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 August 2014 - Present
AmeriHealth Caritas January 2014 - August 2014
Staffing Plus December 2010 - June 2013
Women's Christian Alliance September 2006 - December 2010
Skills
Leadership, Curriculum Design, Program Management, Counseling Psychology, IBM SPSS, SPSS, Microsoft Project, Microsoft Word, Microsoft PowerPoint, Innotas, Microsoft Outlook, Microsoft Excel, Community Outreach, Management, Teaching, Training
Education
Temple University
BA, Anthropology (Human Biology track)
AmeriHealth Caritas February 2015 - August 2015
AmeriHealth Caritas November 2013 - January 2015
MedStar Health July 2010 - November 2013
Harris Health System October 2007 - May 2010
Parkland Health and Hospital System June 2004 - June 2007
Skills
Licensed Clinical..., Case Management, Healthcare Management, Medicare, Clinical Research, HIPAA, Healthcare, Hospitals, Management, Medicaid, Nursing, Program Development, Community Outreach, Strategic Planning, Customer Service, Public Speaking, Medical Case Management, Managed Care
Education
Springfield College 1996 — 1998
Master's degree, Social Work
University of Massachusetts Dartmouth 1988 — 1992
Bachelor of Arts (B.A.), Sociology
AmeriHealth Caritas December 2014 - Present
AmeriHealth Caritas September 2013 - December 2014
Select Health of South Carolina April 2008 - September 2013
SC DAODAS August 2006 - April 2008
Hispanic Health Council January 2006 - June 2006
Skills
Program Development, Policy Writing, Strategic Planning, Fundraising, Medicaid Managed Care, Training Delivery, NCQA, Non-profits, Event Planning, Public Speaking, Program Management, Program Evaluation, Public Health, Medicaid, Training, Healthcare, Community Development, Healthcare Management, Leadership
Education
University of South Carolina-Columbia 2010 — 2013
MPH, Health Services Policy and Management
Trident Technical College 2011 — 2011
Certificate for Managers
The University of Connecticut 2001 — 2006
Bachelor or Science, Human Development and Family Studies, General
Universitat d'Alacant 2004 — 2004
Minor in Spanish, Study Abroad Program
AmeriHealth Caritas July 2015 - Present
AmeriHealth Caritas April 2014 - July 2015
Connolly, LLC August 2013 - April 2014
CardioNet August 2012 - August 2013
CardioNet September 2011 - August 2012
931 Beauty Academy August 2010 - September 2011
Skills
Microsoft Excel, Microsoft Word, NexGen, Accounts Payable, Accounts Receivable, Petty Cash, Medical Billing, Contract Management, Bookkeeping, Data Analysis, Customer Service, Microsoft Office, Access, Claim, Healthcare Industry, Data Entry, Insurance, Time Management, Forecasting, Process Improvement, Analysis, Healthcare, Management, Medicaid, Medicare
Education
Temple University 2006 — 2010
Bachelor of Business Administration (B.B.A.), Accounting and Finance
Baker Tilly Virchow Krause, LLP January 2015 - Present
AmeriHealth Caritas September 2013 - January 2015
Marsh January 2001 - August 2013
American Red Cross April 1990 - January 2001
Skills
Performance Management, Employee Relations, Personnel Management, Human Resources, Leadership, Succession Planning, Deferred Compensation, Talent Management, Management, Insurance, Organizational..., Workers Compensation, PeopleSoft, Employee Benefits, Risk Management, Program Management, Property & Casualty..., Training, Recruiting, Onboarding, HRIS, Compensation & Benefit, Organizational..., Underwriting, Organizational Design, Microsoft Office, Taleo, SuccessFactors, Workforce Planning
Education
Temple University - Fox School of Business and Management
Bachelor of Business Administration (B.B.A.), Human Resources Administration
AmeriHealth Caritas April 2012 - Present
The Judge Group January 2012 - April 2012
inVentiv Health August 2004 - November 2011
Skills
Stored Procedures, ASP.NET, VB.NET, ADO.NET, C#, Crystal Reports, .NET, ETL, SQL, Microsoft SQL Server, SDLC, IIS, Database Design, Database Administration, Oracle HR, DB2, Relational Databases, Databases, XML, SSIS, Unix, PL/SQL, Data Warehousing, WCF
Education
Strayer University-Pennsylvania 2010 — 2012
Bachelor's degree, Computer Science
West Chester University of Pennsylvania 1999 — 2003
Computer Science
National Alliance for Mental Illnes August 2013 - August 2014
Xerox November 2012 - April 2013
Family Road of Greater Baton Rouge September 2005 - August 2012
AmeriHealth Caritas October 2011 - April 2012
BASF Corporation September 1990 - August 2005
Borden Chemical September 1973 - December 1988
Skills
Public Speaking, Non-profits, Microsoft Excel, Event Planning, Public Relations, Strategic Planning, Customer Service, Fundraising, Microsoft Office, Leadership, Team Building, Outlook, Microsoft Word, Budgets, PowerPoint, Community Outreach, Case Management, Hospitals, Leadership Development, Sales, Nonprofits, Project Planning, Event Management, Program Management, Organizational..., Training, Strategic Communications, Human Resources, Time Management, Management, Social Networking, Mental Health, Editing, Social Services, Social Media Marketing, Software Documentation, Marketing, Staff Development, Volunteer Management, Data Entry, Research, Negotiation, Social Media, Team Leadership, Recruiting, Policy, Healthcare, Advertising
Education
Ashford University 2010 — 2013
Bachelor of Science, Public Administration
University of Phoenix 1999 — 2001
B.S, Business Administration
Molina Healthcare April 2015 - Present
AmeriHealth Caritas October 2014 - April 2015
AmeriHealth Caritas May 2013 - October 2014
AmeriHealth Caritas October 2011 - May 2013
University of Georgia December 2009 - October 2011
International Christian Fellowship, Padova January 2009 - April 2009
Athens Banner-Herald August 2003 - May 2005
Skills
Teaching, Scheduling, Supervisory Skills, Event Planning, PowerPoint, Data Entry, Time Management, Creativity Skills, Community Outreach, Interviews, Process Scheduler, Leadership, Training, Outlook, Onboarding, Employee Relations, HIPAA, Healthcare
Education
The University of Georgia 2004 — 2008
B.A. Italian, Language, History, Literature, Art, Culture, Cinema
Cigna September 2015 - Present
AmeriHealth Caritas March 2014 - September 2015
Maternity Care Coalition August 2013 - March 2014
N.O.R.T.H Inc/ WIC May 2013 - August 2013
Maternity Care Coalition January 2013 - May 2013
Skills
Public Health, Maternal-Child Health, Public Speaking, PowerPoint, Microsoft Office, Microsoft Word, Grant Writing, Microsoft Excel, Customer Service, Data Entry, Outlook, Teamwork, Fundraising, Community Outreach, Nonprofits, Grants, Program Development, Healthcare
Education
University of Maryland University College 2015 — 2017
Master of Business Administration (M.B.A.), Business Administration and Management, General
Temple University 2009 — 2013
Bachelor of Science (B.S.), Public Health
AmeriHealth Caritas April 2014 - Present
AmeriHealth Caritas July 2013 - April 2014
Lighthouse Hospice, Inc. March 2010 - July 2013
Presbyterian Children's Village July 2008 - March 2010
Skills
Social Services, Nonprofits, Fundraising, Crisis Intervention, Community Outreach, Case Managment, Leadership Development, Medical Social Work, Consulting, Program Development, Family Therapy, Group Therapy, Mental Health, Behavioral Health, Adolescents, Psychotherapy, Case Management, Elder Care, Healthcare, Management, Process Improvement, Program Management
Education
University of Pennsylvania 2006 — 2008
Master's degree, MSW, Clinical/Medical Social Work
St. Joseph's University 2002 — 2006
Bachelor of Science, B.S., Psychology
Dominican Academy 1998 — 2002
High School Diploma
AmeriHealth Caritas June 2013 - Present
Wildfire Commerce March 2009 - June 2013
Jones Lang LaSalle March 2011 - September 2012
GlaxoSmithKline February 2006 - March 2009
GlaxoSmithKline 2001 - February 2006
GlaxoSmithKline 1998 - 2000
INTERACT 1988 - 1997
Skills
Process Improvement, Strategic Sourcing, Procurement, Strategic Planning, Sourcing, Change Management, Negotiation, Cost Reduction, Management Consulting, Six Sigma, Process Engineering, Product Development, Program Management, Business Process..., Project Management, Strategy, Supply Chain, Supply Chain Management, Cross-functional Team..., Leadership, Project Planning, Business Intelligence, Analysis, Cross Functional Team..., Manufacturing, Operations Management, Continuous Improvement, Supply Management, Management, Outsourcing, Entrepreneurship, Lean Manufacturing, Business Development, Team Leadership, Operational Excellence, Global Sourcing, Business Strategy, Risk Management, Contract Management, E-procurement, Spend Analysis, Contract Negotiation, Executive Management, Consulting, Business Planning, Business Transformation, Start-ups, Vendor Management, Pricing, Human Resources
Education
University of Pennsylvania - The Wharton School
B.S., Business Administration and Management
The Union Institute and University
Ph.D., Interactive Management/Design and Systems Thinking
AmeriHealth Caritas October 2014 - Present
Independence Blue Cross September 2008 - July 2011
Independence Blue Cross June 2001 - September 2008
Independence Blue Cross March 1999 - June 2001
Independence Blue Cross March 1997 - March 1999
Independence Blue Cross January 1996 - March 1997
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Claim, Healthcare, Health Insurance, HIPAA, Managed Care, Hospitals, Medical Coding, Leadership, Employee Benefits, Software Documentation, Training, Underwriting, Quality Assurance, Policy, Medicare, Management, Insurance, Analysis
Education
Cheyney University
Accounting
Temple University 1992 — 1993
Accounting
Cigna July 2014 - Present
University of Pennsylvania Health System April 2014 - May 2014
AmeriHealth Caritas June 2013 - January 2014
Temple University May 2013 - December 2013
IBC Student Recreation Center August 2010 - June 2013
Philadelphia Eagles March 2013 - May 2013
Temple University February 2013 - May 2013
Pennsylvania Hospital March 2013 - April 2013
Homemaker Service of the Metropolitan Area, Inc. November 2012 - March 2013
Vintage Restaurant at Morgan Hill Country Club May 2011 - August 2012
Skills
Microsoft Excel, PowerPoint, Leadership, EHR, Medical Records, Microsoft Word, Cpr Certified, Oracle SQL, Event Management, Social Networking, SQL Server Management..., ICD-10, Microsoft Access, Secure FTP, Tidal Enterprise..., AED, Microsoft SQL Server, Sunrise Clinical Manager, Datastage, SharePoint, Visual Studio
Education
Temple University 2009 — 2014
Bachelor of Science (B.S.), Health Information Management
AMERIHEALTH CARITAS August 2013 - Present
Temple University September 2012 - 2013
City of Philadelphia Revenue Department February 2011 - April 2012
City of Philadelphia Health Department October 2009 - May 2010
