AmeriHealth Caritas
Industry: Commercial organization
DescriptionFounded: 1982 Subsidiaries: AmeriHealth Caritas Pennsylvania, Parent organization: Independence Blue Cross
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AmeriHealth Caritas Employees
AmeriHealth Caritas September 2014 - Present
Thetasis, LLC April 2012 - Present
Community Care Network of Virginia September 2013 - August 2014
Howard University School of Law May 2011 - August 2011
Eastern Virginia Medical School January 2010 - May 2010
Consortium for Infant and Child Health May 2009 - May 2010
Eastern Virginia Medical School March 2010 - March 2010
American Red Cross January 2009 - May 2009
Skills
Legal Research, American Lung..., Wordpress, Healthcare, Editing, Community Outreach, Public Health, Nonprofits, Teaching, Program Management, Research, Analysis, Clinical Research, WordPress, Entrepreneurship, Public Speaking, Grant Writing, Higher Education, Medicine, Public Policy, Policy, Program Development
Education
Howard University 2010 — 2013
J.D., Law
Eastern Virginia Medical School 2008 — 2010
Masters, Public Health
Virginia Polytechnic Institute and State University 2004 — 2008
Bachelor's degree, Biology, General
L. C. Bird High School
AmeriHealth Caritas June 2014 - Present
AmeriHealth Caritas December 2013 - June 2014
TD November 2011 - October 2013
Comtec Systems March 2008 - October 2011
Skills
Project Management, Event Planning, Office Management, Management, Banking, New Business Development, Troubleshooting, Customer Service, Unified Communications, Telecommunications, Team Leadership, Account Management, PowerPoint, Leadership, Sales, Microsoft Excel, Process Improvement, Call Centers, Software Documentation, System Administration, Budgets, Training, Microsoft Office, Program Management, Team Building, Microsoft Word, Time Management, Access, Data Entry, Strategic Planning, Executive..., Business Development, Expense Management, Business Process..., Personnel Management, Travel Management, Executive Calendar..., Contract Negotiation, Project Planning, Negotiation
Education
DeVry University-Illinois 2011 — 2014
Bachelor of Business Administration (B.B.A.), Project Management, GPA: 3.75
AmeriHealth Caritas July 2013 - Present
JuSt VaPin', LLC March 2013 - Present
Self Employed Health Care Consultant May 2012 - June 2013
Universal Health Care, Inc June 2010 - May 2012
Florida Agency for Health Care Administration January 2005 - June 2010
Agency for Health Care Administration, Bureau of Medicaid Program Integrity November 2002 - January 2005
Florida Department of Insurance, Bureau of Market Conduct Investigations March 2001 - November 2002
First Financial Resources Brokerage May 1999 - February 2001
National Examination Services Corp June 1995 - May 1999
Skills
Health Care Fraud, Health Care Compliance, Compliance Consulting, Healthcare Management, Process Improvement, Project Management, Strategic Planning, Presenter, Team Building, Microsoft Office, Customer Service, Investigation, Claim, Private Investigations, Leadership, Fraud, Managed Care, Medicaid, HIPAA, Health Insurance, Medicare, Access, Insurance, Call Centers, Healthcare, Data Analysis, HMO, Provider Relations, Healthcare Information..., Software Documentation, Training, Healthcare Consulting, Analysis, Visio, Policy, Employee Benefits, Government, Health Policy, Healthcare Industry, Physicians, Auditing, Budgets, Medical Billing, Management, Program Management
Education
Florida State University
AmeriHealth Caritas November 2013 - Present
MDwise July 2006 - February 2013
Skills
MBA, Excellent interpersonal..., Customer Service, Team Building, Leadership, Management, Medicaid, Training, Process Improvement, Social Media, Network Management, Strategic Planning, Business Analysis, Payar Reimbursement, Presentation Development, Call Centers, Claim, Managed Care, Provider Relations, Health Insurance, Insurance, Medicare, Team Leadership, Networking
Education
Indiana Wesleyan University
Indiana University Health May 2015 - Present
AmeriHealth Caritas September 2013 - Present
HP Enterprise Services May 2013 - September 2013
CIGNA February 1998 - May 2013
Skills
Provider Relations, Network Development, PPO, Health Insurance, Credentialing, Healthcare Management, Claims Resolution, Insurance, Employee Benefits, Customer Service, Team Building, PowerPoint, Outlook, Microsoft Excel, Claim, Microsoft Word, Coaching, Healthcare Industry, Data Entry, Public Speaking, Benefits Administration, Managed Care, Healthcare
Education
Indiana Wesleyan University 2009 — 2011
Bachelor of Applied Science (BASc), Business, Management, Marketing, and Related Support Services
Marian College 2007 — 2009
Associate's degree, Business Administration and Management, General
Northwest 1981 — 1985
Northwest Highschool
Diploma, General
AmeriHealth Caritas 2013 - Present
Hospital of the University of Pennsylvania April 2010 - January 2013
Coventry Health Care July 2006 - April 2010
CIGNA October 1996 - July 2006
Sentara Healthcare 1987 - 1993
Sentara Healthcare 1987 - 1993
Skills
Operations Management, Managed Care, Healthcare Management, employee benefit, Customer Service..., Managing Database, Provider Network..., Provider Relations, Enrollment Management, Employee Benefits, Health Policy, Utilization Management, PPO, Medicare Part D, Physician Relations, Health Insurance, HIPAA, HMO, Physicians, Healthcare, Credentialing, Medicaid, Medicare, CPT, Management, Hospitals, Leadership
Education
University of Phoenix 2012 — 2014
Master of Business Administration (MBA), Business Administration, Management and Operations
Drexel University
Bachelor of Science (B.S.), Health Services Administration
AmeriHealth Caritas September 2013 - Present
Paramount Cleaning Services, LLC May 2011 - Present
Affiliated Computer Services 2008 - 2011
excelleRx 2007 - 2008
Rite Aid 1993 - 2008
The AmeriHealth Mercy Family of Companies 2005 - 2006
Skills
HIPAA, Medicaid, Medicare, Pharmacy, Pharmacy Benefit..., Customer Service, Data Entry, Pharmaceutical Industry, Process Improvement, Access, Inventory Management, Microsoft Office, Call Center, Outlook, Management, Employee Benefits, Medication Therapy..., Call Centers
Education
Penn State University, Abington 2009 — 2012
Bachelor of Science (BS), Organizational Leadership, minor Labor Employment Relations
Harcum College 1997 — 1997
Certificate of Completion, Pharmacy Technician/Assistant
AmeriHealth Caritas April 2012 - Present
Saigan Technologies, Inc January 2012 - April 2012
University of Illinois Springfield November 2010 - December 2011
Skills
Crystal Reports, FACETS, Business objects, SQL, Business Analysis, SDLC, Sybase SQL Anywhere, sybase, Microsoft SQL Server, Software Development, Integration, Business Intelligence, Requirements Analysis, Databases, HTML, Team Leadership, Team Building, Business Objects
Education
University of Illinois Springfield 2010 — 2011
Master's degree, Management Information Systems, General
Jawaharlal Nehru Technological University 2005 — 2009
Bachelor of Technology (B.Tech.), Electrical, Electronics and Communications Engineering
AmeriHealth Caritas January 2014 - Present
Kemper, A Unitrin Business September 2013 - January 2014
Progressive Insurance April 2008 - December 2012
Skills
Property & Casualty..., Claim, Liability, Casualty, Insurance, Claims Management, General Insurance, Commercial Insurance, Legal Liability, Commercial Lines, Underwriting, Subrogation, Property Damage, Claim Investigation, Professional Liability
Education
Florida Community College at Jacksonville 2008 — 2013
Bachelor of Applied Science (BASc), Supervision and Management
Mandarin high school 1999 — 2003
High School Diploma, General Education
National Association of Letter Carriers, Health Benefit Plan April 2015 - Present
AmeriHealth Caritas February 2014 - April 2015
Professional Healthcare Resources October 2009 - November 2013
Vitas Hospice December 2007 - October 2009
Skills
Healthcare, Healthcare Information..., Healthcare Management, Hospitals, Clinical Research, Nursing, EMR, Medicare, Patient Safety, Home Care, Medicaid, Quality Assurance, ICD-9, Cerner, Quality Improvement, Utilization Management, Medical Coding, Health Education, Patient Education, Case Management, Elder Care, Pediatrics, Patient Advocacy, Nursing Education, Utilization Review, Acute Care, Disease Management, Wound Care
Education
University of Phoenix 2006 — 2008
Master's degree, Registered Nursing/Registered Nurse
George Mason University 1998 — 2004
Bachelor of Science (BS), Registered Nursing/Registered Nurse
AmeriHealth Caritas September 2014 - Present
Self Employed April 2014 - September 2014
Highmark Blue Cross BlueShield Delaware June 2013 - March 2014
Highmark Blue Cross Blue Shield Delaware March 2008 - June 2013
Highmark Blue Cross Blue Shield Delaware June 2005 - March 2008
Christiana Care Health Plans January 2001 - June 2005
Concentra Managed Care October 1989 - January 2001
Skills
Training, Disease Management, Case Managment, Insurance, Management, Project Management, Leadership, Project Delivery, Project Finance, Process Improvement, Healthcare, Team Building, Managed Care, Medicaid Managed Care, Prior Authorization, Collaboration, Analytical Skills, Case Management, Medicaid
Education
Delaware State University
Bachelor of Science in Nursing (BSN), Registered Nursing/Registered Nurse
America's Health Insurance Plans (AHIP) June 2015 - Present
AmeriHealth Caritas May 2014 - June 2015
AmeriHealth Caritas August 2013 - May 2014
The Body Shop December 2011 - December 2012
Cooper's Ferry Partnership May 2012 - August 2012
Skills
Social Media, Public Relations, Customer Service, Advertising, Marketing Strategy, Marketing Communications, Marketing, Access, Microsoft Excel, Microsoft Office, Strategic Planning, Employee Training, SEO, Google Analytics, Google Adwords, Sales, WordPress, Outlook, SharePoint
Education
James Madison University - College of Business 2009 — 2013
Bachelor of Business Administration (B.B.A.), Marketing
James Madison University 2009 — 2013
Human Resources Development Minor
Universiteit Antwerpen 2012 — 2012
Concentration of European Business, Business Administration, Management and Operations
AmeriHealth Caritas January 2014 - Present
The Wistar Institute August 2004 - January 2014
Quest Diagnostics/SmithKline Beecham Clinical Laboratories November 1998 - August 2004
SAP December 1997 - November 1998
Aetna U.S. Healthcare April 1994 - November 1997
National Park Service September 1992 - March 1994
GE October 1986 - September 1992
Skills
Facilities Management, Laboratory, Validation, Project Management, Sustainability, Project Planning, Policy, Research, Data Analysis, Strategic Planning, Microsoft Office, Non-profits, Proposal Writing, Technology Transfer, Program Management, Microsoft Excel, Quality Assurance, Civil Engineering, Security Management, Hydraulic Systems, HVAC Controls, Environmental Compliance, Quality Management, Microsoft Word, Healthcare, IFMA, CFM, NFPA, Master Scheduling, Construction Management, Construction, Facilities Operations, Supervisory Skills, Budgets, Leadership, Analysis, Process Improvement, Process Scheduler, Contract Negotiation, Management
Education
Drexel University
Master of Science (M.S.), Engineering
Drexel University
Bachelor of Science (BS), Engineering
AmeriHealth Caritas September 2013 - Present
AmeriHealth Caritas May 2010 - September 2013
Johnson & Johnson February 2009 - May 2010
Drexel University October 2004 - October 2008
University of Pennsylvania March 2006 - March 2007
Skills
ITIL, Incident Management, Crystal Reports, Business Objects, SQL, Customer Service, Troubleshooting, Service Desk, SharePoint, Microsoft Office, Active Directory, English, Mac OS X, Process Improvement
Education
Drexel University 2004 — 2008
BS, Information Systems
AmeriHealth Caritas January 2014 - Present
AmeriHealth Caritas May 2013 - January 2014
AmeriHealth Caritas May 2009 - May 2013
AmeriHealth Caritas May 2006 - May 2009
CRMC May 1999 - December 2005
Thorwald Nursing Home February 2004 - April 2005
Skills
Healthcare, Healthcare Information..., HIPAA, Healthcare Management, Managed Care, Medicaid, Medicare, Hospitals, Process Improvement, Health Insurance, SDLC, Nursing, EHR, Visio, Project Management, Microsoft Office, Data Analysis, Healthcare Consulting, Access, Strategic Planning, Utilization Management
Education
Drexel University 2011 — 2015
Bachelor's degree, Health/Health Care Administration/Management
Harrisburg Area Community College 1995 — 1999
Associate's degree, Registered Nursing/Registered Nurse
AmeriHealth Caritas 2014 - Present
AmeriHealth Caritas October 2012 - February 2014
AmeriHealth Caritas February 2011 - October 2012
AmeriHealth Caritas February 2010 - February 2011
Skills
Analysis, Data Analysis, Healthcare, Microsoft Excel, Microsoft Office, Policy, Leadership, Strategic Planning, Customer Service, PowerPoint, Team Building, Public Speaking, Project Management
Education
Eastern University 2013 — 2015
Master of Business Administration (MBA), Business Administration and Management, General
Temple University - Fox School of Business and Management 2007 — 2010
Bachelor of Business Administration (B.B.A.), Risk Management & Marketing
Delaware County Community College 2004 — 2007
Associate's degree, Business Administration and Management, General
ETHOS Health Communications September 2015 - Present
St. Christopher's Hospital for Children March 2015 - September 2015
St. Christopher's Hospital for Children August 2014 - June 2015
Women and Infants Hospital June 2014 - August 2014
City of Philadelphia – Department of Public Health February 2014 - June 2014
City of Philadelphia – Department of Public Health November 2013 - December 2013
AmeriHealth Caritas July 2013 - September 2013
Office on Children and Youth August 2012 - May 2013
JMU WishMakers on Campus January 2012 - May 2013
Specialized Youth Services of VA Inc. June 2012 - August 2012
Skills
Research, Fundraising, Leadership, Sales, Healthcare, Microsoft Excel, Microsoft Office, Program Development, Program Evaluation, Nonprofits, Social Media, Public Health, Training, Teaching, Event Planning, Public Speaking, PowerPoint, Community Outreach, Higher Education, Student Development, Leadership Development, Facebook, Health Promotion, Hospitals, Curriculum Development, Teamwork, Tutoring, Strategic Planning, Health Education, Project Planning, Social Services, Policy, Wellness
Education
Drexel University 2013 — 2015
Master of Public Health (M.P.H.), Health Management and Policy
James Madison University 2009 — 2013
Health Sciences, Health Studies
AmeriHealth Caritas 2002 - Present
Keystone First January 2002 - July 2013
Keystone Mercy Health Plan May 2001 - July 2004
Keystone Mercy Health Plan November 1996 - May 2001
Skills
Network Administration, Process Improvement, HIPAA, Medicaid, Managed Care, Healthcare Information..., Project Management, Change Management, Program Management, Provider Relations, Visio, Strategic Planning, Medicare, Healthcare, Cross-functional Team...
