Wellcare, 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, Inc Employees
Cigna July 2013 - Present
WellCare Inc. March 2006 - June 2013
Apria Healthcare Inc. 2002 - 2006
Humana Inc. 1995 - 2001
Skills
Healthcare, Leadership, Strategy, Management, Sales, Recruiting, Project Management, Insurance, Account Management, Medicare, Brokers, Team Building, Health Insurance, Managed Care, Employee Benefits, Strategic Planning
Education
University of South Florida
Bachelor's degree
University of South Florida
School Of Mass Communication
nursing and healthcare insurance January 1983 - Present
JSA Healthcare Corporation September 2014 - Present
Intralign January 2014 - July 2014
Professional Health Choice February 2013 - December 2013
Transatlantic Healthcare August 2010 - February 2013
WellCare, Inc May 2007 - December 2009
University Community Hospital January 2001 - May 2007
University Community Hospital January 2000 - January 2001
DDI Management Training January 1991 - December 1996
Skills
Healthcare, Managed Care, HIPAA, Hospitals, Nursing, Provider Relations, Health Insurance, HMO, Medicare, Network Development, Health Policy, Training, Leadership, Healthcare Consulting, EHR, Revenue Cycle, Healthcare Information..., Policy, Revenue Cycle Management, Physicians, Healthcare Management, Physician Relations, Informatics, Medicaid, Insurance, Recruiting, Healthcare Industry, Utilization Management, Process Improvement, Home Care, PPO, Credentialing, Disease Management, Case Management, Software Documentation, Employee Benefits, Medicine, Claim, Medical Billing, Long-term Care, Quality Improvement, Medical Coding, EMR, Medical Records, Practice Management, Medical Terminology, CPT, Medicaid Managed Care, ICD-9, Medical Compliance
Education
St. Petersburg College 2010 — 2014
Currently attending, Business Administration
Bob Houge School of Real Estate 2013 — 2013
Licensed Real Estate Associate
Clayton State University 1981 — 1983
LPN, classes towards AA
Horizon Blue Cross Blue Shield of New Jersey July 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2014 - Present
Alexandria Technical and Community College May 2011 - Present
CareCentrix June 2013 - September 2014
CL Healthcare Solutions, Inc. May 2013 - 2014
American Managed Care April 2013 - May 2013
American Managed Care May 2012 - April 2013
WellCare, Inc June 2009 - April 2012
St. Cloud Medical Group April 2008 - June 2009
Allina Hospitals & Clinics November 2005 - April 2008
Skills
Compliance, Billing, Revenue Cycle, Claims, Policy, HEDIS, Quality Management, Regulatory Policy, Regulatory Requirements, Performance Improvement, Key Performance..., Understanding Medical..., Team Leadership, Highly Effective Teams, Medical Coding, Claim, Data, Insurance, Medicaid, Managed Care, Healthcare, CPT, Disease Management, HMO, Leadership, Healthcare Consulting, Training, Software Documentation, Health Policy, Medical Billing, EHR
Education
Cornell University 2013 — 2013
Health Care Executive Leadership
Herzing
Bachelor of Science, Business Administration
Rasmussen Business College
Associate of Applied Science, Health Information Technology2002
Wellcare Inc. January 2011 - Present
Perception Programs, Inc. June 1993 - March 2013
Rhode Island Department of Health September 1987 - September 1994
Derpartment of Corrections, Massachusetts June 1986 - June 1993
Harvard Cocaine Recovery Project September 1989 - September 1991
Caritas House September 1978 - September 1985
Skills
Mental Health, Adolescents, Case Managment, Marriage and Family..., Grant Writing, Correctional, Substance Abuse..., Group Therapy, Crisis Intervention, Psychotherapy, Public Health, Family Therapy, Motivational..., Behavioral Health, Treatment, Clinical Supervision, Therapists, Interventions, Counseling Psychology, Psychological Assessment, Case Management
Education
Harvard University Graduate School of Education 1985 — 1987
Ed.M., Counseling Psychology, Honors
Goddard College 1978 — 1981
Bachelor of Arts (BA), Counseling Psychology
Community College of Rhode Island 1976 — 1978
Associate of Arts (AA), Counseling Psychology
Notre Dame School
High School Degree, Business Administration and Management, General, HIgh Honors
