AmeriHealth Caritas
Industry: Commercial organization
DescriptionFounded: 1982 Subsidiaries: AmeriHealth Caritas Pennsylvania, Parent organization: Independence Blue Cross
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AmeriHealth Caritas Employees
OMNIPLEX World Services Corporation January 2013 - Present
Stanley Group, LLC January 2013 - January 2015
AmeriHealth Caritas 2013 - 2014
Federal Bureau of Investigation 2011 - 2012
US Nuclear Regulatory Commission 2010 - 2011
U.S. Department of Energy 2008 - 2010
US Department of Health and Human Services 2006 - 2008
US Department of Health and Human Services 2000 - 2006
US Customs Service 1987 - 2000
University of Maryland 1986 - 1987
Skills
Counterintelligence, Program Evaluation, Physical Security, Internal Investigations, Enforcement, Continuity of Operations, Organizational..., Incident Response, Medical Compliance, Criminal Investigations, Investigation, Security Policy, Nuclear Safety, Homeland Security, Emergency Management, Special Operations, Protection, Background Checks, Police, Policy, Firearms, Security Clearance, Intelligence, Counterterrorism, Patrol, Weapons of Mass..., Criminal Law, Evidence, Fraud, Crisis Management, Intelligence Analysis, Corporate Security, Criminal Justice, Executive Protection, Interrogation, National Security, Program Management, Law Enforcement..., Computer Forensics, Forensic Analysis, Cybercrime, Military, Federal Law Enforcement, Surveillance, Preparedness, Security Operations, Crime Prevention, Tactics, Government, Federal Government
Education
Columbia University in the City of New York
Master of Arts (M.A.)
Fairleigh Dickinson University
Bachelor of Science (B.S.)
Federal Executive Institute
"Leadership for a Democratic Society", Charlottesville, VA
Cheltenham High School
Perkiomen School
Trinity Health (HQ Michigan) September 2014 - Present
AmeriHealth Caritas May 2014 - September 2014
Thomas Jefferson University Hospital August 2009 - May 2014
The Childrens Hospital of Philadelphia May 2003 - June 2009
Sole Proprietorship October 2000 - May 2003
Specialty Hosptial of Philadelphia June 1999 - October 2000
Aetna April 1998 - April 1999
Catholic Health Initiatives August 1996 - November 1997
Crozer Chester Medical Center June 1990 - June 1996
Skills
Leadership, Healthcare, Procurement, Strategic Sourcing, Management, Contract Management, Hospitals, Process Improvement, Supply Chain Management, Purchasing, Contract Negotiation, Project Management, Materials Management, Strategic Planning, Quality Improvement, Continuous Improvement, Operations Management, Customer Service, Vendor Management, Cross-functional Team..., Team Building, Healthcare Information..., Healthcare Management, Group Purchasing, Start-ups, Supply Chain, Program Management, Performance Improvement, Healthcare Consulting, Healthcare Industry, Change Management, Training, Inventory Management, Consulting, HIPAA, Entrepreneurship, Telemarketing, Proposal Writing, Board of Directors, Marketing, Medicare, Medicaid, Subrogation, Governance, Risk Management, Clearing Houses, Help Desk Support
Education
Cabrini College 2010 — 2012
Master of Science (MS), Organization Leadership, 4.0
Eastern University 1991 — 1996
Master of Science (MS), Health Services Management
Cabrini College 1979 — 1983
Bachelor of Arts (B.A.), English and Communications
Upper Darby High School 1976 — 1979
College/University Preparatory and Advanced High School/Secondary Diploma Program
The American Red Cross February 2015 - Present
AmeriHealth Caritas September 2013 - Present
Skills
Benefits Administration, Employee Relations, Labor Relations, Human Resources, Temporary Placement, PeopleSoft, Recruiting, Performance Management, ADP Payroll, Payroll, Vendor Management, Conflict Management, Call Center, Process Improvement, Policy, Process Scheduler, Coaching, Change Management, Customer Service, Leadership, Employee Benefits, Leadership Development, Operations Management, Employment Law, PowerPoint, Microsoft Word, Microsoft Excel, Strategic Planning, Microsoft Office, Sales, Data Analysis, Training, Employee Engagement, Organizational..., Outlook, Management, Workforce Planning, HR Policies, Windows, Access, Time Management, Employee Training, Onboarding, Talent Acquisition, Applicant Tracking..., Interviews
Education
Peirce College 2010 — 2013
Bachelor of Business Administration (B.B.A.), Human Resources Management/Personnel Administration, General
Community College of Philadelphia 2006 — 2009
Associate's degree, Business
Montgomery Medical Equipment Company February 2015 - Present
AmeriHealth Caritas June 2013 - Present
JB Outdoor Services (Formerly S&J Landscaping) January 2001 - August 2012
Skills
Teamwork, Time Management, Microsoft Excel, Leadership, Goal Oriented, Microsoft Office, Work Ethic, Process Scheduler, Team Leadership, Microsoft Word, Project Planning, Data Analysis, Business, MS Project, Outlook, Strategic Management, Organization, Event Planning, Organizational Behavior, Managing Database, Customer Service, Entrepreneurship, Healthcare, Public Speaking, Problem Solving, Conflict Resolution, Team Building, Multi Tasking, Business Strategy, Microsoft Project, Access, Project Management
Education
Bloomsburg University of Pennsylvania 2010 — 2014
Bachelor's Degree, Business Administration and Management, General
Montgomery County Community College 2011 — 2012
Business Administration and Management, General, Sophmore
Delaware Valley College 2010 — 2011
Environmental Design
AmeriHealth Caritas August 2015 - Present
Sutherland Global Services January 2011 - February 2014
First Judicial District November 2005 - July 2009
McDonald´s May 2005 - November 2005
Skills
Electronic Health..., Microsoft Office, oral communication, Strong ability to..., Strong organizational..., Medical Terminology, Physiology, Handles Pressure
Education
Metropolitan Career Center Computer Technology Institute 2014 — 2016
Certificate, Health Information/Medical Records Technology/Technician
John Bartram High School 1997 — 2001
Diploma, Communications
The Risk Management Association July 2014 - Present
Comtel (part-time) December 2007 - Present
AmeriHealth Caritas April 2013 - July 2014
Intercultural Family Services December 2007 - April 2012
Colgate Palmolive 2002 - 2005
Lafarge Cement February 2003 - July 2003
Skills
Databases, SQL, MySQL, Access, Database Design, Analysis, Computer Hardware, Troubleshooting, Computer Repair, Networking, Windows 7, Windows XP Pro, Microsoft Office, Microsoft Excel, Dreamweaver, Visio, Process Improvement, Accounting, General Ledger, Accounts Payable, Accounts Receivable, Billing Systems, Invoicing, Financial Reporting, Outlook, Account Reconciliation
Education
Western Governors University 2014 — 2016
Bachelor of Science (B.S.), Information Technology
Community College of Philadelphia 2010 — 2014
Associate of Arts and Sciences (A.A.), Management Information Technology, A.A
DPT Business School 2006 — 2007
Diploma, Business Accounting
CESA 2001 — 2002
Diploma, computer Network Management & Web Designer
IKtec 2000 — 2000
Diploma, Networks and Computer maintenance
Iktec, Casablanca, Morocco 1996 — 1998
Associate of Arts (AA), Financial Management & Accounting
CareFirst BlueCross BlueShield Customer Service RepresentativeT-MobileJanuary 2015 - July 2015
AmeriHealth Caritas June 2014 - December 2014
Florida Blue September 2011 - May 2014
Kepro November 2007 - March 2011
Youth & Family Services 2011 - 2011
Skills
Healthcare, Medicare, Managed Care, HIPAA, Health Insurance, Medicaid, Insurance, Public Speaking, Health Policy, Provider Relations, Healthcare Management, Customer Service, Microsoft Office, Process Improvement, Strategic Planning, Health Care Reform, Claims Handling, Medical Billing, Billing Systems, Client Billing, HMO, Network Development, PPO, Healthcare Information..., Medical Coding, Medical Records, Medicare Part D, ICD-9, CPT, Medical Terminology, HCPCS, Employee Benefits, Claims Resolution, Medicare/Medicaid..., Policy, Healthcare Reimbursement, Data Entry, Claim
Education
Colorado Technical University 2012 — 2014
Associate's degree, Health/Health Care Administration/Management
Hospice of Central PA March 2015 - Present
Fresenius Medical Care 2014 - 2015
Commonwealth of Pennsylvania May 2014 - August 2014
AmeriHealth Caritas December 2013 - January 2014
Stay at home mom October 2008 - December 2013
Hershey Medical Center June 2006 - October 2008
InteliStaf and Preferred Healthcare Staffing 2005 - 2008
Pinnacle Health Group May 2004 - November 2005
Skills
Cpr Certified, Medical Terminology, Customer Service, Quick Study, Public Speaking, Telephone Skills, Microsoft Word, Data Entry, Teaching, Volunteering, Trauma Nursing, ACLS, TNCC, Prehospital Care, Emergency Room, Nursing, Healthcare, Phlebotomy, PALS, Critical Thinking, Direct Patient Care, Hospitals, EKG, Vital Signs, Team Building, Patient Advocacy, Nursing Care, First Aid, Healthcare Management, Clerical Skills, Medication..., Telemetry, Compassion, Patient Education, ICU, Nursing Education, Medical/Surgical, Phone Etiquette, Venipuncture, BLS, Patient Safety, Acute Care, Critical Care, Volunteer Management, Time Management, Medical Records
Education
Harrisburg Area Community College 2006 — 2007
Certificate of Completion, Pre hospital RN
Corning Community College 2001 — 2004
Associate of Science (AS), Nusing
Corning Community College 2001 — 2004
Associate of Arts and Sciences (AAS), Science
AmeriHealth Caritas June 2013 - August 2013
McDonald's Corporation August 2010 - May 2013
One Stop Computer Solutions September 2005 - August 2009
Skills
Accounting, Sales, Music, Cashiering, Time Management, Restaurants, Customer Service, Cash Register, Cash Handling Experience, Restaurant Management, Teamwork, Finance, Leadership, Payroll, Management
Education
Shippensburg University of Pennsylvania 2011 — 2014
Bachelor of Science in Business Administration, Accounting & Finance
Alabama Agricultural and Mechanical University 2009 — 2010
AmeriHealth Caritas July 2013 - Present
Select Health of South Carolina August 2010 - July 2013
Trident Regional Medical Center August 2008 - August 2010
Skills
Utilization Management, Utilization Review, Medicaid Managed Care, Managed Care, Medicaid, Healthcare, Nursing, Outlook, Microsoft Word, Microsoft Excel, PowerPoint, New Business Development, Customer Service, Provider Education
Education
College of Charleston 1985 — 1987
Bachelor of Science (BS)
University of South Carolina-Columbia 1983 — 1985
Accounting
Trident Technical College
Associates Degree Nursing (ADN)
AmeriHealth Caritas June 2015 - Present
Einstein Healthcare Network July 2013 - June 2015
Toys R Us November 2012 - June 2013
Rita's Italian Ice May 2010 - October 2012
Skills
Customer Service, Event Planning, Public Speaking, Community Outreach, Time Management, Microsoft Office, Microsoft Word, Teamwork, Healthcare, Training, Program Development, Food Safety, Food Service, Data Entry, Inventory Management, PowerPoint, Food, Sales, Research, CPR Certified, Health Education, Program Evaluation, Facebook
Education
Community College of Philadelphia 2014 — 2015
Associate of Arts (A.A.), Health/Health Care Administration/Management, 4.0
Central High School 2007 — 2011
High School Diploma
Community Health Worker
AmeriHealth Caritas August 2015 - Present
AmeriHealth Caritas August 2014 - August 2015
The AmeriHealth Caritas Family of Companies July 2011 - August 2014
James F. Reda & Associates, LLC September 2010 - July 2011
Council for Economic Education February 2010 - August 2010
Skills
Data Analysis, Research, Microsoft Excel, Nonprofits, Statistics, PowerPoint, Healthcare Information..., Medicaid, Healthcare Consulting, Microsoft Office, Public Speaking, Politics, Policy, Health Policy, Healthcare, Microsoft Word, Analysis, Community Outreach, Leadership, Strategic Planning
Education
Columbia University in the City of New York 2007 — 2011
Bachelor of Arts, Economics and Political Science
naviHealth, Inc. April 2015 - Present
UnitedHealth Group September 2014 - April 2015
AmeriHealth Caritas May 2014 - September 2014
Executive Health Resources May 2011 - February 2014
Abington Memorial Hospital July 2010 - May 2011
Abington Memorial Hospital June 2007 - July 2010
Skills
Microsoft Excel, Microsoft Word, Microsoft Office, Education, Nursing, Typing, Medical/Surgical, Acute Care, Nursing Education, Hospitals, BLS, Utilization Management, Healthcare
Education
South University 2012 — 2015
Master's degree, Nursing Education
South University 2008 — 2010
Bachelor's degree, Registered Nursing/Registered Nurse
Bucks County Community College 2004 — 2007
Associate's degree, Nursing
AmeriHealth Caritas September 2013 - Present
Habitat for Humanity of Jacksonville August 2012 - July 2013
US Navy August 2006 - August 2011
Skills
