WellCare of Georgia
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WellCare of Georgia Employees
WellCare of Georgia February 2013 - Present
Peach State 2003 - 2010
Peach State Health Plan, Smyrna, GA August 2005 - November 2006
Skills
Provider Relations, Managed Care, Health Insurance, Medicare, Medicaid, Network Development, Provider Contracting, Contract Negotiation, Strategic Planning, HIPAA, Revenue Cycle, Healthcare Consulting, Healthcare, Insurance, PPO, Health Policy, EMR, Physicians, Hospitals, Healthcare Industry, Healthcare Information..., Claim, Practice Management, HMO, EHR, Leadership
Education
Troy University 1968 — 1974
Business, Finance/General Business
Troy State University
Bachelor's degree, Business Administration/Finance
Le-Vel April 2014 - Present
Peach State Health Plan October 2011 - Present
WELLCARE OF GEORGIA October 2006 - February 2011
SOUTHWEST GEORGIA COMMUNITY ACTION COUNCIL January 2004 - October 2006
ARMS, INCORPORATED September 2001 - January 2004
BOBS CANDIES, INCORPORATED January 1996 - September 2001
Skills
Community Organizing, Community Service, Access, Case Management, Community Development, Community Outreach, Deferred Compensation, Editing, Event Management, Event Planning, Fundraising, HIPAA, Healthcare, Healthcare Management, Human Resources, Marketing, Medicare, Microsoft Office, Nonprofits, Outstanding..., PowerPoint, Program Development, Project Management, Public Relations, Public Speaking, Social Media, Social Networking, Volunteer Management, Training
Education
Albany Technical College
Business Management
Meadows College of Business
Business Administrative Certificate
University of Phoenix
University of Phoenix
Business Management
Swift, Currie, McGhee & Hiers January 2015 - Present
ESCCreations June 2004 - December 2014
Travelers February 2014 - October 2014
McGladrey August 2013 - October 2013
WellCare of Georgia March 2013 - May 2013
The Home Depot with Staffmark January 2012 - November 2012
Fink, Cohen and Snyder LLC. June 2005 - October 2011
Fish and Neave-Ropes and Gray 1993 - 2000
Skills
Fashion, Customer Service, Apparel, Merchandising, Retail, Loss Prevention, Visual Merchandising, Fashion Design, Textiles, Social Media Marketing, Inventory Management, Styling, Store Management, Retail Sales, Microsoft Excel, Microsoft Office, SharePoint, Lotus Notes, Typing, Legal Research, Litigation Support, PowerPoint, Sourcing, Adobe Acrobat, Wordperfect, Analysis, Pleadings, Document Review, Spreadsheets, Legal Documents, Lexis, Depositions, Notary Public, Personal Injury, Legal Assistance, Outlook, Training, Legal Writing, Litigation, Contract Negotiation, Trials, Process Improvement, Microsoft Word, Social Media, Leadership, Team Building, Westlaw
Education
Long Island University, Brooklyn Campus 1999 — 2001
Bachelor's degree, Psychology
Murry Bergtraum High School 1990 — 1993
High School Diploma, Clerical Office Studies
WellCare Health Plans August 2015 - Present
WellCare Health Plans March 2015 - August 2015
WellCare September 2013 - March 2015
WellCare January 2013 - September 2013
WellCare July 2011 - January 2013
UHS-Pruitt Corporation October 2010 - July 2011
UHS-Pruitt Corporation June 2010 - October 2010
WellCare July 2009 - June 2010
WellCare of Georgia March 2008 - July 2009
WellCare of Georgia June 2007 - March 2008
Skills
Compliance, Quality Management, Public Speaking, Medicaid, Medicare, Provider Relations, Managed Care, Network Development, Technical Writing, Government Relations, Call Center, Profit & Loss Management, Medical Economics, Credentialing, Medicaid Managed Care, NCQA, Training, Health Economics, Healthcare, Call Centers, Healthcare Management, Long-term Care, Contract Negotiation, Health Policy, HMO, Healthcare Information..., P&L Management, HIPAA, Start-ups, EHR, Program Management, Healthcare Industry, Leadership, Healthcare Consulting, Management, Utilization Management, PPO, Quality Improvement, Health Insurance, Disease Management, Strategic Planning, Strategy, Physicians, Policy, Health Care Reform, Revenue Cycle, Revenue Cycle Management, Medicare Part D, Pharmacy Benefit..., Physician Relations
Education
University of Tennessee-Knoxville 1981 — 1985
Tusculum College 2002 — 2003
B.S.
