AmeriHealth Mercy Health Plan
Industry: Commercial organization
DescriptionFounded: 1982 Subsidiaries: AmeriHealth Caritas Pennsylvania, Parent organization: Independence Blue Cross
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AmeriHealth Mercy Health Plan Employees
Employee
Years
Job
Industry
Janice Bray, M.D., M.B.A. Janice Bray, M.D., M.B.A.'s AmeriHealth Mercy Health Plan Experience 2006 - 2011
Job Chief of Clinical Operations, U.S. Department of Veterans Affairs
Industry Hospital & Health Care
Experience
International Consultation on Men's Health and Infertility (ICUD-MHI) July 2014 - Present
Texas A&M University 2014 - Present
U.S. Department of Veterans Affairs August 2011 - Present
ACPE 2011 - Present
National Medical Association 1995 - Present
American Academy of Psychiatry and Law 1990 - Present
Cenpatico September 2011 - November 2012
Passport Health Plan January 2006 - August 2011
The AmeriHealth Mercy Family of Companies January 2006 - 2011
Amerihealth Mercy Health Plan 2006 - 2011
Skills
HIPAA, Team Leadership, JCAHO, Medical Ethics, Healthcare Management, Medicaid, Health Insurance, Financial Analysis, Health Policy, Disease Management, Federal Government, Clinical Research, Medical Compliance, Policy, Provider Relations, Medicare, HEDIS, Utilization Management, Federal Budget, Network Development, Medicine, Leadership, Hospitals, Healthcare Industry, Healthcare Information..., Quality Improvement, Public Health, EHR, Physicians, Behavioral Health, Psychiatry, Physician Relations, EMR, Credentialing, Pharmacy, Medical Education, Emergency Medicine, Performance Improvement, Healthcare Consulting, Mental Health, Healthcare, Managed Care
Education
Harvard Medical School 1989 — 1990
Fellow and Clinical Instructor Harvard Law & Psychiatry, Forensic Psychiatry Residency Program
Yale University School of Medicine 1986 — 1989
Residency, Emergency Medicine, Post Graduate Psychiatry
David Geffen School of Medicine at UCLA 1982 — 1986
Doctor of Medicine (M.D.) Charles Drew University of Medicine and Science, Medicine
Howard University 1978 — 1982
BS, Chemistry
International Consultation on Men's Health and Infertility (ICUD-MHI) July 2014 - Present
Texas A&M University 2014 - Present
U.S. Department of Veterans Affairs August 2011 - Present
ACPE 2011 - Present
National Medical Association 1995 - Present
American Academy of Psychiatry and Law 1990 - Present
Cenpatico September 2011 - November 2012
Passport Health Plan January 2006 - August 2011
The AmeriHealth Mercy Family of Companies January 2006 - 2011
Amerihealth Mercy Health Plan 2006 - 2011
Skills
HIPAA, Team Leadership, JCAHO, Medical Ethics, Healthcare Management, Medicaid, Health Insurance, Financial Analysis, Health Policy, Disease Management, Federal Government, Clinical Research, Medical Compliance, Policy, Provider Relations, Medicare, HEDIS, Utilization Management, Federal Budget, Network Development, Medicine, Leadership, Hospitals, Healthcare Industry, Healthcare Information..., Quality Improvement, Public Health, EHR, Physicians, Behavioral Health, Psychiatry, Physician Relations, EMR, Credentialing, Pharmacy, Medical Education, Emergency Medicine, Performance Improvement, Healthcare Consulting, Mental Health, Healthcare, Managed Care
Education
Harvard Medical School 1989 — 1990
Fellow and Clinical Instructor Harvard Law & Psychiatry, Forensic Psychiatry Residency Program
Yale University School of Medicine 1986 — 1989
Residency, Emergency Medicine, Post Graduate Psychiatry
David Geffen School of Medicine at UCLA 1982 — 1986
Doctor of Medicine (M.D.) Charles Drew University of Medicine and Science, Medicine
Howard University 1978 — 1982
BS, Chemistry
Kevin M Hepler, MD, MBA, FAAFP Kevin M Hepler, MD, MBA, FAAFP's AmeriHealth Mercy Health Plan Experience May 2008 - October 2008
Job Social mediator
Industry Health, Wellness and Fitness
Experience
KMHMD September 1980 - Present
Broad Top Area Medical Center April 2014 - July 2014
Wexford Health Sources January 2013 - October 2013
Inspiris July 2012 - June 2013
Worknet Occupational Health June 2012 - January 2013