The University of Vermont Medical Center February 2015 - Present
Alphabettercare September 2014 - December 2014
WellCare Inc. May 2014 - September 2014
WellCare Health Plans February 2014 - May 2014
CVPH Medical Center August 2009 - December 2013
CVPH Medical Center July 2007 - August 2009
Rite Aid March 2002 - January 2009
Skills
HIPAA, Medical Terminology, Data Entry, Hospitals, Patient Safety, Clerical Skills, CPR Certified, Microsoft Word, EMR, Mental Health, ACLS, Microsoft Excel, Customer Service, Filing, Siemens Soarian, Soarian Clinicals, Typing, Critical Thinking, Customer Satisfaction, Telephone Skills, Spreadsheets, Vital Signs, Mental Health Care, Blood Pressure, Direct Patient Care, Quality Patient Care, eClinical Works, Behavioral Health, Psychology, Social Psychology, Documentation, Appointment Scheduling, Healthcare, Public Speaking, Time Management, Microsoft Office, BLS, Outlook, Inpatient, EKG
Education
State University of New York College at Plattsburgh 2011 — 2015
Bachelor's degree, Psychology
Clinton Community College 2004 — 2010
Associate's degree, Liberal Arts and Sciences/Liberal Studies
Plattsburgh High School 2000 — 2004
High School Diploma, General Studies
Ditech Mortgage Corp August 2015 - Present
Hudson Highland Group, Inc November 2005 - Present
Wellcare, Inc March 2005 - November 2005
Gevity, Inc September 1999 - March 2005
Skills
PeopleSoft, Human Resources, Analysis, Forecasting, Deferred Compensation, Performance Management, Compensation, Data Analysis, Onboarding, Sales Compensation, Project Management, Job Pricing, Compensation Strategies, Microsoft Excel, Talent Acquisition, Retention Strategies, Executive Search, Interviews, Contract Recruitment, Recruiting
Education
University of South Florida - College of Business Administration 1995 — 1999
B.A., Business Administration
TransUnion 2014 - Present
AmerisourceBergen 2013 - 2014
United Health Group Inc 2009 - 2011
Wellcare Inc 2007 - 2008
Humana Inc 2005 - 2006
Boston Medical Center Health Net Plan 2004 - 2005
United Health Group Inc 2002 - 2004
Aetna, Inc 2001 - 2002
Tufts Health Plan, Secure Horizons 1997 - 2000
Skills
Medicare, Healthcare, Hospitals, Access, Provider Relations, Employee Benefits, Physicians, Recruiting, Credentialing, Policy, Home Care, Customer Service, Software Documentation, Managed Care, Healthcare Management, Team Building
Education
Brandeis University 1990 — 1994
Bachelor of Arts Degree, Sociology and African-American Studies
Harvard University Extension School
Health/Health Care Administration/Management
Wellcare Inc June 2014 - Present
WellCare Health Plans November 2012 - June 2014
Medco November 2011 - April 2012
Valley Medical Group November 2007 - September 2011
Pensacola Open MRI January 2005 - June 2006
Hillsborough County Library January 2001 - January 2005
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Microsoft Publisher, Typing, Appointment Scheduling, Copy Editing, Phone Skills, Customer Service, Pharmacy Technicians, Medicare Prescription..., Prescription Drugs, Multi Tasking, Telephone Skills, HIPAA, Healthcare, Hospitals, Training, Data Entry, Case Management, Managed Care, Management
Education
Chipola College 1998 — 1999
Chipley High School 1995 — 1999
Hillsborough Community College
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, Inc September 2013 - Present
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Teaching, HTML, Certified Case Manager
Education
Mercer University
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Y&L Consulting November 2014 - Present
Hangar9 Solutions October 2012 - October 2014
WorldWide Tech Services June 2008 - October 2012
Wellcare, Inc January 2008 - June 2008
Stream, Inc February 2007 - January 2008
Valley Motors, Inc June 1995 - January 2003
U.S. Army June 1985 - September 1992
Skills
Hardware, Operating Systems, Linux, Technical Support, Integration, Networking, Databases, Microsoft SQL Server, Visio, Active Directory, XP, Windows, Computer Hardware, Troubleshooting, Disaster Recovery, Information Technology, Servers, System Administration, Cloud Computing, Virtualization, IT Management
Education
United States Military Academy at West Point 1981 — 1985
Bachelor of Science, Economics
Cloud2db January 2009 - Present
