Keystone Health Plan Central
Industry: Company
DescriptionHeadquarters: Harrisburg, PA Founded: 1985 Parent organization: Capital Advantage Insurance Company
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Keystone Health Plan Central Employees
Right at Home Inc. September 2015 - Present
CIGNA April 2013 - Present
Technology Commercialization Center - TeCC September 2010 - April 2013
Pennsylvania Technical Assistance Program (PennTAP) June 2005 - September 2010
Coventry Healthcare October 2000 - June 2005
HealthAmerica October 2000 - June 2005
Keystone Health Plan Central November 1998 - October 2000
Highmark Blue Cross Blue Shield June 1996 - October 1998
Skills
Process Improvement, Healthcare Information..., Strategic Planning, Healthcare, Project Management, Data Analysis, HIPAA, Management Consulting, EHR, Change Management, Business Analysis, Project Planning, Program Management, Health Policy, Cross-functional Team..., Team Building, Business Process..., Marketing Strategy, Vendor Management, Marketing, Leadership, Team Leadership, Leadership Development, Analysis, Strategy, Customer Service, Training, EMR, Medical Records, Visio, IT Strategy, Start-ups, MS Project, Product Management, Consulting, Management, Resource Management, Budgets, CRM, Software Documentation, Business Process, IT Management, Access, Healthcare Industry, Research, Policy, Disaster Recovery, Project Portfolio..., PMO, Proposal Writing
Education
Penn State University 2010 — 2011
Project Management Certificate, Project Managment
Penn State University 1992 — 1998
MBA, Business Administration and Management, General
Penn State University 1992 — 1996
BS, Health Policy and Administration
LLV 2006 — 2007
Leadership and Community Service Certificate, Organizational Leadership
Capital Blue Cross May 2008 - Present
Capital Blue Cross December 2003 - April 2008
Keystone Health Plan Central April 1994 - December 2003
Skills
Health Insurance, Underwriting, Account Management, Financial Analysis, Budget, Sales Management, Health Savings Accounts, Account Sales Strategies, Consulting, Project Management, Staff Management, Strategic Negotiations, Pricing Strategy, Forecasting, Business Relationship...
Education
Lebanon Valley College 1993 — 1997
Master of Business Administration (M.B.A.), Business Administration and Management, General
Shippensburg University of Pennsylvania 1988 — 1992
Bachelor of Science (BS), Finance, General
Steinman Communications November 2014 - Present
Snitz Creek Brewery January 2014 - Present
Santander Bank, N.A. October 2010 - October 2014
Sovereign Bank July 2010 - November 2010
Philhaven Hospital February 2007 - July 2010
Coventry Health Care January 2006 - February 2007
Kochenderfer United Methodist Church October 2000 - January 2006
Keystone Health Plan Central August 1998 - October 2000
Skills
Event Planning, Excel, Supervisory Skills, Access, Hiring, Microsoft Excel, Recruiting, Coaching, Public Speaking, Management, PeopleSoft, Onboarding, Human Resources, Program Management, New Hire Orientations, Employee Relations, Sourcing, Applicant Tracking..., Employee Benefits, Talent Acquisition, Team Building, Performance Management, Leadership, Leadership Development, HRIS, Interviews, Taleo, Temporary Placement, College Recruiting
Education
Millersville University of Pennsylvania 1996 — 1997
Secondary Education / Guidance Counseling
Lancaster Bible College 1993 — 1996
BS, Counseling
University of California February 2011 - Present
Artistic Collaborations January 2009 - Present
Freelance July 1998 - March 2011
Move, Inc (REALTOR.com / Move.com) 2007 - 2008
Keystone Health Plan Central 1995 - 1997
Mellon Bank 1992 - 1994
Anderson Associates Advertising Agency 1990 - 1992
Skills
Copywriting, Newsletters, Web Content, Email Marketing, Media Relations, Public Relations, Corporate Communications, Editing, Advertising, Video, Internal Communications, Marketing, Journalism, Event Management, Social Media, Proofreading, Brochures, Marketing Communications, Online Advertising, Blogging, Creative Writing, Copy Editing, Feature Articles, Social Media Marketing, Writing
Education
Regent University 2000 — 2003
MA, Communication Studies
Shippensburg University of Pennsylvania
BA, Communication/Journalism
Hershey Entertainment & Resorts March 2015 - Present
Hershey Entertainment & Resorts December 2012 - Present
UCP Central PA July 2002 - December 2012
UCP of Central PA July 2002 - December 2012
Keystone Health Plan Central May 2001 - January 2002
Keystone Health Plan May 2001 - January 2002
PennDOT (Pennsylvania department of Transportation) January 2000 - December 2000
Bureau of Design January 2000 - August 2000
Skills
