Education
Kansas State University 1990 — 1994
B.A., Advertising/Marketing
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
WellCare Health Plans May 2015 - Present
WellCare Health Plans, Inc. May 2013 - May 2015
WellCare Health Plans May 2008 - January 2012
Office Team December 2006 - February 2007
Coastal Risk Underwriters August 2006 - September 2006
Hillsborough County September 2004 - August 2005
Health Net February 2002 - July 2004
Diamond Reporting & Legal Video August 2001 - December 2001
Esquire Deposition Services April 2000 - September 2001
Skills
Stenography, Courts, Litigation, Small Claims, Civil Litigation, Pleadings, Commercial Litigation, Corporate Law, Depositions, Intellectual Property, Family Law, Mediation, Legal Issues, Hearings, Alternative Dispute..., Arbitration, Administrative Law, Legal Research, Data Analysis, Insurance, Health Law, Policy, Health Insurance, Healthcare, HIPAA
Education
Midwood High School 1995 — 1999
Iona College 1999 — 2000
New York Career Institute 2000 — 2002
Court Reporting
Brown College of Court Reporting 2004 — 2008
DTCC August 2012 - Present
WellCare Health Plans Inc 2007 - September 2012
The Nielsen Company July 2006 - May 2007
CP Ships February 2005 - June 2006
TechHealth May 2000 - January 2005
Skills
Business Process..., IT Strategy, SOA, Enterprise Architecture, SDLC, Solution Architecture, Agile Methodologies, Architecture, Business Intelligence, ETL, Enterprise Software, Requirements Analysis, SQL, Security, Software Development, Vendor Management, Web Services, Application Architecture, Java Enterprise Edition, Data Warehousing
Education
University of South Florida 1996 — 1998
Indian Institute of Technology, Madras 1992 — 1996
BTech, Aerospace
WellCare September 2006 - Present
WellCare Health Plans, Inc. 2006 - Present
Tech Data May 1991 - May 2006
Skills
Account Management, Direct Sales, New Business Development, Sales, Salesforce.com, Sales Management, Solution Selling, Marketing Strategy, Marketing, Product Marketing, Sales Process, Management, Selling, Strategy
Education
Art Institute of Fort Lauderdale 1982 — 1984
AS, Advertising Design
Magellan Health Services September 2012 - Present
Molina Healthcare 2012 - 2012
Blue Cross Blue Shield of FL 2011 - 2011
WellCare Health Plans, Inc. August 2009 - December 2010
Health Net, Inc 2005 - 2009
ConnectiCare 2000 - 2005
Anthem Blue Cross Blue Shield of CT 1991 - 2000
Mariner Health Care 1989 - 1991
Skills
Managed Care, Network Development, Provider Relations, Medicare, Medicaid, ICD-9, HMO, PPO, Software Documentation, HIPAA, Hospitals, Healthcare, Employee Benefits, Health Insurance, Health Policy, Healthcare Information..., Insurance, Healthcare Management, Credentialing, Claim, Healthcare Consulting, Revenue Cycle, Healthcare Industry, Strategy, Process Improvement, Disease Management, Pharmacy Benefit..., Physicians, Medicare Part D, Physician Relations, Quality Improvement
Education
Penn State University
BS, Accounting/Finance
Penn State University
MBA
Cigna-HealthSpring, Inc. February 2011 - Present
Gorman Health Group June 2010 - February 2011
WellCare Health Plans, Inc. February 2008 - October 2010
WellCare Health Plans, Inc. November 2006 - February 2008
DoctorCare, Inc October 2005 - November 2006
Mercy Hospital, an HCA Hospital March 2004 - October 2005
UnitedHealth Group February 1997 - February 2004
Skills
Medicare, Healthcare Compliance, Strategic Planning, Managed Care, Medicaid, Hospitals, Government Relations, Compliance Audits, Corporate Governance, Negotiation, CMS, Medicare Part D, Quality Auditing, Healthcare, Network Development, Policy, Revenue Cycle, Medical Compliance, Healthcare Industry, Insurance, Training, Health Policy, PPO, HIPAA, Leadership, Medicaid Managed Care, Employee Benefits, Process Improvement, Provider Relations, Health Insurance, Healthcare Management, HMO, Claim, Utilization Management, Physicians, Disease Management, Healthcare Consulting
