Healthcare Management Solutions, LLC
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Healthcare Management Solutions, LLC Employees
Healthcare Management Solutions, LLC February 2012 - Present
UT Southwestern Medical Center at Dallas 2009 - Present
UT Southwestern
Skills
Surgery, Healthcare Management, Hospitals, Critical Care, Healthcare, Patient Safety, Inpatient, HIPAA
Education
Bellevue University
Master Healthcare Administration
The University of Texas at Arlington
Bachelor of Science (BS), Nursing
Joint Commission Resources May 2015 - Present
Healthcare Management Solutions, LLC August 2014 - Present
Healthcare Management Solutions LLC October 2012 - Present
Florida State College at Jacksonville January 2015 - May 2015
Virginia College June 2011 - November 2012
Agency for Healthcare Administration February 2009 - March 2011
Agency for Healthcare Admininstration 2009 - 2011
Mayo Clinic Jacksonville March 1998 - March 2009
Skills
Patient Safety, Healthcare Management, Nursing, Healthcare Information..., Healthcare, EMR, Clinical Research, Hospitals, Pediatrics, Inpatient, BLS, ACLS, Critical Care, Health Education, Case Managment, EHR, Acute Care, Epic Systems, Informatics, Nursing Education, ICU, Meditech, Public Health, Disease Management, Quality Improvement, Home Care, Medical/Surgical, Medicare, Managed Care, Patient Advocacy, Patient Education, HIPAA, Healthcare Consulting, Cerner, Ambulatory, Medicaid, Physician Relations, Physicians, PALS, Telemetry, Surgery, CPOE, Wound Care, Accreditation, Performance Improvement, Mental Health, Healthcare Industry, Revenue Cycle, Medicine, Medical-Surgical
Education
University of North Florida 2008 — 2013
DNP, Nursing
University of North Florida 2008 — 2012
DNP, Nursing
University of Phoenix 2000 — 2002
Masters of Science in Nursing, Nursing
Swift Systems, Inc. May 2015 - Present
Healthcare Management Solutions, LLC January 2014 - Present
UBC - An Express Scripts Company May 2005 - June 2013
Skills
Healthcare, Clinical Research, Software Documentation, Clinical Trials, Process Improvement, Hospitals, SharePoint, EMR, Healthcare Management, EHR, Customer Service, Windows Server, Management, Strategic Planning, Networking, Leadership, IT Management, Information Technology, Integration, Troubleshooting, Windows, Enterprise Storage, Managed Services, Network Engineering
Education
Frederick Community College 2003 — 2003
Advanced Billing Services, Inc June 2014 - Present
Healthcare Management Solutions, LLC August 2013 - Present
Kingsbrook Jewish Medical Center October 2004 - July 2013
North Shore-LIJ Health System February 2000 - October 2004
Skills
Hospitals, Healthcare, Healthcare Management, Managed Care, Healthcare Information..., Revenue Cycle, Medicaid, Practice Management, Medicare, Home Care, Healthcare Consulting, Medical Billing, Healthcare Industry, Physicians, Clinical Research, EMR, Revenue Cycle Management, EHR, Physician Relations, Informatics, HIPAA, Health Information..., Health Insurance, Provider Relations, Health Policy, Patient Safety, Nursing, Disease Management, Quality Improvement
Education
Boston University 1986 — 1990
Bachelor of Arts (BA), Psychology
Healthcare Management Solutions, LLC January 2013 - Present
Excela Health System July 2006 - Present
Skills
EMR, EHR, Medical Terminology, ICD-9, Inpatient, Healthcare Management, Healthcare, Medical Coding, Healthcare Information..., Cerner, HIPAA, Acute Care, Long Term Acute Care, Long-term Care
Education
University of Phoenix 2004 — 2006
Health and Medical Administrative Services
Community College of Allegheny County
Associate Degree, Health Information/Medical Records Technology/Technician
Healthcare Management Solutions, LLC January 2013 - Present
Interim HealthCare March 2012 - Present
Children With Special Health Needs August 2009 - February 2012
Skills
Registered Nurse 23+..., Nursing, Healthcare, Hospitals, Healthcare Management, BLS, Home Care, ACLS, Patient Safety, Clinical Research, Pediatrics, Inpatient, EMR, Cpr Certified, Critical Care, Acute Care, Medical/Surgical, Patient Education, Utilization Management, Patient Advocacy, Medication...