Network Administration, System Administration, Technical Support, Networking, Help Desk Support, Hardware, Network Design, Network+, Norton Ghost, Symantec Antivirus, CompTIA, Symantec Endpoint..., Desktop Administration, Sonicwall, WSUS, Citrix, Microsoft SQL Server, Customer Service, Customer Satisfaction, Project Planning, Project Management, Project Coordination, Lotus Notes, Windows 7, Fraud Detection, Troubleshooting, Security, Windows XP
Education
Pennsylvania College of Technology 1998 — 2002
B.S, Computer Information Technology/ Data Communications
Pennsylvania College of Technology 1998 — 2002
A.A.S, Computer Information Systems
Pennsylvania College of Technology 1998 — 2002
A.A.S, Computer Information Systems
Pennsylvania College of Technology 1998 — 2002
Bachelor of Science (B.S.), Computer Information Technology Data Communications and Networking
Pennsylvania College of Technology 2000 — 2002
Associate of Science (A.S.), Computer Information Systems Networking and Technical Support
Pennsylvania College of Technology 1998 — 2000
Associate of Science (AS), Computer Information Systems Microcomputer Specialist
Delta Dental Insurance Company September 2015 - Present
Employee Benefits Systems, Inc. September 2015 - Present
Independent Life & Health Insurance Professional August 2014 - Present
The Rigg Darlington Group, Inc. January 2014 - August 2014
Capital BlueCross November 2000 - September 2012
Capital Blue Cross March 1998 - November 2000
Keystone Health Plan Central July 1996 - March 1998
Skills
Employee Benefits, Health Insurance, Insurance, Benefits Administration, Healthcare, Medicare, Health Savings Accounts, Brokers, Sales, Managed Care, HIPAA, Customer Service, Sales Operations, Medicaid, Utilization Management, Microsoft Office, Data Entry, Group Insurance, Sales Management, Sales Process, Sales Presentations, Project Coordination, Superior Client Service, Proposal Writing, Quote Preparation, Contract Negotiation, Medical Terminology, Medical Transcription, Client Services, Paralegals, Contract Administration, Contractual Agreements, Contract Management, Contract Law, Employment Law, Traditional Labor Law, Medical Office..., Disability Insurance, Human Resources, Claim, Health Policy, Management, Employee Relations, New Hire Orientations, FMLA, ERISA, COBRA, Compliance, Employee Training, Life Insurance
Education
Cedar Crest College 2001 — 2004
Bachelor of Science (BS), Business Administration/Paralegal
The Barton School, Scranton, PA 1990 — 1992
Medical/Dental Assistant, Medical/Health Management and Clinical Assistant/Specialist
Ahold Financial Services July 2004 - Present
Borough of Millersburg August 2005 - December 2009
Highmark February 2001 - May 2004
Keystone Health Plan Central February 1999 - May 2001
Highmark April 1995 - February 1999
Auditor General of Pennsylvania June 1989 - April 1995
Skills
Analysis, Process Improvement, Budgets, Access, Management
Education
University of St. Francis 1997 — 2000
Master of Science (M.S.), Health Services Administration
Thiel College 1985 — 1989
Bachelor of Arts (BA), Accounting/Business Adminstration
Pennsylvania School Boards Association January 2006 - Present
Susq Twp Touchdown Club 2009 - 2013
Capital Blue Cross August 2001 - January 2006
Keystone Health Plan Central July 1996 - August 2001
Hartman Motors, Inc March 1992 - October 1994
Skills
Sales, Life Insurance, Disability Insurance, Health Insurance, Business Development, Account Management, Term Life Insurance, School Districts, Dental Insurance, COBRA, Cigars, Customer Service, Employee Benefits, Ancillary Benefits, Group Benefit Plans, Fundraising, Managed Care, Politics, Public Speaking, Nonprofits, Customer Satisfaction, Event Planning, Insurance, Team Building, Strategic Planning, Leadership Development, Workers Compensation, Time Management, Leadership, Medicare, Training, Claim, Small Business, Property & Casualty..., Policy, Legal Liability, Casualty, Long-term Care, Liability, Healthcare, Staff Development
Education
Penn State University 1986 — 1991
Susquehanna Township High School 1982 — 1986
High School, Academic
Target October 2014 - Present
Mondel September 2008 - Present
Lincare December 2006 - August 2008
Superior Staffings Solutions, Inc. January 2001 - November 2006
Keystone Health Plan Central November 1998 - November 2000
Skills
DSD, Merchandising, Planograms, Product Marketing, Customer Service, Building Relationships, Direct Sales, Product Development, Store Management, Sales, Sales Operations, Training
Education
Wilkes University 1997 — 1998
B.A., Sociology
University of Scranton 1989 — 1991
Howard Hanna Real EstateServices February 2012 - Present