Customer Service, Human Resources, Project Planning, Time Management, Security Clearance, Quality Assurance, Critical Thinking, Team Leadership, Administration, Microsoft Office, Community Outreach, Motivated self-starter, Schedule Management, Tourism, Travel, Project Coordination, Microsoft Office Skills, Employee Training and..., Meet Deadlines, Exceeding Expectations, Coordinating Events, Medicaid Managed Care, Volunteer Management, Volunteer Training, Landlord
Education
Widener University 2014 — 2016
Master's Degree, Public Administration
Strayer University-Florida 2012 — 2014
Bachelor's Degree, Business Administration and Management, General
Delaware County Community College 2011 — 2011
Business Administration and Management, General
Central Texas College 2010 — 2011
Bachelor's degree, Business Administration and Management, General
Navy Service Schools/Military Training Education Courses
AmeriHealth Caritas March 2015 - Present
Consumers' Choice Health Plan of South Carolina May 2013 - February 2015
Greenville Hospital System March 2008 - December 2012
Oconee Medical Center May 2002 - December 2007
Skills
Pain Management, Home Infusion, Nursing, Patient Safety, Critical Care, BLS, Hospitals, ACLS, Acute Care, EMR, Nursing Education, Healthcare, Inpatient, Physician Relations, Medical/Surgical, Managed Care
Education
Clemson University 1994 — 2006
Masters in Nursing, Nursing (Adult)
Kennedy Western University 2002 — 2005
Doctor of Philosophy (PhD), Health Administration
Clemson University 1991 — 1992
Bachelor's in Nursing, Nursing Science
AmeriHealth Caritas October 2013 - Present
Blue Cross Blue Shield of WNY January 2006 - October 2013
BCBS of WNY January 2003 - January 2006
BCBS of WNY January 2002 - January 2003
BCBS of WNY January 2000 - January 2002
BCBS of WNY January 1999 - January 2000
Skills
Health Insurance, Analysis, Employee Benefits, Managed Care, Leadership, Program Management, HIPAA, Customer Service, Healthcare, Claim, Access, Microsoft Excel, Process Improvement, Training, Insurance
Education
Alfred State College 1996 — 1999
Associates Degree, Medical Assisting
Alfred State College - SUNY College of Technology 1996 — 1999
Associate of Arts and Sciences (A.A.S.), Allied Health and Medical Assisting Services
AmeriHealth Caritas January 2015 - Present
AmeriHealth Caritas October 2013 - December 2014
AmeriHealth Caritas March 2012 - October 2013
The Times of Trenton June 2007 - January 2013
Topaz Pharmaceuticals, Inc. February 2010 - October 2011
Mercy Fitzgerald Hospital March 2009 - October 2009
ConvaTec August 2008 - January 2009
Eastern League Baseball Writers Association May 2005 - May 2007
The Trentonian September 2004 - May 2007
The Boston Globe September 2002 - May 2004
Skills
AP Style, Social Media, Organizational..., Investor Relations, Market Research, Data Analysis, Microsoft Office 2007, Desktop Publishing, Adobe Acrobat, Media Relations, Digital Marketing, Internal Communications, Strategic Communications, Corporate Communications, Copywriting, Technical Writing, Healthcare Marketing, Press Releases, Editing, Message Development, Excel, Word, Public Relations, Blogging, Writing, Marketing Communications, Social Media Marketing, Facebook, Microsoft Excel, Ap Style, Marketing, Publicity, Crisis Communications, Storytelling, Microsoft Word, Journalism, Proofreading, Creative Writing, Newspapers, Publications, Newsletters, Feature Articles, Copy Editing, News Writing
Education
Temple University 2009 — 2011
M.S., Communication Management
Boston University 2000 — 2004
B.S., Journalism
West Windsor-Plainsboro High School South 1996 — 2000
AmeriHealth Caritas December 2014 - January 2015
Robert Half Finance & Accounting May 2003 - December 2013
New Jersey Housing Mortgage Finance Agency April 2013 - May 2013
Kroll Advisory Solutions December 2012 - January 2013
Pepco Holdings, Inc March 2012 - June 2012
IRS - Campaign For Working Families(Volunteer Income Tax Assistance) January 2011 - April 2011
Towers Perrin July 2008 - November 2008
Pep Boys May 2000 - April 2003
Delaware Investments February 1996 - April 1999
Skills
Financial Analysis, Accounts Receivable, Payroll, Auditing, Microsoft Excel, Financial Reporting, QuickBooks, Financial Statements, Microsoft Office, Strategic Planning, Time Management, Oracle, Lacerte, Tax Preparation, Retirement Plans, SAP, SOX Compliancy, Retirement Planning, Highly motivated..., Highly personable, Highly Reliable, Works Well Under..., Adult Education, Social Skills, Academic Tutoring, Sales, High Performance Teams, High Achiever
Education
DeVry University (Keller Graduate School of Management) - Center City, Philadelphia 2009 — 2011
MAFM
Baker College Center for Graduate Studies 2000 — 2003
MBA
Kean University 1990 — 1994
Bachelor of Science
Highmark Blue Cross Blue Shield February 2015 - Present
AmeriHealth Caritas September 2012 - September 2014
AmeriHealth Caritas May 2009 - September 2012
AmeriHealth Caritas September 2003 - August 2009
Independence Blue Cross January 2001 - January 2003
Quest Diagnostics February 2000 - January 2001
Skills
Healthcare, Medicaid, Process Improvement, HIPAA, Organizational Structure, Presentation Preparation, Event Planning, Training & Development, Makeup Artistry, Wardrobe Consultant, Leadership Development, Call Center, Cold Calling, Project Implementation, Toastmasters, Customer Service, Excel, Vendor Management, Analysis, Employee Training, Healthcare Information..., Managed Care, Call Centers, Management, Coaching, Software Documentation, Insurance, Project Management, Microsoft Excel, Team Building, Training, Employee Benefits
Education
Strayer University-Pennsylvania 2009 — 2011
MBA, Business Administration; Project Management
Art Institute of Philadelphia 2004 — 2008
Bachelors, Fashion Marketing
AmeriHealth Caritas May 2013 - Present
Accountemps December 2011 - May 2013
My Alarm Center October 2007 - August 2011
Title Alliance, Ltd. May 2002 - October 2007
Skills
Accounts Receivable, Account Reconciliation, Accounts Payable, Invoicing, General Ledger, Bank Reconciliation, Accounting, Financial Statements, Analysis, Microsoft Excel, Microsoft Office, Microsoft Word, Auditing
Education
Strayer University-Pennsylvania 2006 — 2010
Bachelor of Science (BS), Accounting
Delaware County Community College
Accounting
AmeriHealth Caritas May 2011 - Present
Random Alliance January 2008 - January 2013
Merck February 2011 - May 2011
Bank of America (Enterprise Creative Solutions) February 2010 - January 2011
Delaware Investments November 2005 - May 2009
FOX 43 August 2004 - November 2005
CN8 Network January 2004 - April 2004
Skills
Adobe Creative Suite, Advertising, Annual Reports, Brochures, Creative Direction, Final Cut Pro, Graphic Design, Graphics, InDesign, Illustrator, QuarkXPress, Photoshop, Adobe Acrobat, Newsletters, Corporate Identity, Posters, Art Direction
Education
Temple University 2009 — 2009
Certification, Web Design
Art Institute of Philadelphia
BA, Computer Animation and Media Arts
AmeriHealth Caritas June 2012 - Present
Sellers Dorsey August 2010 - May 2012
Family Planning Council August 2009 - August 2010
Council Alliance August 2009 - August 2010
DPW August 2006 - August 2009
CARIE 2005 - 2006
Skills
Nonprofits, Healthcare, Policy Analysis, Community Outreach, Healthcare Information..., Health Policy, Public Policy, Policy, Medicaid, Healthcare Consulting, Medicare, Data Analysis, Public Speaking, Government, Health Insurance, Strategic Planning, Healthcare Management, Event Planning, Program Evaluation
Education
Bryn Mawr College 2003 — 2005
Masters of Social Service, Graduate School of Social Work and Social Research
Whittier College 1999 — 2003
Liberal Arts, Psychology
AmeriHealth Caritas September 2015 - Present
AmeriHealth Caritas August 2014 - September 2015
AmeriHealth Caritas March 2012 - August 2014
AmeriHealth Caritas January 2009 - March 2012
AmeriHealth Caritas May 2008 - August 2008
Skills
Account Reconciliation, Financial Analysis, Finance, Variance Analysis, Analysis, Budgets, Journal Entries, Leadership, Balance Sheet, Claim, Monthly Close, Financial Reporting
Education
The Citadel 2010 — 2012
Master of Business Administration (M.B.A.), Business Administration
Columbia College (SC) 2005 — 2008
Bachelor of Arts (BA), Accounting
AmeriHealth Caritas October 2013 - Present
Cliffs Natural Resources September 2010 - September 2013
Great Lakes Recruiting, LLC January 2001 - September 2010
JB Brown & Associates August 1998 - March 2000
Wayne Steel 1994 - 1996
Skills
Mining, Talent Acquisition, Strategic Sourcing, Recruiting, Technical Recruiting, Human Resources, Manufacturing, Sourcing, LinkedIn Recruiter, Social Recruiting, HR Policies, Management, Contract Recruitment, HR Consulting, Executive Search, Applicant Tracking..., Personnel Management, Employer Branding, Deferred Compensation, College Recruiting, Internet Recruiting, Engineering, Employee Engagement, Benefits Negotiation, Negotiation, Interviews
Education
Pennsylvania State University-Erie Campus 1985 — 1987
BS
Clarion University of Pennsylvania 1983 — 1985
AmeriHealth Caritas December 2013 - July 2014
Cooper University Health Care June 2013 - September 2013
Kennedy Health System December 2006 - October 2011
Our Lady of Lourdes Medical Center June 2002 - December 2006
Tenet Healthcare August 1999 - June 2002
Tenet Healthcare August 1999 - June 2002
Kennedy Health System January 1997 - September 1999
Tenet Healthcare January 1994 - October 1996
Touro Infirmary March 1979 - 1983
Skills
Negotiation, Team Building, Organizing, Healthcare, Healthcare Management, Hospitals, Revenue Cycle, Public Speaking, Auditing, Leadership, Managed Care, Case Managment, Social Services, Staff Development, Leadership Development, Collaborative Problem..., Innovator, Home Care, Utilization Management, Mental Health, Health Education, Psychotherapy, Acute Care, Medical/Surgical, Inpatient, JCAHO, Case Management, Disease Management, Medicaid, Utilization Review, Patient Safety, Physician Relations, Critical Care, Nursing, Healthcare Consulting, EMR, Medicare, Patient Advocacy, ICU
Education
Touro Infirmary School of Nursing 1976 — 1978
RN, Nursing
Chestnut Hill College 1968 — 1972
Bachelor of Science (BS), psychology
CCHS
CCHS
AmeriHealth Caritas March 2015 - Present
TriZetto Corporation July 2013 - December 2014
Blue Shield of California July 2013 - December 2014
Cognizant Technology Solutions September 2007 - June 2013
UnitedHealthcare 2007 - 2012
Skills
PL/SQL, Core Java, Sybase SQL Anywhere, Android SDK, Ksh, Windows Scripting, Microsoft Word, Microsoft Excel, Healthcare, Payer, Facets, HIPAA, XML, EDI, Java, SQL, Requirements Analysis, Software Project..., SOA, Oracle, SDLC
Education
Anna University 2003 — 2007
BE, Computer Science
SBKV Higher Secondary School 2000 — 2002
AmeriHealth Caritas July 2013 - Present
AmeriHealth Caritas July 2013 - Present
Aetna Medicare August 2007 - July 2013
Hartford Insurance Co September 1998 - August 2007
the hartford aarp divison 1998 - 2007
Hartford Insurance Co 1998 - 2005
Skills
Public Speaking, Coaching, Team Building, Marketing, Customer Satisfaction, Wellness, Account Management, File Management, Newsletters, Event Planning, Health Insurance, Medicare, Customer Service
Education
Northampton Community College 1987 — 1988
Delaware Valley Academy of Medical and Dental Assistants 1970 — 1971
Dental Assisting, Dental Assisting/Assistant, 4.0
U.S. Department of Veteran Affairs August 2015 - Present
AmeriHealth Caritas August 2012 - July 2015
Skills
Microsoft Office, Customer Service, Microsoft Excel, Strategic Planning, Microsoft Word, PowerPoint, Public Speaking, Negotiation, Leadership, Team Building
Education
Community College of Philadelphia 2003 — 2006
Associate of Arts and Sciences (AAS), Business, Management, Marketing, and Related Support Services
First Choice VIP Care Plus by Select Health of South Carolina 2015 - Present
AmeriHealth Caritas 2013 - 2015
AmeriHealth Caritas Family of Companies 2012 - 2013
NCDR, LLC (Kool Smiles) 2011 - 2012
UnitedHealth Group - AmeriChoice (UnitedHealthcare Community & State) 2006 - 2010
John Snow, Inc. (JSI) 2002 - 2006
UnitedHealth Group I Dental Benefit Providers 2000 - 2001
Mercy Medical Center CarePartners 1998 - 2000
Prudential Healthcare 1995 - 1998
Prudential Healthcare 1994 - 1995
Skills
Managed care, Medicaid, Business Development, Strategic Marketing, Customer Engagement, Health Insurance, Public Health, Brand Awareness, Healthcare Management, Board Leadership, Market Research, Marketing Strategy, Contract Management, Management Consulting, Provider Relations, Managed Care, Leadership, Healthcare, Medicare, Training, Fundraising, Strategic Planning, Team Building, Management, Community Outreach, Policy, Process Improvement, Program Management, Healthcare Industry, Hospitals, Network Development, Health Policy, Program Development, HIPAA, EMR, Staff Development, Program Evaluation, Strategy, Nonprofits, Informatics, CRM, Physician Relations, Quality Improvement, Healthcare Consulting, Healthcare Information..., Revenue Cycle, Disease Management, Utilization Management, EHR, Practice Management