Education
Saint Leo University 2013 — 2015
Master of Business Administration (M.B.A.), Health Care Management
Barry University
B.S, Legal Studies
WellCare Health Plans, Inc July 2004 - Present
WellCare 2004 - 2009
Education
Florida Metropolitan University 1978 — 1996
WellCare Health Plans, Inc. July 2014 - Present
WellCare January 2013 - Present
WellCare Health Plans, Inc. October 2011 - March 2013
WellCare Health Plans, Inc. May 2005 - April 2012
The Estee Lauder Companies, Inc. 2002 - 2005
Latham & Watkins 1997 - 2002
Skills
Corporate Law, Securities, Corporate Governance, Legal Research, Due Diligence, Legal Compliance, Securities Regulation, Executive Pay, Mergers, Regulatory Affairs, Legal Documents, Health Care Fraud, Medicaid, SEC filings, Health Insurance, Auditing, Commercial Litigation, Employment Law, Executive Management, Enterprise Risk..., Health Law, Insurance, Intellectual Property, Internal Audit, Legal Writing, Licensing, Litigation, Mergers, Privacy Law, Process Improvement, Risk Management
Education
State University of New York College at Purchase 1993 — 1997
Bachelor of Arts (B.A.), Literature
WellCare Health Plans March 2015 - June 2015
WellCare Health Plans Inc 2007 - June 2015
Cogistics, Inc. 2003 - 2007
Skills
TFS, Agile Methodologies, Requirements Analysis, Unix, Systems Analysis, Microsoft SQL Server, Visio, SDLC, SOA, Data Modeling, Software Project..., Software Development, PL/SQL, Databases, ETL, Informatica, SSIS, Oracle, SQL, Cognos, Data Warehousing, Business Analysis, Integration, Requirements Gathering, Business Intelligence, Vendor Management, SharePoint, Enterprise Architecture, Process Improvement, Software Documentation, Database Design
Education
Florida Southern College 1999 — 2002
Bachelor of Science (B.S.), Computer Science
Gorman Health Group 2015 - Present
CalOptima 2014 - 2015
WellCare Health Plans, Inc. 2011 - 2014
WellCare Health Plans, Inc. d/b/a 'Ohana Health Plan 2009 - 2011
WellCare Health Plans, Inc. 2005 - 2009
Skills
Process Improvement, Healthcare, Insurance, Program Management, Software Documentation, Risk Management, Management, Policy, Analysis, Medicaid, Auditing, Medicare, Health Policy, Strategy, Managed Care, HIPAA, Healthcare Industry, Health Insurance, Healthcare Management, Training, Healthcare Consulting
Education
University of South Florida 2002 — 2008
MPH
University of South Florida 1996 — 2000
B.S. Biology and Chemistry
UnitedHealthcare Community Plan-Kansas June 2014 - Present
Physicians United Plan September 2013 - June 2014
Optum January 2012 - August 2013
Aetna February 2010 - January 2012
Lockton Companies, LLC March 2008 - February 2010
Wellcare Health Plans, Inc. January 2004 - March 2008
Aetna June 2001 - December 2003
Alere Medical January 1999 - June 2001
Children's Hospital & Medical Center - Omaha 1997 - 1998
Skills
Utilization Management, Medicaid, Managed Care, Medical Management, Healthcare, Healthcare Analytics, Healthcare Information..., Medicare, Healthcare Consulting, Hospitals, Management, Physicians, Healthcare Management, Disease Management, Leadership, Health Insurance, Employee Benefits, Quality Improvement, Case Managment, Home Care, Provider Relations, Medicine, Medicare Part D, Health Policy, Clinical Research, Insurance, NCQA, Healthcare Industry, EMR, HIPAA, Medicaid Managed Care, Health Care Reform, Pediatrics, HMO, Accountable Care, Credentialing, PPO, Network Development, HEDIS, Physician Relations, Case Management