The AmeriHealth Mercy Family of Companies June 2012 - October 2012
Coventry Healthcare July 2009 - December 2009
HealthAmerica June 2003 - July 2006
Family Health Council of Central PA June 1996 - January 2000
Commonwealth of PA - DPW June 1993 - January 1996
Keystone Health Plan Central 1993 - 1996
Skills
Real Estate, Health Insurance, Medicaid, Contract Negotiation, Buyer Representation, Referrals, Managed Care, Program Management, Insurance, Medicaid Managed Care, First Time Home Buyers, Real Estate Transactions, Customer Service, Selling, Sales
Education
Penn State University 1971 — 1998
BS & MPA, Social Science and Public Administration
Capital Blue Cross March 2007 - November 2014
Gallagher Bassett Services, Inc. May 2005 - March 2007
Mechanicsburg Area School District August 2004 - May 2005
The Eagle Foundation - Cumberland Valley School District August 2001 - June 2004
Pennsylvania Hospital Insurance Company (PHICO) 1999 - 2001
Keystone Health Plan Central 1996 - 1998
Harrisburg Hospital 1994 - 1996
Blue Shield (Highmark) 1988 - 1994
Skills
Writing, Blogging, Health Insurance, Insurance, Claim, Property & Casualty..., Medicare, Liability, General Insurance, Team Building, Corporate Communications, Microsoft Word, Health Savings Accounts, Marketing, Term Life Insurance, Social Media, Claims Resolution, Reinsurance, Social Media Marketing, Leadership Development, Customer Service, Public Speaking, Proof-reading, Proofreading, Social Networking, Microsoft Office, Leadership
Education
Central Penn College 2012 — 2018
Working toward Bachelor's Degree, Corporate Communications, 4.0 GPA
Penn Foster Career School 2011 — 2012
Diploma, Freelance Writing
HACC, Central Pennsylvania's Community College 2010 — 2010
How to Write a Novel
Shippensburg University of Pennsylvania 1985 — 1986
No degree, Broadcasting/Journalism, 2.8 GPA
West Shore School District December 2014 - Present
Sweet Frog, Williamsport January 2013 - Present
MJ Double K Management, LLC January 2011 - Present
Highmark Blue Cross Blue Shield August 2006 - July 2014
Highmark December 2002 - August 2006
Keystone Health Plan Central August 1995 - December 2002
Principal Health Care April 1994 - August 1995
Capital Care, BCBS National Capital Area June 1993 - April 1994
Skills
Health Insurance, Disease Management, Health Promotion, Team Building, Employee Wellness, Healthcare, Health Policy, Health Education, Healthcare Management, Hospitals, Managed Care, Medicare, HIPAA, Healthcare Consulting, Public Health, Customer Service, Employee Benefits, Insurance, Leadership, Management, Process Improvement, Strategic Planning, Marketing, Public Speaking
Education
Penn State University 1989 — 1993
Health Policy and Administration
Penn State University 1989 — 1993
M.Ed, Health Education
Independent Contractor-self employed June 2014 - Present
Avysion Healthcare Services July 2004 - May 2014
The Longaberger Company 1998 - 2013
Keystone Health Plan Central August 1997 - July 2004
Community General Osteopathic Hospital 1983 - 1996
Skills
Medicaid, Medicare, Managed Care, Utilization Management, Healthcare, Policy, Healthcare Industry, Healthcare Management, Program Management, Nursing, Program Development, Process Improvement, Healthcare Consulting, Disease Management, Health Insurance, HIPAA, Customer Service, Hospitals, Provider Relations, Medical Billing, Team Building, Quality Improvement, Leadership, Health Policy
Education
Ashland State General Hospital School of Nursing 1970 — 1973
Diploma, Nursing
Penn State University
BSN
Aetna October 1998 - Present
Keystone Health Plan Central February 1996 - October 1998
CenturyLink June 1991 - February 1996
Skills
Microsoft SQL Server, Actuarial Science, Business Intelligence, Medicare, Health Insurance, Data Modeling, SDLC, Insurance, Healthcare, Managed Care, Requirements Gathering, SAS, ETL, Visio, Data Architecture, Medicaid, SQL, SharePoint
Education
Rutgers University-New Brunswick 1987 — 1991
BA, Mathematics
Independent Contractor September 2015 - Present
Dasher, Inc. November 2011 - September 2015
Capital Area Intermediate Unit September 2010 - November 2011
Keystone Health Plan Central October 1998 - July 2001
Keystone Health Plan Central May 1997 - October 1998
Pennsylvania Blue Shield/Synertech May 1996 - May 1997
Capital Blue Cross August 1994 - May 1996
Aetna Health Plans November 1993 - August 1994
Pennsylvania Medical Society July 1990 - November 1993
Skills
Health Insurance, Marketing, Strategic Planning, Customer Service, Business Development, Management, Analysis, Data Analysis, Sales, CRM, Customer Retention, Selling, Healthcare, Recruiting, Event Management, Product Development, Insurance, Marketing Strategy, Time Management, Product Management, Networking, Marketing Communications
