GATEWAY HEALTH PLAN
Industry: Company
DescriptionFounded: 1992 Parent organization: Gateway Health Plan, L.P.
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GATEWAY HEALTH PLAN Employees
Gateway Health Plan June 2014 - Present
UnitedHealth Group July 2007 - June 2014
Old Republic Insurance Company February 2002 - July 2007
Skills
Financial Analysis, Business Process..., Business Analysis, Process Improvement, Sarbanes-Oxley Act, PeopleSoft, Financial Reporting, Accounting, Finance, Internal Audit, Insurance, Variance Analysis, General Ledger, Essbase, Account Reconciliation, GAAP, Sarbanes-Oxley, SEC filings, Consolidation, Auditing, Access, Bank Reconciliation, Payroll, Strategic Financial..., US GAAP, Journal Entries, Financial Modeling, Managerial Finance, Internal Controls, Financial Statements, Hyperion Enterprise, Forecasting, Analysis, Budgets, Management, Cost Accounting, Mergers & Acquisitions
Education
Indiana University of Pennsylvania 1993 — 1998
Bachelor's degree, Accounting and Finance
CallidusCloud November 2014 - Present
Gateway Health Plan June 2014 - Present
Gateway Health Plan July 2011 - May 2014
Gateway Health Plan March 2008 - July 2011
Gateway Health Plan May 2006 - March 2008
CIBER, Inc. January 1997 - May 2005
Skills
Project Management, Team Leadership, Medicare Advantage, Process Improvement, Medicare, Program Management, Management, Sales, CRM, Contract Negotiation, Marketing, Call Centers, Healthcare, Data Analysis, Business Process, Performance Management, Team Management, Medicaid
Education
Edinboro University of Pennsylvania 1980 — 1984
Bachelor of Science (BS), Computer Science
Continuance Health Solutions July 2012 - Present
Elderplan October 2011 - June 2012
AmeriHealth Insurance Co April 2005 - May 2008
AmeriHealth NJ June 2001 - April 2005
QHCP & DM Inc. November 2000 - June 2001
Oxford Health May 2000 - November 2000
Gateway Health Plan January 2000 - May 2000
Heritage Valley Health System June 1999 - November 1999
Skills
Strategic Planning, Business Intelligence, Healthcare, Insurance, Analysis, Access, Financial Analysis, Process Improvement, Managed Care, Medicare, Microsoft Excel, Data Analysis
Education
Centenary College 2002 — 2004
Masters, Business Administration
Robert Morris University Pittsburgh & Moon 1996 — 2000
Bachelor of Science, Business Administration; Health Services Management
Management Science Associates, Inc. August 2015 - Present
Kim Gallagher, Google Partner Web Consultant January 2014 - Present
SDLC Partners, L.P. August 2013 - November 2013
Chromalox January 2009 - November 2012
Phillips Respironics July 2007 - January 2009
Gateway Health Plan April 2001 - July 2007
Pittsburgh Steelers - NFL April 1999 - April 2001
The Learning Center November 1993 - January 1998
Skills
Web Development, Graphic Design, Data Analysis, Project Management, Process Improvement, Adobe Creative Suite, Microsoft SQL Server, HTML, SAP, JDE, Training Development, eCommerce, SEO, SEM, Google Analytics, Google Adwords, Google Webmaster Tools, Google Insights, Software Documentation, SQL, Web Design, CMS, Dreamweaver, Social Media, User Interface Design, Microsoft Certified..., JD Edwards, System Administration, E-commerce, Troubleshooting, Marketing, Leadership, User Experience, Email Marketing, Employee Training, Web Analytics, Integration, CSS, Digital Marketing, Web Applications, Analytics, Strategy, SDLC
Education
Clarion University of Pennsylvania 1988 — 1992
BS, Computer Science
Bechtel Corporation February 2014 - Present
Gateway Health Plan May 2012 - February 2014
ACL-CPI August 2009 - May 2012
Deloitte August 2008 - August 2009
GE- Transportation September 2006 - May 2008
Skills
Accounting, Auditing, Great Plains Software, Cost Accounting, Financial Statements, Inventory Management, Finance, Microsoft Excel, Six Sigma, Process Scheduler, Microsoft Office
Education
Pennsylvania State University-Erie Campus 2010 — 2012
Master of Business Administration (MBA), Business Administration and Management, General
Pennsylvania State University-Erie Campus 2004 — 2008
Bachelor of Science, Accounting
Gateway Health September 2015 - Present
Gateway Health Plan December 1999 - September 2015
Skills
Healthcare, Healthcare Information..., Healthcare Management, Medicare, Access, Medicaid Managed Care, NCQA, HIPAA, HEDIS, CAHPS, Health Policy, Process Improvement, Project Management, Data Analysis, Managed Care, Medicaid, Analysis, Medicare Part D
Education
Community College of Allegheny County
Nursing Education
Aetna March 2015 - Present
Highmark Inc. January 2015 - March 2015
Coventry Health Care, an Aetna Company May 2012 - December 2014
UPMC Health Plan February 2006 - May 2012
UPMC Health Plan February 2005 - February 2006
UPMC Health Plan February 2002 - February 2005
Gateway Health Plan April 1999 - February 2002
Gateway Health Plan May 1998 - April 1999
Gateway Health Plan March 1997 - May 1998
Gateway Health Plan November 1996 - March 1997
Skills
Requirements Gathering, Systems Analysis, Visio, Medicare, SDLC, Business Analysis, Process Improvement, Cognos, Healthcare Information..., Requirements Analysis, Medicaid Managed Care, IT Operations, Financial Analysis, IT Solutions, Business Requirements, Electronic Enrollment, Production Support, Agile & Waterfall..., Medicare Letters, Creative Solutions, System Testing, Unit Testing, System Enhancements, Redetermination Projects, Statutory Reporting, Home Nursing Files, Benefit Cost Analysis, Department of Public..., Employee Training, Customer Service, Customer Retention, Microsoft Excel, Access Database, PowerPoint, Posnet, MC400, Amisys, Remedy Ticketing System, MMC, On-call Support, Access, Insurance, Leadership
Education
University of Pittsburgh 1990 — 1994
Bachelor of Science (BS), Business/Psychology
Upper St. Clair High School 1986 — 1990
High School
Gateway Health Plan RNNurse StaffingOctober 2000 - March 2010
Skills
Healthcare, HIPAA, Healthcare Information..., Hospitals, Home Care, Leadership, Managed Care, Medicaid, Medical-Surgical, Nursing, Medicare
Education
University of Pittsburgh 1987 — 1991
BSN, nursing
AstraZeneca October 2014 - Present
AstraZeneca August 2014 - October 2014
Forest Laboratories January 2012 - July 2014
Giant Eagle May 2003 - January 2012
Gateway Health Plan April 2007 - December 2011
UPMC Health Plan 2003 - 2006
Skills
Managed Care, Pharmacy, Pharmacists, Healthcare, Pharmacy Benefit..., Diabetes, Health Economics, Pharmacy Automation, Medicare Part D, Medication Therapy..., Clinical Pharmacy, Clinical Pharmacology, Community Pharmacy, Disease Management, Medicaid, Management, Quality Measures, Medicaid Managed Care, CNS disorders, Respiratory Products, Gastrointestinal..., Outcomes Research, Formulary Management, Specialty Pharmaceutical, Respiratory Disease, Oncology, Diabetes Management, Cardiovascular Disease, Myocardial Infarction
Education
University of Washington Professional & Continuing Education 2014 — 2015
Certificate, Health Economics and Outcomes Research, Successful Completion
University of Pittsburgh, School of Pharmacy 2002 — 2006
Doctor of Pharmacy (PharmD), Pharmacy, Cum Laude
Case Western Reserve University 1999 — 2002
Chemistry
Gateway Health Plan December 2010 - Present
Highmark Inc. April 2000 - December 2010
Commonwealth of PA, Dept. of Labor & Industry, Office of Chief Counsel 1998 - 2000
Marshall Dennehey Warner Coleman & Goggin, P.C. 1996 - 1998
Robert Pierce & Associates 1993 - 1996
Skills
Medicare and Medicaid, Contract Reviews, HIPAA and Privacy Laws, Health care law and..., Business Law, Process Improvement, Quality Assurance, Utilization Review..., Negotiation Management, Litigation, Regulatory Compliance, Risk Management, Legal Research and..., Interpersonal..., Labor Law, Mediation & Resolution, Collaboration, Workers Compensation, Commercial Litigation, Management, Strategic Planning
Education
Duquesne University School of Law
Juris Doctor
Robert Morris University
Bachelor of Science, Business Management
UPMC Health Plan December 2013 - Present
UPMC Health Plan April 2010 - December 2013
UPMC Health Plan October 2008 - April 2010
UPMC Health Plan October 2006 - October 2008
UPMC Community Provider Services June 2005 - October 2006
University of Pittsburgh August 2004 - April 2005
Gateway Health Plan June 2004 - August 2004
Reproductive Health Specialists 2003 - 2004
Allergy & Asthma Associates June 2002 - August 2003
Planned Parenthood June 2000 - June 2002
Skills
Healthcare, Healthcare Management, Program Management, Project Management, Healthcare Information..., Data Management, Process Engineering, Process Improvement, Quality Management, Quality System, Problem Analysis, Program Analysis, Business Analysis, Problem Solving, Visual Communication, Written Communication, Software Documentation, Managed Care, Written & Oral..., SDLC, Informatics, Visio, Training, Case Managment, Insurance, Healthcare Consulting, Team Building, Data Analysis, Case Management
Education
University of Pittsburgh 2003 — 2005
MHA, Health Policy & Management
University of Colorado Boulder 1999 — 2001
BA, Psychology / Environmental, Population, Organismic Biology
Southern Methodist University 1997 — 1999
Biology
Elko High School
Gateway Health Plan December 2014 - Present
Highmark October 2012 - December 2014
Luttner Financial Group May 2010 - October 2012
Education
Penn State University 2006 — 2010
Finance
Pittsburgh East 2004 — 2009
Clare Ascani Photography July 2008 - Present
Clare Ascani - Jazz Vocalist and Photographer July 1986 - Present
Gateway Health Plan February 2002 - July 2008
Conde Nast October 1991 - February 2001
Skills
Photography, Fine Art Photography, Portraits, Music, Photos, Entertainment, Jazz, Photo Restoration, Family Photography, Digital Photography, Senior Portraits, Environmental..., Fine Art, Image Editing, Lighting, Landscape Photography, Studio Lighting, Lifestyle Photography, Restoring Photos, Still Life, Studio Photography, Black & White, Architectural..., Nikon, Wedding Photojournalism, Pet Portraits, Editorial Photography, On Location, Photojournalism, Commercial Product..., CD covers, Photographers, Nature Photography, Lifestyle, Commercial Photography, Maternity, Adobe Bridge, Photo Editor, Public Speaking, Teaching, Editing
Education
Trinity University 1971 — 1975
BM (Performance), Music
Highmark, Inc. June 2014 - Present
Coventry Health Care May 2013 - Present
Highmark October 2011 - June 2012
Highmark November 2008 - October 2011
Unison 2008 - 2008
United Health Plan 2008 - 2008
United Health Plan 2008 - 2008
Gateway Health Plan 2004 - 2008
Premier Medical Associates 1997 - 2002
Skills
Case Management, Managed Care, Medicare, Nursing, Utilization Management, Disease Management, Medicaid, Home Care, Healthcare Management, Patient Safety, Healthcare, Health Insurance, Healthcare Consulting, Hospitals, HIPAA, Healthcare Information..., EMR, EHR, Motivational...