Education
Tulane University School of Medicine 1997 — 1998
MMM
University of Minnesota Medical School 1976 — 1980
MD
TruthNote Partners, a division of INSYS Group, Inc. June 2015 - Present
WellCare Health Plans, Inc. May 2014 - March 2015
FairPoint Communications June 2011 - October 2014
Hawaiian Telcom January 2009 - January 2012
EMC September 2007 - December 2008
BusinessEdge Solutions 1999 - 2007
Conectiv January 1996 - March 1999
Delmarva Power & Light Company October 1981 - January 1996
Skills
IT Strategy, Vendor Management, Business Transformation, Consulting, Cross-functional Team..., Program Management, Telecommunications, Managed Services, Integration, Governance, Project Management, Change Management, SDLC, Management, PMO, Business Process, Outsourcing
Education
Salisbury University - Perdue School of Business 1992 — 1994
Bachelor ofArts, Finance, 3.98 of 4.0
College of American Pathologists October 2008 - Present
WellCare Health Plans, Inc. December 2004 - October 2008
Aetna Health. Inc. April 1999 - November 2004
NYLCare Health Plans of the Mid-Atlantic February 1998 - April 1999
Prudential Health January 1992 - February 1998
Sterling Medical Associates September 1989 - September 1991
Skills
Health Policy, Medicaid, Healthcare, Managed Care, Healthcare Industry, Medicare, HIPAA, Leadership, Provider Relations, Hospitals, Health Insurance, Healthcare Management, Strategy, Insurance, Program Management, Healthcare Consulting, Claim, Management, Policy, HMO, Health Law, Medical Compliance, PPO, Network Development, Contract Management, Negotiation, Government Programs, Health Plans, Compliance, Health, Contract Negotiation, Provider Contracting, Health Care Reform, Regulations, Advocacy, Accountable Care, Team Leadership, Contractual Agreements, editing, Relationship Management, Relationship Building, Trade Associations, Medicaid Managed Care, Medicare Advantage, Legal Issues, Strategic Planning
Education
George Mason University School of Law 1999 — 2003
JD, Law
Miami University 1985 — 1989
BS, Mass Communication/Broadcast Journalsim
Rosarian Academy
Rosarian Academy
Rosarian Academy
KirkpatrickPrice LLC January 2015 - Present
Healthesystems November 2012 - January 2015
Healthesystems November 2011 - November 2012
Gray Robinson April 2011 - August 2011
WellCare Health Plans, Inc January 2010 - January 2011
State of Florida, Agency for Health Care Administration August 2007 - January 2010
State of Florida, Senate Commerce Committee August 2006 - May 2007
State of Florida, Attorney General's Office, Civil Corrections May 2005 - July 2006
Education
Florida State University College of Law 2004 — 2007
JD
Western Kentucky UniversityBowling 2001 — 2003
Bachelor of Arts, Political Science
Florida College 1999 — 2001
Associate of Arts, Liberal Studies
Whitney Actuarial Consulting, LLC 2007 - Present
PartnerCare Health Plan February 2005 - November 2006
WellCare 2000 - 2003
WellCare Health Plans, Inc. 2000 - 2003
Skills
Managed Care, Medicaid, Medicare, Healthcare, Provider Relations, Healthcare Industry, Health Insurance, HMO, Healthcare Information..., Healthcare Consulting, Utilization Management, Healthcare Management, Disease Management, HIPAA, Health Policy, Employee Benefits, Network Development, Claim, Revenue Cycle, Insurance, Process Improvement, PPO
Education
University of Connecticut 1980 — 1984
BA, Actuarial Math
CareCentrix January 2013 - Present
HealthPlan Services May 2011 - November 2012
Orlando Health August 2010 - April 2011
Florida Health Care Plans December 2009 - August 2010
WellCare Health Plans, Inc. May 2009 - December 2009
Gevity January 2006 - January 2009
Ceridian August 2004 - December 2005
Gevity February 2002 - July 2004
