Experience
Gateway Health Plan   June 2014 - Present
UnitedHealth Group  July 2007 - June 2014
Old Republic Insurance Company  February 2002 - July 2007

Skills
Financial Analysis, Business Process..., Business Analysis, Process Improvement, Sarbanes-Oxley Act, PeopleSoft, Financial Reporting, Accounting, Finance, Internal Audit, Insurance, Variance Analysis, General Ledger, Essbase, Account Reconciliation, GAAP, Sarbanes-Oxley, SEC filings, Consolidation, Auditing, Access, Bank Reconciliation, Payroll, Strategic Financial..., US GAAP, Journal Entries, Financial Modeling, Managerial Finance, Internal Controls, Financial Statements, Hyperion Enterprise, Forecasting, Analysis, Budgets, Management, Cost Accounting, Mergers & Acquisitions

Education
Indiana University of Pennsylvania   1993 — 1998
Bachelor's degree, Accounting and Finance

Experience
Continuance Health Solutions   July 2012 - Present
Elderplan  October 2011 - June 2012
AmeriHealth Insurance Co   April 2005 - May 2008
AmeriHealth NJ  June 2001 - April 2005
QHCP & DM Inc.   November 2000 - June 2001
Oxford Health  May 2000 - November 2000
Gateway Health Plan   January 2000 - May 2000
Heritage Valley Health System  June 1999 - November 1999

Skills
Strategic Planning, Business Intelligence, Healthcare, Insurance, Analysis, Access, Financial Analysis, Process Improvement, Managed Care, Medicare, Microsoft Excel, Data Analysis

Education
Centenary College   2002 — 2004
Masters, Business Administration

Robert Morris University Pittsburgh & Moon   1996 — 2000
Bachelor of Science, Business Administration; Health Services Management

Experience
Bechtel Corporation  February 2014 - Present
Gateway Health Plan   May 2012 - February 2014
ACL-CPI   August 2009 - May 2012
Deloitte  August 2008 - August 2009
GE- Transportation  September 2006 - May 2008

Skills
Accounting, Auditing, Great Plains Software, Cost Accounting, Financial Statements, Inventory Management, Finance, Microsoft Excel, Six Sigma, Process Scheduler, Microsoft Office

Education
Pennsylvania State University-Erie Campus   2010 — 2012
Master of Business Administration (MBA), Business Administration and Management, General

Pennsylvania State University-Erie Campus   2004 — 2008
Bachelor of Science, Accounting

Experience
Aetna  March 2015 - Present
Highmark Inc.  January 2015 - March 2015
Coventry Health Care, an Aetna Company  May 2012 - December 2014
UPMC Health Plan  February 2006 - May 2012
UPMC Health Plan  February 2005 - February 2006
UPMC Health Plan  February 2002 - February 2005
Gateway Health Plan   April 1999 - February 2002
Gateway Health Plan   May 1998 - April 1999
Gateway Health Plan   March 1997 - May 1998
Gateway Health Plan   November 1996 - March 1997

Skills
Requirements Gathering, Systems Analysis, Visio, Medicare, SDLC, Business Analysis, Process Improvement, Cognos, Healthcare Information..., Requirements Analysis, Medicaid Managed Care, IT Operations, Financial Analysis, IT Solutions, Business Requirements, Electronic Enrollment, Production Support, Agile & Waterfall..., Medicare Letters, Creative Solutions, System Testing, Unit Testing, System Enhancements, Redetermination Projects, Statutory Reporting, Home Nursing Files, Benefit Cost Analysis, Department of Public..., Employee Training, Customer Service, Customer Retention, Microsoft Excel, Access Database, PowerPoint, Posnet, MC400, Amisys, Remedy Ticketing System, MMC, On-call Support, Access, Insurance, Leadership

Education
University of Pittsburgh   1990 — 1994
Bachelor of Science (BS), Business/Psychology

Upper St. Clair High School   1986 — 1990
High School

Experience
AstraZeneca  October 2014 - Present
AstraZeneca  August 2014 - October 2014
Forest Laboratories  January 2012 - July 2014
Giant Eagle  May 2003 - January 2012
Gateway Health Plan   April 2007 - December 2011
UPMC Health Plan  2003 - 2006

Skills
Managed Care, Pharmacy, Pharmacists, Healthcare, Pharmacy Benefit..., Diabetes, Health Economics, Pharmacy Automation, Medicare Part D, Medication Therapy..., Clinical Pharmacy, Clinical Pharmacology, Community Pharmacy, Disease Management, Medicaid, Management, Quality Measures, Medicaid Managed Care, CNS disorders, Respiratory Products, Gastrointestinal..., Outcomes Research, Formulary Management, Specialty Pharmaceutical, Respiratory Disease, Oncology, Diabetes Management, Cardiovascular Disease, Myocardial Infarction