Education
Duquesne University 1999 — 2002
BSN, Nursing
Community College of Allegheny County 1992 — 1995
ASN, Nursing
University of Pittsburgh 1978 — 1983
Business, Information Science
Gateway Health Plan September 2014 - Present
Highmark September 2007 - March 2011
Highmark Blue Shield September 2007 - August 2010
Highmark April 2002 - September 2007
Skills
Project Management, Business Analysis, PMP, Vendor Management, PMO, Process Improvement, SDLC, Project Portfolio..., Visio, Insurance, Health Insurance, Change Management, Project Coordination, Business Requirements, Requirements Gathering, MS Project, RFP, Program Management, Requirements Analysis, Analysis, Business Process, Management, SharePoint
Education
Central Pennsylvania College 1981 — 1983
Associate's degree, Tourism and Travel Services Management, 3.7
Joy Mining Machinery September 2010 - Present
Gateway Health Plan September 2009 - September 2010
Joy Mining Machinery March 2009 - September 2009
Philips Healthcare March 2008 - December 2008
Respironics April 2000 - December 2008
Eckert Seamans April 1997 - April 2000
Eckert Seamans September 1986 - April 1997
Skills
Mergers, Corporate Governance, Intellectual Property, Contract Negotiation, Legal Compliance, Corporate Law, Mergers & Acquisitions, Health Law, Joint Ventures, Legal Writing, Litigation, Leadership, Licensing, Commercial Litigation, Privacy Law, Mediation, Patents, Trade Secrets, Litigation Management, Legal Research, Trademarks, Due Diligence
Education
University of Pittsburgh School of Law 1983 — 1986
Juris Doctor, Law
Westminster College (PA) 1979 — 1983
B.A., History
Gateway Health System May 2011 - March 2015
Gateway Health Plan July 2010 - May 2011
Gateway Health System April 2008 - July 2010
Gateway Health February 2005 - April 2008
Gateway Health Plan September 1998 - May 2005
Skills
Strategic Planning, Project Planning, Project Management, Process Improvement, New Business Development, Medicare, Marketing, Managed Care, Leadership, Healthcare Information..., Healthcare, Health Insurance, Business Analysis, Strategy, Medicaid, Management, Healthcare Industry, HIPAA, Customer Service
Education
Villanova University 2006 — 2008
MC, Project Management
Duquesne University 2003 — 2005
Organizational Management and Computer Technology, Organizational Leadership
Mercy Health System of Southeastern Pennsylvania April 2015 - Present
CIGNA Healthcare March 2013 - April 2015
MedStar Health November 2008 - March 2013
Universal American October 2007 - October 2008
Physician WebLink September 2006 - July 2007
Gateway Health Plan July 2003 - August 2006
Community Care Behavioral Health April 2002 - April 2003
Vale-u-Health May 2001 - December 2001
UPMC Health Plan December 1997 - May 2000
Skills
Managed Care, Healthcare Management, Medicare, Hospitals, Health Insurance, Medicaid, Vendor Relations, Customer Service, Contract Negotiation, Healthcare Industry, Healthcare Information..., PPO, Physician Relations, Provider Relations, Network Development, EHR, Credentialing, HIPAA
Education
Robert Morris University 1993 — 1996
BSBA, Healthcare Administration
Wellbridge Health 2015 - Present
ZCorp April 2011 - Present
Gateway Health Plan May 2005 - April 2011
Sewickley Valley Hospital 1991 - 1994
Skills
Dual-Eligible Insurance..., Strategic Planning, Retreat Facilitation, Project Planning, Executive Coaching, Large Group Facilitation, Retreats, Workshop Facilitation, Teaching, Leadership, Team Building, Healthcare, Healthcare Industry, Project Management, Medicare, Process Improvement, Nonprofits, Healthcare Information..., Change Management, Business Strategy, Public Speaking, Marketing Strategy, Organizational..., Management Consulting, Strategy, Entrepreneurship, Leadership Development, Coaching, Training, Program Management, Executive Management, Management, Performance Improvement, Cross-functional Team..., Start-ups
Education
Duquesne University 2010 — 2011
Certificate, Professional Coaching
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1990 — 1991
MBA
Carlow College 1984 — 1987
BSN, Nursing
Gateway Health Plan November 2013 - Present
FCm Travel Solutions September 2012 - May 2013
Teledyne Technologies Incorporated March 2012 - June 2012
Five Star Development October 2010 - March 2012
Ascension Lutheran Church July 2008 - March 2011
Westinghouse Electric Company August 2010 - October 2010
Psychology Software Tools, INC. August 2000 - October 2008
Arby's Restaurant Group April 1993 - August 2000
Skills
ASP.NET, C#, VB.NET, C++, SQL Server, ASP.NET MVC, .NET, Visual Studio, Software Development
Education
Slippery Rock University of Pennsylvania 1994 — 2000
Computer Science
Highmark Inc. March 2015 - Present
Gateway Health Plan November 2012 - March 2015
Fox Chapel Golf CLub 2012 - 2014
UPMC Senior Living October 2010 - August 2012
Capital Grille 2006 - 2009
Wildwood Golf Club June 2006 - July 2007
Duquesne Club September 2001 - March 2003
Skills
Menu Development, Microsoft Office, Legal Research, Westlaw, Time Management, Legal Writing, Wine, Microsoft Word, Operations Management, Cooking, Civil Litigation, Employee Benefits, Family Law, Mediation, Estate planning, trust..., Food, Restaurants, Microsoft Excel, Training, Hospitality, Customer Service, Management
Education
Robert Morris University 2014 — 2016
Bachelor's Degree, Organizational Leadership
CCAC 2009 — 2013
Associate's Degree, Paralegal & Business program, 3.86 GPA
P.I.C.A. 1992 — 1993
Associate of Arts (A.A.), Restaurant, Culinary, and Catering Management/Manager
Mindteck January 2015 - May 2015
PNC January 2014 - December 2014
Highmark Health Solution September 2012 - November 2013
EDMC May 2012 - July 2012
Gateway Health Plan June 2011 - April 2012
Highmark Blue Cross Blue Shield May 2006 - May 2011
COMSEC 2004 - 2005
Carnegie Mellon University 2002 - 2003
ISSA 2002 - 2002
Skills
SDLC, Process Improvement, Requirements Analysis, Business Analysis, Software Project..., Project Management, Requirements Gathering, Integration, Solution Architecture, Vendor Management, Software Development, PMP, PMO, SQL, Program Management, MS Project, Business Intelligence, Visio, Gap Analysis
Education
Carnegie Mellon University 2002 — 2003
Software Engineering MSE- IT
University of Limpopo 1998 — 2001
Bachelor of Science (BSc)
Corinthian Colleges July 2011 - Present
Robert Morris University March 2011 - December 2012
EDMC January 2008 - January 2011
Kop-Coat, Inc. 1998 - 2007
Gateway Health Plan 1995 - 1998
Bertholon-Rowland 1987 - 1993
Skills
Higher Education, Resume Writing, Staff Development, Public Speaking, Student Affairs, PowerPoint, Outlook, Accounting, Teaching, Microsoft Excel, Customer Service, Adult Education, Leadership Development, Training, Classroom, Employee Training, Student Development, Leadership, Distance Learning, E-Learning, Enrollment Management, Curriculum Development, Admissions, Student Financial Aid, Educational Leadership, Academic Administration
Education
South University 2011 — 2013
MBA, Accounting
Robert Morris University 2011 — 2012
MBE, Education
Duquesne University 1996 — 1998
BSBA, Accounting
At Your Doorstep Mobile Notary & Weddings, LLC December 2011 - Present
Signature Health Care April 2011 - October 2012
LHC Group May 2010 - December 2010
Gateway Health Plan December 2007 - June 2009
Confessore's Italian Restaurant 2005 - 2007
Exit Realty Premier Properties 2003 - 2005
Kemper National Services 2001 - 2003
Bethesda Memorial Hospital 2000 - 2001
Florida Health Choice, Inc 1992 - 2000
Care For Life, Inc 1987 - 1992
Skills