LLC Linmore Apartments September 2007 - March 2009
Smart Document Solutions April 2005 - October 2005
Skills
Health Information..., Typing, Filing, Data Entry, Medical Terminology, Electronic Health..., International Computer..., Communication Skills, Ability to mult-task, Clerical Skills, EHR, Medical Records, Software Documentation, Microsoft Office, Microsoft Excel, Microsoft Word, Access, PowerPoint, Outlook, Internet Explorer, Fax, Administrative Health, EMR, National..., Certified Coding..., Employee Relations, Customer Service, Human Resources, Leadership, HIPAA, Healthcare, CPT, Invoicing, ICD-9, Medical Coding, Telephone Skills, Time Management, Accounts Payable, Management, Administrative..., Office Management, System Administration
Education
Temple University 2012 — 2013
Medical Office and Account, Administrative Health/Electronic Health Record, A
Temple University HIP Program 2012 — 2013
Ceritification, Coding Specialist/Coder, B+
Lincoln University Urban Center 1996 — 1997
Certificate, Medical Office Skills
AmeriHealth Caritas September 2014 - Present
AmeriHealth Caritas December 2012 - Present
HMS August 2011 - November 2012
UNIVERSITY OF DELAWARE ADMISSIONS OFFICE October 2008 - May 2011
AMERICAN LIFE INSURANCE COMPANY (ALiCO) June 2010 - August 2010
HOSPITAL OF UNIVERSITY OF PENNSYLVANIA March 2007 - June 2007
Skills
Access, Microsoft Office, Data Analysis, Higher Education, Research, Public Speaking, PowerPoint, Microsoft Excel, Healthcare, Customer Service, Microsoft Word, Outlook, Operations Management, Databases
Education
University of Delaware 2007 — 2011
Bachelor Of Science, Managment Information Systems
University of Delaware 2007 — 2011
Bachelor of Science, Management Information Systems; Operations Management
AmeriHealth Caritas September 2015 - Present
Presidio July 2013 - September 2015
Thomson Reuters April 2007 - July 2013
Ranbaxy Pharmaceuticals July 2004 - April 2007
Robert Half International April 2003 - April 2004
Franklin Pierce Associates September 2000 - April 2002
Skills
Talent Acquisition, Sourcing, Human Resources, Recruiting, Project Management, Employee Relations, Talent Management, College Recruiting, Workforce Planning, Sales, Interviews, Management, New Hire Orientations, Employee Benefits, Personnel Management, Temporary Placement, Hiring, Account Management, Onboarding, Training, New Business Development, Deferred Compensation, Vendor Management, Technical Recruiting, Cold Calling, Performance Management, Leadership, Benefits Negotiation, Sales Operations, Executive Search, HR Consulting, Employee Engagement, Succession Planning, HR Policies, Contract Recruitment, Internet Recruiting, Screening, Temporary Staffing, Applicant Tracking..., PeopleSoft, CRM, Employee Training, Lead Generation, Taleo, Resume Writing, Organizational..., Screening Resumes, Recruitment Advertising, Employer Branding, HRIS
Education
Thomas Edison State College 2006 — 2009
Master's, Human Resource Management
West Virginia University 1995 — 2000
Bachelor's, History
AmeriHealth Caritas March 2013 - Present
CIGNA Healthcare October 2012 - February 2013
Quest Diagnostics 2007 - 2011
PNC September 2005 - August 2007
Skills
Microsoft Office, PowerPoint, Organizational..., Typing, Customer Service, Internet, Call Center, Microsoft Excel, Data Entry, Microsoft Word, Telephone Skills, ICD-9, CPT, Medical Coding, Medical Terminology, Medical Billing, Invoicing, Accounts Receivable, HIPAA, QuickBooks, Healthcare, Time Management, Insurance, Phlebotomy, Vital Signs, Medicare, Microsoft Office 2007, Medicaid, Medical Assisting, Spreadsheets, HMO, Filing, Fax, Appointment Scheduling, PeopleSoft, Lotus Notes, Phone Etiquette, Training, Medical Records, Software Documentation, Administrative..., 10 Key, Outlook, Process Scheduler, Administration, Hospitals, Office Equipment, EMR, Teamwork, Office Management
Education
Thompson Institute 2002 — 2003
Certifert, Medical/Clinical Assistant
Germantown High School 1996 — 2000
Diploma, Business Administration and Management, General
AmeriHealth Caritas September 2013 - Present
Independence Blue Cross November 2011 - September 2013
Nutrisystem January 2010 - November 2011
ICT Group May 2009 - January 2010
US Navy January 1997 - December 2008
Skills
Workforce Management, Avaya, Contact Centers, IEX, Operational Planning, Military, Blue Pumpkin, Call Centers, Process Improvement, Visio, Access, Vendor Management, Business Analysis, Call Center Development, BPO, SDLC, Forecasting, Active Directory, Team Building, Training, Insurance, Customer Retention, Leadership, Quality Assurance, Program Management, Customer Experience, Microsoft Office, Team Leadership, Customer Satisfaction, Troubleshooting, Capacity Planning, Risk Management, PowerPoint, Call Center, Customer Service, HIPAA, Business Process..., Operations Management, Business Intelligence
Education
Strayer University-Pennsylvania 2011 — 2014
Bachelor's Degree, Network Security, B+
AmeriHealth Caritas March 2015 - Present
Planet Fitness September 2014 - March 2015
General Dynamics Information Technology May 2013 - September 2014
Stevenson University- Office of Residence Life August 2012 - May 2014
Skills
People Skills, Microsoft Office, Positive Can-do Attitude, Highly detail oriented, Meet Deadlines, Filing, Accountability, Creative Problem Solving, Creative Solutions, Following Directions, Close Attention to..., Flexable, Interpersonal Skill, Organizing Meetings, Motivated self-starter, Time Management, Microsoft Word, Critical Thinking
Education
Stevenson University 2014 — 2016
Masters, Forensic studies
Stevenson University 2010 — 2014
Bachelor of Science (BS), Criminal Justice
AmeriHealth Caritas January 2014 - Present
Unisys September 2012 - January 2014
Unisys January 2012 - September 2012
Wilmington Trust September 1999 - September 2011
De Lage Landen March 1997 - May 1999
PMA Insurance Group March 1987 - February 1997
Skills
Business Analysis, Business Process, Compliance, Continuous Improvement, Contract Management, Contract Negotiations, Cross-functional Team..., Culture Change, Organizational Change, Problem Solving, Process Engineering, Process Improvement, Project Portfolio..., Strategic Leadership, Strategic Planning, Re-engineering, Risk Management, Vendor Management, Strategy, Information Technology, Integration, Project Management, Executive Management, Enterprise Architecture, Portfolio Management, Consulting, IT Service Management, Change Management, PMO, SDLC, Contract Negotiation, Management Consulting, Requirements Gathering, IT Management, Analysis, Governance, Program Management, Banking, CRM, Leadership, Outsourcing, Business Process..., Procurement, Sla, IT Strategy, Financial Services, Management, PMP, Budgets, Financial Analysis
Education
Saint Joseph's University - Erivan K. Haub School of Business 2001 — 2002
EMBA, Business Administration w/ International focus
Widener University 1983 — 1986
BS, Business Management
Monsignor Bonner High School 1975 — 1979
AmeriHealth Caritas May 2013 - Present
Chartered Health Plan January 2013 - 2013
Mary's Center October 2009 - January 2012
Foley and Lardner LLC October 2008 - February 2009
University of Virginia August 2007 - May 2008
World Vision August 2007 - August 2007
World Vision 2007 - 2007
Skills
Program Management, Delegation, Task Management, Community Relations, Community Outreach, People Management, Service Orientation, Procedure Development, Customer Advocacy, Patient Advocacy, Accountability, Language Skills, Foreign Languages, Intercultural..., Data Analysis, Management, Leadership, Leadership Development, Qualitative Research, System Administration, Higher Education, Spanish, Language Development, Program Development, Workshop Facilitation, Social Services, Community Health, PowerPoint, Community Development, Time Management, Fundraising, Global Health, Healthcare, Reproductive Health, Event Planning, Health Education, Public Health, Policy Analysis, Microsoft Excel, Policy, Nonprofits, Public Speaking, Capacity Building, Project Management, Research, International..., Clinical Research, Plannning, Grant Writing, Grants
Education
University of Maryland - Robert H. Smith School of Business 2013 — 2015
Master of Business Administration (MBA), Business Administration and Management, General
University of Virginia 2004 — 2008
B.A, Distinguished Major Prog. (DMP) in Human Biology focus in Health Care Policy/ Global Health
AmeriHealth Caritas November 2011 - Present
Independent Contractor 2006 - 2011
One Beacon Insurance (Formerly known as General Accident Insurance) July 1977 - March 2003
Skills
Talent Acquisition, Onboarding, Employee Relations, HRIS, Applicant Tracking..., Talent Management, Screening, Management, Human Resources, Deferred Compensation, Employee Benefits, Training, Personnel Management, Organizational..., Performance Management, Vendor Management, Benefits Negotiation, Recruiting, Process Improvement
Education
Saint Joseph's University
Wells Fargo August 2011 - Present
Aramark July 2007 - August 2011
AmeriHealth Caritas June 2004 - July 2007
Skills
Nonprofits, Event Planning, Microsoft Office, Community Outreach, Public Speaking, Community Development, Leadership, Sales, Microsoft Excel, Process Improvement, Social Media, Grant Writing, Volunteer Management, Program Management
Education
University of Pennsylvania 1998 — 2000
Master's Degree
University of Delaware 1992 — 1996
Bachelor's Degree
Health Partners Plans September 2014 - Present
AmeriHealth Caritas June 2013 - September 2014
Horizon Blue Cross Blue Shield of New Jersey December 2007 - September 2012
Skills
Healthcare, HIPAA, Healthcare Management, Medicaid, Hospitals, Medicare, Health Insurance, Data Analysis, Provider Relations, Customer Service, Utilization Management, Health Policy, Public Health
Education
Temple University
AmeriHealth Caritas July 2013 - Present
LIFE-University of PA. July 2009 - June 2013
McKee, Shepard and Griska Medical Assoc. October 1993 - June 2009
Skills
Healthcare, Medicine, Clinical Research, Healthcare Management, Public Health, Internal Medicine, Hospitals, Patient Safety, Healthcare Information..., Medicaid, Healthcare Consulting, Treatment, Quality Improvement, Nursing, Health Policy, Medicare, Acute Care, Informatics, Health Education, Home Care, EHR, Disease Management, Physician Relations, Critical Care, Managed Care, EMR, Medical Terminology, ACLS, BLS, ICU, Physicians, Case Managment, Inpatient, Utilization Management, Board Certified, Oncology, HEDIS, Credentialing, HIPAA, Cerner, Utilization Review, Palliative Care, Mental Health, Family Medicine, Healthcare Industry, Provider Relations, Revenue Cycle, Pediatrics, Behavioral Health, Health Information...
