Physicians Health Services
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Physicians Health Services Employees
Richard C. Ahern Insurance, LLC January 2013 - Present
Prudential Financial October 2007 - January 2012
Epilepsy Foundation of CT 2009 - 2012
Ct Council on Developmental Disabilities 2009 - 2012
Principal Financial Group January 1999 - October 2007
Physicians Health Services 1990 - 1995
Skills
Marketing Strategy, Marketing Communications, Training Skills, Advocate for persons..., Financial Services, Insurance Planning, Health Insurance, Financial Planners, Retirement Planning, Training, Securities, Employee Benefits, Disability Insurance, Insurance, Business Development
Education
University of New Haven
Bachelor of Science - Business Administration, Business
Housatonic Community College
Associates, Business Administration
MetroPlus Health Plan January 2007 - Present
WellPoint January 2006 - January 2007
HIP February 2001 - January 2006
HIP June 1998 - February 2001
Physicians Health Services 1996 - 1998
Skills
Hospitals, Provider Relations, Managed Care, Network Development, Medicaid, Medicare, Healthcare Management, Credentialing, Healthcare, HMO, HIPAA, Healthcare Information..., Healthcare Consulting, Health Insurance, Healthcare Industry, EMR, Revenue Cycle, Pharmacy Benefit..., Health Policy, Medical Billing, Claim, PPO, Physicians, Contract Negotiation, Informatics, Quality Improvement, Physician Relations, Utilization Management, Insurance, Disease Management
Education
Baruch College, City University of New York (CUNY) 2000 — 2003
MBA
Saint John's University 1988 — 1992
BS
CVS Health April 2012 - Present
Aon Hewitt July 2004 - April 2012
Pitney Bowes May 2000 - July 2004
Innovative Clinical Solutions March 1999 - May 2000
PricewaterhouseCoopers December 1997 - February 1999
Physician's Health Services August 1995 - November 1997
Atlantic Mutual Insurance August 1993 - August 1995
Intracorp March 1991 - August 1993
Phelps Memorial Hospital April 1975 - March 1991
Skills
Healthcare, Health, Healthcare Management, Health Insurance, Employee Benefits, Managed Care, Disease Management, Healthcare Consulting, Wellness, Process Improvement, Strategic Planning, Team Building, Healthcare Information..., Leadership Development, Coaching, Change Management, Management, Performance Management, Strategy, Entrepreneurship, Leadership, Data Analysis, Program Management, Human Resources, Policy, Case Managment, Nursing, Insurance, Health Policy, Medicine, Clinical Research, Training, Healthcare Industry, Benefits Administration, Case Management, HIPAA, Physicians, Pharmacy Benefit..., Public Health
Education
Mercy College
MS, Business/Human Resource Management
St. Luke's Hospital School of Nursing
RN Diploma, Nursing
HD Supply Facilities Maintenance December 2012 - Present
Lowe's Home Improvement December 2011 - December 2012
McNamara - Mills Consulting April 2001 - May 2008
Agency.com March 2000 - April 2001
Digitas January 1999 - March 2000
Harvard Pilgrim Health Care September 1996 - December 1998
Physician's Health Services May 1995 - August 1996
Arnold Worldwide March 1990 - April 1995
IMPCO - Direct Marketing Services June 1988 - February 1990
Skills
Advertising, Advertising Sales, Online Marketing, Online Advertising, Marketing Strategy, Direct Marketing, Direct Sales
Education
Northeastern University 1983 — 1986
Bachelor of Science (B.S.), Marketing/Marketing Management, General
MKM Human Resources Strategies, LLC October 2014 - Present
eVariant August 2012 - October 2014
Waterbury Hospital 2006 - 2011
ConnectiCare 1999 - 2000
Physicians Health Services 1986 - 1998
Health Net 1986 - 1998
Skills
Performance Management, Human Resources, Employee Engagement, Recruiting, Organizational Design, Leadership Development, Change Management, Training, Leadership, Deferred Compensation, Strategy, Labor Relations, Employee Benefits, Talent Management, Organizational..., Policy, Coaching, Process Improvement, Management, Healthcare, Project Management, Employee Relations, Succession Planning
Education
Fairfield University
Sacred Heart University
University of Bridgeport
Aquarius Capital May 2002 - Present
Columbia University January 2012 - Present
Gerson Lehrman Group November 2004 - Present
Aquarius Life Solutions January 2003 - Present
Actuarial Society of Greater New York January 2011 - December 2011
Careguide June 2002 - August 2008
Transamerica Reinsurance 1999 - 2002
MFC 1997 - 1999
Physicians Health Services 1995 - 1997
Health Net 1995 - 1997
Skills
Actuarial, Underwriting, Mergers, Insurance, Reinsurance, Employee Benefits, Auditing, Health Insurance, Enterprise Risk..., Valuation, Risk, Pricing, Financial Modeling, Compliance, Financial Reporting, Forecasting, Financial Analysis, Strategic Planning, Managed Care, Due Diligence, Analytics, Analysis, Data Analysis, Financial Planning, Financial Management, Statistics, Accounting, Excel, Data Mining, Product Development, Management Consulting, Executive Management, Claims, Business Strategy, Predictive Modeling, Healthcare, Risk Mitigation, Contract Negotiation, Audit, Business Planning, Process Improvement, Portfolio Management, Corporate Finance, Risk Management, Health, Actuarial Science, Claim, Strategic Financial..., Actuarial Consulting, Mergers & Acquisitions
Education
American Academy of Actuaries 1992 — 1992
Member, American Academy of Actuaries
Society of Actuaries 1990 — 1990
Associates (ASA), Society of Actuaries
University of Michigan 1984 — 1987
Bachelor of Science, Mathematics & Statistics
American College of Healthcare Executives
Member, Insurance & Healthcare
Conference of Consulting Actuaries
Fellow, Conference of Consulting Actuaries
International Actuarial Association
Member, Actuarial Science
Quinnipiac University 2005 - Present
Yale University 1997 - 2011
Publications International 1988 - 2008
Physicians Health Services 1986 - 1990
COOK'S Magazine 1984 - 1987
Skills
Editing, Writing, Microsoft Office, Proofreading, Publications, Copy Editing, Brochures, Newsletters, Public Speaking, Journalism, Facebook, Press Releases, Feature Articles, Creative Writing, Editorial, Copywriting, AP Style, Blogging, Research, Social Media, Management, Nonprofits, Higher Education
Education
Fairfield University 1982 — 1985
BA, English/Communications minor
Boston College 1981 — 1982