Managed Care, Healthcare, Healthcare Management, Medicare, Medicaid, Insurance, Health Insurance, HIPAA, Credentialing, Data Analysis, Management, Provider Relations, Medical Billing, NCQA, Healthcare Industry, Health Policy, Accreditation, Data Entry, Human Resources, Healthcare Information..., Healthcare Consulting, Policy
Education
Palm Beach State College 1997 — 1999
Associate of Arts (AA), Business (graduated Cum Laude)
ALF Online
Assisted Living Facility Administrator
PNC August 2014 - Present
PNC June 2013 - Present
Gateway Health Plan August 2011 - June 2013
Dollar Bank July 2000 - August 2011
Dollar Bank October 1999 - July 2000
Skills
Windows Server, Security, VMware, Troubleshooting, Network Security, Windows, Active Directory, Unix, Disaster Recovery, Data Center, F5 BigIP, Microsoft Exchange, Project Planning, Virtualization, Cisco Nexus, Switches, Windows 7, Networking, Network Administration, Routers, Network Design, VPN, Routing, WAN, Network Engineering
Education
Robert Morris University 2012 — 2016
Organizational Leadership
Community College of Allegheny County 1999 — 1999
obtained a certificate, Computer Information Sciences
Diamond Pharmacy Services June 2015 - Present
Genoa, a QoL Healthcare Company April 2014 - June 2015
Express Scripts September 2007 - April 2014
Walgreens Pharmacy June 2006 - August 2007
Eckerd Community Pharmacy February 2006 - March 2006
Presbyterian Senior Care LTC January 2006 - February 2006
Mercy Hospital Diabetic Unit November 2005 - December 2005
Select Specialty Hospitals LLC® October 2005 - November 2005
Gateway Health Plan September 2005 - October 2005
UPMC McKeesport Hospital August 2005 - September 2005
Skills
Pharmacy Benefit..., Patient Counseling, Managed Care, Clinical Pharmacy, Immunization...
Education
Duquesne University 2000 — 2006
Doctorate of Pharmacy, Pharmacy, Magna Cum Laude
Gateway Health Plan January 2009 - Present
Shawn C. Files, MD LLC January 2008 - Present
MedExpress Urgent Care February 2006 - August 2007
Concentra Medical Centers November 2004 - February 2006
Duquesne University December 2000 - January 2003
Education
University of Cincinnati College of Medicine 1991 — 1995
Denison University 1985 — 1989
BS, Biology
PPL Corporation February 2012 - Present
SkillsUSA Council July 2006 - February 2012
Gateway Health Plan September 2004 - July 2006
Skills
Myers Briggs Certified..., Strategic Planning, Budget, Program Management, Non-profits, Leadership Development, Public Speaking, Event Planning, Team Building, Coaching, Customer Service, PowerPoint, Project Management, Team Leadership, Management, Budgets, Process Improvement, Volunteer Management, Nonprofits, Fundraising, Higher Education, Grant Writing, Program Development, Training, Time Management, Leadership, Event Management, Staff Development, Public Relations, Community Development, Policy, Social Media, Community Outreach, Organizational..., Social Networking
Education
Saint Joseph's University - Erivan K. Haub School of Business 2006 — 2007
MBA, Busniess Administration
Muhlenberg College 2003 — 2005
Bachelors, Business Administration
Northampton Community College 1997 — 2001
Associates Degree, Business Administration
Rite Aid Pharmacy July 2015 - Present
Gateway Health Plan July 2015 - Present
Rose E. Schneider Family YMCA September 2006 - Present
Rite Aid Pharmacy January 2013 - July 2015
Gateway Health Plan September 2014 - May 2015
Cardinal Health Nuclear Pharmacy May 2012 - November 2014
Duquesne University August 2010 - May 2013
Skills
Immunization, Clinical Research, Microsoft Excel, Aseptic Technique, First Aid, Research
Education
Duquesne University 2009 — 2015
Doctor of Pharmacy (Pharm.D.), Pharmacy
JLL January 2014 - Present
Federated Investors, Inc. September 2012 - December 2013
Federated Investors, Inc. June 2011 - September 2012
Pittsburgh Steelers August 2010 - January 2011
Gateway Health Plan May 2010 - August 2010
Skills
Microsoft Office, Data Analysis, Social Media, Mutual Funds, Customer Service, Microsoft Excel, Research, Marketing, Market Research, Microsoft Word
Education
Point Park University 2013 — 2014
Master of Business Administration (MBA), Business Administration and Management, General
Duquesne University 2007 — 2011
Bachelor of Business Administration (B.B.A.), Marketing
Shaler Area High School 2005 — 2007
High School Diploma
Bacharach September 2013 - May 2015
Bloom Engineering Company September 2010 - March 2013
Gateway Health Plan February 2006 - September 2010
Trinity Industries November 1999 - March 2005
Housing Authority City of Pittsburgh July 1990 - September 1998
Skills
Human Resources, Recruiting, Employee Benefits, Labor Relations, FMLA, HR Policies, Workforce Planning, Policy, Payroll, Administration, Deferred Compensation, Management, Onboarding, Talent Acquisition, Benefits Administration, Employee Relations, Interviews, Technical Recruiting, Talent Management
Education
Point Park University 2000 — 2003
BS, Human Resources Management
The Boston Consulting Group June 2015 - August 2015
Blueprint Talent Group January 2015 - March 2015
Dartmouth College September 2014 - November 2014
Dartmouth College June 2014 - November 2014
Dartmouth College September 2013 - August 2014
Dartmouth College April 2013 - June 2014
Gateway Health Plan December 2013 - January 2014
Skills
Spanish, Research, Data Analysis, Statistics, Editing, Qualitative Research, R, Nonprofits, Quantitative Research, Italian, Photography, Microsoft Office, Adobe Creative Suite, Literature Reviews, Quantitative Analytics, Team Leadership, Teamwork, Dependable Team Player, Asking Questions, Tutoring, Critical Thinking, Leadership, Fundraising, Data Collection, Public Speaking, PowerPoint, Microsoft Excel, Market Research, Creative Writing, Writing, Computer Proficiency, Microsoft PowerPoint
Education
Dartmouth College 2012 — 2016
Bachelor of Arts (BA), Romance Languages, Literatures, and Linguistics
Universidad Argentina de la Empresa 2015 — 2015
Study Abroad Program, Spanish Language and Literature
Vincentian 2008 — 2012
High School, 5.27 (4.0 scale)
Gateway Health Plan November 2014 - Present
Fairmont Federal Credit Union March 2013 - November 2014
Fairmont Federal Credit Union January 2013 - April 2013
Fairmont Federal Credit Union October 2010 - December 2012
Skills
Customer Service, Outlook, Microsoft Office, PowerPoint, Microsoft Word, Microsoft Excel, Phone Skills, Research, Ethics, Office Management, Office Equipment, Public Speaking, Time Management, Accounting, Federal Reserve, Credit Unions, MBA, Bank Secrecy Act, Project Management, Computer Information..., Consensus Building, Strategic Planning, Mobile Banking, Vendor Management, Internet Banking, Political Science, SQL
Education
Fairmont State University 2012 — 2014
Master of Business Administration (MBA)
West Virginia University 2004 — 2009
Bachelor of Arts, Political Science
US Senate Youth Program 2004 — 2004
Lewis County High School 2000 — 2004
High School Diploma
Wisconsin Department of Health Services August 2013 - Present
Epic September 2010 - March 2013
GATEWAY HEALTH PLAN January 2010 - May 2010
AINSMAN, LEVINE & DREXLER, LLC August 2008 - May 2010
WOMEN'S LAW PROJECT May 2008 - July 2008
ALLEGHENY COUNTY COURT OF COMMON PLEAS May 2008 - July 2008
SOUTHWESTERN PA PULMONARY AND SLEEP MEDICINE, LTD January 2006 - August 2007
Skills
French speaking, Excel, Visio,..., Critical Thinking, Problem Solving, Problem Analysis, Team Management, Legal Research, Appeals, French, Microsoft Excel, Criminal Law, Policy, Legal Writing, Research, Arbitration, Healthcare Information...