Education
Medical College of PA 1988 — 1991
residency, Internal Medicine Residency Program
Temple University School of Medicine 1984 — 1988
Doctor of Medicine (MD)
Quinnipiac College
Bachelor of Science (B.S.), Medical Technology
AmeriHealth Caritas April 2012 - Present
XLHealth/UnitedHealthcare January 2006 - April 2012
Mid Atlantic Medical Services - United Healthcare July 2000 - October 2005
Doctors Health 1995 - 2000
Education
University of Louisville 1982 — 1986
JD, Law
University of Iowa 1974 — 1979
BA, MA, Journalism and Mass Communication
AmeriHealth Caritas October 2014 - Present
Gallup November 2011 - Present
Johns Hopkins Hospital December 2009 - October 2011
Skills
Data Analysis, Healthcare, Clinical Research, Healthcare Information..., Statistics
Education
University of Maryland Baltimore
Medical and Research Technology
Abington - Jefferson Health June 2014 - Present
GCHealth, LLC September 2011 - June 2014
DaVita July 2009 - September 2011
Drexel University College of Medicine September 2008 - June 2009
SeventySix Capital January 2008 - August 2008
Centene Corporation May 2006 - December 2007
AmeriHealth Caritas July 2001 - April 2006
OptumHealth August 2000 - June 2001
Intracorp and CIGNA International October 1997 - August 2000
Independence Blue Cross September 1994 - October 1997
Skills
Medicaid, Managed Care, Healthcare, Medicare, Health Policy, HIPAA, Medicare Part D, Healthcare Consulting, Disease Management, Regulatory Affairs, Policy, Health Insurance, Healthcare Information..., Strategy, Healthcare Industry, Network Development, Contract Negotiation, Privacy Law, Hospitals, Pharmacy, Health Law, Legislative Relations, Pharmacy Benefit..., Licensing, Utilization Management, Leadership, Corporate Law, Healthcare IT, Government Relations, General Counsel, Healthcare Compliance, Healthcare Abuse Expert, Healthcare Fraud, Medical Compliance
Education
Fels Institute of Government, University of Pennsylvania 1994 — 1997
M.A., Governmental Administration
Temple University - James E. Beasley School of Law 1989 — 1992
J.D., Law
The George Washington University 1985 — 1989
B.A., Political Science
Cheltenham High School 1981 — 1985
High School Diploma
AmeriHealth Caritas November 2013 - Present
Liberty Mutual February 2011 - October 2013
Maryland Insurance Administration August 2008 - February 2011
Skills
Policy, Underwriting, Life Insurance, Insurance, Claim, Legal Research, HIPAA, Mediation, Policy Analysis, Claim Investigation, Negotiation, Statutory Compliances, Legal Compliance, Health Insurance, Fixed Annuities, Variable Annuities, Insurance Fraud, Administrative Law, State Government, consumer protection
Education
University of Baltimore School of Law 2005 — 2008
JD, Law
The Catholic University of America 2001 — 2005
Bachelor of Science (BS), Business Administration and Management, General
Canon Solutions America June 2015 - Present
AmeriHealth Caritas August 2012 - May 2015
GB Collects June 2009 - February 2012
Skills
Microsoft Office, Credit, Customer Service, Call Center, Accounts Receivable, Insurance, Call Centers, Microsoft Excel, Windows, Time Management, Telephone Skills, Teamwork, Team Leadership, Team Building, Spreadsheets, System Administration, Sales, Process Improvement, PowerPoint, Outlook, Microsoft Word, Data Entry, Customer Satisfaction, Analysis, Administration, Account Management, Access
Education
The College of New Jersey 2004 — 2007
N/A, Music Education
AmeriHealth Caritas September 2014 - Present
SunGard Availability Services May 2013 - August 2014
Quest Diagnostics April 2008 - May 2013
QVC, Inc May 1999 - April 2008
INSTITUTE FOR SCIENTIFIC INFORMATION August 1998 - May 1999
Frankford Hospital April 1990 - August 1998
HAHNEMANN UNIVERSITY HOSPITAL 1988 - 1990
TEMPLE UNIVERSITY HOSPITAL 1984 - 1988
RAPID AMERICAN APPAREL (Botany 500) 1979 - 1984
Skills
Disaster Recovery, IT Management, Vendor Management, Data Center, VMware, IT Strategy, Process Improvement, SDLC, Troubleshooting, Cisco Technologies, Servers, IT Operations, Integration, Business Continuity, Operations Management, B2B, Project Management, IT Service Management, Change Management, Management, Infrastructure, Service Delivery, Hardware, SAN, High Availability, Networking, Solaris, Network Administration, Technical Support, Telecommunications
Education
Temple University
Computer Science
AmeriHealth Caritas August 2013 - Present
PolicyLink October 2010 - January 2012
Summit Health Institute for Research and Education, Inc October 2008 - 2010
Robert Wood Johnson Foundation 2006 - 2008
Skills
Nonprofits, Program Development, Fundraising, Program Management, Public Policy, Strategic Planning, Community Outreach, Grants, Strategic Communications, Policy Analysis, Program Evaluation, Healthcare, Non-profits, Community Development, Health Policy
Education
Temple University 2002 — 2004
MPH, Public Health
AmeriHealth Caritas September 2011 - Present
Independence Blue Cross July 2010 - September 2011
Independence Blue Cross January 2010 - July 2010
Independence Blue Cross April 2008 - January 2010
Electronic Data Systems 2007 - 2008
Day & Zimmermann 2004 - 2007
SAP 2003 - 2004
Skills
Data Analysis, Management, Process Improvement, Access, Business Analysis, Program Management, Leadership, Project Management, Human Resources, Analysis, Visio, Strategic Planning, Organizational..., PeopleSoft, SharePoint, Microsoft Office, Project Planning, Nonprofits, Leadership Development, Recruiting, Six Sigma, Knowledge Management, Event Management, Team Building, Public Speaking
Education
Holy Family University, Division of Extended Learning 2007 — 2008
Masters of Business Administration, Leadership
Temple University - Fox School of Business and Management 1998 — 2002
Bachelor of Business Administration, Computer Information Science
Vanguard June 2014 - Present
Vanguard November 2014 - February 2015
Saint Joseph's University September 2010 - May 2014
AmeriHealth Caritas June 2013 - August 2013
The Children's Hospital of Philadelphia May 2012 - July 2012
Skills
Written & Verbal..., Attention to Detail, Time management skills, Organization, Microsoft Word, Microsoft Excel, Cvent, Customer Service, Marketing, SharePoint, Visio, PowerPoint, Public Relations, Time Management, Teamwork, Social Networking
Education
Saint Joseph's University
Erivan K. Haub School of Business, Marketing and Business Management
ElderSource December 2014 - Present
AmeriHealth Caritas April 2014 - November 2014
UF Health Jacksonville April 2012 - April 2014
SummaCare October 2006 - April 2012
Florida Department of Children and Families December 2005 - September 2006
Patient Care: Health Care Advocacy September 2004 - September 2005
Florida Blue November 1997 - September 2004
Skills
Managed Care, Healthcare, Medicare, Health Insurance, Provider Relations, Medicaid, Medical Staff..., Claims Investigations
Education
University of North Florida 1992 — 1997
Bachelor of Arts (B.A.), Psychology
Blue Cross and Blue Shield of North Carolina March 2015 - Present
AmeriHealth Caritas June 2011 - Present
Skills
Business Analysis, Healthcare Information..., Visio, HIPAA, SDLC, Requirements Gathering, SharePoint, Software Documentation, Software Implementation, Vendor Management, Process Improvement, Data Analysis, Requirements Analysis, Project Portfolio..., Medicaid, EDI, PMO, Healthcare, ICD-10, Agile Methodologies, Business Process, Analysis, ICD-9, Health Insurance
Education
University of Maryland Baltimore County
Mercy Medical Center, Baltimore, MD June 2015 - Present
CareFirst BlueCross BlueShield March 2014 - June 2015
Towson University 2011 - 2015
Towson University 2011 - 2015
Towson University Store August 2013 - March 2014
AmeriHealth Caritas June 2013 - August 2013
Christiana Care Health System January 2013 - February 2013
Avalon Freeze May 2009 - August 2012
Skills
Leadership, Customer Service, Time Management, Microsoft Office, Health Insurance, Marketing, Marketing Research, Microsoft Excel, Cashiering, Cash Handeling, Health Care Reform, MS Excel Pivot Tables, Affordable Care Act, Dental Insurance, Healthcare Management, Quality Auditing, Infection Control, Meditech, Midas, Quality Improvement, Healthcare
Education
Towson University 2011 — 2015
Bachelor of Science (B.S.), Health/Health Care Administration/Management, GPA: 3.64
Padua Academy 2007 — 2011
High School Diploma
AmeriHealth Caritas 2014 - Present
ACE Group 2008 - 2014
Endo Pharmaceuticals 2005 - 2008
Agilent Technologies 1999 - 2005
Hewlett-Packard 1999 - 1999
Universal Instruments 1997 - 1999
Skills
Contract Negotiation, Contract Management, Strategic Sourcing, Vendor Management, Cross-functional Team..., Outsourcing, Negotiation, Procurement, Change Management, Sourcing, Process Improvement, Supply Chain..., Problem Solving, SAP R/3 MM, Continuous Improvement, Management, Program Management, Risk Management, SAP R/3, Supply Chain, Supply Management, Team Building, Insurance, General Awesomeness, Business Process..., Strategy, Forecasting, Supply Chain Management, Global Sourcing, Leadership
Education
University of Pittsburgh School of Law 1994 — 1997
JD, Law
University at Buffalo 1989 — 1993
BA, International Business, Geography
AmeriHealth Caritas May 2015 - Present
AmeriHealth Caritas August 2012 - Present
The AmeriHealth Mercy Family of Companies July 2007 - July 2012
Siemens Healthcare September 2004 - July 2007
Workers' Compensation Insurance Rating Bureau May 2000 - July 2003
Skills
MCSE Microsoft..., CCNA, HIPAA, EDI, IBM Servers, Sun Application Server, Microsoft SQL Server, HP Server Hardware, Windows Server, Microsoft Exchange, Embarcadero Rapid SQL, Tidal Enterprise..., ZEKE, Stratus, Lotus Notes, IBM Tivoli, Veritas, WebSphere MQ, Cisco Routers, EMC Storage, Cisco VPN, Checkpoint, Dreamweaver, HTML, XML, Network Security, Secure FTP, IIS, TCP/IP, Microsoft Office, UltraEdit, Microsoft Certified..., SDLC, .NET, ASP.NET, Visio, SQL, Embarcadero, Data Center, Access, Crystal Reports, Software Documentation, SharePoint, SSRS, Disaster Recovery, Databases, Software Development, Testing, Business Analysis
Education
SFSU
Bachelor's degree, Computer Science
UC Berkeley
Associate of Arts (A.A.)