Education
University of Washington Professional & Continuing Education   2014 — 2015
Certificate, Health Economics and Outcomes Research, Successful Completion

University of Pittsburgh, School of Pharmacy   2002 — 2006
Doctor of Pharmacy (PharmD), Pharmacy, Cum Laude

Case Western Reserve University   1999 — 2002
Chemistry

Experience
UPMC Health Plan  December 2013 - Present
UPMC Health Plan  April 2010 - December 2013
UPMC Health Plan  October 2008 - April 2010
UPMC Health Plan  October 2006 - October 2008
UPMC Community Provider Services   June 2005 - October 2006
University of Pittsburgh  August 2004 - April 2005
Gateway Health Plan   June 2004 - August 2004
Reproductive Health Specialists  2003 - 2004
Allergy & Asthma Associates  June 2002 - August 2003
Planned Parenthood  June 2000 - June 2002

Skills
Healthcare, Healthcare Management, Program Management, Project Management, Healthcare Information..., Data Management, Process Engineering, Process Improvement, Quality Management, Quality System, Problem Analysis, Program Analysis, Business Analysis, Problem Solving, Visual Communication, Written Communication, Software Documentation, Managed Care, Written & Oral..., SDLC, Informatics, Visio, Training, Case Managment, Insurance, Healthcare Consulting, Team Building, Data Analysis, Case Management

Education
University of Pittsburgh   2003 — 2005
MHA, Health Policy & Management

University of Colorado Boulder   1999 — 2001
BA, Psychology / Environmental, Population, Organismic Biology

Southern Methodist University   1997 — 1999
Biology

Elko High School

Experience
Clare Ascani Photography   July 2008 - Present
Clare Ascani - Jazz Vocalist and Photographer   July 1986 - Present
Gateway Health Plan   February 2002 - July 2008
Conde Nast  October 1991 - February 2001

Skills
Photography, Fine Art Photography, Portraits, Music, Photos, Entertainment, Jazz, Photo Restoration, Family Photography, Digital Photography, Senior Portraits, Environmental..., Fine Art, Image Editing, Lighting, Landscape Photography, Studio Lighting, Lifestyle Photography, Restoring Photos, Still Life, Studio Photography, Black & White, Architectural..., Nikon, Wedding Photojournalism, Pet Portraits, Editorial Photography, On Location, Photojournalism, Commercial Product..., CD covers, Photographers, Nature Photography, Lifestyle, Commercial Photography, Maternity, Adobe Bridge, Photo Editor, Public Speaking, Teaching, Editing

Education
Trinity University   1971 — 1975
BM (Performance), Music

Experience
Gateway Health Plan   September 2014 - Present
Highmark  September 2007 - March 2011
Highmark Blue Shield  September 2007 - August 2010
Highmark  April 2002 - September 2007

Skills
Project Management, Business Analysis, PMP, Vendor Management, PMO, Process Improvement, SDLC, Project Portfolio..., Visio, Insurance, Health Insurance, Change Management, Project Coordination, Business Requirements, Requirements Gathering, MS Project, RFP, Program Management, Requirements Analysis, Analysis, Business Process, Management, SharePoint

Education
Central Pennsylvania College   1981 — 1983
Associate's degree, Tourism and Travel Services Management, 3.7

Experience
Gateway Health System  May 2011 - March 2015
Gateway Health Plan   July 2010 - May 2011
Gateway Health System  April 2008 - July 2010
Gateway Health  February 2005 - April 2008
Gateway Health Plan   September 1998 - May 2005

Skills
Strategic Planning, Project Planning, Project Management, Process Improvement, New Business Development, Medicare, Marketing, Managed Care, Leadership, Healthcare Information..., Healthcare, Health Insurance, Business Analysis, Strategy, Medicaid, Management, Healthcare Industry, HIPAA, Customer Service

Education
Villanova University   2006 — 2008
MC, Project Management

Duquesne University   2003 — 2005
Organizational Management and Computer Technology, Organizational Leadership

Experience
Wellbridge Health   2015 - Present
ZCorp   April 2011 - Present
Gateway Health Plan   May 2005 - April 2011
Sewickley Valley Hospital  1991 - 1994

Skills
Dual-Eligible Insurance..., Strategic Planning, Retreat Facilitation, Project Planning, Executive Coaching, Large Group Facilitation, Retreats, Workshop Facilitation, Teaching, Leadership, Team Building, Healthcare, Healthcare Industry, Project Management, Medicare, Process Improvement, Nonprofits, Healthcare Information..., Change Management, Business Strategy, Public Speaking, Marketing Strategy, Organizational..., Management Consulting, Strategy, Entrepreneurship, Leadership Development, Coaching, Training, Program Management, Executive Management, Management, Performance Improvement, Cross-functional Team..., Start-ups

Education
Duquesne University   2010 — 2011
Certificate, Professional Coaching

University of Pittsburgh - Joseph M. Katz Graduate School of Business   1990 — 1991
MBA

