OptumInsight since Jun 2012
Clinical Investigator
Health Care Excel - Telecommute Feb 2012 - Jun 2012
Nurse Consultant
Coventry Health Care - Louisville, Kentucky Area Oct 2011 - Feb 2012
Quality / Utilization Review-Retrospective / Claims
Humana - Louisville, Kentucky Area Mar 2004 - Sep 2011
Nurse Consultant
Passport Health Plan 2001 - 2004
Data Analyst
Education:
Excelsior College 2012 - 2015
Bachelor of Applied Science (B.A.Sc.), Nursing Science
Excelsior College 2007 - 2009
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse
University of Rio Grande and Rio Grande Community College 2003 - 2005
Associate of Arts and Sciences (A.A.S.), Medical Laboratory Science
Skills:
Managed Care Health Insurance Medicare Hipaa Process Improvement Insurance Nursing Medicaid Utilization Management Leadership Healthcare Consulting Health Policy Healthcare Management Healthcare Quality Improvement Healthcare Information Technology Case Managment Training Healthcare Industry Claim Provider Relations Case Management Strategic Planning Hedis Physician Relations Ncqa Long Term Care Access Emr Informatics Patient Outcomes Icd 9 Pharmacy Benefit Management Epic Systems Physicians Public Speaking Medical Billing Network Development Program Management Coaching Medical Coding Ehr Medical Records Cerner Quality Management Employee Benefits Health Care Reform Quality Assurance Medicaid Managed Care Oncology
Certifications:
Registered Nurse Medical Laboratory Technologist Certified Professional Coder (Cpc)