Resumes
Resumes
Location:
Los Angeles, CA
Industry:
Insurance
Work:
St. Joseph Health Jul 2003 - Sep 2009
Executive Director, Claims
Hoag Hospital Greater Newport Physicians Aug 1999 - Feb 2003
Claims Manager
Intergroup of Arizona Nov 1997 - Jun 1998
Director, Claims
Value Behavioral Health Dec 1996 - Oct 1997
Director, Claims
Management Facilities Corporation 1994 - 1995
Claims Manager
Executive Director, Claims
Hoag Hospital Greater Newport Physicians Aug 1999 - Feb 2003
Claims Manager
Intergroup of Arizona Nov 1997 - Jun 1998
Director, Claims
Value Behavioral Health Dec 1996 - Oct 1997
Director, Claims
Management Facilities Corporation 1994 - 1995
Claims Manager
Education:
University of Phoenix 2007 - 2009
Master of Business Administration, Masters, Business California State University, Long Beach 1983 - 1985
Bachelors, Bachelor of Science, Health Science, Health Education Riverside City College 1978 - 1983
Associates, Associate of Arts
Master of Business Administration, Masters, Business California State University, Long Beach 1983 - 1985
Bachelors, Bachelor of Science, Health Science, Health Education Riverside City College 1978 - 1983
Associates, Associate of Arts
Location:
26665 Ironwood Ave, Moreno Valley, CA 92555
Industry:
Hospital & Health Care
Work:
Caloptima
Executive Director, Operations
Moss Adams Llp Oct 2014 - Feb 2015
Manager, Healthcare Consulting
Ppmc Oct 2013 - Mar 2014
Vice President of Business Process Improvement
Ppmc Apr 2013 - Oct 2013
Director of Quality Assurance and Training
Iehp Nov 2010 - Apr 2013
Claims Manager, Medi-Cal Operations and Claims Cost Containment
Executive Director, Operations
Moss Adams Llp Oct 2014 - Feb 2015
Manager, Healthcare Consulting
Ppmc Oct 2013 - Mar 2014
Vice President of Business Process Improvement
Ppmc Apr 2013 - Oct 2013
Director of Quality Assurance and Training
Iehp Nov 2010 - Apr 2013
Claims Manager, Medi-Cal Operations and Claims Cost Containment
Education:
University of Phoenix 2007 - 2009
Master of Business Administration, Masters, Business California State University, Long Beach 1983 - 1985
Bachelors, Bachelor of Science, Health Science, Health Education Moreno Valley High School
Riverside City College
Associates, Associate of Arts, General Education
Master of Business Administration, Masters, Business California State University, Long Beach 1983 - 1985
Bachelors, Bachelor of Science, Health Science, Health Education Moreno Valley High School
Riverside City College
Associates, Associate of Arts, General Education
Skills:
Healthcare
Medicare
Hipaa
Managed Care
Medicaid
Insurance
Health Insurance
Process Improvement
Healthcare Management
Hmo
Healthcare Information Technology
Software Documentation
Leadership
Claim
Business Process Improvement
Team Building
Training
Utilization Management
Call Centers
Hospitals
Data Analysis
Emr
Physician Relations
Strategic Planning
Medical Billing
Revenue Cycle
Practice Management
Medical Terminology
Employee Benefits
Provider Relations
Health Policy
Healthcare Industry
Ehr
Healthcare Consulting
Analysis
Physicians
Medical Coding
U.s. Health Insurance Portability and Accountability Act
Visio
Claims Management
Quality Improvement
Performance Improvement
Epic Systems
Informatics
Credentialing
Business Analysis
Policy
Program Management
Disease Management
Medicare
Hipaa
Managed Care
Medicaid
Insurance
Health Insurance
Process Improvement
Healthcare Management
Hmo
Healthcare Information Technology
Software Documentation
Leadership
Claim
Business Process Improvement
Team Building
Training
Utilization Management
Call Centers
Hospitals
Data Analysis
Emr
Physician Relations
Strategic Planning
Medical Billing
Revenue Cycle
Practice Management
Medical Terminology
Employee Benefits
Provider Relations
Health Policy
Healthcare Industry
Ehr
Healthcare Consulting
Analysis
Physicians
Medical Coding
U.s. Health Insurance Portability and Accountability Act
Visio
Claims Management
Quality Improvement
Performance Improvement
Epic Systems
Informatics
Credentialing
Business Analysis
Policy
Program Management
Disease Management
Interests:
Kids
Gardening
Electronics
Home Improvement
Collecting
Home Decoration
Gardening
Electronics
Home Improvement
Collecting
Home Decoration
Languages:
English
Work:
PPMC
Apr 2013 to 2000
Director of Quality Assurance and Training
Inland Empire Health Plan
San Bernardino, CA
Nov 2010 to Apr 2013
Claims Manager - Medi-Cal Production and Claims Cost Containment
Arcadian Management Services
San Dimas, CA
2009 to 2010
Senior Manager, Claims Operations
St. Joseph Heritage Healthcare Network Support Services
2003 to 2009
Executive Director of Claims
Hoag Hospital, Greater Newport Physicians
Newport Beach, CA
1999 to 2003
Manager of Claims
Apr 2013 to 2000
Director of Quality Assurance and Training
Inland Empire Health Plan
San Bernardino, CA
Nov 2010 to Apr 2013
Claims Manager - Medi-Cal Production and Claims Cost Containment
Arcadian Management Services
San Dimas, CA
2009 to 2010
Senior Manager, Claims Operations
St. Joseph Heritage Healthcare Network Support Services
2003 to 2009
Executive Director of Claims
Hoag Hospital, Greater Newport Physicians
Newport Beach, CA
1999 to 2003
Manager of Claims
Education:
University of Phoenix
Phoenix, AZ
2009
Master of Business Administration
St Joseph
Orange, CA
Jan 2005
Leadership
California State University
Long Beach, CA
1984
Bachelor of Science in Community Education
Phoenix, AZ
2009
Master of Business Administration
St Joseph
Orange, CA
Jan 2005
Leadership
California State University
Long Beach, CA
1984
Bachelor of Science in Community Education