A condensed version of this document can be found online at:
http://www.indigenouspeople.net/resume1.htm
Indigenous Peoples' Literature
Indigenous Peoples of Mexico
Midwest Consortium for Latino Research (MCLR)
March 2001– Present
APS Healthcare, Rockville, MD
Five years of credentialing experience working in corporate and healthcare office environments
Expertise in coordinating provider applications and the re-credentialing process
Solid knowledge of NCQA and DHS credentialing standards.
Proven ability to work independently and efficiently with superior results.
PROFESSIONAL EXPERIENCE
Credentialing Specialist
Reviewed provider files for appropriate documentation required for the credentialing
process
Prepared files for audits and maintain electronic data input activities
Coordinated credentialing and re-credentialing applications and conducted
document research
Collected and maintained files in relation to credentialing of network providers,
including application, contracts, current physician licenses, DEA licenses,
malpractice insurance, board
certifications and other pertinent forms
Prepared documents for Credentialing Committee review
Forwarded applications to providers and ensured accuracy and completeness
of information
Interface between providers and hospital staffs to collect required information
Performed credential verification and request information from appropriate
data banks, using the Internet
Submitted applications to manager, director and Credentialing Committee for
review
Implemented and monitored procedures and activities related to credentialing
and re-credentialing of network providers
Communicated with providers and field associates regarding credentialing status
and information
Assembled and prepared credentialing information for appropriate committees
Received Managed Care and PPO provider applications and re-credentialing applications
Maintained and updated database to track applications and the credentialing
process
Provided administrative support such as generating and distributing mailings
& reports
Designed Internet web page to assist all of the above
April 2000 - April 2001:
As an independent consultant I worked for Option Wealth and TechUSA, as a Web Publisher/Developer, designing and maintaining their numerous web pages. This involved using the latest web tools (HomeSite, DreamWeaver 3, Flash 3, Fireworks 3, and PhotoShop 5.5) to create and maintain this outstanding stock options site.
August 1998 - April 2000:
Programmed for MCI and Metamor as an Web Producer, designing and maintaining the OOE (Orders Online Entry) system. This involved using Oracle 8.0 to link the datbases and documentation with the HTML code. Last year I worked on the rebranding of all home pages for www.mci.com, when MCI merged with WorldCom. This effort involved editing and redesigning several thousand home pages.
June - August 1998:
Helped to maintain an IBM System 36 system for the Department of
Justice
in Silver Spring, MD, at a branch of CACI
contractors.
Involved overseeing computer operations for the Debt Collection branch
of DOJ (student/HUD loan defaults).
April - May 1998:
Served as a Help Desk consultant for
TeleCorp a telecommunications consulting firm.
Also required setting up PCs and installing Windows NT software.
March 1998:
Independent contractor (Lead Web Programmer),
working for ARC (Alternative Resources Corporation),
on a EDI project at Digital Commerce
in Reston, Virginia.
Responsiblities included:
Heading up a team of nine entry-level HTML programmers who manage
DoD clients' home page templates for their products to be sold on the Internet.
This involved Client Site Reviews for determining
correct fonts, colors, text size, etc.
Technologies used included
Cold Fusion, Front Page 97/98, and Windows NT.
DCC (Dynamic Computer Concepts, Inc.)
Web Master for DCC.
At the same time I provided technical support for the Financial
Department of FAA Headquarters in Washington, DC. As a contractor at FAA
I was a Senior Systems Engineer, working on Novell, Windows NT
networks, Web Page Database Design using Cold Fusion,
as well as mainframe interfacing.
February 1987 - April 1998:
L.M.I. and Computer Institute/Hightech & Automation
Provided software training & implementation, documentation,
program maintenance/modification, network installations, and DLA
(Defense Dept.) database designing.
Extensive work in the area of Home Page design:
worked on LMI's intranet web site.
Assigned to the LMI's Transportation group where I provided computer
support to DoD clients. Also worked on the Modernization of Defense Logistics
Standard Systems (MODELS) functional task,
designed to improve inter-Service
and agency logistics communications.
March, 1985 to February, 1987
DYNAMAC CORPORATION
Senior Computer Programmer/Analyst
Worked with Dept. of Defense and U.S. Navy in the design and analysis of on-line databases. Also did file-conversions and testing of new database systems. Mainframe programmer in RPGII and COBOL.
August 1984 to March, 1985
BARLOW CORPORATION
Responsible for the design and implementation of software enhancements,
accounting interfaces, Lotus spreadsheets,
and DP manager for club membership.
October 1983 to August 1984
STEADMAN SECURITY CORPORATION
Designed new accounting applications for stock market
interfacing and oversaw daily operations and backups on IBM System 34/36.
March 1975-April 1979
U.S. Air Force Band
MUSIC AUTOGRAPHER-COPYIST
Where superior skills in music autography/copying, research,
compiling,
and editing contributed to the meeting of technical/archival needs.
Areas of experience include documentation, local area networks, release installation, software conversions, user interface, program testing, problem determination, office automation, system configuration, hardware integration, software integration, package installation, database design, software evaluation, on line systems, user training, telecommunications, micro/main connectivity, system hook up and program maintenance.
Application areas include graphics, billing, inventory/distribution, accounting, government MIS, business MIS, Personnel/payroll, health care, membership/mailing and banking.
5.0 yrs. HTML Language
(Home Page Design)
1.0 yr. CGI/PERL/JAVA/Cold Fusion
11.0 yrs. MS DOS/Windows
10.0 yrs. Lotus 123
10.0 yrs. WordPerfect
10.0 yrs. dBASE III/IV
10.0 yrs. FoxPro
10.0 yrs. HyperCard
10.0 yrs. MacPaint
9.0 yrs. MacWrite
7.0 yrs. Novell Netware
6.0 yrs. PageMaker
5.0 yrs. Ventura Publisher
5.0 yrs. MacDraw
5.0 yrs. Paradox (DOS & Windows)
4.0 yrs. Netscape/Mosaic
3.0 yrs. COBOL
3.0 yrs. Model 204
3.0 yrs. RPG II
2.0 yrs. VSAM
2.0 yrs. WSU
2.0 yrs. SDA
2.0 yrs. DFU
2.0 yrs. BASIC
2.0 yrs. TIF
2.0 yrs. OCL
2.0 yrs. CMS
Rediscovering What Has Always Been There
Yorktowne Business Institute/Wang Laboratories
Computer Programming Certificates
1968-1973
Austin Peay State University
University of Nebraska Marching Band
Music/Library Science
References:
http://www.indigenouspeople.net/refer.htm
http://www.indigenouspeople.net/edawards.htm
http://www.indigenouspeople.net/otherref.htm
Dr. Seyed Ghahari 301-424-3330 seyed@trainus.com
Dr. Germana Miner 703-917-7214 gminer@lmi.org
Joe Goldfus 301-721-1733 joegoldfus@hotmail.com
Contact: Glenn Welker
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