Education
University of Pittsburgh School of Law 2008 — 2010
Juris Doctor, Health Law
University of Pittsburgh 2000 — 2005
of Arts and Sciences; Bachelors of Arts, Philosophy, French, History
Independent Enterprise. Inc September 2014 - Present
Rainbow Inc. May 2013 - Present
Ross shop n save March 2014 - October 2014
Ross's Shop n Save October 2013 - September 2014
Rainbow Inc. May 2013 - November 2013
The Children's Institute December 2012 - April 2013
unknown September 2011 - October 2012
Gateway Health Plan June 2000 - September 2011
UPMC November 1998 - June 2000
U.P.M.C Falk Clinic December 1996 - November 1998
Skills
Medical Terminology, ICD-9, CPT, Microsoft Office 2007, Excel, Computer Repair, Children, Software Knowledge, Microsoft office 2010, Creative Writing, Adobe Creative Suite, Adobe Acrobat, Microsoft Excel, Public Relations, Administration, Community Outreach, Cpr Certified, Volunteer Management, Software Documentation, Medical Records, Event Planning, Nursing, Microsoft Word, Hospitals, Spreadsheets, Customer Service, Policy, Program Development, Healthcare, Insurance, Office 2010, Teamwork, Social Media, Inpatient, Grant Writing, Training, Microsoft Office, Time Management, PowerPoint, Facebook, Office Management, Home Care, Research, Outlook, Editing, Teaching, Data Entry, Fundraising, Event Management, Social Networking
Education
Community College of Allegheny County 1994 — 1995
certificate, medical coding insurance specialist, 3.0
St.Clairsville High School 1983 — 1987
diploma, business, 3.0
WellCare Health Plans June 2015 - Present
Gateway Health Plan August 2010 - June 2015
iHealth Technologies August 2007 - June 2010
The Children's Institute April 2003 - April 2007
Skills
Healthcare Information..., Healthcare Consulting, Medicare, Medicaid, Healthcare Management, Managed Care, Hospitals, Health Policy, HIPAA, HEDIS, Clinical Research, ICD-10, Health Information...
Education
University of Pittsburgh School of Medicine 1986 — 1991
MD
University of Pittsburgh 1982 — 1986
Bachelor's degree, Chemistry
Gateway Health Plan September 1992 - Present
Central Medical Health Plan February 1989 - September 1992
Skills
Medicare, Managed Care, Healthcare Information..., Medicaid, Process Improvement, HIPAA, Health Insurance, Healthcare Consulting, Physician Relations, Healthcare Management, Team Building, Healthcare Industry, Business Analysis, Health Policy, Vendor Management, Program Management, Healthcare, Strategic Planning
Education
University of Pittsburgh 1986 — 1989
MHA, Health Administration
Univerisity of Pittsburgh
naviHealth June 2014 - November 2014
TEKsystems October 1997 - November 2014
Exel May 2014 - June 2014
PNC Bank August 2012 - March 2014
Lash Group July 2012 - July 2012
Dicks Sporting Goods September 2011 - June 2012
Gateway Health Plan June 2011 - September 2011
CVS/Caremark July 2009 - June 2011
IBM Global Services/Columbia Gas February 2006 - July 2009
Zurich North America February 2006 - February 2006
Skills
Troubleshooting, Active Directory, System Administration, Servers, Networking, Technical Support, Windows XP, Hardware, Microsoft Exchange, Operating Systems, Network Administration, XP, Windows 7, Windows 7 Migration, Dell Computers
Education
Riverhead Training Agency 1997 — 2001
MCSE for NT4, Microsoft Certified Systems Engineer
Hewlett Packard Education Center 1990 — 1990
HP UNIX
School of Computer Technology 1989 — 1990
Certificate, Computer Science
Community College of Allegheny County 1985 — 1986
Structural Design and Drafting
Connelly Skill Learning Center 1982 — 1984
Studies in Automotive Technology
South Park High School 1977 — 1981
Diploma, General Studies
S.J. Engott Middle School 1976 — 1977
Overbrook Elementary 1975 — 1976
Fairview Elementary 1968 — 1975
Actium Corporation
MCSE Certification
Job Seeker January 2015 - Present
The CPR School October 2009 - December 2014
Gateway Health Plan December 2007 - July 2009
CyraCom April 2004 - October 2006
Cardinal Health June 1999 - September 2003
Cardinal Health 1999 - 2003
Skills
Needs Asesment, Strategic Planning, Closing Business, Medical Devices, Account Management, Cold Calling, Sales, Leadership, Healthcare, Sales Process, Sales Management, Customer Service, Pharmaceutics, Selling, Hospitals, Sales&Marketing, Strategy, Marketing, Contract Negotiation, Budgets, Public Speaking, Sales Operations, Coaching, Management, Marketing Strategy, Salesforce.com, Training, Recruiting, Managed Care, Solution Selling, New Business Development, Direct Sales, Health Insurance, Cross-functional Team..., Team Building, Selling Skills, Sales Presentations, Product Launch, Pharmaceutical Sales, Cardiology, Capital Equipment, Market Development, Sales Force Development, Urology, Customer Retention, B2B, Operating Room, Disposables, Surgeons, OB/GYN
Education
Duquesne University 1983 — 1987
Bachelors, Communications
Northgate High School
Pennsylvania Association of Community Health Centers September 2014 - Present
AmeriHealth Caritas December 2012 - September 2014
The AmeriHealth Mercy Family of Companies September 2001 - December 2012
Department of Public Welfare - Bureau of Managed Care Operations 1999 - 2001
Gateway Health Plan 1998 - 1999
Skills
Experienced leader in..., Driven toward higher..., Excellent..., Noted record of success..., Comprehensive knowledge..., Leadership, Budgets, Healthcare, Community Outreach, Access, Management, Office Management, HIPAA, Payroll, Software Documentation, Administration, Employee Relations, Medicaid, Team Building, Outlook, Training, Strategic Planning
Education
Central Pennsylvania College 2006 — 2009
Bachelor of Business Administration (BBA)
Central Penn College 2006 — 2007
Certificate, Human Resources
Life Christian University 2000 — 2004
Advanced Diploma, Theology
Sesame Workshop March 2015 - Present
Sesame Workshop March 2012 - Present
Mt. Sinai School of Medicine September 2011 - March 2012
Gateway Health Plan June 2010 - February 2011
Clifford Chance US LLP April 2006 - February 2010
Morgan Stanley Investment Management November 2004 - April 2006
New Line Cinema May 2004 - November 2004
Skills
Human Resources, Employee Relations, Microsoft Excel, Payroll, HRIS, Customer Service, PeopleSoft, Employee Benefits, Outlook, Microsoft Office, Time Management, ADP Payroll, Microsoft Word, Multi-state Payroll..., PowerPoint, Wage Garnishments, Manual Checks, Time & Attendance, ADP HRB
Education
SUNY Albany 2001 — 2002
Bachelor of Arts (B.A.), Rhetoric & Communication
Orange County Community College 1999 — 2000
Associate of Arts (A.A.), Liberal Arts and Sciences, General Studies and Humanities
Gateway Health Plan September 2010 - Present
Pittsburgh Tribune-Review September 2010 - Present
Self-Employed January 2010 - October 2010
GlaxoSmithKline Consumer Healthcare May 2009 - September 2009
UPMC January 1999 - January 2008
National Air Traffic Controllers Association January 1998 - January 1999
Video Monitoring Services of America January 1996 - January 1998
WDTV-TV May 1995 - January 1996
WPXI-TV November 1993 - January 1995
Skills
Press Releases, Media Relations, Public Relations, Internal Communications, Corporate Communications, Storytelling, Editorial, Newsletters, Research, Feature Articles
Education
Duquesne University
Bachelor of Arts, Communications
Hinman Straub P.C. July 2011 - Present
Crystal Run Healthcare LLP March 2009 - July 2011
Gateway Health Plan March 2004 - February 2009
Gateway Health Plan March 2004 - June 2004
DKW Law Group November 2001 - March 2004
Kirkpatrick & Lockhart September 1999 - November 2001
Skills
Corporate Governance, Corporate Law, Litigation Management, Intellectual Property, Litigation
Education
SUNY Buffalo Law School 1996 — 1999
JD, Law
University at Albany, SUNY 1992 — 1994
MPA, Public Management
State University of New York College at Oneonta 1988 — 1992
BS, Economics
Geisinger Health System July 2013 - December 2014
Gateway Health Plan May 2008 - July 2013
UPMC May 2008 - May 2011
UPMC July 2006 - May 2008
Skills
Inpatient, Patient Safety, Healthcare, Acute Care, Hospitals, Medicaid, HEDIS, Medicare, Managed Care, Clinical Pharmacy, Board Certified...
