Capital District Physician's Health Plan
Address: 500 Patroon Creek Blvd, Albany, NY 12206 Hours: Open ⋅ Closes 8PM Martin Luther King Jr. Day might affect these hoursMonday(Martin Luther King Jr. Day)8AM–8PMHours might differTuesday8AM–8PMWednesday8AM–8PMThursday8AM–8PMFriday8AM–8PMSaturdayClosedSundayClosedSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (518) 641-3000: : : Place name: Category: : Website: : : Website: http://www.cdphp.com/ Category: Health insurance agency Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a question See all questions (4) Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of Capital District Physicians' Health Plan Posting publicly on the Web Write a review Reviews Be the first to review
Capital District Physician's Health Plan List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Capital District Physician's Health Plan. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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Capital District Physician's Health Plan Employees
CommerceHub February 2015 - Present
Capital District Physician's Health Plan April 2007 - February 2015
Kaiser Permanente March 2003 - April 2007
MapInfo January 2001 - March 2003
Skills
Process Improvement, Healthcare, Analysis, Insurance, Project Management, Managed Care, Program Management, Databases, Medicare, Strategic Planning, Team Leadership, Team Building, SQL, Analytics, Business Analysis, Leadership, Data Analysis, Management, SDLC, Requirements Analysis, Visio
Education
University of Illinois at Chicago 2010 — 2015
Master's degree, Healthcare Informatics
University of North Florida - College of Business Administration 1986 — 1988
BA, Accounting, Informations Systems
Humana March 2013 - Present
CarePlus Health Plans, Inc. (Humana) December 2010 - February 2013
MVP Healthcare September 2007 - December 2010
Capital District Physicians’ Health Plan September 2001 - April 2006
Skills
Managed Care, Provider Relations, Physician Relations, HMO, STARS, HEDIS, ICD-9, HIPAA, Risk Management, Medicare Advantage, Quality Improvement, Contract Negotiation, Medical Billing, Medicare, Health Insurance, IPA Relations, MSO Relations, PPO, Network Development, Healthcare Industry, Healthcare Management, Credentialing, Claims Resolution, Medicare Part D, Medicare Risk Adjustment, Medicaid, Medical Terminology, CPT, Medicaid Managed Care, Interviews, Contract Management, Training & Development
Education
Community College of Aurora 2014 — 2016
Psychology ; Communications
Colorado Managed Care Collaborative 2014 — 2015
Affiliated member of CMCC
Capital District Physicians Health Plan November 2009 - November 2011
Deitch Projects October 2008 - September 2009
P.S.1 Contemporary Art Center/ MoMA February 2003 - August 2006
W Magazine September 2001 - January 2003
Groupe Marie Claire November 1999 - August 2001
Tang Teaching Museum and Gallery January 2001 - July 2001
Skills
Editing, Event Planning, Event Management, Research, Art Direction, Contemporary Art, Curating, Art Education, Fundraising, Non-profit..., Investor Relations..., Press Releases, Photography, Editorial
Education
New York University 1997 — 2001
Bachelor of Arts (B.A.), Art History, Criticism and Conservation, Literature, French
Capital District Physicians' Health Plan (CDPHP) August 2013 - Present
Harlequin Farm May 1997 - Present
CDPHP January 2009 - July 2013
Capital District Physicians' Health Plan August 2006 - December 2009
Autotask April 2004 - August 2006
IBM 2003 - 2004
SynQuest, Inc. June 1995 - November 2002
Pathtech August 1993 - June 1995
Skills
Customer Engagement, Enterprise Architecture, Healthcare Information..., Mobile Technology, Strategic Planning, Health Insurance, Predictive Analytics, Technology Needs..., Product Management, Facets, Healthcare, Salesforce.com, Information Systems, Business Analysis, Software Development, Business Intelligence, High Performance Teams, Requirements Analysis, Analytics, Web Services, Databases, Architecture, SaaS, Integration, Data Warehousing, Vendor Management, IT Strategy, Data Modeling, Microsoft SQL Server, Data Analysis, Database Design, Software Project..., SQL, SDLC, ETL, Leadership, Enterprise Software, Unix, SOA, Cloud Computing, IT Management, Software Engineering, Architectures, Agile Methodologies, Oracle, Disaster Recovery, Requirements Gathering, Visio, XML, .NET
Education
Vassar College 1984 — 1988
Bachelor of Arts (B.A.), Drama (Film)
University of North Florida 1991 — 1993
Computer Science
CDPHP August 2015 - Present
NYS Department of Health August 2012 - August 2015
Union Graduate College March 2012 - June 2015
Capital District Physicians' Health Plan, Inc. May 2010 - August 2012
Capital District Physicians' Health Plan December 2004 - May 2010
Hinman Straub P.C. September 2002 - December 2004
Skills
Health Insurance, Health Reform, Compliance, Health Exchanges, Problem Solving, Managed Care, Healthcare, Medicare, Medicaid, Regulatory Analysis, Public Health Policy, Health Policy, HMO, Health Care Reform, Analysis, Insurance, Health Insurance..., Medicaid Managed Care, Software Documentation, Healthcare Management
Education
Pace University School of Law 1999 — 2002
JD, cum laude, HEALTH LAW CERTIFICATE
University at Albany, SUNY 1992 — 1996
B.A., Biology/History, Philosophy
Financial Research Associates October 2013 - Present
Tufts Health Plan April 2012 - August 2013
PathStar Consulting, LLC February 2012 - March 2012
Capital DIstrict Physicians Health Plan April 2007 - January 2012
Capital District Physicians' Health Plan April 2007 - January 2012
United HealthCare November 1987 - March 2007
PacifiCare April 2004 - December 2004
PacifiCare January 2001 - March 2004
SecureHorizons USA January 1998 - December 2001
PacifiCare January 1995 - December 1997
Skills
Product Development, Product Management, Product Marketing, Market Development, Business Planning, Plan Design, Medicare, Managed Care, Medicare Supplements, Network Development, HMO, Health Plans, Expansion, PPO, Strategic Planning, Team Building, Business Strategy, Benefits, New Business Development, Marketing Strategy, Pricing, Sales Management, Market Research, Vendor Management, Health Policy, Healthcare, Medicare Part D, Provider Relations, Health Insurance, Insurance, Medicare Advantage, Strategy, Business Expansion, Leadership, Healthcare Industry, Medicaid, Business Development, Training, Program Management, Sales Operations, Strategic Partnerships, Management, Hospitals, Executive Management, Sales, Healthcare Consulting, Pharmacy Benefit..., Health Care Reform, Consulting
Education
UCLA Anderson School of Management 1976 — 1978
M.B.A., Business / Healthcare
University of California, Berkeley, Haas School of Business 1974 — 1976
B.S., Business
University of California, Santa Barbara 1972 — 1974
The University of Vermont Health Network March 2015 - Present