Education
Eastern University
Organizational Leadership
Spring Garden College
Associate of Science (A.S.), Construction Engineering Technology/Technician
AmeriHealth Caritas November 2006 - Present
Education
Duquesne University 1983 — 1986
Bachelor of Science, Registered Nursing/Registered Nurse
First Home Care March 2014 - Present
One City Wellness April 2013 - Present
Children's National Medical Center April 2011 - Present
AmeriHealth Caritas April 2013 - February 2014
APS Healthcare September 2012 - April 2013
Mary's Center March 2011 - February 2012
Catholic Charities of the Archdiocese of Washington June 2010 - January 2011
Family Preservation Services November 2009 - March 2010
Social Work PRN 2009 - 2010
DC Department of Mental Health September 2006 - August 2009
Skills
Mental Health, Child Welfare, School Social Work, Criminal Justice, Social Services, Case Managment, Adults, Crisis Intervention, Motivational..., Group Therapy, Psychotherapy, Family Therapy, Interventions, Treatment, Community Outreach, Case Management
Education
The Catholic University of America 1998 — 2000
Master of Social Work (MSW)
James Madison University 1989 — 1992
Bachelor of Science (BS), Public Administration
AmeriHealth Caritas March 2012 - Present
Archdiocese of Miami December 2008 - Present
American Recruiters March 2006 - February 2012
Big Brothers Big Sisters of Miami July 2005 - February 2006
Blue Cross and Blue Shield January 2000 - July 2005
Blue Cross Blue Shield of Florida January 2000 - July 2005
Blue Cross Blue Shield of Florida August 2001 - August 2002
City of Tallahassee April 1995 - December 1999
City of Tallahassee August 1993 - April 1995
Joiner Consulting January 1993 - August 1993
Skills
Counseling, Performance Improvement, Executive Coaching, Organizational..., Public Speaking, Leadership Development, Talent Management, Coaching, Healthcare, Sourcing, Onboarding, Change Management, Staff Development, Resume Writing, Management Consulting, Talent Acquisition, Employee Relations, Recruitment/Retention, Human Resources, Leadership, Process Improvement, Training, System Administration, Policy, Program Management, Recruiting, Team Building, Project Management, Interviews, Budgets, Management, Performance Management, Employee Training, Psychotherapy, Strategic Planning, Personnel Management, Consulting, Deferred Compensation, Employee Benefits, Organizational..., Hiring, Temporary Placement, Administration, Time Management, CRM, College Recruiting, Workforce Planning, Nonprofits, Succession Planning, Customer Service
Education
Florida State University 1994 — 1998
Graduate Certificate, Public Administration; Human Resources
Florida State University 1994 — 1997
Graduate, Public Administration
Southern Illinois University, Carbondale 1992 — 1993
BS, Human Resource Development
Excelsior University 1990 — 1991
B.S, History/Sociology
AmeriHealth Caritas April 2014 - Present
Comcast April 2012 - April 2014
Independence Blue Cross August 2011 - April 2012
21st Century Insurance February 2011 - July 2011
Independence Blue Cross February 2001 - November 2010
Independence Blue Cross June 1995 - January 2001
Independence Blue Cross October 1993 - May 1995
CIGNA December 1987 - October 1993
CIGNA June 1985 - November 1987
Skills
Java, JavaScript, XML, JSP, JDBC, Oracle SQL, SQL*Plus, Microsoft SQL Server, SDLC, FTP, NDM, Stored Procedures, HTML, Unix, WSAD, Design Patterns, UML, HP Service Manager, CVS, Teradata, Web Applications, WebSphere Application..., Mainframe, AIX, Windows Server, Toad, Ant, ASP.NET, Microsoft Office, JCL, Software Development, Requirements Analysis, Oracle, SharePoint, Visio, Vendor Management, Business Requirements, Business Analysis, Java Enterprise Edition, Requirements Gathering, Websphere
Education
Drexel University 1982 — 1985
BS, Computer Systems Management
Duke University Health System July 2014 - Present
Abington Health November 2008 - July 2014
AmeriHealth Caritas June 1999 - October 2008
Abington Health - Abington Memorial Hospital January 1995 - 1998
Skills
Healthcare Information..., Process Improvement, Vendor Management, Strategic Planning, Team Building, High Energy Level, Customer Oriented, Project Management, SIP, VoIP, LAN-WAN, Cisco Technologies, Telemedicine, Data Center, 10G Ethernet, Apple, Mac, VMware Infrastructure, iPad, iPhone, Disaster Recovery, IT Service Management, Cisco VPN, Video Conferencing, IVR, Content Management, Fiber Optic Networks, Network Design, Cisco Wireless, Network Monitoring Tools, Nortel PBX - Opt 81's, Emergency Management, IT Security Best..., multi-campus, Management, Integration, Technical Support, Team Leadership, Healthcare, Visio, HIPAA, Business Analysis, Leadership, Software Documentation, Team Management, Troubleshooting, Citrix, Networking, Informatics, Workflow Management
Education
Drexel University 1999 — 2001
Health Care - Operations Management
Bucks County Community College 1989 — 1994
Certificate Computer Programming, Information Technology
Bucks County Community College 1979 — 1981
Associate of Arts, Business Administration
Bristol High School
AmeriHealth Caritas July 2007 - Present
United States Air Force May 1996 - May 1998
Skills
SAS Programming, SAS Enterprise Guide, Microsoft Excel, GeoNetworks, Microsoft Access, Business Analysis, Data Analysis, Access, Databases, Leadership, PowerPoint, Outlook, Microsoft Office, Data Mining, Analytics, Visio, Analysis, GeoAccess, Provider Directory, Quest Analytics, DirectoryExpert, Process Improvement, Healthcare Information..., SAS
Education
Indiana University of Pennsylvania 1993 — 1995
Evolent Health August 2014 - Present
AmeriHealth Caritas June 2011 - January 2014
Keystone Mercy Health Plan May 2005 - June 2011
Horizon Blue Cross Blue Shield of New Jersey March 1999 - January 2005
Skills
Managed Care, Visio, Dreamweaver, Medical Terminology, Adobe Acrobat, Project Management, Microsoft Office, PowerPoint, Spreadsheets, Medicaid, Administrative..., HIPAA, Healthcare, Medicare, Healthcare Management, Microsoft Word, Microsoft Excel, Policy, Vendor Management
Education
Delaware County Community College 2009 — 2013
Nursing
Reliance Standard Life Insurance company March 2015 - Present
AmeriHealth Caritas August 2013 - March 2015
Independence Blue Cross March 2009 - July 2013
LRC Disability, Inc January 2009 - March 2010
INDEPENDENT ALLIED HEALTH CONSULTANT (part-time) January 2009 - March 2010
SPECIAL COUNSEL March 2007 - December 2008
Nationwide Insurance May 2002 - June 2007
Health Partners May 1998 - March 1999
MCP Hospital June 1991 - March 1999
Skills
Healthcare, Clinical Research, Hospitals, Medicare, Public Speaking, Medicine, Quality Improvement, Analysis, Medical Records, ICU, Home Care
Education
VMI 2003 — 2004
Certified Legal Nurse Consultant, Legal Nurse Consulting
Eastern University 1991 — 1993
Associate's degree, Registered Nursing/Registered Nurse
RMH School of Nursing 1991 — 1993
Diploma, Nursing
AmeriHealth Caritas 2014 - Present
Highmark 2013 - 2014
Highmark 2010 - 2013
Highmark 2008 - 2010
Highmark Blue Shield 1993 - 2008
Skills
Data Analysis, Access, Business Intelligence, Data Warehousing, SharePoint, Analysis, Teradata, Data Mining, Requirements Gathering, Visio, SAS, Microsoft Excel, Financial Analysis, Microsoft Office, SQL, Healthcare, SAS programming, Decision Support, Business Analysis, Analytics, Pivot Tables, Tableau, Web Design
Education
Eastern University 2009 — 2011
Master of Business Administration (M.B.A.), Business Administration, Management and Operations
Messiah College 1987 — 1991
Bachelor's degree, Mathematics
FrogTutoring September 2013 - Present
District of Columbia Public Schools (DCPS) June 2015 - July 2015
American Academy of Child and Adolescent Psychiatry May 2015 - June 2015
Solutions for Progress September 2013 - June 2014
Study Abroad, Drexel University August 2013 - September 2013
AmeriHealth Caritas June 2013 - August 2013
Philadelphia Corporation for Aging April 2013 - June 2013
Howard University September 2009 - September 2012
National Capital YMCA September 2011 - December 2011
Skills
Conversational French, Microsoft Office, Outlook Express, Gel Electrophoresis, Public Health, Statistics, Research, Event Planning, Community Health, Biostatistics, Data Analysis, Qualitative Research, Grant Writing, Nonprofits, PowerPoint, Program Evaluation, Community Outreach, Public Speaking
Education
Drexel University 2012 — 2014
Master's Degree, Health Management and Policy
University of Maryland College Park 2007 — 2011
Bachelor of Science (B.S.), Community Health
AmeriHealth Caritas January 2014 - Present
EVRAZ North America August 2012 - September 2013
WSFS Bank September 2011 - July 2012
Pomeroy January 2012 - March 2012
Independent IT Contractor March 2008 - September 2011
Wawa, Inc. October 2001 - February 2008
IT Independent Consultant February 2001 - October 2001
Vis.Align, LLC February 1999 - February 2001
The Chubb Institute September 1998 - December 1998
Systems Search Consultants January 1996 - January 1998
Skills
Troubleshooting, Technical Support, Windows 7, Windows XP, Microsoft Exchange, Networking, VPN, Network Administration, Databases, Hardware, Help Desk Support, Software Installation, Zumba, Laptops, System Deployment
Education
The Chubb Institute 1998 — 1999
Computer Support Technician Cert, Computer Support Technician
Delaware County Community College 1992 — 1994
AmeriHealth Caritas April 2015 - Present
Catalyst Solutions September 2014 - 2014
Intelli-Source Solutions 2013 - 2014
DST Systems 2012 - 2013
Excellus BCBS 2011 - 2012
HighPoint Solutions 2010 - 2011
Skills
Medicaid, HIPAA, Customer Service, Insurance, Claim, Health Insurance, Microsoft Office, Managed Care, Microsoft Excel, Testing, CMS, Validation, Configurations, Benefits Analysis, Pricing, Membership, Open Enrollment, Billing Process, Access, Medicare, Medical Terminology, Amisys, Medicare Part D, Compliance, Business Objects, SharePoint, Lotus Notes, Microsoft Word, Software Testing Life..., SQL, Authorization, Contractual Agreements, Legacy System Conversion, ICD-9, CPT, HCPCS, 10 Key, Keywords
Education
Florida Community College at Jacksonville 1994 — 1996
Criminal Justice and Corrections
William Marion Raines High School
Koehler Quality Group, LLC September 2014 - Present
AmeriHealth Caritas June 2012 - September 2014
BlueCross BlueShield of Tennessee July 2009 - June 2012
Volunteer State Health Plan January 2008 - February 2009
HCA - Daytona Beach, FL March 1997 - February 1998
Florida Hospital September 1979 - March 1995
Skills
