MVP Health Care
Industry: Company
DescriptionFounded: 1982 Chief actuary: Kathleen Fish Subsidiaries: MVP Health Plan, Inc., Hudson Health Plan, Inc., Mvphp Holding Company, Inc. VPs: Patricia Deferio, Judith Feld (MPH, MMM, Behavioral Health),
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MVP Health Care Employees
NYS Thruway Authority October 2014 - Present
River Delta Consulting June 2014 - August 2014
CDPHP February 2013 - March 2014
FICO November 2012 - January 2013
MVP Health Care June 2010 - November 2012
City of New York October 2007 - July 2010
City of NY/HRA July 2004 - October 2007
ValueOptions June 2003 - July 2004
ValueOptions December 2001 - May 2003
Peace Corps May 1999 - July 2001
Skills
T-SQL, Business Analysis, Systems Analysis, ETL, Spanish, C#, Leading Meetings, Health Insurance, Visual Basic, .NET, SSRS, SSIS, DFD, Microsoft SQL Server, ASP.NET, Data Warehousing, Business Intelligence, Informatica, Oracle PL/SQL..., Requirements Gathering, SDLC, Crystal Reports, Software Development
Education
Baruch College, City University of New York (CUNY) 2006 — 2010
MBA, Computer Information Systems
Learning Tree International Professional Training 2005 — 2008
n/a, Information Technology
University of Vermont 1988 — 1992
BA, Political Science
Universidad de Granada 1991 — 1991
n/a, Spanish language and culture
Boies, Schiller & Flexner LLP 2010 - 2012
Low Income Taxpayer Clinic September 2009 - December 2009
MVP Health Care May 2008 - August 2008
Education
Albany Law School of Union University 2006 — 2010
Doctor of Law (J.D.), Law
Union Graduate College 2007 — 2008
Master of Business Administration (M.B.A.), Business Administration and Management, General
State University of New York at Albany 2002 — 2006
Bachelor of Arts (B.A.), Economics
MVP Health Care May 2015 - Present
Value Informatics February 2015 - Present
InterSystems July 2011 - January 2015
Healthcare Information Xchange of NY November 2007 - July 2011
nfrastructure technologies, inc. October 2006 - November 2007
PharMerica October 2005 - October 2006
Kerilian, LLC November 2002 - October 2005
Integrail January 1997 - November 2002
Health Solutions Ltd. 1997 - 2002
Walgreens June 1984 - August 1992
Skills
Healthcare Information..., EHR, Health Information..., Informatics, Product Development, P&L Management, eHealth, Interoperability, Strategic Planning, Healthcare IT, Healthcare, Product Management, New Business Development, Pharmacy Informatics, Strategic Leadership, Process Improvement, Integration, Enterprise Software, Clinical Research, Healthcare Management, Hospitals, Program Management, Business Development, Strategic Partnerships, EMR, Leadership, Strategy, Management, HL7, Managed Care, Healthcare Industry, Healthcare Consulting, Analytics, Executive Management, Marketing Strategy, SaaS, HIPAA, Business Intelligence, Consulting
Education
Union College 1993 — 1996
MBA, Health Systems Administration
Albany College of Pharmacy of Union University 1982 — 1987
Bachelor's of Science, Pharmacy
The Nielsen Company May 2011 - Present
MVP Health Care October 2004 - May 2011
ValueOptions June 2001 - October 2004
Skills
Data Analysis, Market Research, Analysis, Analytics, Access, Forecasting, Project Management, Marketing Research, Microsoft Excel, Statistical Modeling, Competitive Analysis, Retail, Customer Insight, Nielsen, Market Analysis
Education
Arizona State University 1993 — 1998
Graduate Studies, Applied Statistics
Albright College 1990 — 1993
B.S./B.A., Pure Mathematics/Medieval European History
Oneida High School 1985 — 1989
Indiana Clinical and Translational Sciences Instititute - Community Health Engagement Program January 2015 - Present
University of Colorado Anschutz Medical Campus March 2012 - June 2014
University of Colorado Anschutz Medical Campus April 2011 - June 2014
Colorado Medical Society June 2013 - December 2013
Sodexo June 2010 - January 2011
MVP Health Care August 2009 - December 2009
Indiana Clinical and Translational Science Institute January 2009 - August 2009
Franciscan St. Elizabeth Health October 2007 - August 2009
Skills
Clinical Research, Healthcare Management, Public Health, Health Services..., Community Programming, Curriculum Development, Health Benefits..., Project Management, Communication, Health Promotion, Teamwork, Highly detail oriented, Building Relationships, Reliable, Health Education, Weight Management, Weight Loss, Type 2 Diabetes, Heart Disease, Fitness, Exercise, Nutrition Education, Healthcare, Research, Wellness, Public Speaking, Nutrition, Event Planning, Dietetics, Program Development, Prevention, Community Outreach, Customer Service, Nutritional Counseling, Microsoft Word, Diabetes, PowerPoint, Health Policy, Science, Hospitals, Policy, Food, CPR Certified
Education
University of Colorado at Denver 2011 — 2013
Master of Public Health (M.P.H.), Health Systems Management and Policy
Cornell University 2009 — 2010
Dietetic Internship, Dietetics and Clinical Nutrition Services
Purdue University 2004 — 2008
Bachelor of Science (BS), Dietetics and Nutrition Fitness and Health
MRV Consulting, LLC March 2011 - Present
MVP Health Care April 2011 - April 2014
LMI May 2010 - January 2012
Newkirk Products, Inc. January 2008 - March 2011
UBS January 2005 - June 2007
TD Waterhouse 2004 - 2004
Accenture January 2001 - May 2003
Skills
Project Management, Internal Communications, Relationship Management, Marketing Communications, Strategic Planning, Marketing Strategy, Marketing, Market Research, Analytics, Competitive Analysis, Integrated Marketing, Cross-functional Team..., Advertising, Business Strategy, Program Management, Corporate Communications, CRM, Strategy
Education
State University of New York at Albany 1998 — 2001
MBA, Marketing
Colgate University 1990 — 1994
BA, Art History
Linton High School
MVP Health Care October 2013 - Present
First Care Urgent Care June 2013 - Present
Capital Area Peer Services October 2010 - April 2012
Consumer Connections July 2010 - April 2012
Capital Area Peer Services, Inc. 2010 - 2012
Westaff Temp Agency November 2008 - April 2009
Kelly Services October 2005 - August 2007
Albany Medical Center July 2005 - October 2005
Education
Bryant and Stratton College 2011 — 2013
AAS, Medical Assisting
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
Amida Care October 2014 - Present
BenefitMall September 2010 - October 2014
BenefitMall September 2010 - October 2014
MVP Health Care August 2007 - July 2010
BenefitMall April 2007 - August 2007
United Healthcare March 2004 - April 2007
Skills
Health Insurance, Medicare, Account Management, Brokers, Public Speaking, Direct Sales, Marketing Communications, Event Management, Organizing, Customer Retention, Sales, Employee Benefits, Health Savings Accounts, Management, Disability Insurance, Insurance, Managed Care, Healthcare
Education
City University of New York-Herbert H. Lehman College 1994 — 2000
Accounting & busiess Management
Canidium July 2014 - Present
MVP Health Care March 2011 - June 2014
MVP Health Care June 2008 - March 2011
MVP Health Care 2002 - 2008
Skills
Insurance, Managed Care, Health Insurance, Invoicing, Business Analysis, Process Improvement, Finance, Medicare, Employee Benefits, Access, Data Analysis, Software Documentation, HIPAA, Business Process..., Healthcare
Education
University at Albany, SUNY 1987 — 1989
MS, Educational Psychology & Statistics
University at Albany, SUNY 1981 — 1984
BS, Mathematics
Albany College of Pharmacy of Union University 1978 — 1981
IPsoft March 2014 - Present
MVP Health Care September 2011 - March 2014
Ultralife Corporation October 2010 - September 2011
American Fiber Systems June 2008 - March 2011
Centrilogic, Inc January 2008 - May 2008
WHEC-TV May 2004 - December 2007
AutoZone, Inc September 2002 - April 2004
Skills
Cisco Technologies, Troubleshooting, Servers, Network Administration, Switches, Windows, IPv4, Routing Protocols, Enterprise Switching, BGP, OSPF, EIGRP, QoS, Cisco Nexus
Education
Cedarville University 1999 — 2003
Broadcasting, Multimedia Technologies, Broadcasting and Multimedia Technologies
ClickCare, LLC January 2015 - Present
Diversified Management Group LLC August 2014 - Present
MJHS March 2013 - August 2014
Fidelis Care NY June 2007 - March 2013
MVP Health Care January 2005 - June 2007
MVP Health Care January 2002 - January 2005
Skills
Marketing Strategy, Marketing, Strategic Planning, Market Planning, Public Relations, Marketing Communications, Competitive Analysis, Product Management, Performance Management, Staff Development, Staff Management, Strategic Leadership, Business Development, Sales Operations, Operations Management, Business Process..., Department Budgeting, P&L Accountability, Health Insurance, Healthcare Management, Network Development, Healthcare, Management, Medicaid, Program Management, Provider Relations, Training
Education
Binghamton University 1992 — 1994
Bachelor of Science (B.S.), Marketing
Howard University 1987 — 1988
Wilson Elser May 2013 - Present
MVP Health Care January 2011 - February 2013
MVP Health Care February 2006 - December 2010
MVP Health Care March 2003 - January 2006
MVP Health Care February 2001 - February 2003
Dewey & LeBoeuf LLP March 1998 - February 2001
New York State Senate November 1995 - February 1998
Epstein Becker & Green, P.C. March 1994 - November 1995
Mudge Rose Guthrie Alexander & Ferdon October 1991 - February 1994
Skills
Health Care Law, Corporate Law, Corporate Governance, Corporate Compliance, Fraud and Abuse, Provider Network..., HIPAA, Privacy Law, Credentialing, Mergers & Acquisitions, Contract Negotiation &..., Regulatory Submissions, Health Insurance..., Health Care Reform, Not-for-Profit Law, Public Policy, Health Insurance Law, Government Relations, Managed Care, Leadership, Strategic Planning, Industry and Policy..., Public Speaking, Advocacy, Corporate Communications, New Market Development, Corporate Strategy, Internal & External..., Digital Media, Business Development, Corporate Blogging, Coalitions, Internal Audit, Governmental Affairs, Employee Relations
Education
Albany Law School of Union University 1988 — 1991
Juris Doctor, Law
State University of New York College at Oneonta 1983 — 1987
Bachelor of Arts, Business; Communication
MVP Health Care January 2014 - Present
MVP Health Care February 2013 - Present
MVP Health Care June 2010 - February 2013
NYS Office of Mental Health February 2007 - May 2010
Tata Consultancy Services April 1995 - November 2006
Eli Lilly and Company October 2002 - August 2006
Time Warner Book Group November 1999 - October 2002
Dumrath & Fassnacht January 1997 - October 1999
Michelin April 1998 - December 1998
National Stock Exchange of India Limited April 1995 - December 1996
Skills
Project Portfolio..., Oracle, Database Management, Data Warehousing, Clinical Trials, Stock Exchange, Government, Health Insurance, ERP, Portfolio Management, Database Design, PMO, Business Intelligence, ETL, Pharmaceuticals, Vendor Management, Web Development, Data Modeling, Informatica, Clinical Trial..., Healthcare, Application Development, Business Objects, Database Development, Program Management, Pharmaceutical Industry, Management, Cross-functional Team..., Software Development, Databases, Project Management, CTMS, Database Admin, PMP, SDLC, Software Project..., Project Planning, CRM, Requirements Analysis, Visio, Leadership, IT Strategy, MS Project, Business Analysis, Business Process, Requirements Gathering, Resource Management, Microsoft Project
Education
Union Graduate College
Graduate Healthcare Management Course Pack
Stanford University 2010 — 2012
SCPM
Indian Institute of Technology, Kharagpur 1993 — 1995
Masters
Bengal Engineering and Science University, Shibpur 1989 — 1993
Bachelor of Engineering
St. Xavier's Haldia 1976 — 1989
Bechtel Marine Propulsion Corporation March 2014 - Present
Bechtel Marine Propulsion Corporation May 2012 - March 2014
MVP Health Care June 2006 - May 2012
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Outlook, Administrative..., Customer Service, Editing, English, Windows, Research, Photoshop, HTML, Budgets, SharePoint, Access, Oracle HR, Oracle Discoverer, Health Insurance, Insurance