Carlow College   1984 — 1987
BSN, Nursing

Experience
Highmark Inc.  March 2015 - Present
Gateway Health Plan   November 2012 - March 2015
Fox Chapel Golf CLub  2012 - 2014
UPMC Senior Living   October 2010 - August 2012
Capital Grille  2006 - 2009
Wildwood Golf Club  June 2006 - July 2007
Duquesne Club  September 2001 - March 2003

Skills
Menu Development, Microsoft Office, Legal Research, Westlaw, Time Management, Legal Writing, Wine, Microsoft Word, Operations Management, Cooking, Civil Litigation, Employee Benefits, Family Law, Mediation, Estate planning, trust..., Food, Restaurants, Microsoft Excel, Training, Hospitality, Customer Service, Management

Education
Robert Morris University   2014 — 2016
Bachelor's Degree, Organizational Leadership

CCAC   2009 — 2013
Associate's Degree, Paralegal & Business program, 3.86 GPA

P.I.C.A.   1992 — 1993
Associate of Arts (A.A.), Restaurant, Culinary, and Catering Management/Manager

Experience
Corinthian Colleges  July 2011 - Present
Robert Morris University  March 2011 - December 2012
EDMC  January 2008 - January 2011
Kop-Coat, Inc.   1998 - 2007
Gateway Health Plan   1995 - 1998
Bertholon-Rowland  1987 - 1993

Skills
Higher Education, Resume Writing, Staff Development, Public Speaking, Student Affairs, PowerPoint, Outlook, Accounting, Teaching, Microsoft Excel, Customer Service, Adult Education, Leadership Development, Training, Classroom, Employee Training, Student Development, Leadership, Distance Learning, E-Learning, Enrollment Management, Curriculum Development, Admissions, Student Financial Aid, Educational Leadership, Academic Administration

Education
South University   2011 — 2013
MBA, Accounting

Robert Morris University   2011 — 2012
MBE, Education

Duquesne University   1996 — 1998
BSBA, Accounting

Experience
PNC  August 2014 - Present
PNC  June 2013 - Present
Gateway Health Plan   August 2011 - June 2013
Dollar Bank  July 2000 - August 2011
Dollar Bank  October 1999 - July 2000

Skills
Windows Server, Security, VMware, Troubleshooting, Network Security, Windows, Active Directory, Unix, Disaster Recovery, Data Center, F5 BigIP, Microsoft Exchange, Project Planning, Virtualization, Cisco Nexus, Switches, Windows 7, Networking, Network Administration, Routers, Network Design, VPN, Routing, WAN, Network Engineering

Education
Robert Morris University   2012 — 2016
Organizational Leadership

Community College of Allegheny County   1999 — 1999
obtained a certificate, Computer Information Sciences

Experience
Gateway Health Plan   January 2009 - Present
Shawn C. Files, MD LLC   January 2008 - Present
MedExpress Urgent Care  February 2006 - August 2007
Concentra Medical Centers  November 2004 - February 2006
Duquesne University  December 2000 - January 2003

Education
University of Cincinnati College of Medicine   1991 — 1995

Denison University   1985 — 1989
BS, Biology

Experience
Rite Aid Pharmacy  July 2015 - Present
Gateway Health Plan   July 2015 - Present
Rose E. Schneider Family YMCA  September 2006 - Present
Rite Aid Pharmacy  January 2013 - July 2015
Gateway Health Plan   September 2014 - May 2015
Cardinal Health Nuclear Pharmacy  May 2012 - November 2014
Duquesne University  August 2010 - May 2013

Skills
Immunization, Clinical Research, Microsoft Excel, Aseptic Technique, First Aid, Research

Education
Duquesne University   2009 — 2015
Doctor of Pharmacy (Pharm.D.), Pharmacy

Experience
Bacharach  September 2013 - May 2015
Bloom Engineering Company  September 2010 - March 2013
Gateway Health Plan   February 2006 - September 2010
Trinity Industries  November 1999 - March 2005
Housing Authority City of Pittsburgh  July 1990 - September 1998

Skills
Human Resources, Recruiting, Employee Benefits, Labor Relations, FMLA, HR Policies, Workforce Planning, Policy, Payroll, Administration, Deferred Compensation, Management, Onboarding, Talent Acquisition, Benefits Administration, Employee Relations, Interviews, Technical Recruiting, Talent Management

Education
Point Park University   2000 — 2003
BS, Human Resources Management

Experience
Gateway Health Plan   November 2014 - Present
Fairmont Federal Credit Union  March 2013 - November 2014
Fairmont Federal Credit Union  January 2013 - April 2013
Fairmont Federal Credit Union  October 2010 - December 2012