AmeriHealth Caritas October 2012 - Present
OptumInsight May 2010 - July 2012
3Sixty Consulting February 2008 - May 2010
Deloitte Consulting January 2004 - January 2008
Milliman March 2002 - December 2003
Towers Perrin December 1994 - February 2002
Skills
Insurance, Medicaid Managed Care, Financial modeling, Data Analytics, Financial Reporting, Strategic Planning, Risk Management, Financial Risk, Process Improvement
Education
The University of Texas at Austin - Red McCombs School of Business 1988 — 1993
BBA, Risk Management
AmeriHealth Caritas October 2011 - Present
Magic Hat Consulting June 2011 - October 2011
LyondellBasell Inc June 2009 - January 2011
Lyondell Basell Inc. July 2008 - July 2009
Basell USA Inc. 2007 - 2008
Basell USA Inc 2004 - 2007
Basell USA Inc 2003 - 2004
Montell North America 2002 - 2003
Montell North America April 2001 - April 2002
Montell North America 2000 - 2001
Skills
Change Management, ERP, Integration, Business Process..., Process Improvement, Project Management, IT Service Management, SAP, Program Management, Project Planning, Management, Business Process, Team Leadership, SDLC, Outsourcing, Data Center, Mergers & Acquisitions, Manufacturing, PMO, Analysis, Software Documentation, Governance, Budgets, Business Planning, Strategic Planning, Supply Chain, Cross-functional Team..., Business Analysis, Leadership, Risk Management, Vendor Management, IT Strategy, Process Engineering, Strategy, Six Sigma, Project Portfolio..., IT Management, PMP, Visio
Education
Bishop Neumann HS
Saint Joseph's University
BS, Accounting
Saint Joseph's University
MBA, Management
Saint Joseph's University
Elizabeth Reeves Consulting October 2014 - Present
The Leader's Edge/Leaders By Design November 2014 - Present
AmeriHealth Caritas January 2013 - September 2014
XL Group June 2009 - June 2012
Liz Claiborne July 2008 - May 2009
Lincoln Financial Group- Lincoln National Corp. (LNC) January 2005 - May 2008
ServiceMaster September 2002 - December 2004
Bcom3 2000 - 2002
CNA Insurance March 1998 - August 2000
GE 1979 - 1998
Skills
Performance Management, Leadership, Mergers & Acquisitions, Talent Management, Marketing Communications, Change Management, Succession Planning, Human Resources, Mergers, HR Transformation, Culture Change, Leadership Development, Organizational..., Benefits Administration, Deferred Compensation, Employment Law, Organizational..., Organizational Design, Strategy, Executive Coaching, Employee Benefits, Coaching, Applicant Tracking..., Compensation & Benefit, HRIS, Employee Relations, Personnel Management, Strategic HR, Talent Acquisition, HR Policies, Workforce Planning, Strategic Planning, Recruiting, Internal Communications, Insurance, Onboarding, Employee Engagement, Process Improvement, Executive Pay, HR Consulting
Education
University of Cincinnati
Masters, Economics- Industrial Relations
University of North Carolina at Charlotte
BA, Psychology and english
AmeriHealth Caritas April 2015 - Present
AmerisourceBergen April 2014 - April 2015
Mckesson January 2014 - March 2014
Astrazeneca August 2013 - December 2013
Florida Health Care Plan April 2013 - July 2013
Geisinger Health System January 2013 - April 2013
McNeil Consumer Healthcare June 2012 - December 2012
AstraZeneca February 2011 - June 2012
TDBank August 2010 - February 2011
JPMorgan Chase March 2010 - July 2010
Skills
Program Management, Change Management, PMP, Project Management, Business Process..., SDLC, PMO, System Migration, Business Analysis, ERP, Integration, Visio, MS Project, Cross-functional Team..., SharePoint, Software Documentation, CRM, Microsoft Project, Quality Assurance, Requirements Gathering
Education
West Chester University of Pennsylvania 1999 — 2001
MBA, Technology and eCommerce
Project Management Institute
PMP, Project Management
Temple University - Fox School of Business and Management
BBA, Business Administration
The Chubb Institute
Certificate, Computer networks & Data Communications
Luma Diamond Consultants March 2001 - Present
AmeriHealth Caritas September 2012 - December 2013
The AmeriHealth Mercy Family of Companies July 2012 - September 2012
Independence Blue Cross July 2011 - July 2012
Newspaper Support Services, Inc. April 2010 - January 2011
ET COMMUNICATION SOLUTIONS,LLC March 2009 - November 2009
Exelon December 2007 - August 2008
Newspaper Support Services, Inc. October 2005 - December 2006
National Children's Center December 2002 - December 2004
New York University September 2000 - December 2002
Skills
Employee Relations, Vendor Management, Interviews, Business Process, Talent Acquisition, PeopleSoft, Recruiting, Performance Management, Human Resources, HRIS, Applicant Tracking..., Technical Recruiting
Education
State University of New York at Albany 1991 — 1996
BA, Sociology/History
South Shore 1987 — 1991
General, Regular/General High School/Secondary Diploma Program
LGreco Designs May 2004 - Present
AmeriHealth Caritas June 2012 - October 2014
The Media & Marketing Group / STAR Group September 2006 - June 2012
Karma Agency formerly Alta Communications April 2005 - June 2006
Skills
Logo Design, Adobe Creative Suite, Illustrator, InDesign, Direct Mail, Brochures, Graphic Design, Advertising, Posters, Corporate Identity, Flyers, Creative Direction, Layout, Photoshop, QuarkXPress, Branding & Identity, Image Manipulation, Concept Marketing, Campaign Strategy..., Art Direction, Typography, Mac, Packaging, Keynote, Storyboarding, Invitations, Web Design, Catalogs, Promotions, Print, Photography, Retouching, Brand Development, Fine Art, Microsoft Office, infographics
Education
The University of the Arts 1999 — 2004
BFA, Graphic Design
Maternity Care Coalition July 2015 - Present
Stratton Mountain Resort August 2014 - March 2015
AmeriHealth Caritas September 2013 - March 2014
SolomonEdwardsGroup October 2012 - May 2013
Nestle Waters June 2012 - August 2012
The Rosen Group June 2011 - September 2011
Fox School of Business, MBA/MS June 2011 - August 2011
OR Consulting October 2009 - January 2010
PATH Inc. (People Acting To Help) August 2006 - August 2009
Skills
Interviews, Business Development, Team Building, Process Improvement, Onboarding, 401k, Strategic Planning, College Recruiting, Leave of Absence, Employee Benefits, Unemployment Claims, SuccessFactors, PeopleSoft, HRIS, Applicant Tracking...
Education
Temple University - Fox School of Business and Management 2010 — 2012
MBA, Human Resource Management
University of Delaware - Lerner College of Business and Economics 2002 — 2006
Bachelor of Science, Marketing
AmeriHealth Caritas January 2015 - Present
WW Hospitality Marketing August 2011 - January 2015
Greater Wilmington Convention and Visitors Bureau October 2009 - September 2011
Office of the Governor June 2009 - September 2009
Aloysius Butler & Clark February 2009 - May 2009
MyPHL 17 August 2008 - December 2008
Skills
Adobe Creative Suite, Advertising, Marketing Strategy, Social Media Marketing, Copywriting, Press Releases, Newsletters, Social Media, Public Relations, Marketing, Marketing Communications, Online Advertising, Email Marketing, Facebook, Social Networking
Education
University of Delaware 2005 — 2009
BA, Communication, Economics
AmeriHealth Caritas May 2015 - Present
AmeriHealth Caritas April 2014 - May 2015
AmeriHealth Caritas July 2013 - April 2014
Elsevier January 2013 - June 2013
Becker Technical Staffing, Inc July 2012 - October 2012
University Directories May 2011 - August 2011
92.5 XTU Philadelphia's Country Station May 2010 - August 2010
Skills
Marketing, Social Networking, Leadership, Microsoft Excel, Outlook, Sales, PowerPoint, Interviews, Time Management, Microsoft Word, Public Speaking, Microsoft Office, Cold Calling, Human Resources, Market Research, Account Management, Facebook, Event Planning, Social Media Marketing, Access, Analysis, Customer Service, Social Media, Marketing Communications, LinkedIn
Education
Saint Joseph's University - Erivan K. Haub School of Business 2008 — 2012
Bachelors, Marketing, Business Intelligence
AmeriHealth Caritas September 2015 - Present
AmeriHealth Caritas January 2015 - September 2015
AmeriHealth Caritas February 2014 - January 2015
Holcomb Behavioral Health Systems January 2011 - February 2014
Holcomb Behavioral Health Systems September 2010 - January 2011
Skills
Management, Healthcare, Analysis, Data Analysis, Mental Health, Human Resources, Healthcare Management, Program Development, Health Insurance, Project Management, Quality Improvement, Financial Analysis, Customer Service, Medicaid, Contract Management
Education
University of Delaware 2011 — 2014
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
University of Delaware 2005 — 2009
Bachelor of Arts (B.A.), Psychology, Political Science
St. Marks High School 2001 — 2005
AmeriHealth Caritas April 2015 - Present
Cognizant Technology Solutions December 2011 - April 2015
Infosys September 2004 - December 2011
Skills
Requirements Analysis, FACETS Healthcare..., J2EE Application..., Java, Software Project..., Agile Methodologies, Oracle, Product Management, Business Analysis, SDLC, Requirements Gathering, Solution Architecture, SOA, PL/SQL, SQL, Java Enterprise Edition, Web Services, Microsoft SQL Server
Education
University of Madras 2000 — 2004
Bachelor of Technology (B.Tech.), Information Technology
Railway Mixed Higher Secondary School 1999 — 2000
Bachelor of Science (BS), Computer Science
Excellus BCBS July 2013 - August 2013
WPS Health Insurance July 2012 - November 2012
AmeriHealth Caritas February 2012 - April 2012
Blue Cross Blue Shield of Louisiana November 2011 - January 2012
Lovelace Health System June 2011 - September 2011
UnitedHealth Group March 2010 - May 2011
Availity October 2009 - January 2010
Universal American March 2009 - June 2009
Baylor Health Care System October 2008 - January 2009
Affinity Health Plan October 2006 - January 2008
Skills
Facets Expertise, Benefit Configuration, Pricing Configuration, Data Warehousing, Data Modeling, Integration, HIPAA, Business Objects, SDLC, Requirements Analysis, Healthcare Information..., Requirements Gathering, Visio, Business Analysis, Business Intelligence, SharePoint, Healthcare, SSIS, EDI, Software Project..., Business Requirements, Microsoft SQL Server, ETL, Testing, Medicare, Business Process, Databases, Oracle, Crystal Reports, Medicaid, Access, Process Improvement, Software Documentation, Vendor Management, Health Policy, Software Implementation, Healthcare Industry, Systems Analysis, Business Process..., Management, PMP, Data Analysis, MS Project, Disaster Recovery, Program Management, Managed Care, Enterprise Architecture, Quality Assurance, Healthcare Consulting, IT Strategy
Education
Tulane University 1986 — 1990
BA, English
The University of Dallas 1991 — 1993
MBA, HSM - Masters of Business Adminstration
Culver Girls Academy 1983 — 1986
Prep School, High School
AmeriHealth Caritas June 2015 - August 2015
Nationwide Insurance June 2014 - August 2014
Skills
HTML, SQL, Data Analysis, CSS, Microsoft SQL Server, MySQL, WordPress, PHP, Data Mining, Business Analysis
Education
Temple University - Fox School of Business and Management 2014 — 2016
Bachelor’s Degree, Management Information Systems, Business Administration, Senior
AmeriHealth Caritas May 2015 - Present
AmeriHealth Caritas June 2014 - August 2014
Eddie Bauer November 2013 - January 2014
YOGO Factory August 2012 - December 2013
Skills
Microsoft SQL Server, SAS E-Miner, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, English, Access, Event Planning, Leadership, Teamwork, Time Management
Education
Temple University - Fox School of Business and Management 2012 — 2015
Bachelor of Business Administration (BBA), Risk Management and Insurance, Management Information Systems
University of Delaware - Lerner College of Business and Economics 2011 — 2011
Health Partners Plans April 2015 - Present
AmeriHealth Caritas January 2015 - March 2015