Andrew Warde 1977 — 1981
high school diploma
Andrew Warde High School
Andrew Warde High School
Andrew Warde High School
Fresenius Health Partners 2014 - Present
Fresenius Medical Care Reinsurance Co, Ltd June 2011 - Present
SPCS Investment Co, LLC 1997 - Present
Boston Philharmonic Orchestra June 2015 - June 2015
Fresenius Health Partners 2002 - February 2011
Rythm/Rhyme/Results 2007 - August 2009
Fresenius Medical Care 2002 - 2006
Renal Disease Management, LLC 1997 - 2002
Physicians Health Services 1995 - 1997
MasterCare of CT 1995 - 1997
Skills
Good listner, Follows through, Loyal, Network Development, Team Building, Disease Management, Health Policy, Managed Care, Hospitals, Start-ups, Healthcare Management, Healthcare, Strategy, Strategic Planning, Leadership, Healthcare Industry, Medicare, Medicaid, Employee Benefits, Clinical Research, Health Insurance, Program Management, Contract Negotiation, Healthcare Consulting, Healthcare Information..., Physician Relations, Revenue Cycle, Management, EMR, Public Health, Credentialing, Physicians, HIPAA, Quality Improvement, Business Development, EHR
Education
American University
BA/BA
Salisbury University
MEd
Physicians Health Services January 2013 - Present
Dalton Family Practice, PC 1976 - August 2012
Hamilton Health Care System 1970 - 2012
USAF October 1968 - October 1970
Skills
Family Medicine, Addiction Medicine, Primary Care, Hospitals, Healthcare, Treatment, Board Certified, Geriatric Medicine, Medical Business..., Medical Business Owner, Managed Care, Emergency Medicine, Occupational Medicine, Healthcare Information..., Public Speaking, Public Health, EMR, Urgent Care, Diabetes, Medicaid, Revenue Cycle, Physicians, EHR, Surgery, Pediatrics, Prevention, Internal Medicine, Nursing, Physician Relations, Cardiology, Healthcare Consulting, Hospital Medicine, Health Policy, BLS, ACLS, HIPAA, Disease Management, Preventive Medicine, Health Education, Critical Care, Inpatient, Quality Improvement, Medicare, Psychiatry, Patient Education, Patient Safety, Informatics, Cpr Certified, Medical Terminology, Practice Management
Education
Medical College of Georgia at Georgia Regents University 1962 — 1966
M.D., Medicine
The University of Georgia 1957 — 1960
B.S.-M.D., Biology
LaGrange High School 1953 — 1957
High School Diploma, 9-12 studies
ByLight Professional IT Services, Inc August 2015 - Present
BAYM - Bridgeport Area Youth Ministry, INC December 2014 - April 2015
Yale University July 2012 - February 2014
PC's Don't Byte November 2011 - December 2012
The Osborn June 1999 - February 2011
GE Capital 1998 - 1999
Physicians Health Services April 1998 - July 1998
GE Capital February 1998 - April 1998
Citizen's Utilities 1995 - 1998
Wright Investor's Service 1994 - 1995
Skills
Troubleshooting, Windows, Customer Relations, Problem Solving, Vendor Management, Administration, System Administration, Customer Service, TCP/IP, Technical Support, Project Management, Motivation, Leadership, ITIL, Servers, Strategic Planning, Microsoft Exchange, Team Building, Business Analysis, Management, Hardware, Operating Systems, Security, Training, Citrix, Software Installation, MS Project, Switches, Software Documentation, Visio, Budgets, Disaster Recovery, IT Management, Help Desk Support, Integration, Active Directory, Information Technology, SharePoint, Windows 7, Data Center, Access, IT Service Management, IT Strategy
Education
Platform to Employment (P2E) 2014 — 2014
Career Development Course
University of Connecticut-Stamford
Project Management
Sacred Heart University
M.B.A., Business Administration and Management, General
Sacred Heart University
Certificate - Data Processing, Information Technology
Stonehill College 1969 — 1973
B.A., Sociology
St. Joseph's High School
St. Teresa 1961 — 1969
BlueCross BlueShield of Tennessee January 2015 - Present
Northwest Georgia Healthcare Partnership June 2010 - Present
Anthem, Inc. May 2014 - January 2015
Physician's Health Services January 2009 - February 2014
Society for Vascular Surgery September 2012 - January 2014
Comprehensive Vascular Care, LLC March 2003 - January 2014
Comprehensive Vascular Lab 2004 - 2014
Hamilton Health Care System January 2005 - September 2012
Dare to Care 2005 - 2012
American College of Surgeons October 2009 - February 2011
Skills
Hospitals, Healthcare Management, Healthcare, Surgery, Physicians, Treatment, Vascular, Practice Management, Board Certified, Vascular Surgery, Quality Management, Medicine, Medical Imaging, Medical Directors, Board of Directors, Medical Education, Patient Safety, Clinical Research, Endovascular Therapy, Clinical Integration, Independent Practice..., Certified Physician..., Registered Physician..., Fellow American College..., Medical Doctor, Board of Directors..., Quality Improvement, Endovascular, Health Policy, Healthcare Consulting, Managed Care, Physician Relations, Prevention, Revenue Cycle, Strategic Planning, Fellow, American..., Physician Alignment, Physician Leaderhip, Medical Devices, Cross-functional..., Cost Reduction..., practice variance..., Evidence-based Medicine, Program Development, Program Coordination, Process Improvement, coordinated healthcare..., Non-profit Experience, National Acceditation, Utilization Management
Education
Auburn University 2007 — 2009
MBA, Business Administration & Management, Healthcare Emphasized, 4.0
Certifying Commission in Medical Management 2007 — 2009
Certified Physician Executive (CPE), Healthcare Management
The University of Glasgow 1995 — 1996
Endovascular Fellowship
Rush Medical College of Rush University Medical Center 1994 — 1995
Vascular Surgery Fellowship
Medstar, Washington Hospital Center 1989 — 1994
General Surgery Residency
Albany Medical College 1987 — 1989
MD, Medicine
The University of Tennessee at Chattanooga 1983 — 1985
BA, Biology
Georgia Northwestern Technical College 1981 — 1982
Paramedic
The University of Georgia 1979 — 1981
Biology, General
Post University October 2010 - Present
Health Net Inc. July 2003 - June 2010
Health Net Inc. October 2001 - July 2003
Health Net Inc. March 2000 - October 2001
PHYSICIANS HEALTH SERVICES January 1999 - January 2000
Skills
Access, Underwriting, Customer Service, HIPAA, Microsoft Excel, Healthcare, Microsoft Word, Data Entry, Process Improvement, Analysis, CRM, PowerFAIDS, Health Insurance, Insurance, Leadership, Training, Financial Aid...