MVP Health Care April 2010 - March 2015
Blue Cross & Blue Shield of Vermont February 2008 - April 2010
Capital District Physicians’ Health Plan October 2006 - February 2008
The Village Scoop March 1999 - October 2006
Village Antique Center May 2001 - July 2005
Kaiser Permanente July 1998 - December 1999
Vermont Symphony Orchestra & Carlson Wagonlit Travel February 1995 - July 1998
Community Health Plan October 1988 - August 1992
Skills
Managed Care, Health Insurance, Healthcare, Hospitals, Medicare, HIPAA, Medicaid, Healthcare Information..., Disease Management, Healthcare Management, Insurance, Provider Relations, Claim, Healthcare Industry, Network Development, Employee Benefits, HMO, Health Policy, PPO, Utilization Management, Leadership
Education
Champlain College
Bachelor's degree, Business Administration and Management, General
CDPHP November 2010 - Present
Capital District Physicians' Health Plan 2010 - Present
Skills
Business Intelligence, Cognos, Access, SQL, Data Modeling, Database Administration, Data Analysis, Dimensional Modeling, Crystal Reports, Process Improvement, Windows, Oracle, Requirements Gathering, Software Documentation, SSRS, PL/SQL, Unix Shell Scripting, SharePoint, Microsoft SQL Server, SSIS, HIPAA, Database Design, Analysis Services, Requirements Analysis, Data Warehousing, Quality Assurance, Troubleshooting, Business Analysis, Project Management, System Administration, SDLC, Analysis, Enterprise Architecture, Claim, Visio, Databases, ITIL, T-SQL, Microsoft Office, Vendor Management, Active Directory, VMware, Insurance, Healthcare Information..., ETL, SAS, Windows Server, Data Warehouse..., C#, PMP
Education
University at Albany, SUNY
United Way of the Greater Capital Region January 2014 - Present
Capital District Physicians Health Plan April 2011 - August 2013
Capital District YMCA May 2000 - January 2011
Skills
Wellness, Fundraising, PowerPoint, Event Planning, Public Relations, Public Speaking, Community Outreach, Nonprofits, Volunteer Management, Program Development, Yoga
Education
State University of New York College of Agriculture and Technology at Cobleskill
Associate of Arts and Sciences (AAS), Science
ALBANY MEDICAL CENTER May 2012 - Present
St. Peter's Surgery and Endoscopy Center September 2012 - May 2013
Capital District Physicians' Health Plan September 2010 - August 2012
St. Peter's Hospital 2002 - 2006
St. Peter's Hospital 2002 - 2006
Skills
Nursing, BLS, Medical/Surgical, ACLS, Acute Care, Critical Care, Nursing Education, Inpatient, Patient Safety, Patient Advocacy, Patient Education, Telemetry
Education
Excelsior College 2014 — 2018
Bachelor's Degree, Registered Nursing/Registered Nurse
Maria College of Albany 1998 — 2000
Associate's degree, Registered Nursing/Registered Nurse
Pure Romance February 2014 - Present
MetroPlus Health Plan May 2011 - 2012
AFLAC NY May 2009 - 2011
Fiedils Care NY September 2006 - February 2009
Capital District Physicians Health Plan September 2004 - April 2006
UNITED HealthCare June 2000 - July 2002
Skills
Leadership, Customer Service, Marketing, Team Building, Sales, Event Planning, Medicare, Public Speaking
Education
Bryant and Stratton College 1996 — 1998
Associate of Arts and Sciences (A.A.S.), Business Management/Customer Relation focus
Capital District Physicians' Health Plan March 2006 - Present
Capital District Physicians' Health Plan July 2011 - August 2013
Capital District Physicians' Health Plan 2006 - 2011
St. Peter's Hospital 2000 - 2006
Skills
Cognos, Oracle SQL, MS Office Suite, Accounting, Project Implementation, Managerial Finance, Access, Excel, General Ledger, Financial Reporting, Reconciliation, Financial Analysis, Data Analysis, Process Improvement, Claims, Problem Solving, Business Analysis, Documentation, Microsoft Excel, Account Reconciliation, Healthcare, Managed Care, Claim, Health Insurance, Analysis, Finance, Budgets, Medicare, Medicaid, Business Intelligence, Business Process, Employee Benefits, Insurance, Management, Financial Statements, Leadership, Accounts Receivable, Software Documentation, Business Process..., HIPAA, Visio, Requirements Analysis, Healthcare Information..., Data Warehousing, Requirements Gathering, Healthcare Industry, SQL, Team Building, Enterprise Software, Hospitals
Education
The College of Saint Rose 1998 — 2002
Bachelors of Science
Maria College of Albany 1996 — 1998
AAS
Siemens Industry, Inc. - Energy June 2014 - Present
Capital District Physicians' Health Plan August 2013 - June 2014
IPLogic, Inc. December 2011 - June 2013
VISTACO, LLC February 2011 - November 2011
Capital District Physicians' Health Plan August 2007 - February 2011
LeaFAR Consulting, LLC February 2006 - July 2007
Ernst & Young, LLP October 1993 - January 2006
Deutsche Bank Securities May 1993 - September 1993
KPMG Peat Marwick November 1988 - April 1993
Skills
IT Strategy, Strategy, Program Management, Business Process..., Business Intelligence, PMO, Change Management, Business Process, Enterprise Architecture, Strategic Planning, Team Building, Integration, Vendor Management, Management, Governance, Cross-functional Team..., SDLC, Analysis, Software Development, Leadership, Process Improvement, PMP, Disaster Recovery, Project Portfolio..., Product Development, Telecommunications, Enterprise Software, Consulting
Education
Intense School
Certificate Program, Certified Information Systems Security Professsional (CISSP)
Monroe Woodbury High School
SUNY Orange
Associate's Degree, Accounting
State University of New York at Albany
Master of Business Administration, Executive MBA
State University of New York at Oswego
Bachelor's Degree, Psychology
Ayco, a Goldman Sachs Company May 2015 - Present
Capital District Physicians' Health Plan September 2005 - February 2015
Blue Cross and Blue Shield of Vermont 2002 - 2005
Travelers Insurance Company January 1987 - January 2002
Metropolitan Insurance Company January 1974 - January 1987
Skills
Insurance, Process Improvement, Billing, Underwriting, Call Center, Health Insurance, Medicare, Business Process..., Team Building, Business Process, Customer Service, Team Leadership, Customer Relations, Teamwork, Managed Care, Hiring, Process Engineering, HMO, Employee Benefits, Call Centers, Vendor Management, Provider Relations, Claim, Management, Business Development, Leadership, Medicaid, HIPAA, PPO, Medicare Part D, Health Policy, Health Care Reform, Health Savings Accounts, Healthcare Industry, Healthcare, Workers Compensation
Education
Saint Michael's College
BA Degree, Business Administration
OptumInsight formerly Ingenix Consulting July 2010 - Present
CSC Consulting June 2007 - July 2010
Albany Medical Center January 2005 - June 2007
CDPHP May 2000 - January 2005
Capital District Physicians' Health Plan June 1997 - May 2000
Skills