Education
Capital College, Pennsylvania State University 1994 — 1995
Earned 12 credits toward MBA, Business Administration and Management, General
Messiah College 1986 — 1990
B.S., Marketing
El Dorado High School 1983 — 1986
MetLife July 2007 - Present
Prudential Financial June 2004 - July 2007
Keystone Health Plan Central 2000 - 2004
Rite Aid Corporation 1987 - 2000
Hepford, Swartz, Menaker & Morgan 1985 - 1987
Duane Morris LLP 1981 - 1985
Nauman, Smith, Shissler & Hall 1977 - 1981
Commonwealth Court of Pennaylvania 1975 - 1977
Skills
Health Insurance, IRAs, Retirement Planning, Life Insurance, Strategic Planning, Estate Planning, Disability Insurance, Insurance, Term Life Insurance, Variable Annuities, Pensions, Securities, Roth IRA, Financial Advisory, Financial Services, Whole Life, FINRA, Investments, Retirement, Universal Life, Fixed Annuities
Education
Pennylvania State University Dickinson School of Law 1972 — 1975
JD, Law
State University of New York at Stony Brook 1968 — 1972
Bachelor's degree, Economics
Stay at Home Mom June 2011 - Present
The AmeriHealth Mercy Family of Companies January 2010 - June 2011
AmeriHealth Mercy Health Plan January 2010 - June 2011
Avysion Healthcare Services, Liberty Health Corp October 2008 - December 2009
Libery Health Corp October 2008 - October 2009
Able Temps, Avysion Healthcare Services February 2007 - September 2008
Select Medical Corporation March 2006 - February 2007
Amisys-Synertech Incorporated April 2001 - March 2006
Keystone Health Plan Central 2000 - 2001
Pennsylvania Physicians Care 1998 - 2000
Skills
Medicaid, Health Insurance, Claims Management, Customer Service, Customer Satisfaction, Customer Service..., Customer Service..., Quality Assurance, Quality Control, Data Analysis, Data Entry, Provider Relations, Provider Education, Provider Enrollment, Provider Network..., Coordination of Benefits, Project Management, Mistake Proofing, Promise, Program Management, Healthcare, HIPAA, Healthcare Management, Managed Care, Process Improvement, Medicare
Education
Goldey-Beacom College 1989 — 1993
Associate in Science, Business Administration
Rising Sun High School 1984 — 1989
High School Diploma, Honors, Academic, Business
Aetna November 2014 - Present
Aetna January 2014 - November 2014
Coventry Health Care, an Aetna Company November 2012 - January 2014
The Children's Garden January 2012 - November 2012
United Concordia 2007 - 2012
Capital Blue Cross 2005 - 2007
Keystone Health Plan Central 1996 - 2005
Skills
Adobe Acrobat, HIPAA, Healthcare, Brokers, Spreadsheets, Health Insurance, Dental Insurance, Microsoft Office, Microsoft Excel, Microsoft Access, Microsoft Word, Outlook, GeoNetworks, Directory Expert, Salesforce Training, PageMaker, Team Player, Broker..., Broker Commission, Data Analysis, Provider Relations, SharePoint, Managed Care, Telephone Skills, Access, Data Entry, Process Improvement, Insurance, Employee Benefits, Medicare
Education
Harrisburg Area Community College 2012 — 2013
CDA - Child Development Associate, Early Childhood Education and Teaching
Harrisburg Area Community College 1989 — 1992
Associate of Arts (AA), Business Studies
Highmark Inc. June 2015 - Present
Highmark Inc. October 2010 - June 2015
DST Health Solutions 2007 - 2009
LifeMasters Supported SelfCare 2005 - 2006
Coventry Health Care 2003 - 2005
Keystone Health Plan Central 1999 - 2003
Skills
Health Insurance
Education
HACC, Central Pennsylvania's Community College
Certificate, Paralegal studies
Lebanon Valley College
Bachelor of Science, Health Care Management
Penn State University
Master of Health Administration
Aetna April 2014 - Present
Coventry Health Care November 2003 - April 2014
Keystone Health Plan Central July 2001 - November 2003
Skills
Insurance, Health Insurance, General Insurance, SAS, Actuaries, VBA, Financial Risk, Brokers, Liability
Education
Lebanon Valley College 1999 — 2001
Bachelor of Science (B.S.), Mathematics
Harrisburg Area Community College 1997 — 1999
Associate of Science (A.S.), Actuarial Science
Roxtec North America July 2011 - Present
Roxtec North America January 2009 - July 2011
InterOp, Inc August 2002 - October 2004
Keystone Health Plan Central August 1997 - January 2000
Keystone Health Plan Central November 1994 - August 1997
Skills
New Business Development, Sales Management, Product Development, Key Account Management, Direct Sales, Leadership, Marketing, Email Marketing, Advertising, Event Planning, Trade Shows, Account Management, Management, Customer Service, Sales, Sales Operations
Education
Slippery Rock University of Pennsylvania 1986 — 1990