Skills
Customer Service, Outlook, Microsoft Office, PowerPoint, Microsoft Word, Microsoft Excel, Phone Skills, Research, Ethics, Office Management, Office Equipment, Public Speaking, Time Management, Accounting, Federal Reserve, Credit Unions, MBA, Bank Secrecy Act, Project Management, Computer Information..., Consensus Building, Strategic Planning, Mobile Banking, Vendor Management, Internet Banking, Political Science, SQL

Education
Fairmont State University   2012 — 2014
Master of Business Administration (MBA)

West Virginia University   2004 — 2009
Bachelor of Arts, Political Science

US Senate Youth Program   2004 — 2004

Lewis County High School   2000 — 2004
High School Diploma

Experience
Independent Enterprise. Inc   September 2014 - Present
Rainbow Inc.   May 2013 - Present
Ross shop n save   March 2014 - October 2014
Ross's Shop n Save   October 2013 - September 2014
Rainbow Inc.   May 2013 - November 2013
The Children's Institute  December 2012 - April 2013
unknown  September 2011 - October 2012
Gateway Health Plan   June 2000 - September 2011
UPMC  November 1998 - June 2000
U.P.M.C Falk Clinic   December 1996 - November 1998

Skills
Medical Terminology, ICD-9, CPT, Microsoft Office 2007, Excel, Computer Repair, Children, Software Knowledge, Microsoft office 2010, Creative Writing, Adobe Creative Suite, Adobe Acrobat, Microsoft Excel, Public Relations, Administration, Community Outreach, Cpr Certified, Volunteer Management, Software Documentation, Medical Records, Event Planning, Nursing, Microsoft Word, Hospitals, Spreadsheets, Customer Service, Policy, Program Development, Healthcare, Insurance, Office 2010, Teamwork, Social Media, Inpatient, Grant Writing, Training, Microsoft Office, Time Management, PowerPoint, Facebook, Office Management, Home Care, Research, Outlook, Editing, Teaching, Data Entry, Fundraising, Event Management, Social Networking

Education
Community College of Allegheny County   1994 — 1995
certificate, medical coding insurance specialist, 3.0

St.Clairsville High School   1983 — 1987
diploma, business, 3.0

Experience
Gateway Health Plan   September 1992 - Present
Central Medical Health Plan   February 1989 - September 1992

Skills
Medicare, Managed Care, Healthcare Information..., Medicaid, Process Improvement, HIPAA, Health Insurance, Healthcare Consulting, Physician Relations, Healthcare Management, Team Building, Healthcare Industry, Business Analysis, Health Policy, Vendor Management, Program Management, Healthcare, Strategic Planning

Education
University of Pittsburgh   1986 — 1989
MHA, Health Administration

Univerisity of Pittsburgh

Experience
Job Seeker  January 2015 - Present
The CPR School   October 2009 - December 2014
Gateway Health Plan   December 2007 - July 2009
CyraCom  April 2004 - October 2006
Cardinal Health  June 1999 - September 2003
Cardinal Health  1999 - 2003

Skills
Needs Asesment, Strategic Planning, Closing Business, Medical Devices, Account Management, Cold Calling, Sales, Leadership, Healthcare, Sales Process, Sales Management, Customer Service, Pharmaceutics, Selling, Hospitals, Sales&Marketing, Strategy, Marketing, Contract Negotiation, Budgets, Public Speaking, Sales Operations, Coaching, Management, Marketing Strategy, Salesforce.com, Training, Recruiting, Managed Care, Solution Selling, New Business Development, Direct Sales, Health Insurance, Cross-functional Team..., Team Building, Selling Skills, Sales Presentations, Product Launch, Pharmaceutical Sales, Cardiology, Capital Equipment, Market Development, Sales Force Development, Urology, Customer Retention, B2B, Operating Room, Disposables, Surgeons, OB/GYN

Education
Duquesne University   1983 — 1987
Bachelors, Communications

Northgate High School

Experience
Sesame Workshop  March 2015 - Present
Sesame Workshop  March 2012 - Present
Mt. Sinai School of Medicine  September 2011 - March 2012
Gateway Health Plan   June 2010 - February 2011
Clifford Chance US LLP  April 2006 - February 2010
Morgan Stanley Investment Management  November 2004 - April 2006
New Line Cinema  May 2004 - November 2004

Skills
Human Resources, Employee Relations, Microsoft Excel, Payroll, HRIS, Customer Service, PeopleSoft, Employee Benefits, Outlook, Microsoft Office, Time Management, ADP Payroll, Microsoft Word, Multi-state Payroll..., PowerPoint, Wage Garnishments, Manual Checks, Time & Attendance, ADP HRB

Education
SUNY Albany   2001 — 2002
Bachelor of Arts (B.A.), Rhetoric & Communication

Orange County Community College   1999 — 2000
Associate of Arts (A.A.), Liberal Arts and Sciences, General Studies and Humanities