AmeriHealth Caritas June 2011 - January 2015
Blue Cross of Northeastern Pennsylvania June 2008 - November 2010
Skills
Crisis Communications, Media Relations, Strategic Communications, Corporate Communications, Public Relations, Internal Communications, Newsletters, Crisis Management, Press Releases, Spokesperson, Social Media, Event Management, Communication Training, Speech Writing, Leadership, Marketing Communications, Message Development, Public Affairs, Community Development, Editing, Communications Planning, Copywriting, Reputation Management
Education
University of Delaware
Bachelor's degree, English
University of Delaware
Bachelor of Arts in English
AmeriHealth Caritas December 2011 - Present
Semanoff Ormsby Greenberg & Torchia, LLC January 2011 - December 2011
Reed Smith LLP September 2006 - December 2010
United States District Court for the Eastern District of Pennsylvania July 2004 - September 2006
Duane Morris LLP September 2002 - July 2004
Abington Memorial Hospital March 1998 - September 1999
QualMed Plans for Health June 1997 - March 1998
Ernst & Young 1994 - 1997
Skills
Legal Research, Health Law, Commercial Litigation, Courts, Contract Negotiation, Medicaid, Privacy Law, Legal Writing, Bankruptcy, Civil Litigation, Healthcare, Legal Issues, Managed Care, writing, Technical Writing, News Writing, Information Privacy, behavioral health law
Education
Temple University - James E. Beasley School of Law 1999 — 2002
Juris Doctor, Law
Temple University 1988 — 1993
MBA, Finance
OMD USA September 2015 - Present
URJ Camp Harlam June 2015 - August 2015
Ibis Yearbook, University of Miami January 2015 - May 2015
University of Miami April 2014 - May 2015
University of Miami Panhellenic Association January 2014 - January 2015
AmeriHealth Caritas June 2014 - August 2014
University of Miami August 2012 - April 2014
Kappa Kappa Gamma, Delta Kappa Chapter November 2012 - November 2013
Virtua Health May 2012 - June 2012
Education
University of Miami 2011 — 2015
Bachelor of Business Administration (B.B.A.), Marketing
Cherry Hill High School East 2007 — 2011
AmeriHealth Caritas March 2015 - Present
Bank of America October 2013 - February 2015
ARAMARK October 2008 - September 2013
(IKEA & Wyeth) 2007 - 2008
CSL Behring 2005 - 2007
(BankOne & DuPont) 2003 - 2005
Merck 1991 - 2002
Aetna US Healthcare 1990 - 1991
Donnelley Directory 1987 - 1990
Fidelity Bank 1985 - 1987
Skills
Project Management, Software Development, Leadership, SDLC, Management, Software Project..., Vendor Management, Process Improvement, IT Strategy, IT Management, Business Intelligence, Integration, Business Analysis
Education
Shippensburg University of Pennsylvania 1983 — 1985
BSBA, Information Systems
Petrelli Chiropractic May 2015 - Present
Nourish Ur Life January 2015 - March 2015
RuffaloCODY September 2014 - December 2014
Grassroots Campaigns June 2014 - July 2014
Temple University Writing Center October 2013 - May 2014
AmeriHealth Caritas July 2013 - July 2013
South Square Supermarket June 2012 - September 2012
Fels Community Center September 2011 - June 2012
Family Court September 2010 - June 2011
Criminal Justice Center September 2009 - June 2010
Skills
Russian, Social Media, Social Networking, Acting, Facebook, Writing, Organization, Microsoft Word, Microsoft Office, Communication, Public Speaking, Nonprofits, Leadership
Education
Temple University 2013 — 2017
Journalism
Community College of Philadelphia 2012 — 2013
Preparatory Charter High School 2009 — 2013
High School Diploma
AmeriHealth Caritas February 2005 - Present
Cigna March 1998 - February 2005
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, English, Windows, Research, Outlook, Teaching, Public Speaking, Human Resources, Organizational..., Leadership, Management
Education
Temple University - Fox School of Business and Management 1994 — 1998
Bachelor's degree, Human Resources Management/Personnel Administration, General
Temple University - Fox School of Business and Management
Bachelor's degree, Human Resources Management and Services
Select Health of South Carolina April 2015 - Present
AmeriHealth Caritas May 2014 - April 2015
Select Health of South Carolina June 2013 - May 2014
The AmeriHealth Mercy Family of Companies January 2009 - June 2013
Medical University of South Carolina July 2007 - January 2009
Skills
Microsoft Office, Microsoft Word, Nursing, Managed Care, Utilization Management, PowerPoint, Medicaid Managed Care, Outlook, Provider Education, New Business Development, Medicaid, Medical Affairs, Customer Service, Healthcare, NCQA, Utilization Review, Healthcare Management, Health Policy, Hospitals, Healthcare Industry, HIPAA, Provider Relations, Health Insurance, HMO, Insurance, HEDIS, Healthcare Information..., Microsoft Excel
Education
University of North Carolina at Charlotte 2003 — 2007
Bachelor's degree, Nursing Science
Amerihealth Caritas September 2013 - Present
Cigna-HealthSpring August 2010 - July 2013
Chester County OBGYN January 2008 - July 2010
Chester County Occupational Health March 2004 - December 2007
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Cpr Certified, First Aid, Phlebotomy, Medicare, PowerPoint, Hospitals, Data Entry, Vital Signs, Telephone Skills
Education
Tidewater Tech-Trades 1997 — 1998
Medical/Clinical Assistant
Ameritech Media 2015 - Present
Mazzitti & Sullivan EAP Services March 2015 - Present
Positive Distribution October 2009 - June 2015
neat foods November 2013 - March 2015
Andculture October 2013 - December 2014
HACC August 2003 - May 2011
PerformCare July 2005 - December 2010
AmeriHealth Caritas September 2005 - June 2010
UPMC August 2003 - September 2005
Youth Advocate Programs, Inc. May 2003 - August 2005
Skills
Public Relations, Marketing, Strategy, Public Speaking, Marketing Strategy, Non-profits, Advertising, Strategic Planning, Team Building, Social Media, Nonprofits, Distribution Strategies, Business Planning, Sales, Marketing Research, Social Media Marketing, Business Development, Social Networking, Leadership, Event Planning, Management
Education
University of South Carolina-Columbia 2001 — 2003
Masters, Managing Organizational Change.Leadership.Grass Roots Development.Social Work.Psychology.Sociology
USC-Beaufort 1997 — 2001
Bachelors, Public Communication.Human Resources.Ethics.Spanish.Hotel Restaurant and Tourism Administration
Durham Technical Community College 1995 — 1997
Associates, Science.Mathmatics.English.Applied Technology.Infastructure and Design.Graphic Engineering
University of North Carolina at Chapel Hill 1994 — 1995
Economics.Business Management
AmeriHealth Caritas February 2012 - Present
AmeriHealth Caritas August 2009 - February 2012
AmeriHealth Caritas May 2005 - January 2009
Skills
Healthcare Information..., Healthcare, PMO, MS Project, Disaster Recovery, Data Center, PMP, Program Management, Management, Project Management
Education
University of Phoenix 2009 — 2011
Master of Business Administration (M.B.A.), Computer/Information Technology Administration and Management
University of Houston 2005 — 2009
Bachelor of Science (BS), Computer Engineering Technology/Technician
AmeriHealth Caritas May 2012 - Present
MedRisk, Inc. February 2011 - May 2012
Skills
Training, Access, Insurance, Software Documentation
Education
Tuskegee University 2000 — 2004
Bachelor of Science, Business Administration
Kindred Healthcare October 2014 - Present
AmeriHealth Caritas October 2012 - October 2014
Wilmington University December 2011 - March 2013
Christiana Care Health System April 2006 - November 2012
Concentra March 2004 - April 2006
Keystone Mercy Health Plan September 2001 - March 2004
Temple University Hospital 2001 - 2001
Independence Blue Cross 2000 - 2001
The Children's Hospital of Philadelphia 1997 - 2000
Thomas Jefferson University Hospital 1993 - 1997
Skills
Nursing, Pharmaceutical billing, Oncology, Pediatric Triage, Pediatric Case..., Telephonic Case..., Catastrophic Personal..., Health Insurance, Cost benefit Analysis, Supervisory Experience, Job Analysis, Job Evaluation, Hematology, Hemophilia Coordinator, Pharmacy Technician, Reimbursement..., Case Managment, Healthcare Management, Workers Compensation, EMR, Disease Management, Patient Education, Health Education, Pediatrics, EHR, HIPAA, Healthcare, Healthcare Consulting, Healthcare Information..., Home Care, Hospitals, Physician Relations, Acute Care, Case Management
Education
University of Delaware 2007 — 2011
MSN, Nursing/Health Administration
Thomas Jefferson University 1991 — 1993
Bachelors of Science, Nursing
AmeriHealth Caritas February 2015 - Present
Theophilus Community Programs February 2008 - Present
Magellan Behavioral Health November 2014 - February 2015
Magellan Behavioral Health February 2012 - November 2014
Molina Healthcare April 2007 - October 2011
Internal Medicine Assoc Of La November 2002 - April 2007
Skills
Leadership, Healthcare, Outlook, Team Building, Mental Health, Data Entry, Research, Customer Service, Teamwork, Case Management, Call Centers, HIPAA, Health Insurance, Community Outreach, Microsoft Office, Microsoft Word, Healthcare Management, Clinical Research, Medicaid, Medical Terminology, Coaching, Crisis Intervention, Telephone Skills, Behavioral Health, Mental Health Counseling, Adolescents
Education
University of Phoenix
Human Services/Management
AmeriHealth Caritas April 2013 - Present
Hilton January 2011 - February 2014
East Baton Rouge Head Start May 2009 - January 2011
Woman's Hospital September 1994 - May 2008
Greater Mount Olive Christian Academy September 2006 - May 2007
East Baton Rouge Parish School System September 2005 - May 2006
Skills
Customer Service, Leadership, Public Speaking, Training, Microsoft Word, Microsoft Excel, Management, Team Building, Strategic Planning, Program Management, Leadership Development, Community Outreach, PowerPoint, Teaching, Organizational..., Event Planning, Marketing, Microsoft Office, Nonprofits, Project Management, Sales
Education
University of Phoenix 2007 — 2008
Master of Business Administration (MBA)
Southern University and Agricultural and Mechanical College at Baton Rouge 2000 — 2004
Bachelor of Science (BS), Family and Consumer Sciences/Human Sciences Business Services
AmeriHealth Caritas April 2012 - Present
Dorchester Alcohol and Drug Commission January 2008 - April 2012
COMMUNITY YOUTH SERVING ORGANIZATIONS 2006 - 2008
Darkness to Light 2005 - 2006
Behavioral Health Resources, Inc. 2000 - 2003
Natchaug Hospital 1995 - 2000
Skills
Editing, Healing Touch, Content Development, Mental Health, Non-profits, Program Development, Community Outreach, Grant Writing, Clinical, Treatment, Psychology, Case Managment, Clinical Research, Mental Health Counseling
Education
The University of Connecticut 1985 — 1989
BA, Psychology
Manasquan High School 1981 — 1985
University of Connecticut
MA, Developmental Psychology
University of Connecticut
MA, Marriage & Family Therapy
AmeriHealth Caritas 2010 - Present
Kelmar Associates 2006 - 2009
Blue Cross and Blue Shield Association 2002 - 2006
Computer Sciences Corporation 2000 - 2002
Education
Widener University
MBA
University of Delaware
BS Finance, Project Management Certificate
Villanova University
Lean Six Sigma Green Belt Certificate
AmeriHealth Caritas 2005 - Present
Johnson and Johnson 2001 - 2005
CDNOW 1998 - 2000
ISCG / FCG 1997 - 1998
Primestar Partners (satellite TV) 1996 - 1997
QVC 1994 - 1996
PECO Energy 1974 - 1994
Skills
Data Modeling, Erwin, ETL, Oracle, Sybase, SQL, Business Intelligence, SDLC, Data Warehousing, Database Design, Data Mining, Star Schema, Relational Databases, Data Architecture
Education
University of Pennsylvania 1970 — 1974
BA, Dual Major Mathematics and Physics
Central High School, Phila 1966 — 1970
BA, Graduated 8th of 600 with 98.25 avg
AmeriHealth Caritas June 2014 - August 2014
AmeriHealth Caritas June 2013 - August 2014
The AmeriHealth Mercy Family of Companies June 2012 - August 2012