Education
Staatliche Handelsschule mit Wirtschaftsgymnasium Hamburg
Foreign Languages and Literatures, General
AstraZeneca August 2012 - Present
AstraZeneca November 2007 - Present
AstraZeneca Pharmaceuticals February 2005 - November 2007
AstraZeneca July 2003 - February 2005
AstraZeneca October 2000 - July 2003
Parke Davis 1999 - 2000
Physicians Health Services 1997 - 1999
Pharmacy Corporation of America 1995 - 1997
CVS Pharmacy 1989 - 1997
Marion Merrell Dow 1988 - 1993
Skills
Therapeutic areas, Pharmaceuticals, Regulatory Affairs, Cardiology, Neuroscience, Diabetes, Managed Care, Healthcare, Strategic Planning, Product Development, Pharmaceutical Sales, Pharmaceutical Industry, Medical Affairs
Education
University of Florida 2000 — 2003
PHARMD, Pharmacy
University of Massachusetts, Amherst 1993 — 1994
MBA
University of Rhode Island 1983 — 1988
B.Sc. Pharmacy, Pharmacy
Pitney Bowes 2011 - Present
TransEngen, Inc March 2009 - January 2010
Health Net, Inc January 2007 - September 2008
Health Net August 1990 - September 2008
Process Improvement January 2005 - January 2007
Health Net, Inc July 1997 - January 2005
DH Andrews Group January 1997 - July 1997
Physician's Health Services January 1990 - January 1997
Physician's Health Services 1990 - 1992
Leask & Leask PC, CPA January 1987 - January 1990
Skills
Operations Management, Process Improvement, Project Management, Integration, Financial Reporting, Finance, Portfolio Management, Business Case, Risk Assessment, Staff Augmentation, Vendor Management, SDLC, Business Analysis, Insurance, Technical Liaison, Visio, Business Process..., Access, Lotus Notes, Cross-functional Team..., Data Warehousing, Change Management, Program Management, Budgets, Data Analysis, Project Planning, Healthcare, Software Documentation, CRM, Project Portfolio..., Strategy, Analysis, Management, Business Intelligence, Leadership, Training, ERP, Start-ups
Education
Fairfield University
certificate, Manigerial Finance
Post University
BA, Business Management; Computer Science
Post University
AS, Accounting Post; Accounting
ZIA HEALTHCARE CONSULTANTS August 2011 - Present
The Diamond Group January 2002 - Present
Health Care Tech Companies January 2002 - Present
UCSF - Center for the Health Professions 2001 - Present
John Muir Medical Center August 1998 - January 2001
Center on Aging @ Mount Zion Medical Center October 1985 - September 1998
University of California, San Francisco/Mount Zion 1990 - 1998
UCSF 1985 - 1998
Mount Zion Hospital 1985 - 1990
Physicians Health Services January 1979 - June 1987
Skills
Healthcare, Healthcare Information..., Leadership, Program Management, Leadership Development, Management, Change Management, Organizational..., Strategic Planning, Nonprofits, Start-ups, Coaching, Executive Coaching, Fundraising, Recruiting, Hospitals, Performance Improvement, Program Development, Healthcare Management, Informatics, Public Speaking, Public Health, Grants, Team Building, Training, Data Analysis, Healthcare Consulting, Workshop Facilitation, Quality Improvement, EMR, Program Evaluation, Conflict Resolution, Negotiation, Community Outreach, Managed Care, Health Policy, EHR, Nursing
Education
Columbia University Mailman School of Public Health 1969 — 1971
MSHA
Clark University 1961 — 1965
Bachelor of Arts (B.A.)
