Blue Cross of NEPA
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Blue Cross of NEPA Employees
Highmark Blue Cross Blue Shield June 2015 - Present
The Commonwealth Medical College (TCMC) 2009 - Present
Scranton Primary Health Care Ctr 1993 - Present
Blue Cross of NEPA 2012 - June 2015
Moses Taylor Hospital 1984 - 2011
Radiological Consultants Inc. 1976 - 2011
Skills
HIPAA, Healthcare Information...
Education
Temple University Hospital 1971 — 1976
Diagnostic Radiology
University of Pennsylvania School of Medicine 1966 — 1970
Doctor of Medicine (MD)
Franklin & Marshall College
Bohlin Cywinski Jackson January 2003 - Present
Blue Cross of NEPA 1998 - 2003
Franklin First Savings Bank 1994 - 1998
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Outlook, PowerPoint, Budgets, Accounts Receivable, Accounts Payable, Payroll, General Ledger, Finance
Education
University of Misericordia 1999 — 2003
Bachelor, Accounting
Luzerne County Community College 1986 — 1988
Associate's degree, Accounting
TMG Health March 2012 - Present
TMG Health September 2005 - March 2012
Blue Cross of Northeastern Pennsylvania 2003 - 2005
Blue Cross of Northeastern PA 2001 - 2003
Blue Cross of NEPA 1990 - 2001
Skills
Compliance, Medicare Part D, Medicare Advantage, HIPAA, Privacy Compliance, Subrogation, Medicare, Team Building, Healthcare, Claim, Health Insurance, Health Policy, Fraud, Medicaid, Insurance, Healthcare Information..., Healthcare Management, Managed Care, Process Improvement, Leadership
Education
King's College
Master's Degree, Health/Health Care Administration/Management
King's College
Bachelor's Degree, Business Administration and Management, General
LCCC
Associates, Paralegal Studies
MetLife January 2005 - Present
Blue Cross of NEPA September 2003 - January 2005
Skills
SDLC, COBOL, Business Analysis, Systems Analysis, Visio, TSO, Mainframe, DB2
Education
University of Scranton
Highmark Blue Shield January 2012 - Present
Blue Cross of NEPA March 1998 - December 2011
Capital Blue Cross August 1996 - March 1998
VoiceNet Communications June 1996 - August 1996
Skills
Data Center, Disaster Recovery, Telecommunications, Network Design, Project Management, Networking, Management, Servers, Leadership, IT Operations, Enterprise Software, Call Centers, Hardware, Analysis, Infrastructure, Information Technology, Budgets, Software Installation, Engineering, Cabling
Education
Penn State University 2004 — 2009
Bachelors, IST
Scranton Central High School 1976 — 1979
Academic, Academic
Sawtooth Investments 2002 - Present
Blue Cross of NEPA 2007 - 2012
Deloitte 1993 - 2002
Provident American Insurance 1989 - 1993
Education
Stony Brook University 1970 — 1975
Sanofi Pasteur January 2011 - Present
Biltmore Technologies July 2009 - Present
Slick Systems November 2008 - March 2009
Blue Cross of Northeastern PA July 2007 - February 2009
Blue Cross of Northeastern Pennsylvania June 2003 - July 2007
BCNEPA March 2002 - June 2003
Blue Cross of NEPA November 1999 - March 2002
BCNEPA May 1998 - November 1999
King's College January 1996 - May 1999
BCNEPA May 1997 - December 1997
Skills
Visio, Cluster, Hardware, Project Management, Scripting, Visual Studio, System Administration, Active Directory, Windows Server, Group Policy, Microsoft Exchange, VMware, IIS, Unix, Business Analysis, DHCP, Troubleshooting, Microsoft Servers, ITIL, DNS, VMware ESX, SharePoint, Servers, Forefront, vSphere, WINS, JavaScript, Microsoft Technologies, Terminal Services, Integration, Blackberry Enterprise..., Disaster Recovery, Windows, ASP, Visual Basic, Networking, Microsoft SQL Server, SQL, Cisco Technologies, Databases, Process Improvement, Software Documentation, VMware vSphere, Powershell, SDLC, Citrix Metaframe, VBScript, TMG, Software Development, DFS
Education
King's College 1996 — 1999
BS, Computer Science
Carnegie Mellon University 1994 — 1996
BS, Electrical and Computer Engineering
Wyoming Valley West High School 1991 — 1994
Matawan Regional High School 1990 — 1991
Blue Cross Blue Shield of Northeast Pennsylvania August 1991 - Present
Blue Cross of Northeastern PA 1991 - Present
Blue Cross of NEPA 1991 - 2008
Blue Cross of Northeast Pennsylvania 1991 - 2008
Education
Misericordia University 2005 — 2008
Bachelors, Business and Management
Misericordia University
MBA
Blue Cross of Northeastern PA IT Systems SpecialistBlue Cross of Northeastern Pennsylvania1987 - Present
Blue Cross of NEPA 1987 - Present
BCNEPA 1987 - Present
Education