Education
Central Michigan University
M.S., Health Services Administration
University of Maryland University College
B.S., Business Management
Cablevision January 2015 - Present
AmeriHealth Caritas July 2013 - December 2014
LifeCare May 2012 - January 2013
NYU Stern School of Business January 2012 - June 2012
Infosys May 2008 - July 2011
Skills
Lean Six Sigma Black..., Strategy, Business Strategy, Management Consulting, Business Process..., Project Management, Operations Management, Financial Analysis, Analytics, IT Strategy, Financial Modeling, Operating Models, CRM, Business Process..., Business Process..., Six Sigma, Lean Operations, Product Management, Technology..., Process Improvement, Service Operations, Strategic Planning, Financial Accounting, Trading Strategies
Education
New York University - Leonard N. Stern School of Business 2011 — 2013
Master's Degree, Management Information Systems, 3.83
Andhra University 2004 — 2008
Bachelor's Degree, Computer Science Engineering, 8.2 of 10.0
AmeriHealth Caritas October 1992 - December 2007
Education
Cuyahoga Community College 1979 — 1982
Certification in Office Skills Management, Business Administration and Management, General
Santander Bank, N.A. September 2014 - Present
AmeriHealth Caritas May 2013 - September 2014
The AmeriHealth Mercy Family of Companies June 2012 - April 2013
Helping Hands Medical Supply May 2011 - August 2011
Skills
Microsoft Excel, Microsoft Word, PowerPoint, Outlook, Microsoft Project, Business Analysis, Healthcare, Access, Data Analysis, Healthcare Management, Medicaid, Insurance, Customer Service, Process Improvement
Education
Widener University 2011 — 2012
Master of Business Administration (MBA), Health/Health Care Administration/Management, Graduate
Arcadia University 2007 — 2011
Bachelor of Arts (B.A.), Health/Health Care Administration/Management
Jackson Lewis P.C. July 2014 - Present
AmeriHealth Caritas 2012 - Present
Star Career Academy 2010 - 2011
Municipal Credit Union 2007 - 2010
HSBC 2005 - 2007
Skills
•Management skills:..., •Exceptional..., •Proficient in..., Customer Service
Education
City University of New York-Herbert H. Lehman College 2013 — 2015
Bachelor's Degree, Business Administration and Management, Human Resources, 3.94
CUNY Bronx Community College 2007 — 2010
Associate of Science (A.S.), Business Administration and Management, General, 3.0
AmeriHealth Caritas July 2015 - Present
AmeriHealth Caritas March 2013 - Present
InfoMC, Inc. Health Information Systems August 2010 - February 2013
AmeriHealth Mercy Family of Companies January 2006 - August 2010
AmeriHealth Mercy Family of Companies August 1999 - January 2006
AmeriHealth Mercy Family of Companies September 2001 - May 2003
Keystone Mercy Health Plan August 1999 - September 2001
SmithKline Beecham Clinical Laboratories April 1990 - August 1999
Skills
Microsoft Office 2007, SQL, Crystal Reports, Access, Business Analysis, Product Management, Medical Informatics, Informatics, Consulation, Sales&Marketing, Blueprint, Elicitation, Medicare, Analysis, HIPAA, Business Process..., Leadership, Healthcare, Managed Care, Quality Assurance, Training, SDLC, Healthcare Information..., Software Documentation, Data Warehousing, Medicaid, Data Analysis
Education
Peirce College 2013 — 2015
Master's degree, Organizational Leadership and Management, Currently 4.0
Bellevue University 2010 — 2011
BS HealthCare Management, Healthcare Management, 3.93
Peirce College, Philadelphia PA 2009 — 2010
AS Technology Management, Computor Science
Montgomery County Community College
AmeriHealth Caritas June 2013 - Present
Intercommunity Action, Inc. November 2009 - June 2013
PATH January 2008 - October 2009
Independence Blue Cross May 2000 - March 2008
Skills
Public Speaking, Management, Nonprofits, Community Outreach, Customer Service, Microsoft Office, Fundraising, Event Planning, Microsoft Word, PowerPoint, Program Development, Training, Research, Microsoft Excel, Social Media, Teaching, Volunteer Management, Human Resources, Team Building, Outlook, Leadership, Cpr Certified, Leadership Development, Data Entry, Healthcare, Coaching, Access
Education
University of Phoenix 2014 — 2016
Bachelor of Arts (B.A.), Business Management
University of Phoenix 2011 — 2015
Associates of Arts, Business Management, Entrepreneur
Community College of Philadelphia 1987 — 1987
Bachelor of Arts, Liberial Arts
AmeriHealth Caritas July 2014 - Present
AmeriHealth Caritas June 2012 - July 2014
ARAMARK May 2011 - June 2012
ARAMARK February 2009 - May 2011
Deloitte Services April 2006 - October 2008
AAA Mid-AtlanticKing of Prussia PA July 2005 - March 2006
Comcast October 2003 - July 2005
Penn Jersey Paper Company March 2001 - September 2003
Skills
Compensation, Performance Management, HRIS, Benefits, Onboarding, Employee Engagement, Employee Relations
Education
Drexel University 2000 — 2002
Community College of Philadelphia 1999 — 2000
AmeriHealth Caritas May 2013 - Present
The AmeriHealth Mercy Family of Companies June 2012 - May 2013
Old Navy November 2007 - October 2012
Ridley Area YMCA September 2006 - November 2007
Sand Castle Restaurant June 2002 - August 2007
Skills
Process Improvement, Leadership, Time Management, Customer Service, Healthcare, Inventory Management, SharePoint, PowerPoint, Policy, Selling, Onboarding, Data Entry, Customer Experience, Merchandising, Microsoft Excel, Microsoft Word, Application Support
Education
Saint Joseph's University 2012 — 2015
Bachelor of Science (B.S.), Health Administration
Delaware County Community College 2006 — 2011
Associate of Applied Science, Health Care Management
Millersville University of Pennsylvania 2005 — 2006
Exploratory Studies
Pennsylvania EMT Certification
AmeriHealth Caritas December 2006 - Present
Skills
Human Resources, Onboarding, Employee Relations, Recruiting, Healthcare, Team Building, Project Management, Project Planning
Education
City University of New York-Brooklyn College
Bachelor of Science, Business, Management, and Finance
Kingsborough Community College
Associates in Applied Science, Business Administration and Management, General
AmeriHealth Caritas April 2013 - Present
United HealthCare of the Mid-Atlantic January 2010 - April 2013
WellCare of Georgia January 2005 - May 2009
ACS Healthcare Provider Solutions January 2003 - November 2004
Aetna US Healthcare 1996 - 2002
United Health Care 1992 - 1996
Skills
Managed Care, Provider Relations, Medicaid, Medicare, Credentialing, Healthcare, Network Development, Provider Contracting, HMO, PPO, Healthcare Industry, Insurance, Medical Billing, Health Policy, Physicians, ICD-9, Hospitals, HIPAA, Healthcare Consulting, Utilization Management, Health Insurance, CPT, Physician Relations, Disease Management, Medical Coding, Claim, Healthcare Information..., Medical Compliance, Medicare Part D, Medicaid Managed Care, Revenue Cycle, Pharmacy Benefit..., Healthcare Management, Leadership, EHR, Claims Resolution, Revenue Cycle Management, Healthcare Reimbursement, Nursing, Practice Management, Medical Terminology, Medicare/Medicaid..., Provider Network..., Training, Quality Improvement, Policy, EMR, Employee Benefits, Health Information..., Long-term Care
Education
Shorter University 2008 — 2010
Business Administration
Central State University
Art Education
Patterson Co-op
Patterson Co-op
Sinclair Community College
Business Administration
Wogaman
AmeriHealth Caritas June 2015 - Present
Five G LTD August 2013 - Present
Northeastern Title Loans March 2014 - June 2015
TD October 2009 - April 2013
Wale Ashiru CPA PC September 2007 - April 2012
Elkton Global Ventures October 2006 - July 2007
Skills
Retail Banking, Branch Banking, Customer Service, Customer Satisfaction, Retail Sales, Financial Services, Bookkeeping, Accounts Receivable, Accounts Payable, Banking, Data Entry, Microsoft Excel, Leadership, Microsoft Word, Outlook, Time Management, Public Speaking
Education
Cecil College 2007 — 2007
Liberal Arts and Sciences, General Studies and Humanities
Community College of Philadelphia 2004 — 2006
Culture. Science and Technology
Amerihealth Caritas May 2014 - Present
Coldwell Banker Chicora Real Estate April 2012 - Present
Catalyst Health Solutions, Inc. November 2011 - May 2012
Catalyst Health Solutions May 2010 - November 2011
Catalyst Health Solutions July 2009 - June 2010
TheraCom a CVS/Caremark Company April 2008 - June 2009
BlueCross BlueShield of SC September 1997 - April 2008
Skills
Healthcare, Contract Negotiation, Process Improvement, Strategic Planning, Medicare Part D, Medicare, Managed Care, Program Management, Project Management, Policy, Team Building, Medicaid, Real Estate, Customer Service, Management, Leadership, Budgets, Health Insurance, HIPAA, Recruiting, Time Management, Public Speaking, Data Analysis, Outlook, Training, Analysis, Insurance, Selling, Employee Benefits, Employee Training, Software Documentation, Strategy, Negotiation, Cross-functional Team..., Real Estate Transactions, Marketing, Operations Management, Government, Residential Homes, Communication Skills
Education
Webster University 2004 — 2005
MA, Management & Human Resources Development
Coastal Carolina University 2001 — 2003
BA, History
Independent Healthcare, IT, Operations, and Process Consulting September 2015 - Present
AmeriHealth Caritas October 2012 - August 2015
Doss Consulting Services, LLC March 2012 - February 2013
Passport Health Plan September 2010 - February 2012
Humana February 2006 - September 2010
Humana February 2004 - February 2006
Humana August 2000 - February 2004
Passport Health Plan July 1998 - August 2000
Anthem, Inc. June 1995 - July 1998
Skills
Process Improvement, Vendor Management, Healthcare, Health Insurance, BPM Software, Technology Consulting, Business Analysis, Business Process..., Strategic Planning, Management Consulting, Six Sigma, Program Management, Consulting, Leadership, Project Management, Business Development, Managed Care, HIPAA, Visio, Medicare, Medicaid, Management, Business Intelligence, SDLC, Problem Solving, Agile Methodologies, Agile Project Management, Cross-functional Team..., Requirements Gathering, Strategy, Business Strategy, Change Management, Business Process, Software Documentation, Process Engineering, Leadership Development, Requirements Analysis, Analytics, Performance Management, BPO, Organizational..., Vendor Relations, Process Consulting, ITIL, Business Process..., Team Building
Education
Ball State University 1991 — 1995
B.S., Legal Business Administration and Management
Echoes October 2011 - May 2015
Columbia Daily Spectator September 2011 - May 2015
MTV January 2015 - April 2015
NBCUniversal, Inc. August 2013 - December 2013
Columbia Spectator October 2011 - December 2013
Columbia Philolexian Society October 2011 - December 2013
AmeriHealth Caritas June 2013 - August 2013
Sirius XM Radio Inc. January 2013 - May 2013
Sanctum: Columbia Journal on Religious Thought October 2011 - March 2013
Blue & White October 2011 - December 2012
Skills
English, Editing, Research, AP Style, Latin, Creative Writing, Poetry, Writing, Proofreading, Logging, Project Management, Internal Communications, Video, Corporate Communications, Project Planning, Magazines, Online News, Newspapers, Publishing, Books
Education
Barnard College 2011 — 2015
Bachelor of Arts (B.A.), English Language and Literature, General
Barnard College of Columbia University 2011 — 2015
Bachelor of Arts, English
Conestoga High School 2007 — 2011
The University of Edinburgh
English Literature, College of Humanities and Social Sciences
AmeriHealth Caritas May 2014 - Present
Connolly Healthcare December 2011 - April 2014
Child Guidance Resource Centers November 2010 - December 2011
Quaker Funds, Inc. January 2007 - August 2010
AIDS Action Committee July 2005 - December 2006
University of Massachusetts June 2001 - May 2004
PZ Youth Center September 1997 - August 2003
Kidsports, Inc December 1994 - September 1998
Skills
Non-profits, Community Outreach, Grant Writing, Fundraising, Volunteer Management, Program Development, Editing, Research, Public Speaking, Strategic Planning, Event Planning, Social Media, Microsoft Office, Grants, Healthcare, Project Management, Community Organizing, Program Management, Data Analysis, Teaching, Social Networking, Public Policy, Marketing, Philanthropy, Strategy, Public Relations, Staff Development, Marketing Communications, Curriculum Development, Account Management, Change Management, Business Development, Entrepreneurship, Process Improvement, Prospect Research, Marketing Strategy, Organizational..., Leadership, Team Building, Team Leadership, Customer Service, Leadership Development, Analysis, Nonprofits, Training
Education
Brandeis University 2004 — 2005
MBA
University of Massachusetts, Amherst 1999 — 2001