Education
Fairmont State University 1984 — 1989
AD, Registered Nursing/Registered Nurse
East Fairmont High School, Fairmont, WV 1975 — 1979
Healthcare Management Solutions, LLC February 2013 - July 2013
Healthcare Management Solutions, LLC November 2010 - January 2013
Dow Chemical April 1986 - February 2009
Union Carbide February 1986 - February 2009
Skills
MS Office Suite, SAP, Office Administration, Gas Chromatography, Databases, Travel Planning, Medical Records, Quantity Surveying, Report Writing, Process Improvement, Software Documentation, Data Analysis, Laboratory
Education
Garnet Career Center 2009 — 2010
Diploma, Medical Information Systems/Advanced Accounting
West Virginia State University 1999 — 2001
General Studies
West Virginia University 1974 — 1978
Mining and Mineral Engineering
Healthcare Management Solutions, LLC December 2011 - Present
General Dynamics Information Technology 2015 - 2015
Buccaneer Data Services November 2008 - November 2011
Skills
RHIT, CCS, ICD-10 Ambassador, ICD-9, Medical Coding, Employee Training, Microsoft Office, Microsoft Lync
Education
Harrisburg Area Community College 2004 — 2008
Associate's Degree, Health Information/Medical Records Technology/Technician, 3.8
Penn State University 1984 — 1988
Bachelor's Degree, Elementary Education and Teaching
Good Samaritan Society April 2015 - Present
South Dakota Culture Change Coalition February 2014 - Present
ROCQ Consulting October 2011 - Present
Healthcare Management Solutions, LLC September 2012 - March 2015
Healthquest Inc./Southridge Healthcare Center August 2014 - January 2015
South Dakota Culture Change Coalition January 2012 - July 2013
ICP Systems LLC August 2012 - November 2012
CRGT, Inc. (formerly CIBER Federal Division, acquired by CRGT March 2012) November 2011 - June 2012
Sava Senior Care October 2010 - September 2011
Centers for Medicare & Medicaid Services April 2009 - September 2010
Skills
Healthcare, Training, Policy, Public Speaking, Long-term Care, Healthcare Management, Social Services, Change Management, Program Management, Customer Service, Medicare, Quality Improvement, Team Building, Microsoft Office, PowerPoint, Policy Analysis, Microsoft Word, Performance Management, Research, Leadership Development, Nonprofits, Program Development, Government, Strategic Planning, Compliance, Teaching, Mentoring, Writing, Culture Change
Education
The University of South Dakota 2004 — 2007
MS, Administrative Studies - Health Services
Augustana College (SD) 1976 — 1981
BA, Social Work / Sociology
Healthcare Management Solutions, LLC February 2013 - Present
Healthcare Support Technologies, Inc. January 2012 - February 2013
CCS Medical January 2010 - September 2011
Skills
Medicare, Invoicing, Accounts Receivable, Medical Billing, Software Documentation, Medical Records, Insurance, Claim, Medicaid, PowerPoint, HIPAA, Employee Benefits
Education
AHIMA 2013 — 2013
National American University 1999 — 2000
Associate of Arts and Sciences (A.A.S.), Applied Management, 3.8
West Virginia University Hospitals December 2014 - Present
Healthcare Management Solutions, LLC November 2013 - Present
West Virginia University Hospitals October 1999 - October 2013
Skills
Epic Systems, Healthcare Information..., Health Information..., Medical Coding, HIPAA, EHR, Healthcare, Revenue Cycle, EMR, Microsoft Excel, Microsoft Word, PowerPoint, Customer Service, Microsoft Office
Education
Stephens College 2007 — 2009
Bachelor of Science (BS), Health Information/Medical Records Administration/Administrator
Fairmont State University 1984 — 1986
Associate of Arts and Sciences (A.A.S.), Health Information/Medical Records Technology/Technician
Healthcare Management Solutions, LLC March 2011 - Present
WVHTC Foundation September 2001 - February 2011
Skills
Software Engineering, XML, JavaScript, ASP.NET, Software Development, Java, C#, Scrum, jQuery, Microsoft SQL Server, AngularJS, MVC Architecture, ASP.NET AJAX, HTML/CSS3, Entity Framework 6, Microsoft Project, Bootstrap 3, J2EE, PHP, Agile & Waterfall..., ASP.NET Web API
