SANDRA J.

HOGQUIST
617 Turner Drive
Belford, NJ 07718
Home #: 732-787-6673/Email: she991fe@westpost.net
OBJECTIVE POSITION: EXECUTIVE OR ADMINISTRATIVE ASSISTANT
Highly motivated, efficient professional with proven administrative, contracting
and managing skills. Strengths include:
a Exceptional organizational & multitasking skills a Team Player
a Strong communication abilities (written & oral) a Detail oriented
SKILLS: Proficient in Microsoft Office - Word, Excel, PowerPoint; Windows, Inter
net,
Outlook and Lotus Notes.
PROFESSIONAL EXPERIENCE
Humana, Inc., Jersey City, NJ 10/2006 to Present
Provider and Large Practice Contracting Executive
-Contracting and preparation of spreadsheets of providers to meet CMS/Medicare f
ilings currently filing in 13 counties in New York State.
-Responsible for provider recruitment and processing of all new contracts for 11
states (NY, NJ, VT, NH, RI, MA, ME, DE, CT, MD, WA-DC). In addition, responsib
le for processing all additions, changes and terminations for providers within t
hese 11 states.
-Responsible for obtaining credentialing information for new agreements and chan
ges.
-Heavy phone contact and face-to-face meetings with Providers, Managers and Sr.
Management of Hospitalas to contract with large facility physician groups (IPAs/
PHOs) within these 11 states.
-Responsible for maintenance of office equipment, phones and incoming mail.
QMedCare of New Jersey, Inc., Eatontown, NJ 11/2005 - 9/2006
Provider Relations Coordinator
-Administrative support for EVP & COO, Provider Services Representatives and Sr.
Personnel.
-Assisted in implementation of start-up HMO.
-Assisted in implementation of State filing. State approvals granted.
-Implemented a provider filing system for hospitals, providers and ancillary fac
ilities.
-Coordinated all mass mailngs to hospitals, physicians, ancillary providers, IPA
/PHOas, etc. and assisted in assuring that they are generated in a timely & accu
rate fashion.
-Directory proofing. Assured provider directory accuracy.
-Heavy phone contact with hospital management personnel, physicians and their of
fice personnel and ancillary facilities in finalization of provider/facility agr
eements.
-Log all incoming requests for providers and ancillary facilities that wish to b
ecome participating and sending out of appropriate applications to those specifi
c providers.
-Coordinator of all provider applications and implementation of credentialing pr
ocess through Committee approval.
AmeriChoice of New Jersey, Inc. (United Healthcare), Newark, NJ 8/20
04 a" 11/2005
Administrative Assistant
-Administrative support for VP, Director, Provider Services Representatives (sta
ff of 10), and all Senior personnel staff.
-Implemented a provider filing system for hospitals and ancillary facilities.
-Responsible for the coordination and drafted format responses for all incoming
mail, CMS/State filings-audits, provider grievance & complaints, monthly databas
e forwarded to the State of New Jersey (DHSS) and daily correspondences.

Centene Corporation (formerly University Health Plans, Inc.), Newark, NJ 3/2

001 a" 8/2004
Administrative Coordinator
-Administrative support for Director, Provider Services Representatives, Senior
personnel staff.
-Assisted in intergration process between UHP and Centene Corporation.
-Coordinator of all incoming mail and responsible for draft format for final dec
isions in all audits, state filings, hospital/ancillary/provider complaints.
-Coordinated all mass mailings to hospitals, physicians and ancillary providers.
-Heavy contact with hospital management staff, physicians and office managers.
-Responsible for all incoming provider contracts and implementation of approval
process.
-Responsible for state acceptance of the monthly database forwarded to the State
of New Jersey (DMAHS).
HealthNet, Inc. (formerly PHS Health Plans and formerly First Option Health Plan
s)
Administrative Coordinator
8/1993 - 3/2001
-Administrative support for VP, Director, Managers Provider Reps and department
staff.
-Assisted in implementation of a start-up HMO.
-Assisted in implementation of State and CMS filings. State and CMS approvals
granted.
-Coordinator for all departmental functions and draft response to written inquir
ies with back-up materials needed.
-Coordinator of all in-services, seminars and board meetings.
-Heavy phone contact with hospital, ancillary and physician personnel.
Aetna Health Plans
1/1989 to 8/1993
Administrative Assistant
-Responsible for all administrative duties for AED, Manager and Senior staff mem
bers as needed.
-Managed, prioritized and implementation of all incoming mail.
-Assisted in preparing and coordinating information and drafted responses for al
l litigation issues received.
-Served as team leader to facilitate the completion of provider filing auditing,
provider database updates, physician recruitment and recredentialing processes.
-Coordinated events such as seminars and company holiday functions.
-Maintained and operated mailroom and office equipment operations and prepared m
aintenance contracts with outside vendors.
Transamerica Insurance Company
4/1985 to 1/1989
Secretary
-Provided secretarial support for a staff of 25+.
-Responsible for distribution of all incoming and outgoing mail.
-Heavy phone contact with insurance policyholders and agencies.
Thomas Electronics
6/1982 to 4/1985
Secretary
-Provided secretarial support for VP and Production Manager in an office of fact
ory type atmosphere.
-Maintained monthly, weekly and production reports.
I also posses the following personal qualifications:
-Excellent verbal and written communication skills.
-Travel to physician, company satellite locations and attend (staff/training) me
etings off-site, state-wide.
-Able to handle all situations of a confidential and professional nature.
-Screen and draft written requests, such as writing and preparing documents.
-Supervise temporary help.
Education:
-Groupwise (email) Training 1999
-MC400 Database Training 1999
-Microsoft Word Training Course, August 1992
-Microsoft Windows & Excel, 1992
-Enterprise Provider Database (EPDB) Training Course, April 1992
-Introduction to PC/DOS Training Course, 1989
-TRACS Training Course, Philadelphia, PA, 1988
-Certificate in IBM Displaywriter, DOS, 1982
-High School Dipolma a" Passaic Valley High School, Little Falls, NJ 1982
-Various training and meetings attended for contractors at Humana, Inc.

Reference Contacts:
Eileen Rivera
Meridian Health Corporation
Corporate Office
erivera@meridianhealth.com
Galina Begun
Physician Practice
Saint Barnabas Health Care System
gbegun@physpractice.com
Christine Stack
Regional Vice President, Managed Care
Humana, Inc.
cstack@humana.com
Lynne Hollingsworth
Director, Managed Care
United Health Care
David King
Managed Care Department
United Health Care
dking@americhoice.com
973-297-5561
Susan Drew
589 Ridge Road
Newark, NJ 07104
shesterdrew@optionline.net
973-525-7878
Paul Kennedy (personal reference)
Owner, KencoWire and Iron Products
pkennedy@kencowire.com
732-495-3000
Mary Ann Rizzo (personal reference)
24 Meadow Drive
Totowa, NJ 07512
973-904-0493
"Microsoft Word version of resume available upon request"