Skills
Matlab, Microsoft Office, Microsoft Excel, PowerPoint, Microsoft Word, Social Media, Differential Equations, R, Access, Budgets, Mathematica, Account Management, Linear Algebra, Team Leadership, Calculus, Product Management, Cold Calling, Mathematical Modeling, Applied Mathematics, Statistics, Lead Generation, Research, Discrete Mathematics, Microsoft Access
Education
Stevens Institute of Technology 2014 — 2015
Master's Degree, Applied Mathematics
Stevens Institute of Technology 2010 — 2014
Bachelor's Degree, Mathematics
AmeriHealth Caritas December 2014 - Present
Keystone First August 2011 - December 2014
The AmeriHealth Mercy Family of Companies September 2008 - August 2011
Keystone Mercy Health Plan 2006 - 2011
Health Partners 1995 - 2006
Graduate Health System (currently TENET Health System) 1992 - 1995
Deloitte 1988 - 1994
Skills
Accounting, Financial Reporting, Accounts Payable, General Ledger, Business Analysis, Finance, Leadership, Strategic Planning, Auditing, Healthcare Management, Medicare, Medicaid, Managed Care, Management
Education
Villanova University
Bachelor's degree, Accounting
University of Pennsylvania - The Wharton School
Executive Program
AmeriHealth Caritas January 2012 - Present
MetLife July 2011 - December 2011
Oracle November 2010 - June 2011
Independence Blue Cross April 2010 - November 2010
Independence Blue Cross June 2007 - April 2010
Independence Blue Cross April 2002 - June 2006
British Petroleum, IL / Principal Finance Group, IA / Ameritech, IL / CCC, IL June 2000 - April 2002
Advansoft Pvt. Ltd / Whizel Technologies Ltd, Chennai June 1997 - May 2000
Skills
Software Engineering, Problem Solving, Team Building, Troubleshooting, Technical Project..., Crisis Management, Vendor Relations, Negotiation, Agile, SOA, Unix, Application Development, Databases, Web Services, SQL, Data Warehousing, Business Intelligence, Software Development, Integration, SQL Server, XML, Java, Business Analysis, PL/SQL, Spring, JavaScript, SDLC, DB2, J2EE, Web Applications, C#, Websphere, Database Design, UML, Scrum, SharePoint, Architecture, HTML, Requirements Analysis, AJAX, Linux, Enterprise Architecture, C++, Windows, ETL, IIS, Visual Studio, Java Enterprise Edition, Software Project..., EJB
Education
University of Madras
Bachelor's Degree In Engineering
AmeriHealth Caritas May 2012 - Present
Caesar's Entertainment, Inc April 2010 - May 2012
L & R Security Systems January 2005 - April 2010
Skills
Management, Finance, Auditing, Accounting, Internal Audit, Internal Controls, Financial Analysis, Training, Financial Reporting, Budgets, Forecasting, Process Improvement, Account Reconciliation, Journal Entries, Analysis, Managerial Finance, General Ledger, Leadership, Corporate Finance, Financial Statements, Financial Audits, QuickBooks, Microsoft Excel, SAP, Financial Accounting, Accounts Payable, Payroll, Financial Modeling, External Audit, GAAP, Small Business, Bookkeeping, Operations Management, Microsoft Office
Education
Temple University - Fox School of Business and Management 2005 — 2009
Bachelor of Science, Finance
AmeriHealth Caritas January 2001 - Present
Keystone Mercy Health Plan 2001 - Present
Horizon NJ Health 2004 - 2005
Coventry Health Care January 1999 - June 2000
Prudential AARP August 1986 - January 1999
AARP HealthCare Options 1986 - 1999
Skills
Medicaid, Managed Care, Medicare, Process Improvement, Healthcare, HIPAA, Insurance, Health Insurance, Auditing, Training, Corporate Communications
Education
Wissahickon Sr. High 1982 — 1986
Temple University
AmeriHealth Caritas January 2013 - Present
Mercer 2010 - 2012
CIGNA Corporation August 2005 - 2010
Oliver Wyman September 2002 - August 2005
Vanguard June 2000 - September 2002
Vanguard June 1997 - June 2000
Vanguard September 1994 - June 1997
Vanguard August 1992 - September 1994
Vanguard June 1989 - August 1992
Skills
Risk Management, Business Process..., Enterprise Risk..., Leadership, Process Improvement, Governance, Strategy, Management, Change Management, Auditing, Financial Risk, Program Management, Finance, Operational Risk, Analysis, Strategic Planning, Financial Services, Internal Audit, Risk Assessment, Six Sigma, Sarbanes-Oxley Act, CRM, Consulting, Operations Management, Business Continuity, Corporate Governance, Internal Controls
Education
Temple University
MBA, Computer & Information Sciences
West Chester University of Pennsylvania
BS, Business Administration (Accounting)
Independence Blue Cross May 2014 - Present
AmeriHealth Caritas June 2005 - April 2014
Delaware River Port Authority 1997 - 2005
Delaware River Port Authority 1993 - 1997
Delaware River Port Authority 1991 - 1993
Skills
Healthcare Compliance, HIPAA, Data Privacy, Health Care Law, Medicaid, Medical Compliance, Health Law, Health Policy, Privacy Law, Program Management, Healthcare Information..., Managed Care, Healthcare, Leadership, Process Improvement, Medicare, Government
Education
Temple University - James E. Beasley School of Law 1981 — 1984
JD, Law
West Chester University of Pennsylvania 1975 — 1979
BS, Elementary Education
AmeriHealth Caritas November 2013 - Present
Centene Corporation September 2009 - November 2012
Wells Fargo Securities / Wachovia Securities September 2005 - September 2009
Edgeview Partners / Townsend Frew April 2001 - September 2005
Prudential Securities / Vector Securities July 2000 - March 2001
United States Navy May 1991 - July 2000
Education
CFA Institute
CFA
Troy State University 1991 — 1992
Masters of Science in Management
University of Notre Dame 1987 — 1991
BS
AmeriHealth Caritas September 2014 - Present
Pep Boys November 2013 - August 2014
Journal Register Company August 2004 - October 2013
Computer Aide, INc November 1998 - August 2004
Skills
Hyperion Enterprise, General Ledger, Sarbanes-Oxley Act, Managerial Finance, Essbase, Microsoft Excel, Financial Analysis, Accounting, Consolidation, Oracle Applications, Financial Reporting, EPM, Revenue Recognition, Forecasting, Internal Controls, SAP, Budgets, Great Plains Software, Hyperion Planning, Financial Accounting, Finance, SEC filings, Management, Hyperion, Financial Audits
Education
Temple University 1990 — 1992
AmeriHealth Caritas September 2015 - Present
Barclays Bank Delaware (Barclaycard US) October 2005 - September 2015
University of Delaware September 2001 - May 2005
Skills
Citrix, SCCM, VMware, Blackberry Enterprise..., App-V, Microsoft Servers, Workstations, Enterprise Architecture, Virtualization, Data Center, Apple Remote Desktop, Mac OS X Server, Casper, vBlock, Microsoft Technologies, Windows 7, Good Mobile
Education
University of Delaware 2001 — 2005
BECP, Computer Engineering
AmeriHealth Caritas April 2014 - Present
Horizon Blue Cross Blue Shield of NJ March 2005 - January 2014
Horizon Blue Cross Blue Shield of NJ July 2001 - March 2005
Aetna March 1998 - July 2001
Skills
Call Centers, Process Improvement, Business Analysis, Workforce Management, Management, Leadership, Training, Forecasting, Contact Centers, Data Analysis, Strategy, Enterprise Software, IVR, Business Strategy, Vendor Management, Insurance, Visio, Access, Avaya, Business Process...
Education
St. Peter's College
Bachelor of Science (B.S.), Business Administration
St. Peter's University
Master of Business Administration (M.B.A.), Risk Management
Amerihealth Caritas March 2014 - Present
Value Options November 2012 - Present
Value Options October 2011 - Present
HCA Shared Services February 2011 - June 2011
Blue Cross Blue Shield August 1975 - July 2010
Skills
Customer Service, Healthcare, Microsoft Word, Data Entry, Microsoft Excel
Education
University of North Florida 1978 — 1986
AmeriHealth Caritas July 2015 - Present
AmeriHealth Caritas February 2012 - June 2015
Ceridian October 2010 - December 2011
Ceridian April 2010 - October 2010
Ceridian January 2008 - April 2010
GE Capital November 2001 - July 2007
GE Capital January 2000 - June 2001
GE Capital May 1997 - January 2000
Colonial Penn Insurance Company October 1994 - May 1997
Skills
Change Management, Outsourcing, Call Center, Process Improvement, Six Sigma, Staff Development, Performance Management, Vendor Management, Operations Management, Leadership, Management
Education
Saint Joseph's University 2006 — 2008
Masters of Science, Human Resource Management
University of Phoenix
BA, Management
AmeriHealth Caritas April 2012 - Present
Senate of PA December 2008 - June 2010
Buchanan Ingersoll & Rooney October 2005 - November 2008
Hill Solutions September 2002 - October 2005
Skills
Public Policy, Politics, Political Campaigns, Fundraising, Non-profits, Government, Community Outreach, Policy, Policy Analysis, Political Science, Public Relations, Media Relations, Public Speaking, Economic Development, Event Planning
Education
University of Pennsylvania 2003 — 2005
Masters in Government Administration (M.G.A.), Government Administration
Saint Joseph's University 1995 — 1999
B.A., Political Science and Economics
AmeriHealth Caritas June 2014 - Present
AAA South Jersey March 2011 - June 2014
ING DIRECT January 2001 - September 2010
Skills
Customer Satisfaction, Customer Service, Microsoft Office, Strategic Planning, PowerPoint, Team Building, Sales, Microsoft Excel, Process Improvement, Microsoft Word, Leadership, Banking, Account Management, Call Centers, Management, Social Media, Marketing, Project Management, Marketing Strategy, Risk Management, Change Management, Outlook, Customer Experience, Quality Assurance, Quality Management, Workforce Planning, Workforce Management, Training, Coaching, Staff Development, Operations Management, Team Leadership, Performance Management, Analysis
Education
University of Madras
Ph.D, Biochemistry
AmeriHealth Caritas June 2013 - Present
Citizens Bank December 2012 - June 2013
First Niagara Bank April 2010 - October 2012
Harleysville National Bank March 2008 - April 2010
Harleysville National Bank September 2006 - March 2008
MidAtlantic Employers Association (MEA) April 2005 - September 2006
Skills
Onboarding, Employee Benefits, Recruiting, Interviews, HRIS, Applicant Tracking..., Talent Management, Management, Employee Relations, Full-life Cycle..., Building Relationships, Teamwork, Sourcing, Talent Acquisition, Coaching, Human Resources, Performance Management, Leadership
Education
Temple University 2000 — 2005
BA, Human Resources
Geneia October 2014 - Present
Health Choice March 2014 - September 2014
AmeriHealth Caritas July 2013 - March 2014
Cognizant Healthcare Solutions September 2012 - July 2013
CareFirst BlueCross BlueShield October 2007 - August 2012
CareFirst BlueCross BlueShield October 2007 - January 2010
United Health Group November 2006 - October 2007
Kaiser Permanente January 2006 - November 2006
Perot Systems 2004 - 2005
Northrop Grumman 2003 - 2004
Skills
SOA, Program Management, CRM, Data Warehousing, Project Portfolio..., SDLC, Budgets, Healthcare Information..., Risk Management, PMP, Vendor Management, Leadership, Integration, Business Intelligence, Solution Architecture, HRIS, Change Management, PMO, Project Planning, Software Project..., Requirements Gathering, Project Management, Agile Methodologies, Systems Analysis, SAP, PeopleSoft, Requirements Analysis, Enterprise Architecture, Software Development, IT Strategy, Business Process..., Management, SharePoint, Business Analysis, Product Development, Process Improvement, Talent Management, EDI, Insurance, Healthcare, Visio, MS Project, Business Requirements, Release Management, Health Insurance, Project Delivery, HIPAA, Governance, Human Resources, IT Management
Education
University of Phoenix 1993 — 1997
BA, Information Management
RETS Technical College 1986 — 1987
AS, Computer Science
AmeriHealth Caritas October 2012 - Present
Skills
Change Management, Project Planning, Leadership, Process Improvement, Communications..., Project Tracking, PMP, PMO, SDLC, Metrics, CMMI, Release Management, Vendor Management, Software Project..., MS Project, Healthcare Information..., Project Delivery, Software Development, Project Management