MEd
University of Massachusetts, Amherst 1994 — 1997
BA
AmeriHealth Caritas January 2014 - Present
The AmeriHealth Mercy Family of Companies August 2012 - Present
The AmeriHealth Mercy Family of Companies April 2012 - August 2012
Munich Re August 2004 - August 2011
General Accident /One Beacon 1996 - 2005
Skills
Business Intelligence, Operations Management, Cognos ReportNet, Quality Center, Insurance, SharePoint, Program Management, Change Management, PMO, MS Project, PMP, SDLC, Management, CRM, Strategy, Business Process, Project Portfolio..., SAP, Project Management, Data Warehousing, Business Process..., Visio, Business Analysis, Process Improvement, Requirements Analysis, Requirements Gathering, Vendor Management
Education
Boston University 2002 — 2003
Project Manager Certification
Temple University - Fox School of Business and Management
BBA, Management
AmeriHealth Caritas February 2013 - Present
Lucy Technologies January 2008 - Present
The TriZetto Group November 2006 - January 2011
Dish Network June 2001 - October 2006
Skills
Databases, Quality Assurance, Integration, SQL, Requirements Analysis, SDLC, Business Analysis, Unix, Software Documentation, Agile Methodologies, Software Project..., Troubleshooting, Microsoft SQL Server, Testing, Analysis, SharePoint, Scrum, Windows, Management, XML, Linux, Enterprise Architecture, T-SQL, Software Development, Requirements Gathering, Systems Analysis, Database Design, Business Intelligence, Oracle, Web Applications, ASP.NET, Data Warehousing, Data Modeling, Business Requirements, Crystal Reports, PMP, .NET, SSIS
Education
Regis University 2010 — 2013
MSC, Database Technologies
University of Colorado Denver 2002 — 2006
BSC, Computer Science and Engineeering
HiLCoE - School of Computer Science 1998 — 2000
Computer Science
Addis Ababa University 1994 — 1997
Mathematics
AmeriHealth Caritas December 2009 - Present
TCC of SC January 2007 - November 2009
DHI Mortgage January 2004 - October 2007
Skills
Outlook, Microsoft Excel, Call Centers, Microsoft Word, Managed Care, Healthcare, Windows, HIPAA, Access, Insurance, Medicaid, Microsoft Office, PowerPoint, Process Improvement, Research, Team Building, Customer Service, Event Planning, Team Leadership, Health Insurance, Training
Education
Charleston Southern University 1996 — 1998
Bachelor of Education (B.Ed.), Music
AmeriHealth Caritas October 2014 - Present
Skills
Business Analysis, SDLC, Business Intelligence, Cross-functional Team..., Program Management, Integration, Requirements Analysis, CRM, Product Management, Team Building, Leadership, Healthcare Information..., Project Management, Analysis, Web Application Design, Product Development, HIPAA, Management, Visio, Data Warehousing, Healthcare, New Business Development, Process Improvement, Medicaid, Medicare, Agile Project Management, Scrum, Healthcare Informatics, Business Process..., Managed Care, Vendor Partnerships, Vendor Management, Virtual Management, Coaching, EHR, Software Documentation, Systems Analysis, Crystal Reports, Requirements Gathering, Solution Architecture, Business Process..., Testing, Business Requirements, Health Information..., PMP, SAS Enterprise Guide, SAS Visual Analytics 6.2, SAP Web Intelligence 4.0, SAS Data Flux..., SAS Platform...
Education
Alliant International University-Los Angeles 1999 — 2002
MA
University of California, Los Angeles 1990 — 1995
B.A
AmeriHealth Caritas January 2015 - Present
Arbor Health Plan February 2013 - January 2015
Memorial Community Hospital Blair, NE March 2012 - February 2013
Boys Town National Research Hospital July 2011 - March 2012
Quality Clinical Research September 2005 - July 2011
Skills
Clinical Research, Quality Assurance, CTMS, Healthcare, GCP, Clinical Trials
Education
Bellevue University 2014 — 2015
Bachelor of Applied Science (B.A.Sc.), Healthcare Management
Cambridge College Denver Colorado 1997 — 1998
Associate's degree, Medical/Clinical Assistant
Diller Community Schools Diller, NE
Diploma
Sedgwick November 2014 - Present
AmeriHealth Caritas February 2014 - November 2014
State Farm September 2011 - July 2013
State Farm March 2011 - September 2011
Citi October 2010 - January 2011
Interactive Response Technologies, (IRT) November 2009 - August 2010
Interactive Response Technologies, (IRT) September 2008 - November 2009
Interactive Response Technologies, (IRT) June 2008 - September 2008
Fiba Retail - Marks & Spencer / GAP / Banana Republic June 2007 - February 2008
Barnes & Noble October 2006 - May 2007
Skills
Customer Service, Call Centers, Human Resources, Leadership, Data Entry, Sales, Team Building, Recruiting, Insurance, Onboarding, New Hire Orientations, Customer Retention, Customer Experience, Employee Training, Training, Technical Support, Payments, Office Administration, Public Administration, Consulting, Clerical Skills, Data Analysis, Conducting Interviews, Development Of Employees, Motivational Speaking, Data Collection, Community Development, Retail Sales, Non-profit Volunteer, Technical Writing, Event Planning, Event Photography, Cooking, Baking, Grills, Bilingual-English/Spanis..., Telephone Skills, Interviews, Communication, Telecommunications, Receptionist Duties, Mock Interviews, Report Writing, Communication Skills, Cashiering, Non-profit..., Corporate Events, Computers, Customer Support, Brewing Beer
Education
Florida International University 2012 — 2013
Bachelor of Arts (BA), Public Administration
Daytona State College 2006 — 2011
Associate's Degree, Business Administration and Management, General
QAD August 2015 - Present
AmeriHealth Caritas November 2008 - August 2015
Lockheed Martin Information Technology January 2002 - November 2008
Skills
Red Hat Linux, Linux System..., CentOS, HP-UX, Unix, VMware, VMware ESX, EMC SAN Administration, UNIX/Linux/Windows/VMwar..., DNS, Disaster Recovery, Windows Server, Peoplesoft/Oracle..., Integration
Education
Camden County College
AS, Computer Science
Rowan University
BS, Information Systems
AmeriHealth Caritas November 2013 - Present
Child Care Services Association August 2012 - October 2013
M&T Bank 2011 - 2012
Skills
Customer Service
Education
Empire Beauty School-Philadelphia Woodhaven Rd 2002 — 2010
Cosmetology
Jose felipe zayas 1996 — 1999
Horizon Blue Cross Blue Shield of New Jersey May 2014 - December 2014
Consulting Work January 2011 - March 2014
Einstein Healthcare Network January 2009 - January 2011
AmeriHealth Caritas January 2007 - January 2009
United States Air Force November 1985 - December 1996
Skills
Documentation, SQL, Access, Problem Solving, Data Analysis, Excel, Visio, Business Intelligence, Crystal Reports, Healthcare, Microsoft Office, Word, EMR, PowerPoint, SAS Base, Software Documentation, Microsoft Word, Analysis, HIPAA, Healthcare Information..., Data Warehousing, Team Building, Microsoft Excel, Management, Integration, Business Analysis, Program Management, Databases, Process Improvement
Education
Medical University of South Carolina 2014 — 2017
Doctorate, Health Administration concentration in Information Systems
American Sentinel University, Denver 2010 — 2012
Master of Science, Business Intelligence, 3.72
American Sentinel University, Denver 2010 — 2012
Master of Science, Health Systems Management, 3.75
DeVry University 1996 — 2000
Bachelor of Science, Information Technology, 3.65
AmeriHealth Caritas January 2015 - Present
AmeriHealth Caritas June 2009 - January 2015
Project Management Institute March 2010 - January 2013
AmeriHealth Mercy Family of Companies October 2006 - June 2009
University Medical Center July 1998 - July 2006
PUYALLUP TRIBAL HEALTH AUTHORITY March 1995 - July 1998
Skills
Security Clearance, PMP, Government, Project Management, SDLC, Integration, Testing, Software Documentation, Data Warehousing, Analysis, Change Management, Business Process, Leadership, Project Planning, Management, Databases, Cross-functional Team..., Software Development, Training, Visio, Requirements Analysis, Cross Functional Team..., Employee Training, Teacher Training, Business Process Design, Business Process..., Functional Requirements, Product Requirements, Requirements Gathering, System Requirements, Process Improvement, Business Analysis, Vendor Management, Program Management, Healthcare Information..., Healthcare
Education
University of Phoenix 2000 — 2002
MBA, Technology Manangement
Chapman University 1990 — 1994
BS, Computer Information Systems
RAM Technologies (Health Plan Software) March 2015 - May 2015
AmeriHealth Caritas October 2014 - February 2015
Educational Testing Service (ETS) June 2014 - October 2014
ACE Group October 2013 - June 2014
American Family December 2012 - September 2013
MetLife October 2011 - October 2012
SystemTec April 2010 - October 2011
Cognizant Technology Solutions September 2009 - April 2010
Verdus Coporation November 2009 - January 2010
Strategic Staffing Solutions July 2008 - April 2009
Skills
SDLC, Business Analysis, Visio, SQL, Vendor Management, Requirements Analysis, Data Warehousing, Requirements Gathering, DB2, Microsoft SQL Server, Systems Analysis, Process Improvement, PMI, Project, Strategic Planning, Project Management, Training, Compliance, Consulting, Brand Development, Organization, ICD-10, Medicaid Managed Care, Medicare, Java Script, Agile Project Management, Business Intelligence, Analysis
Education
College of Charleston 1978 — 1979
Business Administration and Management, General
University of South Carolina-Columbia 1976 — 1977
BS Computer Science
AmeriHealth Caritas March 2014 - Present
McCarthy Contracting, LLC October 2010 - Present
AmeriHealth Caritas March 2013 - March 2014
Lincoln Financial Group October 2009 - October 2010
Brinker Capital March 2008 - March 2009
Brinker Capital March 2007 - March 2008
Skills
Graphic Design, Project Management, Project Coordination, Organization, Organizational..., Organizational Structure, Creative Services, Adobe Creative Suite, Process Improvement, Management, Business Analysis, CRM, Analysis
Education
Anytime Learning 2015 — 2016
Six Sigma & Lean Six Sigma trainings in preparation for Greenbelt Certification
Cabrini College 2001 — 2006
Bachelor of Arts (B.A.), Graphic Design, Concentration in Marketing
Delaware County Community College 2003 — 2005
Marketing and Graphic Design
AmeriHealth Caritas January 2015 - Present
Rogers Corporation June 2014 - January 2015
Pepperdine University Graziadio School of Business and Management June 2013 - May 2014
Cogentrix Energy, LLC 2008 - 2008
Cogentrix Energy, LLC 2008 - 2008
Education
Osmania University 1991 — 1995
BS in Engineering, Mechanical Engineering
Vasavi College Of Engineering 1991 — 1995
BS in engineering, Production engineering
Global Systems LLC September 2012 - Present
Eclaro August 2010 - August 2012
AmeriHealth Caritas January 2008 - August 2010
Town Sports International September 2006 - January 2008
Skills
Recruiting, Sourcing, Business Development, Talent Acquisition, Management, Interviews, Sales, Strategy, Job Placements, Human Resources, Networking
Education
Barnard College 2002 — 2006
Bachelor's degree
AmeriHealth Caritas January 2013 - Present
Keystone First January 2008 - December 2013
Nemours 1996 - 2007
Skills
Microsoft Office, Management, Microsoft Word, Microsoft Excel, Healthcare Management, Population Health, Special Needs..., Pediatrics, Medicaid Managed Care, Disease Management, Business, Credentialing, HEDIS, Quality Improvement, Data Analysis, Clinical Research, Medicaid
Education
The Johns Hopkins University 2003 — 2009
Master of Business Administration (MBA), Medical management
Nemours Children's Health System 1990 — 1993
Doctor of Medicine (MD), Pediatrics Residency Program
Drexel University College of Medicine 1986 — 1990
Doctor of Medicine (MD)
Columbia University in the City of New York 1985 — 1986
Master of Science (MS), Nutrition Sciences
Cornell University 1981 — 1985
Bachelor of Science (BS), Biology/Biological Sciences, General
AmeriHealth Caritas May 2015 - Present
Temple University May 2008 - June 2014
INHOME 2006 - 2007
MedRisk July 2005 - October 2006
Volunteer Medical Service Corp of Lansdale October 2004 - April 2005
Planned Parenthood Southeastern PA-Phila July 2002 - December 2003
Skills
Medical Billing, Accounts Receivable, ICD-9, Microsoft Office, Medical Terminology, Fax, Training, Workers' Compensation..., HIPAA, File Management, Microsoft Excel, Microsoft Word, Front to Back Office, Customer Service, Accounts Payable, Medicaid, Medicare, CPT, Health Insurance, Insurance, Healthcare, Outlook, Medical Records, Process Scheduler, Receptionist Duties, Phone Etiquette, Accounting, Data Analysis, Filing, Administrative..., Data Entry, Appointment Scheduling, Telephone Skills, Spreadsheets, Office Management, Office Administration, Software Documentation, EMR, Medical Coding, Time Management, Clerical Skills, Confidentiality, Healthcare Management, Hospitals, Medical Transcription, Administrative...
