AmeriHealth Caritas Family of Companies
Address: 100 Stevens Dr, Philadelphia, PA 19113 Hours: Open ⋅ Closes 9PM Saturday8AM–9PMSunday8AM–9PMMonday8AM–9PMTuesday8AM–9PMWednesday8AM–9PMThursday8AM–9PMFriday8AM–9PMSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (215) 937-8000: : : Category: Website: : : : Place name: Website: http://amerihealthcaritas.com/ Category: Health insurance agency Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. Questions & answers Ask a question See all questions (1) Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of AmeriHealth Caritas Family of Companies Posting publicly on the Web Write a review Reviews"Great customer service" "The trainer was Shantae M. She was extremely mean, rude, and unprofessional." "This company has a wonderful mission statement." View all Google reviews
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AmeriHealth Caritas Family of Companies Employees
Hartford HealthCare November 2013 - Present
AmeriHealth Caritas Family of Companies September 2008 - October 2013
Mercy Health System 2006 - 2008
Cooper University Hospital 2003 - 2006
Main Line Health System 2002 - 2003
Fox Chase Cancer Center January 2001 - May 2002
Elkins Park Hospital January 1998 - January 2001
Hartstrings Inc January 1996 - January 1998
Gross Metal Products/Henshell Corporation January 1992 - January 1996
Skills
Pc Software, Microsoft Office 2010, Mckesson HPM Decision..., Decision Support, Financial Reporting, Healthcare Information..., Healthcare, Hospitals, Data Analysis, Healthcare Management, Process Improvement, Crystal Reports, Business Analysis, Software Documentation, Managed Care, Access, Analysis, EMR, Health Insurance, Management, Medicaid, Microsoft Excel, Visio, Financial Analysis, Budgets, Medicare, Accounts Receivable, HIPAA, Office 2010, Software
Education
Temple University 1996 — 1998
MBA, Finance
Pennsylvania State University 1986 — 1990
BA, Accounting
AmeriHealth Caritas Family of Companies January 2003 - Present
AmeriHealth Caritas Family of Companies January 2003 - October 2013
Fitzgerald Mercy Hospital 1978 - 2002
Skills
Case Management, IQCI, CRT, Clinical System Admin, Clinical Auditing, Utilization Management, Healthcare Information..., Nursing, Software Implementation, Training, Certified Case Manager, Pediatrics, Critical Care, Medical/Surgical, Healthcare Industry, Medicaid Managed Care, Utilization Review, HEDIS, EHR, Software Documentation
Education
Drexel University 2010 — 2011
Delaware County Community College 1988 — 1990
AD, Nursing
AmeriHealth Caritas Family of Companies March 2012 - Present
Daily Local News August 2013 - Present
ARAMARK September 2011 - February 2012
GlaxoSmithKline April 2011 - September 2011
Comcast March 2008 - March 2011
ARAMARK October 2003 - March 2008
Towers Perrin May 2001 - October 2003
GailForce Communications May 1997 - May 2001
Unisys Corporation November 1993 - May 1997
Philadelphia Inquirer May 1990 - May 1997
Skills
Internal Communications, Strategic Communications, Corporate Communications, Newsletters, Social Media, Editing, Event Management, Leadership, Newspapers, Video, Messaging, Speech Writing
Education
Holy Ghost Prep
La Salle University
BA, Communications - writing
Roig and Associates September 2008 - Present
Healthy Capital District Initiative New York January 2015 - July 2015
Drexel University College of Medicine November 2014 - April 2015
AmeriHealth Caritas Family of Companies February 2013 - May 2014
Esperanza October 2010 - June 2012
City of Philadelphia June 2005 - May 2008
NUEVA ESPERANZA Community Development Corporation/ESPERANZA USA June 2002 - May 2005
Philadelphia Housing Authority October 2001 - May 2002
Philadelphia Department of Public Health May 1998 - September 2001
Skills