Health Care Quality, Accreditation, Utilization Management, Healthcare, Managed Care, Medicaid, HEDIS, Healthcare Management, Quality Management, Nursing, Disease Management, Process Improvement, Medicare, Performance Improvement, NCQA, Medical Management, Case Management, Health Insurance, Compliance, Program Development, Healthcare Quality, Credentialing, Provider Relations, Policy, Mentoring, Physician Relations, Strategic Planning, Healthcare Compliance, Team Building, Case Managment, Insurance, Patient Safety, HIPAA, Medical Coding, Claim, Health Policy, Program Management, Utilization Review, Healthcare Industry, Management, Team Management, Healthcare Consulting, Healthcare Information..., JCAHO, Medicine, EHR, Quality Improvement, Pharmacy Benefit..., Informatics, EMR
Education
Florida Institute of Technology 1988 — 1992
MBA, Health Care Administration
Florida Southern College 1980 — 1983
Bachelor of Science, Nursing
Indiana University-Purdue University at Fort Wayne 1976 — 1978
Bachelor of Arts, Psychology
Purdue University 1972 — 1976
Associate Degree, Nursing
South Adams High School
Navrongo Health Research Center September 2015 - Present
Georgetown Emergency Response Medical Service April 2014 - Present
Georgetown Emergency Response Medical Service January 2014 - Present
AmeriHealth Caritas June 2015 - August 2015
Metro Teen AIDS March 2015 - May 2015
Blommer Science Library September 2014 - May 2015
Mary's Center January 2015 - February 2015
AmeriHealth Caritas 2015 - 2015
Oakley Country Club March 2011 - June 2014
Skills
Microsoft Word, Microsoft Powerpoint, Microsoft Excel, EMT-B level medical care, CPR Certified, Teaching Adults, Peer Tutoring, STATA, Flesch-Kincaid Reading..., PowerPoint
Education
Georgetown University 2012 — 2016
Bachelor's Degree, International Public Health/International Health, Junior
McCabe, Weisburg & Conway February 2015 - Present
AmeriHealth Caritas June 2014 - August 2014
Skills
Microsoft Office, Microsoft Excel, Access, PowerPoint, Customer Service, Microsoft Word, Event Planning, Community Outreach, Public Speaking, Nonprofits, Fundraising, Social Media, Strategic Planning, Research, Leadership
Education
Eastern University 2012 — 2016
Associate's Degree, Accounting
Esperanza College of Eastern University 2012 — 2014
Associate's Degree, Accounting
AmeriHealth Caritas June 2015 - Present
EPITEC, INC. June 2014 - May 2015
EPITEC, INC. September 2013 - June 2014
New Birth Church of Christ November 2012 - February 2014
AAA February 2013 - September 2013
Verizon Wireless February 2004 - June 2012
EDS-Onstar August 2000 - February 2002
Skills
Telecommunications, Wireless, LTE, CDMA, 4G, EVDO, Cellular Communications, Mobile Devices, Troubleshooting, Access, Blogging, Call Centers, Customer Experience, Customer Satisfaction, Facebook, Mobile Communications, Network Design, Networking, Switches, Technical Support, Telephony, Training, Content Strategy, Management, Mobile Technology, Microsoft Office, Sales, Customer Service, Leadership
Education
Keller Graduate School of Management of DeVry University 2007 — 2011
Master of Business Administration (M.B.A.), Business Administration and Management, General
Detroit College of Business (Davenport University), Dearborn, MI 1990 — 1996
Bachelor of Business Administration (BBA), Business Administration and Management, General
AmeriHealth Caritas June 2015 - Present
Freelance May 2009 - Present
AmeriHealth Caritas September 2011 - June 2015
The AmeriHealth Caritas Family of Companies May 2010 - September 2011
AEXGroup 2009 - 2010
Independent Contractor 2005 - 2009
Barclays 2003 - 2005
Skills
Earned Value Management, Six Sigma, Project Management, Process Improvement, Financial Analysis, Vendor Management, Data Analysis, Research, Business Analysis
Education
Drexel University 2010 — 2012
Master of Science (M.S.), Project Management
University of Delaware
Project Management Certificate
UG Business School
Bachelor of Science (B.Sc.), Banking and Corporate Finance
AmeriHealth Caritas April 2013 - Present
Krapf Bus Companies August 2012 - Present
Pfizer - Formerly Wyeth September 1987 - October 2011
Pfizer Pharmaceuticals September 1987 - October 2011
Pfizer January 2003 - December 2007
Pfizer January 1988 - January 2003
USMC July 1982 - July 1986
Skills
Scheduling, Analysis, Excel, Word, Forecasting, AS400, TSM, Tivoli, hp service center, INFO/Xe documentation..., Xerox, PowerPoint, Job Scheduling, Autosys, Microsoft Office, Software Documentation, Microsoft Excel, IBM iSeries, HP Service Center, Microsoft Word, Process Scheduler, Incident Management, Change Management, Change Control, Data Center, Troubleshooting, System Administration, Xerox Printers, Problem Solving, SharePoint, ITIL, Solaris, Disaster Recovery, Process Improvement
Education
Immaculata University 1988 — 1998
Bachelors, Math/Computer Science/Accounting
AMERIHEALTH CARITAS March 2015 - Present
AmeriHealth Caritas March 2012 - February 2015
Pepboys September 2011 - March 2012
Independence Blue Cross August 2001 - September 2010
COMPUTER HORIZONS CORPORATION January 1996 - January 2001
BELL ATLANTIC CORPORATION February 1987 - January 1996
Bell Atlantic 1987 - 1990
Bell Atlantic 1987 - 1990
Bell Atlantic 1987 - 1990
Bell Atlantic 1987 - 1990
Skills
SDLC, MS Project, PMP, Process Improvement, Project Management, Visio, Project Portfolio..., Vendor Management, PMO, Software Project..., Project Planning, Resource Management, Requirements Analysis, Change Management, Business Analysis, Team Leadership, Team Building, Program Management, Project Delivery, SharePoint, Software Development, Analysis, Cross-functional Team...
Education
Penn State University, College of Graduate 2009 — 2010
Project Management
The Pennsylvania State University, University 2009 — 2010
B.S, Food Science
Independence Blue Cross Training Center 2007 — 2007
ITIL Foundation Certification Training, ITIL Foundation Certification Training
Drexel University 1993 — 1996
MBA, Information Systems
Wilkes College 1986 — 1988
BS, Computer Science
The Baldwin School 1968 — 1981
High School diploma, High School/Secondary Diplomas and Certificates
AmeriHealth Caritas October 2008 - Present
Delaware Park Wellness Clinic 1999 - Present
Spectrum Health FQHC 2010 - 2015
Spectrum Health FQHC 2010 - 2015
Spectrum Health FQHC 2010 - 2015
Erickson Retirement March 2007 - October 2008
ACTS Retirement-Life Communities, Inc. 2003 - 2008
Riddle Memorial Hospital 2001 - 2008
Riddle Memorial Hospital 2001 - 2008
HealthPartners of Philadelphia 2000 - 2002
Skills
Medical, Medicaid, Medicare, Utilization Management, Managed Care, Healthcare IT, Quality Management, Occupational Health, Medicine, Healthcare Management, Healthcare, Healthcare Information..., Employee Benefits, Policy, Case Managment, Leadership, Physicians, Clinical Research, Family Medicine, Nursing, Team Building, Public Health, Diabetes, Pediatrics, Surgery, Case Management, Hospitals, Health Policy, Disease Management, HIPAA, Healthcare Consulting, Management
Education
Jefferson Medical College of Thomas Jefferson University 1984 — 1987
MD, Medicine
Rutgers, The State University of New Jersey-New Brunswick 1979 — 1983
BA, Microbiology, Economics (double major)
PNC July 2015 - Present
PNC via Beacon Hill Technologies November 2014 - June 2015
Highmark Blue Cross Blue Shield March 2014 - August 2014
AmeriHealth Caritas November 2011 - January 2014
FDF Consulting, LLC 2011 - 2014
U.S. Office of Personnel Management (OPM) April 2011 - October 2011
Highmark Blue Cross Blue Shield July 2010 - April 2011
Highmark Blue Cross Blue Shield April 2008 - August 2009
Laurel Mountain Partners, LLC April 2007 - January 2008
UPMC Health Plan July 2006 - April 2007
Skills
Business Requirements, Requirements Gathering, Training, Systems Analysis, Project Management, Project Coordination, Business Process..., Client Relations, Client Education, Defining Requirements, Software Documentation, Full SDLC, Client Liaison, Training Material, Project Leadership, Purchase Management, Distribution Strategies, Knowledge Management, Inventory Control, Risk Assessment, Peer Mentoring, Medicaid, Medicare, Health Insurance, Business Analysis, Requirements Analysis, Visio, SharePoint, Business Process Mapping, Access, Healthcare, User Acceptance Testing, Gap Analysis, Regulatory Requirements, Requirements Management, Testing, Microsoft Office, Microsoft Project, Microsoft Exchange, SDLC, Analysis, Business Process, Integration, Leadership, Process Improvement, Management, PMO, Vendor Management, Quality Assurance
Education
Indiana University of Pennsylvania 1996 — 2001
Bachelor's Degree, Management Information Systems and Services
Independence Blue Cross January 2014 - Present
AmeriHealth Caritas January 2005 - December 2013
Skills
Nursing, Hospitals, Healthcare Management, Healthcare, EMR, Utilization Management, Healthcare Information..., Disease Management, Pediatrics, Home Care, HIPAA, Medicare
Education
Georgetown University 1982 — 1986
Bachelor of Science (BS), Registered Nursing/Registered Nurse
Continuum Health Alliance, LLC October 2013 - November 2014
AmeriHealth Caritas January 2013 - October 2013
CORESTAFF Services December 2010 - December 2012
Core Staff Inc December 2010 - December 2012
Corestaff Inc. December 2010 - December 2012
CoreStaff February 2012 - May 2012
Corestaff Inc December 2011 - March 2012
CoreStaff Inc. July 2011 - October 2011
Corestaff Inc June 2011 - August 2011
Health mates of Pa Bala September 1999 - December 2010
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Research, Outlook, English, Windows, HTML, Visual Cactus, Invoicing, Accounts Payable, Data Entry, Healthcare
Education
Rosemont College 2012 — 2015
Bachelor's degree, Business Administration, Management and Operations, A
Gwynedd Mercy University 2012 — 2014
Bachelor of Business Administration (B.B.A.), Accounting and Finance, 3.92
Edward Bok High School 1988 — 1992
Diploma, Business/Commerce, General
Delaware County Intermediate Unit July 2014 - Present
Devereux Mental Health March 2007 - Present
Riddle Memorial Hospital September 2013 - December 2013
AmeriHealth Caritas May 2013 - August 2013
Skills
Public Health, Healthcare, Clinical Research, Epidemiology, Health Education, Healthcare Management, Medicine, Health Promotion, Hospitals, Cpr Certified, Nursing, Medical Terminology, Healthcare Information..., Research, Patient Safety, Medical Education, Data Analysis, Program Evaluation, Pediatrics, Prevention, Community Outreach, Program Development
Education
Temple University 2009 — 2014
Bachelor's Degree, Public Health
Temple University school of social Work 2011 — 2012
Bachelor's Degree, Public Health, May 2014 (Expected)
Delaware County Community College 2009 — 2011
Associate's Degree, Science
Florida Blue February 2014 - Present
Amerihealth Caritas 2011 - 2014
Universal American 2009 - 2011
Booz Allen Hamilton 2008 - 2009
Bank of America 2005 - 2008
Skills