Pinnacle January 2010 - September 2010
Amerihealth Mercy Health Plan May 2008 - October 2008
Family Health Council of Central PA 2004 - 2005
Office of Children Youth and Families, PA Dept of Public Welfare 1999 - 2004
PSU/Good Samaraitan Hospital Family Medicine Residency Program 1992 - 1993
Skills
Primary Care, Healthcare, Medicine, Healthcare Management, Healthcare Information..., Hospitals, Nursing, Leadership, Public Health, Family Medicine, Health Policy, Pain Management, Inpatient, Clinical Research, Policy, EMR, Public Speaking
Education
Drexel University - College of Business and Administration 1983 — 1985
MBA, Information Systems
University of Missouri-Columbia 1980 — 1983
residency, family medicine
Duke University School of Medicine 1976 — 1979
MD, medicine
Princeton University 1972 — 1976
AB, Psychology
ELCO High School
KMHMD September 1980 - Present
Broad Top Area Medical Center April 2014 - July 2014
Wexford Health Sources January 2013 - October 2013
Inspiris July 2012 - June 2013
Worknet Occupational Health June 2012 - January 2013
Pinnacle January 2010 - September 2010
Amerihealth Mercy Health Plan May 2008 - October 2008
Family Health Council of Central PA 2004 - 2005
Office of Children Youth and Families, PA Dept of Public Welfare 1999 - 2004
PSU/Good Samaraitan Hospital Family Medicine Residency Program 1992 - 1993
Skills
Primary Care, Healthcare, Medicine, Healthcare Management, Healthcare Information..., Hospitals, Nursing, Leadership, Public Health, Family Medicine, Health Policy, Pain Management, Inpatient, Clinical Research, Policy, EMR, Public Speaking
Education
Drexel University - College of Business and Administration 1983 — 1985
MBA, Information Systems
University of Missouri-Columbia 1980 — 1983
residency, family medicine
Duke University School of Medicine 1976 — 1979
MD, medicine
Princeton University 1972 — 1976
AB, Psychology
ELCO High School
Dawn Asbury-Tate Dawn Asbury-Tate's AmeriHealth Mercy Health Plan Experience January 2010 - June 2011
Job SAHM
Industry Hospital & Health Care
Experience
Stay at Home Mom June 2011 - Present
The AmeriHealth Mercy Family of Companies January 2010 - June 2011
AmeriHealth Mercy Health Plan January 2010 - June 2011
Avysion Healthcare Services, Liberty Health Corp October 2008 - December 2009
Libery Health Corp October 2008 - October 2009
Able Temps, Avysion Healthcare Services February 2007 - September 2008
Select Medical Corporation March 2006 - February 2007
Amisys-Synertech Incorporated April 2001 - March 2006
Keystone Health Plan Central 2000 - 2001
Pennsylvania Physicians Care 1998 - 2000
Skills
Medicaid, Health Insurance, Claims Management, Customer Service, Customer Satisfaction, Customer Service..., Customer Service..., Quality Assurance, Quality Control, Data Analysis, Data Entry, Provider Relations, Provider Education, Provider Enrollment, Provider Network..., Coordination of Benefits, Project Management, Mistake Proofing, Promise, Program Management, Healthcare, HIPAA, Healthcare Management, Managed Care, Process Improvement, Medicare
Education
Goldey-Beacom College 1989 — 1993
Associate in Science, Business Administration
Rising Sun High School 1984 — 1989
High School Diploma, Honors, Academic, Business
Stay at Home Mom June 2011 - Present
The AmeriHealth Mercy Family of Companies January 2010 - June 2011
AmeriHealth Mercy Health Plan January 2010 - June 2011
Avysion Healthcare Services, Liberty Health Corp October 2008 - December 2009
Libery Health Corp October 2008 - October 2009
Able Temps, Avysion Healthcare Services February 2007 - September 2008
Select Medical Corporation March 2006 - February 2007
Amisys-Synertech Incorporated April 2001 - March 2006
Keystone Health Plan Central 2000 - 2001
Pennsylvania Physicians Care 1998 - 2000
Skills
Medicaid, Health Insurance, Claims Management, Customer Service, Customer Satisfaction, Customer Service..., Customer Service..., Quality Assurance, Quality Control, Data Analysis, Data Entry, Provider Relations, Provider Education, Provider Enrollment, Provider Network..., Coordination of Benefits, Project Management, Mistake Proofing, Promise, Program Management, Healthcare, HIPAA, Healthcare Management, Managed Care, Process Improvement, Medicare