Molina Healthcare July 2013 - Present
Apex Systems May 2013 - July 2013
Peach State Health Plan September 2012 - May 2013
WellCare of Georgia March 2009 - August 2012
WellCare of Georgia, Inc March 2009 - August 2012
iHealth Technology, Inc July 2007 - March 2009
iHealth Technologies 2007 - 2009
J Alexander & Associates, Inc January 2000 - July 2007
J Alexander & Associates, LLC June 1999 - July 2007
Dermatology Associates January 1995 - June 1999
Skills
Medical Billing, Medical Coding, Medicaid, Revenue Cycle, Claims, CPT, ICD-9, Credentialing, HIPAA, Healthcare, Managed Care, Healthcare Management, Medical Terminology, Hospitals, Medicare, EHR, Billing, Health Insurance, Compliance, Healthcare Consulting, Insurance, Healthcare Compliance, Radiology, Data Analysis, Healthcare Information..., Auditing, Practice Management, Problem Solving, Physician Practice..., Supervisory Skills, Outlook, Excel, Microsoft Excel, HEDIS, ICD-10, EMR, Health Policy, Health Information..., Revenue Cycle Management, Healthcare Industry, Quality Improvement, Health Information..., Network Development, Policy, Training, Medicare/Medicaid..., PPO, Healthcare Reimbursement, Ambulatory, Epic Systems
Education
DeVry University 2010 — 2012
Associates of Applied Science
DeVry University 2009 — 2012
Bachelor of Applied Science (BASc)
WellCare of Georgia August 2014 - Present
Memorial Health System August 2004 - Present
Memorial Health System August 2004 - Present
University of Colorado Health June 2012 - August 2014
Baskin Robbins 1983 - 1985
Skills
Conscious Sedation, Cerner, Hospitals, EMR, Nursing, Informatics, Healthcare Management, Healthcare, Healthcare Information..., Software Documentation, Clinical Research, Epic Systems, ACLS, Inpatient, Patient Safety, Meditech, HIPAA, EHR, BLS, Critical Care, Acute Care
Education
University of Phoenix
Bachelor Health Care Administration, Health Care Administration/Information Systems
AmeriHealth Caritas April 2013 - Present
United HealthCare of the Mid-Atlantic January 2010 - April 2013
WellCare of Georgia January 2005 - May 2009
ACS Healthcare Provider Solutions January 2003 - November 2004
Aetna US Healthcare 1996 - 2002
United Health Care 1992 - 1996
Skills
Managed Care, Provider Relations, Medicaid, Medicare, Credentialing, Healthcare, Network Development, Provider Contracting, HMO, PPO, Healthcare Industry, Insurance, Medical Billing, Health Policy, Physicians, ICD-9, Hospitals, HIPAA, Healthcare Consulting, Utilization Management, Health Insurance, CPT, Physician Relations, Disease Management, Medical Coding, Claim, Healthcare Information..., Medical Compliance, Medicare Part D, Medicaid Managed Care, Revenue Cycle, Pharmacy Benefit..., Healthcare Management, Leadership, EHR, Claims Resolution, Revenue Cycle Management, Healthcare Reimbursement, Nursing, Practice Management, Medical Terminology, Medicare/Medicaid..., Provider Network..., Training, Quality Improvement, Policy, EMR, Employee Benefits, Health Information..., Long-term Care
Education
Shorter University 2008 — 2010
Business Administration
Central State University
Art Education
Patterson Co-op
Patterson Co-op
Sinclair Community College
Business Administration
Wogaman
WellCare of Georgia September 2005 - Present
First Step Program of Sumter County January 2000 - Present
Friends on a Mission Outreach Inc January 2000 - Present
Sumter County Board of Education November 2004 - September 2007
Southwest Georgia Healthcare Association July 2000 - September 2005
Education
Georgia Southwestern State University 2000 — 2002
Master of Social Administration, Business Administration
Georgia Southwestern State University
Bachelor of Science Degree with a, Political Science
Argosy University
Pursuing a Doctoral of Education Degree; and a Master of Divinity Degree, Organizational Leadership; Biblical studies
Memorial Health University November 2010 - Present
WellCare of Georgia 2006 - 2009
Skills
IRB, Managed Care, Healthcare Management, HIPAA, Clinical Research, Team Building, Research Ethics, Clinical Trials, Program Management, Quality Improvement, Regulatory Compliance, Oncology Clinical..., GCP, Process Improvement, Psychology, Healthcare, Hospitals, Patient Safety, Nursing, Software Documentation, Research, Treatment, Program Development, EMR, Medicare, EHR