Strategic Sourcing, Supply Chain, Procurement, Inventory Management, Logistics, Supplier Management, Financial Modeling, Management Consulting, Supply Management, Supply Chain Management, Strategy, PeopleSoft, Ariba, Supplier Diversity, Supplier Risk Management, Procure-to-Pay, Leadership, Project Management, Operations Management, Team Leadership, Management, Program Management, Cross-functional Team..., Contract Management, Process Improvement, Strategic Planning, Forecasting, Vendor Management, Negotiation, Six Sigma, Sourcing, Change Management, Global Sourcing, Outsourcing, Contract Negotiation, ERP, Process Engineering, Supply Chain..., Spend Analysis, SAP, Operational Excellence, Project Planning, Purchasing, Continuous Improvement, Demand Planning, RFP, Supplier Evaluation, Supplier Development
Education
Haslam College of Business at the University of Tennessee 2002 — 2003
MBA, Logistics & Transportation
Georgia Institute of Technology 1992 — 1997
BIE, Industrial Engineering
AmeriHealth Caritas July 2013 - Present
ATI Physical Therapy December 2012 - June 2013
PeopleShare July 2010 - May 2011
Independence Blue Cross July 2007 - November 2009
Independence Blue Cross April 1994 - July 2007
Independence Blue Cross 1985 - 1992
Skills
HMO, PPO, Health Insurance, Underwriting, Medical Billing, Managed Care, Renewals, Claims Management, Claim, HIPAA, Healthcare, Process Improvement, Self-funded, Team Building, Business Analysis, Business Process..., Medicare, Disease Management, Employee Benefits, Benefits Administration, Dentistry, Insurance, Strategy, Project Management, Health Policy, Brokers, Health Savings Accounts, Long-term Care, Medicare Part D, Provider Relations, Training, Workers Compensation, Disability Insurance, Reinsurance, Health Care Reform
Education
Drexel University - LeBow College of Business 1974 — 1975
MDwise, Inc. and MDwise Marketplace July 2015 - Present
AmeriHealth Caritas 2013 - June 2015
AmeriHealth Caritas August 2012 - August 2013
WellPoint May 2006 - May 2012
Skills
Microsoft Excel, Microsoft Word, Customer Service, Social Media, Public Speaking, Training, Policy, Healthcare, Insurance, Government, Medicaid, MS Project, Claim, Lotus Notes, CPT, Network Development, Microsoft Office, Health Policy, HIPAA, Outlook, Health Insurance, Software Documentation, Provider Relations, Call Centers, Access, Medicare, Managed Care, Hospitals, PPO, HMO, Credentialing, Claims Resolution, PowerPoint, Health Information..., Healthcare Information..., Physician Relations, Management, Employee Benefits, Healthcare Management, Healthcare Industry, EMR, Strategic Planning, Process Improvement, Team Building, Quality Improvement, Leadership
Education
Indiana Institute of Technology 2011 — 2015
Bachelor of Applied Science (B.A.Sc.), Health Information/Medical Records Administration/Administrator
Indiana Institute of Technology
Associate of Science (A.S.), Health/Health Care Administration/Management
AmeriHealth Caritas July 2013 - Present
AmeriHealth Mercy Family of Companies May 2008 - July 2013
Keystone Mercy Health Plan February 2006 - May 2008
Maritz McGettigan September 2001 - February 2006
McGettigan November 1993 - September 2001
Macy's Merchandising Group 1991 - 1992
Skills
Vendor Management, Process Improvement, New Business Development, HIPAA, Business Analysis, Budgets, Healthcare, Program Management, Business Process..., Cross-functional Team..., Leadership, Team Building, Visio, Change Management, Management, Supply Chain Management
Education
Drexel University 1988 — 1992
Bachelor of Science
Teva Pharmaceuticals May 2015 - Present
Teva Pharmaceuticals October 2012 - May 2015
AmeriHealth Caritas September 2011 - October 2012
Shire Pharmaceuticals September 2010 - June 2011
Education
West Chester University of Pennsylvania 2007 — 2010
Bachelor of Arts (B.A.), Political Science and Government
Kutztown University of Pennsylvania 2005 — 2007
Political Science and Government
AmeriHealth Caritas April 2013 - Present
Bath & Body Works December 2012 - Present
CBHNP June 2009 - April 2013
NHS Human Services May 2011 - September 2012
Skills
ASAM Placement Criteria, PCPC for Adults, McKesson InterQual, Risk Assessment, Treatment, Wellness, crisis diversion, Healthcare, Therapists, Anger Management, Hospitals, Adolescents, Case Management, Group Therapy, Mental Health, Conflict Resolution, Behavioral Health, Psychiatry, Inpatient
Education
Widener University 2005 — 2008
Master's degree, Social Work
East Stroudsburg University of Pennsylvania 2001 — 2005
Bachelor of Science (B.S.), Psychology
AmeriHealth Caritas July 2014 - Present
IU Health Methodist Hospital July 2008 - July 2014
Volt Services Group @ Eli Lilly April 2007 - June 2008
LifeMasters Supported SelfCare April 2006 - January 2007
Skills
Registered Nurses, Medical Case Management, Critical Care, Cardiology, Health Education, Utilization Review, Interqual, Milliman, ECIN, CERNER, MCCM, Medicaid, Project Management, Computer Proficiency, Medical Coding, Case Managment, Healthcare, Cerner, Healthcare Management, Managed Care, Disease Management, Case Management, Utilization Management, Medicare, Nursing, Informatics, Inpatient, Acute Care, Clinical Research, Nursing Education, Healthcare Information..., ICU, Patient Education, Palliative Care, Nursing Management, Quality Improvement, CPOE, EHR, EMR, Training, Telemetry, Communication, Customer Service
Education
Indiana University-Purdue University at Indianapolis 2013 — 2015
BSN, Nursing
Indiana State University 1996 — 1998
ASN, Nursing
FluidEdge Consulting September 2015 - Present
AmeriHealth Caritas June 2014 - September 2015
Thomas Jefferson University Hospitals September 2013 - June 2014
Thomas Jefferson University Hospitals August 2012 - September 2013
Connolly, Inc. August 2010 - August 2012
Moss Rehab, Albert Einstein Healthcare Network May 2010 - July 2010
Abington Memorial Hospital June 2009 - August 2009
Skills
Healthcare, HIPAA, Hospitals, Healthcare Management, Medicare, Medical Terminology, Managed Care, Management, Customer Service, Analysis, Data Analysis, Medicine, Nonprofits, Quality Assurance, Leadership, Medicaid
Education
St. Joseph's University 2012 — 2014
Master's of Health Care Administration, Health/Health Care Administration/Management
James Madison University 2006 — 2010
Bachelors Degree of Science, Health Services Administration; Business
James Madison University of Florence
AmeriHealth Caritas 2015 - Present
Army National Guard June 2009 - November 2014
Skills
Microsoft Office, Customer Service, Microsoft Excel, Microsoft Word, Windows, Leadership, Strategic Planning, PowerPoint, Management, Sales, Team Leadership, Training
Education
Drexel University 2015 — 2022
Pediatric Nurse/Nursing
AmeriHealth Caritas June 2015 - Present
AmeriHealth Caritas November 2013 - Present
AstraZeneca February 2012 - December 2013
AstraZeneca 2001 - 2013
AstraZeneca November 2005 - February 2012
First USA 2001 - 2002
UPS 1992 - 2001
Skills
Pharmaceutical Industry, Teamwork, Sop, CTMS, Pharmacovigilance, Market Analysis, Cross-functional Team..., Microsoft Office, Project Management, CRO
Education
Villanova University 2012 — 2012
Master Certificate, Six Sigma (Lean Six Sigma Black Belt)
Wilmington College 2006 — 2009
BS, Organizational Management
Drexel University 2005 — 2006
Advanced Communications & Technologies
Amerihealth caritas August 2013 - Present
Keystone Mercy Health Plan June 2012 - September 2013
Keystone Mercy Health Plan September 2006 - June 2012
Keystone Mercy Health Plan September 2002 - September 2006
Jordan Reses / Teamworks May 1998 - June 2002
Durant Medical, Inc June 1994 - May 1998
Skills
Data Analysis, Healthcare, Healthcare Information..., Healthcare Management, Visio, Microsoft Excel, Microsoft Word, Software Documentation, PowerPoint, Data Entry, Program Management
Education
Katherine Gibbs School 1991 — 1992
certificate, Information Processing for Executive Secretary
Affairs of Isis, LLC January 2014 - Present
AmeriHealth Caritas January 2010 - Present
Skills
Community Outreach, Event Planning, Leadership, Public Speaking, Social Media, Strategic Planning, Training, Management
Education
Temple University - Fox School of Business and Management 1998 — 2000
Bachelor of Business Administration (B.B.A.), Computer Science
Delaware State University
PoshRite August 2014 - Present
AmeriHealth Caritas June 2015 - August 2015
Howard University January 2015 - May 2015
Zipcar June 2013 - February 2014
Howard University Homecoming April 2013 - December 2013
Greater Washington Fashion Chamber of Commerce August 2012 - May 2013
Rent The Runway August 2012 - May 2013
College Fashionista August 2012 - December 2012
Visions Inc July 2010 - August 2011
Skills
Public Speaking, Social Media, Event Planning, Communicative Skills, Facebook, Management, Entrepreneurship, Public Relations, Marketing, Marketing Strategy, Editing, Social Networking, Social Media Marketing
Education
Howard University 2011 — 2015
Bachelor's Degree, Public Relations/Image Management, Senior
Prestige Health Choice January 2014 - April 2015
AmeriHealth Caritas October 2012 - January 2014
Connections Academy August 2006 - June 2009
Seminole County Public Schools August 1999 - May 2005
Orlando Health July 1991 - January 1998
Skills
Nonprofits, Community Outreach, Healthcare, Public Speaking, Relationship Building, Excellent Oral and..., Virtual Education for ..., Software Differentiation, Great Working Knowledge..., Marketing and Business..., Progress Monitoring, Technology Reading..., Medicaid Managed Care, Leadership, Education, Management, Marketing, Teaching, E-Learning, Curriculum Design, Customer Service, Training
Education
Nova Southeastern University 1997 — 1999
Master’s Degree, Education, Elementary
Florida Agricultural and Mechanical University 1983 — 1987
Bachelor’s Degree, Health/Health Care Administration/Management
AmeriHealth Caritas
Skills
Healthcare, Medicare, Health Insurance, Data Entry, Medical Billing, Medical Terminology, Healthcare Management
Education
Florida State College at Jacksonville 2012 — 2014
Health Services/Allied Health/Health Sciences, General
AmeriHealth Caritas December 2014 - Present
AmeriHealth Caritas February 2013 - Present
CareFirst BlueCross BlueShield June 2007 - February 2013
Skills
Financial Modeling, Financial Analysis, SAS Programming, Visual Basic, Microsoft Office, Microsoft Excel, Microsoft Word, Research, PowerPoint, Leadership, Training
Education
Goldey-Beacom College 2008 — 2010
Master of Business Administration (M.B.A.), Financial Management
Hampden-Sydney College 2003 — 2007
Bachelor’s Degree, Mathematical Economics, Physics, Applied Mathematics
Enrollment Management-UMD September 2015 - Present
Takoma Voice June 2015 - Present
Shirley Povich Center at the University of Maryland June 2015 - July 2015