Bachelor of Arts, Communication
Aetna August 2015 — 2017
Benecard PBF 2012 — 2014
Catalyst Health Solutions (merged with SXC Health Solutions in 2012) 2011 — 2012
Rite Aid Corporation 2009 — 2011
Rite Aid Corporation 2000 — 2009
Eagle Managed Care (Rite Aid PBM Subsidiary) 1998 — 2000
Keystone Health Plan Central 1992 — 1998
Pennsylvania Blue Shield 1986 — 1992
Skills
Managed Care, PBM, Executive Management, Benefits, Medicare, Governmental Affairs, Retail, Business Strategy, Strategic Planning, Pharmaceutical Industry, Sales Management, Marketing, Corporate Communications, Pharmacy Benefit..., Employee Benefits, Medicare Part D, Strategy, Disease Management, Pharmacists, Medicaid, Healthcare, Pharmacy, Healthcare Management, Business Development, Strategic Partnerships, Leadership, Management, Account Management, Competitive Analysis, Program Management, Sales, Policy, Healthcare Industry, Informatics, Health Insurance, Human Resources, Healthcare Information..., Healthcare Consulting, Pharmacy Automation
Education
Dickinson Law 1985 — 1988
JD, Law
Penn State University 1981 — 1985
BA, Pre Law
Medicare Compliance Solutions August 2013 - Present
First Carolina Care April 2014 - December 2014
BeneCard PBF July 2013 - October 2013
Global TPA Freedom Health, Optimum Health, Americas 1st Choice of NC SC and Easy Choice of NY December 2011 - September 2013
Quality Health Plans July 2011 - December 2011
Perform Rx September 2010 - July 2011
Capital BlueCross / Keystone Health Plan Central April 2001 - April 2010
Keystone Health Plan Central April 2000 - November 2004
HIP Health Plan March 1998 - May 2000
NYU Langone Medical Center 1980 - 1994
Skills
Managed Care, Pharmacy Benefit..., Medicare Part D, Medicaid, Medicare, Utilization Management, Healthcare, Pharmacy, HMO, Oncology, Healthcare Management, Provider Relations, Health Policy, Clinical Research, Disease Management, Pharmaceutical Industry, Healthcare Industry, Insurance, Health Insurance, Software Documentation, Healthcare Consulting, HIPAA, Pharmacy Automation, Pharmacists, Leadership, Informatics, Healthcare Information..., Medication Therapy..., Home Infusion, Physicians, Medicine, Quality Improvement, PPO, EHR, Hospitals, Diabetes, Medicaid Managed Care, Pharmaceutics, EMR, Home Care, Health Economics
Education
University of Phoenix
R.Ph MBA, MBA
H.E. Pressley Properties, LLC April 2012 - Present
Open to New Opportunities January 2015 - Present
Gateway Health May 2013 - December 2014
Universal American November 2006 - April 2013
Merck November 2007 - January 2008
EDS October 2003 - November 2006
Highmark Inc. January 2000 - December 2002
Keystone Health Plan Central April 1996 - December 1999
Skills
Medicare, Managed Care, Health Insurance, Training, Strategic Planning, Leadership, Recruiting, Analysis, Marketing, Hospitals, Network Development, Program Management, PPO, Provider Relations, Insurance, Medicaid, Healthcare
Education
Shippensburg University of Pennsylvania
BA, Comm/Journ- Public Relations
University of Phoenix
MBA, Business Administration, 3.95
Aetna January 2014 - Present
Coventry Health Care January 2007 - December 2013
Grace United Methodist Church 1995 - 2009
PCI Insurance, Inc. 2003 - 2006
Keystone Health Plan Central 1993 - 2003
Pennsylvania Insurance Department 1989 - 1993
Skills
Health Insurance, Medicare, Medicare Part D, Insurance, Managed Care, HMO, Actuarial Science, PPO, Utilization Management, Disability Insurance, HIPAA, Medicare Prescription..., Provider Relations, Health Policy, Claim, Health Care Reform, Healthcare Industry, Medicaid Managed Care, Pharmacy Benefit..., Process Improvement, Healthcare
Education
Ball State University 1978 — 1982
Actuarial Science & Computer Science
Eileen Wilson Associates MANAGING PRINCIPALEHWILSON ASSOCIATES1990 - September 2008
George Washington Univ Health Plan 1998 - 2000
Keystone Health Plan Central 1996 - 1998
Preferred Care Rochester NY 1986 - 1988
Prucare of Memphis 1980 - 1984
Education
University of Memphis 1976 — 1980
Sanofi January 2015 - Present
Sanofi December 2013 - Present
Sanofi July 2012 - November 2013
sanofi-aventis January 2011 - June 2012
sanofi-aventis July 2008 - December 2010
sanofi-aventis November 2005 - July 2008
sanofi aventis September 2001 - November 2005
Roche Labs 1999 - 2001
Keystone Health Plan Central June 1995 - 1998
Janssen Pharmaceutica October 1990 - June 1995
Skills