Education
Bryant and Stratton College 1985 — 1987
Computer Programming
MVP Health Care June 2015 - Present
Office of Admissions and Student Affairs August 2014 - Present
SUNY Oneonta Student Association May 2013 - June 2014
Bassett Research Institute January 2014 - May 2014
YJP Young Jewish Professionals May 2013 - August 2013
Skills
Nonprofits, Event Planning, Community Outreach, Public Speaking, Fundraising, Marketing
Education
SUNY Oneonta 2010 — 2014
University at Albany School of Public Health
Master of Public Health (MPH)
Seventh Generation April 2013 - Present
Select Design May 2012 - March 2013
Burton Snowboards July 2001 - May 2012
MVP Health Care 1999 - 2001
Bombardier Capital 1996 - 1999
Skills
Communications Strategy, Executive Coaching, Organizational..., Merchandising, Trade Shows, Apparel, Product Development, Retail, Retail Marketing, Sports Marketing, Marketing Strategy, Account Management, Sales Management, Product Marketing
Education
Bay Path College 1986 — 1988
Vaden Consulting Group, Inc. December 2012 - Present
MVP Health Care February 2010 - November 2012
Radnet August 2007 - April 2009
IBM July 1996 - May 2006
Medical Billing Systems, Inc. December 1989 - July 1996
Monroe Medical Management, Inc. October 1987 - December 1989
Rochester Health Network, Inc. June 1985 - October 1987
Skills
Technical Support, Computer Operations, Healthcare, Microsoft Excel, Databases, System Administration, Wireless, Data Warehousing, Troubleshooting, Medical Billing, Access, Accounts Receivable, Business Objects, Data Analysis, Healthcare Information..., HIPAA, Business Analysis, Data Center, Windows, Outlook, Change Management, Microsoft Office, VPN, Microsoft Word, Data Modeling, Unix, Servers, Security, Disaster Recovery, Analysis, Web Intelligence, TCP/IP, Management, Software Documentation, VMware, Lotus Notes, Call Centers, Information Technology
Education
Rochester Institute of Technology 2010 — 2018
B.S., Information Technology
Penn Foster College 2008 — 2010
Associate of Science, Computer Information Systems
University of Phoenix 2006 — 2008
Information Technology
Bryant & Stratton College 1984 — 1986
Diploma, Data Processing
Independent EDI PM/BA August 2013 - Present
State of Oregon June 2013 - August 2013
MVP Health Care July 2012 - December 2012
High Point Solutions September 2011 - December 2012
State of Arizona Health and Human Services April 2012 - June 2012
DHHS April 2012 - June 2012
UnitedHealth Group January 2012 - April 2012
UnitedHealth Group January 2012 - April 2012
Catholic Health Care West March 2011 - September 2011
OHCA Medicaid OK September 2009 - 2010
Skills
EDI, Integration, HIPAA, Software Documentation, Testing, Business Requirements, Program Management, SDLC, Requirements Gathering, SharePoint, Process Improvement, XML, Visio, User Acceptance Testing, Business Intelligence, Systems Analysis, Data Warehousing, Requirements Analysis, Business Analysis, Vendor Management, Software Project..., DB2, Enterprise Architecture, Agile Methodologies, Databases, Consulting, Project Management, Information Technology, Management
Education
Ball State University
Bachelor of Science (BS), ONU, Computer Science
Indiana University-Purdue University at Indianapolis
Alma attender for BS in Computer Science, Computer Science
Olivet Nazarene University
BS, Computer Science
Dean Health Plan August 2010 - Present
MVP Health Care April 2007 - December 2009
Coventry Health Care December 2004 - December 2006
Coventry Health Care July 2003 - June 2005
PacifiCare Health Systems November 2001 - June 2003
United Healthcare January 1996 - November 1998
Skills
Medicine, Healthcare, Managed Care, Internal Medicine, Healthcare Management, Informatics, Medical Education, Oncology, Clinical Trials, Critical Care, Epidemiology, Medical Affairs
Education
Wilkes University 1998 — 2000
MBA, Business
University of Connecticut 1995 — 1998
MPH, Public Health
Harvard Medical School 1971 — 1975
MD, Medicine
Albright College 1967 — 1971
BS, Biology
LTI (Logic Technology Inc.) January 2014 - Present
Hafeez U Rehman, M.D. May 2009 - January 2014
Private Consulting January 2004 - January 2014
Preville Technology Services, LLC March 2013 - December 2013
MVP Health Care February 2010 - March 2013
Albany Medical Center July 2006 - February 2010
Skills
EHR, HIPAA, Healthcare Information..., ITIL, Security, Databases, Software Documentation, Servers, Quality Assurance, Data Center, Testing, Visio, Disaster Recovery, Management, Hardware, Networking, Operating Systems, IT Management, Enterprise Software
Education
Clarkson University 2004 — 2006
B.S, Management Information Services
Amsterdam High School 2002 — 2006
NYS Regents Diploma, Business Administration and Management, General
Purdy Realty LLC January 2010 - Present
MVP Health Care January 2001 - March 2005
Eastman Kodak Company via Ajilon Corp. 1999 - 2001
IKON Office Solutions 1998 - 2000
The Sutherland Group September 1995 - March 1998
Skills
Process Improvement, Team Building, Project Management, Strategic Planning, Change Management, Cross-functional Team..., Managed Care, Healthcare, Program Management, Health Insurance, Recruiting, Real Estate Transactions, Real Property, Real Estate, Competitive Analysis, Computer Maintenance, Technical Writing, Technical Training, First Time Home Buyers, Buyers, Sellers, Marketing, Residential Homes, Selling, New Home Sales, Negotiation, Training, Relocation, Sales
Education
State University of New York at Oswego 1993 — 1995
Bachelor of Science, Marketing
Alfred State College - SUNY College of Technology 1991 — 1993
Associate of Science (A.S.), Business Administration and Management, General
Virtusa July 2014 - Present
MVP Health Care April 2013 - Present
Cardinal Health June 2011 - March 2013
Virtusa April 2012 - June 2014
Virtusa April 2010 - April 2012
Virtusa April 2007 - April 2010
Clearwire 2009 - 2010
IBM 2007 - 2009
The Tradesmann SL (Pvt) Limited December 2005 - February 2007
Skills
Datastage, SQL, ETL, Data Warehousing, Data Integration, Teradata, Data Modeling, Business Intelligence, SQL DB2, Unix Shell Scripting, Datastage 8.1, Quality Stage, Requirements Gathering, Quality Assurance, Data Migration, Data Quality, Data Warehouse..., DB2, Testing, Requirements Analysis, PL/SQL, Analytics, SSRS, Cognos, Oracle, SDLC, Unix, User Acceptance Testing, Quality Center, Business Objects, Microsoft SQL Server, Master Data Management, Enterprise Architecture, SOA, Informatica, SSIS, Performance Tuning, Software Project..., Solution Architecture, Database Design, Agile Methodologies, Business Intelligence..., Microstrategy, Databases, DataStage
Education
University of Ruhuna 2001 — 2005
B Sc, Agriculture, Economics
S Thomas' College 1996 — 1998
High school, GCE Advance Level
St. peters college 1988 — 1995
GCE Ordinary Level, 7 Ds , 1 C
MVP Health Care October 2013 - Present
MVP Health Care January 2013 - Present
MVP Health Care 2008 - January 2013
Preferred Care 2002 - 2008
Unisys 1978 - 2002
Skills
HIPAA 5010, Health Insurance, PMP, ICD-10, HIPAA, PMO, SDLC, Healthcare
Education
Babson College 1977 — 1978
MBA, Business Administration
Plymouth State University 1972 — 1976
B.S, Business Administration
MVP Health Care November 2013 - Present
Prime Care Physicians May 2012 - November 2013
Ellis Medicine May 2005 - May 2012
Education
Ellis School of Nursing 2002 — 2004
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Bold Selah, LLC March 2014 - Present
Bold Selah, LLC 2010 - Present
Bold Selah, LLC August 2012 - January 2014
Planned Parenthood Mid Hudson Valley October 2012 - December 2012
Plananed Parenthood Hudson Peconic January 2012 - August 2012
Lower Hudson Valley Perinatal Network November 2010 - July 2011
MVP Health Care September 2004 - June 2008
American Cancer Society January 2001 - January 2003
Skills
Presenter, Reproductive Health, Reproductive Rights, Health Education, Single Parents, Advocate, Advocate Development, Community Organizing, Community Health, Radio Producing, Radio Host, Self-esteem, Published Author, Women Owned Business, Women's Health, Focus Groups, Empowerment, Medical Social Work, Medical Terminology, Board of Director..., Public Speaking, African American, Health Literacy, Parent Education, Reading Comprehension, Speed Reading, Book Reviews, Teen Pregnancy, Teen Programming, Panel Moderator, Panel Building, Teen Pregnancy..., Program Development, Board of Directors, Behavioral Health, Adolescents, Training, Psychotherapy, Policy, Workshop Facilitation, Program Evaluation, Program Management, Medicaid, Conflict Resolution, Research, Community Outreach, Nonprofits, Social Media
Education
DONA International 2014 — 2014
Certified Birth Doula, Maternal and Child Health
Adelphi University 2003 — 2005
MSW, Social Work
Adelphi University, City, State2005 2003 — 2005
Master of Social Work (M.S.W.), Social Work
Marist College 2000 — 2002
Bachelor of Applied Science (BASc), Social Work, 3.64
MVP Health Care July 2014 - Present
Hudson Health Plan May 2013 - July 2014
Hudson Health Plan January 2012 - May 2013
Hudson Health Plan May 2010 - January 2012
Hudson Health Plan October 2007 - May 2010
Skills
HEDIS, Credentialing, Provider Relations, Medicaid, Data Analysis, Healthcare, Health Policy, Managed Care, Business Analysis, Project Management, Medicaid Managed Care, Analysis, Public Health, Hospitals, Medicare, Disease Management, Access, Utilization Management, Nonprofits, Customer Service, Healthcare Information..., Business Intelligence, Healthcare Management, ICD-9, HIPAA, Clinical Research, Team Building, Clinical Reporting, Health Insurance, Policy, Outreach Services, Research, Public Speaking, Non-profits, Medical Staff..., Reporting Requirements, Provider Network..., Provider Networks, Provider Enrollment, Meeting Planning, Meeting Scheduling, Coordinate Meetings, Liaison, Quality Assurance, Customer Retention, Customer Satisfaction, Quality Management, Contract Negotiation, Contract Management, CPT
Education
City University of New York-Herbert H. Lehman College 2009 — 2013
Health/Health Care Administration/Management
Saint John Fisher College 2000 — 2002
Business Administration and Management, General
GLOBALFOUNDRIES December 2014 - Present
Bechtel Marine Propulsion Corporation August 2014 - December 2014
GLOBALFOUNDRIES January 2013 - July 2014
nfrastructure June 2012 - January 2013
Davis Vision May 2012 - May 2012
MVP Health Care April 2012 - April 2012
Kitware Inc. September 2011 - March 2012
New York State Department of Taxation and Finance April 2009 - August 2011
New York State Department of Taxation and Finance December 2007 - March 2009
New York State Department of Taxation and Finance February 2007 - November 2007
Skills
AIX, VMware ESX, Virtualization, VMware, Linux, Debian, Unix, RHEL, Puppet, Servers, Nagios, Data Center, Operating Systems, Bash, Red Hat Linux, Disaster Recovery, NetApp, Solaris, RedHat, PowerVM, Technical Documentation, Proof of Concept, Project Planning, SLES, IBM Power, Platform LSF, Performance Tuning, HP, SAN, Cluster, Software Documentation, Unix Shell Scripting, vSphere, Shell Scripting, Apache, Linux System..., Cfengine, System Administration, DNS, TCP/IP, Storage, Suse, Hardware, Networking, Ubuntu, OEL, Subversion, Kickstart, Storage Area Networks
Education
State University of New York College of Agriculture and Technology at Cobleskill 2004 — 2006
Bachelor's degree, Information Technology: Network Administration, 3.92
Alfred State College - SUNY College of Technology 2002 — 2004
Bachelor's degree, Information Technology: Network Administration
MVP Health Care November 2013 - Present
Paychex January 2006 - February 2013
Paychex July 2004 - December 2005
Paychex July 1994 - June 2004
Xerox June 1982 - July 1994
Skills
Business Continuity, Process Improvement, Team Leadership, Business Process..., Team Building, Customer Service, Leadership, Project Management, Program Management, Software Documentation, Databases, Cross-functional Team...