Education
Temple University 1988 — 1991
B.B.A., Marketing
Shippensburg University of Pennsylvania 1986 — 1987
Marketing
AmeriHealth Caritas January 2015 - Present
Hyman Consulting Group January 2012 - Present
Resources for Human Development February 2010 - January 2015
Neighborhood Bike Works 2011 - 2012
Northwestern Human Services December 2008 - February 2010
Resources for Human Development August 2007 - February 2010
Skills
Program Development, Social Services, Crisis Intervention, Play Therapy, Individual & Family..., Organizational..., Curriculum Development, Training Programme..., Employee Training, Coaching, Strategic Planning, Recruiting, Non-profits, Staff Development, Curriculum Design, Management, Instructional Design, Program Evaluation, Volunteer Management, Workshop Facilitation, Leadership Development, Training, Public Speaking, Leadership, Team Building, Conflict Resolution, Program Management, Mental Health, Case Management, Mentoring, Community Outreach, Fundraising, Nonprofits
Education
Temple University
MSW, Social Work
Temple University
BA, Criminal Justice
AmeriHealth Caritas May 2014 - Present
Optuminsight February 2010 - May 2014
Skills
SAS, Data Analysis, Data Mining, SAS programming, Predictive Modeling, Predictive Analytics, Pharmaceutical Industry, Competitive Intelligence, Analytics, Segmentation, Statistics, Business Analytics, Business Intelligence, Data Management, Market Analysis, Statistical Modeling
Education
University of Maine
B.S., Biology
University of Southern Maine
M.S., Applied Statistics
AmeriHealth Caritas February 2013 - Present
AmeriHealth Caritas January 2012 - Present
The Childrens Hospital of Philadelphia December 2004 - September 2011
The Children's Hospital Of Philadelphia December 2004 - September 2011
The Children's Hospital of Philadelphia 2004 - 2010
Skills
Recruiting, Human Resources, Applicant Tracking..., Onboarding, Talent Acquisition, College Recruiting, HRIS, New Hire Orientations, Sourcing, Healthcare, Labor Relations, Interviews, PeopleSoft
Education
Temple University 1980 — 1982
AmeriHealth Caritas October 2011 - Present
PHH Mortgage 2002 - 2008
Education
Saint Joseph's University 1996 — 2000
Bachelors, History
AmeriHealth Caritas May 2015 - Present
Vibra Healthcare November 2013 - March 2015
Evangelical Homes of Michigan April 2012 - November 2013
Detroit Area Agency on Aging December 2010 - November 2011
Extendicare June 2009 - October 2010
Abbott March 2000 - June 2009
Michigan Peer Review Organization March 1988 - February 2000
Grace Extended Care Center August 1987 - March 1988
Skills
Strategic Planning, Hospitals, Business Development, Sales, Business Planning, Contract Negotiation, Program Implementation, Written & Oral..., Healthcare, Managed Care, Pharmaceutical Sales, Superior Computer Skills, Account Management, Data Analysis, Leadership Development, Team Building, Clinical Research, Nursing, Pharmaceutical Industry, Case Managment, Cross-functional Team..., Coaching, Leadership, Medicare, Marketing, Training, Medicaid, Long-term Care, Healthcare Management, Program Development, Performance Management, Healthcare Information..., HIPAA, Management, Process Improvement, Home Care, Quality Improvement
Education
University of Phoenix 1997 — 1999
MASTERS, BUSINESS
University of Michigan 1978 — 1982
BSN, Registered Nursing/Registered Nurse
AmeriHealth Caritas July 2012 - Present
Malone Advertising 1998 - 2008
The Goodyear Tire & Rubber Company 1986 - 1988
JWT 1981 - 1986
Skills
Local Store Marketing, CRM, CRM Initiatives, Marketing Strategy, Marketing Communications, Marketing Materials, Marketing Development, Visual Merchandising, Project Collaboration, Company Branding, Branding Development, Project Management, POP Merchandising, Online Research, Marketing, Advertising, Corporate Branding, Local Marketing, SEO, Digital Marketing, Social Media Marketing
Education
The University of Akron
Bachelor of Arts (BA), Business & Organizational Communications
AmeriHealth Caritas April 2015 - Present
AmeriHealth Caritas June 2013 - Present
Siemens Healthcare June 2011 - Present
Holy Redeemer Health System 2011 - 2011
Med IT solution January 2009 - February 2010
AETNA March 2005 - December 2009
Skills
SDLC, Software Project..., Project Management, Vendor Management, Program Management, IT Strategy, Management, Business Analysis, Integration, Requirements Analysis, Process Improvement, Consulting
Education
Mumbai University 1992 — 1996
Engineering, Electronics
AmeriHealth Caritas July 2015 - Present
HCL America October 2014 - July 2015
Infosys Public Services November 2011 - October 2014
Horizon Blue Cross Blue Shield of NJ November 2008 - November 2011
Affinity Health Plan August 2008 - November 2008
Cognizant Technology Solutions March 1998 - August 2008
Skills
Medicare, Medicaid, Software Project..., Healthcare, SDLC
Education
Symbiosis institute of Management Studies 2004 — 2006
c-PGDBA, Information Technology
VSKrishna
AmeriHealth Caritas 2013 - Present
Skills
Facebook, Event Management, Advertising, Marketing Communications, Digital Marketing, Corporate Events, Event Planning, Social Media, Social Media Marketing
Education
Temple University
BA, Communications- Advertising
AmeriHealth Caritas September 2014 - Present
Neighborhood Health Plan January 2008 - September 2014
Florida Blue 2002 - 2007
Blue Cross Blue Shield of Tennessee November 1998 - March 2002
Skills
In-depth knowledge of..., 15 years healthcare..., HEDIS, SAS programming, More than 10 years..., Clinical Research, Program Management, HMO, Medicaid, Managed Care, Medicare, Informatics, Healthcare Analytics, Provider Relations, Quality Assurance, Health Policy, NCQA, Utilization Management, Quality Improvement, HIPAA, Medicaid Managed Care, Healthcare Consulting, Healthcare Industry, Disease Management, Healthcare Information..., Healthcare Management
Education
University of Alabama at Birmingham
MPH, Public Health
AmeriHealth Caritas March 2014 - Present
Cognizant Technology Solutions December 2009 - Present
Mercury minds Technolgy June 2009 - November 2009
Skills
HTML, SQL, Microsoft SQL Server, Linux, Requirements Analysis, C++, Software Development, Business Analysis, Programming, Project Management, Windows, FACETS
Education
Thiagarajar College of Engineering 2006 — 2009
Bachelor's degree, Computer Science
AmeriHealth Caritas July 2011 - April 2013
GSI Commerce July 2010 - April 2011
Exelon Corporation May 2007 - July 2009
Pepco Holdings Inc September 2006 - April 2007
Comcast Cable Communications, Inc March 2004 - April 2006
Sylvan Learning July 1999 - October 2003
Skills
General Ledger, Account Reconciliation, Financial Reporting, Variance Analysis, Accounting, Financial Analysis, Financial Statements, Auditing, GAAP, Journal Entries, Essbase, SEC filings, Revenue Recognition, SAP, Budgets, Accounts Payable, Accounts Receivable, Analysis, Bank Reconciliation, Cash Management, Financial Forecasting, Forecasting, Human Resources, Management, Payroll, PeopleSoft, Sarbanes-Oxley, Sarbanes-Oxley Act, Tax, Invoicing
Education
University of Houston
Bachelor of Arts, Business Administration; Accounting
AmeriHealth Caritas August 2013 - Present
Lockheed Martin March 2010 - June 2013
Systems Engineering March 2010 - June 2013
Lockheed Martin Corporation May 1995 - March 2010
GE/Martin Marietta Corporation September 1993 - April 1995
GE Aerospace – M&DS January 1993 - September 1993
GE Aerospace – M&DSO December 1991 - January 1993
GE Aerospace – M&DSO July 1990 - December 1991
GE Aerospace – M&DSO June 1988 - July 1990
GE Aerospace – M&DSO May 1985 - June 1988
Skills
Systems Engineering, Requirements Analysis, Earned Value Management, System Architecture, Database Design, Architecture, Databases, Integration, Technical Leadership, Software Engineering, Configuration Management, Requirements Management, Software Development, Architectures, Oracle, Program Management, SDLC, Testing, Agile Methodologies, Software Documentation, Database Administration, Unix, Cloud Computing, Software Project..., DoD, Operating Systems, System Design, System Requirements, Enterprise Architecture, Project Management, Systems Design
Education
Temple University 1979 — 1982
B.S, Electrical Engineering
Johnson Matthey Pharma Services July 2014 - Present
Complete Healthcare Resources October 2013 - May 2014
AmeriHealth Caritas October 2012 - October 2013
Child Guidance Resource Centers February 2010 - June 2012
Bristol-Myers Squibb February 2009 - May 2009
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop
Education
American Center for Technical Arts and Sciences 2001 — 2001
MCP 2000, Microsoft Certified Professional
Temple University 1995 — 2001
Bachelor of Arts (B.A.), Computer and Information Sciences and Support Services
ValueOptions, Inc.® November 2014 - Present
AmeriHealth Caritas 2012 - 2014
Keystone Mercy (now Keystone First of the AmeriHealth Caritas Family of Companies) 2007 - 2012
Keystone Mercy Health Plan (now Keystone First of the AmeriHealth Caritas Family of Companies) 2004 - 2007
Horizon Blue Cross Blue Shield Of New Jersey 2003 - 2004
Horizon Blue Cross Blue Shield Of New Jersey 2000 - 2003
Skills
NCQA, HEDIS, Medicaid Managed Care, Medicare Managed Care, Commercial Managed Care, Quality Management, Appeals, Utilization Management, Case Management, Accreditation, Credentialing
Education
Thomas Edison State College
BSN
AmeriHealth Caritas May 2013 - Present
AmeriHealth Caritas December 2012 - May 2013
AmeriHealth Caritas 2011 - December 2012
AmeriHealth Caritas November 2005 - April 2012
Skills
Onboarding, Deferred Compensation, Talent Acquisition, Employee Relations, HR Policies, HRIS, Workforce Planning, Talent Management, Employee Benefits, Succession Planning, Benefits Administration, Performance Management, Management
Education
Temple University - Fox School of Business and Management
BBA, Human Resources
AmeriHealth Caritas February 2015 - Present
Infinity Insurance December 2010 - January 2015
Infinity Insurance 2008 - 2010
Factual Photo Investigations Inc February 2007 - December 2009
Factual Photo Investigations Inc May 2005 - February 2007
Factual Photo Investigations Inc February 2003 - May 2005
Skills
Claims Investigations, Claim, Claims Handling, Claims Resolution, Criminal Investigations, Evidence, Insurance, Property, Protection, Risk Management, Subrogation, Fraud, Investigation, Claims Management, Legal Liability, Surveillance, Claim Investigation, Background Checks, Private Investigations, Workers Compensation
Education
Temple University 1990 — 1993
Criminal Justice, 3.2
Valley Forge Military Academy & College 1984 — 1990
Secondary Education
AmeriHealth Caritas October 2013 - Present
Keystone Mercy Health Plan August 2012 - October 2013
Keystone Mercy Health Plan May 2011 - August 2012
BlueClaws (A, Philadelphia Phillies) January 2010 - September 2010
Philadelphia Phillies February 2008 - October 2009
Philadelphia 76ers June 2008 - February 2009
Comcast-Spectacor September 2007 - December 2007
Lansdowne Community YMCA June 2006 - August 2007
Skills
Ticket Sales, Event Management, Sales, Event Planning, Public Relations, Time Management, Public Speaking, Call Centers, Corporate Events, Microsoft Excel, Microsoft Office, Data Analysis, Inside Sales, Customer Service
Education
Temple University 2004 — 2009
Bachelors, Sport and Recreation Management
AmeriHealth Caritas August 2014 - Present
University of Pennsylvania Health System June 2013 - Present
University of Pennsylvania Health System July 2011 - May 2013
University of Pennsylvania African Studies Center September 2010 - July 2011
Skills
Stata, Public Health, Youth Development, Research, Community Outreach, Nonprofits, Grant Writing, Teaching
Education
Swarthmore College 2006 — 2010
Bachelor of Arts (B.A.)