Clinical Documentation, Healthcare Compliance, Medicaid, Revenue Cycle, Claims, HIPAA, Documentations, Medical Compliance, ICD-10, Hospitals, Process Improvement, Medical Billing, Software Documentation, Medical Coding, Medical Terminology, Management, Medicare, Claim, Healthcare Industry, Medical Records, Health Insurance, Epic Systems, Practice Management, Physicians, Healthcare, Policy, Informatics, Managed Care, Performance Improvement, Invoicing, Consulting, Healthcare Management, Auditing, Health Information..., Insurance, Revenue Cycle Management, CPT, Meditech, EHR, Healthcare Information..., Healthcare Consulting, Clinical Research, EMR
Education
Bryant & Stratton College 2005 — 2005
CPC, Medical Coding
Maria College 2000 — 2002
Nursing
The Sage Colleges - Russell Sage College 1989 — 1992
Registered Nursing/Registered Nurse
MarkDiehl.net September 2012 - Present
Misericordia University October 2010 - September 2012
MarkDiehl.com May 2009 - October 2010
Capital District Physicians' Health Plan 2007 - May 2009
CSC Consulting 2002 - 2007
First Consulting Group 1999 - 2002
U. S. Pharmacopeia 1996 - 1998
U.S. Navy December 1972 - June 1996
Bell Laboratories June 1968 - August 1971
Skills
Information Governance, Information Architecture, Data Warehousing, Data Warehouse..., Data Architecture, Database Design, Business Process..., Business Process..., Business Process..., Clinical Data..., Clinical Data Management, Clinical Decision..., Business Process..., Healthcare Information..., Informatics, Program Management, EHR, Health Information..., Healthcare, HL7, HIPAA, Business Process Design, Data Modeling, Information Technology, Master Data Management, Analysis, Data Quality, Data Analysis, Clinical Research, Healthcare Management, Healthcare Consulting, Business Intelligence, Governance, Leadership, EMR
Education
Uniformed Services University of the Health Sciences 1994 — 1996
MPH, Health Services Administration
Webster University 1983 — 1985
MA, Health Services Mgmt / Computer Data Mgmt
Temple University 1971 — 1976
DDS
Kutztown University of Pennsylvania 1963 — 1968
BS, Chemistry/Education
Parkland
Rose & Kiernan, Inc. 2013 - Present
Capital District Physicians Health Plan 2009 - 2013
To Life! September 2008 - November 2009
Rensselaer County Dept. of Mental Health January 1992 - January 2001
Cornell Cooperative Extension of Rensselaer County January 1989 - January 1991
Cornell Cooperative Extension of Rensselaer County January 1987 - January 1989
Skills
Education program..., Curriculum development, Group facilitation, Public Speaking, Adult Education, Writing, Health Promotion, Employee Wellness..., Health Education, Listening to customers, Worksite Wellness, Employee Wellness
Education
Russell Sage College
Master of Science (MS), Health Education
The Catholic University of America
Bachelor of Arts, Psychology
Computer Visions, LLC April 2010 - Present
Project Management Institute, Upstate New York Chapter June 2005 - May 2010
Lisa Giruzzi, Transformational Conversations May 2006 - September 2006
Capital District Physicians' Health Plan November 1999 - November 2005
Kaiser Permanente October 1998 - November 1999
Key Services Corporation November 1983 - December 1997
Skills
Program Management, Vendor Management, Project Management, Project Planning, Risk Management, Contract Management, Process Scheduler, Microsoft Excel, PowerPoint, Microsoft Word, Outlook, Issue Management, PMP, PMO, Project Portfolio...
Education
The George Washington University 2000 — 2003
Masters Certificate in Project Management
Molloy College 1969 — 1973
BA, English and Education
Project Management Institute
Project Management Profesional (PMP)
ToastMasters International
Certified ToastMaster (CTM)
ActionCOACH Business Coaching May 2005 - Present
SUPERCUTS July 2008 - Present
The John Maxwell Company 2011 - Present
ActionCOACH Business Coaching 2005 - December 2010
Capital District Physicians Health Plan May 2003 - January 2005
M-CARE/University of Michigan Health System June 1999 - May 2003
Geisinger Health Plan February 1987 - June 1999
Skills
Business Coaching, Executive Coaching, Keynote Speaker, Leadership Development, Speaking Engagements, Team Building, Business Planning, Entrepreneurship, Management Consulting, Public Speaking, Performance Improvement, Organizational..., Leadership, Strategic Planning, Personal Development, Training, Small Business, Team Leadership, Coaching, Marketing Strategy, Time Management, Start-ups, Marketing, Sales, Advertising, Program Management, Strategy, Project Planning, Business Development, Product Development, Emotional Intelligence, Executive Development, Business Strategy, Motivational Speaking, Executive Management, Management, Workshop Facilitation, Presentation Coaching, Consulting, Work Life Balance, NLP, Change Management, Management Development, Life Coaching, Organizational..., Personal Branding, Culture Change, 360 Feedback, Business, Lifestyle Coaching
Education
Wilkes University 1990 — 1993
MHA, Health Administration
Indiana University of Pennsylvania 1981 — 1984
BA, Business Administration, Marketing
myNEXUS June 2015 - Present
BlueCross BlueShield of Tennessee May 2010 - May 2015
WellCare Health Plans September 2007 - May 2010
Capital District Physicians Health Plan February 2007 - September 2007
Priority Health February 2005 - February 2007
Skills
Medicare, Healthcare Management, Medicaid, Disease Management, Provider Relations, Medicine, Network Development, Managed Care, Process Improvement, Healthcare Industry, Commercial Insurance, HIPAA, Health Policy, Health Care Fraud, Healthcare Consulting
Education
Western Michigan University 1998 — 2003
MBA, Business Administration
Michigan State University 1989 — 1993
Doctor of Medicine (M.D.)
Michigan State University 1985 — 1989
BS, Physiology
UnitedHealth Group October 2013 - Present
EmblemHealth June 2011 - 2013
Group Health Inc October 2006 - June 2011
Capital District Physicians Health Plan September 2003 - October 2006
UnitedHealthcare January 1999 - September 2003
Skills
Coaching, Healthcare, Healthcare Management, Insurance, Leadership, Managed Care, Management, Process Improvement, Provider Relations
Education
Villanova University
Marist College 2003 — 2005
Bachelors of Science, Leadership & Communications Alpha Sigma Lambda
Ulster County Community College 1987 — 1990
Associate of Science (A.S.), Accounting
Ulster County Community College 1987 — 1990
Associates, Applied Science – Accounting
Kingston High School 1983 — 1986
Regents Dipolma, Business
Capital District Physicians Health Plan October 2011 - Present
Capital District Physicians Health Plan (CDPHP) October 2011 - March 2012
WellPoint 2004 - October 2011
MVP Healthcare 2003 - 2004
COmmunity Health plan 1996 - 1998
Skills
HIPAA, Security, Information Security, Process Improvement, Access, CISSP, Disaster Recovery, SDLC, Visio, Software Documentation, Vendor Management, PCI DSS, Information Security...