programs management, Local Government, Spanish, Project Planning, Project Implementation, Project Delivery, Education, Training & Development, Public Health, Team Leadership, Strategic Planning, Program Management, Non-profits, Program Development, Grant Writing, Public Speaking, Program Evaluation, Grants, Community Development, Public Policy, Community Outreach, Nonprofits, Training, Healthcare, Teaching, Management, Volunteer Management, Organizational..., Community Organizing, Research, Capacity Building, Social Services, Policy, Proposal Writing, Fundraising, Leadership, Government, Project Management, Community Engagement, Policy Analysis, Leadership Development, Team Building, Budgets, Staff Development, Entrepreneurship, Marketing, Qualitative Research, Social Networking, Strategic Communications, Public Relations
Education
Institute for Integrative Nutrition 2014 — 2014
Certificate as Holistic Health and Wellness Coach, Foods, Nutrition, and Wellness Studies, General
Villanova University School of Continuing Studies 2009 — 2009
Certificate: Applied Project Management Fundamentals, Project Management
Columbia University College of Physicians and Surgeons 1991 — 1997
Master's of Public Health, Health Services Administration
Columbia University - Graduate School of Architecture, Planning and Preservation 1992 — 1994
Master's of Science, Urban Planning
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
AmeriHealth Caritas Family of Companies January 2014 - Present
AmeriHealth Caritas October 2012 - December 2013
Aetna December 2009 - October 2012
UnitedHealth Group June 1999 - May 2009
Chase August 1995 - September 1999
US Army February 1987 - September 1994
Skills
Policy, Medicaid, Healthcare, Contract Management, Customer Service, Strategic Planning, Public Speaking, Healthcare Management, Project Management, Workshop Facilitation, Managed Care, Health Policy, Technical Writing, Technology Management, Training, Provider Relations, EMR, Insurance, Process Improvement, Medicare, Recruiting, Nursing, Healthcare Industry, Access, Medical Coding, Network Development, Case Managment, Healthcare Consulting, Utilization Management, Healthcare Information..., Physician Relations, Credentialing, Disease Management, Leadership, Medical Billing, EHR, Physicians, Revenue Cycle, Medicaid Managed Care, HEDIS, HIPAA, Health Insurance, HMO, Quality Improvement, Medical Compliance, PPO, Claim, CPT, NCQA, ICD-9
Education
University of Phoenix 2006 — 2009
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management, 3.37
Bryman Medical School 1984 — 1985
Medical/Clinical Assistant
Amerihealth Caritas Family of Companies April 2015 - Present
Universal American Corp. September 2008 - April 2015
Universal American Corp. 2008 - April 2015
Universal American Corp. 2008 - May 2011
Envision Pharma 2008 - 2008
NationsHealth (United States Pharmaceutical Group, LLC) 2005 - 2007
Skills
Medicare, Managed Care, Medicaid, Health Law, HIPAA, Medicare Part D, Risk Management, Ethics, HMO, Compliance Operations, PPO, Medicare Part C, Regulatory Compliance, Sakes & Marketing..., PBM, Medicare Part B, Fraud, Accountable Care, Privacy Law, Fraud Waste and Abuse, Privacy, Accountable Care..., NPFFS Health Plans, PFFS Health Plans, Pharmacy Benefit..., Medicaid Managed Care, Informatics, Physicians, Healthcare Industry, Medical Compliance, Healthcare Management, Healthcare, Health Insurance, Health Policy, Healthcare Information..., Insurance, Healthcare Consulting, Revenue Cycle, Process Improvement, Clinical Research
Education
Texas Southern University—Thurgood Marshall School of Law 2000 — 2003
J.D., Law
University of Miami School of Law
LL.M., Law
University of North Carolina at Chapel Hill
B.A., Psychology
AmeriHealth Caritas Family of Companies 2013 - Present
Providence Healthcare Network 2012 - 2013
Vanderbilt University 2001 - 2011
Skills