Education
Fairmont State University 1995 — 2000
Bachelor's degree, Computer Science
Healthcare Management Solutions, LLC July 2013 - Present
Greater Hudson Valley Health System 2011 - June 2013
Orange Regional Medical Center 2007 - June 2013
Orange Regional Medical Center 2005 - 2007
Orange Regional Medical Center 2003 - 2005
Skills
Epic Systems, Revenue Cycle, Hospitals, Healthcare Consulting, HIPAA, Healthcare Information..., EHR, EMR, Lean Tools, Healthcare, Medicare, Revenue Cycle Management, Process Improvement, Medicaid, Analytics, Healthcare Management, Physician Relations, Eclipsys, Accounts Receivable, Managed Care, Cerner, NextGen, Healthcare Industry, Performance Improvement, 340B
Education
Marist College 2005 — 2007
Master of Public Administration (MPA), Public Administration
SUNY New Paltz
Bachelor of Science (BS), Finance, General
United Summit Center October 2014 - Present
Healthcare Management Solutions, LLC April 2013 - May 2014
North Central WV Community Action Association-Head Start February 2010 - April 2013
Youth Academy October 2008 - February 2010
Skills
Public Speaking, Customer Service, Community Outreach, Nonprofits, Volunteer Management, Fundraising, Program Development, Social Services, Case Management, Research, Mental Health Treatment
Education
Fairmont State University 2002 — 2008
Bachelor's Degree, Criminal Justice and Corrections
Fairmont Senior High School 1999 — 2002
High School, general
Healthcare Management Solutions, LLC January 2013 - Present
Various Non Profit organizations 1990 - 2014
Kelly Services April 1999 - December 2012
Skills
Recruiting, Temporary Placement, Employee Handbooks, Hiring Practices, Onboarding, New Hire Orientations, College Recruiting, FMLA, Resume Writing, Applicant Tracking..., Employee Recruiting, Employee Retention, Workers Compensation, Unemployment, Employee Training, Communication Issues, Microsoft Office, Interviewing Skills, Supervisory Skills, Research, Public Speaking, Motivational Speaking, Fundraising, Human Resources, Interviews, Employee Relations, Hiring, Training, Customer Service, Management
Education
Fairmont State University 1982 — 1987
Bachelor of Science (B.S.), Business Administration and Management, General
Healthcare Management Solutions, LLC January 2013 - Present
Skills
Healthcare Information..., Healthcare, Inpatient, Informatics, EMR, HIPAA, Medical Coding, Utilization Review, Medical Terminology, CPT, ICD-10-CM, ICD-10-PCS, Pharmacology, ICD-9
Education
Pierpont Community and Technical College 2011 — 2014
Associate's Degree, Health Information/Medical Records Technology/Technician
Self Employed March 2015 - Present
Healthcare Management Solutions, LLC April 2014 - March 2015
Healthcare Management Solutions, LLC August 2008 - April 2014
Pressley Ridge November 2005 - August 2008
Pressley Ridge 2003 - 2005
Pressley Ridge 1997 - 2003
Chestnut Ridge Hospital 1992 - 1995
Skills
Public Speaking, Data Analysis, Community Outreach, Customer Service, Team Leadership, Healthcare, Healthcare Management, Training, Policy, Organizational..., Coaching, Process Improvement, Management, Leadership, Recruiting, Time Management, Teaching, Supervisory Skills, Project Management, PowerPoint, Performance Management, Microsoft Office, Microsoft Excel, Marketing, Management Consulting, Fundraising, Event Planning, Employee Relations, Analysis, Budgets, Change Management, Clinical Research, Microsoft Word, Operations Management, Project Planning, Proposal Writing, Public Relations, Research, Risk Management, Staff Development, Strategic Planning, Strategy
Education
West Virginia University 2000 — 2003
MBA, Management
West Virginia University 1992 — 1995
MA, Counseling
Marshall University 1984 — 1987
BA, Criminal Justice
Healthcare Management Solutions, LLC March 2013 - Present
Healthcare Quality Resources January 2005 - Present
Saint Joseph Medical Center 2007 - 2011