Education
Farmingdale State College 2003 — 2006
Information Security
State University of New York College at Brockport 1978 — 1981
B.S., Education
Herkimer County Community College 1976 — 1978
A.S., Education
Herkimer High
BlueCross BlueShield of Tennessee February 2013 - Present
Martin's Point Health Care July 2011 - February 2013
EmblemHealth March 2003 - July 2011
Capital District Physicians Health Plan January 2000 - June 2002
Kaiser Permanente January 1998 - January 1999
Kaiser Permanente January 1996 - January 1998
Skills
Managed Care, Medicare Part D, HMO, PPO, HIPAA, Health Insurance, Healthcare, Medicaid, Healthcare Industry, Provider Relations, Pharmacy Benefit..., Healthcare Consulting, Quality Improvement, Health Policy
Education
State University of New York College of Agriculture and Technology at Cobleskill 1974 — 1976
Associate, Applied Science
American Management Association
GHI Corporate University
GHI Corporate University
SUNY
Associate Degree, Applied Science
WellPoint December 2013 - Present
WellPoint October 2012 - Present
The Kelsar Group October 2008 - October 2012
Blue Slate Solutions January 2010 - October 2011
APA Partners, Inc April 2007 - September 2008
Kaiser Permanente April 2001 - April 2007
Capital District Physicians Health Plan November 1999 - November 2000
Kaiser Permanente/Community Health Plan March 1997 - November 1999
Community Health Plan 1992 - 1994
Skills
Leadership, Program Management, Strategy, Strategic Planning, Cross-functional Team..., Six Sigma, Healthcare Information..., Healthcare Management, Healthcare, SDLC, Process Improvement
Education
Union College 1983 — 1985
MBA, Health Systems Administration
University of California, Santa Barbara 1979 — 1983
BA, Anthropology
Peter Bent Brigham Hospital School of Nursing 1973 — 1976
RN, Professional Nursing
North Colonie Central School District July 2015 - Present
United Way of the Greater Capital Region January 2014 - Present
Capital District Physicians Health Plan April 2011 - August 2013
Capital District YMCA March 2005 - January 2011
Capital District YMCA May 2000 - February 2005
Skills
Health Promotion, Outlook, Health Education, Microsoft Word, HIPAA, Wellness Coaching, Wellness, Cpr Certified, Microsoft Excel, PowerPoint, ACE Certified Personal..., Department Budgeting, Healthcare, Windows 7, Microsoft Publisher, Accounts Payable, Accounts Receivable, General Ledger, Administrative..., Certified Group..., Non-profit Volunteer, Credit Analysis, Volunteer Management, Hiring Personnel, HR Policies, Non-profit..., Fitness, Hiring, Administrative..., Nonprofits, Program Development, Training, Fundraising, Community Outreach, Public Speaking, Event Planning
Education
State University of New York College of Agriculture and Technology at Cobleskill
Wellpoint Anthem February 2015 - Present
Aetna June 2012 - February 2015
Aetna July 2008 - June 2012
Capital District Physicians' Health Plan September 2005 - July 2008
Capital District Physicians' Health Plan December 2003 - September 2005
Capital District Physicians' Health Plan February 2003 - December 2003
Capital District Physicians' Health Plan April 2001 - December 2003
Northeast Health/Eddy Cohoes Rehabilitation Center April 1999 - April 2001
Northeast Health/Eddy Cohoes Rehabilitation Center January 1998 - April 2001
Skills
CCM, RN, CPHM, Utilization Management, Disease Management, Managed Care, Healthcare, Clinical Research, Home Care, Inpatient, Health Care..., Leadership, Presentations, Process Improvement, Management, Medicaid, Implementation Plans, Hospitals, Insurance, Medicare, Quality Control, Sales, Team Building, Physicians, Healthcare Industry, Provider Relations, HIPAA, HMO, Health Policy, PPO, Case Management, Nursing
Education
The College of New Rochelle
BSN, Nursing
The Sage Colleges-Sage Graduate School
Masters Degree, Public Administration
LTM Publishing, Inc. 2012 - Present
Capital District Physicians Health Plan June 2007 - May 2011
Skills
Marketing Communications, Copywriting, Sales, Social Media Marketing, Fundraising, Marketing, Public Speaking, Leadership, Property & Casualty..., Customer Service, Insurance, Sales Management, Strategic Planning
Education
Bryant and Stratton College-Albany 2011 — 2011
Certified Professional Coder, Medical Billing
Bryant and Stratton College
CDPHP April 2009 - Present
Capital District Physicians Health Plan September 2003 - October 2009
Skills
Health Insurance, Medicare, Vendor Management, Software Documentation, Microsoft SQL Server, Analysis, Business Requirements, Requirements Analysis, Testing, Business Analysis, SDLC, Insurance, Healthcare Information..., Provider Relations, Requirements Gathering, Visio, Managed Care, PPO, Process Improvement, Healthcare, SQL, Network Development, Software Development, Data Warehousing, HIPAA, HMO, Oracle, Access
Education
The College of Saint Rose 2000 — 2003
Bachelor of Arts, Communications
MVP Health Care June 2014 - Present
MVP Health Care, Inc June 2007 - July 2014
IIA Albany Chapter 2006 - 2011
MVP Health Care 2007 - 2010
Capital Communications Federal Credit Union October 2004 - June 2007
Capital District Physicians Health Plan June 2003 - October 2004
Empire Medicare Services May 2002 - June 2003
Mohawk Community Bank June 1997 - May 2002
The Troy Savings Bank March 1995 - June 1997
Evergreen Bank September 1994 - March 1995
Skills
Model Audit Rule, Operational Audits, Financial Audits, Auditing, Internal Controls, Risk Assessment, Process Improvement, Payroll, Accounting, Finance, Budgets, Banking, Sarbanes-Oxley Act, Internal Audit, Sarbanes-Oxley, Business Process..., Risk Management, Microsoft Excel, Health Insurance, Lean Six Sigma Green..., Management, Access, IT Audit, HIPAA, Medicaid, Medicare, QuickBooks, Provider Relations, General Ledger
Education
University at Albany, State University of New York 1987 — 1989
B.A, Economics
State University of New York at Albany 1987 — 1989
BA, Economics
Fulton Montgomery Community College 1986 — 1987
A.A.S, Business Administration
Hudson Valley Community College 1982 — 1983
AAS, Business
Evolent Health January 2013 - Present
Capital District Physicians Health Plan April 2009 - January 2013
Navigant Consulting January 2006 - April 2009
The Bard Group June 2006 - December 2008
Partners Community Healthcare, Inc. 1998 - 2006
Skills
Healthcare Strategy, Healthcare Management, Behavior Change, Healthcare, Healthcare Information..., Managed Care, Program Management, Strategy, Management, CRM, Leadership, Change Management, Health Policy, Performance Improvement, HIPAA, Insurance, Hospitals, Physicians, Integration, Healthcare Industry, Healthcare Consulting, Quality Improvement, Medicare, Health Insurance
Education
Northeastern University - Graduate School of Business Administration 2004 — 2006
MBA, Masters of Businesss Administration
University of Massachusetts Dartmouth 1995 — 1998
MA, Clinical Behavioral Psychology
Capital District Physicians' Health Plan December 2012 - Present
BCI Construction, Inc. October 2011 - November 2012
Manion Construction Services July 2005 - November 2011
NYCON Construction, Inc. June 2002 - July 2005
BBL Construction Services May 1998 - June 2002
Skills
Contract Management, Contract Negotiation, Process Scheduler, Project Planning, Construction Management, Construction, Project Management, Contractors, Budgets, Customer Service, Team Building, Process Improvement, Renovation, Strategic Planning, Purchasing, Operations Management
Education
Hudson Valley Community College
Associate of Science (AS), Building Construction Technology
Prime Therapeutics April 2015 - Present
Prime Therapeutics May 2012 - April 2015
Harvard Pilgrim Health Care 2008 - 2012
Capital District Physicians' Health Plan 2005 - 2008
Skills
Certified Public..., Certified Management...