Education
Massachusetts School of Professional Psychology 1994 — 1999
Psy.D, ABD, psychology
The University of Georgia 1984 — 1987
BA, Psychology
Molina Healthcare 2014 - Present
Avesis, Inc. October 2012 - August 2014
WellCare of Kentucky September 2011 - October 2012
WellCare of Georgia July 2010 - September 2011
WellCare of Georgia November 2008 - September 2010
WellCare of Georgia, Inc May 2006 - November 2008
AMERIGROUP Community Care2005- 2006 September 2005 - May 2006
Children's Healthcare of Atlanta January 2004 - September 2005
Humana Inc June 2003 - January 2004
PROMINA Health System 2001 - 2003
Skills
Insurance, Managed Care, Medicare, Network Development, Health Policy, Medicaid, Healthcare, HMO, Provider Relations, PPO, Healthcare Management, Medicaid Managed Care, Health Insurance, Quality Improvement, Behavioral Health, Hospitals, Disease Management, HIPAA, Credentialing, Revenue Cycle, Utilization Management, Physicians, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Policy, EHR, Claim, Pharmacy Benefit..., Physician Relations
Education
Florida State University 1989 — 1991
Bachelor’s Degree
WellCare Health Plans July 2014 - Present
WellCare 2013 - Present
WellCare October 2009 - Present
WellCare of Georgia 2009 - 2012
State of Georgia May 2005 - November 2009
Skills
Community Outreach, Social Services, Case Managment, Healthcare, Grant Writing, Volunteer Management, Conflict Resolution, Mental Health, Psychotherapy, Medicaid, Medicare, Managed Care, Program Development, Healthcare Management, Health Education
Education
Clark Atlanta University 1993 — 1997
BA, Finance
University of Michigan
Master of Social Work (MSW), Interpersonal Practice Children Youth &Families
WellCare of Georgia March 2012 - Present
Life Link of Georgia February 2007 - March 2012
Skills
Media Relations, Corporate Communications, Community Development, Public Relations, Photography, Event Planning, Press Releases, Public Speaking, Community Outreach, Newsletters, Editing, Event Management, Fundraising, Nonprofits, Grant Writing
Education
Savannah State University 2001 — 2003
Masters Degree, Public Administration
Savannah State University 1994 — 1998
Bachelor of Arts (B.A.), Mass Communication/Media Studies
WellCare January 2011 - Present
WellCare of Georgia January 2009 - January 2011
Healthy Mothers, Healthy Babies Coalition of Georgia April 2004 - May 2006
Healthy Mothers, Healthy Babies Coalition of Georgia June 2000 - April 2004
Skills
Leadership, Strategic Planning, Medicaid, Managed Care, Healthcare, Health Insurance, Community Outreach, Public Speaking, Customer Service, Microsoft Office, Medicare, Case Management, HIPAA, Utilization Management, Health Policy, Healthcare Management, Disease Management, Insurance, Provider Relations, Long-term Care
Education
University of Phoenix 2002 — 2004
Master of Arts (M.A.), Organizational Management
Mercer University 1999 — 2002
Bachelor's of Science, Human Services, General
Coventry Health Care, an Aetna Company October 2012 - Present
Windsor Health Plan January 2012 - September 2012
WellCare of Georgia 2005 - 2012
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Outlook, Teaching, Public Speaking, Microsoft Office, Managed Care, Medicare, Healthcare, Quality Improvement, Health Policy
Education
Columbia International University 1986 — 1987
Bible/Biblical Studies
Saint Vincent Health Center School of Nursing 1979 — 1981
Diploma, Registered Nursing/Registered Nurse
WellCare of Georgia May 2013 - Present
WellCare of Georgia April 2008 - May 2013
American Cancer Society November 2000 - April 2008
Baptist Hospital Worth County December 1998 - November 2000
Skills
Health Insurance, Provider Relations, Medicare, Insurance, HMO, Medicaid, Network Development, PPO, Managed Care, Claim, HIPAA, Medicare Part D, Process Improvement, Call Center, Employee Benefits, Customer Service, Vendor Management, Revenue Cycle
Education
Abraham Baldwin Agricultural College 1995 — 1998