Healthcare, Budgets, Strategic Planning, Data Analysis, Management, Analysis, Software Documentation, Human Resources, Project Management, Forecasting, Financial Modeling, Business Development, Business Analysis, PeopleSoft, General Ledger, Business Intelligence, Financial Analysis, Microsoft Office, Accounting, Financial Reporting, Team Leadership, Program Management, Social Media, Account Reconciliation, Strategy, Access, Team Building, Marketing Strategy, Auditing, Project Planning, Process Improvement, Microsoft Excel, Inventory Management, Social Networking, Operations Management, Leadership, System Administration, Analytics, Marketing, Finance, Training, Employee Benefits, PowerPoint, Outlook, Nonprofits, Recruiting, Vendor Management, Executive Management, Employee Relations, Customer Service
Education
Belmont University
BBA, Business Administration Management, Marketing, and Music Business
Belmont University
BBA, Marketing
AmeriHealth Caritas Family of Companies July 2013 - Present
The AmeriHealth Mercy Family of Companies March 2012 - July 2013
Philadelphia Mayor's office of Community Service September 2011 - April 2012
AmeriHealth Mercy Family of Companies December 2002 - April 2012
MenzFit February 2008 - August 2010
Independence Blue Cross November 1995 - December 2002
Skills
Leadership Development, Compliance Training, Mentoring, Customer Relations, Customer Service, Organizational..., Healthcare, Coaching, Public Speaking, Change Management, Policy, Strategic Planning, Training, Analysis, Management, Workshop Facilitation, Human Resources, Program Management, Microsoft Office, PowerPoint
Education
Saint Joseph's University 2012 — 2014
M.S., Organizational Development and Leadership
Saint Joseph's University 2009 — 2012
B.S., Organizational Psychology and Healthcare Administration
Lincoln University 1991 — 1993
Berkley Technology Services - a WR Berkley Company June 2015 - Present
AmeriHealth Caritas Family Of Companies December 2014 - June 2015
Executive Health Resources September 2010 - 2014
Sogeti USA consulting for Affinity Health Plan October 2007 - July 2010
Sogeti July 2007 - September 2007
TekPartners May 2007 - July 2007
Keystone Mercy Health Plan August 2006 - May 2007
Keystone Mercy Health Plan August 2005 - July 2006
Keystone Mercy Health Plan June 2003 - July 2005
Keystone Mercy Health Plan November 2001 - May 2003
Skills
Business Intelligence, Business Analysis, SQL database design, Star Schema, SSAS, SSIS, Metadata Standards, Data Mining, SSRS, Performance Tuning, DMX, MDX, SharePoint, Powerpivot, OBIEE, PL/SQL, ANSI SQL 1999, Managed Care, Data Warehouse..., Master Data Management, Data Quality, ANSI, Microsoft SQL Server, ETL, OLAP, HIPAA, Data Architecture, Medicare, Business Objects, Medicaid, Crystal Reports, Relational Databases, Database Design, Data Modeling, SQL, Data Warehousing, Software Documentation, Healthcare Information..., SDLC, Data Analysis, Analytics, Oracle, Enterprise Software, Business Requirements, Integration, Quality Assurance, Analysis Services, Requirements Gathering, Requirements Analysis, Databases
Education
Albright College
B.S., Pre-Med; Healthcare Admin Minor
Cherry Hill High School East
The Data Warehouse Institute
CBIP, Certified Business Intelligence Practitioner
AmeriHealth Caritas Family of Companies January 2006 - Present
Verizon 2003 - 2006
Information Builders 1998 - 2003
Keane 1988 - 1998
Chase Bank USA 1982 - 1988
Skills
Project Planning, SDLC, Project Management, Business Analysis, Software Project..., Vendor Management, Management, PMP, Recruiting, PMO, Program Management, Project Portfolio..., Requirements Analysis, Leadership
Education
University of Delaware 2014 — 2014
Certificate in Project Management, Project Management
Fordham University
B.A., Philosophy, Communication Arts
New York University
Certificate in System Analysis and Programmng
AmeriHealth Caritas Family of Companies October 2013 - Present
Coventry Health Care August 2010 - October 2013
Security Health Plan February 2009 - July 2010
Blue Cross and Blue Shield of Minnesota 2004 - 2008
Blue Cross and Blue Shield of Minnesota 2001 - 2004
Blue Cross and Blue Shield of Minnesota 1999 - 2001