F & M Electric Supply, INC. August 2014 - Present
Summit Retail Solutions, Inc. February 2014 - June 2014
Cartus Asset Recovery April 2012 - February 2013
Macy's Inc. November 2009 - May 2012
RE/MAX Village Realty Group August 2006 - May 2010
Louis Dreyfus Group 1992 - 1994
Stratmar Fulfillment Corporation December 1991 - March 1992
Data Switch 1990 - 1991
TBar 1990 - 1991
Physicians Health Services 1987 - 1990
Skills
Customer Service, Selling, Microsoft Office, Microsoft Word, Microsoft Excel, Account Management, Software Documentation, Project Management, Retail, Sales, Advertising
Education
Charter Oak State College 1985 — 1990
BS, Computer Science
The University of Connecticut 1982 — 1985
Computer Science
Shelton High School 1979 — 1982
diploma, high school
Physician's Health Services February 2011 - Present
Hamilton Health Care System February 2005 - February 2011
Hamilton Health Care System June 1992 - February 2005
Skills
Healthcare Management, Hospitals, Healthcare, Nursing, BLS, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Project Management, Budgets, EHR, English, Cpr Certified, Teamwork, Negotiation, Customer Service, EMR, Team Building, Photoshop, Clinical Research, Windows, Outlook, Event Planning, HIPAA, Strategic Planning, Social Media, Teaching, Managed Care, Quality Management, CPR Certified
Education
University of West Georgia 1997 — 1999
Bachelor of Science, Nursing
Dalton State College 1990 — 1992
Associates of Science, Registered Nursing/Registered Nurse
Grace at Home, Primary Care Home Visits January 2013 - Present
Physicians Health Services January 2010 - January 2013
Indiana University Health January 2007 - January 2010
Indiana Internal Medicine Consultants, Indianapolis, Indiana June 2000 - January 2007
Franciscan St. Francis Health May 1987 - June 2000
Skills
Nursing, BLS, PALS, Healthcare, Critical Care, ACLS, Pediatrics, Patient Education, Nursing Education, ICU, Nurse Practitioners, Family Medicine, Acute Care, Home Care, Inpatient, Wound Care, Healthcare Management, Medical/Surgical, Hospitals
Education
Indiana University-Purdue University at Indianapolis 2010 — 2013
Doctoral, Doctor of Nursing Practice
Clayton College of Natural Health 2000 — 2002
Doctor of Naturopathy, Doctor of Naturopathy
Indiana University, Indianapolis, Indiana. 1997 — 1999
MSN/FNP, Family Nurse Practitioner
Indiana Wesleyan University 1994 — 1996
BSN, Nursing
University of Indianapolis, 1978 — 1987
RN/ASN, Nursing
Intuitive HR, LLC January 2009 - Present
University of New Haven September 2010 - Present
Albertus Magnus College November 2008 - December 2010
Survey Sampling International May 2007 - February 2009
Mailroom Services Inc. - A shared services organization supporting Neopost, Inc & Hasler, Inc. May 2005 - March 2007
Hasler Inc. March 2001 - May 2005
Hasler Inc. January 2000 - March 2001
Physicians Health Services 1996 - 2000
Skills
Recruiting, HRIS, Benefits Management, Incentive Programs, Leadership Development, Organizational..., Talent Management, Performance Management, Employee Relations, Succession Planning, Employee Engagement, Leadership, Human Resources, Talent Acquisition, Staff Development, Management, Strategic Planning, HR Consulting, Change Management, Executive Coaching, Strategy, Team Building, Coaching, Employee Benefits, Personnel Management, Training, Organizational..., Mergers & Acquisitions, Program Management, Career Development, Onboarding, Policy, Negotiation, Workshop Facilitation, Conflict Resolution, Career Counseling, Interviews, Organizational Design, Employee Training, Resume Writing, Deferred Compensation, Time Management, Workforce Planning, Program Development, Benefits Administration, New Hire Orientations, College Recruiting, Hiring, Applicant Tracking..., MBTI
Education
Albertus Magnus College 2007 — 2009
MBA
Albertus Magnus College 1998 — 2000
MSM, Leadership
Albertus Magnus College 1994 — 1996
BS, Human Resources & Health Care Management
hamden high school
Community Health Centers of Lane County 2014 - Present
Community Health Centers of Lane County 2004 - 2015
University of Oregon 2005 - 2008
Oregon State University 2004 - 2004
PacificSource Health Plans 2002 - 2004
UnitedHealth Group 1998 - 2001
Physicians Health Services 1996 - 1998
Physicians Health Services 1994 - 1996
Skills
Healthcare Management, Managerial Finance, Strategic Planning, Managing Start-ups, Team Leadership, Turn Around Management, Business Development, Business Alliances
Education
Northwestern University - Kellogg School of Management 1980 — 1982
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management; Finance
University of Pennsylvania 1974 — 1978
Bachelor of Arts (B.A.), Health/Health Care Administration/Management
Elderplan, Inc. July 2013 - Present
Preferred Health Partners July 2012 - June 2013
Boxwood LLC January 2012 - June 2012
Manhattan's Physician Group March 2010 - January 2012
Health Net, Inc. June 2003 - January 2010
Health Net 1998 - 2003
Kyto Meridian June 1999 - June 2000
Physicians Health Services June 1997 - January 1999
Skills
Provider Relations, Provider Contracting, Network Development, Credentialing, PPO, Managed Care, Medicare, Process Improvement, Leadership, Healthcare, HIPAA, Medicaid, Strategy, Healthcare Industry, Healthcare Management, HMO, Healthcare Consulting, Management, Access, Healthcare Information..., Hospitals, Health Insurance, Physicians, Operations Management, Revenue Cycle, Practice Management, Health Policy, EHR, Physician Relations, EMR, Policy, Informatics, Quality Improvement, Clinical Research, Performance Improvement, Revenue Cycle Management
Education
Fairleigh Dickinson University
In Transition September 2015 - Present
UnitedHealth Group January 2015 - September 2015
AmeriHealth Caritas Partnership October 2013 - January 2015
UnitedHealth Group 2003 - November 2013
Horizon Blue Cross Blue Shield September 2001 - August 2003
IntelliClaim September 2000 - September 2001
Physicians Health Services March 1995 - September 2000
Skills
Cost Avoidance &..., Healthcare, Call Center, HIPAA, Insurance, Management, Medicaid, Change Management, Managed Care, Program Management, Training, Recruiting, Vendor Management, Call Centers, Leadership, Outsourcing, Process Improvement, Medicare, Healthcare Information..., Strategic Planning, Team Building, Healthcare Management, Budgets, Health Insurance, Project Management, Business Analysis, Healthcare Industry, Healthcare Consulting, Business Process...