Education
Boston Medical Center 2005 — 2006
Pharmacy Practice Residency
University of Pittsburgh 1999 — 2005
Doctor of Pharmacy (Pharm.D.), Pharmacy
Gateway Health Plan, August 2012 - Present
i May 2012 - October 2012
Pennsylvania House of Representatives December 2010 - 2012
Education
University of Pittsburgh 1992 — 1996
B.A., Communications - Rhetorical Studies
La Salle University
Corporate Communications
Gateway Health Plan May 2008 - Present
84 Lumber January 2002 - May 2008
84 Lumber 2002 - 2006
McCarthy Tire 1998 - 2001
Skills
Recruiting, Employee Relations, Sourcing, Organizational..., Leadership, College Recruiting, Team Leadership, Interviews, Diversity, Talent Management, Performance Management, Human Resources, Resume Writing, Succession Planning, Job Fairs, Workforce Planning, Talent Acquisition, Affirmative Action, Internet Recruiting, Sales, Technical Recruiting
Education
Waynesburg College 2009 — 2011
Master of Business Administration (MBA), Human Resources/Leadership
Clarion University of Pennsylvania 1994 — 1998
Bachelor's degree, Business Administration and Management, General
Gateway Health Plan November 2014 - Present
Skills
Healthcare, Medicaid, Provider Relations, Medicare, Managed Care, Leadership, Management, Clinical Research, HIPAA, Healthcare Information..., Healthcare Management, Health Policy, Pharmacy Benefit..., HMO, Utilization Management, Quality Improvement, Process Improvement, Disease Management, Medicaid Managed Care, Healthcare Consulting, Healthcare Industry, Revenue Cycle, Health Insurance, Physician Relations, Clinical Systems..., Physicians, Medicare Part D, Hospitals, Accreditation
Education
Maryville University of Saint Louis 2000 — 2002
MBA, Business Administration
Maryville University of Saint Louis 1993 — 1997
BA, Psychology, Sociology
Berwick Retirement Village April 2011 - May 2012
Gateway Health Plan June 2006 - September 2010
Gateway Health Plan March 2002 - June 2006
Berwick Area United Way March 1992 - March 2002
Skills
Social Services, Nonprofits, Fundraising, Medicare, Non-profits, Customer Service, Medicaid, Policy, Grant Writing, Training, Community Outreach, Healthcare, Volunteer Management, Leadership, Microsoft Office, Event Planning, Program Management, Public Relations
Education
University of Scranton 2004 — 2008
MHA, Health Administration
Bloomsburg University of Pennsylvania 1988 — 1991
UnitedHealth Group January 2011 - Present
Unison Health Plan/AmeriChoice October 2007 - January 2011
West Penn Allegheny Health System March 2003 - September 2007
Gateway Health Plan March 2002 - March 2003
Skills
Healthcare, Hospitals, Managed Care, Health Insurance, Healthcare Management, Negotiation, Contract Negotiation, Analysis, Team Building, Business Intelligence, Data Analysis, Financial Analysis, Insurance, Quality Assurance, Strategic Planning, Physicians, Provider Relations, Program Management, PPO, Medicaid, Medicare, HMO, Network Development, Healthcare Industry
Education
Carnegie Mellon University 2003 — 2007
Master's, Master's of Public Management
Slippery Rock University of Pennsylvania 1992 — 1996
B.S., Health Administration and Business
JHS
Gateway Health Plan April 2010 - Present
Merck Pharmaceuticals July 1997 - June 2010
Merck 1997 - 2009
Highmark Blue Cross Blue Shield January 1989 - July 1997
Skills
Healthcare, Leadership, Managed Care, Healthcare Management, Nursing, Hospitals, Pharmaceutical Sales, Public Health, Medicaid, Pharmaceutical Industry, Medicare, Health Education, Training, Diabetes, Neurology, Disease Management, Medical Devices, Clinical Research, Cardiology, Infectious Diseases, Endocrinology, Urology, Osteoporosis, Gastroenterology, Allergy, Orthopedic, Rheumatology, Internal Medicine, Sales Effectiveness
Education
Duquesne University 1993 — 1995
Master of Science in Nursing
La Roche College 1984 — 1987
Bachelor of Science in Nursing
Gentech Provide project management professional services for assigned clients per engagement specifications. Currently engaged as a senior project manager for a large healthcare organization managing multiple projects. Sr. ManagerSDLC PartnersAugust 2012 - July 2015
West Penn Allegheny Health System January 2011 - August 2012
Gateway Health Plan December 2005 - October 2010
Gateway Health Plan March 1996 - December 2005
CISCORP 1990 - 1996
Mellon Bank 1983 - 1990
Skills
SDLC, Visio, Requirements Analysis, PMO, Oracle, Change Management, Software Project..., Healthcare Information..., Process Improvement, PMP, SharePoint, Integration, Vendor Management, Business Intelligence, Software Documentation, Data Management, HIPAA, SQL, Project Management, Program Management, Healthcare, Business Analysis, Disaster Recovery, Enterprise Architecture, Strategic Planning, Agile Methodologies, Access, Leadership, IT Management, Management, Business Process, ITIL, IT Strategy, Microsoft SQL Server, Data Warehousing, EHR, Systems Analysis, MS Project, Software Development, Databases, Data Center, Business Process..., Project Portfolio..., Requirements Gathering, Quality Assurance, Information Technology, ERP, Cross-functional Team..., Budgets, Software Implementation
Education
Duquesne University 2007 — 2008
Master's Certificate in IT Project Management
Point Park University 1968 — 1972
BS, Information Sciences
Coventry Health Care August 2010 - Present
Coventry Health Care February 2007 - Present
Coventry Health Care October 2005 - Present
Dupree Financial Services August 1994 - Present
Gateway Health Plan May 1994 - February 2005
Skills
Public Speaking, Internal Communications, Managed Care, Event Planning, Strategic Planning, Strategic Communications, Community Outreach, Corporate Communications, Newsletters, Marketing Communications, Nonprofits, Proposal Writing, Leadership, Media Relations, Fundraising, Community Development, Public Relations, Marketing, Leadership Development, Training, Team Building, Coaching, Policy, Program Management, Organizational..., Volunteer Management, Program Development, Budgets, Research
Education
Lincoln University 1976 — 1980
Bachelor of Science (B.S.), Chemistry
Central Catholic HS
Gateway Health Plan October 1994 - Present
Gateway Health Plan October 2001 - February 2005
Gateway Health Plan October 1997 - October 2001
Gateway Health Plan October 1994 - October 1997
Education
Carnegie Mellon University 1981 — 1985
BS, Industrial Management wit a concentration in Managerial Economics
Gateway Health Plan Marketing managerGateway HospiceJune 2004 - September 2005
Education
Waynesburg University 2006 — 2008
MBA, Healthcare Business
University of Pittsburgh
Gateway Health System March 2013 - Present
Gateway Health System May 2012 - March 2013
Gateway Health Plan April 2007 - May 2012
Ion Health 2004 - 2006
Skills
Process Improvement, Access, Data Analysis, Visio, HIPAA, Software Documentation, Business Analysis, Analysis, Microsoft Office, Cognos, Health Insurance, Microsoft Excel, Customer Service, Healthcare Information..., Outlook
Education
Pennsylvania State University-Erie Campus 2000 — 2004
Bachelor of Science (B.S.), Business Management
UPMC Health Plan September 2011 - Present
UPMC Health Plan August 2010 - September 2011
Gateway Health Plan June 2006 - October 2010
Partners Community Healthcare, Inc 2004 - 2006
Eliza Corporation 2002 - 2004
Skills
Process Improvement, Business Analysis, Analysis, Data Analysis, Healthcare Information..., HIPAA, Access, Healthcare, SQL, Project Management
Education
Carnegie Mellon University 1996 — 2000
Virginia Premier Health Plan, Inc. July 2012 - Present
Gateway Health Plan August 2008 - June 2012
Health America September 2006 - July 2008
Skills
HEDIS, Medicaid, Managed Care, Healthcare Management, Medicare, Healthcare, Healthcare Information..., Healthcare Industry, Hospitals, Disease Management, Health Insurance, Family Medicine, Healthcare Consulting, Board Certified
Education
Penn State University 2004 — 2006
Master of Business Administration (MBA)
Temple University School of Medicine 1990 — 1994
Doctor of Medicine (MD)
Highmark Blue Shield November 2011 - Present
Highmark Blue Shield January 2007 - December 2011
Gateway Health Plan 2003 - 2007
Pennsylvania Physicans Care 1997 - 1999
Skills
Grants, Health Literacy, Healthcare, Community Outreach, Corporate Social..., Health Equity, Public Speaking, Public Relations, Fundraising, Event Planning, Strategic Planning, Social Media, Customer Service, Microsoft Office, Program Development, Health Insurance, Marketing Communications, Program Management, Community Development, Health Policy, Medicare, Volunteer Management, Grant Writing, Media Relations, Event Management
Education
Boston College 2006 — 2006
Certificate, Corporate Social Responsibility
Millersville University of Pennsylvania
B.S. Ed, Elementary Education
PNC March 2015 - Present
Physician Reliance Network Inc September 2014 - March 2015
Gateway Health Plan September 2010 - September 2014
Wesley Spectrum Services January 2008 - September 2010
Levin Furniture April 2002 - January 2008
Levin Furniture January 2000 - April 2002
Columbia Energy Services October 1997 - December 1999
Equitable Gas Company June 1988 - September 1997
Columbia Gas Transmission September 1986 - June 1988
Skills