Adventist Healthcare - Washington Adventist Hospital November 2001 - January 2005
Skills
Leadership, Healthcare Management, Healthcare, Healthcare Information..., Hospitals, Patient Safety, EMR, HIPAA, EHR, Clinical Research, Performance Improvement, Process Improvement, Project Management, Meditech, Nursing, Organizational..., Quality Improvement, Strategic Planning, Healthcare Consulting
Education
University of Delaware
BSN
University of Maryland
Masters of Science Degree, Nursing
Highmark Inc. February 2015 - Present
Healthcare Management Solutions, LLC October 2013 - January 2015
ViPs (GDIT) May 2012 - December 2012
CIGNA 2000 - May 2012
CIGNA 1988 - 2000
Aetna September 1984 - June 1988
Skills
Claims, Health Insurance, Fraud, Fraud Investigations, Risk Assessment, Insurance, Healthcare, Claim, Private Investigations, Investigation, Enforcement, Health Care Fraud, Leadership, Mentoring, Risk Management, Training, Policy, Interviews, Background Checks, Medicaid, Claim Investigation, Medicare, Claims Management, Networking, Claims Investigations, Fraud Detection, Litigation Management, Security, Accident, Internal Investigations, Claims Resolution, Liability, Legal Liability, Claims Handling, General Insurance, Reinsurance, Insurance Law, Property & Casualty..., Casualty, Underwriting, Subrogation, Financial Risk, Workers Compensation, Expert Witness, Professional Liability, Life Insurance, Commercial Insurance, Management, HIPAA, Litigation Support
Education
Radford University 1980 — 1984
BA, History
Lexington High School
Independent Consultant October 2009 - Present
UniCare Health Plan of West Virginia, Inc. July 2014 - May 2015
Humana March 2011 - July 2014
Kanawha Valley Community & Technical College January 2011 - May 2011
Healthcare Management Solutions, LLC 2008 - 2009
Health Services Advisory Group, Inc. March 2004 - September 2008
Delmarva Foundation for Medical Care, Inc. December 2000 - February 2004
Skills
Clinical consulting, Customer Service, Administration, Clinical Consulting, Clinical Research, Healthcare, System Administration, Medicaid, Training, Quality Improvement, Management, Nursing, Healthcare Consulting, Leadership, Case Management, HIPAA
Education
Walden University 2012 — 2015
Doctor of Philosophy (PhD), Health Services Administration
University of Phoenix 2007 — 2009
Master, Health Administration/Healthcare Education, 4.0
Baker College Center for Graduate Studies 2001 — 2002
Bachelor, Health Services Administration, 4.0
Logan High School
Healthcare Management Solutions, LLC September 2009 - Present
Healthcare Management Solutions, LLC September 2009 - Present
Healthcare Management Solutions, LLC June 2008 - September 2009
Healthcare Management Solutions, LLC September 2007 - June 2008
Education
Marshall University 2003 — 2007
BA, Marketing, Management, Minor-Economics
Healthcare Management Solutions, LLC July 2013 - Present
Briljent October 2011 - June 2013
Briljent January 2008 - June 2013
State Health Insurance Assistance Program April 2006 - March 2008
Skills
Project Management, Program Management, Public Speaking, Leadership Development, E-Learning, Instructional Design, Training, Technical Writing, Process Improvement, Team Building, Change Management, Instructor-led Training, Management, Strategic Planning, Needs Analysis, Vendor Management, Employee Training, Web Design, Leadership, Organizational..., Government
Education
Ball State University 1995 — 1999
Healthcare Management Solutions, LLC January 2013 - Present
Douglas Wolfe, D.O. July 2009 - July 2012
Nationwide Insurance Dick Moore Agency October 2003 - December 2006
Skills
Healthcare, Healthcare Management, Healthcare Information..., HIPAA, EMR, EHR, Hospitals, Medical Terminology, Medicine, Clinical Research, Software Documentation, Inpatient, RADV, HCC Coding, Outpatient Coding, CMS compliant, Certified Coding..., Property and Casualty..., Medical Transcriptionist, Microsoft software, Citrix, Lync, TruCode coding software, 3M Encoder, Customer Relations, Property and Casualty..., Above a 95% IRR, Medical Coding, Microsoft Office, Customer Service, ICD-9