Education
UnitedHealth Group 2011 — 2011
Exceutive Development Program Graduate, Executive Leadership
Wharton Business School 2011 — 2011
Executive Leadership Development Program, Executive Leadership
Monmouth University 1989 — 1993
Bachelor’s Degree Program in Accounting, Accounting
United Healthcare July 2003 - Present
Oxford Health Plans 2003 - Present
UHC 2008 - 2008
HealthNet July 2000 - July 2003
Physicians Health Services January 1999 - July 2000
M.D. Health Plan January 1996 - January 1999
Education
Quinnipiac University 1991 — 1995
McKesson Connected Care & Analytics June 2014 - Present
McKesson Health Solutions February 2001 - May 2014
Holy Cross Resources 1998 - 2001
Physician's Health Services 1995 - 1998
Skills
Healthcare Information..., Managed Care, Healthcare, Healthcare Consulting, Informatics, Healthcare Industry, Process Improvement, Medicaid, Healthcare Management, Program Management, Business Analysis
Education
Rensselaer Polytechnic Institute at Hartford 1994 — 1997
M.B.A., Healthcare Administration
Tri-State University 1989 — 1992
Bachelor, Office Administration
Kevin Wenig CPA September 2011 - Present
Flik's Lawncare April 2011 - November 2014
ToneGear August 2008 - September 2014
Healthnet 1998 - 2001
Physicians Health Services 1994 - 1998
Skills
Financial Reporting, Accounts Receivable, Account Reconciliation, Accounting, Accounts Payable, Analysis, Cash Flow, Customer Service, Finance, Financial Statements, Invoicing, Microsoft Excel, Payroll, QuickBooks, Sales Tax, Tax
Education
Sacred Heart University 1995 — 1999
MBA
Bryant University 1990 — 1994
Central Connecticut State University April 2010 - Present
Education Connection August 2006 - Present
The Youth Light Foundation May 2008 - May 2010
International College of Hospitality Management September 2000 - August 2004
Physicians Health Services 1995 - 2000
Skills
Curriculum Design, Higher Education, Classroom, Student Counseling, Teaching, Program Development, Program Management, Management, Staff Development, Curriculum Development, Project Planning, E-Learning, Student Affairs, Software Documentation, Adult Education, Time Management, Career Counseling, Admissions, Recruiting, Nonprofits, Analysis, Public Speaking, Resume Writing, Training, Leadership, Research, Educational Leadership, Event Planning, Career Development
Education
Central Connecticut State University 2014 — 2019
Master's Degree, Educational Studies Discipline Specific to Higher Ed Counseling
Southern Connecticut State University 1986 — 1990
Bachelor of Arts (B.A.), Sociology
Advanced Placement July 2013 - October 2013
Ateeca Inc October 2010 - April 2012
Pitney Bowes 2007 - September 2010
Pitney Bowes 2005 - 2007
Pitney Bowes 2003 - 2005
Physicians Health Services 1996 - 1998
Skills
Organization, Communication, Customer Service, Highly detail oriented, Handle Confidential..., Multitasking Skills, Employee Benefits, Vendor Relationships, Problem Solving, Process Improvement, RFP, Recruiting, Applicant Tracking..., Benefits Administration
Education
Salisbury University 1991 — 1995
Bachelor's degree, Psychology
United Healthcare February 2006 - Present
Oxford Health Plans January 2001 - January 2006
Physicians Health Services January 1994 - January 1997
Skills
HIPAA, Health Policy, EDI, Healthcare Information..., Insurance, Healthcare Consulting, Microsoft Office, Medicaid, Project Management, Claim, Healthcare, Managed Care, Revenue Cycle, SDLC, Medical Coding, Health Insurance, Network Development, Healthcare Management, Claims Management, Provider Relations, Medicare, Strategic Planning, PeopleSoft, Team Building, Business Analysis, Medical Billing, Credentialing, Management, PPO, Hospitals, Medicare Part D, Data Analysis, Process Improvement, Visio, HMO, Business Process..., Access, Vendor Management, Microsoft Excel, EMR, Healthcare Industry, Property & Casualty...
Education
Fairfield University
BS, Finance
Tufts Health Plan March 2002 - Present
Mercer 2000 - 2001
Health Net 1998 - 2000
Physicians Health Services 1998 - 2000
Blue Cross Blue Shield of Rhode Island 1995 - 1998
Skills
Health Insurance, Managed Care, Medicare, Insurance, Healthcare, Healthcare Management, Claim, Employee Benefits, Process Improvement, Project Management, Program Management, Data Analysis, Analysis, Actuarial Science
Education
Worcester Polytechnic Institute 1991 — 1995
BS, Actuarial Science
University of Massachusetts Boston
Prudential Financial February 2014 - Present
Prudential Financial June 2010 - February 2014
Saint Mary's Hospital June 2009 - June 2010
Health Net of the Northeast March 2008 - February 2009
Health Net February 2007 - March 2008
Health Net 2004 - 2007
Health Net October 2000 - August 2004
Oxford Health Plans February 2000 - October 2000
Physicians Health Services 1996 - 1999
Skills
Project Management, PMP, Insurance, Change Management, Business Process..., Business Analysis, Six Sigma, Software Documentation, Team Management, Project Portfolio..., Budgets, Access, Leadership, Strategic Planning, Integration, Outsourcing, PMO, Strategy, Management, Training, Analysis, Team Building, Project Planning, Operations Management, Program Management, Process Improvement, Security, SDLC, Visio, Cross-functional Team..., Systems Analysis, Business Intelligence, MS Project, Requirements Gathering
Education
Villanova University
Lean Six Sigma Black Belt
VRDS, Inc. Training and Consulting 2010 — 2011
LSS Green Belt
Norwalk Community College 2009 — 2009
Advanced Project Management/PMP Cert
Norwalk Community College 2008 — 2008
NCC/IFS Business Analysis Certification (IIBA Curriculum)
Quinnipiac University
Aetna March 2014 - Present
Aetna June 2013 - March 2014
Aetna August 2012 - May 2013
Freedom Disability April 2011 - January 2012
Health Net May 2003 - April 2011
CIGNA Healthcare October 2000 - May 2003
St. Francis Hospital October 1998 - December 2001
Physicians Health Services 1995 - 1998
Physicians Health Services January 1989 - May 1995
Skills
Management, Medicare, Strategy, Cross-functional Team..., Process Improvement, Program Management, Business Process..., Healthcare, Managed Care, Leadership, Project Management, Insurance, Medicaid, Account Management, Health Insurance, Business Planning, Quality Assurance, Call Centers, Project Planning
Education
University of Missouri 1990 — 1991
Executive Program in Managed Care, Executive Program in Managed Care