Security, Disaster Recovery, Information Security, HIPAA, Process Improvement, Software Documentation, Information Security..., PCI DSS, Data Center, Network Security, Program Management, Information Technology, Vendor Management, Team Building, Project Management, Computer Security, Management, Strategic Planning, Microsoft Office, ISO 27001, Risk Assessment, Enterprise Software, Leadership, Networking, CISSP, Budgets, Customer Service, Change Management, Telecommunications..., Information Systems, Physical Security, NIST, HITECH, PCI Standards, IT GRC, BYOD, Risk Management, Remediation, Encryption, NIST 800-53
Education
University of Pittsburgh 2000 — 2002
Master's Degree, Management Information Systems, General
University of Pittsburgh 1993 — 1996
Masters, Business Administration
California University of PA
Bachelor of Science, Business Administration - Finance
Gateway Health Plan August 2013 - Present
Gateway Health Plan November 2005 - Present
Dicks Sporting Goods 2000 - 2005
University of Pittsburgh - CIS/CSSD January 1996 - May 2000
Skills
Troubleshooting, Microsoft SQL Server, Data Analysis, Database Administration, Visio, Windows, SQL, Software Documentation, Project Management, Unix, Databases, Oracle, Analysis, Unix Shell Scripting, PL/SQL, Business Intelligence, Business Analysis, Software Project..., Integration, SDLC, Requirements Analysis
Education
University of Pittsburgh 1993 — 1995
MS, Information Science
University of Pittsburgh 1984 — 1988
BSE, Mining Engineering
Gateway Health Plan September 2012 - Present
CBHNP September 2005 - September 2012
Skills
Analysis, Budgets, Customer Service, Healthcare, Healthcare Management, Insurance, Leadership, Managed Care, Medicaid, Mental Health, Non-profits, Nonprofits, Public Speaking, Staff Development, Strategic Planning, Team Building, Case Management, Clinical Research, Hospitals, Management, Microsoft Excel, Microsoft Office, Program Development, Project Management, Research, Sales Process, Social Services, Training
Education
Juniata College 1973 — 1977
B.S., Microbiology
Adecco March 2009 - August 2010
Kelly Services October 2008 - March 2009
Gateway Health Plan February 2006 - September 2008
HealthAmerica May 1999 - December 2005
Education
Community College of Allegheny County 1981 — 1983
AAS, Infant and Child Care
Gateway Health Plan August 1996 - Present
South Hills Health System June 1991 - August 1996
Leader Skilled Nursing Facility April 1991 - July 1995
Skills
Medicare, Medicaid, HEDIS, Managed Care, Healthcare, Nursing, Healthcare Management, Healthcare Industry, Hospitals, Healthcare Information..., Healthcare Consulting, HIPAA, Community Health, EMR, Disease Management, Clinical Research
Education
California University of Pennsylvania 1993 — 1997
Bachelors, Education
Citizens General Hospital School of Nursing 1974 — 1977
Diploma, Nursing
Universal American January 2010 - February 2013
Amerigroup Corporation April 2007 - August 2008
Gateway Health Plan 2005 - 2007
Kaiser Permanente Ohio 2000 - 2005
Skills
Utilization Review, HEDIS, Medicare, Disease Management, Healthcare, Quality Improvement, Accreditation and..., Managed Care, Medicaid, Healthcare Industry, NCQA, Health Policy, Credentialing, Medicaid Managed Care, Accreditation, Leadership, Provider Relations, JCAHO, HIPAA, Performance Improvement, Healthcare Consulting, Utilization Management, Physicians, Healthcare Management, Revenue Cycle, Population Management, HMO, Healthcare Information..., Health Insurance, EHR, Medical Compliance, EMR, Practice Management, Hospitals, Informatics, Medicare Part D, Medical Coding, Medical Billing, PPO, Revenue Cycle Management, Physician Relations, Pharmacy Benefit..., Meditech, Network Development, Health Information..., Epic Systems, Clinical Research
Education
Gannon University
MS HSA, Health Service Administration
Villa Maria College of Gannon University
BSN, Professional Nursing
Gateway Health December 2014 - Present
Gateway Health Plan December 2013 - December 2014
Highmark Blue Cross Blue Shield June 2012 - December 2013
Highmark June 2010 - June 2012
Highmark Blue Cross Blue Shield January 2008 - June 2010
Highmark 2009 - 2010
Highmark January 2005 - January 2008
Skills
Six Sigma, Cross-functional Team..., Process Improvement, Business Process..., Visio, Business Process..., Business Analysis, SDLC, Business Process Design, Project Management, Program Management, Business Process, Continuous Improvement, Data Analysis, Root Cause Analysis
Education
University of Phoenix 2003 — 2005
Masters, Business Administration
University of Phoenix 2000 — 2003
Bachelor, Information Technology
Soroptimist International of Pittsburgh 1984 - Present
Gateway Health Plan March 2002 - October 2014
PNC Bank 1973 - 2001
Skills
Community Outreach, Event Planning, Fundraising, Government, Healthcare, Nonprofits, Public Relations, Public Speaking, Research, Program Development, Volunteer Management, Data Analysis, Leadership, Organizational..., Program Management, Managed Care, Process Improvement
Education
Hood College 1968 — 1972
B.A., French, Spanish
University of Pittsburgh October 2014 - Present
Luxe Boutique July 2011 - Present
Aetna June 2012 - October 2014
Gateway Health Plan March 2006 - June 2012
PNC September 2005 - March 2006
Skills
Apparel, Jewelry, Facebook, Handbags, Shoes, E-commerce, Gifts, Sales, Policy, Retail, Healthcare, Entrepreneurship, Research, Medicare, CMS, Start-ups, Management, Recruiting, Nonprofits, Team Building, Training, Small Business, Marketing, Public Relations, Social Networking, Public Speaking, Outlook, Online Marketing, Insurance, Leadership, Community Outreach, Leadership Development, Program Development
Education
University of Pittsburgh 2007 — 2009
Masters in Education, Social Comparative Analysis in Education
Pennsylvania Black Conference on Higher Education (PBCOHE)
Member
Gates Millennium Scholar
Ambassador
Duquesne University
Bachelor of Arts (B.A.)
Meg A Phone May 2007 - Present
Gateway Health Plan March 1997 - March 2005
PNC Bank June 1991 - February 1997
Education
Saint Vincent College 1985 — 1989
BA, Mathematics - Education
Gateway Health Plan July 2009 - Present
CCAC February 1999 - Present
Artech Information Systems L.L.C. March 2009 - July 2009
United States Steel 1994 - 2009
Skills
Databases, PL/SQL, Microsoft SQL Server, Access, Oracle, Windows, Data Management, Microsoft Office, VMware, T-SQL, SQL, Database Administration, Disaster Recovery, Consulting, Process Improvement, SDLC, System Administration, Vendor Management, Visio
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1986 — 1990
MBA
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1986 — 1990
MS, Management of Information Systems
Penn State University 1979 — 1983
BS, Computer Science
MoonHigh School 1975 — 1979
Diploma, College prep.
American Airlines June 2011 - Present
Gateway Health Plan December 2008 - June 2011
Lantek Computer Services September 1999 - December 2008
Education
Robert Morris University 2004 — 2006
Bachelors, Professional Communications and Information Systems
Fox Chapel High School 1984 — 1987
Academic
Highmark, Inc. May 2015 - Present
Gateway Health October 2013 - April 2015
Highmark, Inc. March 2012 - October 2013
Gateway Health Plan March 1999 - March 2012
UPMC Health Plan 1998 - 1999
Skills
Medicaid, Medicare, Healthcare, Healthcare Information..., Healthcare Consulting, Disease Management, Cognos, Analysis, Budgets, Project Management, Data Management, Management, Health Insurance, Strategic Planning, Access, Insurance, Managed Care, Business Analysis, HIPAA, Financial Analysis, Process Improvement, Data Analysis
Education
Robert Morris University 1977 — 1981
BSBA, Accounting
Walgreens June 2013 - Present
Gateway Health Plan July 2010 - June 2013
Accredo Health Group June 2009 - July 2010
Medmark, A Walgreens Specialty Pharmacy September 2007 - May 2009
Highmark Blue Cross Blue Shield May 2008 - August 2008
Skills
Pharmacy, Pharmacy Benefit..., Pharmacists, Medicare Part D, Managed Care, Disease Management, Pharmaceutical Industry, Healthcare, Pharmacoeconomics, Clinical Pharmacy
Education
Duquesne University 2008 — 2012
MBA, Finance
Duquesne University 2003 — 2009
PharmD, Pharmacy
Gateway Health Plan August 2014 - Present
PNC December 2013 - August 2014
UPMC June 2011 - December 2013
McKesson Provider Technologies September 2008 - June 2011
Skills
SQL, SharePoint, Business Analysis, Microsoft SQL Server, Microsoft Virtual Server, Quality Assurance, Quality Center, SDLC, Software Documentation, Testing, Visio, Databases, User Acceptance Testing, Systems Analysis
Education
Robert Morris University 1996 — 2001
BSBA, Management Information Systems
UnitedHealth Group October 2010 - Present
UnitedHealth Group September 2005 - October 2010
HealthSouth April 2002 - September 2005
HealthSouth 2000 - 2005
Aetna US Healthcare 1998 - 2000
Gateway Health Plan March 1996 - April 1998
MetLife July 1993 - April 1996
Skills
Managed Care, Provider Relations, Medicaid, Medicare, Hospitals, Contract Negotiation, Network Development, PPO, Healthcare, Health Insurance, Leadership, Healthcare Management, Healthcare Industry, Insurance, Medicaid Managed Care, Strategic Planning, HMO, Process Improvement, Health Policy, Healthcare Information...