Ceridian June 1998 - November 2002
Skills
SDLC, Visio, PMP, Project Management, Resource Management, Software Project..., Agile Project Management, Process Improvement, Management, Business Analysis, Requirements Analysis, Project Planning, Program Management, Cross-functional Team..., Business Process..., PMO, CRM, Testing, Outsourcing, Process Engineering, Analysis, Enterprise Software, Risk Management, SaaS, Vendor Management, Training, Integration, User Acceptance Testing, Requirements Gathering, Business Process, Project Portfolio..., SharePoint, IT Management, Software Documentation, Quality Assurance, Business Intelligence, MS Project, Agile Methodologies, IT Strategy, Enterprise Architecture
Education
Polk State College
Business Administration, Management and Operations
Coordinated Health Mutual, Inc. d/b/a/ InHealth Mutual October 2013 - Present
WellCare Health Plans, Inc. October 2010 - September 2013
Molina Healthcare of Michigan, Inc. January 2008 - September 2010
Molina Healthcare of Ohio, Inc. June 2006 - December 2007
Skills
Strategic Planning, Team Building, Business Development, Communicator, Business Expansion, Medicaid, Leadership, Executive Management, Corporate Development, Insurance, Managed Care, Change Management, Operations Management, Medicare, Organizational..., Contract Negotiation, HMO, HEDIS, Health Policy, Healthcare, Management, Healthcare Industry, Program Management, Health Care Reform, Health Insurance
Education
Eastern Michigan University
Grad Studies in Business and Accounting
Houston Baptist University
Grad Studies in Psychology
University of Illinois at Chicago
Bachelor of Arts (BA), Liberal Arts, Pre-Med and Psych
DaVita HealthCare Partners September 2014 - Present
WellCare October 2013 - Present
WellCare January 2010 - March 2013
WellCare April 2009 - December 2009
WellCare September 2006 - April 2009
WellCare Health Plans, Inc. September 2006 - April 2009
PacifiCare Health Systems 2003 - 2006
Skills
Medicaid, Medicare, Managed Care, Health Insurance, HMO, Network Development, Provider Relations, Insurance, Healthcare, Utilization Management, Health Policy, Healthcare Industry, Healthcare Consulting, Process Improvement, HIPAA, PPO, Behavioral Health, Medical Compliance, Provider Network...
Education
University of Arizona
Master of Public Administration (MPA)
WellCare Health Plans, Inc. July 2013 - Present
Progressive Insurance February 2008 - Present
Progressive Insurance February 2003 - February 2008
Skills
Process Improvement, Excel, Word, Lotus Notes, Mentoring, LotusScript, Documentation, Analysis, Microsoft Office, Application Development, Business Analysis, Databases, Testing, Database Design, Requirements Gathering, Software Documentation, Microsoft Excel
Education
Kent State University 1986 — 1990
BA, General Studies, Marketing and Behavioral Science, Marketing, Behavioral Science
Association of Corporate Counsel 2015 - 2015
Association of Corporate Counsel 2015 - 2015
WellCare Health Plans, Inc. October 2013 - May 2014
Alere Toxicology 2014 - 2014
WellCare Health Plans, Inc. November 2012 - October 2013
WellCare Health Plans August 2012 - November 2012
PNNL 2011 - 2012
King Abdullah University of Scientce and Technology 2009 - 2011
Baylor College of Medicine January 1998 - September 2009
Fulbright & Jaworski 1993 - 1998
Skills
Litigation, Compliance, Contract Negotiation, Research, Corporate Governance, Risk Management, Licensing, Commercial Litigation, Contract Management, Governance, Intellectual Property, Privacy, Healthcare, Non-profits, Joint Ventures, Privacy Law, Mergers & Acquisitions, Government, Due Diligence, Policy, Corporate Law, Nonprofits, Health Law, Medicare, Legal Research, Private Investigations, Negotiation, Legal Compliance, Medicaid, Medical Compliance