Education
Goldey-Beacom College 1989 — 1993
Associate in Science, Business Administration
Rising Sun High School 1984 — 1989
High School Diploma, Honors, Academic, Business
James Turley James Turley's AmeriHealth Mercy Health Plan Experience February 2001 - Present
Job Lead Systems Analyst at Amerihealth Caritas FC
Industry Information Services
Experience
Keystone Mercy Health Plan February 2001 - Present
AmeriHealth Mercy Health Plan February 2001 - Present
Reliance Insurance June 1998 - February 2001
Wells Fargo Alarm Systems August 1997 - June 1998
ADT Security Services September 1992 - August 1997
Skills
Avaya, Avaya AES, Avaya Aura, Avaya Site..., Avaya Communication..., Avaya IP Telephony, Blackberry OS, Blackberry applications, Blackberry Enterprise..., RightFax, Databases, Mobile Enterprise, IVR, Call Center Architecture, IT Infrastructure Design, Windows Server, Basics of Unix, eCAS, Cisco Routers, Cisco Networking Devices, Avaya CMS, Fax Server, Telecommunications..., Telecom Network Design, Unix, Cisco Technologies, Call Center, Telephony
Education
Drexel University 2003 — 2010
BS, General Studies minor in business
Delaware County Community College 1991 — 2002
AS, Business Administration
West Chester University of Pennsylvania 1988 — 1989
Physics, Engineering, Business
Keystone Mercy Health Plan February 2001 - Present
AmeriHealth Mercy Health Plan February 2001 - Present
Reliance Insurance June 1998 - February 2001
Wells Fargo Alarm Systems August 1997 - June 1998
ADT Security Services September 1992 - August 1997
Skills
Avaya, Avaya AES, Avaya Aura, Avaya Site..., Avaya Communication..., Avaya IP Telephony, Blackberry OS, Blackberry applications, Blackberry Enterprise..., RightFax, Databases, Mobile Enterprise, IVR, Call Center Architecture, IT Infrastructure Design, Windows Server, Basics of Unix, eCAS, Cisco Routers, Cisco Networking Devices, Avaya CMS, Fax Server, Telecommunications..., Telecom Network Design, Unix, Cisco Technologies, Call Center, Telephony
Education
Drexel University 2003 — 2010
BS, General Studies minor in business
Delaware County Community College 1991 — 2002
AS, Business Administration
West Chester University of Pennsylvania 1988 — 1989
Physics, Engineering, Business
Mike Brolley's AmeriHealth Mercy Health Plan Experience 1999 - 2006
Job Escalations Engineer at Network Appliance
Industry Information Technology and Services
Experience
Network Appliance July 2006 - Present
AmeriHealth Mercy Health Plan 1999 - 2006
Skills
Storage Area Networks, NAS, Software Documentation, NetApp, SAN, Servers, Integration, Unix, Storage, Disaster Recovery, Enterprise Storage, Linux, Data Center, iSCSI
Education
Strayer University 2003 — 2008
BS, CIS
Network Appliance July 2006 - Present
AmeriHealth Mercy Health Plan 1999 - 2006
Skills
Storage Area Networks, NAS, Software Documentation, NetApp, SAN, Servers, Integration, Unix, Storage, Disaster Recovery, Enterprise Storage, Linux, Data Center, iSCSI
Education
Strayer University 2003 — 2008
BS, CIS
Jeff Menta's AmeriHealth Mercy Health Plan Experience 2001 - Present
Job Senior Network Integrator at Amerihealth Caritas Health Plan
Industry Computer Networking
Experience
AmeriHealth Caritas 2001 - Present
AmeriHealth Mercy Health Plan 2001 - Present
Keystone Mercy Health Plan 2000 - Present
Skills
ITIL, Troubleshooting, Process Improvement, Disaster Recovery, Networking, WAN, Network Administration, Data Center, Vendor Management
Education
Immaculata University
AmeriHealth Caritas 2001 - Present
AmeriHealth Mercy Health Plan 2001 - Present
Keystone Mercy Health Plan 2000 - Present
Skills
ITIL, Troubleshooting, Process Improvement, Disaster Recovery, Networking, WAN, Network Administration, Data Center, Vendor Management
Education
Immaculata University
Chuck Betros's AmeriHealth Mercy Health Plan Experience 2007 - December 2014
Job Retired at None
Industry Insurance
Experience
None December 2014 - Present