Education
Rochester Institute of Technology 1980 — 1982
Bachelor's degree, Computer Science, 3.82
Corning Community College 1979 — 1980
Associate's degree, Data Processsing, 4.0
Psych Choices of the Delaware Valley June 2011 - Present
PsyCare Solutions October 2012 - March 2013
Bishop House Consulting, Inc. July 2012 - January 2013
Self Employed 2004 - 2012
MVP Health Care March 2007 - May 2011
MVP Health Care March 2007 - May 2011
Family Counseling Center 2004 - 2006
United Rentals 2001 - 2004
Snickelways Interactive 2001 - 2001
Cap Gemini Ernst & Young 1998 - 2000
Skills
Executive Coaching, Psychotherapy, Leadership Development, Change Management, Team Building, Strategic Planning, Organizational..., Project Management, Business Analysis, Business Process..., Discussion Facilitation, Corporate Training, Program Management, Organizational Change, Organizational..., Software Implementation..., Product Development, Life Coaching, Career Development..., Staff Development, Management, SDLC, Integration, Coaching, Business Process, Project Portfolio..., Governance, PMO
Education
Columbia University in the City of New York 1976 — 1978
MSW, Social Work
New York University - Leonard N. Stern School of Business 1992 — 1994
MBA, Information Systems & Management
Vanderbilt University 1969 — 1973
B.S., Psychology
Institute for Professional Excellence in Coaching 2003 — 2004
Certified Professional Coach
Marshall & Sterling October 2010 - Present
EmblemHealth December 2005 - October 2010
MVP Health Care October 2003 - December 2005
Beverage Marketing Corp 2001 - 2003
The Garrison Institute September 1999 - October 2001
Skills
Insurance, Health Insurance, Employee Benefits, Brokers, Disability Insurance, Health Savings Accounts, Account Management, Underwriting, Negotiation, Umbrella Insurance, Workers Compensation, Property & Casualty..., Commercial Insurance, Claim, Professional Liability
Education
State University of New York at Binghamton 1995 — 1999
Bachelor's degree, English
University of Rochester June 2015 - Present
TEKsystems July 2014 - August 2014
Unity Health System October 2013 - January 2014
MVP Health Care February 2009 - August 2013
MVP Health Care February 2009 - August 2013
MVP Health Care September 2007 - February 2009
MVP Health Care September 2007 - February 2009
Army National Guard November 1998 - November 1999
Skills
Health Insurance, Medical Terminology, Medicaid, Medical Billing, Medicare, Medical Coding, FACETS, ICD-9, ICD-10, HCPCS, CMS, Life & Health Insurance..., Workers Compensation, MVA, Subrogation, HCFA, Claims Handling, Health Insurance..., Coordination of Benefits, Prior Authorization, Provider Relations, Professional Liability, Usual & Customary rates, Hospice, End Stage Renal Disease, Fee Schedules, UB-40, modifiers, NPI/Tax ID, Taxonomy, Amisys, Citrix Metaframe, Invision Claims Database, Utilipro, Marx/Ecrs - CMS Database, Service Matrix, MaxMC, PCS2, HIPAA, Affordable Care Act, Health Care Reform, Billing and Insurance..., Trizetto, Epaces, OMIG, Recoveries, Readjudication
Education
Bryant and Stratton College 2000 — 2002
Associate of Science (AS), Computer Science - Information Technology
State University of New York College at Brockport 1997 — 1998
Liberal Arts and Sciences/Liberal Studies
Cigna November 2013 - Present
Elms College February 2014 - Present
UnitedHealth Group January 2011 - October 2013
Dynamic Property Management, LLC December 2008 - October 2011
MVP Health Care April 2005 - December 2010
Multimedia Games 2004 - 2005
Transworld Entertainment 2000 - 2004
Priceline.com 1999 - 2000
Bozzuto's 1995 - 1999
Edwards Super Food Stores January 1993 - January 1995
Skills
Business Process Design, Business Process..., KPI, Performance Metrics, Call Center, Service Desk, Service Delivery, Technical Leadership, ITIL, Excel, Visio, Remedy, IT Service Management, Desktop Support, IT Management, Customer Service, Staff Development, Recruitment/Retention, Healthcare, Statistics, Change Management, Incident Management, Team Building, Mentoring, People Management, HIPAA, Six Sigma, HPSM, User Documentation, BMC Remedy, Microsoft Excel, Management, Technical Support, Sla, Asset Managment, Configuration Management, Troubleshooting, Information Technology, Software Documentation, Asset Management, Call Centers, Project Management, Leadership, Analysis, Security, Quality Assurance, Help Desk Support, Training, Access, Process Improvement
Education
College of Our Lady of the Elms 2011 — 2013
Master of Business Administration (MBA), MBA - Healthcare Leadership
Westfield State College 1995 — 2001
BS, Computer Information Systems
Siena College 1984 — 1985
Computer Science
The Sage Colleges-Sage College of Albany 1982 — 1984
AS, Computer Science
Catholic Central High School 1978 — 1982
NYS Regents Diploma
Priority Health October 2014 - Present
GEHA January 2012 - Present
Projé Inc November 2010 - Present
MVP Health Care 2010 - 2012
Priority Health September 1993 - November 2010
Skills
Visio, Business Analysis, Requirements Analysis, MS Project, Business Process..., Process Improvement, Software Project..., Requirements Gathering, Health Insurance, SDLC, Business Process, User Acceptance Testing, Business Requirements, Managed Care, Medicare, Healthcare, HIPAA, Vendor Management, Healthcare Information..., Project Management, SharePoint, Insurance, Integration
Education
Cornerstone University 1988 — 1993
Bachelor of Arts (B.A.)
MVP Health Care December 2012 - Present
MVP Health Care July 2012 - December 2012
MVP Health Care March 2010 - June 2012
MVP Health Care December 1996 - March 2010
Empire Blue Cross Blue Shield January 1996 - December 1996
New York State Governor's Office of Employee Relations March 1994 - March 1995
Skills
Strategic Planning, Insurance, Management, Employee Relations, Human Resources, Managed Care, Health Insurance, Claim, Corporate Governance, Medicaid, Medicare, Employee Benefits, Healthcare, Process Improvement, Government, HIPAA, Finance, Policy, Litigation Management, Nonprofits, Team Leadership
Education
Albany Law School of Union University 1988 — 1991
JD, Law
Hofstra University 1984 — 1988
BA, Creative Studies
Data Driven Delivery Systems, LLC June 2015 - Present
Verisk Health June 2012 - May 2015
Health Risk Partners September 2010 - June 2012
MVP Health Care November 1997 - September 2010
Skills
Medicare, Medicare Advantage, Medicare Part D, Medicare Risk Adjustment, Medicare Enrollment &..., Healthcare, Healthcare Operations, Healthcare Management, Financial Reporting, Financial Analysis, Data Analysis, Agile Methodolgy, Certified Scrum Product..., Microsoft Office, Healthcare Industry, Quality Assurance, Product Management, Analysis, Leadership, Agile Methodologies, Process Improvement
Education
State University of New York College at Brockport 1992 — 1994
Bachelor's degree, Accounting
Alfred State College - SUNY College of Technology 1990 — 1992
Associate's degree, Accounting
Liberty Pumps July 2014 - May 2015
MVP Health Care November 2012 - July 2014
CapitalOne Financial - Unisys Technical Services February 2011 - November 2012
Cox Communications - Sutherland Global Services June 2010 - January 2011
Intuit CTG - Sutherland Global Services January 2009 - May 2010
Skills
Technical Support, Help Desk Support, VPN, Customer Service, Software Installation, Service Desk, Troubleshooting, Active Directory, Desktop Computers, Windows 7, Hardware, Citrix, Laptops, BMC Remedy, Windows, Software Documentation, Windows XP, Information Technology, Microsoft Exchange, Bilingual-Spanish, Computer Service, Wireless, Remote Access, Blackberry Enterprise..., Outlook
Education
Colorado Technical University 2014 — 2016
Bachelor of Science in Information Technology, Network Management
Edison Tech 2001 — 2006
High School Diploma, Photography
Lifetime Health Medical Group September 2015 - Present
Ignitehealth Wellness Management Services September 2014 - Present
Excellus BCBS September 2014 - September 2015
Relph Benefit Advisors/Ignitehealth Wellness Management Services, LLC October 2012 - September 2014
Pittsford, NY March 2012 - September 2012
MVP Health Care 2006 - 2012
University of Rochester Medical Center 1997 - 2006
Skills
Healthcare, Strategic Planning, Medicare, Managed Care, Insurance, Health Insurance, Healthcare Management, Healthcare Information..., EHR, Nursing, Clinical Research, Disease Management, Medicine, Medicaid, HIPAA, Health Policy, Utilization Management, Healthcare Consulting
Education
Albany Medical College 1978 — 1982
Doctor of Medicine (M.D.)