ABC 7 WJLA February 2015 - May 2015
AmeriHealth Caritas June 2014 - May 2015
Sarah Neuman Nursing Home June 2011 - August 2011
Skills
Microsoft Office, PowerPoint, Microsoft Word, Microsoft Excel, Research, Outlook, Editing, English, Goal Oriented, Critical Thinking, Marketing Communications, Meeting Planning, Organization, Leadership, Social Media
Education
University of Maryland College Park 2015 — 2016
Master's degree, Broadcast Journalism
George Mason University 2011 — 2015
Bachelor's degree, Communication, Senior
AmeriHealth Caritas February 2012 - Present
Delaware County Community College 2014 - 2014
Mercy Health System, Southeastern, Pa January 2011 - January 2012
The Childrens Hospital of Philadelphia November 2003 - July 2010
CHOP 2003 - 2010
the childrens hospital of philadelphia 2003 - 2009
New Courtland Eldercare 2002 - 2003
Temple University Hospital 1998 - 2003
Skills
Employee Relations, Performance Management, Organizational..., Leadership Development, Onboarding, Talent Acquisition, Talent Management, Human Resources, Recruiting, Coaching, Deferred Compensation, HRIS, NACE, University Relations, University Recruitment, Leadership, Management, Training, Strategic Planning
Education
Eastern University 2012 — 2014
Master of Business Administration (MBA), Healthcare Administration
Saint Joseph's University 2001 — 2004
MS, Training and Org. Development
Indiana University of Pennsylvania
BS, Fashion Merchandising/Marketing
AmeriHealth Caritas April 2014 - Present
AmeriHealth Caritas March 2013 - April 2014
AmeriHealth Caritas September 2010 - March 2013
AmeriHealth Caritas July 2009 - September 2010
AmeriHealth Caritas May 2005 - July 2009
AmeriHealth Caritas September 2003 - May 2005
Skills
Committed to..., Outstanding time..., Healthcare, Microsoft Excel, Management, Leadership, Strategic Planning, Project Management, Process Improvement, Hospitals, Training, Healthcare Management, Customer Service, Complaint Investigations, Call Centers, Supervisory Skills, Facets
Education
Delaware County Community College
Business Administration and Management, General
Fresenius Medical Care October 2014 - Present
DeVry University February 2012 - February 2015
AmeriHealth Caritas 2008 - 2013
Aetna May 2003 - February 2008
Skills
Financial Analysis, Budget Monitoring, Budget Process, Budget Reconciliation, Performance Analysis, Underwriting, Benefits Design, University Teaching, Teaching Adults, Customer Service, Management, Business Analysis, Finance, Analysis
Education
Eastern University 2005 — 2006
Master of Business Administration (MBA), Health/Health Care Administration/Management
Temple University 1997 — 2002
Bachelor of Business Administration (BBA), Actuarial Science
[EV]-BnksCrtv August 2010 - Present
National Academy of Social Insurance March 2015 - July 2015
Zipcar March 2014 - October 2014
Cornerstone Agency January 2014 - October 2014
9:30 Club August 2013 - April 2014
ArtLife Inc August 2013 - December 2013
AmeriHealth Caritas June 2012 - August 2012
Viacom June 2011 - August 2011
Foot Locker August 2008 - August 2011
Skills
Social Media, Event Planning, Marketing Strategy, Graphics, Creative Direction, Music Industry, Promotions, Brand Development, Video, Grant Preparation, Sales, Community Outreach
Education
Howard University 2009 — 2014
Cheltenham High School 2005 — 2009
AmeriHealth Caritas June 2014 - Present
AmeriHealth Caritas November 2012 - June 2014
Coventry Health Care July 2010 - November 2012
Community Action Agency of Delaware County June 2009 - June 2010
Housing and Residential Services of Kutztown University August 2007 - May 2009
Philadelphia Adult Probation May 2008 - August 2008
Paul Revere Pizza House June 2004 - August 2008
Skills
Teamwork, HIPAA, Leadership Development, Critical Thinking, Fundraising, Health Insurance, Nonprofits, Medicaid, Community Outreach, Telephone Skills, Event Planning, Microsoft Word, PowerPoint, Outlook, Microsoft Excel, Customer Service, Leadership, Research, Training, Healthcare
Education
Kutztown University of Pennsylvania 2005 — 2009
Criminal Justice, Criminal Justice
BAYADA Home Health Care June 2012 - Present
Biondo Creative August 2013 - Present
VisitNJShore.com - Your Guide to the Jersey Shore January 2001 - Present
Maximum Capacity DJs January 1993 - Present
Biondo Communications January 2001 - December 2012
AmeriHealth Caritas October 2010 - May 2012
AmeriHealth Caritas June 2000 - October 2010
Northeast Catholic High School October 1999 - January 2006
La Salle University June 1999 - June 2000
Bridesburg Recreation Center 1990 - 2000
Skills
Web Development, SEO, Strategy, Email Marketing, Project Management, Security, Leadership, Business Analysis, Microsoft SQL Server, Web Analytics, Enterprise Software, Strategic Partnerships, Enterprise Architecture, Start-ups, Databases, XML, CSS, Networking, Entrepreneurship, Social Media Marketing, Web Design, CMS, System Administration, .NET, SQL, Online Advertising, Web Project Management, E-commerce, IIS, Web Content Management, JavaScript, Adobe Creative Suite, Agile Project Management, Interwoven, Web Application..., HTML 5.0, Cloud Computing, WebSphere MQ, Sybase, Oracle, Mobile Product..., Innovation, User-centered Design, Social Media, Innovation Management, Research, User Interface Design
Education
Saint Joseph's University - Erivan K. Haub School of Business 2010 — 2012
MBA, Executive Masters in Business Administration
Learning Tree International 2011 — 2011
Continuing Education, ITIL Foundation
SunGard Training 2010 — 2010
None, SunGard Process Director
IBM Training 2009 — 2009
None, IBM WebSphere MQ
Interwoven Training 2009 — 2009
None, Interwoven TeamSite 6.7.2
Dale Carnegie - Human Relations and Communications 2008 — 2008
Continung Education, Human Relations and Communications
Dale Carnegie - Leadership LINC 2008 — 2008
Continung Education, Leadership, Management
Dale Carnegie - High Impact Presentations 2007 — 2007
Continung Education, Presentation Skills
Temple University 2005 — 2006
Certificate, Real Estate
La Salle University 1996 — 2000
BA, Computer Science & Digital Art
1SEO Digital Agency August 2015 - Present
Snyder Online Marketing June 2014 - August 2015
AmeriHealth Caritas March 2013 - June 2014
Ink-It Digital 2011 - 2011
University of Pennsylvania May 2007 - August 2010
Sprint Nextel September 1998 - May 2006
Skills
Customer Service, Telecommunications, Account Management, Customer Satisfaction, Social Media Marketing, Marketing, Marketing Strategy, Editing, Process Improvement, Project Management, Social Networking, Management, Time Management, Sales, Data Analysis, Microsoft Office, Event Management, Business Strategy, Training, Event Planning, Microsoft Excel, PowerPoint, Troubleshooting, Teaching, Process Scheduler, Graphic Design, Quality Assurance, Public Relations, Analysis, Sales Operations, Strategic Planning, Research, Email Marketing, Administrative..., Team Leadership, Public Speaking, Facebook, Higher Education, Photoshop, Interviews, Nonprofits, Organizational..., Community Outreach, Advertising, Program Management, Coaching, Healthcare, Blogging, Outlook, Social Media
Education
Kaplan University 2009 — 2011
Associate's degree, Medical Transcription/Transcriptionist
Procter & Gamble June 2015 - August 2015
AmeriHealth Caritas June 2014 - August 2014
Skills
Financial Analysis, Mathematical Modeling, Corporate Finance, Leadership, Customer Relations, Management, Finance, Teamwork
Education
Indiana University - Kelley School of Business 2012 — 2016
Accounting and Finance, Business
Carmel High School 2008 — 2012
General Diploma
AmeriHealth Caritas March 2008 - Present
Skills
Process Improvement, Healthcare, Program Management, Managed Care, Budgets, Case Managment, Medicaid, Healthcare Information..., Employee Relations, Team Building, Strategic Planning, Utilization Management, Project Management, Healthcare Management, PowerPoint, Event Planning, Customer Service, Leadership, Disease Management, Analysis, Case Management, Public Speaking, Microsoft Office, Human Resources, Data Analysis, Credentialing, Training, Management, Microsoft Excel, Recruiting, NCQA, Community Outreach, Provider Relations, Account Management, Medicare, HIPAA, Quality Improvement, Access, Employee Benefits, Microsoft Word, Administration, Vendor Management, Hospitals, Health Insurance, Healthcare Industry, Program Development
Education
Hanover College 1993 — 1997
Bachelor's Degree, Communication, 3.00
Indiana Wesleyan University 2006 — 2008
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management, 3.90
AmeriHealth Caritas October 2013 - Present
American Association for Cancer Research, AACR October 2012 - October 2013
Health Monitor Network February 2011 - October 2012
Society of Hospital Medicine September 2009 - January 2011
National Community Pharmacists Association, NCPA June 2008 - September 2009
Pharmaceutical Care Management Association (PCMA) February 2007 - June 2008
Pharmaceutical Care Management Association (PCMA) February 2005 - February 2007
American Council of Engineering Companies November 2003 - February 2005
ACLI June 2002 - August 2002
Skills
Healthcare, Non-profits, Fundraising, Marketing, Strategic Planning, Management, Leadership, Public Speaking, Program Management, Budgets, Public Relations, Community Outreach, Customer Service, Social Media, Team Building, Marketing Strategy, Patient Education, Research, Program Development, Marketing Communications, Event Planning, Sales, Team Leadership, Analysis, Business Development, Sales Process, Strategy, Mentoring, Cross-functional Team..., Project Management, Account Management, Market Research, Nonprofits
Education
Georgetown University 2005 — 2006
Graduate Business Administration Certificate, Business Administration
Dickinson College 1999 — 2003
BA - History and Education, Secondary Education: Social Studies
Washington Center 2002 — 2002
Summer Internship and Academic Program, Business and Government
University of East Anglia 2001 — 2002
English & American Studies
Rancocas Valley Regional High School 1995 — 1999
Amerihealth Caritas June 2013 - Present
DIA August 2011 - February 2013
The Chester County Hospital April 2010 - July 2011
LMA Consulting September 2008 - 2011
Endo Pharmaceuticals March 2007 - August 2008
Endo Pharmaceuticals 2007 - 2008
SDI Health 2004 - 2007
GSK June 2000 - February 2004
GSK June 2000 - February 2004
Merck 1995 - 2000
Skills
Strategic Planning, Program Management, TQM, Vendor Management, Project Management, Six Sigma, Budgets, Cross-functional Team..., Coaching, Process Improvement, Healthcare, Management, Pharmaceutical Industry, Strategy, Management Consulting, SDLC, Enterprise Software, Marketing, Integration, Business Process...