Amerihealth Mercy 2007 - Present
AmeriHealth Mercy Health Plan 2007 - December 2014
Shearman & Sterling LLP August 2003 - April 2007
CNA Insurance June 1981 - July 1996
CNA Insurance 1994 - 1996
Continental Insurance 1981 - 1994
Skills
Process Improvement, Project Management, Purchasing, Strategic Sourcing, Vendor Management, Supply Management, RFP, PeopleSoft, Program Management, Management, Contract Negotiation, Cross-functional Team..., Change Management, Procurement, Outsourcing
Education
Rider University 1976 — 1979
Bachelor's degree, Business Administration and Management, General
None December 2014 - Present
Amerihealth Mercy 2007 - Present
AmeriHealth Mercy Health Plan 2007 - December 2014
Shearman & Sterling LLP August 2003 - April 2007
CNA Insurance June 1981 - July 1996
CNA Insurance 1994 - 1996
Continental Insurance 1981 - 1994
Skills
Process Improvement, Project Management, Purchasing, Strategic Sourcing, Vendor Management, Supply Management, RFP, PeopleSoft, Program Management, Management, Contract Negotiation, Cross-functional Team..., Change Management, Procurement, Outsourcing
Education
Rider University 1976 — 1979
Bachelor's degree, Business Administration and Management, General
Susan Girton's AmeriHealth Mercy Health Plan Experience May 2012 - July 2013
Job Retired in Seattle
Industry Hospital & Health Care
Experience
None August 2013 - Present
AmeriHealth Mercy Health Plan May 2012 - July 2013
Alameda Alliance for Health April 2008 - November 2010
Brown & Toland April 2007 - March 2008
Skills
Managed Care, Healthcare Management, Medicare, Healthcare, Medicaid, Hospitals, HIPAA, Network Development, Healthcare Industry, Healthcare Consulting, HMO, Physician Relations
Education
The University of Texas at El Paso 1967 — 1970
Bachelor of Science, Elementary Education and Teaching
University of Phoenix
Master of Business Administration (MBA)
None August 2013 - Present
AmeriHealth Mercy Health Plan May 2012 - July 2013
Alameda Alliance for Health April 2008 - November 2010
Brown & Toland April 2007 - March 2008
Skills
Managed Care, Healthcare Management, Medicare, Healthcare, Medicaid, Hospitals, HIPAA, Network Development, Healthcare Industry, Healthcare Consulting, HMO, Physician Relations
Education
The University of Texas at El Paso 1967 — 1970
Bachelor of Science, Elementary Education and Teaching
University of Phoenix
Master of Business Administration (MBA)
Jeff Kreitman's AmeriHealth Mercy Health Plan Experience July 2006 - May 2012
Job Regional Director of Pharmacy
Industry Health, Wellness and Fitness
Experience
AmeriHealth Caritas April 2012 - Present
Messiah College October 2013 - Present
AmeriHealth Mercy Health Plan July 2006 - May 2012
MedVantx 2005 - 2006
CVS July 2003 - October 2005
McKesson Specialty 2004 - 2005
Rutgers University July 2000 - June 2003
Walgreens 1999 - 2003
Skills
Managed Care, Pharmacists, Disease Management, Medicaid, Medication Therapy..., Pharmacy Benefit..., Clinical Pharmacy, Healthcare, Diabetes, Utilization Management, Healthcare Management, Clinical Pharmacology, Healthcare Information..., HIPAA
Education
Rutgers, The State University of New Jersey-New Brunswick 1994 — 2000
Doctor of Pharmacy (PharmD), Pharmacy
AmeriHealth Caritas April 2012 - Present
Messiah College October 2013 - Present
AmeriHealth Mercy Health Plan July 2006 - May 2012
MedVantx 2005 - 2006
CVS July 2003 - October 2005
McKesson Specialty 2004 - 2005
Rutgers University July 2000 - June 2003
Walgreens 1999 - 2003
Skills
Managed Care, Pharmacists, Disease Management, Medicaid, Medication Therapy..., Pharmacy Benefit..., Clinical Pharmacy, Healthcare, Diabetes, Utilization Management, Healthcare Management, Clinical Pharmacology, Healthcare Information..., HIPAA
Education
Rutgers, The State University of New Jersey-New Brunswick 1994 — 2000
Doctor of Pharmacy (PharmD), Pharmacy
Luz Centeno's AmeriHealth Mercy Health Plan Experience May 1995 - March 2009
Job Holy Redeemer Health System SR. Telecommunications Analyst
Industry Information Technology and Services
Experience
Holy Redeemer Health System April 2015 - Present