Colgate University 1974 — 1978
Bachelor of Arts (B.A.), Biology, General
Illo Chiropractic June 2015 - September 2015
Acclaris June 2014 - January 2015
Paychex October 2012 - February 2013
MVP Health Care September 2008 - September 2011
CareGuide July 2006 - July 2007
Skills
Health Insurance, Business Analysis, Process Improvement, Customer Service, Customer Satisfaction, Training, Microsoft Office, Microsoft Excel, Microsoft Word, Social Media, PowerPoint, Call Centers, Outlook, Team Building, Vendor Management, Management, Drawing, Health, Internal Audit, 10 Key, Social Networking, Networking, Organization, OS X, Proofreading, Promotions, Painting, Quality Assurance, Quality Management, Research, Restaurants, Theatre, Typing, User Experience, Energy Healing, Energetic team player, Graphic Design, Mindfulness Meditation, Childcare, Employee Training, Communication, Employee Benefits, Program Management, Project Management, Account Management, Sales
Education
Onondaga School of Therapeutic Massage-Rochester 2010 — 2011
Monroe Community College
Commercial and Advertising Art
ShoreTel February 2012 - Present
MVP Health Care June 2008 - February 2012
Nicholas H. Noyes Memorial Hospital February 2007 - September 2007
Skills
Coding and Billing..., Telecommunications, Medical Coding, HIPAA, Windows, Call Centers, Access, CPT, ICD-9, Medical Billing, Managed Services, Management, Customer Service, Microsoft Office, Salesforce.com, Solution Selling, Vendor Management
Education
Alfred State College - SUNY College of Technology 2005 — 2007
Associate of Science (A.S.), Registered Health Information Technology
Arkport Central School
Diploma, I majored in English and Science
Ubersmith May 2015 - Present
MeetMax Conference Software April 2010 - April 2015
Saratoga Polo March 2007 - June 2009
Saratoga Polo September 2004 - April 2007
Entertronics Broadcasting October 2003 - September 2005
Saratoga Polo February 2004 - September 2004
MVP Health Care November 2002 - April 2003
Johns Hopkins University Center for Talented Youth May 2001 - August 2002
Jay Goldman Ice Cream July 1997 - August 2001
Skills
Public Relations, Event Management, Marketing, Editing, Copywriting, Virtualization, Advertising, Sponsorship, Fundraising, Integrated Marketing, Training, Strategy, Leadership, Account Management, Management, Sales, Social Media Marketing
Education
Binghamton University 1998 — 2002
BA, Psychology
PreferredOne August 2015 - Present
MVP Health Care December 2012 - May 2015
UHealthSolutions July 2011 - December 2012
Coventry Health Care February 2009 - September 2010
HealthPlus of Michigan October 2003 - January 2009
HealthPlus of Michigan March 2000 - October 2003
Kaiser Permanente, Ohio December 1998 - March 2000
Kaiser Permanente, Ohio January 1997 - December 1998
Kaiser Permanente, Ohio August 1995 - January 1997
Blue Cross Blue Shield of Western New York, Inc. January 1985 - August 1995
Skills
Managed Care, Medicare, Medicaid, Health Policy, Disease Management, Health Insurance, Insurance, Utilization Management, HIPAA, Healthcare, Healthcare Management, Employee Benefits, Strategic Planning, Process Improvement, Leadership, Network Development, Policy, HMO, Healthcare Industry, Training, Claim
Education
Northwestern University - Kellogg School of Management 2002 — 2003
AHIP- Certified Managed Care Executive, Health Care
State University of New York College at Buffalo 1987 — 1992
M.B.A, Concentration: Health Care Management
Canisius College 1979 — 1983
B.A., Industrial Organizational Psychology (Marketing and Psych)
LB ESSENTIALS April 2008 - Present
MVP Health Care 2009 - 2014
University of Rochester Medical Center 2006 - 2008
Pro-Med Transcription 2005 - 2008
Dermatology Associates of Rochester 2006 - 2006
ABVI-Goodwill 2004 - 2006
Library and Community Center at Gillam Grant September 1999 - June 2000
Eastman Kodak Company March 1982 - April 1988
Skills
Social Networking, Blogging, Newsletters, Editing, Creative Writing, Transcriptoin, Clerical Skills, Administrative..., Mail Room, File Clerk
Education
Lakeside Hospital 2000 — 2000
Medical Terminology
Bryant and Stratton College 1980 — 1981
Associate's degree, Business Administration
Choice Strategies, a division of WageWorks May 2013 - Present
Fletcher Allen Health Care September 2012 - May 2013
Northwestern Medical Center May 2011 - August 2012
MVP Health Care September 2009 - May 2011
Fletcher Allen Health Care March 2008 - August 2009
Bullfrogs & Butterflies Playschool June 2006 - June 2008
Chittenden County Court Diversion January 2004 - July 2005
Skills
Healthcare, Training, Managed Care, Process Improvement, Customer Service, EHR, HIPAA, Health Insurance, Insurance, Outlook, Management, NCQA, Hospitals, Quality Improvement, Leadership, Employee Benefits, Healthcare Information..., EMR, Medical Billing, Epic Systems, Physician Relations, Practice Management, Strategic Planning, Team Building, Six Sigma
Education
WageWorks Six Sigma 2015 — 2015
Certification, Six Sigma White Belt
Champlain College 2013 — 2013
Certificate, Management Excellence
Capella University 2008 — 2011
MS, Health Care Administration
Trinity College of Vermont 1996 — 2000
BA, Human Services
Highmark, Inc. July 2014 - Present
MVP Health Care January 2004 - July 2014
Boron LePore & Associates October 1995 - December 2004
Health Care Data Systems October 1992 - October 1995
Skills
Health Insurance, Cross-functional Team..., Managed Care, Program Management, Strategic Planning, HIPAA, Change Management, Project Management, Healthcare Consulting, Healthcare Industry, Medicare, Medicare Part D, Medicare Advantage, Healthcare Information..., Management, Process Improvement, Healthcare, Insurance
Education
Concordia College 1982 — 1986
Bachelor of Arts (B.A.), Hospital and Health Care Facilities Administration/Management
University of Maryland - Faculty Physicians Inc. November 2014 - Present
Ameritox Ltd 2011 - 2015
Thompson Health 2007 - 2011
Excellus BCBS 2005 - 2007
MVP Health Care 2003 - 2005
Former Pataki Administration Appointees 2000 - 2003
MVP Health Care 1998 - 2000
Higgins Roberts Beyerl & Coan PC 1994 - 1997
Office of the New York State Assembly Minority Leader, C.D. "Rapp" Rappleyea 1988 - 1993
Skills
Managed Care, Health Insurance, Health Care Transactions, Medicare, Medicaid, Corporate Integrity..., Regulatory Affairs, Hospitals, Long Term Care, Laboratory Compliance, Medical Risk Management, HIPAA Privacy & Security, Litigation Management, Law Department..., Government..., Health Care Compliance, Health Care Fraud and..., Compliance..., HIPAA, Healthcare, Risk Management, Government, Litigation, Provider Contracting, Provider Networks, Provider Affiliations, Long-term Care, PPO, Healthcare Industry, Health Policy, Corporate Law, Provider Relations, Medical Compliance, Physicians, Revenue Cycle, Health Law, Healthcare Information..., Privacy Law, Revenue Cycle Management, Legislation, Healthcare Management, Healthcare Consulting, Legislative Relations, Legal Compliance, Policy, HMO, FCPA, Disease Management, Health Information..., Healthcare Reimbursement
Education
Albany Law School of Union University 1992 — 1995
J.D., cum laude
Le Moyne College
B.A., Political Science
MVP Health Care August 2014 - Present
MVP Health Care January 2008 - August 2014
Biogen Idec 2000 - 2005
Skills
Decision Support, Financial Modeling, Process Improvement, Strategic Planning, Financial Analysis, Financial Reporting, Health Insurance, Business Analysis, Healthcare, Strategic Financial..., Mergers, Budgets, Forecasting, Program Management, Business Planning, Business Process..., Insurance, Mergers & Acquisitions, Financial Planning
Education
Binghamton University
Bachelor's degree, Economics and Math
Northeastern University
Master of Business Administration (MBA)
MVP Health Care February 2014 - Present
MVP Health Care September 2007 - Present
MVP Healthcare September 2007 - Present
American Acadamy of Professional Coders January 2013 - December 2013
Elizabeth Wende Breast Care, LLC December 2011 - March 2013
AAPC January 2011 - December 2011
University of Rochester Medical Center June 1997 - September 2007
Strong Memorial Hospital June 1997 - September 2007
Skills
Medicare, ICD-9, Health Insurance, HIPAA, CPT, Healthcare, Medicaid, Managed Care, Provider Relations, Medical Billing, Insurance, Software Documentation, Medical Coding, Medical Records, Meditech, Invoicing
Education
Bryant & Stratton College 2007 — 2007
medical coding
Bryant and Stratton College 2006 — 2006
Bryant and Stratton College 2005 — 2005
St. Thomas Aquinas College
Robert Marini Builders May 2003 - Present
Women's Council of Realtors - Capital Region January 2009 - December 2010
RE/MAX 2001 - 2003
MVP Health Care 1998 - 2001
MVP Health Care 1992 - 1999
Skills
New Home Sales, Sellers, Residential Homes, Single Family Homes, Real Estate, First Time Home Buyers, Investment Properties, New Homes, Relocation, Buyer Representation, Condos, Foreclosures, Buyers, Selling, Short Sales, Listings, Referrals, Investors
Education
Clarkson University 1980 — 1982
BA, Accounting
SUNY Canton 1978 — 1980
AAS, Accounting
Fayetteville Manlius High School 1975 — 1978
HostRocket.Com, Inc. / Dotblock.Com March 2013 - June 2013
MetLife June 2012 - March 2013
MVP Health Care October 2011 - May 2012
Northway & Van Rensselaer Title Agency, Inc. May 2009 - August 2011
ThingMagic September 2007 - May 2009
Outback Steakhouse December 2005 - September 2007
Skills
Access, Microsoft Office, Customer Satisfaction, Sales, Analysis, Customer Service, Time Management, SEO, Strategy, Program Management, Process Improvement, Final Cut Pro, Illustrator, Microsoft Word, Microsoft Excel, iMovie, Social Media, Social Media Marketing, YouTube, Electro-mechanical, Data Entry, Video Editing, Audio Editing, Camtasia, Presentation Skills
Education
Ashworth College 2014 — 2015
Business and Entrepreneurship, 3.89 GPA
Shenendehowa High School 2001 — 2005
Advanced Regents Diploma
CONMED Corporation April 2014 - Present
MedTech Association October 2014 - Present
ProCure Treatment Centers Inc. July 2008 - July 2014
Epstein Becker & Green November 2003 - July 2008
Hinman Straub P.C. June 2002 - September 2002
Tufts Health Plan May 2001 - August 2001
MVP Health Care June 2000 - September 2000
Independent Health September 1998 - June 2000
Skills