The Pillsbury Company 1987 - 1999
Prudential Financial 1983 - 1987
Skills
Leadership, SQL, Business Strategy, Java, IT Strategy, SDLC, JavaScript, CRM, C++, HTML, Software Project..., Vendor Management, Process Improvement, Healthcare Information..., Enterprise Architecture, Data Warehousing, Information Technology, Program Management, Business Intelligence, Project Portfolio..., IT Management, Business Process..., Business Process, Requirements Analysis, Integration, Agile Project Management, SharePoint, Visio, PMO, PMP, Cross-functional Team..., Strategy, Outsourcing, Requirements Gathering, Disaster Recovery, Solution Architecture, Enterprise Software, ITIL, SOA
Education
University of Minnesota-Morris
Bachelors, Mathematics and Computer Science
U.S. Department of Veterans Affairs May 2014 - Present
Amerihealth Caritas Family of Companies April 2008 - Present
Beddis and Wheeler Security and Investigations April 2006 - December 2011
US Census Bureau January 2010 - March 2010
Independence Blue Cross August 2005 - April 2008
First Judicial District Court of Pennsylvania February 2005 - August 2005
US Army 1999 - 2004
Skills
Policy, Government, Claim, Private Investigations, Risk Management, Insurance, Legal Research, Analysis, HIPAA, Enforcement, Fraud, Interrogation, Investigation, Internal Investigations, Case Managment, Healthcare, Surveillance, Public Speaking, Criminal Investigations, Leadership, Medicaid, Crisis Management, Risk Assessment, Criminal Justice, Background Checks, Interviews, Nonprofits, Team Building, Health Law, Microsoft Word, Military, Medical Records, HMO, Employee Relations, Physical Security, Training, Counterterrorism, Intelligence Analysis, Firearms, Force Protection, Provider Relations, Health Care Fraud, Claims Handling, Hospitals, Medical Compliance, Research, Homeland Security, Evidence, Supervisory Skills, Intelligence
Education
Temple University 1992 — 2009
Bachelor of Arts (BA), Political Science and Government
Defense Language Institute 1999 — 2001
Persian Farsi
AmeriHealth Caritas Family of Companies March 2012 - Present
Tampa Bay WorkForce Alliance February 2004 - January 2010
Florida Public Relations Association 2005 - 2006
University of Pennsylvania Health System October 2002 - January 2004
University of Pennsylvania Health System - Clinical Care Associates July 2001 - October 2002
Keystone Mercy Health Plan May 1995 - July 2000
Skills
Non-profits, Public Relations, Internal Communications, Marketing Communications, Media Relations, Copywriting, Nonprofits, Community Development
Education
Temple University 1978 — 1984
BA, Communications (Journalism)
AmeriHealth Caritas Family of Companies October 2013 - March 2014
Arthur Murray Dance Studios 2014 - 2014
Arthur Murray Dance Studios 2014 - 2014
Pediatric Therapeutic Services, Inc September 2011 - April 2012
IMS Health September 2007 - June 2011
Bank of America/Fleet & PNC Bank October 2000 - August 2004
Villanova University January 2004 - April 2004
Skills
Organized Multi-tasker, Anticipates Needs, Ethical, Exceptional People..., True Team Player, Resourceful..., Takes Initiative, Trusted Advisor, Professional, Flexible Approach, Self-starter, Highly Reliable, Dedication to..., Track Record Of..., Loyal, Highly Responsive, Devoted, High Sense Of Urgency, Sense of Humor, Ethics, Onboarding, PeopleSoft, Customer Service, Leadership, Management, Marketing, Sales, Market Analysis, Team Building
Education
Dale Carnagie Training 2005 — 2006
College Credit, How to Win Friends and Influence People
Villanova University 2004 — 2004
Art of Fund Raising
Millersville University of Pennsylvania 1975 — 1997
Communications/Theatre
De Sales University 1977 — 1980
Bachelor of Arts (B.A.), Communications/Theatre
Moravian College 1977 — 1977
Communications/Theatre/Full Summer Course Load
University of Pennsylvania - The Wharton School
Credit, Specialized Sales, Merchandising and Marketing Operations