Education
AHIMA 2013 — 2013
Certified Coding Specialist, Medical Billing and Coding, Certified
PennFoster Education Services 2009 — 2010
Medical Transcriptionist Certificate, Medical Transcription/Transcriptionist, Certificate
Fairmont State University 1998 — 2001
Veterinarian Technician Program/Pred-Nursing, Veterinary, 36 Credits
Healthcare Management Solutions, LLC February 2013 - Present
Healthcare Management Solutions LLC February 2013 - Present
Morgantown, WV August 2004 - October 2012
Skills
Healthcare Management, Clinical Research, Patient Safety, Inpatient, EMR, EHR, Meditech, Epic Systems, HIPAA
Education
University of Phoenix 2008 — 2010
Associate's degree, Health Care Administration/ Medical Redords
Fairmont Senior High School 1999 — 2003
Diploma, Animal Sciences
Healthcare Management Solutions, LLC September 2010 - Present
Davis Memorial Hospital April 2005 - June 2010
Davis Memorial Hospital February 2002 - April 2005
St Joseph Hospital, Buckhannon,WV May 1994 - July 2002
Education
Davis and Elkins College 1992 — 1994
Associate's degree, Registered Nursing/Registered Nurse
Tyler County High School 1974 — 1977
Diploma, General Studies
Blue Cross and Blue Shield of Louisiana September 2014 - Present
Healthcare Management Solutions, LLC October 2012 - August 2014
Blue Cross Blue Shield of Louisiana February 2012 - May 2012
Provider Resources, Inc. April 2009 - May 2011
Blue Cross Blue Shield of Louisiana August 2001 - April 2009
Gulf South Health Plans June 1999 - April 2001
Advantage Health Plans 1997 - 1999
Skills
Registered Nurse, Certified Professional..., Managed Care, URAC, Quality Management, Appeals, Proposal Writing, Project Management, Medicare, Medicaid, Fraud and Abuse, Medical Coding, Pay For Performance, Meaningful Use, Affordable Care Act, Claim Analysis, Claim Edits, Reimbursement, Medical Policy, Reimbursement Policy, Federal Regulations, HEDIS, CAHPS, Delegation Oversight, Compliance Audits, Strategic Planning, Utilization Review, Quality Auditing, Pharmacy Benefit..., EHR, Healthcare Industry, Policy, Healthcare, Disease Management, Management, Hospitals, Insurance, Healthcare Management, Provider Relations, Health Insurance, Health Policy, Analysis, HIPAA, Case Management, Clinical Research, Healthcare Consulting, Healthcare Information..., EMR, Software Documentation, Utilization Management
Education
Louisiana State University
BSN
Registered Nurse
Louisiana
Certified Professional Coder (CPC)
Hendall Inc. October 2014 - Present
Healthcare Management Solutions, LLC September 2006 - September 2014
Home Care Services, Monongalia County Health Department September 2004 - September 2006
WV Pain Treatment Physicians and Associates, Inc./Monongalia Anesthesia Associates, Inc. April 1993 - June 2004
Skills
Process Improvement, Leadership, Healthcare Information..., EMR, Hospitals, Management, Team Building, Project Management, Healthcare, Healthcare Management, Program Management, Training, Clinical Research, HIPAA, EHR, Customer Service
Education
West Virginia University 1990 — 1993
MBA, Business Administration
Fairmont State University 1984 — 1986
Certificate, Emergency Medical Sciences
University at Buffalo 1977 — 1981
BS, Medical Technology
Niagara County Community College 1975 — 1977
AS, Math and Science
Healthcare Management Solutions, LLC January 2011 - Present
Skills
PMP, Coaching, Training, Program Management, Organizational..., Project Management, Government Procurement, Microsoft Excel, Recruiting, Public Speaking, Software Documentation, Management, Process Improvement, Government, Change Management, Customer Service, Performance Management, Data Analysis, Visio, Team Building, Strategic Planning, Leadership, Call Centers, Proposal Writing, Microsoft Office, Human Resources, Analysis, Project Planning, Policy, Business Process..., Quality Assurance, Risk Management, System Administration, Operations Management, Team Leadership, Budgets, Healthcare, Community Outreach, Microsoft Word, Leadership Development, Vendor Management, Healthcare Management, Research, Healthcare Information..., Program Development, Event Management, HIPAA