Sacred Heart University 1984 — 1987
MBA, Business
Southern Connecticut State University 1978 — 1982
BS, Health Sciences
Lawrence + Memorial Hospital June 2015 - Present
Lawrence + Memorial January 2013 - June 2015
Lawrence & Memorial Hospital December 2009 - December 2012
L&M Hospital 2003 - 2009
Colonial Cooperative Care 1998 - 2002
Physicians Health Services 1989 - 1998
Skills
Healthcare, Medicare, Hospitals, Managed Care, Physician Relations, Healthcare Management, HIPAA, Revenue Cycle, Physicians, Nursing, Leadership, Healthcare Information..., Medicaid, Medical Billing, Meditech, Patient Safety, EMR, Compliance
Education
The University of Connecticut School of Business 1985 — 1987
Master of Business Administration (M.B.A.), Healthcare Administration
University of Connecticut 1980 — 1984
BSN, Nursing
Connecticut Distance Learning Consortium August 1999 - Present
Physicians Health Services 1995 - 1999
Skills
Distance Learning, Educational Technology, Course Development, E-learning, New Business Development, Entrepreneurship, Instructional Technology, Executive Management, Collaborative, Partnership Development, Customer Relations, Product Development, Operations Management, Organizational..., Marketing Strategy, Innovation, E-Learning, Instructional Design, Customer Service
Education
Walden University 2009 — 2010
MBA, Technology Management
Central Connecticut State University 1992 — 1993
Teaching Certificate, Education
University of Connecticut 1988 — 1992
BA, English
EmblemHealth 2009 - Present
United Healthcare February 2001 - January 2009
United Healthcare 2000 - 2008
UnitedHealth Group 2000 - 2008
QuestDiagnostics 1999 - 2005
Physicians Health Services 1994 - 2001
MD Health Plan 1995 - 2000
Saint Lukes Hospital 1987 - 1994
Uconn Health Center 1984 - 1987
Skills
Medicaid, Network Development, Health Insurance, Healthcare Management, Managed Care, Medical Billing, Network Administration, Medicare, Healthcare Industry, Provider Relations, HIPAA, Healthcare Consulting, Insurance, Healthcare Information..., Hospitals, Healthcare, Health Policy, Project Management, Program Management, Employee Benefits, Team Building, PPO, Revenue Cycle, Business Analysis, Physicians, Change Management, Data Analysis, Claim, Microsoft Excel, Process Improvement, Vendor Management, HMO, Microsoft Office, Credentialing, EMR, Strategic Planning, Contract Negotiation
Education
The University of Chicago Booth School of Business 1979 — 1981
Tufts University 1975 — 1979
BA, History/Community Health
Optum December 2014 - Present
Taunton Ridge Healthcare Consulting, LLC January 2013 - Present
Burgess Group, LLC January 2009 - July 2012
PricewaterhouseCoopers Advisory Practice January 2005 - March 2008
Health Net September 1999 - November 2004
Physicians Health Services March 1998 - September 1999
Physicians Health Services July 1992 - March 1998
Physicians Health Services July 1989 - July 1992
Physicians Health Services July 1988 - July 1989
Physicians Health Services December 1986 - July 1988
Skills
Healthcare, Medicaid, Account Management, Product Management, Product Development, Sales, Team Management, Project Management, Disaster Recovery, Insurance, Strategy, Six Sigma, Lean Six Sigma, Integration, Training, Enterprise Software, CRM, Project Portfolio..., Business Strategy, Project Planning, Analysis, Budgets, Business Planning, Contract Negotiation, Marketing Strategy, Start-ups, SaaS, Outsourcing, Strategic Partnerships, Forecasting, Software Documentation, Competitive Analysis, Professional Services, Recruiting, Executive Management, SDLC, Risk Management, Performance Improvement, Team Leadership, Healthcare Management, Process Improvement
Education
Villanova University 2013 — 2013
Certified Lean Six Sigma Sensei, Healthcare and IT
Villanova University 2012 — 2012
Certified Six Sigma Green Belt (CSSGB) - Healthcare and IT
New York Medical College 1985 — 1993
MPH, Health Policy and Management
AHIP Executive Leadership Program 1991 — 1992
Certified Managed Care Executive (CMCE)
Columbia University in the City of New York 1974 — 1981
BA, Biology
Hackley School 1970 — 1974
Tarrytown Public Schools 1960 — 1970
AHIP Executive Leadership Program
AHIP Executive Leadership Program
HealthyCT May 2015 - Present
HealthyCT June 2013 - Present
University of Bridgeport January 2009 - June 2013
Affinity Health Plan June 1999 - September 2008
Connecticare May 1998 - December 1998
Physicians Health Services October 1992 - October 1998
Skills
Utilization Management, Provider Relations, Healthcare Management, Clinical, Customer Service, HIPAA, EHR, Healthcare, Management, Medicaid, Clinical Research, Nursing, Leadership, Healthcare Information..., Quality Assurance, Software Documentation
Education
Sacred Heart University 1988 — 1991
MBA, Health Care Administration
University of Connecticut 1964 — 1968
BS, Nursing
BIC North America Consumer Products June 2015 - Present
BIC Corporation January 1997 - Present
Physicians Health Services April 1993 - December 1996
Coopers & Lybrand Consulting May 1989 - April 1993
Skills
Project Planning, Project Portfolio..., Project Delivery, Project Management, ERP, Cross-functional Team..., Change Management, Strategic Planning, Team Leadership, IT Management, Business Strategy, IT Strategy, Business Analysis, Business Planning, JD Edwards, Business Process..., Business Intelligence, Management, Process Improvement, Supply Chain Management, Enterprise Software, Analysis, Employee Wellness..., Business Development, Business Process, Supply Chain, Vendor Management
Education
City University of New York-Herbert H. Lehman College
Sacred Heart University
MBA, International Business
Neopost, USA April 2010 - Present
Viant February 2009 - December 2009
United Healthcare 2007 - 2008
United Healthcare 2007 - 2008
ConnectiCare March 2002 - December 2006
HealthNet, Inc 1999 - 2001
Physicians Health Services 1997 - 1999
HealthNet, Inc. 1992 - 1999
CHCP 1980 - 1989
Education
Southern New Hampshire University
B.S., Human Services
UnitedHealthcare June 2013 - Present
UnitedHealthcare June 2011 - June 2013
United Health Group April 2010 - June 2011
Health Net October 2003 - February 2009
Health Net July 2002 - October 2003
Health Net March 2002 - July 2002
Health Net October 1998 - March 2002
Physicians Health Services October 1988 - September 1998
Skills