Education
University of Pennsylvania - The Wharton School 2014 — 2014
Aresty Institute of Executive Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1993 — 1996
MBA, Finance, Marketing
University of Pittsburgh 1988 — 1992
BS, Health Information Management
Patricia McElligott October 2007 - Present
Gateway Health Plan December 2001 - September 2007
Heinz Endowments 1990 - 1997
Skills
Proofreading, Program Development, Content Strategy, Social Media, Grant Writing, Publications, Public Speaking, Copy Editing, Non-profits, Event Planning, Content Development, Strategic Planning, Blogging, Public Relations, Editing, Books, Teaching, Feature Articles, Nonprofits, Editorial, Grants, Community Development
Education
Thiel College
B.A., English
University of Pittsburgh
Public and International Affairs
PNC April 2014 - Present
Giant Eagle December 2007 - April 2014
Gateway Health Plan March 2000 - December 2007
Federal Home Loan Bank of Pittsburgh December 1997 - March 2000
Thermal Industries, Inc. January 1996 - December 1997
US Steel April 1995 - December 1995
Beckwith Machinery Company April 1989 - April 1995
Skills
ASP.NET, SSRS, OBIEE, Delphi, PowerPivot, Microsoft Business..., PerformancePoint, Tableau
Education
Point Park University 1996 — 2000
BS, Information Technology
Community College of Allegheny County 1993 — 1995
Associate, Computer Science
Gateway Health Plan August 2011 - Present
Gateway Health Plan August 2006 - August 2011
Education
Robert Morris University 1998 — 2001
Bachelor of Science, Business Administration and Management
School name:
Gateway Health July 2009 - Present
Highmark Blue Cross Blue Shield 2005 - 2009
Gateway Health Plan August 2002 - July 2005
Saint Vincent Medical Group, Erie, PA 1996 - 2002
Skills
Disease Management, Medicine, Healthcare, Healthcare Information..., Healthcare Consulting, HMO, Utilization Management, Physician Relations, Strategic Planning, Health Policy, HIPAA, Physicians, Leadership, Health Insurance, Healthcare Industry, Healthcare Management
Education
Virginia Commonwealth University School of Medicine 1978 — 1981
Residency, Family Practice
Georgetown University School of Medicine 1974 — 1978
MD
University of Notre Dame 1970 — 1974
BS, Preprofessional Studies
Carnegie Mellon University
Certificate, Medical Management
Mitsubishi Electric Power Products Inc. January 2011 - Present
Gateway Health Plan 2009 - 2010
Gateway Health Plan 2002 - 2010
Gateway Health Plan 2002 - 2009
Pennsylvania Women Work! 2000 - 2002
Education
Community College of Allegheny County
Geisinger Health Plan February 2014 - Present
Keystone Autism Services December 2010 - January 2014
GATEWAY HEALTH PLAN March 1998 - September 2010
KEYSTONE HEALTH PLAN CENTRAL May 1996 - March 1998
Skills
Provider Relations, Provider Network..., PPO, HMO, Provider Education, Physician Network..., Capitation, Managed Care, Medicaid, Medicaid Managed Care, Medicare, Government Programs, Health Insurance, Claims Resolution, Claim Investigation, Physician Relations
Education
University of Scranton 1986 — 1990
Bachelor of Science (BS), Marketing
Aetna March 2014 - Present
North Shore-LIJ CareConnect Insurance Company, Inc. July 2013 - March 2014
Coventry, Mid Atlantic Region (HealthAmerica) March 2009 - July 2013
Gateway Health Plan 2007 - 2009
Blue Cross Blue Shield of Florida 2001 - 2007
Skills
Provider Relations, Network Development, Healthcare Management, Healthcare, Healthcare Industry, Credentialing, Insurance, PPO, Medicine, NCQA, Medicaid Managed Care, Quality Improvement, Medicare Part D, Physician Relations, Health Care Reform, Health Savings Accounts
Education
Tulane University 2002 — 2004
Master of Medical Management (MMM)
SUNY Downstate 1981 — 1985
Doctor of Medicine (MD)
University of Michigan 1977 — 1981
Bachelor of Science (B.S.), Psychology
Atlas Energy, Inc. September 2013 - Present
Weatherford June 2011 - September 2013
Gateway Health Plan June 2005 - October 2010
Cabela's April 2004 - November 2004
Giant Eagle May 2002 - December 2003
Skills
Training, Recruiting, Employee Relations, Interviews, Leadership, Human Resources, Performance Management, New Hire Orientations, Personnel Management, Employee Benefits, Deferred Compensation, Management, Policy
Education
Duquesne University 2000 — 2002
Masters, Business Administration
Bowling Green State University 1995 — 1999
BS, Sports Management
TRACO/Alcoa April 2011 - Present
Gateway Health Plan March 2003 - October 2010
The Western Pa. Hand Center September 2001 - February 2003
Mercy Hospital August 1999 - September 2001
Allegheny General Hospital August 1993 - 1999
Education
La Roche College
B.S.N, Nursing
Education Management Corporation May 2011 - Present
Comprehensive Safety Compliance, Inc January 2009 - August 2009
Pennsylvania State Police February 2008 - January 2009
Gateway Health Plan October 2006 - August 2007
Gateway Health Plan March 2006 - October 2006
PPG Architectural Finishes, Inc March 2003 - October 2004
Woodlands Foundation April 2002 - August 2002
Skills
Advertising, Marketing, Press Releases, Public Relations, Time Management
Education
Robert Morris University
Bachelor of Arts Degree, Communication; Corporate Communications
Edinboro University of Pennsylvania
Communications
Robert Morris University
Master of Science, Instructional Leadership
Gateway Health Plan
Skills
Managed Care, Program Management
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business
Master of Business Administration (M.B.A.)/MHA
The Pennsylvania State University
Bachelor of Science (B.S.)