Experience
Hinman Straub P.C.   July 2011 - Present
Crystal Run Healthcare LLP   March 2009 - July 2011
Gateway Health Plan   March 2004 - February 2009
Gateway Health Plan   March 2004 - June 2004
DKW Law Group  November 2001 - March 2004
Kirkpatrick & Lockhart  September 1999 - November 2001

Skills
Corporate Governance, Corporate Law, Litigation Management, Intellectual Property, Litigation

Education
SUNY Buffalo Law School   1996 — 1999
JD, Law

University at Albany, SUNY   1992 — 1994
MPA, Public Management

State University of New York College at Oneonta   1988 — 1992
BS, Economics

Experience
Gateway Health Plan,  August 2012 - Present
i  May 2012 - October 2012
Pennsylvania House of Representatives  December 2010 - 2012

Education
University of Pittsburgh   1992 — 1996
B.A., Communications - Rhetorical Studies

La Salle University
Corporate Communications

Experience
Gateway Health Plan   November 2014 - Present

Skills
Healthcare, Medicaid, Provider Relations, Medicare, Managed Care, Leadership, Management, Clinical Research, HIPAA, Healthcare Information..., Healthcare Management, Health Policy, Pharmacy Benefit..., HMO, Utilization Management, Quality Improvement, Process Improvement, Disease Management, Medicaid Managed Care, Healthcare Consulting, Healthcare Industry, Revenue Cycle, Health Insurance, Physician Relations, Clinical Systems..., Physicians, Medicare Part D, Hospitals, Accreditation

Education
Maryville University of Saint Louis   2000 — 2002
MBA, Business Administration

Maryville University of Saint Louis   1993 — 1997
BA, Psychology, Sociology

Experience
UnitedHealth Group  January 2011 - Present
Unison Health Plan/AmeriChoice   October 2007 - January 2011
West Penn Allegheny Health System  March 2003 - September 2007
Gateway Health Plan   March 2002 - March 2003

Skills
Healthcare, Hospitals, Managed Care, Health Insurance, Healthcare Management, Negotiation, Contract Negotiation, Analysis, Team Building, Business Intelligence, Data Analysis, Financial Analysis, Insurance, Quality Assurance, Strategic Planning, Physicians, Provider Relations, Program Management, PPO, Medicaid, Medicare, HMO, Network Development, Healthcare Industry

Education
Carnegie Mellon University   2003 — 2007
Master's, Master's of Public Management

Slippery Rock University of Pennsylvania   1992 — 1996
B.S., Health Administration and Business

JHS

Experience
Gentech  Provide project management professional services for assigned clients per engagement specifications. Currently engaged as a senior project manager for a large healthcare organization managing multiple projects. Sr. ManagerSDLC PartnersAugust 2012 - July 2015
West Penn Allegheny Health System  January 2011 - August 2012
Gateway Health Plan   December 2005 - October 2010
Gateway Health Plan   March 1996 - December 2005
CISCORP  1990 - 1996
Mellon Bank  1983 - 1990

Skills
SDLC, Visio, Requirements Analysis, PMO, Oracle, Change Management, Software Project..., Healthcare Information..., Process Improvement, PMP, SharePoint, Integration, Vendor Management, Business Intelligence, Software Documentation, Data Management, HIPAA, SQL, Project Management, Program Management, Healthcare, Business Analysis, Disaster Recovery, Enterprise Architecture, Strategic Planning, Agile Methodologies, Access, Leadership, IT Management, Management, Business Process, ITIL, IT Strategy, Microsoft SQL Server, Data Warehousing, EHR, Systems Analysis, MS Project, Software Development, Databases, Data Center, Business Process..., Project Portfolio..., Requirements Gathering, Quality Assurance, Information Technology, ERP, Cross-functional Team..., Budgets, Software Implementation

Education
Duquesne University   2007 — 2008
Master's Certificate in IT Project Management

Point Park University   1968 — 1972
BS, Information Sciences

Experience
Gateway Health Plan   October 1994 - Present
Gateway Health Plan   October 2001 - February 2005
Gateway Health Plan   October 1997 - October 2001
Gateway Health Plan   October 1994 - October 1997

Education
Carnegie Mellon University   1981 — 1985
BS, Industrial Management wit a concentration in Managerial Economics

Experience
Gateway Health System  March 2013 - Present
Gateway Health System  May 2012 - March 2013
Gateway Health Plan   April 2007 - May 2012
Ion Health  2004 - 2006

Skills
Process Improvement, Access, Data Analysis, Visio, HIPAA, Software Documentation, Business Analysis, Analysis, Microsoft Office, Cognos, Health Insurance, Microsoft Excel, Customer Service, Healthcare Information..., Outlook

Education
Pennsylvania State University-Erie Campus   2000 — 2004
Bachelor of Science (B.S.), Business Management

Experience
Virginia Premier Health Plan, Inc.   July 2012 - Present
Gateway Health Plan   August 2008 - June 2012
Health America  September 2006 - July 2008