Operations Management, Business Acumen, Risk Management, Leadership, Medicare, Health Insurance, Managed Care, HIPAA, Insurance, Claim, Medicaid, Program Management
Education
Sacred Heart University
Business Administration
Lauralton Hall 1980 — 1984
High School
Columbia University January 2012 - Present
Aquarius Capital August 2002 - Present
Transamerica Reinsurance/MFC Re February 1998 - July 2002
Physicians Health Services March 1994 - February 1998
Blue Cross and Blue Shield of CT/CHCP August 1992 - March 1994
Education
Springfield College 1986 — 1990
BS, Business Administration
University Physicians Network March 2009 - Present
Health Net of the Northeast April 2007 - February 2009
Health Net of the Northeast January 2000 - April 2007
Physicians Health Services November 1995 - December 1999
Physicians Health Services April 1995 - October 1995
Education
Boston University 1983 — 1987
B.S., Magazine Journalism
Mercy Health Partners January 2010 - Present
Pregnancy care of Cincinnati January 2007 - June 2009
Physicians Health Services 1986 - 1988
ameriplan health services 1983 - 1986
prucare of atlanta 1982 - 1983
Education
Presbyterian College 1977 — 1981
business
The LaurelRock Company February 2013 - Present
Ross Consulting LLC January 2001 - January 2013
International Paper September 1999 - December 2000
Physicians Health Services April 1995 - September 1999
Xerox September 1985 - April 1995
Skills
New Business Development, Business Strategy, Strategic Financial..., Insurance, Team Building, Project Management, Leadership, Budget, Operations Management, Organized self-starter, Great Motivator, Meet Deadlines, QuickBooks, Non-profit Board..., Budgets, Accounts Receivable, Accounting, Finance, Payroll, Nonprofits, Customer Service, Organizational..., Business Development, Financial Planning, Business Administration
Education
Fairfield University 1989 — 2009
Bachelor of Science (B.S.), Professional Studies
AmeriHealth Caritas September 2013 - Present
St. Joseph Regional Health Network 1996 - August 2013
Physicians Health Services 1987 - 1996
Beth Abraham Family of Health Services 1981 - 1987
Skills
Network Development, Provider Relations, Provider Contracting, Credentialing, HMO, Physician Relations, Managed Care, Contract Management, Contract Negotiations, Healthcare, Contract Negotiation, HIPAA, PPO, Revenue Cycle, Medicaid, Medicare, Health Policy, Healthcare Industry, Healthcare Management
Education
Alderson Broaddus University
BS, Medical Science
Pace University
MPA, Healthcare Administration
ConnectiCare September 2009 - Present
CT Basement Systems 2007 - Present
Basement Systems Inc. 2007 - Present
Connecticut Basement Systems 2006 - Present
HealthChoice of Connecticut 1998 - 1999
Health Choice 1998 - 1999
Physicians Health Services 1996 - 1998
Physisicans Health Services/Health Net 1988 - 1998
Skills
Marketing, Team Building, Waterproofing, Sales, New Business Development, Construction, Sales Management, Lead Generation, Health Insurance, Contract Negotiation, Business Development, Marketing Strategy
Education
Post University 1995 — 2000
Bachelors, Management
Mattatuck Community College 1985 — 1988
Associates, Adminstration
USI Insurance Services September 2013 - Present
Cleary Benefits Group, Inc. July 2010 - September 2013
Healthnet of the Northeast November 2004 - July 2010
Health Net, Inc November 2004 - June 2010
Oxford Health Plans May 2002 - November 2004
Oxford Health Plans July 2000 - May 2002
Physicians Health Services November 1999 - July 2000
Skills
Health Insurance, Employee Benefits, Insurance, Claim, Managed Care, Underwriting, Medicare, Healthcare, Lotus Notes, Access, Account Management, Provider Relations
Education
Albertus Magnus College 2000 — 2002
BS, Business Management
Albertus Magnus College 2000 — 2002
Bachelor of Science, Business Management
Albertus Magnus College 2000 — 2002
Bachelor of Science, Business Management
Gateway Community College 1996 — 1998
Associate Degree, Certified Pharmacy Technician Program
John M Glover Agency 2009 - Present
Health Net June 1994 - 2008
Health Net 2000 - 2004
Health Net 2000 - 2001
Health Net 1997 - 2000
Physicians Health Services 1994 - 1997
Bank of Boston March 1987 - June 1994
Skills
Account Management, Forecasting, New Business Development, Healthcare, Sales Force Development, Strategy, Employee Benefits, Insurance, Sales, Health Insurance, Sales Management, Strategic Planning, Management, Negotiation, Health Savings Accounts, Workers Compensation, Managed Care, Claim, Commercial Insurance, Property & Casualty..., Underwriting, HMO, Health Care Reform, Legal Liability, General Insurance, Life Insurance, Student/Athletic..., Student Accident..., Medicare Advantage, Disability Insurance, Medicare Supplement, Travel Insurance, Dental Insurance, Individual Health..., Employer Health Benefits, Medicare, Medicare Part D, Medicare Prescription..., Term Life Insurance, Whole Life, Employment Practices..., Group Insurance, PPO, D&O, Umbrella Insurance, Casualty, Liability, COBRA, Casualty Insurance, Brokers
Education
The Ohio State University 1983 — 1987
BS, Economic / Finance
Lauralton Hall
High School
Wellpoint February 2011 - Present
WellPoint March 2009 - April 2011
WellPoint January 2004 - February 2009
Self-Employed January 1998 - December 2003
Physician's Health Services May 1996 - December 1997
Andersen Consulting March 1988 - May 1996
Self-Employed May 1978 - March 1988
Education
University of New Haven 1977 — 1981
MA, Organizational Psychology
Quinnipiac University 1974 — 1977
BA, Management Information Systems
Atlantic Partners Corporation May 2015 - Present
The CT Girl on the Go February 2015 - Present
Fresh Nation August 2014 - Present
Mediant Health Resources October 2014 - February 2015
Cenveo April 2014 - June 2014
Accenture May 2012 - October 2013
McKesson Health Solutions July 2002 - February 2012
Synergy Corporate Technologies 2001 - 2002
Modem Media 2000 - 2001
Physicians Health Services 1999 - 2000
Skills
Vendor Management, SDLC, Leadership, IT Management, Agile Methodologies, Management, Operations Management, Quality Assurance, Cross-functional Team..., Project Management, Process Improvement, IT Strategy, Program Management, Software Documentation, Business Analysis, Consulting, Testing, Requirements Analysis, Healthcare Information..., Visio, Customer Service, Software Project...