Education
University of Houston Law Center 1990 — 1993
Doctor of Law (J.D.), cum laude
Allegheny College 1981 — 1985
BS, Biology
WellCare May 2008 - Present
WellCare Health Plans, Inc. May 2007 - May 2008
Mental Health Care, Inc. November 1998 - May 2007
Mental Health Care, Inc. October 1993 - May 2007
Education
University of South Florida 1990 — 1993
Bachelor of Arts and Science, Psychology
WellCare Health Plans, Inc. August 2012 - Present
Avis Budget Group January 2012 - September 2012
Avis Budget Group July 2010 - January 2012
AAA Auto Club South October 2005 - March 2009
Wyndham Worldwide / RCI July 2002 - August 2003
Wyndham Hotel Group April 2000 - July 2002
Wyndham Hotel Group July 1998 - April 2000
Skills
Social Media Marketing, E-commerce, Marketing, Facebook, Advertising, Lead Generation, Loyalty Marketing, Digital Marketing, Brand Management, Partnership Marketing, Reporting & Analysis, Public Relations, Creative Direction, B2B, Market Planning
Education
Kutztown University of Pennsylvania 1994 — 1997
BS, Marketing
North Pocono 1989 — 1992
Diploma, Business Administration and Management, General
WellCare Health Plans, Inc. May 2014 - Present
WellCare Health Plans, Inc. November 2013 - May 2014
WellCare Health Plans, Inc. January 2012 - November 2013
WellCare Health Plans, Inc. April 2011 - January 2012
KPMG March 2003 - March 2011
Skills
Healthcare Management, Medicaid Managed Care, Business Development, Business Process..., Strategic Planning, Strategy, Team Building, Mergers & Acquisitions, Medicaid, Program Management, Insurance, Leadership, Health Insurance, Project Management, Analysis, Cross-functional Team..., Healthcare, Finance, Data Analysis, Business Process, Performance Improvement, Management
Education
Indiana University - Kelley School of Business 1997 — 2000
B.S., Business Process Management
International School of Brussels 1994 — 1996
High School
Tampa General Hospital September 2015 - Present
WellCare Health Plans, Inc. May 2015 - September 2015
Raymond James Financial Inc. July 2010 - May 2015
SCI Distribution LLC Clearwater January 2010 - July 2010
University of Houston-Clear Lake September 2007 - June 2009
Skills
Microsoft Office, Databases, SQL, Windows, HTML, CSS, PHP, Microsoft Excel, PowerPoint, MySQL, C++, C, JavaScript, C#, Programming, Photoshop, Python, Microsoft Word, Access, Troubleshooting, Technical Support, Active Directory, Networking, Software Documentation, Windows 7, Web Development
Education
University of Houston-Clear Lake 2007 — 2009
Master’s Degree, Management Information Systems, General
Universidad Adventista de Las Antillas 2002 — 2007
Bachelor of Science (BS), Computer Science
Hewlett-Packard August 2011 - Present
Universal American December 2009 - August 2011
WellCare Health Plans, Inc. May 2006 - September 2009
WellCare Health Plans, Inc January 2006 - May 2006
UnitedHealth Group May 2004 - April 2005
Human Services, Inc. October 2001 - May 2004
Maxicare Health Plans January 1998 - September 2001
MCS, Inc (now Americhoice) August 1994 - December 1997
MCS, Inc (now Americhoice) January 1996 - January 1997
MCS, Inc January 1994 - January 1996
Education
Franklin College 1989 — 1993
Bachelors of Science, Sociology
Family Health Network and Community Care Alliance of Illinois January 2015 - Present
Family Health Network and Community Care Alliance of Illinois February 2013 - December 2014
Centene Corporation-IlliniCare Health Plans March 2011 - February 2013
Centene Corporation March 2011 - March 2012
Valence Health September 2010 - May 2011
WellCare Health Plans, Inc. June 2008 - September 2010
Managed Health Care Associates May 2004 - September 2007