Health Law, Legal Writing, Corporate Governance, Corporate Law, Privacy Law, Litigation, Policy, Health Care Compliance, Legal Research, Healthcare, Civil Litigation, Administrative Law, Legal Compliance, Product Liability, Litigation Management, Trademarks, Health Care Fraud, Employment Law, Mergers & Acquisitions, FCPA, Copyright Law, Mediation, Medicaid, Medicare, Medical Compliance, Mergers, Strategic Planning, Business Planning, Problem Analysis, Problem Solving, Health Care Regulation, Healthcare Management, Healthcare Reimbursement, Medicare/Medicaid..., Physician Relations, Health Care Systems, Stark, Anti-Kickback Statute, False Claims, Medical Devices
Education
Syracuse University College of Law 2001 — 2003
Doctor of Law (J.D.), Law
Colgate University 1994 — 1998
Bachelor of Arts, Political Science
Amida Care June 2014 - Present
CAP COM Federal Credit Union April 2012 - May 2014
Capital Repertory Theatre June 2009 - June 2012
MVP Health Care July 1993 - September 2011
Capital Repertory Theatre 2000 - 2009
Skills
Talent Management, Employee Engagement, Strategic Planning, Performance Management, Executive and Sales..., Employment Law, M&A HR Issues, Organizational..., Employee Relations, Recruiting, FMLA, Benefits Administration, Succession Planning, Human Resources, Employee Benefits, Management, Leadership Development, Employee Training, Personnel Management, HRIS, Deferred Compensation, Leadership, HR Policies, Organizational Design, Mergers & Acquisitions, Onboarding, Payroll, Talent Acquisition, Workforce Planning, Hiring, Labor Relations, Temporary Placement, College Recruiting, New Hire Orientations, Organizational..., Technical Recruiting, Applicant Tracking..., Job Descriptions, Employee Handbooks, Interviews, Resume Writing, Conflict Resolution, Career Development, Compensation & Benefits
Education
Cornell University 1980 — 1984
BSILR, Industrial and Labor Relations
St. Rose SPHR Class
MVP Health Care September 2006 - Present
MVP Health Care February 1996 - September 2006
Preferred Care 1996 - 2006
NYSDOH - OHSM September 1981 - June 1994
Skills
Clinical Research, Utilization Review, Healthcare, Hospitals, Disease Management, Medicare, Medicaid, Managed Care, HIPAA, Utilization Management, Nursing, HEDIS, Medical/Surgical, Provider Relations, Insurance
Education
Alfred University 1990 — 1992
BSN, Registered Nursing/Registered Nurse
AAPC
Certified Professional Coder
St James Mercy Hospital School of Nursing
RN - diploma program
MVP Health Care September 2014 - Present
Hudson Health Plan April 2014 - August 2014
Hudson Health Plan December 2012 - April 2014
Hudson Health Plan January 2008 - December 2012
Hudson Health Plan January 2006 - January 2008
Hudson Health Plan January 2004 - January 2006
Hudson Health Plan January 2003 - January 2004
Hudson Health Plan April 2001 - January 2003
Skills
Medicaid, Medicare, Healthcare, Healthcare Information..., Managed Care, Health Policy, HEDIS, Utilization Management, HIPAA, Clinical Research, Data Analysis, Healthcare Management, Nursing, Process Improvement, Health Insurance, Disease Management, Insurance, Public Health, Hospitals, Home Care, Program Development, Healthcare Consulting, Case Managment, Quality Improvement, Healthcare Industry, Provider Relations, Physicians, Credentialing, Physician Relations, EHR, Informatics, CPT, ICD-9, Revenue Cycle, Medical Billing, Practice Management, EMR, Long-term Care, Medicaid Managed Care, Inpatient, Software Implementation, Elder Care, JCAHO, Acute Care, ICD-10, Health Information..., Medical Compliance, Revenue Cycle Management, Accountable Care, Health Information...
Education
Iona College 2007 — 2008
Master of Health Administration, Health Services Administration
City University of New York-Herbert H. Lehman College 2002 — 2007
Bachelor of Science in Health Care Administration, Health Services Administration
Field Financial Services, LLC July 2008 - Present
Presbyterian Healthcare Services May 2011 - April 2013
MVP Health Care April 1998 - July 2008
OnCare August 1996 - April 1998
Aetna April 1991 - August 1996
Value Health December 1989 - April 1991
CIGNA Healthcare November 1986 - December 1989
Arthur Andersen & Co December 1980 - November 1986
Skills
Managed Care, Healthcare Consulting, Medicare, Healthcare, Healthcare Management, Negotiation, Contract Negotiation, Strategic Planning, Pretty much all things..., Medicaid Managed Care, Revenue Cycle, Team Building, Health Insurance, Physicians, Insurance, Health Policy, HMO, Medicaid, Management Consulting, Healthcare Industry, Healthcare Information..., Practice Management, Management, Process Improvement, HIPAA, Employee Benefits, Performance Improvement, Start-ups, Executive Management, Medical Billing, Auditing, EHR, Leadership, Hospitals, Provider Relations, Claim, Long-term Care, Quality Improvement, Medicare Part D, CPA, Strategic Financial..., Mergers & Acquisitions, Acquisition Integration, GAAP, Managerial Finance, Financial Analysis
Education
Brigham Young University 1974 — 1980
Master of Accountancy, Accounting and Business/Management
Brigham Young University 1974 — 1980
Bachelor of Science (BS), Accounting and Business/Management
The American College 2007 — 2009
Chartered Financial Consultant (ChFC), Financial Planning and Services
MVP Health Care May 2015 - Present
Hudson Health Plan January 2004 - Present
Hudson Health Plan January 2004 - December 2010
Portes Communications Corp. 1996 - 2000
Skills
HEDIS, Process Mapping, Business Analysis, Business Process Mapping, Medicaid, Health Policy, Clinical Research, Healthcare Information..., HIPAA, Medicare, Healthcare, Managed Care, Healthcare Management, Disease Management, Utilization Management, Public Health, Quality Improvement, Case Managment, Informatics, EHR, Hospitals, EMR, Critical Care, Healthcare Consulting, Data Analysis, Healthcare Industry, Program Development, Case Management
Education
City University of New York-Herbert H. Lehman College 1996 — 2001
BA, Psychology & Economics
City University of New York-Herbert H. Lehman College 1996 — 2001
Bachelor of Arts (B.A.), Psychology
Edifecs March 2014 - Present
Cognizant Technology Solutions June 2007 - March 2014
The AmeriHealth Mercy Family of Companies March 2012 - May 2013
MVP Health Care September 2010 - January 2011
BOSCH (previously MICO) September 2003 - August 2004
Skills
CRM, Project Delivery, Strategy, Business Analysis, Business Process, Management, Management Consulting, Healthcare, Analysis, Program Management, Consulting, Requirements Analysis, SDLC, Requirements Gathering, Business Development, ICD-10, Pre-sales, Business Strategy, Project Planning, Project Management, Global Delivery, Domain Names
Education
Goa Institute of Management 2005 — 2007
Master in Business Administration, Marketing / Systems
Amravati University 1999 — 2003
BE, Electronics & Telecommunication
Kendriya Vidyalaya 1998 — 1999
XII, Maths/Science
Jawaharlal Nehru Vishvavidyalaya 1988 — 1995
nfrastructure June 2013 - Present
MVP Health Care April 2009 - January 2013
CommerceHub August 2006 - April 2009
Training Strategies Group 2001 - 2006
SynQuest 2000 - 2001
CommSoft 1999 - 2000
Data Tech Associates 1998 - 1999
Skills
Technical Writing, Editing, Software Documentation, Visio, Microsoft Office, Technical Communication, Technical Documentation, Training, E-Learning, Online Help, SDLC, Business Process..., Web Content, FrameMaker, RoboHelp, Adobe Acrobat, SnagIt, SharePoint, Access, Program Management, Management, Publishing, Documentation, Document Management, Project Management, Process Improvement, Analysis, RFP, Business Process Mapping, RFQ, RFP Design, Drafting Proposals, SOW, Word templates, Template Building, Template Creation, Graphics Editing, Online Editing, Web Help, ITIL Certified, Context-sensitive Help, Topic-based Authoring, Adobe Technical..., End-user manuals, Quick Start Guides, Style Guides, Procedural Documentation, Operations Processes, ITIL 2000, ITIL Service Strategy
Education
Angelo State University
Bachelor of Arts, English
MVP Health Care 1996 - 2009
CMX Laboratories August 1986 - October 1988
Skills
Insurance, Health Insurance, Medicare, Customer Service, HIPAA, Healthcare, Healthcare Information..., Claims Management, Medical Billing, Claim, ICD-9, Medical Coding, CPT, Hospitals, Outlook, Commercial Insurance
Education
Bryant & Stratton College 2015 — 2016
Associate’s Degree, Medical Reimbursement & Coding, 3.75
Monroe Community College 1993 — 1996
AAS, Health Information Technology
Alfred State College - SUNY College of Technology 1983 — 1984
AAS, Medical Laboratory Technology
MVP Health Care 2014 - Present
Mason Street, LLC December 2010 - Present
Catalyst One, Inc. 2002 - Present
Command & Control Solutions 2011 - Present
Private Investor 2010 - Present
DHA Holdings, Inc March 2013 - March 2014
6N Systems Inc 2009 - August 2013
nfrastructure 2005 - 2008
Health Solutions Ltd 1991 - 2003
Centrus Pharmacy Benefits 1991 - 2002
Skills
Strategy, Business Planning, Healthcare, Venture Capital, Start-ups, Business Development, Leadership, Management, Healthcare Information..., Team Building, Selling, EMR, Strategic Planning, Contract Negotiation, Business Process..., SaaS, Program Management, Product Management, Executive Management, Project Management, Marketing Strategy, Process Improvement, Cross-functional Team..., Consulting, Mergers & Acquisitions, Entrepreneurship, Product Development, Strategic Partnerships, Competitive Analysis, Management Consulting, Team Leadership, Business Strategy, Product Marketing, Enterprise Software, Operations Management, New Business Development, Account Management, Cloud Computing, Analytics, Angel Investing, Corporate Development, Business Analysis, Professional Services, CRM, Employee Relations, Sales, Mentoring, Change Management, Integration
Education
Union College 1988 — 1991
Master of Business Administration (M.B.A.), Graduate Management Institute
Albany College of Pharmacy of Union University 1983 — 1988
Bachelor's Degree, Pharmacy
Rochester Regional Health June 2011 - Present
MVP Health Care August 1995 - June 2011
St Mary's Hospital September 1992 - August 1995
Skills
DRG, Healthcare Information..., Clinical Documentation
Education
Alfred State College - SUNY College of Technology
State University of New York College at Brockport
Blue Shield of Northeastern New York June 2007 - Present
MVP Health Care 2000 - 2007
Skills
Business Analysis, EDI, HIPAA, SDLC, Requirements Gathering, Software Documentation, Healthcare Information..., Systems Analysis, Access, E-commerce, Software Development, XML, Troubleshooting, Vendor Management, Business Requirements, Integration, Visio, SharePoint, Software Project...