Education
Immaculata University
BA, Economics
AmeriHealth Caritas March 2013 - Present
North Willow Grove Pediatrics May 2009 - March 2013
CVS Pharmacy July 2005 - August 2010
FastVax September 2009 - March 2010
Skills
Patient Education, Patient Advocacy, Nursing, BLS, Immunization, Pharmacueticals, Pediatrics, Case Managment
Education
Gwynedd-Mercy College 2003 — 2008
BS, Nursing
AmeriHealth Caritas March 2014 - Present
Dollar Financial Group July 2013 - March 2014
Dollar Financial Group April 2012 - July 2013
The Jones Group Inc. January 2011 - April 2012
The Jones Group Inc. January 2008 - January 2011
Skills
Accounting, Forecasting, Account Reconciliation, Cash Flow, Budgets, Analysis, Journal Entries, Treasury, Variance Analysis, Cash Management, Financial Reporting, Cash Flow Forecasting, Financial Analysis, Sarbanes-Oxley Act, Finance, General Ledger, Strategic Financial...
Education
Drexel University 2013 — 2015
Master of Business Administration (M.B.A.), Finance, General
University of Delaware - Lerner College of Business and Economics
Comcast Business January 2015 - March 2015
AmeriHealth Caritas September 2013 - May 2014
TD August 2012 - October 2012
Sunoco April 2012 - August 2012
Wells Fargo February 2011 - December 2011
Rhombus Services August 2010 - November 2010
Sirius IT Consulting INC. January 2007 - October 2009
JPMorgan Chase May 2006 - July 2006
Comcast January 2001 - February 2006
CSC - Computer Sciences Corporation February 1999 - January 2001
Skills
Project Management, Software Documentation, Business Analysis, SharePoint, MS Project, Documentation, Microsoft Suites, Planview, Blueprint Application
Education
Immaculata University
Bachelor of Science (BS), Psychology/Art minor
AmeriHealth Caritas July 2013 - Present
Aramark October 2008 - November 2012
PMI-DVC October 2011 - April 2012
ARAMARK May 2008 - September 2008
ARAMARK June 2007 - March 2008
ARAMARK January 2007 - June 2007
ARAMARK December 1994 - February 2003
Skills
Cross-functional Team..., Microsoft Office, MS Project, Project Planning, Project Implementation, International Project..., Project Coordination, Project Execution, Project Delivery, Software Implementation, Board Presentations, Business Analysis, Budget Management, Customer Retention, Client Relationship..., Process Improvement, Competitive Analysis, Training & Development, Conflict Resolution, Quality Assurance, Open Source, Key Account Management, Financial Management, Event Management, Category Management, Team Motivator, Process Optimization, Project Management, Management, Budgets, Operations Management, Purchasing, Sourcing, Analysis, Supply Chain, Business Process..., Vendor Management, Procurement, Process Scheduler, CRM, Change Management, Team Building, Employee Training, Project Portfolio..., Strategy, Managerial Finance
Education
Florida Atlantic University 2014 — 2014
Project Management Scheduling Professional, 4.0
Kaplan University 2010 — 2011
Project Management Certification
Culinary Institute of America 1979 — 1981
Associate's degree
AmeriHealth Caritas November 2014 - Present
Siemens Corporation April 2013 - November 2014
TEKsystems February 2012 - March 2013
Health Market Science September 2007 - February 2012
VWR International June 2005 - September 2007
Qa Associates, Inc 2002 - 2005
Palarco, Inc. 1998 - 2002
Skills
SDLC, SQL, Agile Methodologies, Requirements Analysis, Business Analysis, MS Project, Integration, Unix, Databases, Process Improvement, Oracle, Software Quality..., Quality Assurance, User Acceptance Testing, Business Intelligence, Software Project..., Requirements Gathering, Web Applications, Test Automation, Project Planning, Visio, Software Documentation, Testing, Java, Scrum, PL/SQL, Test Planning, Regression Testing, Enterprise Software, Analysis, Quality Center, Software Development, Manual Testing, Integration Testing, Data Warehousing, XML, ETL, Perl, SharePoint, Agile Project Management
Education
Florida Institute of Technology 1977 — 1982
BS, Electrical Engineering
Delaware County Community College
ISO 9000 Internal Auditor
Drexel University – Goodwin College
Six Sigma Green Belt certification
AmeriHealth Caritas February 2014 - Present
Bank of America January 2006 - February 2014
MBNA America January 1999 - December 2005
Unisys 1995 - 1999
Autotote Systems January 1992 - February 1993
Education
Goldey-Beacom College 1997 — 2001
Delaware Technical & Community College 1991 — 1997
Associates Degree, Computer Information Systems
AmeriHealth Caritas 2001 - Present
AmeriHealth Mercy Health Plan 2001 - Present
Keystone Mercy Health Plan 2000 - Present
Skills
ITIL, Troubleshooting, Process Improvement, Disaster Recovery, Networking, WAN, Network Administration, Data Center, Vendor Management
Education
Immaculata University
AmeriHealth Caritas July 2013 - Present
Towers Watson February 2007 - December 2012
Protiviti April 2004 - September 2006
Ernst & Young February 1995 - April 2004
Skills
Employee Engagement, Performance Management, Succession Planning, Employee Relations, Organizational..., Compensation, Organizational Change, Change Management, Deferred Compensation, Workforce Planning, Talent Management, HR Consulting, Conflict Resolution, Strategy, Leadership
Education
Temple University 2005 — 2009
MA, AOD
Villanova University 2007 — 2007
Certificate, Human Resources Management
New York University 1993 — 1995
Diploma, Human Resources Management/Personnel Administration, General
Indiana University Bloomington 1985 — 1989
BA, Psychology, Criminal Justice
AmeriHealth Caritas 2013 - Present
The AmeriHealth Mercy Family of Companies 2011 - 2012
Keystone Mercy Health Plan 2006 - 2011
Education
Franklin & Marshall College 1989 — 1993
B.A., Government
AmeriHealth Caritas August 2015 - Present
Amerihealth Caritas May 2013 - July 2015
Visual Intelligence, LLC October 2010 - September 2014
IMS Health June 2010 - September 2010
Independence Blue Cross October 2006 - October 2009
Informatics Enabling Technology Services Division October 2006 - October 2009
2010 Strategic Planning Team January 2006 - October 2006
Independence Blue Cross June 1982 - October 2006
IBC May 1997 - December 2005
Information Services, Finance May 1991 - April 1997
Skills
Project Management, Consulting, Data Management, Testing, Requirements Management, SDLC, Business Analysis, Business Process, Integration, Software Development, Strategy, Data Warehousing, Analysis, SharePoint, Enterprise Software, Management, Leadership
Education
La Salle University
BA
AmeriHealth Caritas February 2011 - Present
AmeriHealth Caritas November 2005 - February 2011
ACE Group 2002 - 2005
United Behavioral Health December 2000 - June 2002
Skills
Essbase, Hyperion Planning, SmartView, PeopleSoft nVision, VBA, Excel, PeopleSoft, Hyperion, Hyperion Financial..., Hyperion HFM, FDQM, Budget Forecasts, Financial Accounting, Financial Reporting, Smartview, Hyperion Enterprise
Education
Drexel University - LeBow College of Business 1997 — 1999
MBA, Finance
University of Delaware 1986 — 1990
BA, Political Science
AmeriHealth Caritas March 2015 - Present
Echols Enterprises December 2004 - Present
AmeriHealth Caritas June 2014 - March 2015
AmeriHealth Caritas December 2013 - June 2014
Hester Group February 2012 - November 2012
University of North Florida March 2010 - March 2011
Medtronic October 2007 - January 2010
Medtronic October 2001 - October 2007
Skills
Microsoft Office, Adobe Acrobat, Photoshop, Adobe Creative Suite, PowerPoint, Graphic Design, Dreamweaver, InDesign, Web Design, Illustrator, Mac, Microsoft Word, Project Management, Marketing, Creative Problem Solving, Microsoft Excel, Advertising, Logo Design
Education
University of North Florida - College of Business Administration 2008 — 2009
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Florida Community College at Jacksonville 2006 — 2008
Associates in Arts
AmeriHealth Caritas October 2014 - Present
Green Hell Guides, LLC July 2014 - Present
The AmeriHealth Caritas Family of Companies July 2012 - September 2014
Pinnacle Foods Group LLC April 2009 - July 2012
Merck October 1997 - November 2008
Merck October 1994 - October 1997
Merck April 1993 - October 1994
Merck April 1992 - April 1993
Merck April 1991 - April 1993
DuPont September 1989 - March 1990
Skills
Business Intelligence, IT Strategy, Data Warehousing, ETL, Analytics, Project Management, Data Modeling, Business Analysis, Enterprise Architecture, Management, IT Management, Data Integration, Requirements Analysis, Information Management, SharePoint, Information Architecture, Performance Dashboards, Metadata, Shared Services, Oracle, Enterprise Search, Information Access, 3D Printing, Automotive, High Performance Driving, Coaching, Watches, WordPress, Collaboration Tools, Document Management, Content Management, Search Analysis
Education
Drexel University 1986 — 1991
BS, Information Systems
Avhana Health March 2015 - Present
Sacks Weston Millstein Diamond LLC May 2015 - Present
Viren's Professional Aquatic Training and Lifeguarding Services May 2004 - Present
AmeriHealth Caritas May 2014 - August 2014
Health Federation of Philadelphia February 2014 - June 2014
Medical-Legal Community Partnership at PLA and PDPH September 2013 - May 2014
Public Health Law Research Program at Temple University May 2013 - May 2014
Pennsylvania Innocence Project January 2013 - May 2013
University of Pennsylvania, Wistar Institute March 2011 - August 2012
Fenton Chair Fund, NEMPET Microbiologists September 2007 - August 2010
Education
Drexel University 2012 — 2016
JD/MPH (Thomas R. Kline School of Law, School of Public Health)
University of Pennsylvania 2011 — 2012
Drexel University 2006 — 2010
B.S.
Pennsbury School District 2002 — 2006
High School Diploma
AmeriHealth Caritas September 2014 - Present
Walgreens April 2012 - September 2014
Telerx December 2007 - May 2012
Merion Publications, Inc March 2006 - November 2006
The CEI Group, Inc. May 2003 - March 2006
Skills
Software Architectural..., ASP.NET, C#, .NET, ASP.NET MVC, SQL, T-SQL, Web Services, Oracle, Agile Methodologies, RUP Methodologies, Crystal Reports, Testing, VB.NET, ETL, Quality Assurance, XML, SDLC, Microsoft SQL Server
Education
Drexel University 2005 — 2007
MS, Software Engineering
University of the Sciences in Philadelphia 2002 — 2005
BS, Computer Science
AmeriHealth Caritas July 2012 - Present
Passport Health Plan/Amerihealth Caritas December 2006 - October 2011
Passport Health Plan / Amerihealth Caritas June 2004 - December 2006
Passport Health Plan / Amerihealth Caritas June 1999 - January 2004
Skills
HIPAA, Managed Care, Process Improvement, Performance Management, Health, Access, Microsoft Office, PowerPoint, Writing, Operations Management, Compliance, Analysis, Healthcare, Quality Management, Excel, Continuous Improvement, Medicaid, Medicare, Leadership Development, Outlook, Problem Solving, Employee Relations, Strategic Planning, Team Building, Mentoring, Quality Assurance, Healthcare Management, Business Process..., Budgeting, Documentation, Team Leadership, Business Analysis, Cross-functional Team..., Policy, Planning, Visio, Coaching, Supervisory Skills, Metrics, Healthcare IT, Vendor Relations, Administration, Organizational..., MS Project, Budgets, Healthcare Information..., Revenue Cycle, Healthcare Consulting, Health Policy, Pharmacy Benefit...
