George Washington University Health Plan
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George Washington University Health Plan Employees
Self-employed 2007 - Present
Firm Commitment 1996 - 2008
George Washington University Health Plan 1984 - 1989
Skills
Nutrition, Nutritional Counseling, Medical Nutrition..., Nutrition Education, Wellness, Weight Management, Stress Management
Education
College of Naturopathic Medicine 2009 — 2012
Naturopathic Nutritional Therapy
University of the District of Columbia 1988 — 1988
Food and Nutrition Program
American University 1982 — 1984
Master of Science in Health Fitness Management
Children's National Health Network 2012 - Present
Goldberg Center for Community Pediatric Health, Children's National Medical Center 2012 - Present
DC Partnership to Improve Children's Healthcare Quality (DC PICHQ) 2005 - Present
Children's National Medical Center 2002 - Present
George Washington University 1988 - Present
Children's National Health Network July 1996 - Present
George Washington University, Department of Health Care Sciences 1978 - 1996
George Washington University Health Plan 1980 - 1987
Skills
Pediatrics, General Pediatrics, Community Health, Population Health, Quality Improvement, Medical Home, Patient-Centered..., Improvement Partnerships, Maintenance of..., Pediatric Health..., Vaccine Group Purchase, Electronic Health..., Pediatric Electronic...
Education
Jefferson Medical College of Thomas Jefferson University 1971 — 1975
Doctor of Medicine (MD), Medicine
Pennsylvania State University 1970 — 1973
Bachelor of Science (BS), Pre-Medicine/Pre-Medical Studies
ANSI-ASQ National Accreditation Board / ACLASS September 2014 - Present
Maggio Consulting Services August 2013 - Present
Alternative House April 2012 - August 2013
Inova Health System 2008 - 2010
Proxim Wireless 2002 - 2007
George Washington University Health Plan 1995 - 2001
ST. ANTHONY PUBLISHING 1991 - 1995
Education
The George Washington University 1998 — 2001
MBA
Kent State University
Bachelors in Business, Business Finance/Real Estate
Archbishop Carroll High School
St. John's College High School
Weight Watchers August 2009 - May 2015
Long & Foster Companies September 2009 - June 2012
Crossroads Realty September 2005 - September 2008
George Washington University Health Plan 1989 - 1997
WJLA TV; WLTT-FM; Times Journal Co.; WXTR-FM 1983 - 1991
Skills
Health & Wellness, Customer Service, Personal Coaching, Public Speaking, Networking, Real Estate, Sales
Education
Liberty University 2011 — 2015
Religion/Christian Ministries
The George Washington University 1992 — 1995
Independent Consultant 2006 - Present
J H Whitney 2004 - 2010
Gettysburg Health Administrators & Mid-Atlantic Managed Care Organization (MAMCO) 2004 - 2006
HealthCentral Inc July 1999 - December 2004
The Tompkins Group 1997 - 1999
United Healthcare 1996 - 1997
HealthWise of America 1994 - 1996
Toledo Health Plan July 1993 - December 1994
The WellCare Management Group 1986 - 1993
George Washington University Health Plan 1984 - 1986
Skills
Private Equity, Venture Capital, Managed Care, Healthcare, Acquisitions, Mergers, Due Diligence, Executive Management, Interim Management, Start-ups, Strategic Planning, Entrepreneurship, Business Strategy, Corporate Development, Financial Modeling, Regulatory Compliance, Change Management, Enterprise Systems..., Business Planning, Finance, Joint Ventures, Leadership, Management, Management Consulting, Mergers, Medicare, Operations Management, Strategy
Education
State University of New York and Albany Medical College 1982 — 1984
University of Michigan Medical School 1978 — 1984
University of Michigan 1978 — 1981
Albany Medical College 1978 — 1978
Troy High School 1974 — 1978
Rensselaer Polytechnic Institute 1977 — 1977
Albany Academy for Boys 1965 — 1970
Private Practice August 1997 - Present
Hands on Science 1990 - 1993
George Washington University Health Plan 1982 - 1985
Greater Southeast Community Hospital 1981 - 1982
NINCDS 1979 - 1981
National Cancer Institute 1977 - 1979
Skills
Research, Curriculum Design, Microsoft Office, Microsoft Word, Program Evaluation, SPSS, Editing, Data Analysis, Clinical Research, English
Education
SUNY College at Cortland
B.A., Speech Pathology
University at Buffalo
M.S., Epidemiology
Crystal Run Health Plans January 2015 - Present
ValueOptions, Inc.® October 2013 - January 2015
Aetna July 2012 - October 2013
Aetna February 2008 - October 2013
Aetna February 2008 - June 2011
HIP 2000 - 2008
New York Presbyterian Hospital and Weill Cornell Medical College January 1999 - May 2000
Ernst & Young October 1997 - January 1999
Sutter Health February 1995 - October 1997
George Washington University Health Plan July 1994 - February 1995
Skills
Managed Care, Healthcare Consulting, Medicare, Utilization Management, Network Development, Health Insurance, Healthcare Management, Healthcare, Disease Management, Claim, EHR, EMR, HIPAA, HMO, Health Policy, Healthcare Information..., Healthcare Industry, Home Care, Informatics, Hospitals, Insurance, Management, Leadership, Medicaid, PPO, Pharmacy Benefit..., Performance Improvement, Physician Relations, Physicians, Process Improvement, Practice Management, Revenue Cycle, Provider Relations, Strategic Planning, Team Building, Credentialing, Physician Network...