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1981 — 1983
Master of Business Administration (MBA), Banking, Corporate, Finance, and Securities Law
Dickinson College 1975 — 1979
Bachelor of Arts (BA), Political Science and Government
Certilytics April 2013 - Present
Florida Blue August 2010 - April 2013
MVP Health Care October 2006 - October 2010
Capital District Physician's Health Plan June 2005 - October 2006
Coventry Health Care August 2001 - July 2005
Sierra Military Health Services 2000 - 2001
Bob Gold & Associates, a Practice of Ernst & Young January 1998 - May 2000
KPMG Peat Marwick 1996 - 1998
Mercer 1995 - 1996
Guardian Life Insurance May 1993 - December 1994
Skills
Managed Care, Medicare, Business Intelligence, Analytics, PPO, Actuarial Science, Risk Management, Medicaid, Strategic Planning, Data Warehousing, Health Insurance, Predictive Modeling, Insurance, Product Development, Management, Business Process..., Pricing, Process Improvement, Leadership, Health Policy, Underwriting, Financial Modeling, Consulting, Forecasting, Employee Benefits, HMO, Provider Relations, Healthcare
Education
Lebanon Valley College 1989 — 1993
BS, Actuarial Science and Economics
Fellow of the Society of Actuaries
Member of the American Academy of Actuaries
James McGuinness & Associates Inc. Consultants March 2015 - Present
Capital District Physicians' Health Plan May 2012 - November 2013
Manpower Staffing, Albany, NY February 2012 - May 2012
Environmental Drilling Solutions August 2010 - May 2011
Alpha Industrial Power, Suwanee, GA February 2008 - May 2010
Manpower Staffing, New Iberia, LA July 2007 - February 2008
Schroeders Homes, Venice, FL June 2003 - June 2007
Skills
Sales, Sales Operations, Management, Customer Service, Troubleshooting, Team Building, Project Management, Process Improvement, Microsoft Office, Marketing, Account Management, Program Management, Operations Management, Microsoft Excel, Leadership, Strategic Planning, Sales Management, Training, Contract Negotiation
Education
Bob Hogue Real Estate 2004 — 2004
Florida State License, Real Estate Sales
Burk Baker School of Real Estate 1998 — 1998
Louisiana State License, Real Estate Sales
University of Louisiana at Lafayette 1991 — 1993
Junior Status, Finance
Capital District Physicians' Health Plan July 2010 - Present
Bank of America April 2004 - July 2010
Fleet Bank June 2001 - April 2004
PSINet October 2000 - April 2001
PSINet June 1998 - October 2000
PSINet September 1997 - June 1998
PSINet November 1995 - September 1997
Northeast Health September 1989 - November 1995
Skills
Team Leadership, Performance Management, Technical Leadership, Problem Solving, Application Architecture, Software Engineering, Python, Process Engineering, Process Automation, Process Improvement, Asset Management, Data Mining, Database Design, Data Modeling, Database Administration, Software Development, Scripting, Capacity Planning, Technical Writing, Report Writing, Newsletter Writing, Change Management, Interviewing, Compliance Audits, SQL, ETL, Java, Jython, Swing, PHP, JavaScript, AJAX, XML, HTML + CSS, DOM, JSON, YUI, Web Services, Unix, Linux, Load Balancing, Routing Protocols, Sniffer, Wireshark, Oracle, MySQL, Microsoft SQL Server, Cisco Technologies, Ruby, ITIL Certified
Education
Siena College 1989 — 1993
Bachelor of Science, Computer Science
IPRO May 2012 - Present
Lake George Battlefield Park (Fort George) Alliance 2013 - 2015
Lake George Battlefield Park (Fort George) Alliance 2013 - 2015
Lake George Battlefield Park (Fort George) Alliance 2013 - 2015
Lake George Battlefield Park (Fort George) Alliance 2013 - 2015
Lake George Battlefield Park (Fort George) Alliance 2013 - 2015
HealthNow NY -- BSNENY May 2005 - May 2012
HIXNY 2006 - 2009
Capital District Physicians Health Plan 1996 - 2005
Skills
Utilization Management, Healthcare Information..., Healthcare Management, Prevention, Health Insurance, Managed Care, Disease Management, Board Certified, Healthcare, Quality Improvement, Case Managment, Medicine, Medicare, Health Policy, Healthcare Industry, Informatics, Medical Education, Physician Relations, Healthcare Consulting, Emergency Medicine, Medicaid, Public Health, HIPAA, Hospitals, EMR, Physicians, Credentialing, Health Education, Clinical Research, EHR
Education
University at Buffalo 1978 — 1981
MD, Medicine
Rensselaer Polytechnic Institute 1964 — 1968
BS, Biology
University of Iowa
PhD, Biochemistry
Kaiser Permanente Mid Atlantic September 2014 - Present
Blue Mountain Solutions 2005 - September 2014
Blue Cross of Northeastern Pennsylvania (BCNEPA) 2010 - 2013
Capital District Physicians' Health Plan 2003 - 2005
US Healthcare, Aetna and Cigna 1986 - 2003
Skills
Account Management, Insurance, Health Insurance, Employee Benefits, Medicare, Strategic Planning, Sales Management, Start-ups, Microsoft CRM, ACT CRM, Consulting, Insurance Brokerage, Ancillary Benefits, Life Insurance, Selling, Managed Care, Strategy, Management, Healthcare, Sales, Brokers, Call Centers, Direct Sales, B2B, Executive Management, Entrepreneurship, Claim, Disability Insurance, Underwriting, HIPAA, Workers Compensation
Education
University of Bridgeport 1981 — 1986
Bachelor of Science, Electrical Engineering
Albany-Colonie Regional Chamber March 2013 - Present
Hungry Spot Restaurant October 2011 - 2013
Gideon Putnam Resort and Spa June 2007 - October 2011
Capital District Physicians’ Health Plan December 2005 - May 2007
Abbott Laboratories May 2003 - October 2004
Blue Shield of Northeastern New York August 2000 - September 2002
Bell Atlantic/ NYNEX/ Reuben H. Donnelley February 1992 - August 2000
Skills
Sales/ Marketing, New Business Development, Territory Management, Client/ Staff Education, Needs Assessment, Product Knowledge, New Product Launch, Account Management, Goal Achievement, Oral/ Written..., Active Listening, Presentation Skills, Problem Resolution, Customer Service, Computer Skills: PC,..., MS Office Suite,..., Event Management, Advertising, Sales Management, Product Development, Fundraising, Social Media Marketing, Marketing Strategy, Social Media, Public Relations, Marketing Communications, Strategic Planning, Technology Needs..., Management, Hospitality, Sales Presentations, Networking, Sales, Sales Force Development, Marketing, Sales Operations, Marketing Management, Recruiting, Facebook, Event Planning, SEO, Email Marketing, B2B, Online Marketing, Leadership, Negotiation, Program Management, Direct Marketing, Online Advertising, Small Business
Education
New Hartford High School
Language
Rochester Institute of Technology
Bachelor’s Degree, Business Administration and Management, General, 3.4
Excelsior College 2002 — 2003
Bachelor of Business Administration (B.B.A.), Business Administration Minor in Marketing, 3.4
Canton College
Associates, Business, Management, Marketing, and Related Support Services, 3.2
ikaSystems April 2012 - Present
The Leadership Advantage, Inc September 2006 - November 2009
IkaSystems September 2003 - September 2006
CDPHP 1996 - 2003
Capital District Physicians' Health Plan 1996 - 2003