Skills
Managed Care, Medicaid, Medicare, Physicians, Healthcare, HIPAA, Healthcare Industry, Provider Relations, Network Development, Physician Relations, Health Insurance, Insurance, HEDIS, Healthcare Management, HMO, PPO, Credentialing, Utilization Management, Team Leadership, Operations Management, Medicaid Managed Care, Long Term Relationship..., Medical Terminology, Provider Education, Claims Resolution, Health Plan Operations, Provider Network..., Health Policy
Education
Northeastern Illinois University 2000 — 2006
BA, Human Resource Development
Northeastern Illinois University 2000 — 2006
Bachelor of Arts (B.A.) Human Resource Development & Communications, Human Resource Development & Communication
WellCare September 2005 - Present
WellCare Health Plans, Inc. 2005 - Present
Health First 1992 - 2005
Skills
Managed Care, Medicaid, Medicare, Pharmacy Benefit..., Medicare Part D, Utilization Management, Network Development, Provider Relations, Disease Management, Health Policy, Health Insurance, HMO, Healthcare, HIPAA, Healthcare Management
Education
University of Florida 1982 — 1988
Pharm.D., Pharamcy
CVS Caremark Corporation July 2011 - Present
WellCare Health Plans, Inc December 2004 - July 2011
Aetna, Inc August 1997 - December 2004
John Deere Health Care (now a division of United HealthGroup) August 1995 - August 1997
United HealthCare of NC (formerly PHP of NC) 1990 - 1995
Skills
Healthcare, Managed Care, Medicare, Regulatory Affairs, Cross-functional Team..., Health Insurance, Medicaid, Medicare Part D, Program Management, Health Policy, Risk Management, Healthcare Consulting, HIPAA, Strategic Planning, Provider Relations, Policy
Education
East Tennessee State University
M.P.H, Health Administration
Zomermaand Management Services, Inc. October 1998 - Present
WellCare Health Plans, Inc. December 2006 - November 2008
WellCare May 2004 - December 2006
WellCare May 2003 - May 2004
Physician Corporation of America February 1993 - September 1997
Citibank May 1986 - January 1993
Education
Fordham Gabelli School of Business 1974 — 1976
MBA, Finance/Operations
Hope College 1968 — 1972
BA, Mathematics, Business Administration
Self-Employed September 2010 - Present
WellCare Health Plans, Inc. 2003 - 2008
First American Real Estate Information Svcs, Inc. 1995 - 2001
Paradyne Corporation 1985 - 1995
Skills
Strategic Planning, Organizational Design, HR Program Development..., Talent Management, Performance Management, Employee Engagement, Recruiting, Employee Benefits, Executive Coaching, Coaching, Program Management
Education
Montclair State University
BS, Psychology
Stevens Institute of Technology
MS, Applied Psychology
Syniverse April 2015 - Present
WellCare Health Plans, Inc. November 2005 - April 2015
Hill, Ward & Henderson January 2003 - September 2005
WilmerHale September 2000 - December 2002
LeClairRyan August 1996 - September 2000
Skills
Legal Compliance, Due Diligence, Managed Care, Policy, Health Insurance, Subsidiaries, SEC filings, Risk Management, Leadership, Employment Law, Corporate Law, HIPAA, Strategic Planning, Process Improvement, Mergers, Corporate Governance, Acquisition Integration, Management, Statutory Audit, Legal Writing, Information Governance, Microsoft Office, Licensing, Regulatory, Mergers & Acquisitions
Education
American University - Kogod School of Business 1989 — 1992
BSBA, International Business
Humana April 2014 - Present
Evolent Health August 2013 - April 2014
Alere Health 2010 - August 2013
WellCare Health Plans, Inc. 2005 - 2010
Mercer 2001 - 2005
Premier Health Partners 1998 - 2001
Amerigroup Corporation 1996 - 1998
University Hospitals Health System 1993 - 1996
Skills