Education
Bryant University 1981 — 1985
CVS Health August 2014 - Present
Turbine December 2013 - August 2014
Vedicsoft Solutions Inc. 2005 - August 2014
Philips Healthcare January 2012 - December 2013
MVP Health Care August 2010 - January 2012
Consultant at The Hartford Financial Services Group August 2008 - August 2010
The Phoenix Companies May 2009 - July 2009
Liberty Mutual Insurance 2007 - 2008
Russell Investments WA 2006 - 2007
Nipuna Services Limited 2001 - 2006
Skills
SDLC, SQL, Requirements Analysis, ETL, Testing, Data Warehousing, PL/SQL, Integration, Quality Assurance, Informatica, Unix, Misys, Healthcare Information..., Property & Casualty..., Test Planning, Business Intelligence, Databases
Education
Xavier Institute of Management 2002 — 2003
CRMM, Customer relationship & Marketing management
Andhra University 1997 — 2001
BE, EEE
GE Power & Water 2014 - 2015
GE Power & Water 2014 - 2015
Maria College June 2013 - June 2014
MVP Health Care December 2011 - June 2013
NYISO January 2011 - November 2011
NYISO February 2006 - January 2011
NYISO January 2002 - February 2006
NYISO January 2001 - January 2002
Universal Instruments Corporation January 1995 - January 2001
IBM Corporation January 1991 - January 1995
Skills
Testing, Requirements Analysis, Process Improvement, SDLC, Quality Assurance
Education
Binghamton University
Bachelors of Science, Computer Science
University of Massachusetts, Amherst
Masters, Engineering Management
Medical Liability Mutual Insurance Co. May 2014 - Present
MVP Health Care October 2009 - May 2014
Medical Liability Mutual Insurance Co. December 2002 - October 2009
PricewaterhouseCoopers 1998 - 2002
Skills
MS Project, Project Delivery, Project Planning, Project Management, Oracle SQL, Database Development, Relational Databases, Software Project..., Software Lifecycle..., Business Analysis, Systems Analysis, Waterfall, PMBOK, Analysis, Databases, Information Technology, Management, Oracle, PMO, PMP, Project Portfolio..., Requirements Gathering, Business Intelligence, Cross-functional Team..., Microsoft Project
Education
Binghamton University 1994 — 1998
BS, Computer Science
Beacon Health Options August 2015 - Present
New York State Department of Health January 2014 - July 2015
ValueOptions December 2011 - January 2014
MVP Health Care November 2006 - December 2011
ValueOptions, Inc. February 2000 - January 2006
Education
Albany Law School of Union University 2001 — 2004
JD
DePauw University 1995 — 1999
BA
Fidelis Care March 2014 - Present
NY Elite FC November 2010 - Present
Schenectady JCC September 2004 - Present
NY State DOT (Contractor) February 2013 - March 2014
Computer Sciences Corporation (CSC) October 2007 - July 2012
Applied Underwriters April 2007 - October 2007
MVP Health Care 2004 - 2007
HKVP Radio (www.hkvpradio.com) - Site Closed 12/10 2003 - 2004
GE Global Research 1999 - 2002
Keane, Inc (currently NTT Data) 1997 - 1999
Skills
Project Management, Process Scheduler, Resource Allocation, SDLC, PMP, Vendor Management, Business Analysis, Program Management, Process Improvement, Requirements Analysis, Agile Methodologies, Software Project..., Visio, PMO, Change Management, Requirements Gathering
Education
Project Management Institute 2011 — 2011
PMP Certification, Project Management
Brandeis University 1981 — 1985
BA, Computer Science
Newton North High School 1978 — 1981
HS Diploma, Academic
MVP Health Care February 2000 - Present
Education
Clarkson University 1998 — 1999
MVP Health Care June 2014 - Present
MVP Health Care August 2012 - June 2014
MVP Health Care October 2006 - August 2012
New York State Department of Public Service February 2003 - September 2006
NYSERDA October 2001 - February 2003
NYSERDA December 1998 - September 2001
New York State Environmental Facilities Corporation January 1998 - December 1998
Connor, Curran & Schram, P.C. May 1992 - December 1997
Arnold & Porter September 1989 - December 1991
Skills
Health Insurance, Medicaid, Insurance, Managed Care
Education
Albany Law School of Union University 1986 — 1989
Doctor of Law (J.D.), magna cum laude
Union College 1983 — 1987
Bachelor of Arts (B.A.), magna cum laude, Law and Public Policy (Six-Year Law Program with Albany Law School)
MVP Health Care August 2015 - Present
Excellus BCBS May 2014 - July 2014
Monroe #1 BOCES November 2013 - April 2014
ConServe August 2012 - June 2013
TEKsystems August 2011 - April 2012
ROC IT Solutions December 2010 - July 2011
Self Employed July 2010 - November 2010
Blue Heron Consulting November 2008 - January 2010
Carestream Health Inc. May 2007 - February 2008
Eastman Kodak Company July 1981 - April 2007
Education
Boston College - Carroll School of Management
BS, Accounting + Computer Science
Girls' Latin School / Boston Latin Academy
MVP Health Care June 2012 - Present
MVP Health Care July 2006 - June 2012
Preferred Care December 1993 - July 2006
Skills
HIPAA, SDLC, PL/SQL
Education
Alfred State College - SUNY College of Technology
AAS, Data Processing
Fillmore Central
Regents, Music, Science
Rochester Institute of Technology
Bachelor, Computer Systems
Cognizant Technology Solutions June 2005 - Present
Keystone Mercy Health Plan October 2011 - Present
MVP Health Care May 2011 - October 2011
Excellus BCBS July 2010 - May 2011
Emdeon September 2007 - June 2010
The Regence Group May 2007 - August 2007
WellPoint September 2005 - April 2007
Skills
Unix Shell Scripting, Microsoft SQL Server, Informatica, Sybase, SQL, EDI, Oracle, Datastage, Trizetto FACETS, Trizetto HpXr, EDI 835, EDI 837, EDI 834, EDI 997, EDI 277, Datastage 7.5, SDLC, Testing, Requirements Analysis, PL/SQL, Data Warehousing, Requirements Gathering, ETL, Shell Scripting
Education
BITS Pilani 2012 — 2014
Master of Science (M.S.)
Thiagarajar College of Engineering 2001 — 2005
BE
SBK Hr Sec School, Aruppukottai 1994 — 2001
Private March 2014 - Present
MVP Health Care October 2011 - March 2014
MVP Health Care October 1986 - October 2011
Skills
Health Insurance, Healthcare, HIPAA, Medicare, Managed Care, Process Improvement, Insurance, Data Analysis, Business Analysis, Healthcare Information..., SDLC, Employee Benefits, Medicaid, Project Management, Strategic Planning, Provider Relations, Leadership, Healthcare Management, Healthcare Consulting, Healthcare Industry, Access
Education
SUNY Binghamton
Master of Business Administration (MBA), Management Information Systems, General
SUNY Binghamton
Bachelor of Arts (B.A.), Economics
Optima Benefits Group April 2012 - Present
MVP Health Care July 2005 - March 2012
Preferred Care January 2005 - March 2012
Preferred Care July 2003 - December 2004
The Brady Group March 2000 - June 2003
VHA April 1998 - October 1999
Columbia HCA 1996 - 1998
Skills
Claim, Employee Benefits, Health Insurance, Insurance, Leadership, Managed Care, Call Centers, Healthcare, HIPAA, Medicare, Medicaid, Health Savings Accounts, Strategy, Provider Relations, Brokers, Process Improvement
Education
Central Connecticut State University 1975 — 1978
Asian Studies
California State University-Long Beach 1973 — 1975
BA, History
MVP Health Care, Inc. May 2006 - Present
MVP Health Care October 2002 - May 2006
MVP Health Care March 2000 - October 2002
MVP Health Care June 1998 - March 2000
Clintondale Aviation 1994 - May 1998
Education
Bentley University 1989 — 1993
Bachelor of Science, Accountancy
Bentley University 1989 — 1993
Bentley University 1989 — 1993
Bentley University 1989 — 1993
Sovos Compliance January 2014 - Present
MVP Health Care January 2005 - November 2013
Whitehouse Financial Services April 2002 - January 2005
CIGNA Healthcare April 1994 - April 2002
Liberty Mutual March 1991 - April 1994
Blue Cross Blue Shield of New Hampshire August 1987 - March 1991
Skills
Sales, Leadership, New Business Development, Management, Sales Training, Sales Coaching, Sales Management, Sales Process, Strategic Planning, Business Planning, Talent Development, Sales Operations, Solution Selling, Salesforce.com, Customer Retention, Account Management, Employee Benefits, Health Insurance, Insurance, Underwriting, Customer Service, Direct Sales, Cold Calling, Health Savings Accounts, Recruiting, Sales Leadership...