University of Pennsylvania
Anthem Blue Cross Blue Shield Medicaid February 2014 - Present
AmeriHealth Caritas February 2013 - February 2014
Passport Health Plan September 2005 - February 2013
Humana September 2002 - September 2005
Bluegrass Family Health August 1999 - August 2002
United Healthcare January 1996 - August 1999
Skills
Medicaid, Healthcare Management, Managed Care, HIPAA, Healthcare, Provider Relations, PPO, Medicare, Team Leadership, Project Planning, Healthcare Industry, Network Development, Healthcare Consulting, Health Policy, Revenue Cycle
Education
University of Kentucky 1991 — 1995
BHS, Health Administration
AmeriHealth Caritas March 2015 - Present
AmeriHealth Caritas November 2013 - Present
Princeton Healthcare System October 2011 - November 2013
Princeton Healthcare System January 2008 - October 2011
Princeton Healthcare System August 2007 - December 2007
PEI Kids May 2007 - October 2007
Foodarama Shoprite December 2003 - July 2006
Woman's Space October 2004 - December 2004
Zallies Shoprite 1998 - 2003
Skills
Healthcare, Process Improvement, Hospitals, Data Analysis, Performance Improvement, Microsoft Excel, Inpatient, Leadership, Project Management, Nursing, Mental Health, Patient Safety, EMR, Change Management, CPOE, Six Sigma, Microsoft Word, SPSS, Counseling Psychology, Communication, Microsoft Project, Mentoring, Team Building, Business Process..., Cross-functional Team..., Lean Thinking, Problem Solving, Risk Assessment, Statistical Data..., Clinical Documentation, Corporate Finance, Organizational..., Cost Savings, Business Process, Program Development, Microsoft Publisher, Data Mining, Healthcare Management, Coaching, Training, Strategic Planning, Customer Service, Minitab, Analysis, Healthcare Information..., Management, Clinical Research, HIPAA
Education
Walden University 2010 — 2012
Master of Business Administration (M.B.A.), Dual Feilds: Corporate Finance and Project Management, 4.0
The College of New Jersey 2003 — 2007
Bachelor's Degree, Psychology- Clinical Psychology
NANTHEALTH May 2015 - Present
AmeriHealth Caritas September 2014 - January 2015
IMS Health May 2014 - August 2014
Muslim Interscholastic Tournament June 2011 - August 2014
CVS Caremark Corporation September 2012 - May 2013
Jana Pharmacy May 2011 - August 2011
Skills
Community Outreach, Public Speaking, Event Planning, Research, Nonprofits, Teaching, Fundraising, Leadership Development, Program Development, Leadership, Event Management, Community Development, Volunteer Management, PowerPoint, Data Analysis, Microsoft Office, Grant Writing, Microsoft Excel, Healthcare, Project Management
Education
Temple University 2012 — 2014
Bachelor's degree, Public Health
University of the Sciences in Philadelphia 2010 — 2012
Deloitte December 2014 - Present
AmeriHealth Caritas February 2013 - November 2014
Johnson & Johnson May 2012 - February 2013
Forest Laboratories October 2011 - May 2012
Pfizer January 2006 - October 2011
Wyeth October 2002 - December 2005
JP Morgan Chase November 2001 - September 2002
New York Blood Center May 2001 - November 2001
Datavox Technologies February 2000 - May 2001
Robert Wood Johnson University Hospital November 1998 - January 2000
Skills
PMP, Data Center, Servers, Linux, Oracle, Management, Change Control, Infrastructure, Windows, SDLC, Vendor Management, Pharmaceutical Industry, Business Analysis, 21 CFR Part 11, Project Portfolio..., Disaster Recovery, ITIL, Leadership, IT Management, Software Documentation, Project Management
Education
Chubb Institute 1998 — 1998
New Brunswick, NJ, Diploma in Networking & Data Communication
University of Mumbai 1986 — 1992
Bachelors in Business Administration, Business & Accounting
Project Management Institute
PMP, Project Management
AmeriHealth Caritas April 2015 - Present
AmeriHealth Caritas October 2013 - March 2015
AmeriHealth Caritas May 2011 - October 2013
Keystone First August 2009 - May 2011
Focus Pointe Global September 2008 - July 2009
Skills
French, Microsoft Office, Microsoft Excel, Microsoft Word, Health Insurance, Claim, Customer Service, Insurance, Analysis, PowerPoint, Access, Inventory Management, Healthcare
Education
Saint Joseph's University 2005 — 2009
Bachelor of Science, International Business
AmeriHealth Caritas May 2010 - June 2013
Prince George's County Government October 2004 - July 2009
Aetna US Healthcare December 1989 - December 2002
Education
Temple University - Fox School of Business and Management 1981 — 1986
BBA, Business Administration
AmeriHealth Caritas June 2013 - Present
Zerowait Corporation 2006 - May 2013
Zerowait Corporation 2006 - May 2013
Zerowait Corporation August 2005 - May 2013
Zerowait Corporation August 2005 - May 2013
Fellowship Software 2004 - 2005
Skills
VMware, Switches, Firewalls, Storage, Cisco Technologies, Hardware, Routers, Technical Support, Networking, Disaster Recovery, Data Center, High Availability, Cloud Computing, NetApp, Storage Area Networks, SAN, NAS, Virtualization, EMC Storage, HP, Business Continuity, Servers
Education
University of Delaware 2000 — 2004
Bachelors, Criminal Justice and Computer Science
AmeriHealth Caritas March 2014 - Present
RehabCare October 2011 - January 2014
Wolters Kluwer August 2010 - October 2011
Skills
Financial Reporting, Microsoft Excel, Accounting, Microsoft Word, General Ledger, Financial Accounting, QuickBooks, Account Reconciliation, Journal Entries, Contract Labor, Great Plains Software, Financial Statements, SAP, Accruals, GAAP, PeopleSoft, Hyperion, Internal Controls
Education
Saint Louis University 2009 — 2011
BSBA, Accounting
AmeriHealth Caritas May 2008 - Present
American Physicians 2001 - 2005
Signature Senior Lifestyle Limited 1999 - 2001
Emeritus Corporation November 1996 - October 1999
Sun Healthcare Group November 1994 - November 1996
Hartgrove Hospital September 1991 - October 1994
U.S. Coast Guard June 1975 - August 1979
Skills
Healthcare Management, Administration, Program Management, Military, Operating Budgets, Department Budgeting, Collaborative Leadership, innovative, Discipline, Leadership, Cross-functional Team..., Emergency Management, Disaster Preparedness, Marketing Strategy, Marketing Management, Executive Reporting, Executive Management, Healthcare, Provider Relations, NCQA, Managed Care, Medicaid, Nursing, Training, Physician Relations, Community Outreach, Quality Improvement, Health Policy, Medicare, Disease Management, Network Development, Healthcare Consulting, Utilization Management, Healthcare Information..., HIPAA, Healthcare Industry, Revenue Cycle, Credentialing, Hospitals, Physicians, Informatics, EHR, EMR, HMO, PPO, Health Insurance, Case Management, Revenue Cycle Management, Performance Improvement, Medical Billing
Education
University of Oklahoma Health Sciences Center 1989 — 1991
MPH, Public Health
University of Oklahoma 1980 — 1984
BA, Pre Med/Philosophy
AmeriHealth Caritas August 2013 - Present
Kensington Community Corporation For Individual Dignity May 2010 - Present
Education
Temple University 2008 — 2014
AmeriHealth Caritas October 2013 - Present
ParenteBeard LLC January 2008 - October 2013
Skills
US GAAP, Auditing, Internal Controls, Financial Reporting, Accounting, Financial Accounting, General Ledger, CPA, GAAP
Education
Shippensburg University of Pennsylvania 2004 — 2007
Bachelor of Science (BS), Accounting
AmeriHealth Caritas May 2014 - Present
Coventry Health Care August 2011 - May 2014
Clark Construction January 2009 - July 2011
Clark Construction June 2006 - December 2008
Skills
Hyperion Planning, Essbase, SharePoint, Microsoft Office 2007, Budget Forecasts, Financial Projection, Financial Reporting, Budgets, Financial Analysis, Risk Management, Financial Modeling, Strategic Financial..., Data Analysis, Financial Forecasting, Cost Accounting, Microsoft Office
Education
University of Maryland College Park 2002 — 2006
Bachelor's degree, Finance, General
AmeriHealth Caritas October 2014 - Present
AmeriHealth Caritas June 2013 - October 2014
Bravo Health September 2011 - June 2013
UnitedHealth Group April 2008 - September 2011
Education
University of Maryland Eastern Shore 2000 — 2004
Bachelor's Degree, Rehabilitation Science
Health Partners Plans April 2015 - Present
AmeriHealth Caritas March 2004 - April 2015
Skills
Data Analysis, Business Analysis, Process Improvement, Access, Analysis, Healthcare Information..., HIPAA, Managed Care, Visio, SAS, Medicare, EHR, Business Intelligence, Medicaid, Healthcare, Health Insurance, Healthcare Management, Hospitals, Management, Program Management, Healthcare Consulting, Healthcare Industry, Leadership
Education
The University of Georgia 1989 — 1993
Bachelor's degree, Sociology
AmeriHealth Caritas March 2014 - Present
Absolute Marketing Solutions - Jacksonville August 2013 - March 2014
PNC Mortgage (Unofficial) June 2012 - August 2013
Hyatt Place March 2010 - June 2012
La Quinta Inns & Suites June 2007 - December 2010
Skills
Call Centers, Microsoft Excel, Process Improvement, Outlook, Customer Service, Data Entry, Sales, Training, Leadership, Team Building, Management, Customer Satisfaction, Healthcare, Project Management, Strategic Planning, Vendor Management, Performance Management, Time Management, Change Management
Education
University of Puerto Rico-Carolina 2001 — 2003
Business, Management, Marketing, and Related Support Services
Universidad de Puerto Rico 2001 — 2002
Business Administration and Management, General
Montgomery County, PA August 2015 - Present
PSKW July 2015 - Present
Conestoga Bank June 2014 - July 2015
Conestoga Bank November 2012 - June 2015
AmeriHealth Caritas January 2014 - May 2014
Bebashi - Transition to Hope May 2011 - May 2014
Main Line Health August 2013 - December 2013
Skills
Public Health, Community Health, HIV Prevention, STD Prevention, Community Outreach, Confidentiality, Training, Nonprofits, Management, Grant Writing, Program Development, Data Analysis, Public Speaking, Research, Marketing Strategy
Education
Temple University 2009 — 2014
Bachelor’s Degree, Public Health
Norristown High School 2005 — 2009
High School Diploma, Engineering, 3.95