Health Plans, Healthcare, Medicaid, Disease Management, Medicare, Healthcare Management, Health, Health Policy, Healthcare Industry, HIPAA, Hospitals, Health Insurance, Provider Relations, Physicians, Managed Care, Healthcare Consulting, Healthcare Information..., Utilization Management, Revenue Cycle, Clinical Research, EHR, Quality Improvement, Informatics, Credentialing, Home Care, Medical Billing, Nursing, Physician Relations, Practice Management, EMR
Education
Cleveland State University 1992 — 1994
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Franklin University 1985 — 1987
Bachelor's Degree, Management Science
The Ohio State University 1979 — 1983
Bachelor's degree, Human Biology/History
Boeing Implementation ConsultantBenefitfocusMarch 2012 - August 2013
WellCare Health Plans, Inc. 2008 - 2011
Schaller Anderson 2005 - 2007
Schaller Anderson 2004 - 2005
Schaller Anderson 2001 - 2002
Skills
Process Improvement, Managed Care, Healthcare, Medicare, HIPAA, Legal Research, Legal Compliance, Legal Assistance, Legal Translation, Project Planning, Proofreading, MS Project, Project Coordination, Training, Training Delivery, Employee Training, Hands-on Training, Instructor-led Training, Medicaid, Policy Writing, RFP, Healthcare Management, Employee Benefits, Healthcare Consulting, SharePoint, Business Process..., Project Management, Quality Auditing, SDLC, PowerPoint, Healthcare Information..., Health Insurance, Quality Assurance, Software Documentation, Healthcare Industry
Education
College of Charleston 1997 — 2001
Bachelor of Science, Sociology
Molina Healthcare of Ohio, Inc. August 2013 - December 2014
WellCare Health Plans, Inc September 2010 - December 2012
Talus Brokerage Services September 2003 - May 2010
Combined Aon Worksite Solutions (A unit of Aon Consulting and Combined Insurance Company) February 2003 - September 2003
Pacific Life February 2000 - October 2002
Skills
Health Insurance, Employee Benefits, Insurance, Disability Insurance, Health Savings Accounts, Term Life Insurance, Brokers, Life Insurance, Underwriting, Long-term Care, Medicare, Dentistry, Accident, Benefits Administration, Medicare Part D, Critical Illness, Managed Care, Medicaid, Universal Life, Claim, Health Policy, Whole Life, Commercial Insurance, Property & Casualty..., Workers Compensation, Health Care Reform, General Insurance, Claims Management, Umbrella Insurance, COBRA, Sales, Long Term Care Insurance
Education
Franklin University
Business Management
University of Cincinnati College of Business
Business Administration
RobinSon Insurance Enterprises July 2014 - Present
Eden Health Plans July 2014 - Present
Preferred Medical Plan, Inc. October 2012 - May 2014
Preferred Medical Plan, Inc. November 2011 - October 2012
AIDS Healthcare Foundation/Positive Healthcare Partners/Positive Healthcare Florida August 2008 - October 2011
New York Life Insurance Company November 2007 - January 2009
Access Health Solutions April 2007 - September 2007
Wellcare Health Plans, Inc October 2006 - April 2007
Wellcare Health Plan, Inc February 2005 - October 2006
Elmhurst Hospital Center September 1997 - May 2004
Skills
Coaching, Marketing Strategy, Marketing Management, Financial Sales, Medicare, medicaid, Provider Relations, Provider Contracting, Sales Management, Medicaid, Revenue Cycle Management, EMR, Practice Management, Healthcare Consulting, Healthcare, PPO, Process Improvement, HIPAA, Hospitals, Insurance, Marketing, Healthcare Industry, Sales, Leadership, Business Development, Healthcare Information..., Physician Relations, Healthcare Management, Revenue Cycle, Managed Care, Network Development, Health Insurance, Training, Physicians, Long-term Care, HMO, Community Outreach, Team Building, Management, Strategic Planning, Customer Service, Medicare Part D, Credentialing, Health Policy, Health Care Reform, EHR, Claim, Performance Improvement