Education
Indiana University-Southeast 2000 — 2006
Bachelor of Science, Information and Operations Management
Indiana University-Southeast 1999 — 2003
Bachelor of Science, Information and Operations Mgt
AmeriHealth Caritas April 2015 - Present
Highmark Health August 2012 - April 2015
Penn Mutual 2010 - 2012
Winged Keel Group December 2009 - September 2010
Sightlines, LLC June 2007 - August 2008
Institute of Economic Affairs June 2006 - August 2006
Skills
Data Analysis, Actuarial Science, Insurance, Statistical Modeling, Leadership, Analysis, Research, Financial Analysis, Training, Valuation, Financial Modeling, Property & Casualty..., Business Analysis, Microsoft Excel, Microsoft Office, Risk Management, Statistics, Life Insurance, Reinsurance, Predictive Modeling, Health Insurance
Education
Illinois State University 2008 — 2010
MSc, Mathematics - Actuarial Science
Dickinson College 2003 — 2007
BSc, Mathematics, Economics
AmeriHealth Caritas March 2015 - Present
Commonwealth of Pennsylvania May 2014 - March 2015
Unemployment Compensation Tax Review Board December 2012 - May 2014
Pennsylvania Department of Labor and Industry September 2011 - December 2012
Deleware County Solicitor's office June 2010 - July 2010
Delaware County Solicitor's office June 2009 - August 2009
Skills
Litigation, Commercial Litigation, Trademarks, Criminal Law, Westlaw, Legal Research, Legal Writing, Intellectual Property, Trade Secrets, Microsoft Excel, Microsoft Word, Appeals, Microsoft Office
Education
University of Dayton School of Law 2008 — 2011
J.D, Law
West Chester University of Pennsylvania 2005 — 2007
BA, Literature
Emerson College 2003 — 2005
n/a, Writing, Literature and Publishing
AmeriHealth Caritas August 2014 - Present
Oleen Pinnacle Healthcare Consulting September 2008 - Present
CSC Formerly First Consulting Group May 2005 - September 2008
MVP Health Care August 2001 - May 2005
Skills
Testing, Requirements Analysis, Requirements Gathering, Business Analysis, Integration, Business Process..., Software Development, Healthcare Information...
Education
Ithaca College 1998 — 2001
Bachelor of Business Administration (B.B.A.), Management and Finance
AmeriHealth Caritas August 2013 - Present
21st Century Insurance January 2011 - August 2013
21st Century Insurance October 2009 - January 2011
Prudential Financial April 2009 - July 2009
IDP October 2008 - April 2009
The Timothy School 2007 - 2009
Prudential Financial 1999 - 2008
Harrisburg Senators 1996 - 1999
Wilmington Blue Rocks 1996 - 1996
Philadelphia Eagles 1996 - 1996
Skills
SDLC, Business Analysis, Requirements Gathering, PMP, Business Requirements, Requirements Analysis, Visio, Vendor Management, Project Management, Process Improvement, Management, Insurance, Program Management, Software Documentation, Software Project..., IT Strategy, PMO, MS Project, SharePoint, Integration, Business Process..., Business Process, Resource Management, Business Process Design, IT Management, Microsoft Excel, Business Intelligence, CRM, Systems Analysis, User Acceptance Testing, Agile Project Management, Quality Assurance, Web Applications, Analysis, Risk Management, Data Warehousing, Agile Methodologies, Data Modeling, Property & Casualty..., Change Management, Enterprise Architecture, Waterfall, Project Delivery, Sports Management, Functional Requirements, Group Life & Disability, Team Track, Use Case, Interfaces, Version One
Education
Villanova University 2006 — 2006
Post Masters Certificate, Project Management
Eastern University 2003 — 2005
MBA, Business
Temple University - Fox School of Business and Management 1991 — 1995
BA, Marketing
Haverford High
AmeriHealth Caritas August 2013 - Present
Philadelphia Board of Education March 2013 - Present
Nimat Finest Bake Goods August 1999 - Present
Skills
Public Speaking, Community Outreach, Event Management, Social Media, Research, Event Planning, Non-profits, Teaching, Microsoft Office, Public Relations, Nonprofits, Staff Development, Grant Writing, Training, Blogging, Editing, Fundraising, Leadership Development, Newsletters, Press Releases, Social Networking
Education
Drexel University 2012 — 2013
Delaware County Community College 2010 — 2012
Applied Science Degree/concentration in psychology, honors graduate
AmeriHealth Caritas February 2006 - Present
Heavens Short Indpendent Clinical Consultant March 2003 - December 2005
Riddle Memorial Hospital 2003 - 2004
Keystone Mercy Health Plan 1999 - 2003
MEDecision 1998 - 1999
Crozer Chester Medical Center 1995 - 1998
Keystone Mercy Health Plan October 1993 - 1998
Sacred Heart Medical Center 1986 - 1995
Education
St. Francis University 1999 — 2003
MS, Health Administration
Eastern University 1993 — 1997
BSN, Nursing
St AgnesMedical Center School of Nursing 1982 — 1985
RN Diploma, Nursing
Delaware County Community College 1980 — 1982
AA, Liberal Arts
AmeriHealth Caritas December 2013 - Present
Keystone First 2013 - 2015
Keystone First 2013 - 2015
Alfred I. DuPont Hospital for Children December 2009 - March 2010
The Children's Hospital of Philadelphia March 2006 - April 2009
Skills
PALS, Pediatric Nursing, Medical/Surgical, Inpatient, Acute Care, Hospitals, Nursing Education, EMR, Healthcare, Medication..., Nursing, BLS, Patient Safety, Patient Education, Epic Systems, Jiva Healthcare Systems, Health Insurance, Case Management, Pediatrics, Registered Nurses, Healthcare Management, Medicine, Treatment, CPR Certified, Medical Terminology, Patient Advocacy, ACLS, HIPAA
Education
Hampton University 2001 — 2006
Bachelor's of Science, Nursing
Williamstown High School 1997 — 2001
High School
AmeriHealth Caritas April 2014 - Present
AmeriHealth Caritas July 2009 - April 2014
Skills
Analysis, SDLC, Visio, Data Analysis, Business Analysis, Requirements Analysis, Requirements Gathering, SharePoint, Software Project..., Software Documentation, Program Management, Vendor Management, Management, Healthcare Information..., Process Improvement
Education
Kutztown University of Pennsylvania
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Talen Energy July 2015 - Present
AmeriHealth Caritas February 2014 - August 2014
Penn Mutual February 2013 - February 2014
VWR July 2012 - September 2012
Independence Blue Cross June 2010 - July 2012
Merck November 2009 - March 2010
PJM Interconnection August 2008 - November 2009
Exelon April 2007 - July 2008
Wyeth Pharmaceuticals July 2006 - December 2006
CH2M HILL 2001 - 2006
Skills
MS Project, Software Documentation, PMO, Project Portfolio..., Project Management, Project Planning, Integration, Process Improvement, SDLC, Management, Microsoft Project, Highly organized, Strong listening,..., Proficient in handling..., Ability to self-manage..., Resource Management, Vendor Management, Visio, Change Management, Testing, SharePoint, Program Management, Quality Assurance, Analysis, Cross-functional Team..., Business Process..., CA Clarity, Microsoft Excel
Education
Kutztown University of Pennsylvania
BS, Telecommunicatins
AmeriHealth Caritas August 2013 - Present
The AmeriHealth Mercy Family of Companies January 2010 - August 2013
OrthoIndy September 2002 - January 2010
Skills
Management, Access, Informatics, Microsoft Office, Medicaid, Business Analysis, Healthcare, SAS, Managed Care, Healthcare Information..., Team Building, HIPAA, EMR, Leadership, Budgets, Process Improvement, Microsoft Excel, Software Documentation, Hospitals, Healthcare Management, Data Analysis, Disaster Recovery, Visio, Project Management, Health Insurance, Program Management, Strategic Planning, Outlook, Vendor Management, Employee Benefits, Crystal Reports, Business Intelligence, Medicare, Analysis
Education
Indiana University-Purdue University at Indianapolis 2000 — 2008
Bachelor of Science, Accounting and Finance
AmeriHealth Caritas April 2014 - Present
Delaware Valley Healthcare Council of HAP March 2008 - March 2014
Philadelphia Safe and Sound September 2003 - March 2008
Skills
Microsoft Excel, SAS Enterprise Guide, Microsoft Office, Microsoft Word, Oral & Written..., Graphic Presentations, Prioritize Workload, Statistical Concepts, Quantitative Analytics, Qualitative Research, Dedicated Professional, Commitment to Customer..., Success Driven, HIPAA, Data Management, Project Management, Healthcare, Analysis, Data Analysis
Education
Drexel University 2005 — 2007
MPH, Public Health
University of Delaware 1996 — 2001
BA, Geograghy
AmeriHealth Caritas June 2014 - Present
AmeriHealth NJ April 2013 - Present
CareCore National July 2007 - July 2010
IBC / AmeriHealth August 2002 - July 2007
Independence Blue Cross April 1998 - July 2007
IBC / AmeriHealth April 1998 - August 2002
JOHN HANCOCK INSURANCE August 1985 - May 1998
John Handcock August 1985 - April 1998
JOHN HANCOCK INSURANCE August 1985 - April 1998
Skills
Managed Care, Provider Relations, Medicare, HIPAA, Health Insurance, Access, Process Improvement, Insurance, Medicaid, Healthcare, Customer Service, Analysis, Policy, Leadership, Claim, Coaching, Call Centers, Program Management, Healthcare Management, Team Building, Training, Hospitals, Healthcare Industry
Education
Delaware County Community College 1983 — 1985
Accounting
AmeriHealth Caritas March 2014 - Present
Students Run Philly Style January 2013 - June 2014
Main Line Media News August 2012 - March 2014
Comcast January 2012 - May 2012
Kutztown University September 2009 - December 2011
Skills
Facebook, Social Media, Adobe Creative Suite, Blogging, Creative Writing, Photoshop, Microsoft Office, Social Networking, Public Relations, Public Speaking, Journalism, Editing, Copy Editing, InDesign, PowerPoint, Writing
Education
Kutztown University of Pennsylvania 2008 — 2012
Professional Writing, Journalism
Franklin Towne Charter High School 2004 — 2008
AmeriHealth Caritas June 2014 - Present
Economy Dentures May 2011 - January 2013
Blue Cross Blue Shield of Florida November 1999 - August 2007
Skills
Medicare, Analysis, PowerPoint, Administrative..., Microsoft Office, Process Improvement
Education
Florida State College at Jacksonville
Supervision & Management/Sociology
CVS Health February 2015 - Present
PerformRx May 2008 - December 2014
AmeriHealth Caritas 2000 - 2014
PerformRx/Amerihealth Mercy Family of Companies March 2007 - May 2008
Keystone Mercy Health Plan April 2005 - March 2007
Keystone Mercy Health Plan August 2000 - April 2005
Rios Pharmacy Nutritional and Medical Products October 1992 - August 2000
Costa's Apothecary January 1989 - October 1992
Skills
Pharmacists, Pharmacy, Healthcare, Medicaid, Medication Therapy..., Pharmacy Benefit..., Managed Care, Medicare Part D
Education
Immaculata University 2007 — 2010
BA, Healthcare Management
Delaware County Community College 1999 — 2001
Associates, Healthcare Mgt
AmeriHealth Caritas January 2013 - Present
WellCare November 2010 - December 2012
Florida Medical Providers September 2005 - December 2009
Florida Medical Providers Inc October 1994 - December 2009
Florida Medical Providers July 2002 - August 2005
Florida Medical Providers January 1998 - June 2002
Florida Medical Providers October 1994 - December 1997
Skills
Provider Relations, Account Management, Training, Hospitals, Revenue Cycle, Healthcare Information..., HIPAA, EMR, Healthcare Consulting, Leadership, Insurance
Education
Florida Agricultural and Mechanical University 1989 — 1994
B.S, Health Care Management
AmeriHealth Caritas June 2014 - Present
Cozzi Jewelers June 2000 - Present
Devon Health Services January 2009 - October 2012
Devon Health Services January 2006 - January 2009
Devon Health Services January 2004 - January 2006
Devon Health Services May 2002 - January 2004
United National Group October 1999 - December 2001