Health Now New York 1992 - 1997
Skills
PMO, Information Technology, Business Process, Project Planning, Business Analysis, Program Management, Microsoft SQL Server, Vendor Management, Change Management, Business Intelligence, Project Management, Data Warehousing, Quality Assurance, MS Project, HIPAA, Insurance, Executive Management, Strategic Planning, Requirements Analysis
Education
Nassau Community College 1978 — 1986
Associate's degree, Computer Science
NTT Data Corporation September 2013 - Present
Capital District Physicians Health Plan September 2004 - September 2013
Accenture 1997 - 2004
Grumman 1988 - 1997
Northrop Grumman 1988 - 1997
Skills
PMO, Project Portfolio..., PMP, Program Management, Business Analysis, SDLC, Process Improvement, Business Process..., Vendor Management, Change Management, Clarity, ITIL, Enterprise Architecture, Business Intelligence, Requirements Gathering, MS Project, Governance, Software Documentation, Data Warehousing, Leadership, Software Project..., Project Management, Quality Assurance, Management Consulting, Visio, Agile Methodologies, Business Requirements
Education
Adelphi University 1990 — 1992
MBA, Business
University of Scranton 1984 — 1988
Bachelor of Science (B.S.), Electronics Engineering
AngioDynamics January 2014 - Present
GLOBALFOUNDRIES January 2013 - December 2013
Capital District Physicians' Health Plan September 2006 - January 2013
Center for Disability Services 2005 - 2006
DCM, Inc. 1999 - 2004
Skills
Employee Relations, Talent Management, Employee Benefits, Benefits Administration, Human Resources, Employee Training, Personnel Management, FMLA, HRIS, Policy, Organizational..., Onboarding, Employee Handbooks, Succession Planning, Performance Management, HR Policies, Applicant Tracking..., Talent Acquisition, Employee Engagement, New Hire Orientations, Labor Relations, College Recruiting, Affirmative Action, Employment Law, Organizational Design
Education
The Sage Colleges-Sage Graduate School
Master of Science (MS), Organization Management
St. Francis College
Capital District Physicians' Health Plan March 2000 - Present
Capital District Physicians' Health Plan March 2000 - Present
Capital District Physicians' Health Plan March 2000 - Present
Kaiser Permanente March 1998 - February 2000
Wellcare of New York, Inc. May 1993 - February 1998
Snap On Tools January 1988 - May 1993
Skills
Medicare, Managed Care, Medicaid, Profit Maximization, Cross-functional Team..., Benefit Cost Analysis, Risk Adjustment, Budget Forecasts, Health Policy, Program Management, Strategy, @Risk, Health Insurance, Network Development, Healthcare, Medicare Part D, Leadership, Analytics, HIPAA, Analysis, Insurance, Management, Process Improvement
Education
State University of New York College at Plattsburgh 1984 — 1987
Marketing/Finance
First Niagara Benefits Consulting July 2015 - Present
ValueOptions, Inc.® August 2014 - July 2015
Capital District Physicans Health Plan September 2007 - April 2014
Capital District Physicians Health Plan February 2006 - September 2007
Saratoga Hospital February 2006 - September 2006
MVP Health Care September 2002 - February 2006
GE August 1997 - September 2002
Ceridian August 1995 - August 1997
Empire Blue Cross and Blue Shield July 1993 - August 1995
St Clares Hospital January 1985 - April 1993
Skills
Benefits Administration, Sales, Six Sigma, Product Development, Public Speaking, Project Management, Employee Benefits, Health Insurance, Product Management, HIPAA, Medicare Advantage, Medicare, Account Management, Provider Relations, Vendor Management, Insurance, Human Resources, Healthcare, Management, Cross-functional Team..., Program Management, Leadership, HMO, Analysis, Training, Managed Care, COBRA, Claim, Long-term Care, Health Care Reform, Brokers, Health Policy, Sales Management
Education
State University of New York at Albany
MPA, Health Policy and Management
State University of New York at Albany
BA, Biology, minor in Chemistry & Business
State University of New York Upstate Medical University
AAS, Respiratory Therapy
The Civil Service Employees Association Inc July 2015 - Present
CSEA June 2013 - Present
Captital District Physicians' Health Plan, Inc. March 2010 - October 2012
Capital District Physicians' Health Plan October 2005 - May 2010
Health II Holdings March 2003 - September 2005
Health Focus of NY March 1997 - October 2002
Lawrence Agency Corporation October 1990 - March 1997
Skills
Accounting, Insurance, Budgets, Financial Reporting, Healthcare, Managed Care, Process Improvement, Healthcare Management, Management, Health Insurance, HIPAA, Business Analysis, Customer Service, Financial Analysis, Finance, Analysis, Medicaid, Cognos, Health Policy, Medicare, Employee Benefits, Accounts Receivable, Provider Relations
Education
State University of New York College at Plattsburgh 1981 — 1985
BS, Accounting
Harvard Pilgrim Health Care June 2008 - Present
Capital District Physicians' Health Plan 2005 - 2008
Capital District Physician's Health Plan 2005 - 2008
Blue Cross and Blue Shield of Vermont 1989 - 2004
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1981 — 1983
Bousquet Holstein PLLC August 2014 - Present
Seward & Kissel LLP October 2010 - August 2014
Capital District Physicians Health Plan September 2009 - April 2010
New York State Department of Environmental Conservation June 2008 - August 2008
Skills
Legal Research, Legal Writing, Corporate Law, Litigation, Securities Regulation, Commercial Litigation, Westlaw, Civil Litigation, Private Equity, Hedge Funds, Appeals, Health Law, Asset Managment
Education
Albany Law School of Union University 2007 — 2010
J.D., Law
Syracuse University 2003 — 2007
B.S., Economics, Entrepreneurship and Emerging Enterprises
CDPHP February 2011 - Present
CDPHP August 2007 - February 2011
Capital District Physicians Health Plan August 2007 - February 2011
CDPHP December 2005 - August 2007
Skills
Managed Care, Medicare, Health Insurance, Contract Negotiation, Claims, Medicaid Managed Care, risk adjustment, Strategy, HMO, Claim, Medicaid, Provider Relations, @Risk, Network Development, Health Policy, PPO, Medicare Part D, HIPAA, Healthcare, Insurance
Education
State University of New York Empire State College 2008 — 2011
M.B.A, Business
State University of New York Empire State College 2008 — 2011
Advanced Certificate, Health Care Management
Capital District Physicians Health Plan Benefits AdministratorHealth Care Association of NYMay 2001 - March 2005
Education
The College of Saint Rose 2002 — 2005
MBA, Business Administration
CDPHP Manager, Sales EffectivenessCDPHPAugust 2013 - Present
Capital District Physicians' Health Plan 2005 - Present
HealthNow New York Inc. February 2002 - January 2005
Skills
Managed Care, Health Insurance, Training, PPO, Provider Relations, Insurance, Employee Benefits, Employee Training, Health Savings Accounts, Account Management, Medicare, Sales, Health Care Reform, Health Policy, Healthcare, Network Development, Medicare Part D, HMO, Medicaid
Education
Siena College 1993 — 1997
BS, Marketing and Management