Education
The New School 1995 — 1997
M.S, Health Services Management
State University of New York at Binghamton 1986 — 1991
B.S, Management, Marketing
WellCare Health Plans, Inc. August 2011 - Present
WellCare Health Plans, Inc. September 2010 - July 2011
WellCare Health Plans, Inc. September 2009 - August 2010
Skills
Healthcare, Quality Improvement, Managed Care, Medicare, Healthcare Management, Medicaid, Strategic Planning, Health Insurance, Process Improvement, HIPAA, Microsoft Office, Team Building, Microsoft Excel, Hospitals, Policy, Accreditation, NCQA, Healthcare Consulting
Education
University of South Florida 2007 — 2011
Master's degree, Public Health
University of Central Florida 2002 — 2004
Bachelor's degree, Health Services Administration
WellCare Health Plans March 2012 - March 2014
WellCare Health Plans, Inc. November 2011 - March 2012
Insco Insurance Services, Inc. March 2008 - February 2011
Lincoln General Insurance Company August 2007 - March 2008
Lincoln General Insurance Company August 2006 - August 2007
Marsh June 2004 - July 2006
Skills
Microsoft Excel, Commercial Insurance, Business Analysis, Access, Financial Analysis, Finance, Underwriting, SAS, Management, SAS Enterprise Guide, MS Excel, MS Access, MS Word, MS Outlook, MS PowerPoint, Medicaid Managed Care, Medicare Advantage, Healthcare
Education
University of South Florida 2007 — 2009
Masters in Business Administration, Finance
Duquesne University 2000 — 2004
Bachelor of Science in Business Administration, Finance & Investment Management
Wellcare Health Plans, Inc January 2004 - January 2008
Junior Achievement Ghana January 2000 - January 2004
Education
DeVry University 2009 — 2012
DeVry University
Bachelor of Science, Technical Management
University of Science and TechnologyKumasi
Bachelor of Art
UnitedHealth Group December 2014 - Present
wellcare health plans, inc. February 2011 - November 2014
Merrill Lynch April 2007 - January 2009
Skills
Medicare, Microsoft Office, Insurance, Healthcare, Outlook, Health Insurance, Life Insurance, Sales, Customer Service, Employee Benefits, Leadership
Education
MCNY 2002 — 2003
MBA- General Management, Management, 3.4
Metropolitan College of New York 2002 — 2003
masters of business administration, Business Administration and Management, General
Hampton University 1997 — 2001
Bachelor of Arts (B.A.), Political Science/ Pre Law
Hampton University
bachelor of arts, political science/ pre law
Michael's Arts and Crafts October 2007 - Present
WellCare January 2001 - October 2007
WellCare Health Plans, Inc. 2001 - 2007
Skills
Knit and Crochet, Knitwear, Process Improvement, Software Documentation, Outlook, Business Analysis
Education
University of Maryland College Park 1960 — 1982
Brooklyn Park High School 1954 — 1960
WellCare Health Plans September 2014 - Present
WellCare Health Plans, Inc. June 2013 - September 2014
WellCare July 2012 - June 2013
CompWest Insurance February 2009 - October 2010
Workers' Compensation Insurance Rating Bureau February 1999 - February 2009
Skills
Health Insurance, Insurance, Medicare, Managed Care, Claim, Medicaid, HIPAA, Process Improvement, Employee Benefits, Provider Relations, Customer Service, Business Analysis, Vendor Management, Workers' Compensation, Supervisory Experience, Team Leadership, Microsoft Excel, Microsoft Word, Account Management, Public Speaking, Training, Risk Management
Education
California State University-East Bay
Master of Public Administration (MPA), Health Services Administration
University of California, Davis
Bachelor of Arts (BA), Sociology