Skills
HEDIS, Medicaid, Managed Care, Healthcare Management, Medicare, Healthcare, Healthcare Information..., Healthcare Industry, Hospitals, Disease Management, Health Insurance, Family Medicine, Healthcare Consulting, Board Certified

Education
Penn State University   2004 — 2006
Master of Business Administration (MBA)

Temple University School of Medicine   1990 — 1994
Doctor of Medicine (MD)

Experience
PNC  March 2015 - Present
Physician Reliance Network Inc   September 2014 - March 2015
Gateway Health Plan   September 2010 - September 2014
Wesley Spectrum Services  January 2008 - September 2010
Levin Furniture  April 2002 - January 2008
Levin Furniture  January 2000 - April 2002
Columbia Energy Services  October 1997 - December 1999
Equitable Gas Company  June 1988 - September 1997
Columbia Gas Transmission  September 1986 - June 1988

Skills
Security, Disaster Recovery, Information Security, HIPAA, Process Improvement, Software Documentation, Information Security..., PCI DSS, Data Center, Network Security, Program Management, Information Technology, Vendor Management, Team Building, Project Management, Computer Security, Management, Strategic Planning, Microsoft Office, ISO 27001, Risk Assessment, Enterprise Software, Leadership, Networking, CISSP, Budgets, Customer Service, Change Management, Telecommunications..., Information Systems, Physical Security, NIST, HITECH, PCI Standards, IT GRC, BYOD, Risk Management, Remediation, Encryption, NIST 800-53

Education
University of Pittsburgh   2000 — 2002
Master's Degree, Management Information Systems, General

University of Pittsburgh   1993 — 1996
Masters, Business Administration

California University of PA
Bachelor of Science, Business Administration - Finance

Experience
Gateway Health Plan   September 2012 - Present
CBHNP  September 2005 - September 2012

Skills
Analysis, Budgets, Customer Service, Healthcare, Healthcare Management, Insurance, Leadership, Managed Care, Medicaid, Mental Health, Non-profits, Nonprofits, Public Speaking, Staff Development, Strategic Planning, Team Building, Case Management, Clinical Research, Hospitals, Management, Microsoft Excel, Microsoft Office, Program Development, Project Management, Research, Sales Process, Social Services, Training

Education
Juniata College   1973 — 1977
B.S., Microbiology

Experience
Gateway Health Plan   August 1996 - Present
South Hills Health System  June 1991 - August 1996
Leader Skilled Nursing Facility   April 1991 - July 1995

Skills
Medicare, Medicaid, HEDIS, Managed Care, Healthcare, Nursing, Healthcare Management, Healthcare Industry, Hospitals, Healthcare Information..., Healthcare Consulting, HIPAA, Community Health, EMR, Disease Management, Clinical Research

Education
California University of Pennsylvania   1993 — 1997
Bachelors, Education

Citizens General Hospital School of Nursing   1974 — 1977
Diploma, Nursing

Experience
Gateway Health  December 2014 - Present
Gateway Health Plan   December 2013 - December 2014
Highmark Blue Cross Blue Shield  June 2012 - December 2013
Highmark  June 2010 - June 2012
Highmark Blue Cross Blue Shield  January 2008 - June 2010
Highmark  2009 - 2010
Highmark  January 2005 - January 2008

Skills
Six Sigma, Cross-functional Team..., Process Improvement, Business Process..., Visio, Business Process..., Business Analysis, SDLC, Business Process Design, Project Management, Program Management, Business Process, Continuous Improvement, Data Analysis, Root Cause Analysis

Education
University of Phoenix   2003 — 2005
Masters, Business Administration

University of Phoenix   2000 — 2003
Bachelor, Information Technology

Experience
University of Pittsburgh  October 2014 - Present
Luxe Boutique  July 2011 - Present
Aetna  June 2012 - October 2014
Gateway Health Plan   March 2006 - June 2012
PNC  September 2005 - March 2006

Skills
Apparel, Jewelry, Facebook, Handbags, Shoes, E-commerce, Gifts, Sales, Policy, Retail, Healthcare, Entrepreneurship, Research, Medicare, CMS, Start-ups, Management, Recruiting, Nonprofits, Team Building, Training, Small Business, Marketing, Public Relations, Social Networking, Public Speaking, Outlook, Online Marketing, Insurance, Leadership, Community Outreach, Leadership Development, Program Development

Education
University of Pittsburgh   2007 — 2009
Masters in Education, Social Comparative Analysis in Education

Pennsylvania Black Conference on Higher Education (PBCOHE)
Member

Gates Millennium Scholar
Ambassador

Duquesne University
Bachelor of Arts (B.A.)