Abington Health March 2009 - April 2015
AmeriHealth Mercy Health Plan May 1995 - March 2009
AmeriHealth Mercy Health Plan February 2007 - December 2007
Keystone Mercy Health Plan September 2004 - February 2007
Skills
Analysis, Networking, Medicaid, Healthcare Information..., HIPAA, Program Management, Software Documentation, Management, Strategic Planning, Access, Data Analysis, Requirements Analysis, Microsoft Office, Vendor Management, Security, Microsoft Excel, Customer Service, Process Improvement, Managed Care, Healthcare, Troubleshooting, Databases, Integration, Project Management, MS Project, Business Analysis, Microsoft SQL Server, SQL
Education
La Salle University 1989 — 1993
BA, Information & Operations Management
Holy Redeemer Health System April 2015 - Present
Abington Health March 2009 - April 2015
AmeriHealth Mercy Health Plan May 1995 - March 2009
AmeriHealth Mercy Health Plan February 2007 - December 2007
Keystone Mercy Health Plan September 2004 - February 2007
Skills
Analysis, Networking, Medicaid, Healthcare Information..., HIPAA, Program Management, Software Documentation, Management, Strategic Planning, Access, Data Analysis, Requirements Analysis, Microsoft Office, Vendor Management, Security, Microsoft Excel, Customer Service, Process Improvement, Managed Care, Healthcare, Troubleshooting, Databases, Integration, Project Management, MS Project, Business Analysis, Microsoft SQL Server, SQL
Education
La Salle University 1989 — 1993
BA, Information & Operations Management
Trena Wynn's AmeriHealth Mercy Health Plan Experience August 2000 - Present
Job Operation Quality Auditor
Industry Insurance
Experience
AmeriHealth Caritas June 2013 - Present
AMERIHEALTH MERCY HEALTH PLAN August 2000 - Present
FIRST MORTGAGE May 2003 - December 2007
H&H FURNITURE STORE May 1995 - July 2000
Skills
Microsoft Acess, Rational Robot, Microsoft Excel, Healthcare, Citrix, Analysis, Research, Customer Relations, Jiva, Operating Systems, Spreadsheets, Visio, Outlook, Word, PowerPoint, Business Analysis, Insurance, Teamwork, Call Center, Process Improvement, Supervisory Skills, Access, Windows, Data Analysis, Problem Solving, Customer Satisfaction, Microsoft Office, Customer Service, Billing, Policy, SharePoint, HIPAA, Health Insurance, Managed Care, Medicare, Medicaid, Data Entry, Training, Call Centers
Education
Kaplan University 2007 — 2010
Bachelor of Science, Information Technology
Saint Maria Goretti High School 1977 — 1981
Diploma, Academics course
AmeriHealth Caritas June 2013 - Present
AMERIHEALTH MERCY HEALTH PLAN August 2000 - Present
FIRST MORTGAGE May 2003 - December 2007
H&H FURNITURE STORE May 1995 - July 2000
Skills
Microsoft Acess, Rational Robot, Microsoft Excel, Healthcare, Citrix, Analysis, Research, Customer Relations, Jiva, Operating Systems, Spreadsheets, Visio, Outlook, Word, PowerPoint, Business Analysis, Insurance, Teamwork, Call Center, Process Improvement, Supervisory Skills, Access, Windows, Data Analysis, Problem Solving, Customer Satisfaction, Microsoft Office, Customer Service, Billing, Policy, SharePoint, HIPAA, Health Insurance, Managed Care, Medicare, Medicaid, Data Entry, Training, Call Centers
Education
Kaplan University 2007 — 2010
Bachelor of Science, Information Technology
Saint Maria Goretti High School 1977 — 1981
Diploma, Academics course
Jessica Yasher's AmeriHealth Mercy Health Plan Experience September 2003 - Present
Job Director, Utilization Management at AmeriHealth Mercy Health Plan
Industry Insurance
Experience
AmeriHealth Mercy Health Plan September 2003 - Present
Hershey Medical Center May 1998 - September 2003
Skills
RN
Education
Penn State University 1994 — 1998
Bachelor of Science (B.S.), Nursing Science
AmeriHealth Mercy Health Plan September 2003 - Present
Hershey Medical Center May 1998 - September 2003
Skills
RN
Education
Penn State University 1994 — 1998
Bachelor of Science (B.S.), Nursing Science
Newell Rubbermaid
National Association of Realtors
National Research Council Canada
Philadelphia Water Department
MPRI
L-3 MPRI
Southern Research Institute
JAMS