Coventry Health Care, an Aetna Company July 2011 - Present
Gateway Health Plan December 2002 - July 2011
Skills
Medicare, Medicaid, Health Policy, Process Improvement, Medicare Part D, Health Insurance, Managed Care, HMO, Healthcare Industry, Healthcare Information..., Data Analysis, HIPAA, Disease Management, Access, HEDIS, Medicare Prescription..., Medicare/Medicaid..., Eligibility, Healthcare
Education
Waynesburg University 2006 — 2008
MBA, Healthcare Administration
University of Pittsburgh 1997 — 2002
BA, Communications
Gateway Health Plan January 2013 - Present
Converteam, Inc. February 2011 - November 2011
West Penn Allegheny Health System October 2010 - February 2011
Various Temp Positions August 2009 - October 2010
Oxford Development Company May 2006 - August 2009
Pittsburgh Cultural Trust May 2005 - March 2006
Highmark Preventive Health Services for Venturi Staffing November 2004 - May 2005
HJ Heinz January 2003 - September 2004
Three Rivers Administrative Services, LLC December 2000 - October 2002
Bookminders, Inc. for Better Solutions, Inc February 2000 - November 2000
Skills
Microsoft Office, Travel Planning, Expense Reports, Calendaring, Mail Merge, Office Management, Gmail, SAP, Meeting Planning, Purchase Requisitions, Event Planning, Front Office, Help Desk Support
Education
DeVry University 2009 — 2013
Bachelor of Science, Business Administration; Sales & Marketing
Community College of Allegheny County 1992 — 1995
Associate Degree, General Studies; English/Communications
UPMC Health Plan July 2012 - Present
UPMC Health Plan July 2010 - July 2012
UPMC Health Plan August 2007 - July 2010
Gateway Health Plan February 2002 - August 2007
Skills
Excel, Cognos, Financial Analysis
Education
University of Phoenix
Gateway Health Plan February 2015 - Present
Weston Education - Heritage College July 2013 - May 2014
Ohio Health January 2013 - July 2013
Sanford Brown College July 2012 - January 2013
CVS March 2008 - July 2012
CVS March 2008 - July 2012
Skills
Medication Therapy..., Pharmacy, Teaching, Compounding, Higher Education, Hospitals, Pharmacists, Pharmacueticals, Pharmacy Automation, Time Management, Training, Pharmacy Technicians, Healthcare
Education
California University of Pennsylvania 1988 — 1993
Bachelor of Science in Education (BSEd.), Special Education and Elementary Education, K-8
Median School of Allied Health
Certification, Medical Office Assistant/Specialist
Centers for Medicare & Medicaid Services August 2015 - Present
Centers for Medicare & Medicaid Services January 2013 - August 2015
Centers for Medicare & Medicaid Services June 2012 - January 2013
Centers for Medicare & Medicaid Services July 2010 - June 2012
Pennsylvania Medicaid Policy Center, University of Pittsburgh September 2009 - April 2010
Gateway Health Plan May 2009 - September 2009
Health Policy Institute, University of Pittsburgh September 2008 - April 2009
Carnegie Mellon University August 2004 - August 2008
Skills
Managed Care, Medicaid, Healthcare, Medicare, Policy, Writing, Word, Excel, Government, Government Relations, Health, Program Management, Microsoft Office, Strategic Planning, Quantitative, Quality, Research, Project Planning, Continuous Improvement, Community Outreach, Program Evaluation, Grants
Education
University of Pittsburgh 2008 — 2010
Master of Public Health, Health Policy & Management
Carnegie Mellon University
Chemistry
Oakland Catholic High School
UPMC Health Plan March 2006 - Present
Gateway Health Plan July 2001 - March 2006
Intracorp January 1998 - July 2001
Intracorp January 1995 - January 1998
Skills
Healthcare, Health Insurance, Medicaid, Medicare, Healthcare Industry, Hospitals, Management, Managed Care, PPO, Claim, HIPAA, Process Improvement, Health Policy, Healthcare Information..., Visio, SharePoint, Access, Healthcare Management
Education
Point Park University 1994 — 2002
Bachelor of Science (BS), Business Administration, Management and Operations
Gateway Health Plan August 2014 - March 2015
Gateway Health Plan March 2013 - July 2014
Gateway Health Plan December 2007 - March 2013
Skills
Certified Case Manager, Managed Care, Medicare, Medicaid, Healthcare Management, Healthcare, Disease Management, Data Analysis, EHR, HIPAA, Health Insurance, Health Policy, Healthcare Consulting, Healthcare Industry, Healthcare Information..., Leadership, Management, Physician Relations, Physicians, Process Improvement, Quality Improvement, Strategic Planning, Team Building
Education
University of Pittsburgh 2010 — 2015
Master of Public Health, Health Policy and Management
University of Pittsburgh 1997 — 1998
Master of Social Work, Administration
Gateway Health Plan 2008 - 2012
Skills
Problem Solving, Program Management, Project Management, Project Planning, Project Coordination, Clinical Outcomes, Microsoft Office, Community Outreach, Standards Compliance, Quality Management, Quality Assurance
Education
John Carroll University 1998 — 2001
Masters of Arts, Human Services and Community Counseling, 4.0
Ursuline College 1995 — 1998
BA, Psychology
Gateway Health Plan October 2014 - Present
Highmark Blue Cross/Blue Shield January 2010 - Present
Courtesy Privileges April 1997 - Present
WPAHS August 1990 - Present
Jefferson Regional Medical Center August 1989 - Present
Century III Medical Associates August 1989 - Present
UPMC January 2006 - December 2009
Community College of Allegheny County July 2006 - June 2009
Potomac Physicians, P.A July 1988 - June 1989
Skills
Clinical Research, Medical Education, Healthcare, Internal Medicine, Medicine, Hospitals, Emergency Medicine, Healthcare Information..., Healthcare Management, Surgery, EHR, Board Certified, Patient Safety, EMR, Healthcare Consulting, Pediatrics, Physicians, Public Health
Education
Haslam College of Business at the University of Tennessee 2012 — 2012
Master, Physician Executive of Master Business Administration
University of Tennessee
Master of Business Administration
Howard University 1980 — 1985
Doctor of Medicine (M.D.), Medicine
University of Pittsburgh 1976 — 1985
Bachelor of Science (B.S.), Biology, General
Howard University College of Medicine
Doctorate of Medicine
University of Pittsburgh
Bachelor of Science, Biology
Gateway Health Plan
Education
Point Park University
Bachelor of Arts (B.A.)
Bloom Engineering September 2010 - Present
Gateway Health Plan 2007 - 2010
McConley & Torley 1999 - 2003
Education
CCAC
Associate of Science (A.S.), Personnel Management
Point Park University
Bachelor's degree, HR Management
Sunshine Health May 2015 - Present
Gateway Health System November 1998 - May 2015
Gateway health plan June 2007 - September 2008
Gateway health Plan May 2002 - June 2007
Gateway Health Plan November 1998 - May 2002
UPMC Health Plan February 1998 - November 1998
Magee-Womens Hospital October 1996 - February 1998
Skills
Healthcare Information..., Data Analysis, Healthcare, Access, Visio, Business Intelligence, HIPAA, Process Improvement, Business Analysis, Microsoft Office, SQL, Project Management, Data Management, Healthcare Industry, Databases, Microsoft Excel, Cognos, Microsoft SQL Server, EHR, Healthcare Management, Software Documentation, SDLC, Database Administration, Crystal Reports, Analysis, Hospitals, PowerPoint, Requirements Analysis, Microsoft Word, Strategic Planning, Data Warehousing, Health Insurance, Leadership, Oracle, Vendor Management, Change Management, Requirements Gathering, Medicaid, Business Requirements, Healthcare Consulting, Medicare, Troubleshooting, Managed Care, Information Technology, Quality Assurance, SSRS, Medicare Part D, SharePoint
Education
Indiana University of Pennsylvania 1985 — 1989
Business Administration Major IS
Lutheran Senior Life Home Health Care March 2012 - Present
University of Phoenix June 2010 - Present
Gateway Health Plan August 2006 - March 2012
Gateway Hospice June 2005 - June 2006
Allegheny Childrens Initiative 2000 - 2005
Viator & Landmark Hospice. 1997 - 2003
Viator & Landmark Hospice. 1997 - 2003
Viator & Landmark Hospice. 1997 - 2003
Skills
Public Speaking, Business Process..., Computers, Marketing Strategy, Cross-functional Team..., Leadership, Microsoft Office, Program Management, Process Improvement
Education
Villanova University
Certificate, Project Management
Slippery Rock University of Pennsylvania
Bachelor's degree, Health Services/Allied Health/Health Sciences, General, 3.4
University of Pittsburgh
Master in Social Work, Clinical/Medical Social Work, 4.0
University of Waynesburg
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management, 3.9
Gateway Health Plan June 2013 - Present
UPMC September 2009 - June 2013
WESCO Distribution July 2008 - November 2008
National City Bank August 2006 - May 2008
Skills
Microsoft Dynamics GP, Citrix, PeopleSoft, Medipac, ACH, Extra! X-treme, Relay Health, Epic Systems, Microsoft Excel, Microsoft Word
Education
Point Park University 2008 — 2013
Bachelor of Arts (BA), Accounting
Community College of Allegheny County 2004 — 2006
Associate's degree, Accounting
Beacon Health Options/Value Behavioral Health of Pennsylvania August 2014 - Present
Gateway Health Plan September 2012 - June 2014
Highmark Blue Cross Blue Shield March 2011 - September 2012
Highmark Blue Cross Blue Shield February 1997 - March 2011
HealthAmerica / Coventry Corporation January 1988 - February 1997
David Munro, M.D. September 1986 - February 1988
Skills
Microsoft Office, Microsoft Excel, Customer Service, Research, English, Windows, Outlook, Photoshop, Public Speaking, Teaching, Strategic Planning, HTML, Budgets, Negotiation, Healthcare, Process Improvement, Leadership, Program Management, Managed Care, Health Insurance
Education
Lake Erie College 1980 — 1983
Bachelor's Degree, Physician Assistant Studies
Gateway Health Plan March 2002 - Present
West Penn Allegheny Health System 1990 - 2002
Education
Philadelphia College of Pharmacy and Science
Bachelor of Science (BS), Pharmacy
The Catholic University of America
JD
Gateway Health July 2015 - Present
Gateway Health December 2014 - July 2015
Gateway Health Plan April 2004 - December 2014
Gateway Health Plan December 1999 - April 2004
Eckert Seamans October 1999 - December 1999
Oxford Development Company May 1998 - October 1999
Annex Cookery May 1997 - June 1998
Skills
Financial Analysis, Accounts Receivable, Data Analysis, Microsoft Excel, Microsoft Office, Microsoft Word, Accounting, Financial Reporting, General Ledger, Finance, Access, HIPAA, Healthcare, Healthcare Information..., Process Improvement
Education
Robert Morris University
Bachelor of Science (B.S.), Accounting
Sawyer School 1996 — 1997
Associate Degree in Accounting Automation, Accounting
Community College of Allegheny County 1994 — 1995
Indiana University of Pennsylvania 1993 — 1993
Gateway Health Plan November 2014 - Present
Dawar Technologies February 1980 - April 2013
Skills
Medical Claims..., Electronic Health..., CPT Coding, ICD-9-CM, Medical Terminology, Customer Service, Health Insurance, Medicaid, Community Outreach, Leadership
Education
Bidwell Training Center Inc 2014 — 2014
Medical Claims Processing
Art Institute of Pittsburgh 1977 — 1979
Associate's Degree, Graphic Design