Experience
Gateway Health Plan   July 2009 - Present
CCAC  February 1999 - Present
Artech Information Systems L.L.C.   March 2009 - July 2009
United States Steel  1994 - 2009

Skills
Databases, PL/SQL, Microsoft SQL Server, Access, Oracle, Windows, Data Management, Microsoft Office, VMware, T-SQL, SQL, Database Administration, Disaster Recovery, Consulting, Process Improvement, SDLC, System Administration, Vendor Management, Visio

Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business   1986 — 1990
MBA

University of Pittsburgh - Joseph M. Katz Graduate School of Business   1986 — 1990
MS, Management of Information Systems

Penn State University   1979 — 1983
BS, Computer Science

MoonHigh School   1975 — 1979
Diploma, College prep.

Experience
Highmark, Inc.   May 2015 - Present
Gateway Health  October 2013 - April 2015
Highmark, Inc.   March 2012 - October 2013
Gateway Health Plan   March 1999 - March 2012
UPMC Health Plan  1998 - 1999

Skills
Medicaid, Medicare, Healthcare, Healthcare Information..., Healthcare Consulting, Disease Management, Cognos, Analysis, Budgets, Project Management, Data Management, Management, Health Insurance, Strategic Planning, Access, Insurance, Managed Care, Business Analysis, HIPAA, Financial Analysis, Process Improvement, Data Analysis

Education
Robert Morris University   1977 — 1981
BSBA, Accounting

Experience
Gateway Health Plan   August 2014 - Present
PNC  December 2013 - August 2014
UPMC  June 2011 - December 2013
McKesson Provider Technologies  September 2008 - June 2011

Skills
SQL, SharePoint, Business Analysis, Microsoft SQL Server, Microsoft Virtual Server, Quality Assurance, Quality Center, SDLC, Software Documentation, Testing, Visio, Databases, User Acceptance Testing, Systems Analysis

Education
Robert Morris University   1996 — 2001
BSBA, Management Information Systems

Experience
Patricia McElligott   October 2007 - Present
Gateway Health Plan   December 2001 - September 2007
Heinz Endowments  1990 - 1997

Skills
Proofreading, Program Development, Content Strategy, Social Media, Grant Writing, Publications, Public Speaking, Copy Editing, Non-profits, Event Planning, Content Development, Strategic Planning, Blogging, Public Relations, Editing, Books, Teaching, Feature Articles, Nonprofits, Editorial, Grants, Community Development

Education
Thiel College
B.A., English

University of Pittsburgh
Public and International Affairs

Experience
Gateway Health Plan   August 2011 - Present
Gateway Health Plan   August 2006 - August 2011

Education
Robert Morris University   1998 — 2001
Bachelor of Science, Business Administration and Management

School name:

Experience
Mitsubishi Electric Power Products Inc.  January 2011 - Present
Gateway Health Plan   2009 - 2010
Gateway Health Plan   2002 - 2010
Gateway Health Plan   2002 - 2009
Pennsylvania Women Work!  2000 - 2002

Education
Community College of Allegheny County

Experience
Aetna  March 2014 - Present
North Shore-LIJ CareConnect Insurance Company, Inc.   July 2013 - March 2014
Coventry, Mid Atlantic Region (HealthAmerica)   March 2009 - July 2013
Gateway Health Plan   2007 - 2009
Blue Cross Blue Shield of Florida  2001 - 2007

Skills
Provider Relations, Network Development, Healthcare Management, Healthcare, Healthcare Industry, Credentialing, Insurance, PPO, Medicine, NCQA, Medicaid Managed Care, Quality Improvement, Medicare Part D, Physician Relations, Health Care Reform, Health Savings Accounts

Education
Tulane University   2002 — 2004
Master of Medical Management (MMM)

SUNY Downstate   1981 — 1985
Doctor of Medicine (MD)

University of Michigan   1977 — 1981
Bachelor of Science (B.S.), Psychology

Experience
TRACO/Alcoa   April 2011 - Present
Gateway Health Plan   March 2003 - October 2010
The Western Pa. Hand Center   September 2001 - February 2003
Mercy Hospital  August 1999 - September 2001
Allegheny General Hospital  August 1993 - 1999

Education
La Roche College
B.S.N, Nursing

Experience
Gateway Health Plan  

Skills
Managed Care, Program Management

Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business
Master of Business Administration (M.B.A.)/MHA

The Pennsylvania State University
Bachelor of Science (B.S.)