Pharmaceutical Sales, Sales Force..., Cardiology, Managed Care, Strategic Planning, Sales Operations, Budgeting, Strategic Thinking, Sales Effectiveness, Budgets, Sales Management, Endocrinology, Diabetes, Pharmaceutical Industry, Cross-functional Team..., Hospital Sales, Product Launch, Selling, Urology, Dermatology, Global Marketing, Selling Skills, Gastroenterology, Neurology, Sales Force Development, Market Access, Oncology, Medical Devices, Market Development, Market Analysis, Rheumatology, Infectious Diseases, Commercialization, Surgeons, Biotechnology, Pharmaceutics, Osteoporosis, Sales
Education
United States Military Academy at West Point 1981 — 1985
BS, Mathematical Science
Regis University 2008 — 2009
MBA, Finance and Accounting
PA Department of Public Welfare November 2004 - Present
Express Scripts 2004 - 2004
Keystone Health Plan Central June 2000 - December 2003
Skills
Pharmacy Automation, Pharmacy Benefit..., Pharmacists, Managed Care, Utilization Management, Disease Management, Medicaid, Health Economics, Healthcare Management, Clinical Pharmacy, Pharmacy, Healthcare Industry, Health Policy
Education
University of Maryland School of Pharmacy 1993 — 1997
Pharm.D., Pharmacy
Roundtop Mountain Resort November 2014 - Present
Aetna December 2013 - Present
Aetna May 2013 - December 2013
Coventry Health Care June 2012 - May 2013
Coventry Health Care December 2008 - June 2012
Coventry Health Care November 2007 - December 2008
Coventry Health Care January 2007 - November 2007
Coventry Health Care August 2002 - January 2007
Keystone Health Plan Central November 2000 - August 2002
Saturn January 1999 - November 2000
Skills
Health Insurance, Medicare, Utilization Management, Medicaid, Claims, Inventory Management, Contract Management, Supervisory Skills, Supervisory Experience, Mechanical, Access, PowerPoint, Kronos, Automotive Repair, Medicare Part D, Process Improvement, HMO, Managed Care, Hospitals, Employee Benefits, Insurance, Healthcare Management, Team Building, Microsoft Excel, Microsoft Word, Visio, Vendor Management, Coaching, Business Analysis, System Administration, Leadership Development, Physicians, Business Process..., Performance Management, Recruiting, Claim Investigation, Medical Coding, Medical Compliance, CPT, ICD-9, Medical Billing, Quality Improvement, Change Management, Customer Service, Data Analysis, HIPAA, Claim, Health Policy, Network Development, PPO
Education
Messiah College 1997 — 1997
Clinical Psychology
Dickinson College 1995 — 1996
Biology, General
NOAA February 2012 - Present
NOAA April 2009 - February 2012
US Airways Express June 2004 - May 2008
Keystone Health Plan Central March 2001 - June 2004
Keystone Health Plan Central September 1996 - March 2001
McKonly & Asbury, LLP December 1992 - September 1996
Emglo Products Corporation April 1991 - November 1992
Education
University of Pittsburgh - Johnstown 1990 — 1992
BA, Business Economics, Accounting
Keene State College 1988 — 1990
AS, Applied Computer Science
Penn State Milton S. Hershey Medical Center March 2015 - Present
Penn State Hershey Medical Center 2011 - Present
Penn State Hershey Medical Center 2009 - Present
Hershey Medical Center September 1998 - January 2011
Keystone Health Plan Central 1992 - 1998
Skills
Healthcare Information..., Project Management, Large Systems..., Cerner, EMR, CPOE, Informatics, Healthcare, Process Improvement, Business Analysis, Healthcare Management, EHR
Education
Kutztown University of Pennsylvania 1980 — 1984
Bachelor of Fine Arts (B.F.A.), Photography
Capital Blue Cross July 2008 - Present
Keystone Health Plan Central July 2001 - June 2008
Skills
Consultative Selling, B2B, Benefits, Health Insurance, Customer Relations, Employee Benefits, Customer Service, Sales, Selling, Sales Operations, Management, Strategic Planning, Leadership, Strategy, Training, Account Management, Managed Care, Team Building
Education
Penn State University
B.S., Business
Geneia June 2014 - Present
Capital BlueCross March 2012 - Present
Department of Public Welfare April 2006 - September 2012
Coventry Health Care February 2001 - April 2006
Keystone Health Plan Central November 1997 - February 2001
ABACUS Custom Research February 1995 - November 1997
The Lehigh Valley Hospital May 1993 - January 1995
Skills
Healthcare, Strategy, Policy, SAS, Databases, Strategic Planning, Clinical Research, Forecasting, Analysis, Business Analysis, Healthcare Information..., Data Analysis, Business Planning, Process Improvement, Business Intelligence, Health Insurance, Marketing, Medicaid, Program Management, Statistics
Education
Penn State University 1990 — 1992
MHA, Health Policy Administrations
DeSales University
MBA, Business Administration
Penn State University
BS, Health Policy Administration
PA Department of Public Welfare 2006 - Present
Pennsylvania Health Care Cost Containment Council 2000 - 2006
Keystone Health Plan Central 1995 - 2000
Education
Saint Joseph's University 1992 — 1994
M.S.