Education
Post University 2000 — 2009
Bachelor's degree, Business Administration and Management, General
Molecular NeuroImaging 2008 - Present
Paul H. Gesswein Co. 2006 - 2008
Bassett Furniture Industries, Inc. 2005 - 2006
J. Albert Johnson Jewelers 2004 - 2005
St. Vincent's Health Services, Bridgeport CT 1998 - 2002
Physicians Health Services 1995 - 1997
Gartner Group 1993 - 1995
IT - Consulting and Permanent 1982 - 1993
Education
University of Massachusetts - Lowell, MA
Web Development Certificate
Gemological Institute of America
Diploma - Accredited Jewelry Professional
Computer Processing Institute
Diploma - Business Computer Programming
University of Massachusetts - Amherst, MA 1977 — 1979
B.S. Program - Environmental Design
Alfresco University
Hyperion Solutions 2000 - 2002
Hyperion Solutions 1999 - 2000
Hyperion Solutions 1999 - 1999
Physicians Health Services 1998 - 1999
Physicians Health Services 1997 - 1998
J.D. Edwards World Solutions Company 1991 - 1997
Information Management Associates, Inc. 1991 - 1991
Information Management Associates, Inc. 1988 - 1991
Information Management Associates, Inc. 1986 - 1988
Skills
Event Management, Direct Marketing, Direct Mail, Demand Generation, Publishing, Lead Generation, Telemarketing, Sales, Budgets, Database Marketing, Management, Trade Shows, Newsletters, Training, Sales Operations, Marketing, Marketing Communications, Recruiting, Strategic Planning, Sales Management, CRM, Enterprise Software, Customer Experience, Customer Service, Email Marketing
Education
Project Management Institute
Certificate – Project Management Essentials
The University of Connecticut
Bachelor of Science
Western Connecticut State University
Certificate program – Direct Marketing Management
One Call Care Management January 2012 - Present
One Call Medical June 2004 - December 2011
One Call Medical March 1999 - May 2004
Physicians Health Services October 1995 - March 1999
Skills
Health Insurance, Managed Care, Healthcare, Process Improvement, Workers Compensation, Management, Insurance, Provider Relations, Account Management, Visio, Network Development, Project Management, Product Management, Team Building, Salesforce.com, Business Process, Customer Service, User Acceptance Testing, Training, Hiring, Customer Implementation, Leadership
Education
Rutgers, The State University of New Jersey-New Brunswick
Bachelor of Arts, Government
Montclair State University
Master of Arts, Economics
Amodio Associates Real Estate Appraisers and Consultants October 2012 - Present
Connex Credit Union October 2007 - October 2012
J.E.R. Revenue Services September 2000 - October 2007
Liberty Mutual Insurance May 1999 - May 2000
Physicians Health Services February 1990 - May 1999
Marketing Corporation of America May 1986 - February 1990
Education
Southern Connecticut State University 1991 — 1996
B.S., Public Health
Sacred Heart University 1984 — 1986
A.S., Administration
MedOptions January 2007 - November 2012
Shoreline OB/GYN July 2005 - January 2007
The Moore Company June 1999 - June 2004
Physicians Health Services April 1997 - May 1999
CHC Physicians February 1996 - December 1996
Skills
Medical Terminology, ICD-9-CM, cpt-4 Coding, Microsoft Word, Microsoft Excel, Nex Gen Software, Insurance Authorizations, Medical Billing, Customer Service, Kronos Software, Insurance Verification, Meditech Software, Detail Oriented, Excellent verbal and...
Education
Holyoke Community College
Medical Record Technology, 12 credits
Three Rivers Community College
Business/Computers, 10 Credits and 4 CEU's
University of New Haven @ Mitchell College
Paralegal, 3 credits
Availity 2009 - Present
Availity 2006 - 2009
Technology Service Partners, A CSC Company 2006 - 2006
Technology Service Partners, A CSC Company 2004 - 2006
T2 Software Services 2004 - 2004
Technology Service Partners, A CSC Company 2002 - 2004
Technology Service Partners, A CSC Company 2002 - 2004
Spherion 2001 - 2002
Physicians Health Services 1999 - 2000
Physicians Health Services 1996 - 1999
Education
Fairfield University 1994 — 1996
Master of Business Administration (MBA), Finance, General
University of Florida 1987 — 1991
Bachelor of Science (BS), Finance, General