Experience
Gateway Health Plan   January 2013 - Present
Converteam, Inc.   February 2011 - November 2011
West Penn Allegheny Health System  October 2010 - February 2011
Various Temp Positions  August 2009 - October 2010
Oxford Development Company  May 2006 - August 2009
Pittsburgh Cultural Trust  May 2005 - March 2006
Highmark Preventive Health Services for Venturi Staffing   November 2004 - May 2005
HJ Heinz  January 2003 - September 2004
Three Rivers Administrative Services, LLC   December 2000 - October 2002
Bookminders, Inc. for Better Solutions, Inc   February 2000 - November 2000

Skills
Microsoft Office, Travel Planning, Expense Reports, Calendaring, Mail Merge, Office Management, Gmail, SAP, Meeting Planning, Purchase Requisitions, Event Planning, Front Office, Help Desk Support

Education
DeVry University   2009 — 2013
Bachelor of Science, Business Administration; Sales & Marketing

Community College of Allegheny County   1992 — 1995
Associate Degree, General Studies; English/Communications

Experience
Gateway Health Plan   February 2015 - Present
Weston Education - Heritage College   July 2013 - May 2014
Ohio Health  January 2013 - July 2013
Sanford Brown College  July 2012 - January 2013
CVS  March 2008 - July 2012
CVS  March 2008 - July 2012

Skills
Medication Therapy..., Pharmacy, Teaching, Compounding, Higher Education, Hospitals, Pharmacists, Pharmacueticals, Pharmacy Automation, Time Management, Training, Pharmacy Technicians, Healthcare

Education
California University of Pennsylvania   1988 — 1993
Bachelor of Science in Education (BSEd.), Special Education and Elementary Education, K-8

Median School of Allied Health
Certification, Medical Office Assistant/Specialist

Experience
UPMC Health Plan  March 2006 - Present
Gateway Health Plan   July 2001 - March 2006
Intracorp  January 1998 - July 2001
Intracorp  January 1995 - January 1998

Skills
Healthcare, Health Insurance, Medicaid, Medicare, Healthcare Industry, Hospitals, Management, Managed Care, PPO, Claim, HIPAA, Process Improvement, Health Policy, Healthcare Information..., Visio, SharePoint, Access, Healthcare Management

Education
Point Park University   1994 — 2002
Bachelor of Science (BS), Business Administration, Management and Operations

Experience
Gateway Health Plan   2008 - 2012

Skills
Problem Solving, Program Management, Project Management, Project Planning, Project Coordination, Clinical Outcomes, Microsoft Office, Community Outreach, Standards Compliance, Quality Management, Quality Assurance

Education
John Carroll University   1998 — 2001
Masters of Arts, Human Services and Community Counseling, 4.0

Ursuline College   1995 — 1998
BA, Psychology

Experience
Gateway Health Plan  

Education
Point Park University
Bachelor of Arts (B.A.)

Experience
Sunshine Health  May 2015 - Present
Gateway Health System  November 1998 - May 2015
Gateway health plan   June 2007 - September 2008
Gateway health Plan   May 2002 - June 2007
Gateway Health Plan   November 1998 - May 2002
UPMC Health Plan  February 1998 - November 1998
Magee-Womens Hospital  October 1996 - February 1998

Skills
Healthcare Information..., Data Analysis, Healthcare, Access, Visio, Business Intelligence, HIPAA, Process Improvement, Business Analysis, Microsoft Office, SQL, Project Management, Data Management, Healthcare Industry, Databases, Microsoft Excel, Cognos, Microsoft SQL Server, EHR, Healthcare Management, Software Documentation, SDLC, Database Administration, Crystal Reports, Analysis, Hospitals, PowerPoint, Requirements Analysis, Microsoft Word, Strategic Planning, Data Warehousing, Health Insurance, Leadership, Oracle, Vendor Management, Change Management, Requirements Gathering, Medicaid, Business Requirements, Healthcare Consulting, Medicare, Troubleshooting, Managed Care, Information Technology, Quality Assurance, SSRS, Medicare Part D, SharePoint

Education
Indiana University of Pennsylvania   1985 — 1989
Business Administration Major IS

Experience
Gateway Health Plan   June 2013 - Present
UPMC  September 2009 - June 2013
WESCO Distribution  July 2008 - November 2008
National City Bank  August 2006 - May 2008

Skills
Microsoft Dynamics GP, Citrix, PeopleSoft, Medipac, ACH, Extra! X-treme, Relay Health, Epic Systems, Microsoft Excel, Microsoft Word

Education
Point Park University   2008 — 2013
Bachelor of Arts (BA), Accounting

Community College of Allegheny County   2004 — 2006
Associate's degree, Accounting

Experience
Gateway Health Plan   March 2002 - Present
West Penn Allegheny Health System  1990 - 2002

Education
Philadelphia College of Pharmacy and Science
Bachelor of Science (BS), Pharmacy

The Catholic University of America
JD

Experience
Gateway Health Plan   November 2014 - Present
Dawar Technologies  February 1980 - April 2013

Skills
Medical Claims..., Electronic Health..., CPT Coding, ICD-9-CM, Medical Terminology, Customer Service, Health Insurance, Medicaid, Community Outreach, Leadership

Education
Bidwell Training Center Inc   2014 — 2014
Medical Claims Processing

Art Institute of Pittsburgh   1977 — 1979
Associate's Degree, Graphic Design