SIFI Technologies, LLC March 2003 - December 2008
Wellcare, Inc November 2007 - March 2008
WellPoint March 2004 - December 2005
Aetna March 2003 - April 2004
Aetna November 2002 - March 2003
Oxford Health Plans April 1995 - November 2002
Foundation Software November 1990 - August 1993
Education
University of Mumbai 1984 — 1988
BS, Physics
Blue Cross Blue Shield of Michigan July 2012 - Present
UnitedHealthcare October 2007 - July 2012
WellCare Inc. September 2006 - September 2007
Humana January 2006 - April 2006
Skills
MS Project, Managed Care, Medicare, Health Insurance, Process Improvement, Medicaid, Healthcare, Cost Benefit, Managerial Finance, Benefit Cost Analysis, Healthcare Management, Cost Management, Healthcare Analytics, Strategy, HIPAA, SDLC, Project Management, Health Policy, Informatics, Leadership, Disease Management, Insurance, Healthcare Consulting, Healthcare Information..., Healthcare Industry, Utilization Management, Pharmacy Benefit..., Data Analysis, Quality Improvement, Employee Benefits, Revenue Cycle, EHR, Physicians, Visio, Claim, Provider Relations, Hospitals, EMR, Practice Management, Public Health, Cross-functional Team..., Pharmacy, Program Implementation, Policy, Executive Management, Network Development, Access, Program Management, Risk Management, Software Documentation
Education
Sacred Heart University 2009 — 2012
MBA, Marketing, Management
Banaras Hindu University 2003 — 2005
MPA, Public Policy
University of Madras 2000 — 2003
BA, History
loyola school
Market America, Inc. August 2011 - Present
Wellcare, Inc February 2006 - Present
Salve Regina University September 2004 - Present
MinuteClinic September 2007 - August 2012
Rhode Island Hospital 1998 - 2002
Skills
Nurse Practitioners, Healthcare, Nursing, Nursing Education, Primary Care, BLS, Wellness, ANCC, Acute Care, Family Medicine, Patient Education, Adolescent Health, Medical/Surgical, Prevention, Weight Management, Women's Health
Education
University of Colorado Colorado Springs 2010 — 2013
Doctorate of Nursing Practice, Nursing Practice
Duke University 1993 — 1996
MSN, Nursing
Fitchburg State University 1988 — 1992
BSN, Nursing
Fitchburg State University 1988 — 1992
BSN, Nursing
UnitedHealth Group November 2014 - Present
Wellcare Inc. October 1999 - Present
MCPHS University January 2014 - Present
Zipnosis December 2012 - December 2014
UnitedHealth Group January 2014 - November 2014
UnitedHealth Group February 2013 - December 2013
CVS Caremark Corporation January 2009 - July 2012
Georgetown University October 2011 - June 2012
CVS Caremark Corporation August 2006 - December 2008
Skills
Healthcare, Healthcare Management, Nursing, Hospitals, Medicine, EMR, Clinical Research, Budgets, Health Education, Healthcare Information..., Leadership, Mental Health, Disease Management, Family Medicine, Managed Care, Management, Quality Improvement, Team Building
Education
University of Rhode Island 1988 — 1994
Master of Science, Nurse Practitioner
Rhode Island College
BSN, Nursing
Our Lady of Fatima
LPN, Licienced Practical Nurse
Univita Health Inc August 2014 - July 2015
Univita Health Inc July 2012 - August 2014
MED3000 March 2011 - July 2012
WellCare, Inc September 2008 - October 2010
UnitedHealth Group December 1989 - August 2008
Skills
Recruiting, Performance Management, Talent Management, Leadership, Organizational..., Process Improvement, Employee Relations, Human Resources, Training, Onboarding, HRIS, Succession Planning, Personnel Management, Talent Acquisition
Education
Central Michigan University
MA, Human Resources Management
The Ohio State University
BA, Liberal Arts
Wellcare Inc. September 2012 - November 2013
Humana Inc. June 2006 - July 2011
Humana Inc. June 2005 - June 2006
Fidelis Care November 2001 - June 2005
Capital Health Plan March 2001 - November 2003
Blue Cross of Northeastern Pennsylvania June 1997 - March 2001
Pacificare/FHP March 1996 - June 1997
Community Health Network August 1994 - March 1996
Skills
Medicaid, Fixed Annuities, Dentistry, Policy, Time Management, Administrative..., Insurance, Outlook, Claim, Medicare, Strategic Planning
Education
Florida State University
History, 3.5
Rowan University
Bachelor's degree, Social Studies Teacher Education, 3.15