Education
University of Southern California 1992 — 1994
MHA, Health Administration
Rutgers University-New Brunswick 1987 — 1991
BS, Political Science, Sociology & Psychology
Lawrence E. Berman/Law Office-Health Care Consulting December 2013 - Present
URAC January 2011 - December 2013
National Committe for Quality Assurance January 2010 - September 2010
Special Counsel June 2008 - December 2009
Kaiser Permanente Health Plan April 2007 - May 2008
District of Columbia Insurance Federation September 1999 - April 2007
American Preferred Provider Plan June 1997 - December 1998
George Washington University Health Plan July 1980 - June 1997
Skills
health care, insurance, in-house counsel, Corporate Governance, Litigation, Legal Advice, Regulations, Policy, Privacy Law, Policy Analysis, Contract Negotiation, Contract Management, Public Speaking, Dispute Resolution, Healthcare Management, Non-profits, Medicare, Mergers, Employment Law, Mediation, Legal Writing, Legal Research, Legal Compliance, Healthcare, Employee Benefits, Nonprofits, Analysis, Litigation Management, Managed Care, Insurance, Medicaid, Healthcare Industry, Mergers & Acquisitions, Health Policy, Government, Corporate Law, HIPAA, Licensing
Education
Georgetown University Law Center
J.D., Contracts, Tax
University of Pennsylvania - The Wharton School
B.S., Business Administration (Accounting, Economics), 3.3 (cum laude)
Hospice of Washington County November 2012 - Present
Iowa Hospice February 2009 - October 2012
The Washington Home and Community Hospices January 2004 - January 2009
Capital Hospice April 2001 - January 2004
Kaiser Permanente October 1999 - April 2001
George Washington University Health Plan June 1997 - October 1999
United Healthcare Insurance Company January 1995 - June 1997
Skills
Treatment, Case Managment, Strategy, Leadership, Contract Negotiation, Budgets, Business Development, Program Management, Policy, Strategic Planning, Recruiting, Medicare, Managed Care, Medicaid, Healthcare Management, Clinical Research, Healthcare, Coaching, Nonprofits, Case Management, Public Speaking, Hospitals, Fundraising, Elder Care
Education
Columbia Union College
Bachelor of Science, Organizational Management
University of Maryland College Park
Bachelor of Science, Psychology
Washington Adventist University
M.B.A.
Retired May 2015 - Present
Carondelet Health Network September 2010 - May 2015
Oro Valley Hospital March 2008 - February 2009
University Physicians Healthcare April 2004 - November 2008
Dimensions Healthcare System May 2000 - November 2003
George Washington University Health Plan March 1999 - May 2000
PHP Healthcare Corporation January 1994 - December 1998
Santa Barbara Medical Foundation Clinic October 1985 - October 1993
Skills
Onboarding, Applicant Tracking..., Leadership, Clinical Recruitment, Recruiting, Talent Management, Human Resources, Healthcare, Employee Relations, Talent Acquisition, Interviews, Workforce Planning, Succession Planning, College Recruiting, New Hire Orientations, Benefits Administration, Employee Benefits, FMLA, Deferred Compensation, HRIS, HR Policies, Sourcing, Performance Management, PeopleSoft, Employee Engagement, Internet Recruiting, Temporary Placement, Organizational..., Leadership Development, Temporary Staffing, Training, Technical Recruiting, Hiring, Employer Branding, Executive Search, Behavioral Interviewing
Education
University of California, Santa Barbara
HSCSN July 2013 - Present
URAC May 2012 - July 2013
DC Chartered Health Plan 2000 - June 2012
George Washington University Health Plan January 1999 - February 2000
Oleen January 1997 - January 1998
Skills
Performance Measurement, Health Plan Operations, Medicaid & Medicare, System Implementations, Business Process..., Data Analytics, System Configuration, Project Management, Healthcare Information..., Disaster Recovery, Insurance, IT Strategy, Process Improvement, SDLC, Healthcare, Medicaid, Program Management, HIPAA, Data Warehousing, Microsoft Excel, Software Documentation, Project Portfolio..., Visio, PMO, Vendor Management, Integration, Business Analysis
Education
Towson University 1978 — 1983
ba, business administration
Potomac Job Corps Center 2005 - 2012
DC Dept. of Health September 1998 - July 1999
George Washington University Health Plan February 1994 - February 1998
Business Staffing (temp agency) May 1990 - February 1994
Skills
Microsoft/Word programs, Typing Skills: 65-70 wpm
Education
The George Washington University 1995 — 1998
Associate of Arts (AA), Marketing
University of the District of Columbia 1984 — 1988
Associate's degree, Computer Science