Mercy Health Plan
Founded: 1993 Parent organization: Mercy Health Subsidiary: Mercycare Hmo, Inc.
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Mercy Health Plan Employees
Vein & Vascular Institute April 2015 - Present
Carl W. Meinhold, CPA January 2013 - Present
Sharer PBS, CPA's April 2010 - January 2013
Carl W. Meinhold, CPA CPC May 1989 - April 2010
Goldenberg/Rosenthal, CPA's June 1988 - May 1989
Mercy Health Plan June 1986 - June 1988
Philadelphia Geriatric Center September 1984 - June 1986
Laventhol & Horwath, CPA's December 1979 - September 1984
Skills
Accounting, Auditing, Healthcare, Business Valuation, Hospitals, Financial Analysis, Financial Reporting, Valuation, Managerial Finance, Insurance, Forecasting, Management Consulting, Negotiation, New Business Development, Contract Negotiation, Cash Flow, Audit, Mergers, Compliance, Budgeting, Financial Management, P&L, Mergers & Acquisitions, Strategic Planning, Financial Accounting, Leadership, Healthcare Management, CPA, Management, Tax, Strategic Financial..., Process Improvement, Forensic Accounting, Analysis, Due Diligence, Internal Controls, Executive Management, Physicians, Risk Management, Finance, Income Statement, Budgets, Business Planning, Healthcare Consulting, Orthopedic, Medicine, Small Business
Education
Temple University 1975 — 1979
BBA, Accounting
Janssen, Pharmaceutical Companies of Johnson and Johnson 2014 - Present
Merck 2007 - 2014
Merck 2005 - 2007
Merck 2003 - 2005
Merck 2000 - 2002
University of Pennsylvania Health System 1999 - 2000
University of Pennsylvania Health System 1997 - 1998
Aetna/US Healthcare, Blue Bell, PA 1996 - 1997
Mercy Health plan 1994 - 1996
Skills
Cross-functional Team..., Pharmaceutical Industry, Actuarial Department, Prepared annual rate..., Prepare analysis for..., Integrated the health..., Excel modeling using..., Analysis, Strategic Planning, Project Management, Forecasting, Management, Six Sigma, Process Improvement, Budgets, Software Documentation, Access, Vendor Management, Managed Care, Business Analysis
Education
Philadelphia University
BA, Accounting/Finance/Information/Systems
AmeriHealth Caritas June 2014 - Present
St. David's Episcopal Day School September 2006 - August 2012
Johnson & Johnson * Merck 1996 - 1999
Mercy Health Plan January 1993 - December 1995
ALPO Petfoods Inc. 1990 - 1993
SmithKline Consumer Products 1989 - 1990
U.S. Healthcare, Inc. 1987 - 1989
U.S. Healthcare, Inc. 1986 - 1987
McNeil Consumer Healthcare 1984 - 1986
McNeil Consumer Products Company 1983 - 1984
Skills
Analysis, Forecasting, Budgets, Competitive Analysis, Strategic Planning, Project Management, Bookkeeping, QuickBooks
Education
Saint Joseph's University 1977 — 1981
Bachelor's degree, Accounting
Berkley Medical Management Solutions 2014 - Present
Coventry Workers' Comp Services 2009 - 2014
Premera Blue Cross 2007 - 2009
Mercy Health Plan 2004 - 2007
Lifemarc 2001 - 2004
Ingenix 1998 - 2001
CorVel Corporation 1988 - 1998
Skills
Workers Compensation, Healthcare, Leadership, Account Management, Product Development, Budget, Staff Development, International Operations, International vendor..., BPO outsource, Budgets, Managed Care, Utilization Management, Team Building, Management, Operations Management, Strategic Planning, Insurance, Sales Operations, Outsourcing, Business Planning, Recruiting, Analysis, Project Management, Sales, Business Development, Sales Management, Employee Benefits, Marketing, Negotiation, P&L Management, Process Improvement, Provider Relations, Executive Management, Medicare, Training, Health Insurance, Medicaid, Network Development, Strategy, New Business Development, Vendor Management
Education
Kansas State University
Master's degree, Business Psychology
University of Missouri-Kansas City
Master's degree, Clinical Psychology
UnitedHealthcare July 2012 - Present
OptumHealth August 2011 - July 2012
Express Scripts March 2010 - August 2011
Amerigroup Corporation June 2008 - January 2010
Co-Inside Strategies LLC February 2007 - June 2008
Centene 2004 - 2007
Gentiva Health Services, Inc June 2000 - April 2004
Centene Corporation January 1997 - January 2000
MERCY HEALTH PLAN January 1995 - January 1997
Cardinal Glennon Children's Hospital January 1990 - February 1995
Skills
Intellectual Curiosity, Solutions Development, Public Sector, Mentoring, Public Speaking, Competitive Intelligence, Fundraising, Managed Care, Solution Development, Marketing Strategy, Strategy, Cross-functional Team..., Medicaid, Management, Start-ups, Program Management, Team Building, Strategic Planning, Business Development, Healthcare, Business Planning, Process Improvement, Healthcare Information..., Training, Leadership, Health Policy
Education
ASQ, Morestream 2005 — 2006
Black Belt, Lean Six Sigma
Webster University 1996 — 1999
Masters of Science, Nursing, Family Counseling
Webster University 1996 — 1999
Bachelor of Science, Nursing
Missouri Baptist University 1985 — 1988
Nursing Diploma, Nursing
ZR High School 1981 — 1985
DePaul Health Center - SSM HealthCare June 2010 - Present
Centene Corporation 2004 - March 2010
Great-West Life and Annuity Insurance Company July 2000 - November 2004
Mercy Health Plan 1999 - 2000
United Health Care February 1993 - June 1999
Education
Jewish Hospital College of Nursing and Allied Health 1996 — 1998