Susquehanna University 1966 — 1970
Finance
Blue Cross Of NEPA April 1997 - Present
Blue Cross of Northeastern PA 1997 - Present
Blue Cross of Northeastern Pennsylvania 1997 - Present
Blue Cross On NEPA April 1997 - July 2007
United Penn Bank February 1977 - July 1982
Education
Misericordia University 2002 — 2006
B.S. Business Administration
Blue Cross of NEPA Systems Security Analyst & DRBlue Cross of Northeastern PA1996 - Present
Blue Cross of Northeastern Pennsylvania 1994 - Present
Blue Cross of Northeast PA 1994 - Present
Blue Cross of Northeastern PA 1995 - 2009
Education
King's College 1999 — 2005
Νetwork Health November 2014 - Present
HMSA October 2013 - August 2014
Blue Cross and Blue Shield of Hawaii October 2013 - August 2014
Blue Cross of Northeastern PA May 2007 - May 2013
Blue Cross of NEPA 2007 - May 2013
Blue Cross of Northeastern PA May 2007 - March 2010
Premera Blue Cross 2005 - 2007
Saint Vincent Health System 2002 - 2004
GSW Worldwide 2000 - 2002
Shell 1997 - 2000
Skills
Strategy, Market Research, Business Development, Health Insurance, Insurance, Managed Care, Healthcare, Market Planning, Employee Benefits, Strategic Planning, Medicare, Process Improvement, Account Management, Leadership, Product Development, Product Management, Marketing Communications, Marketing Strategy, Executive Management, Team Building, Marketing, Strategic Partnerships, Sales, Competitive Analysis, Analytics, Pricing, New Business Development, Product Marketing, Lead Generation, Vendor Management
Education
The Ohio State University 1983 — 1992
BA, MA, Ph.D.
Northeastern Rehabilitation Associates, PC January 2000 - Present
Heritage Alliance IPA September 1998 - January 2000
Blue Cross Of NEPA 1992 - 1998
Allied Service May 1990 - January 1992
Skills
HIPAA, Healthcare Management, Healthcare, Healthcare Information..., Managed Care, Physician Relations, Long-term Care, Practice Management, Physicians, Medicare, Hospitals, Revenue Cycle, Public Speaking, EMR, Home Care, Strategic Planning, New Business Development
Education
Marywood University 1987 — 1990
Bachelor, Health Care Administration
HealthDataInsights, Inc. November 2010 - Present
Federal Review Services April 2010 - July 2010
Blue Cross of NEPA April 2007 - April 2010
HealthNow New York Inc. 1995 - 2006
Education
Misericordia University
BSN
Corporate Technologies LLC March 2013 - March 2014
C&A FINANCIAL GROUP January 2010 - May 2013
Blue Cross of NEPA March 1994 - January 2008
Skills
Insurance, Property & Casualty..., Commercial Insurance, Casualty, General Insurance, IT Solutions, IT Outsourcing, CRM, Sales, Employee Benefits
Education
The American College 1996 — 1998
FirstCare Walk-In Medical Center January 2008 - Present
BCE Healthcare Advisors January 2001 - Present
Blue Cross of NEPA September 1994 - April 1997
Wellcare of New York June 1989 - November 1992
Skills
Healthcare Management, Healthcare, Medicine, Patient Safety, Clinical Research, Revenue Cycle, Healthcare Information..., Healthcare Consulting, Hospitals, Managed Care, HIPAA, EMR, EHR, Medicaid, Medicare, Healthcare Industry, Revenue Cycle Management, Medical Billing, Acute Care, Emergency Medicine
Education
Marist College MBA 1989 — 1993
MBA, Health Services Administration
State University of New York Upstate Medical University 1961 — 1965
Doctor of Medicine (MD)
Blue Cross of NEPA July 2009 - Present
Blue Cross of NEPA October 1978 - July 2009
Civil Air Patrol December 1978 - June 1984
King's College June 1975 - September 1975
King's College June 1974 - September 1974
Education
King's College 1971 — 1976
BS, Information Systems
The Care and Concern Free Health Clinic 2007 - Present
Blue Cross of NEPA March 1997 - September 2001
BLue Cross 1997 - 2001
Skills
Strategic Planning, Non-profits, Customer Service, Budgeting, Fundraising, Community Outreach, Grant Writing, Administration, Change Management, Organizational..., Healthcare, Employee Relations, Team Building, Leadership Development, Customer Relations, Public Speaking, Process Improvement, Leadership, Policy, Healthcare Information..., Nonprofits
Education
Marywood University
Master's degree
West Virginia University
BS
Edwin Abrahamsen & Associates January 2010 - Present
Blue Cross of Nepa January 2001 - June 2007
Skills
Customer Service, Client Liaison, Legal Research, Customer Satisfaction, Project Coordination, HIPPA, Health Insurance, Employee Benefits, HIPAA, Management, Public Speaking
Education
College Misericordia