Education
Bob Jones University 1982 — 1986
BS, Business Management
MVP Health Care June 1986 - Present
Skills
Health Insurance, Healthcare, Insurance, Managed Care, Medicare, Employee Benefits, Strategic Planning, Process Improvement, HIPAA, Claim
Education
Union College 1985 — 1987
MBA, Health Care Administration
Cornell University - College of Arts and Sciences 1981 — 1985
Bachelor of Arts (B.A.), Sociology
MVP Health Care December 2009 - Present
HealthNow New York Inc. 2001 - 2009
Skills
Process Improvement, Health Insurance, Employee Benefits, Healthcare, Insurance, Strategic Planning, HIPAA, Data Analysis, Team Building, Training, Software Documentation, Visio, Program Management, Access, Medicare
Education
Alfred State College - SUNY College of Technology 1985 — 1987
AS, Business Management
Northwestern Mutual June 2015 - Present
BuySeasons, Inc. May 2011 - December 2014
BuySeasons, Inc. February 2009 - April 2011
Northwestern Mutual January 2006 - January 2009
Northwestern Mutual Life 2006 - 2009
Verizon, Silver Spring, MD January 2004 - December 2005
MVP Health Care January 2005 - August 2005
Skills
Testing, Software Quality..., Quality Assurance, Test Cases, Test Automation, User Acceptance Testing, Defect Tracking, Manual Testing, Agile Methodologies, SDLC, Requirements Analysis, Regression Testing, QTP, Quality Center, Process Improvement, Test Planning, Performance Testing, Test Strategy, Business Requirements, Analysis, Microsoft SQL Server, SQL, XML, HP Quality Center, E-commerce, Resource Management, .NET, Project Planning, Budget Management, Project Management, IT Project & Program..., Responsiveness, Mobile Applications, Web Applications, Software Project..., Project Estimation, Test Automation..., B2B2C, TFS, Usability Testing, Documentation, HP QTP, Microsoft Dynamics GP, Mobile Testing
Education
Bangalore University 1997 — 2001
Bachelor's degree, Computer Science and Engg
COMPUTER SCIENCE AND ENGG
Bachelor's degree in Computer science and Technology, Computers
MVP Health Care October 2010 - Present
Education
Albany College of Pharmacy of Union University 1998 — 2004
Pharm. D, Pharmacy
Rondout Valley High School
IBM January 2013 - Present
Rochester Area 2010 - October 2014
MVP Health Care 2007 - 2010
Geospatial Systems 2002 - 2007
Eastman Kodak 1993 - 2002
Eastman Kodak 1985 - 1993
Skills
MS Project, Business Process..., Business Analysis, PMO, Requirements Analysis, Requirements Gathering, Software Project..., PMP, Program Management, Project Planning, Process Improvement, Process Development, Cross-functional Team..., CMM, Project Portfolio..., Change Management, Risk Management, SharePoint, Application Development, Analysis, Problem Solving, Requirements Management, Software Development, Strategic Planning, Planning, IT Management, Data Analysis, Outsourcing, Six Sigma, Business Process, Software Documentation, Integration, Visio, Agile Methodologies, Testing, IT Strategy, Vendor Management, Resource Management, Business Intelligence, Business Requirements, Quality Assurance, Project Management, Business Process..., Systems Analysis, Project Delivery, Enterprise Architecture, Data Warehousing, Information Technology, Microsoft Project
Education
Clarion University of Pennsylvania
Bachelor of Science (BS), Mathematics and Computer Science
Nazareth College of Rochester
Master of Science (MS)
Bullseye Telecom Inc May 2013 - Present
Rochester Institute of Technology March 2010 - February 2013
MVP Health Care July 2012 - October 2012
Quadgen Wireless Solutions Inc. March 2011 - August 2011
Bharti Teletech Limited November 2009 - February 2010
Avaya GlobalConnect July 2007 - September 2009
Skills
Avaya, Telecommunications, Cisco Technologies, Unified Communications, VoIP
Education
Rochester Institute of Technology 2010 — 2012
M.S, Telecommunication Engineering Technology, GPA 3.92
B. M. S. College of Engineering 2003 — 2007
Bachelor of Engineering, Telecommunication
Sri Kumarans PU College Karnataka State Secondary 2001 — 2003
Higher, Secondary; Science
Sri Kumaran Public School 2000 — 2001
I.C.S.E, Higher Secondary School Leaving Certificate - 10th grade
MVP Health Care August 2004 - Present
Niskayuna Community Foundation June 2011 - August 2014
Capital District Physicians' Health Plan, Inc. (CDPHP) February 2000 - August 2004
Governor's Office of Regulatory Reform 1998 - 2000
Rosenblum, Ronan, Kessler & Sarachan 1998 - 2000
O'Connor & Yoquinto 1997 - 1998
Adirondack Electronics, Inc. 1992 - 1994
Skills
Regulatory Affairs, Software Licensing, Strategy, Business Counseling, Contract Negotiation, Employment Law, Litigation Management, Compliance, Healthcare Operations, Managing Attorneys, PBM, Managed Care, Commercial Litigation, Medicare, HIPAA, Medicaid, Healthcare, Employee Benefits, Attorneys, Healthcare Industry, Health Insurance, Litigation, Insurance, Privacy Law, Credentialing, Network Development, Health Care Reform, Special Investigations, Leadership, Employee Relations, Medicare/Medicaid..., Health Policy, Claim, Employee Handbooks, PPO, HMO, Physicians, Business, Pharmacy Benefit..., Provider Relations, ERISA, Benefits Administration, Health Law, Medical Compliance, Medicare Part D, FMLA, Legal Writing, COBRA
Education
Albany Law School of Union University 1994 — 1997
JD, Law
SUNY Albany 1989 — 1992
Bachelor of Arts (B.A.)
MVP Health Care October 2011 - Present
Shoprite October 2011 - Present
Express Scripts January 2010 - May 2011
CVS August 2009 - September 2010
Skills
Community Pharmacy, Medication Therapy..., Patient Counseling, Pharmacists, Pharmacy
Education
Albany College of Pharmacy of Union University 2003 — 2009
PharmD, Pharmacy
Bonadio Receivables Solutions, LLC July 2015 - Present
CAC Professional Services January 2015 - Present
Beth Platt Associates December 2009 - Present
Rochester Urgent Care August 2013 - July 2015
Lakeside Health System September 2010 - July 2013
Greece Continuing education September 2009 - December 2010
Westside Health Services October 2009 - September 2010
University of Rochester Medical Center June 2007 - October 2009
MVP Health Care October 2000 - June 2007
Skills
EMR, HIPAA, Medicare, Medical Billing, ICD-9, CPT, Medical Coding, Health Information..., HCPCS, Insurance, Claim, EHR, Medical Terminology, Medicaid, Managed Care, Internal Medicine, Auditing, Practice Management, Health Insurance, Outlook, Healthcare, Revenue Cycle, Healthcare Management, Leadership, Management
Education
Alfred State College - SUNY College of Technology 2002 — 2006
Associates, Health Information Management
InfoEd International November 2011 - Present
InfoEd International 2011 - 2013
MVP Health Care 2004 - 2011
Skills
Microsoft SQL Server, Oracle, Business Objects, SDLC, SQL Server Management..., Database Admin, SQL, Databases, Data Warehousing, T-SQL, PL/SQL, Visio, ETL
Education
SUNY Binghamton 1973 — 1978
Bachelor of Arts (B.A.), Biology/Biochemistry
MVP Health Care September 2011 - Present
Skills
Windows 7, Troubleshooting, Active Directory, Hardware, Technical Support, XP, Customer Service, BMC Remedy, Computer Hardware, Laptops, Software Documentation, Software Installation, Windows Server, Printers, Servers, Windows, Operating Systems, System Administration, Network Administration, VMware, Wireless Networking, Security, Access, Routers, Call Centers, Data Center, Network Security, Cabling, Visio, Antivirus, Remote Desktop, Computer Security, SCCM, Linux, Desktop Computers, System Deployment, TCP/IP, Citrix, Blackberry, Help Desk Support, Incident Management, HP, DHCP, DNS, VPN, Process Improvement, Service Desk, LAN-WAN, Microsoft Exchange, Windows XP
Education
Utica College 2004 — 2007
Cybersecurity and Information Assurance
City University of New York City College 1990 — 1994
Civil Engineering
TIAA-CREF November 2014 - Present
Kronos May 2014 - November 2014
Auxilium Pharmaceuticals October 2013 - May 2014
TIAA-CREF April 2010 - September 2013
MVP Health Care September 2009 - April 2010
TIAA - CREF January 2008 - August 2009
Skills
Informatica, ETL, SSIS, Data Modeling, Oracle SQL, Datastage, Autosys, Fixed Income, Equities, Commercial Real Estate, Capital Markets, Cognos, Oracle, Business Analysis, Software Development, Oracle SQL Developer, Performance Tuning
Education
Anna University
Bachelor of Engineering (B.E.), Electrical, Electronics and Communications Engineering
SVBK
Medical College of Wisconsin July 2014 - Present
Medical College of Wisconsin Affiliated Hospitals August 2011 - June 2014
Schaffer Library Writing Center 2005 - 2007
Political Science Department, Union College 2006 - 2006
MVP Health Care May 2005 - October 2005
Skills
Public Health, Healthcare, Teaching, Internal Medicine
Education
Albany Medical College 2007 — 2011
MD with Distinction in Bioethics, Medicine
Graduate College of Union University 2003 — 2007
MBA, Health Systems Administration
Union College 2003 — 2007
BA, Biology & Political Science
MVP Health Care March 1998 - Present
Skills
Medicaid, Medicare Part D, Managed Care, Medicare, Benefits Administration, Healthcare Information..., Pharmacy Benefit..., HIPAA, Strategic Planning, CQI, Account Management, Health Insurance, Pharmacy, Department Budgeting, formulary management, Leadership, Customer Service, Medication Therapy..., Provider Relations, Management, Hospitals, Insurance, Healthcare, Health Policy, Medicaid Managed Care, Informatics, Pharmacists, HMO, Healthcare Industry, Utilization Management
Education
Albany College of Pharmacy of Union University
BS, Pharmacy
Union College
MBA, Health Systems Administration
Albany Medical Center April 2012 - Present
Albany Medical Center November 2004 - April 2012
MVP Health Care April 2001 - May 2003
Skills
Healthcare, Medicine, HIPAA, Pediatrics, OB/GYN, Customer Satisfaction, A/R collections, Insurance, EHR, Medical Records
Education
Bryant and Stratton College-Albany 2010 — 2011
Certified Professional Coder, Medical Insurance Coding Specialist/Coder
Erie Community College 1982 — 1985
None, Criminal Justice/Law Enforcement Administration
Prison Fellowship Ministries May 2012 - Present
MVP Health Care March 2004 - April 2011
MVP Health Care 2004 - 2011
Skills
Customer Service, Research, Medicare, Employee Benefits, HRA, Commercial Insurance, Account Management, Claim, Underwriting, HMO, FSA
Education
Baruch College 1994 — 2000
Master of Business Administration (MBA)
Oberlin College 1972 — 1977
Bachelor of Arts (BA), Jazz Arranging & Composition
MVP Healthcare March 2010 - March 2013
MVP Health Care January 2000 - March 2010
MVP Health Care February 1997 - January 2000
Veterans Health Administration June 1992 - November 1993
General Dynamics April 1987 - February 1989
Skills
Administration, Supervisory Skills, Budgeting
Education
The Sage Colleges-Sage Graduate School 1990 — 1993
Masters, Health Ststems Admistration
Clarkson University 1983 — 1984
BS, Management and Marketing
Albany Medical Center 2009 - May 2012
HMS October 2008 - March 2009
Ellis Hospital 2009 - 2009
CSC January 2005 - November 2007
MVP Health Care 2000 - 2004
Skills
HIPAA, Medical Terminology, Healthcare Management, EMR, Microsoft Office, Siemens Soarian, EDI ANSI X12, Healthcare Information..., Healthcare, Software Documentation, JCAHO, CPOE, Medisoft, A&P, Health Insurance, Health Information..., Quality Improvement..., CPT, ICD-9-CM, ICD-10, Medical Staff...