ADN, Nursing
McKesson
Certification, Utilization Review
Anthem, Inc. February 2015 - Present
Independent January 2014 - Present
Surescripts March 2013 - November 2013
Aetna 2010 - 2013
Comprehensive Health Services, Inc. 2006 - 2009
MultiPlan 2002 - 2006
APS Healthcare, a subsidiary of Universal American 2001 - 2002
Commonwealth of Virginia 1999 - 2001
Mercy Health Plan 1997 - 1999
Oxford Health Plans, a UnitedHealthcare Company 1992 - 1997
Skills
Process Improvement, Leadership, HIPAA, Managed Care, Healthcare Management, Healthcare Information..., Training, Project Management, Cross-functional Team..., Provider Relations, Medicare, Medicaid, Strategic Planning, Program Management, Performance Management, Call Centers, Team Building, Practice Management, Policy, Public Health, Customer Service, Operations Management, Cross Functional Team..., Claims Management, Claims Resolution, Contract Negotiation, Emotional Intelligence, Data Analysis, Healthcare Consulting, Vendor Management, Performance Improvement, Change Management, EHR
Education
University of Phoenix 2014 — 2016
Master of Business Administration (M.B.A.), Healthcare Administration and Project Management
Hampton University
Bachelor's Degree, Marketing/Finance
Independent March 2013 - Present
Independent June 1915 - Present
Department of Veterans Affairs March 2009 - March 2013
Department of Veterans Affairs April 2008 - July 2011
Delaware County Community College 2007 - 2009
Mentor Inc November 1999 - September 2008
Department of Veterans Affairs February 2007 - May 2008
Mercy Health Plan June 2002 - May 2004
Mercy Health Plan August 2001 - June 2002
Vision Quest January 2001 - June 2002
Skills
Training, Community Outreach, Administrative..., Time Management, Human Resources, Healthcare, Case Managment, Mental Health, Payroll, Management, Software Documentation, Administration, Case Management, Psychology, Public Speaking, Family Therapy, Customer Service, Microsoft Office, Social Networking, Social Media, Team Building
Education
Capella University 2012 — 2015
Master of Science (MS), Counseling Psychology
University of Phoenix 2010 — 2012
Bachelor of Applied Science (B.A.Sc.), Counseling Psychology
Delaware County Community College 2007 — 2009
Associates in Science and Health Care Management, Health Care Management
Kaplan University 2003 — 2005
Diploma, Surgical Technology/Technologist
Georgetown Hospital System June 2014 - Present
Carolinas Healthcare System January 2010 - June 2014
Carolinas Healthcare System July 2007 - January 2010
NorthEast Medical Center April 1997 - July 2007
CaroMont Health February 1995 - April 1997
Mercy Health Services April 1994 - February 1995
Mercy Health Plan April 1990 - October 1993
Skills
Performance Management, Talent Management, Employee Engagement, Compensation, Benefits, Organizational..., Leadership Development, Succession Planning, HRIS, Organizational Change, Change Management, Workforce Planning, Deferred Compensation, Employee Relations, Healthcare, Employee Benefits, Human Resources, Training, Employment Law, Recruiting, Organizational..., New Hire Orientations, Compensation & Benefit, Career Development, Onboarding, PeopleSoft, Organizational Design, Culture Change, Benefits Administration, Hiring, Applicant Tracking..., College Recruiting, Talent Acquisition, Performance Improvement, Job Analysis, Strategic Planning, Executive Coaching, Coaching, Personnel Management, FMLA, Employee Training, Conflict Resolution, HR Policies, Labor Relations, Workshop Facilitation, Temporary Placement, Interviews, Policy, Leadership, Team Building
Education
Pfeiffer University 2003 — 2005
MBA/MHA
University of Delaware 1981 — 1987
BSBA, Business Administration
Drexel Hill Pediatric Associates 1988 - Present
Health Partners 1993 - 1995
Mercy Health Plan 1990 - 1992
Education
Baylor College of Medicine
Pediatrics Residency Program
Swarthmore College
Bachelor's degree, Biology, General
The George Washington University School of Medicine and Health Sciences
Doctor of Medicine (MD)
Anthem April 2015 - Present
Anthem July 2005 - March 2015
Mercy Health Plan May 2004 - August 2004
State Farm Agent January 2000 - August 2003
Education
Saint Louis University 2003 — 2005
Master of Health Administration, Health/Health Care Administration/Management
University of Illinois at Urbana-Champaign 1998 — 2002
Bachelor of Science (BS), Health Planning & Administation with Minor in Sociology
Wellmed August 2012 - January 2015
Well MED HealthCare January 2012 - March 2014
Christus St. Vincent’s Hospital January 2011 - January 2012
HCA Physician Services January 2009 - January 2011
Kelly Gholston January 2007 - January 2009
HCA January 2006 - January 2007
HCA Physician Services January 2005 - January 2006
Mercy Health Plan January 2002 - January 2005
Dell Computers January 2000 - January 2002
Cuyahoga County Community Mental Health Board January 1998 - January 2000
Skills
EHR, Healthcare, Training, Leadership, Revenue Cycle, HIPAA, EMR, Customer Service, Consulting, Process Improvement, Healthcare Information..., Hospitals, Healthcare Management, Team Building, Healthcare Consulting, Medicare, Microsoft Excel, CPOE, Software Implementation, Physicians
Education
Howard University 1988 — 1992
Biology/Biological Sciences, General