Education
University of Phoenix Online 2003 — 2005
Associate's degree, Information Technology
OIC HOSPITALITY INSTITUTE 1994 — 1994
Diploma, Hospitality Administration/Management
Mc Carrie Medical Assistant School 1989 — 1990
Diploma, Medical/Clinical Assistant
Community College of Philadelphia 1987 — 1989
Associate's degree, Liberal Arts and Sciences/Liberal Studies
JOHN BARTRAM HIGH SCHOOL 1983 — 1987
Diploma, Business Administration and Management, General
AmeriHealth Caritas November 2014 - Present
Skills
Medicaid, Medicare, Insurance, Research, Legal Research, Legal Writing, Policy Analysis, Non-profits, Policy, Medicare Part D, Appeals, Nonprofits, Program Development, Healthcare, Public Speaking, Community Outreach
Education
Temple University - James E. Beasley School of Law 1999 — 2002
J.D., Law
Cornell University 1994 — 1998
B.A., History
Villa Maria Academy 1990 — 1994
H.S. Diploma
Mastery Charter Schools May 2015 - Present
Temple University September 2014 - May 2015
Teppanyaki Grill May 2013 - September 2013
Temple University Health System June 2013 - August 2013
AmeriHealth Caritas June 2012 - August 2012
Philadelphia Youth Network June 2012 - August 2012
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Public Speaking, Teaching, Tutoring, Event Planning, Teamwork
Education
Temple University 2014 — 2018
Registered Nursing/Registered Nurse, 2nd Year
Community College of Philadelphia 2013 — 2014
Pre-Requisites, 12
Mastery Charter Schools - Thomas Campus 2010 — 2014
High School, General Coursework, 9-12
AmeriHealth Caritas September 2015 - Present
JPMorgan Chase & Co. June 2011 - May 2015
JP Morgan Chase 2008 - 2012
Bear Stearns & Company 1996 - 2008
Skills
Unix, SQL, SDLC, Oracle, Requirements Analysis, Project Management, Shell Scripting, Linux, ITIL, Integration
Education
Cheyney University of Pennsylvania 1980 — 1982
East Side High School, Business, Management, Marketing, and Related Support Services
Pond Lehocky Stern Giordano, LLP 2012 - 2014
AmeriHealth Caritas March 2012 - October 2012
Main Line Health January 2007 - June 2011
Skills
Customer Service, Microsoft Word, PowerPoint, Microsoft Excel, Outlook, Management, Healthcare, Event Planning, Public Speaking, Social Media, Strategic Planning, Microsoft Office, Training
Education
Delaware County Community College 2015 — 2019
Bachelor's Degree, Communication, General
AmeriHealth Caritas November 2014 - Present
AmeriHealth Caritas May 2012 - Present
Merion Matters March 2009 - April 2012
OPG Global May 2008 - January 2009
Analytical Technology, Inc November 2006 - March 2008
Skills
HTML + CSS, JavaScript, Photoshop, PHP, Wordpress, jQuery, Dreamweaver, Flash, Cross-browser..., Video Production, Photography, CMS, Visual Studio, Social Media, User Interface Design, CSS, Web Design, Illustrator, XHTML, HTML, Adobe Creative Suite, Web Development, HTML5, Graphic Design, SEO, Mac, Front-end Development, Logo Design, Premiere, Multimedia, User Experience
Education
ITT Technical Institute-King of Prussia 2006 — 2008
Associate in Specialized Technology, Multimedia, Website Design and Development
AmeriHealth Caritas June 2014 - Present
AmeriHealth Caritas September 2013 - June 2014
Paradigm Group Consultants August 2011 - August 2013
Wachovia Bank December 1990 - September 2007
Wachovia Bank December 1990 - September 2007
Wachovia Bank December 1990 - September 2007
Wachovia Bank December 1990 - September 2007
Wachovia Bank December 1990 - September 2007
WACHOVIA BANK January 1990 - January 2007
Skills
Customer Service, Payroll, Loans, Policy, Training, Coaching, Budgets, Human Resources, Finance, Management, Marketing, CRM, Team Building, PowerPoint, Analysis, Leadership Development, Organizational..., Program Management, Leadership, Troubleshooting, Change Management, Microsoft Office, Microsoft Excel, Sales, Nonprofits, Process Improvement, Invoicing, Accounts Receivable, Accounts Payable, Account Management, Administrative..., Recruiting, Time Management, Access, Call Centers, Customer Satisfaction, Data Entry, Employee Benefits, Microsoft Word, System Administration, Team Leadership, Teamwork, Event Planning, Employee Relations
Education
Empire Beauty Academy 2009 — 2010
Certificate, Cosmetology/Cosmetologist, General
Stafford Hall Business School 1988 — 1998
Certificate, Administrative Assistant and Secretarial Science, General
Community College of Philadelphia 1991 — 1991
Computer Science
AmeriHealth Caritas February 2012 - Present
Skills
Visio, Software Documentation, Newsletters, Editing, Technical Writing, Real Estate License, Business Process..., Microsoft Excel
Education
Capella University 2014 — 2015
Master of Science in Business Administration, Organizational Leadership
Liberty University 2009 — 2013
Bachelor of Business Administration (BBA), Business Administration, Management and Operations, GPA 3.09
Ninja Park ABQ September 2015 - Present
AmeriHealth Caritas October 2013 - Present
Fitness Renegades Training, LLC May 2013 - Present
Lovelace Health System July 2010 - September 2013
Sports and Wellness Downtown November 2012 - May 2013
Presbyterian Health Plan 2002 - 2009
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Research, Windows, Outlook, Photoshop, Teaching, HIPAA, Healthcare, Medicare, Health Insurance, Managed Care, Medicaid, Healthcare Information..., Process Improvement, Healthcare Management, Hospitals, Insurance, Personal Training, Software Documentation, Disease Management, Training, Health Education, Health Policy, HMO, Fitness
Education
California University of Pennsylvania 2011 — 2014
Bachelor of Science (B.Sc.), Health and Wellness, General
University of Phoenix 2009 — 2011
Associate of Arts (A.A.), Sports Management
Pennsylvania Association of Community Health Centers September 2014 - Present
AmeriHealth Caritas December 2012 - September 2014
The AmeriHealth Mercy Family of Companies September 2001 - December 2012
Department of Public Welfare - Bureau of Managed Care Operations 1999 - 2001
Gateway Health Plan 1998 - 1999
Skills
Experienced leader in..., Driven toward higher..., Excellent..., Noted record of success..., Comprehensive knowledge..., Leadership, Budgets, Healthcare, Community Outreach, Access, Management, Office Management, HIPAA, Payroll, Software Documentation, Administration, Employee Relations, Medicaid, Team Building, Outlook, Training, Strategic Planning
Education
Central Pennsylvania College 2006 — 2009
Bachelor of Business Administration (BBA)
Central Penn College 2006 — 2007
Certificate, Human Resources
Life Christian University 2000 — 2004
Advanced Diploma, Theology
AmeriHealth Caritas January 2012 - Present
Mayo Clinic September 2010 - December 2011
Flagler Hospital 2007 - 2008
Education
Berufsbildende Schulen Osterholz-Scharmbeck
Saint Leo University
MBA, Concentration in Healthcare Management
Villanova University
Six Sigma Black Belt
Villanova University
Project Management
Express Scripts February 2013 - Present
inVentiv Health 2013 - Present
AmeriHealth Caritas June 2014 - June 2014
American Red Cross 2013 - 2013
Aetna, INC. 2007 - 2011
Bridge Water Rehabilitation 2005 - 2006
Manoa 2004 - 2005
Sensational Styles 2001 - 2004
Hawaiian Rainforest Spa and Salon 2000 - 2001
Skills
Specialty Pharmaceutical, Lean Six Sigma yellow..., Healthcare, Nursing, Healthcare Management, Managed Care, Medicare, Disease Management, Utilization Management, Hospitals, Health Insurance, Medicaid, HIPAA, Healthcare Information..., PBM, Spa, Salons, Volunteering, Pharmacy Benefit...