Bella Insurance Group, LLC January 2015 - Present
Apex Insurance Group, Inc. September 2012 - December 2014
Apex Insurance Group, Inc. March 2014 - September 2014
Vandine's Insurance Shoppe, Inc. January 2011 - August 2012
Worldwide Insurance & Reinsurance Services, Inc. September 2009 - December 2010
Milestone Financial Associates LLC October 2008 - August 2009
Capital Blue Cross March 1996 - October 2008
Keystone Health Plan Central 1996 - 2001
Prudential Insurance Co. July 1990 - September 1994
Skills
Insurance, Employee Benefits, Strategic Planning, Negotiation, New Business Development, Sales Management, Health Insurance, Contract Negotiation, Customer Service, Benefits, Consultative Selling, Public Relations, Planning, Direct Sales, Benefits Administration, Project Planning, Strategy, Business Planning, Management, Management Consulting, Marketing, Leadership Development, Leadership, Selling, Public Speaking, Employee Relations, Sales, Workers Compensation, Health Savings Accounts, Health Care Reform, Disability Insurance, Property & Casualty..., Brokers, Term Life Insurance, COBRA, Life Insurance, Medicare, Cafeteria Plans, Medicare Part D, Managed Care, PPO, Group Insurance, Claim, Fixed Annuities, Health Policy, 401k, Long-term Care, ERISA
Education
Bloomsburg University of Pennsylvania 1981 — 1985
BS, Business Economics
Notre Dame of Green Pond High School 1977 — 1981
High School, College Prep
Pennsylvania Dental Association Insurance Services (PDAIS) October 2011 - Present
Capital BlueCross June 2004 - October 2011
Keystone Health Plan Central May 2000 - June 2004
Education
Penn State University 1996 — 2000
Bachelor of Science (B.S.), Health/Health Care Administration/Management
CaseNET June 2008 - Present
Clinical Consultant March 2006 - April 2008
Keystone Health Plan Central 1999 - 2006
Education
DeSales University 1987 — 1991
BSN, Nursing
Pa. Department of Corrections May 2015 - Present
Pa. Justice Network (JNET), Commonwealth of Pa., Office of Administration June 2006 - December 2014
Commonwealth of Pennsylvania June 2004 - June 2006
Keystone Health Plan Central 1999 - 2004
Ajilon Consulting June 1999 - December 1999
Book-of-the-Month Club June 1997 - October 1998
Woolworth Corporation May 1991 - June 1997
Skills
Staff Development, PMP, PMO, Program Management, Project Portfolio..., SDLC, Project Management, Business Process..., MS Project, IT Strategy, Leadership, Team Building, Project Planning, Management, Business Analysis, Integration, Change Management, Process Improvement, Outsourcing, Training, Software Development, Team Leadership, Cross-functional Team..., Vendor Management, Databases, IT Management, Visio, Information Technology
Education
University of Virginia 1971 — 1978
PhD, European History
La Salle University 1967 — 1971
B.A., History
Dept of Health and Human Services September 2005 - Present
Keystone Health Plan Central January 1995 - August 2005
Skills
Healthcare, Policy, Strategic Planning, Research, Microsoft Office, Public Speaking, Public Health, Customer Service, Healthcare Management, Data Analysis, Microsoft Excel, Hospitals, Project Management, PowerPoint, Team Building, Change Management, Microsoft Word, System Administration, System Security, System Integration..., Government Contracting, Health Plan Compliance...
Education
Penn State 2003 — 2005
Master of Science (MSc), Healthcare Admin.
Penn State University 1992 — 1995
Bachelor of Science (BS), MIS and Business Admin.
Academy of Healthcare Mangement
Fellowship - Academy of Healthcare Mangement, Managed Care
Exelon Nuclear September 2006 - Present
Barbershop Harmony Society May 2013 - December 2014
Sweet Adelines International March 2008 - April 2012
Thrivent Financial for Lutherans 2000 - 2006
Keystone Health Plan Central 1987 - 1999
Skills
Leadership, Team Building, Microsoft Word, Public Speaking, Customer Service, Microsoft Office, Leadership Development, Singing, Musical Theatre, Training, Event Planning, Process Improvement, Program Management, Project Management
Education
Penn State University 2010 — 2015
Master of Education (M.Ed.), Education: Training & Development
Susquehanna University 1982 — 1986
BS, Business Admin
Harrisburg Area Community College September 2010 - Present
Highmark Blue Shield July 2004 - Present
Keystone Health Plan Central July 2002 - July 2004
Medical Inter-Insurance Exchange October 2001 - July 2002
PHICO Insurance Company January 1997 - September 2001
PMSLIC 1993 - 1996
PA Insurance Department 1986 - 1993
Skills
risk quantification, insurance contract, mentoring, Insurance, Underwriting, Health Insurance, Analysis, Customer Relations, Pricing, Financial Reporting, Data Analysis, Financial Analysis, Coaching, Statistics, Problem Solving, Compliance, Business Planning, Public Speaking, General Insurance
Education
Shippensburg University of Pennsylvania 2007 — 2009
MBA, Business
American Institute of Chartered Property and Casualty Underwriters 2000 — 2003
CPCU, Insurance
Brigham Young University 1982 — 1984
BS, Mathematics
HACC, Central Pennsylvania's Community College 1977 — 1979
AA, Business Management
Pfizer November 2013 - Present
Publicis/Pfizer October 2012 - November 2013
Endo Pharmaceuticals November 2007 - September 2012
Procter & Gamble March 1998 - June 2007
Keystone Health Plan Central February 1996 - April 1998
Skills
Pharmaceuticals, Rheumatology, Urology, Pharmaceutical Sales, OB/GYN, Gastroenterology, Endocrinology, Neurology, Dermatology, Cardiology, Family Practice, Managed Care, Pain Management, Family Medicine, Selling Skills, Sales Effectiveness, Pulmonology, Biotechnology, Hospital Sales, Sales Operations, Cold Calling, Pharmaceutical Industry, Internal Medicine, Product Launch, Sales Force Development, Sales, Nephrology, Diabetes, Hypertension, Osteoporosis, Allergy, Oncology, Psychiatry, Primary Care