The Leadership Institute
Capital District Physicians Health Plan January 2014 - Present
Capital District Physicians Health Plan April 2013 - Present
Adirondack Health Institute November 2011 - Present
Champlain Valley Physicians Hospital Medical Center 2011 - April 2013
Hudson Headwaters Health Network June 2011 - March 2013
Albany Cardiothoracic Surgeons July 1990 - May 2009
Skills
Medicine, Public Health, Healthcare Management, Healthcare, Epidemiology, Hospitals, EHR, EMR, Patient Safety, Healthcare Consulting, Medical Education, Healthcare Information..., Physicians, Managed Care, Informatics, Physician Relations, Internal Medicine, Quality Improvement, Emergency Medicine, HIPAA, Cardiac Surgery, Inpatient, Critical Care, Pediatrics
Education
SUNY Albany School of Public Health/New York State Department of Health 2010 — 2012
MPH, Preventive Medicine
Albany Medical College 1978 — 1982
MD, Medicine
Le Moyne College 1974 — 1978
BS, Biology
Capital District Physicians' Health Plan 2009 - Present
CDPHP June 2004 - 2009
Empire Blue Cross and Blue Shield 1988 - 1998
Skills
Insurance, Claim, Health Insurance, Medicare, Process Improvement, Vendor Management, Strategic Planning, Call Centers, HIPAA, Software Documentation, Managed Care, Provider Relations, Employee Benefits, HMO, Network Development, Management
Education
Siena College 1985 — 1988
Bachelor's degree, Marketing/ Management
Questar III Wellness CoordinatorOwens CorningApril 1993 - December 1996
Capital District Physicians Health Plan 1993 - 1995
Education
State University of New York College at Buffalo 1983 — 1986
B.S., Consumer Affairs
State University of New York College at Potsdam 1981 — 1982
NYS Office for People with Developmental Disabilities March 2015 - Present
NYS Office for People with Developmental Disabilities June 2012 - March 2015
NYS Office for People with Developmental Disabilities July 2010 - June 2012
Conservation Services Group March 2010 - May 2010
Orientation Office, SUNY at Albany August 2008 - August 2009
Capital District Physician's Health Plan September 2008 - May 2009
Klepper, Hahn & Hyatt January 2002 - August 2004
Skills
Microsoft Office, PowerPoint, Public Speaking, Non-profits, Customer Service, Program Development, Microsoft Excel, Higher Education, Event Planning, Microsoft Word, Access, Fundraising, Outlook, Analysis, Nonprofits, Facebook, Time Management, Management
Education
University at Albany, SUNY 2007 — 2009
MBA, Business Administration, Human Resources, Information Systems
University at Albany, SUNY 2003 — 2007
BA, Political Science, Business
Capital District Physicians Health Plan August 2011 - Present
BAYADA Home Health Care November 2012 - Present
Dartmouth-Hitchcock Putnam Physicians January 2013 - Present
Southwestern Vermont Medical Center September 2010 - August 2011
Southwestern Vermont Health Care 2007 - August 2011
Southwestern Vermont Medical Center September 2004 - August 2011
Southwestern Vermont Medical Center January 2010 - May 2011
United Health Alliance, Bennington VT May 2006 - May 2011
Eastern New Mexico Medical Center 2004 - 2004
CVPH Medical Center 2002 - 2003
Skills
Utilization Management, Health Insurance, Hospitals, Healthcare Management, Healthcare, Hospitalist, Palliative Care, Hospice, Physician Practice..., Utilization Review, Clinical Decision..., Managed Care, Health Policy
Education
University of Tennessee-Knoxville - College of Business Administration 2009 — 2009
MBA
University of Vermont, Fletcher Allen Health Care 1999 — 2003
Internal Medicine
Wright State University 1995 — 1999
MD
Case Western Reserve University 1991 — 1995
BA, Chemistry, Sociology, Womens Studies
VCA Antech Diagnostics August 2012 - Present
Yellow Book USA October 2007 - August 2012
Capital District Physicians' Health Plan August 2002 - November 2004
Capital District Physicians' Health Plan/ Formerly Known as Kaiser Permanente June 1999 - August 2002
Kaiser Permanente (formerly Community Health Plan) May 1997 - May 1999
Community Health Plan October 1995 - May 1997
Prudential Insurance February 1991 - December 1994
Skills
B2B, Account Management, Online Advertising, New Business Development, Social Media, SEO, Sales Management, Customer Service, Cold Calling, Negotiation, Contract Negotiation, Advertising, Lead Generation, Team Building, Social Media Marketing, SEM, Sales Presentations, Salesforce.com, Direct Mail, Marketing, Management, Training
Education
State University of New York Empire State College 2004 — 2006
Bachelor, Business Administration-Economics
SUNY Empire State College
Bachelor of Science (B.S.), Business Administration
Better Benefits Solutions August 2014 - Present
MVP Health Care February 2004 - February 2014
Capital District Physicians' Health Plan 1993 - 2004
Skills
Health Insurance, Data Analysis, Healthcare, Analytics, Process Improvement, Strategy, Business Development, Analysis, Insurance, Managed Care, Cross-functional Team..., Requirements Gathering, Strategic Planning, Business Analysis, Competitive Analysis, Marketing, Leadership, Management
Education
State University of New York College at Potsdam
BA, Political Science, Economics
SABIC November 2012 - Present
Conservation Services Group August 2011 - November 2012
Capital District Physicians’ Health Plan February 2004 - August 2011
Lightpath, A Service of Cablevision Systems Inc November 2003 - February 2004
Cablevision Systems Inc September 2000 - November 2003
Skills
Cognos, Business Intelligence, Salesforce.com, Vendor Management, Excel, Access, Problem Solving, SQL, Team Building, Business Analysis, Data Analysis, Microsoft Office, PowerPoint, Word, Analysis, SharePoint, Account Management, Requirements Analysis, Documentation, Insurance, Process Improvement, Databases, Change Management, Outlook, Customer Relations, CRM, Data Warehousing
Education
Columbia University in the City of New York 1999 — 2001
Database Application Design & Development, Data Modeling/Warehousing and Database Administration
Bucknell University 1991 — 1995
Bachelor of Arts, Political Science
Northeast Health October 2010 - Present
Capital District Physicians Health Plan September 2001 - September 2009
Skills
Employee Benefits, Invoicing, Health Insurance, Insurance, Claim, Medicare, HMO, Reinsurance, Provider Relations, Account Reconciliation, Underwriting, PPO, Managed Care, Health Savings Accounts, Medicare Part D
Education
Hudson Valley Community College 1992 — 1993
A.A.S., Accounting
American Outcomes Management, LP November 2012 - Present
Horizon Blue Cross Blue Shield of New Jersey August 2010 - November 2012
Walgreens OptionCare February 2006 - February 2010
Curative Pharmacy Services January 2003 - November 2005
Capital District Physicians' Health Plan July 1999 - January 2003
Capital District Physicians' Health Plan January 1996 - May 1999
Education
Siena College 1986 — 1988
B.S., Marketing/Management
State University of New York College at Geneseo 1982 — 1985
TeleTracking Technologies May 2013 - Present
St. Mary's Hospital January 2011 - May 2013
First Cardinal, LLC October 2007 - January 2011