Education
BOCES binghamton ny 2002 — 2004
Broome Community College
Excelsior College
AmeriHealth Caritas October 2011 - Present
Hosting.com (Formerly Hostmysite.com) October 2008 - October 2011
HostMySite.com (Now Hosting.com) August 2004 - October 2008
Market Scan May 2003 - June 2004
Pyramid Computers July 2000 - May 2003
Ultrazone April 1996 - January 2000
Science and Engineering Apprenticeship Program July 1994 - August 1995
Skills
Virtualization, Computer Hardware, Operating Systems, Troubleshooting, Windows, Networking, VBScript, Shell Scripting, Microsoft Certified..., A+ Certified, C++, Data Recovery, Business Intelligence, Automation, DSL, VMware, IIS, Disaster Recovery, Data Center, System Administration, Red Hat Linux, Software Installation, Network Security, Linux, Hardware, Software Documentation, Windows XP
Education
Capella University 2001 — 2004
Bachelors Degree, Information Technology
Bucks County Community College 1997 — 2000
Associate, Computer Science
Plumstead Christian School 1991 — 1996
High School Diploma
AmeriHealth Caritas April 2014 - Present
Rosemont College August 2012 - Present
Hodges University January 2010 - May 2012
King University September 2008 - May 2009
Skills
Graphic Design, Writing, Desktop Publishing, Editing, Academic Tutoring, Adobe Creative Suite, Microsoft Office, Publications, Publishing, Proofreading, Newsletters, Press Releases, Layout, Research, Higher Education, Marketing, Creative Writing, Social Media
Education
Rosemont College 2012 — 2014
Master of Arts (MA), Publishing Design
King College 2006 — 2009
Bachelor of Arts (BA), Technical and Professional Communication
Cedarville University 2005 — 2006
AmeriHealth Caritas February 2014 - Present
Freelance Computer Services April 2013 - April 2014
Omnicomp October 2009 - April 2013
Skills
Technical Support, Hardware, Computer Repair, Windows 7, Remote Desktop, Active Directory, Windows Server, Microsoft Office, Microsoft Exchange, Printers, Laptops, Antivirus, Customer Service, Hardware Diagnostics, Digital Photography, SCCM, Android, Citrix, Windows 8, Mac OS
Education
Community College of Philadelphia
Engineering Technology
Montgomery County Community College
Penn State University
Business
AmeriHealth Caritas August 2012 - Present
Mercy Fitzgerald Hospital 2005 - August 2015
Bravo Health April 2010 - June 2012
Aetna 2005 - 2010
Independence Blue Cross 2004 - 2005
Mercy Fitzgerald Hospital 2003 - 2005
Independence Blue Cross 2003 - 2004
Independence Blue Cross 2002 - 2003
Independence Blue Cross 2001 - 2002
Cayuga Medical Center at Ithaca 1993 - 2001
Skills
Managed Care, Disease Management, Healthcare, Medicare, Healthcare Management, Healthcare Information..., Health Policy, HIPAA, Hospitals, Health Insurance, Healthcare Analytics, Pay for Performance, Chronic Care Management, Transitional Care, Medical Practice..., Urgent Care, Product Development, Market Research, Wellness, eHealth, Vendor Management, Financial Modeling, Strategic Planning, Strategic Thinking, Service Operations, Performance Reporting, Business Case Design
Education
Cornell University 1999 — 2001
MHA, Health Services Administration
Cornell University 1996 — 1998
Bachelor's degree, Cell/Cellular and Molecular Biology
AmeriHealth Caritas May 2015 - Present
Tenet Health, Detroit Medical Center March 2013 - April 2015
Henry Ford Health System March 2012 - March 2013
Detroit Medical Center 2007 - 2011
Health Alliance Plan 2005 - 2008
Providence Hospital 1999 - 2005
Blue Cross Blue Shield of Michigan August 1996 - July 1998
Skills
Nursing, Utilization Management, Case Managment, Inpatient, Acute Care, Home Care, Medical/Surgical, Patient Advocacy, Healthcare Management, Critical Care, Hospitals, Disease Management, Staff Development, mentoring, Leadership, Epic Systems, EMR, Utilization Review, Revenue Cycle, Healthcare Information..., Medicare, Medical-Surgical, Case Management
Education
Chamberlain College of Nursing 2014 — 2016
Master of Business Administration (M.B.A.), MSN/MBA
Madonna University
BS, Nursing
AmeriHealth Caritas April 2015 - Present
AmeriHealth Caritas November 2012 - March 2015
IntegriGuard 2004 - December 2012
Option Care 2001 - 2004
Lutheran Family Services of Nebraska 2000 - 2001
Skills
Medicaid, Medicare, Managed Care, Medical Billing, HIPAA, Healthcare, Healthcare Management, Insurance, Health Insurance, Auditing, Claim, Healthcare Information..., Medical Coding, Policy, Training, Medical Compliance, ICD-9, Provider Relations, Physician Relations, Community Outreach, Analysis, Physicians, Revenue Cycle, Utilization Management
Education
Bellevue University 2010 — 2011
MPA, Public Administration
Bellevue University 1999 — 2001
BS, Human Resource Management
AmeriHealth Caritas February 2008 - February 2009
Skills
Microsoft Office Suite/...
Education
City University of New York-John Jay College of Criminal Justice 2012 — 2013
Bachelor's Degree, Criminalistics and Criminal Science, 3.5
Accenture May 2014 - Present
Karibene July 2013 - May 2014
Kelly Services (contract Shire Pharmaceuticals) December 2011 - July 2013
Kelly Services (contract Shire Pharmaceuticals) January 2010 - December 2011
Karibene October 2007 - December 2009
AmeriHealth Caritas October 2006 - October 2007
Merck January 2005 - October 2006
Merck April 2002 - January 2005
Merck July 1995 - April 2002
Xerox October 1991 - May 1995
Skills
SDLC, Project Management, Cross-functional Team..., Strategy, Requirements Analysis, Cloud Computing, Software Engineering, Data Visualization, Business Development, Sales Operations, Sales, Process Improvement, Leadership, CRM, Change Management, Analysis, Information Management, Management, Enterprise Software, IT Management, MS Project, Databases, Testing, Requirements Management, Management Consulting, Business Process..., Oracle, Solution Architecture, Data Warehousing, Process Simulation, Data Architects, Regulatory Submissions, Commercial Operation, Compliance Management, Sales Management, Vendor Management, Business Analysis, Integration, Consulting, Program Management, Business Process
Education
University of Pennsylvania 2006 — 2009
MSE, Technology Managment, 3.5 / 4.0
University of Pennsylvania - The Wharton School 2006 — 2009
MSE, Information Technology Project Management, 3.5 / 4.0
Chestnut Hill College 1999 — 2001
B.S., Computer Science, 3.8 / 4.0
Montgomery County Community College 1998 — 2000
A.S., Computer Science, 3.53 / 4.0
GateHouse Media August 2012 - April 2015
Fitness Mill 2010 - 2013
AmeriHealth Caritas 2004 - 2007
Independence Blue Cross July 2001 - September 2004
Skills
Customer Relations, Customer Service, Individual Health..., Editing, Public Relations, Medical Devices, Medical Terminology, Medical Equipment, Home Medical Equipment, Health Information...
Education
Temple University 2003 — 2004
Bachelor's Degree, English Literature (British and Commonwealth), GPA 3.26
Community College of Philadelphia
Associate's degree, Liberal Arts and Sciences/Liberal Studies, GPA 3.5
Jules E. Mastbaum Area Vocational Technical High School
High School, Business Administration
WellPoint (Anthem BCBS) May 2014 - Present
Government Employees Health Association (GEHA) April 2013 - May 2014
Health Alliance Plan (HAP) December 2011 - April 2013
WellPoint September 2010 - December 2011
Lovelace Health System May 2010 - September 2010
AmeriHealth Caritas June 2009 - May 2010
WellPoint December 2007 - June 2009
UnitedHealth Group November 2006 - December 2007
Skills
Facets, Business Analysis, Microsoft SQL Server, Oracle SQL, Requirements Gathering, Requirements Analysis, SDLC, Business Requirements, Business Process Design, Data Modeling, Visio, Gap Analysis, Business Objects, PL/SQL, Functional..., Business Process..., Testing, Healthcare Information...
Education
Anna University 2002 — 2006
Bachelor's degree, Electrical, Electronics and Communications Engineering
AmeriHealth Caritas September 2012 - Present
American College of Cardiology March 2010 - September 2012
America's Health Insurance Plans August 2006 - February 2010
Skills
Policy Analysis, Public Policy, Health Policy, Healthcare, Managed Care, Public Health, Quality Improvement, Project Management, Performance Measurement, Research, Healthcare Information..., Event Planning, Strategy, Strategic Planning, Data Analysis, Program Evaluation
Education
Centre College 2002 — 2006
BA, Government
AmeriHealth Caritas April 2015 - Present
AmeriHealth Caritas July 2013 - April 2015
Jacada August 2012 - July 2013
Jacada June 2012 - August 2012
Looks Like Who Inc June 2009 - June 2012
Quofore June 2010 - March 2011
E.ON September 2009 - May 2010
Jacada Inc July 2006 - April 2009
Cox Enterprises April 2005 - July 2006
Inforte 2004 - 2005
Skills
Enterprise Software, SaaS, Professional Services, Pre-sales, CRM, Integration, Solution Architecture, Product Management, Unified Communications, Software Project..., Cloud Computing, Enterprise Architecture, Sales Process, Consulting, Project Management, Call Centers, Business Analysis, Agile Methodologies, Requirements Analysis, Business Intelligence, Salesforce.com, Business Process, IT Strategy, Program Management, Start-ups, Medicaid Managed Care, Pre/Post Sales Engineers, SDLC, Sales Engineering, Information Security, Enterprise Portals, Pattern Development, Healthcare Information..., Health Information..., Executive Consultation, Presentation Skills, Technical Presentations
Education
University of Rochester 1994 — 1998
Bachelor of Arts, Political Science and Government
Universitat Ben Gurion Ba-Negev 1996 — 1997
Study Abroad, International Politics
AmeriHealth Caritas February 2013 - Present
De Lage Landen 2005 - September 2012
De Lage Landen 2000 - 2005
De Lage Landen 1999 - 2000
De Lage Landen 1998 - 1999
Blue Cross Blue Shield of Delaware 1992 - 1997
Blue Cross Blue Shield of Delaware 1988 - 1992
CSC Comtec, Inc 1986 - 1987
CSC Comtec, Inc. 1985 - 1986
Core Laboratories 1980 - 1985
Skills
Team..., Global Leadership, Project Management, Resource Management, Service Management, Customer/Vendor..., Business Intelligence..., Data Warehousing (ETL), Data Warehousing..., Data Warehousing (Data..., Adaptable/Flexible, Decision Maker, Strategic Planning, Accomplished Presenter, Coaching and Mentoring, Business Intelligence, Data Warehousing, Data Warehouse..., ETL, SDLC, Integration, Data Modeling, Business Analysis, SharePoint, Business Objects, Business Process, Requirements Analysis, ITIL, Dashboard, CRM, Analytics, Analysis, Cross-functional Team..., Crystal Reports, Datastage, Requirements Gathering, Data Integration, Performance Tuning, Data Analysis, Management, SSIS, Master Data Management, Relational Databases, SSRS, Outsourcing, Enterprise Architecture, IT Strategy, Informatica, Data Architecture, Data Quality
Education
Central Michigan University
Bachelor of Science (B.S.)
Schoolcraft College
Associate of Science (A.S.)