Education
Muhlenberg College 1984 — 1987
B.A., Communications
Southern Methodist University 1983 — 1984
Communication, General
Jrg Advisors April 2012 - Present
Ann Taylor LOFT August 2005 - Present
Mid Penn Bank 2010 - 2012
Mid Penn Bank February 2008 - February 2010
CoreSource, Inc 2003 - 2004
Health America 2000 - 2003
Keystone Health Plan Central 1995 - 2000
Capital Blue Cross 1989 - 1995
Skills
Sales, Health Insurance, CRM, Account Management, Business Development, Customer Retention, Leadership, Management, Training, Customer Service, Insurance
Education
Albright College 2007 — 2009
Bachelor of Science, Business/Management Studies
Central Pennsylvania College
Associates Degree, Business Administration
Harrisburg Area Community College
Associate Degrees, Business Management
Upper Dauphin Area High School
Diploma, Business
Geisinger Health Plan February 2014 - Present
Keystone Autism Services December 2010 - January 2014
GATEWAY HEALTH PLAN March 1998 - September 2010
KEYSTONE HEALTH PLAN CENTRAL May 1996 - March 1998
Skills
Provider Relations, Provider Network..., PPO, HMO, Provider Education, Physician Network..., Capitation, Managed Care, Medicaid, Medicaid Managed Care, Medicare, Government Programs, Health Insurance, Claims Resolution, Claim Investigation, Physician Relations
Education
University of Scranton 1986 — 1990
Bachelor of Science (BS), Marketing
Faith Bible Church of Vineland New Jersey August 2004 - Present
Keystone Health PlanCentral/ Capital Blue Cross December 2001 - August 2004
Keystone Health Plan Central May 1999 - December 2001
Keystone Health Plan Central August 1997 - May 1999
Highmark Blue Shield February 1996 - August 1997
Skills
Teaching, Program Management, Leadership Development, Leadership, Policy, Research, Budgets, Public Speaking, Coaching, Editing, Fundraising, Customer Service, Community Outreach, Team Building, Event Planning, Team Leadership, Employee Benefits
Education
Lancaster Bible College
Associate of Science (A.S.), Bible
Lancaster Bible College
Bachelor of Science (B.S.), Bible and Theology
Liberty University
Master of Arts in Theological Studies (MATS), Theology
Surratt Home 1999 - Present
Keystone Health Plan Central July 1997 - September 1998
Hillview Care Center Nursing Home May 1996 - August 1996
Council on Competitiveness 1994 - 1994
Electric Power Research Institute (EPRI) 1993 - 1994
US Representative William Lowery January 1992 - December 1992
Skills
time management, organization, Public Speaking, Healthcare, Data Analysis, Research, Analysis, Microsoft Excel, Microsoft Office, Strategic Planning, Microsoft Word, Social Media, Management, Time Management, Marketing, Administration, PowerPoint, Access, Editing, Leadership
Education
Penn State University 1995 — 1997
MHA, Health Policy and Administration
Boston University 1988 — 1992
BA, Political Science (major), Business Administration (minor)
Fayetteville-Manlius High School 1984 — 1988
Regents Diploma, College Prep
Gravel Hill UMC February 2010 - Present
Gravel Hill UMC April 2004 - Present
HealthAmerica March 2003 - April 2004
Keystone Health Plan Central June 1999 - March 2003
PA State Department of Education November 1997 - June 1999
Skills
Community Outreach, Fundraising, Religion, Nonprofits, Customer Service, Public Speaking, Leadership Development, Microsoft Office, Editing, Event Planning, Social Media, Teaching, Volunteer Management, Public Relations, Strategic Communications
Education
Kutztown University of Pennsylvania 1988 — 1992
B.A., Professional Writing
Lower Dauphin High School
Comprehensive Health Insights December 2012 - Present
Competitive Health Analytics February 2011 - December 2012
Delphi September 2006 - February 2011
Sagamore Health Network August 2004 - September 2006
Keystone Health Plan Central May 2001 - August 2004
Skills
Science, Research, R&D, Data Analysis, Neural Networks, Statistics, Health Insurance, SAS programming, SAS, Public Health, Pharmaceutical Industry, Statistical Modeling, Research Design, Analysis, Biostatistics, Research Methodology
Education
University of Illinois at Urbana-Champaign 1985 — 1992
Doctor of Philosophy (Ph.D.), Psychology
McGill University 1982 — 1985
Bachelor of Arts (BA), Psychology
Capital BlueCross November 2003 - August 2014
Keystone Health Plan Central 1994 - 2003
Skills
Training, Budgets, Change Management, New Business Development, Business Analysis, Team Building, Process Improvement, Regulatory Compliance, Inventory Management, Productivity Improvement, Talent Developer, Medicare, Medicare Advantage, Healthcare Reimbursement
Education
University of Pittsburgh
Bachelor of Science (BS), Business Administration and Management, General
PA School Board Assoc., School Claims Service April 2014 - Present
Shawn's Landscaping & Hardscaping 2005 - Present
Capital BlueCross 2004 - 2005
Keystone Health Plan Central 2002 - 2004
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Strategic Planning, Healthcare, Sales
Education
Capital College, Pennsylvania State University 1997 — 2000
Master of Health Administration, Master of Health Adninistration
Penn State University 1988 — 1992
Bachelor of Arts (BA), Sociology
Excellus BCBSRA October 2000 - Present
Keystone Health Plan Central September 1997 - September 2000
Skills
Microft Excel, Microsoft Access, SQL, SAS Programming
Education
University of Pennsylvania 1992 — 1996
Bachelor's Degree