Regina Nursing Home November 1994 - December 1999
Skills
Strategic Planning, Team Building, Customer Service, Social Media, Coaching, Marketing, Social Media Marketing, Sales Management, Event Management, Microsoft Office, Sales, Marketing Strategy, Event Planning, Public Speaking, New Business Development, Operations Management, Management, Advertising, Budgets, Program Management, PowerPoint, Inventory Management, Microsoft Excel, Microsoft Word, Leadership
Education
Robert E Lamberton 1993 — 1997
High school Diploma
Harcum College
The Chubb Institute
Diploma, Personal Computer Applications
AmeriHealth Caritas August 2015 - Present
Blue Care Network April 2012 - May 2015
Blue Cross Blue Shield of Michigan 2006 - 2010
Blue Care Network 2005 - 2006
Blue Care Network 2002 - 2005
American Community Mutual Insurance Company 1999 - 2002
Blue Cross Blue Shield of Michigan 1995 - 1999
Skills
Medicare, Insurance, Health Insurance, Managed Care, Data Analysis, HIPAA, Access, Process Improvement, Microsoft Excel, Microsoft Office, Microsoft Word, Budgets, Actuarial Science, Healthcare, Medicare Part D, Vendor Management, Team Building, Employee Benefits
Education
University of Michigan-Dearborn 1993 — 1995
Bachelor of Science (BS), Major: Mathematics, Minor: Applied Statistics, 3.97 (4.00 Scale)
Henry Ford Community College 1990 — 1993
AmeriHealth Caritas November 2014 - Present
Optum/United Health Group July 2013 - October 2014
Executive Health Resources November 2010 - July 2013
Arlene D. Lewis, M.D., P.L.L.C. October 2005 - April 2011
Gynecology Associates of Fredericksburg June 2003 - September 2005
Women's Health Center of Fredericksburg August 2001 - April 2003
Skills
Utilization Management, Board Certified, Healthcare Management, Hospitals, Healthcare, Gynecology, Writing, Public Health, Physicians, Medicine, Medical Education, Management, Employee Management, Manage Client..., Disease Management, Internal Medicine, Healthcare Consulting, Quality Improvement, EHR, Physician Relations, Health Policy
Education
The George Washington University School of Medicine and Health Sciences 2008 — 2010
Certificate in Public Health, Public Health
The University of Texas Health Science Center at Houston 1997 — 2001
Residency, OB/GYN
Virginia Commonwealth University School of Medicine 1993 — 1996
M.D., Medicine
Hampton University 1987 — 1989
B.A., English
Virginia Polytechnic Institute and State University 1983 — 1987
UnitedHealth Group June 2015 - Present
AmeriHealth Caritas September 2014 - May 2015
Vascular Access Centers April 2010 - September 2014
MedRisk, Inc. January 2009 - April 2010
AIG March 2006 - November 2008
Harris School of Business February 2005 - November 2008
Aetna January 2003 - December 2005
Intracorp April 2000 - August 2002
Skills
Healthcare, Billing, Insurance, Managed Care, Credentialing, Provider Contracting, Network Administration, Compliance, Underwriting, Project Planning, Claims Management, Supervisory Skills, Policy Writing, Research, Regulatory Submissions, Regulatory Affairs, Proposal Management, Regulatory Documentation, Regulatory Filings, Regulatory Analysis, Provider Relations, Provider Network..., Instructor-led Training, Healthcare Reimbursement, Healthcare Management, PPO, Medical Coding, Medical Records, JCAHO, HIPAA, Claim, CPT, Medical Billing, Medicaid, Revenue Cycle, ICD-9, Leadership, Invoicing, Training, Management, Medicare
Education
Wilmington University 2014 — 2016
Master's Degree, Health/Health Care Administration/Management
University of Phoenix 2010 — 2013
Bachelor of Science (BS), Health Care Administration
University of Phoenix 2008 — 2010
AA, Psychology
Katherine Gibbs School 1991 — 1992
Business Management, Certificate in Business Management
AmeriHealth Caritas June 2013 - Present
AMERIHEALTH MERCY HEALTH PLAN August 2000 - Present
FIRST MORTGAGE May 2003 - December 2007
H&H FURNITURE STORE May 1995 - July 2000
Skills
Microsoft Acess, Rational Robot, Microsoft Excel, Healthcare, Citrix, Analysis, Research, Customer Relations, Jiva, Operating Systems, Spreadsheets, Visio, Outlook, Word, PowerPoint, Business Analysis, Insurance, Teamwork, Call Center, Process Improvement, Supervisory Skills, Access, Windows, Data Analysis, Problem Solving, Customer Satisfaction, Microsoft Office, Customer Service, Billing, Policy, SharePoint, HIPAA, Health Insurance, Managed Care, Medicare, Medicaid, Data Entry, Training, Call Centers
Education
Kaplan University 2007 — 2010
Bachelor of Science, Information Technology
Saint Maria Goretti High School 1977 — 1981
Diploma, Academics course
AmeriHealth Caritas May 2013 - May 2014
Education
Villanova University 1998 — 2000
BSN, Nursing, 3.9
Delaware County Community College 1983 — 1985
ADN, Nursing, 3.5
West Chester State College 1975 — 1979
BSW, Social Work, 3.5
AmeriHealth Caritas December 2013 - Present
HighPoint Solutions February 2012 - Present
highpoint-solutions February 2012 - Present
Bravo Health October 2009 - February 2012
Keystone Mercy Health Plan August 2006 - October 2009
Renaissance Medical Management Co January 2003 - January 2006
Intracorp, Inc January 1998 - January 2003
Western medical Services & Med Staff January 1994 - January 1997
Delaware County Institute of Training January 1993 - January 1997
Delaware State DHHS January 1992 - January 1993
Skills
Managed Care, Case Managment, Healthcare Information..., Healthcare, Disease Management, Utilization Review, Medicaid, Healthcare Management, Nursing, Hospitals, Quality Improvement, EMR, Clinical Research, NCQA, Certified Case Manager, Health Insurance, Network Development, Medical Home, HEDIS, Provider Relations, Home Care, HIPAA, Healthcare Consulting, Case Management, Medical Records, Software Documentation, EHR, ICD-10, Health Policy, Policy, Medicaid Managed Care, CPT, HMO, Training, Medical Terminology, ICD-9, Health Information...
Education
Delaware County Community College
Associate Degree, Biology/Applied Sciences
Drexel University
Bachelor/Masters of Science, Health Administration
Lincoln University
Master’s Degree, Human Service
AmeriHealth Caritas November 2006 - Present
Education
Excelsior College 2000 — 2005
health, Public Health
Mercy College 2000 — 2005
Master of Public Health (M.P.H.), Public Health
AmeriHealth Caritas June 2012 - Present
Education
Eastern University 2014 — 2017
Master of Arts (M.A.), Urban Studies
Penn State University 2004 — 2008
Bachelor of Arts (B.A.), Communication Arts & Sciences
AmeriHealth Caritas May 2015 - Present
Piccione Consulting January 2014 - May 2015
Neighborhood Improvement Project, Inc., d/b/a Medical Associates Plus February 2014 - August 2014
Advicare Health, Inc. (part of Spartanburg Regional Health System) May 2013 - January 2014
Palmetto Primary Care Physicians, LLC May 2012 - May 2013
Novartis April 2005 - April 2012
PDI, Inc. April 1998 - April 2005
Memorial Health February 1991 - January 1998
Skills
Pharmaceutical Sales, MRI, Hospitals, Sales Effectiveness, Sales Force Development, Healthcare Management, Account Management, Gastroenterology, Physicians, Medicaid, Cardiology, Healthcare, Managed Care, EMR
Education
Georgia Southern University - College of Business Administration
Master of Business Administration (MBA), Masters in Business Administration
Western Carolina University
Bachelor of Arts (B.A.), Economics
AmeriHealth Caritas July 2014 - Present
The AmeriHealth Mercy Family of Companies May 2012 - Present
The AmeriHealth Mercy Family of Companies January 2005 - Present
Citizens Bank September 1996 - April 2004
Mellon Bank September 1996 - December 2000
Skills
HIPAA, Business Development, Medicare, Medicaid, Community Outreach, Access, Customer Service, Call Centers, Microsoft Office, Events, Problem Solving, Teamwork, Non-profits, Outlook, Nonprofits, Management, Data Entry, Data Analysis, Leadership, Team Building, Training, Analysis
Education
King's College 1978 — 1982
Bachelor of Science (BS), Marketing & Business Admin
Bishop O'Reilly High School 1972 — 1978
Diploma, College Prep
AmeriHealth Caritas June 2014 - Present
Education
Howard University 2011 — 2015
Bachelor's Degree, Finance, General
Defense Logistics Agency October 2015 - Present
AmeriHealth Caritas April 2013 - Present
AmeriHealth Caritas January 2015 - September 2015
Wedgewood Pharmacy 2010 - April 2013
CVS Pharmacy 2007 - 2009
Education
University of Scranton 2015 — 2016
Master of Business Administration (MBA), Human Resources Management and Services
Lasell College 2013 — 2014
Master of Science (MS), Communications and Public Relations
Fairleigh Dickinson University 2011 — 2013
Bachelor of Arts (B.A.), English Language and Literature, General
Gloucester County College
Rutgers
Health Partners Plans September 2015 - Present
AmeriHealth Caritas July 2014 - Present
AmeriHealth Caritas August 2013 - Present
Evolent Health February 2015 - September 2015
Coventry Health Care August 2010 - August 2013
Aetna April 2000 - December 2005
Prudential Healthcare June 1991 - April 2000
Skills
Quality Management, Medicare, Visio, Project Management, Writing, Proposal Writing, Report Writing, Technical Writing, Regulatory Requirements, NCQA, HEDIS, Public Speaking, Medicaid, Strategic Planning, Management, Change Management
Education
University of Phoenix 2003 — 2005
Master of Arts (MA), Organizational Leadership
Kutztown University of Pennsylvania 1988 — 1991
Bachelor of Arts (B.A.), Communication, General
AmeriHealth Caritas May 2015 - Present
Horizon Blue Cross Blue Shield of New Jersey September 2011 - May 2015
Skills
Call Centers, Process Improvement, Vendor Management, Workforce Management, Insurance, Business Analysis, Customer Experience, Call Center Development, Business Process..., Customer Satisfaction, Avaya, Outsourcing, Performance Management, Employee Benefits, Customer Retention, Software Documentation
Education
Georgian Court University
Business Administration and Management, General
AmeriHealth Caritas March 2014 - Present
United States Army, PEO C3T PM Mission Command Technical Management Division June 2012 - September 2012
Skills
Information Security, Windows 7, Microsoft Word, Works well in a team, Customer Service, Microsoft Powerpoint, Problem Solving, Computers, Active Directory, Security, Disaster Recovery, Access, Information Technology, Computer Security, Identity Management, PowerPoint, Computer Hardware, System Administration, Systems Engineering, Windows, Testing, Troubleshooting
Education
University of Maryland University College 2014 — 2016
Master's degree, Cybersecurity
Drexel University 2011 — 2013
Bachelor of Science (BS), Computing and Security Technology, 3.8 Cumulative
AmeriHealth Caritas June 2009 - Present
Education
Holy Family University 1998 — 2004
Bachelors of Science, Registered Nursing/Registered Nurse
Villanova University 1988 — 1992
Bachelors of Science, Accounting
Franciscan University of Steubenville August 2014 - Present
Franciscan University of Steubenville August 2013 - Present
AmeriHealth Caritas June 2015 - August 2015
Skills
Microsoft Excel, Accounting, Leadership, Financial Analysis, Financial Reporting, Microsoft Office, Microsoft Word, PowerPoint, Management
Education
Franciscan University of Steubenville 2013 — 2016
Bachelor of Science (BS), Accounting
AmeriHealth Caritas October 2010 - Present
Education
Elizabethtown College
Bachelor of Arts (B.A.), Psychology
Temple University
Master of Social Work (M.S.W.), Social Work
AmeriHealth Administrators May 2015 - Present
AmeriHealth Caritas March 1998 - Present
FCE Benefit Administrators 2010 - 2014
APOLLO HEALTH STREER May 2006 - July 2010
Skills
Insurance Claims, Claim
Education
Essex County College 1988 — 1989
Essex County College 1987 — 1988