AmeriHealth Caritas August 2015 - Present
Colonial Seal Company January 2015 - August 2015
Janssen, Pharmaceutical Companies of Johnson and Johnson September 2014 - August 2015
hibu November 2013 - May 2014
hibu business April 2010 - November 2013
Slack Inc. May 2008 - February 2009
SLACK Incorporated May 2007 - May 2008
Slack Inc. September 2004 - May 2007
ApotheCom Associates February 2003 - August 2004
Wyeth Pharmaceuticals August 2002 - January 2003
Skills
SEO, Advertising, Editing, Event Management, Proposal Writing, Social Media, Proofreading, Copywriting, Marketing Communications, Copy Editing, Program Management, Teamwork, Management, Sales, Email Marketing, Public Relations, Writing, Customer Service, Budgets, Leadership, Microsoft Office, Project Planning, Marketing, Problem Solving, Planning, PowerPoint, Word, Marketing Strategy, Excel, Content Management, Budgeting, Account Management, Outlook, Meeting Planning, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Trade Shows, Web Content Management, Content Writing, Event Planning, Customer Relations, Social Media Marketing, Newsletters
Education
Cabrini College 1990 — 1994
BA, English/Communications
Ridley High School
AmeriHealth Caritas May 2015 - Present
Target February 2015 - April 2015
Blue Cross Blue Shield of Minnesota June 2002 - January 2015
UnitedHealth Group 2003 - 2004
Candle Corp 2000 - 2001
Skills
z/OS, Mainframe, Disaster Recovery, Data Center, Integration, Unix, ITIL, Capacity Planning, MVS, CICS, DB2, JCL, Security, Enterprise Architecture, Virtualization, IT Management, Cloud Computing, Performance Tuning, Program Management
Education
Augustana College (SD)
BA
University of Minnesota-Twin Cities
AmeriHealth Caritas September 2014 - Present
BarclayCard May 2010 - September 2014
BarclayCard US March 2009 - May 2010
Emtec, Inc. November 2000 - December 2008
CSG Technologies August 1996 - July 1999
Skills
System Deployment, Data Center, Process Improvement, Networking, Disaster Recovery, Infrastructure, HP
Education
American Intercontinental University 2004 — 2006
Bachelor of Arts, Computer Systems Technology - Networking
Camden County College 1999 — 2003
Associates, Computer Science
AmeriHealth Caritas 2014 - Present
Prudential Financial 2012 - 2014
Cigna 2011 - 2012
Global Indemnity 2010 - 2010
Everest National Insurance Company 2006 - 2010
Everest Reinsurance 2006 - 2010
HIP 2003 - 2006
Avercom, Inc. 1998 - 2003
Keane 1996 - 1998
Skills
Disaster Recovery, Business Analysis, Business Intelligence, Requirements Analysis, IT Strategy, SDLC, SharePoint, Databases, Software Project..., Vendor Management, Enterprise Architecture, Data Warehousing, Oracle, Solution Architecture, SOA, Integration, Data Modeling, Unix, System Architecture, .NET, Visio, Management, Business Strategy, Cloud Computing, Software Development, PMP
Education
Birla Institute of Technology
B. Tech, Engineering
Delhi Public School
Netarhat
AmeriHealth Caritas January 2001 - Present
Keystone Mercy Health Plan 1993 - 2001
Cananwill, Inc January 1990 - April 1993
Flagship, Inc 1987 - 1990
Skills
Avaya, VoIP, Contact Center Design, Call Center, Vendor Management, Telecommunications, IVR, Management, Telephony, IP, Switches, Call Centers, Leadership, Avaya Technologies, Project Management, Strategy, WAN, Process Improvement, Technical Support, ITIL, Network Design
Education
Avaya Education Centers
Delaware County Community College
Associate Degree, Applied Science - Computer Programming
Peirce College
Business Administration
daryl.c.burns@gmail.com October 2014 - Present
AmeriHealth Caritas July 2012 - July 2014
The Children's Hospital of Philadelphia August 2011 - July 2012
Phelps County Regional Medical Center December 2008 - June 2011
International Paper January 2003 - September 2008
Computer Generated Solutions March 2001 - January 2003
Stream International 1999 - 2001
Carson-Newman College August 1996 - July 1999
Skills
System Administration, Active Directory, Troubleshooting, Software Installation, Project Management, Technical Support, Management, Digital Imaging, Windows Server, Software Documentation, Training, Enterprise Software, Leadership, Servers, Windows 7, Microsoft Office, Help Desk Support, Networking, Wireless Networking, Windows, Windows 7 Migration, Cisco VPN, Citrix, LAN-WAN, Microsoft Certified..., Microsoft Certified IT..., Microsoft Certified..., MCITP, MCDST, CompTIA Network+..., CompTIA A+ Certified, CompTIA Project+..., CompTIA Security+..., Healthcare Information..., Information Security, Technical Writing, Identity Management, Server Administration, SCCM, Microsoft Exchange, Meditech, Pointsec, Customer Service, IT Service Management, Computer Hardware
Education
Western Governors University 2009 — 2013
Bachelor's of Science, Information Technology - Network Administration
Carson-Newman College 1996 — 1999
BA, Mass Communications
Fisk University 1995 — 1996
Computer Science
Kadena High School 1991 — 1995
AmeriHealth Caritas January 2014 - Present
AmeriHealth Caritas April 2011 - Present
Amerihealth Mercy February 2006 - April 2011
The AmeriHealth Mercy Family of Companies May 2002 - February 2006
Prudential Healthcare August 1995 - July 2001
Aetna Health Plans August 1995 - July 2001
PECO Energy 1985 - 1994
Skills
HIPAA, Program Management, SDLC, CRM, PMO, Project Management, Leadership, Vendor Management, Healthcare Information..., Project Delivery, MS Project, Healthcare, Analysis, Visio, Process Improvement, Management, Data Warehousing, Project Portfolio..., Disaster Recovery, PMP, Business Analysis, Software Documentation, Requirements Gathering, Enterprise Architecture, Microsoft Project
Education
Chubb Technical School 1996 — 1999
Web Development, DB Programming
Cabrini College 1990 — 1996
Bachelor of Arts, Organizational Management
Rowan University
Prestige Health Choice October 2014 - Present
AmeriHealth Caritas August 2013 - October 2014
CHCS Services 2002 - August 2013
iGatePatni 2002 - August 2013
Lindamood-Bell Learning Processes June 2002 - August 2002
Assurant Solutions 1989 - 2002
Assurant 1989 - 2002
Skills
Insurance, Seniors, Elder Care, Analysis, Long-term Care, Management, Healthcare, Call Center, Account Management, HIPAA, Health Insurance, Microsoft Office, Claim, Medicare, Training, Risk Management, Customer Service, Process Improvement, Leadership, Underwriting, Team Building, Property & Casualty..., Change Management, Program Management, Team Leadership, Medicaid, Healthcare Management, Claims Management, Business Analysis, Life Insurance, Strategic Planning, Managed Care, Fixed Annuities, Management Consulting, Business Intelligence, Coaching, Term Life Insurance, Operations Management, New Business Development, Business Process..., Project Planning, Data Analysis, Call Centers, Project Management, Vendor Management, Public Speaking, Healthcare Industry, Healthcare Information..., Software Documentation, Policy
Education
Barry University 1997 — 1999
MBA, Business Administration/MIS
Barry University
BA, Management
AmeriHealth Caritas April 2014 - Present
Independence Blue Cross June 2013 - January 2014
Independence Blue Cross January 2010 - June 2013
Independence Blue Cross January 2002 - January 2010
MEDecision April 1999 - November 2001
Siemens Healthcare November 1997 - April 1999
GENEX Services, Inc. April 1995 - November 1997
Intracorp 1988 - 1995
Siemens Medical Solutions 1984 - 1988
Skills
Managed Care - UM/CM/DM, Clinical Systems, Relationship management, Payer systems, Provider systems, ICD-10, Pega PRPC development, Software Development, Software Project..., Healthcare Information..., Health Insurance, Software Design, Project Management, Management, Key Account Management
Education
Cabrini College 1978 — 1980
BA, Psychology & Philosophy
AmeriHealth Caritas October 2011 - Present
Bio Careers November 2009 - Present
Freelance Writing 2008 - November 2011
Ethos Health Communications March 2009 - February 2010
Lodestar Research 2008 - 2010
University of Pennsylvania School of Medicine September 2001 - May 2008
Penn Biotech Group March 2004 - August 2005
Human Genome Sciences 1996 - 2001
Albert Einstein College of Medicine August 1992 - March 1996
Brandeis University 1991 - 1992
Skills
Oncology, Neurology, Diabetes, Hematology, Rheumatology, Cardiology, Medical Devices, Pain Management, Managed Care, Metabolic Syndrome, Nutrition, Molecular & Cellular..., Bioassay, Insomnia, Gout, Biotechnology, Medical Writing, Science, Regulatory Affairs, Biochemistry, Protein Chemistry, Infectious Diseases, Medicine, Pharmaceutical Industry, Lifesciences, Cancer, Neuroscience, Immunology, Life Sciences
Education
University of California, Irvine 2010 — 2010
Certificate, Regulatory Affairs Management
University of Pennsylvania School of Medicine 2001 — 2008
Ph.D., Biochemistry & Molecular Biophysics
The Johns Hopkins University 1998 — 1999
MS, Biotechnology & Bioinformatics
Brandeis University 1988 — 1992
B.S., Biology
AmeriHealth Caritas April 2015 - Present
Amerihealth Caritas August 2013 - April 2015
Highmark Delaware March 2013 - August 2013
BCBS of Delaware January 2010 - March 2013
Blue Cross Blue Shield of DE September 2002 - April 2010
Magellan Health Services September 1999 - September 2002
Albert Einstein Medical Center May 1994 - September 1999
Skills
Client Letter..., Microsoft Excel, Microsoft Access, Clinical Research, Human Resources, Strategic Planning, Accounting, Hospitals, Customer Service, HIPAA, Medicaid, Data Analysis, Utilization Review, Provider Relations, Program Development, Clinical Supervision, Inpatient, Treatment, Adolescents, Medicare, Healthcare Information..., Access
Education
Widener University 2009 — 2011
MBA, Health Care Management
Bryn Mawr College 1996 — 1998
MSS, Clinical Social Work
Temple University 1990 — 1994
B.A., Psychology
AmeriHealth Caritas July 2014 - Present
AmeriHealth Caritas March 2013 - July 2014
Coventry Health Care May 2012 - March 2013
UnitedHealth Group June 2007 - April 2012
AmeriChoice March 2002 - June 2007
Synygy January 2001 - March 2002
MEDecision June 1997 - January 2001
Genex Services May 1996 - June 1997
Aetna US Healthcare June 1994 - June 1996
Intracorp February 1991 - June 1994
Skills
Managed Care, Healthcare, Strategic Planning, Project Management, Program Management, Requirements Analysis, Product Management, Company Presentations, Medicare, Medicaid, Commercial Insurance, Workers Compensation, Product Marketing, Public Speaking, Software Design, Software Documentation, Budget Process, End User Training, User Interface Design, Financial Modeling, Analysis, Healthcare Information..., Utilization Management, Health Insurance, Leadership, Management, Disease Management, Process Improvement, HIPAA, Healthcare Consulting, Healthcare Industry, Medicare/Medicaid...
Education
Bloomsburg University of Pennsylvania 1986 — 1987
MBA, Management
Bloomsburg University of Pennsylvania 1982 — 1986
B.S., Business Management
AmeriHealth Caritas October 2013 - Present
. June 2011 - Present
Lincoln Technical Institute July 2009 - October 2013
CVS Caremark Corporation May 2002 - July 2009
Wachovia, A Wells Fargo Company August 2005 - March 2006
Skills
Teaching, Staff Development, Customer Service, Cpr Certified, Public Speaking, Microsoft Office, Adult Education, Admissions, Enrollment Management, Curriculum Design, Healthcare, Student Affairs, Curriculum Development, CampusVue, Research, Higher Education, Educational Technology, Educational Leadership, Training, Classroom, Retaining Customers, Team Building, Instructional Design, Distance Learning, Time Management, Resume Writing
Education
Penn State University 2007 — 2009
Bachelors, Organizational Psychology
Bucks County Community College 2005 — 2007
Associates, Education
AmeriHealth Caritas June 2013 - Present
Independence Blue Cross July 2012 - June 2013
iPipeline January 2012 - July 2012
MEDecision February 2010 - December 2011
Aetna 2003 - 2008
Aetna 1997 - 2002
Aetna U S Healthcare 1995 - 1997
Reliance Insurance 1994 - 1995
IMS America, Ltd. 1988 - 1993
Coopers & Lybrand Consulting 1986 - 1988
Skills
SDLC, Cross-functional Team..., Business Analysis, Management Consulting, Strategy, IT Strategy, Software Development, Project Management, Vendor Management, Project Planning, Agile Methodologies, Process Improvement, Management, Program Management, CRM, Databases, Agile Project Management, PMO, Leadership, Business Process, Change Management, Business Strategy, Team Building, Analysis, Requirements Gathering, Software Documentation, Resource Management, Team Leadership, Visio, Enterprise Software, Consulting, Business Intelligence, Human Resources, IT Management, Outsourcing, Software Project..., Integration, Product Development, Requirements Analysis, Enterprise Architecture, Project Delivery, PMP, Project Portfolio..., Quality Assurance, MS Project, Business Process..., SharePoint, Healthcare, Data Warehousing, Product Management
Education
Philadelphia University
MBA, Business Administration
Philadelphia University
BS, Business Administration
Boston University 1999 — 2000
Certificate, Project Management
AmeriHealth Caritas August 2015 - Present
AmeriHealth Caritas January 2008 - September 2015
Independence Blue Cross September 1999 - July 2005
Education
Saint Joseph's University 2013 — 2015
Master's Degree, Healthcare Informatics
Peirce College 2008 — 2011
BA, Information Techonogy minor in Network Security
Community College of Philadelphia 2005 — 2008
Associate, Liberal Arts
Montgomery Early Learning Centers September 2013 - Present
Community Education Centers December 2012 - August 2013
AmeriHealth Caritas September 2009 - August 2012