Advocase, LLC March 2005 - October 2007
Seton Health Home Care September 2003 - March 2005
Albany Memorial Hospital January 1999 - January 2003
Capital District Physician's Health Plan January 1996 - January 1999
Capital District Physician's Health Plan January 1994 - January 1996
Leonard Hospital January 1993 - January 1994
Travelers Insurance January 1988 - January 1993
Skills
Hospitals, Patient Safety, Meditech, Nursing, Healthcare, BLS, Critical Care, Acute Care, ICU, Inpatient, Healthcare Management, Medical/Surgical, Home Care, JCAHO, ACLS, Telemetry, Clinical Research, Emergency Room, Cpr Certified, Patient Education, Healthcare Information..., EMR, Case Management, Managed Care, HIPAA, Medicine, Case Managment
Education
American Sentinel 2011 — 2013
MBA in Health Care, Business
SUNY Polytechnic Institute 1999 — 2001
BS, Nursing
Hudson Valley Community College 1989 — 1993
AAS, Nursing
Allegheny County Health Department January 2011 - Present
Capital District Physicians Health Plan October 2009 - May 2010
Skills
Health Promotion, Nutrition, Epidemiology, Clinical Nutrition, Health Education, Nutrition Education, Public Health, Medical Nutrition..., Dietetics, Community Health
Education
National University of Ireland, Galway 2007 — 2008
M.A., Health Promotion
University of Massachusetts, Amherst 2002 — 2006
B.Sc., Human Nutrition
Davis Vision May 2012 - Present
Capital District Physicians Health Plan May 2011 - May 2012
CHAN Healthcare Auditors April 2008 - May 2011
PricewaterhouseCoopers 1998 - 2005
PricewaterhouseCoopers 1998 - 2005
Skills
Internal Audit, Sarbanes-Oxley Act, Internal Controls, Auditing, Process Improvement, Sarbanes-Oxley, Microsoft Excel, Health Insurance, Governance, Project Management, Microsoft Word, PowerPoint, Team Leadership
Education
Union College 1994 — 1996
MBA Health Administration, Health/Health Care Administration/Management
Binghamton University - School of Management 1989 — 1991
Bachelor of Science (BS), Business Administration and Management, General
Chartis Insurance October 2010 - Present
Triad Group, LLC September 2007 - May 2010
Prime Care Physicians December 2006 - September 2007
Upper Hudson Valley Dermatology April 2005 - May 2006
Capital District Physicians Health Plan October 2004 - March 2005
Capital Billing Consultants January 1997 - August 2004
Skills
Customer Relations, Revenue Cycle, Administration
Education
Nyack College 2005 — 2007
BS, Organizational Management
HVHC Inc. March 2013 - Present
CDPHP February 1997 - March 2013
Capital District Physicians' Health Plan February 1997 - March 2013
Capital Region BOCES April 1988 - February 1997
Skills
SQL Server, SQL, Claims, Data Analysis, C#, .NET, Insurance, Healthcare, Business Analysis
Education
SUNY Empire State College 2007 — 2011
BS, Business, Management, Economics
WellCare June 2013 - Present
Capital District Physician's Health Plan March 2010 - June 2013
Empire Blue Cross Blue Shield June 2006 - March 2010
Zachary's Pastry Shoppe May 2004 - June 2006
Skills
Microsoft Office, Insurance, PowerPoint, Team Building, Healthcare, Outlook, Strategic Planning, Sales, Microsoft Excel, Public Speaking, Data Entry, Medicaid, Medicare, Utilization Management, Medicaid Managed Care, Provider Relations, Managed Care, Hospitals, Event Planning, Utilization Review, Critical Thinking, NCQA, Disease Management, Medical Case Management, Health Insurance, HIPAA, Health Policy, Customer Service, Case Management
Education
The Culinary Institute of America 1998 — 2000
Associates Degree with Honors, Baking & Pastry
Hudson Valley Community College 1978 — 1980
Associate Degree Applied Science in Nursing, Registered Nursing/Registered Nurse
Capital District Physicians' Health Plan January 1996 - Present
Crawford & Company January 1992 - December 1995
GHI September 1987 - January 1992
Skills
Customer Service, Process Improvement, Microsoft Office, Strategic Planning, Project Management, Microsoft Excel, Team Building, Certified..., Access, Healthcare, Budgets, Microsoft Word, Outlook, PowerPoint, Claim, Health Insurance, Insurance
Education
Excelsior College 2011 — 2015
Associate's Degree, Administrative/Management Studies
Shenendehowa Central 1979 — 1983
Capital District Physician's Health Plan February 2012 - Present
GE May 2006 - February 2012
Empire Corporate Federal Credit Union - (Members United) June 2004 - May 2006
Empire Blue Cross Blue Shield August 2002 - June 2004
Sonoco January 2002 - August 2002
PwC January 1996 - January 2002
Skills
Accounting, Auditing, Controllership Functions, Regulatory Filings, Team Leadership, Financial Reporting, Sarbanes-Oxley Act, US GAAP, Analysis
Education
SUNY Plattsburgh 1989 — 1993
Bachelor of Arts (B.A.), Accounting
Bryant & Stratton College September 2010 - Present
Capital District Physicians' Health Plan January 2005 - May 2009
Prime Care Physicians November 2003 - January 2005
Skills
Higher Education, Adult Education, Teaching, Student Affairs, Research, Tutoring, Public Speaking, Community Outreach, Classroom, Educational Technology, Faculty Development, Student Counseling, Career Counseling, Resume Writing, Leadership Development, Nonprofits, Leadership
Education
State University of New York at Albany
Bachelor of Science (B.S.), Human Biology
Community Nursery School August 2004 - Present
Lammon Architects, LLP January 2001 - Present
Charles Hock Associates January 2001 - January 2002
Capital District Physicians Health Plan January 1995 - January 1997
Capital District Physicians Health Plan January 1994 - December 1994
Capital District Physicians Health Plan June 1993 - December 1993
Empire Blue Cross Blue Shield April 1992 - June 1993
T.M. Byxbee Company June 1991 - April 1992
Skills
Lesson Planning, Classroom Management, Classroom, Microsoft Word, Teaching, Medical Staff..., Customer Service, Organization, Time Management, Multi Tasking, Strong written and...
Education
Hudson Valley Community College
Associate of Science (A.S.), Individual Studies
FidelisCare March 2014 - Present
Capital District Physician's Health Plan January 2010 - Present
HealthNow New York Inc. May 1998 - May 2007
CSC February 1986 - April 1998
Skills
Microsoft SQL Server, Management, Enterprise Software, Software Development, Requirements Gathering, SOA, Data Warehousing, SQL, SDLC, Business Intelligence, Business Analysis, Requirements Analysis, Production Support
Education
Siena College
Bachelor of Science (BS), Computer Science
Accretive Health March 2015 - July 2015
Etransmedia Technology, Inc. June 2014 - March 2015
Seton Heatlh Care 2006 - 2013
Capital District Physicians Health Plan March 2005 - August 2006
St. Peter's Hospital May 1998 - January 2005
Skills
Training, Recruiting, Management, Analysis, Human Resources, Insurance, Policy, Medicaid, Healthcare, Hospitals, Medicare, Process Improvement, HIPAA, Healthcare Information..., Healthcare Management
Education
Florida Southern College 1985 — 1987
None, Business Administration and Management, General
Columbia High School 1981 — 1985
Regents, Business Administration and Management, General