Education
Alfred State College - SUNY College of Technology
Associate of Science (A.S.), Health Information/Medical Records Technology/Technician
Schenectady County Community College 2010 — 2012
Health Services/Allied Health/Health Sciences, General
New York University 1994 — 1997
BA, Political Science, Psychology
Fordham University 1993 — 1994
Political Science & Economics
MVP Health Care December 2006 - Present
MVP Health Care January 2005 - December 2006
ValueOptions, Inc.® October 2004 - January 2005
Kaiser Permanente June 2000 - August 2004
Kaiser Permanente July 1998 - June 2000
Kaiser Permanente August 1997 - July 1998
Kaiser Permanente April 1997 - August 1997
Kaiser Permanente January 1995 - April 1997
Education
Schenectady County Community College
State University of New York at Binghamton
Master of Arts (M.A.)
The College of Saint Rose
Bachelor of Arts (B.A.)
Albany College of Pharmacy and Health Sciences September 2010 - Present
St. Peter's Hospital September 2014 - November 2014
Eddy Heritage House Nursing Center August 2014 - September 2014
Hannaford Supermarkets July 2014 - August 2014
MVP Health Care May 2014 - June 2014
Albany College of Pharmacy and Health Sciences September 2013 - May 2014
Albany College of Pharmacy and Health Sciences September 2013 - May 2014
Little Falls Hospital June 2012 - August 2012
Skills
Management, Project Management, Microsoft Excel, PowerPoint, Microsoft Office, Microsoft Word
Education
Albany College of Pharmacy of Union University 2009 — 2015
Doctor of Pharmacy (Pharm.D.), Pharmacy
Union Graduate College
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Excellus BCBS November 2013 - Present
TEKsystems August 2013 - November 2013
MVP Health Care March 2012 - January 2013
MVP Health Care 2004 - February 2012
MVP Health Care 1996 - 2004
Skills
Insurance, Medicaid, Process Improvement, Workers Compensation, Claims Management, Medicare Advantage, Goal-driven leader, Great Motivator, Claims Resolution, Medicare/Medicaid..., User Acceptance Testing, Goal-oriented..., Data Entry, Mail Sorting, Provider Relations, Claim, Medicare, PPO, HIPAA, Medicare Part D, Managed Care, Network Development, ICD-9, Healthcare Industry, HMO, Medical Billing, CPT
Education
Ashworth University 2013 — 2014
HealthCare Administration
Monroe Community College 1983 — 1984
Human Services, General
MVP Health Care January 2007 - Present
MVP Health Care January 2002 - January 2007
CHP-Kaiser Permanente June 1995 - August 2001
United States Air Force November 1973 - May 1995
Skills
Nursing, Microsoft Word, Adobe Acrobat, Job Scanning
Education
Oaklawn Community High School 1969 — 1973
High School
Community College of the Air Force
General Studies
SunGard Public Sector March 2012 - Present
MVP Health Care March 2011 - February 2012
TM Systems Pvt. Ltd. January 2006 - April 2007
Skills
Microsoft SQL Server, Databases, Oracle, PL/SQL, Data Warehousing, ETL, Toad, C#, ASP.NET, AJAX, JavaScript, ASP.NET MVC, jQuery, HTML 5, CSS, SSIS, SSRS, Informatica, Application Lifecycle..., Mercury Test Tools, Visual Studio, Visual Studio Team..., Bugzilla, UltraEdit, Agile Methodologies, SQL, Web Applications, MySQL, Web Services
Education
City University of New York-College of Staten Island 2008 — 2010
Master of Science (M.S.), Computer Science
Hemchandracharya North Gujarat University 2003 — 2007
Bachelor of Engineering (B.E.), Computer Engineering
Ellis Medicine November 2012 - Present
MVP Health Care June 2006 - November 2012
Education
SUNY Empire State College 2011 — 2014
working on BS degree, Health/Health Care Administration/Management
Ellis School of Nursing 1988 — 1991
diploma, RN
MVP Health Care January 2003 - Present
Empire Blue Cross and Blue Shield February 1993 - November 2002
Education
Ellis School of Nursing
Registered Nursing/Registered Nurse
Cigna Healthcare March 2013 - Present
Hewlett-Packard January 2012 - February 2013
MVP Health Care June 2011 - December 2011
Winrock International October 2010 - January 2011
Clark Labs December 2008 - May 2010
IRADE August 2006 - August 2008
Skills
Systems Analysis, SDLC, Requirements Analysis, Requirements Gathering, Business Analysis, Visio, User Acceptance Testing, SQL, Software Project..., Agile Methodologies, Microsoft SQL Server, Business Requirements, Data Warehousing, Quality Center, Testing, Oracle, Business Process, SharePoint, Business Objects, PL/SQL, ETL, Software Documentation
Education
Clark University
GGSIPU
TPS
Blue Shield of California April 2012 - Present
AmeriChoice April 2011 - March 2012
UnitedHealth Group September 2007 - March 2011
MVP Health Care September 2006 - September 2007
Education
HarvardX 2014 — 2014
HarvardX: PH210x United States Health Policy
Harvardx 2014 — 2014
Innovating in Healthcare (IHC) BUS5.1x
Cochin University of Science and Technology 2002 — 2006
Bachelor of Technology (BTech), Computer Engineering
St.Joseph's
High School
Harmony Mills Pediatrics September 2013 - Present
MVP Health Care April 2011 - January 2013
MVP Health Care October 2007 - April 2011
Skills
Claims Examiner, Auditing, Coordination of Benefits, Health Insurance, Insurance, Claim, Claims Resolution, Medicare, PPO, HMO, Provider Relations, Medicaid, HIPAA, ICD-9, Employee Benefits
Education
Branford Hall Career Institute-Albany Campus 2012 — 2013
Licentiate degree, Medical Insurance Specialist/Medical Biller
Strattford School 1984 — 1985
Licentiate degree, Medical/Clinical Assistant
Colonie Central High School 1971 — 1974
Anthem, Inc. September 2013 - Present
MVP Health Care March 2011 - September 2013
New York State Department of Health 2010 - 2011
New York State Department of Health 2009 - 2010
New York State Office of Children & Family Services 2003 - 2009
The Globe, Local Military Newspaper January 2000 - August 2001
Skills
Regulatory Analysis, Regulatory Compliance, Project Management, E-Learning, Articulate Suite, Adobe Creative Suite, Distance Learning, Blended Learning, Training Delivery, Learning Management..., Adult Learning..., Auditing, Policy Writing, Reporting & Analysis, Presentations, MS Project, Corporate Communications, Public Speaking, Management, Website Administration, Strategic Communications
Education
Hofstra University
Master of Business Administration (M.B.A.), Strategic Heathcare Management
University of Maryland University College 2000 — 2003
Master's Degree, Distance Education
University of Maryland University College 1998 — 2000
Bachelor of Science, Psychology
National College of Art & Design 1986 — 1987
Diploma in Foundation Studies, Art & Design
MVP Health Care October 2013 - Present
University Of Rochester, Laboratory for Laser Energetics July 2001 - March 2012
Skills
Optical Fiber, Optics, Troubleshooting, Engineering, Experimentation, Laser, Testing, Teaching, Technical Documentation, Public Speaking, Microsoft Excel, Adobe Acrobat, AutoCAD
Education
Grantham University
Engineering Management Technology (BS), Engineering Science - Electrical
University of Rochester
Engineering Science
Monroe Community College
A.S. Engineering Science, Electrical Engineering
Shear Ego International School of Hair Design 1988 — 1990
Cosmetology Licence, Nail Technician/Specialist and Manicurist
ACN Telecommunications May 2013 - June 2015
Goodrich Aerostructures May 2012 - May 2013
Keuka College April 2010 - May 2012
MVP Health Care October 2009 - April 2010
CORE Technology Services April 2009 - August 2009
EDS Corporation January 2009 - March 2009
MVP Health Care May 2008 - January 2009
Point-N-Click January 2008 - April 2008
Skills
CompTIA A+ Certification, CompTIA Network+, CompTIA Secutity+, MCSA Windows 7, MCITP, MCSA Windows Server 2012, MCSE Desktop..., Microsoft Certified..., Windows 7, Vendor Management, Software Documentation, CompTIA A+, Active Directory, Technical Support, Team Leadership, Customer Satisfaction, Customer Service, Microsoft Office, Troubleshooting, Telecommunications, Leadership
Education
Alfred State College - SUNY College of Technology 2004 — 2008
Bachelors Of Science, Network Administration
Excellus BCBS October 2014 - Present
TEKsystems July 2014 - October 2014
MVP Health Care May 2008 - February 2014
MVP Health Care December 2004 - April 2008
Preferred Care December 2003 - December 2004
Preferred Care November 2002 - December 2003
Preferred Care May 2001 - October 2002
Skills
Insurance, Claim, Databases, Medicare, Employee Benefits, HIPAA, Process Improvement, Access, Auditing, Data Analysis, Customer Service, Operations Management, Analysis, Accounts Receivable, Account Reconciliation, Medicaid, Data Warehousing, Testing, Microsoft Excel, Adjustments, Coordination of Benefits, Microsoft Word, ICD-9, Medical Terminology, HCPCS, UB04, HCFA, Lotus Notes, Healthcare, Fraud, Modifiers, Health Insurance
Education
State University of New York College of Environmental Sciences and Forestry 1996 — 1998
Bachelor of Science (BS), Forest Resource Management and Forest Biology
Alfred State College - SUNY College of Technology 1994 — 1996
Associate of Arts (AA), Math and Science
MVP Health Care March 1993 - Present
Citi September 1989 - March 1993
Children's Museum of Manhattan September 1988 - June 1989
Skills
Predictive Analytics, Predictive Modeling
Education
City University of New York-Hunter College 1988 — 1989
Completed 24 credits toward Master's Degree, Consumer & Social Research
University of Massachusetts 1984 — 1988
Bachelor of Arts (B.A.), Psychology. Concentration in Business
MVP Health Care March 2014 - May 2014
AmeriHealth Caritas April 2012 - March 2014
Blue Cross Blue Shield of Delaware March 2010 - April 2012
Blue Cross Blue Shield of Delaware March 2009 - March 2010
Coventry Health Care of Delaware March 2001 - March 2009
Skills
Managed Care, Health Care Reform, US GAAP reporting, Model Audit Rule, Internal Controls, Insurance product..., Health Insurance, Regulatory Compliance, Change Management, Build intellectual..., Strategy Alignment, Cross Functional Team..., Operational Efficiency, Statutory Accounting, Financial Planning, Cash Flow Forecasting, Medical Expense Analysis, Expense Management, Operating Expenses, Provider Reimbursement...
Education
Bradley University
Bachelor of Science (B.S.), Accounting
MVP Health Care October 2013 - Present
St. Peter's Health Partners August 2012 - October 2013
Central Vermont Medical Center November 2009 - July 2012
Gifford Medical Center September 2003 - November 2009
Skills
Process Improvement, PowerPoint, Health Insurance, Business Analysis, Analysis, Healthcare, Data Analysis
Education
Bryant & Stratton College - Albany 1998 — 1999
Associate's degree, Information Technology
Ashworth College
Bachelor's degree, Business Administration and Management, General
MVP Health Care April 2012 - Present
Education
State University of New York College at Plattsburgh 1995 — 1998
International Business
Clinton Community College 1993 — 1995
Associate's degree, Business Administration and Management, General