Northwest Airlines August 2007 - August 2009
Philadelphia 76ers September 2007 - December 2007
Skills
Leadership, Marketing, Customer Service, Treatment, Marketing Strategy, Call Centers, PowerPoint, Microsoft Office, Microsoft Word
Education
Capella University 2009 — 2011
M.S., School Counseling
Lock Haven University of Pennsylvania 2003 — 2007
B.S., Sport Administration
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
AmeriHealth Caritas September 2015 - Present
Executive Health Resources May 2013 - Present
Monroe County Legal Assistance Center January 2010 - May 2013
Philadelphia Volunteers for the Indigent Program January 2009 - April 2009
Villanova Law School Clinical Program June 2007 - April 2009
Skills
Health Law, Legal Research, Research, Legal Writing, Public Speaking, Medicare, Medicaid, Nonprofits
Education
Villanova University School of Law 2006 — 2009
J.D., Law
College of the Holy Cross 1999 — 2003
BA, Psychology
Pittsford Sutherland High School
AmeriHealth Caritas September 2003 - Present
Skills
Finance, Accounting, Leadership, Business Analysis
Education
Colorado State University 2007 — 2009
MBA
Bloomsburg University of Pennsylvania 1994 — 1998
Bachelors, Accounting
AmeriHealth Caritas June 2015 - Present
Spectrum Health April 2011 - March 2015
Priority Health January 2005 - April 2011
Skills
Leadership, Healthcare, Cross-functional Team..., Training, Process Improvement, Medicaid, Healthcare Management, Performance Improvement, Policy, HIPAA, Managed Care, EMR, Healthcare Information..., Quality Improvement
Education
Central Michigan University
MSA, Administration/Leadership Concentration
Davenport University
BS, Healthcare Administration
AmeriHealth Caritas September 2015 - Present
AmeriHealth Caritas October 2013 - September 2015
Optum February 2013 - October 2013
OptumInsight April 2010 - February 2013
TriCenturion October 2007 - April 2010
BlueCross BlueShield of SC July 2006 - October 2007
Skills
SAS, Data Analysis, Statistical Modeling, Statistics, Data Mining, SQL, Healthcare, Medicare, Medicaid, Business Intelligence, Tableau, Predictive Analytics, Analytics, Data Warehousing, Analysis, Business Analysis, Process Improvement, Microsoft Excel
Education
Clemson University 2001 — 2006
Mathematics, Statistics
State of Delaware February 2014 - Present
AmeriHealth Caritas May 2012 - February 2014
Freeway Baptist Church 1982 - 1990
Skills
Financial Reporting, Accounting, Financial Analysis, Accounts Receivable, Auditing, Finance, Cost Accounting, Financial Statements, Invoicing, Analysis, Account Reconciliation, Internal Controls, Financial Modeling, Payroll, Budgets, Microsoft Excel, Management
Education
Keller Graduate School of Management of DeVry University 2010 — 2013
MAFM, Accounting & Financial Management
UNCC 2006 — 2008
Bachelor of Arts (B.A.), Financial Mathematics
Belmont Abbey College 2002 — 2004
BA, Accounting
Monrovia Central High School
Monrovia Central High School
AmeriHealth Caritas January 2012 - Present
Temple University February 2009 - January 2012
AUT University February 2005 - January 2009
Green Lane Hospital, Auckland District Health Board November 2000 - February 2005
Auckland District Health Board February 1999 - January 2001
Peking University August 1995 - August 1998
Xi'an Jiaotong University July 1991 - August 1995
Skills
Statistical Modeling, SAS Programming, SAS E-Miner, Healthcare Information..., Predictive Modeling, Data Analysis, SPSS, Clinical Trials, Public Health..., Grant Writing, Manuscript Development, SAS Visual Analytics, Cohort Study, Health Insurance
Education
University of Auckland
Postgraduate diploma, Community Health
Peking University Health Science Center
Ph.D., Epidemiology
Xi'an Jiaotong University
Master of Public Health (MPH), Health Statistics
Shanxi Medical University
M.D
AmeriHealth Caritas February 2013 - Present
Education
Ivy Tech Community College 2011 — 2014
Associate of Applied Science in Visual Communication, Graphic Design
Ball State University 2002 — 2005
Bachelor's degree, Radio, Television, and Digital Communication & Japanese
AmeriHealth Caritas December 2013 - Present
Skills
HIPAA, Healthcare Information..., Software Documentation, Process Improvement, Medicaid, SQL, EDI, Healthcare, Access, Microsoft Office, Data Warehousing, Managed Care
Education
CHI Institute 2003 — 2004
Associate, Computer Networking
Community College of Philadelphia 2000 — 2001
Diploma, English
AmeriHealth Caritas September 2013 - Present
Ahold February 2012 - August 2013
Capital BlueCross July 1997 - July 2011
Hershey Medical Center November 2008 - May 2009
St. Lukes Hospital December 2006 - August 2008
Skills
Research, Microsoft Office 2010, Presentation Development, Healthcare, Training, Access, Hospitals, Healthcare Management, Leadership, Management, Workshop Facilitation, Health Insurance, Physicians, Medicare, Managed Care, Insurance, HIPAA, Team Building, Health Policy, Utilization Management, Coaching, Provider Relations, Claim, Healthcare Industry, Performance Management, Business Analysis, Customer Service, Account Management, Microsoft Excel, Public Speaking, Microsoft Word, Team Leadership, Business, PowerPoint, Microsoft Office, Analysis, Medicaid, Process Improvement, Program Management
Education
Harrisburg Area Community College 2011 — 2012
Associates, Business Management
Cedar Crest College
Healthcare Management
AmeriHealth Caritas March 2012 - Present
The AmeriHealth Mercy Family of Companies October 2006 - March 2012
Mulberry Child Care & Preschool August 2005 - August 2006
Skills
Microsoft Office, Visio, Writing, Research, Market Research, RFP, RFP preparation, SharePoint, Elementary Education, Teaching, Editing, Project Management, Education, Creative Writing, Healthcare, Preschool, Children's Books
Education
Penn State University
Master of Education (M.Ed.), Curriculum and Instruction
Cabrini College 2001 — 2005
Bachelor of Science, Elementary Education
C3i June 2015 - Present
Telerx September 2014 - June 2015
Telerx January 2011 - September 2014
AmeriHealth Caritas February 2007 - July 2009
ParenteBeard LLC June 2006 - February 2007
Lincoln Financial Group July 2002 - May 2006
Skills
Auditing, Internal Controls, Accounting, Project Management, Six Sigma, Software Documentation, Access, Process Improvement, Budgets, Account Management, Leadership, Management, Coaching, Internal Audit, Training, Call Centers
Education
Southern New Hampshire University 2012 — 2014
Master of Business Administration (M.B.A.), Six Sigma, 4.0
Temple University - Fox School of Business and Management 1999 — 2002
Bachelor's Degree, Accounting, 3.54
Appalachian State University 1997 — 1999
Business, 3.3
AmeriHealth Caritas April 2013 - Present
Keystone First April 2011 - Present
Association Feminine la Lumiere August 2009 - Present
Remed Recovery Care Centers January 2011 - January 2014
City of Philadelphia – Department of Public Health July 2011 - February 2012
Keystone First October 2010 - March 2011
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop, English
Education
Capella University 2012 — 2014
MPH, Health Policy and Management, 4.0
Capella University 2012 — 2014
Master's Degree, General Public Health/Health Policy & Management, 4.0
Temple University - College of Public Health 2008 — 2011
Bachelor of Science Degree, Public Health, 3.80
Delaware County Community College
Associate of Science (AS), Science for Health Professions, 3.73
I.E.S. Litoral January 2014 - June 2014
AmeriHealth Caritas July 2012 - December 2013
GoodWeave USA January 2012 - March 2012
Metalogix Software June 2011 - August 2011
Parvati Swayamrojgar April 2011 - May 2011
European Atomic Forum (FORATOM) September 2010 - December 2010
Albergue Juvenil July 2010 - August 2010
Ciudad de Esperanza y Alegria June 2010 - July 2010
Agora Partnerships September 2009 - April 2010
Clarke Mosquito Control June 2009 - August 2009
Skills
Spanish Proficiency, Salesforce experience, Microsoft Excel (basic), Spanish, Social Media, Microsoft Excel, Fundraising, Media Relations, Microsoft Office, Proposal Writing, Public Speaking, Community Outreach, Nonprofits, Research, Policy Analysis, Editing, International Relations, Grants, Public Policy, Politics, Strategic Communications, Public Relations, Event Planning, Speech Writing, Government, Press Releases, Blogging
Education
American University 2008 — 2012
Bachelor of Arts, International Studies
Community High School District 99 2004 — 2008
College of DuPage
College of DuPage
AmeriHealth Caritas January 2014 - Present
Horizon Blue Cross Blue Shield of New Jersey July 2012 - December 2013
Deloitte Consulting January 2011 - July 2012
Bristol-Myers Squibb, Princeton, New Jersey July 2010 - December 2010
Merck April 2005 - May 2010
Merck June 2000 - April 2005
Merck November 1994 - May 2000
Skills
Data Management, Integration, IT Strategy, Business Process, Data Modeling, Master Data Management, Vendor Management, Oracle, Data Warehousing, Solution Architecture, Business Intelligence, Data Migration, Databases, Data Integration, Data Quality, Data Governance
Education
Bharathidasan University
M.S, Electronics, Physics
Eastern University
MBA, Managment
AmeriHealth Caritas June 2013 - Present
Bravo Health August 2011 - May 2013
Premier Immediate Medical Care November 2010 - July 2011
Bravo Health September 2008 - November 2010
Service Systems Associates August 2001 - June 2002
Skills
HIPAA, SharePoint, Medicaid, Managed Care, Network Administration, Medicare, Healthcare, Provider Relations, Citrix, Microsoft Exchange, Access
Education
Capella University 2006 — 2008
Master of Business Administration (M.B.A.)
Rosemont College 2002 — 2005
Bachelor's Degree, Human Resources Management
AmeriHealth Caritas April 2013 - Present
Primerica February 2012 - Present
The AmeriHealth Mercy Family of Companies June 2012 - August 2012
Sunrise Senior Living December 2007 - June 2012
Skills
Quality Patient Care, Microsoft Office, Entrepreneurship, Team Building, Activities of Daily...
Education
Gwynedd Mercy University 2011 — 2014
Bachelor's Degree, Health/Health Care Administration/Management
Camden County College 2008 — 2011
AmeriHealth Caritas August 2013 - Present
Humana Inc. August 2007 - August 2013
UNITEDHEALTHCARE OF FLORIDA, Maitland, FL March 1999 - August 2007
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, English, Windows, Research, Outlook, Photoshop, Teaching, HTML
Education
Erasmus Hall High School
Hunter College
Bachelor of Science (BS), Community Health Education
Amerihealth Caritas March 2013 - Present
Novacare June 2012 - August 2012
Independence Blue Cross 2005 - 2011
Skills
Microsoft Office, Medical Terminology, Health Care Delivery..., Customer Service, Health Insurance and..., Accounts Receivable, Data Entry, Insurance, Healthcare, Claim, Medical Billing, Accounts Payable, CPT, Health Insurance, HIPAA, ICD-9, Process Scheduler, Microsoft Word, Medical Coding, PowerPoint, HCPCS, Medical Records, Leadership
Education
Prism Career Institute-Philadelphia 2011 — 2012
Certification, Medical Insurance Specialist/Medical Biller
American Business Institute 1984 — 1986
Associate's degree, Accounting and Finance
American Business Institute
Associate's degree, Accounting
University of the District of Columbia
Associate of Arts (AA), Accounting
AmeriHealth Caritas 2014 - Present
Skills
Management
Education
Columbia College 2015 — 2017
Associate of Science (A.S.), Business, Management, Marketing, and Related Support Services
AmeriHealth Caritas 2012 - Present
Skills
Healthcare, Healthcare Information..., HIPAA, Healthcare Management, Managed Care, Medicaid, Medicare, Hospitals, Process Improvement, Health Insurance, EHR, Project Management
Education
Medical University of South Carolina 1993 — 1996
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Trident Technical College 1991 — 1993
Associate of Science (A.S.)
Charleston Southern University 1981 — 1985
AmeriHealth Caritas June 2015 - Present
INTotal Health August 2011 - August 2014
CareFirst BlueCross BlueShield 2006 - 2012
CareFirst BlueCross BlueShield 2002 - 2006
CareFirst BlueCross BlueShield 2000 - December 2002
CareFirst BlueCross BlueShield February 1989 - 2001
Skills
Claims Management, Insurance, HIPAA, Managed Care, Data Entry, Outlook, Medicare, Healthcare
Education
Bowie State University 1984 — 1988
AmeriHealth Caritas May 2013 - Present
DC Chartered Health Plan February 2009 - April 2013
Lani Eko & Company, CPAs, PLLC April 2008 - October 2008
Skills
Accounts Payable, Accounting, QuickBooks, Microsoft Word, Microsoft Excel, Microsoft Office, PowerPoint, Access, Crystal Reports, ADP Payroll, Contract Management, Accounts Receivable, Bank Reconciliation, Journal Entries, Cash Receipts, Cash Reporting
Education
Bowie State University 2002 — 2006
Bachelor's degree, Business Administration and Management, General
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
AmeriHealth Caritas December 2008 - Present
AmeriHealth Caritas 2008 - 2014
Education
Aultman College of Nursing and Health Sciences
LPN
HRSD September 2014 - Present
Anthem, Inc. June 2012 - February 2014
Hercules Real Estate Services January 2010 - May 2012
Eastern Virginia Medical School February 2008 - December 2009
Artesian Water Company May 2004 - February 2007
AmeriHealth Caritas June 1994 - April 2003
Skills
Financial Reporting, Budgeting, Statutory Accounting, Corporate Finance, Financial Statements, Payroll, General Ledger, Financial Analysis, Sarbanes-Oxley Act, Internal Audit, Accounting
Education
Bloomsburg University of Pennsylvania 1984 — 1988
Bachelor of Business Administration (B.B.A.), Accounting and Finance
Bishop Hafey HIgh School 1980 — 1984