Education
University of Maryland University College 1985 — 1985
Coppin State University 1972 — 1976
Villanova University online
Healthcare Management Solutions, LLC August 2002 - Present
West Virginia Chapter ACEP August 1987 - May 2012
West Virginia University Hospitals August 1998 - April 2003
Skills
Healthcare Information..., Healthcare Management, EHR, Policy, Hospitals, Process Improvement, Healthcare, EMR, Recruiting, HIPAA, Program Management, Informatics, Clinical Research, Medicaid, Medicare
Education
West Virginia University College of Law 1990 — 1995
AS, BA and JD, Nursing and Law
Fairmont State University
Bachelor of Arts and Associate of Science, Healthcare Education and Nursing
Healthcare Management Solutions, LLC August 2015 - Present
Steptoe & Johnson PLLC May 2012 - January 2015
O&G Research Services January 2012 - May 2012
North Carolina State Auditor’s Office Performance Audit Division June 2007 - January 2012
West Virginia Legislature Performance Evaluation and Research Division April 1997 - May 2007
Skills
Legal Research, Legal Writing, Management, Performance Improvement, Supervision, Report Writing, Public Policy, Public Speaking
Education
Marshall University 1995 — 1997
Master of Arts (M.A.), Public Administration
University of Kentucky 1989 — 1991
Master of Arts (M.A.), International Economics
University of Kentucky 1985 — 1989
Bachelor of Arts (B.A.), Economics/Political Science
Boyd County High School
Strength Balance Yoga March 2014 - Present
Healthcare Management Solutions, LLC January 2014 - Present
Healthcare Management Solutions, LLC March 2013 - January 2014
Healthcare Management Solutions, LLC November 2010 - March 2013
Skills
Executive Support, Expense Reports, Travel Arrangements, High Level Of..., Executive..., Confidentiality
Education
Fairmont State University 2008 — 2010
MS, Criminal Justice
West Virginia University 2000 — 2006
BA, Spanish and Political Science
Liberty
Precyse April 2013 - Present
West Virginia University Hospitals August 2006 - January 2014
Highlands Hospital October 2010 - April 2013
West Virginia University Hospitals January 2010 - April 2013
Healthcare Management Solutions LLC October 2012 - January 2013
WVUH-Ruby Memorial Hospital October 2001 - August 2006
West Virginia University Hospitals January 2003 - January 2006
University Health Associates January 2002 - January 2004
Prime Care Medical of WV, Inc January 2001 - January 2002
Camden Clark Memorial Hospital January 2000 - January 2001
Skills
EMR, Revenue Cycle, Healthcare, Clinical Research, Nursing, Software Documentation, Medicine, Physicians, Medical Billing, BLS, Utilization Management, Medicaid, Medical Terminology, Healthcare Information..., Epic Systems, Medical Records, Hospitals
Education
Fairmont State College 1984 — 1986
Associate, Health Information/Medical Records Technology/Technician
Fairmont State University 1984 — 1986
Associate, Allied Health
Healthcare Management Solutions, LLC October 2009 - Present
Mountain Leverage September 2006 - October 2009
Skills
ASP.NET, VB.NET, JavaScript, HTML, Java, Software Engineering, CSS, .NET, ASP.NET AJAX, HTML 5, C++, Telerik, Software Documentation, Software Project..., Software Design, MySQL, Vocollect Taskbuilder, System Testing, ASP.NET MVC, AngularJS
Education
Fairmont State University 2000 — 2005
Bachelor of Science (B.S.), Computer Science
East Fairmont
Healthcare Management Solutions, LLC July 2015 - Present
Aerotek Scientific March 2015 - July 2015
Missouri Department of Health and Senior Services May 2014 - January 2015
Missouri Department of Health and Senior Services July 2012 - May 2014
Missouri Department of Health and Senior Services April 2007 - July 2012
Cox Health South Hospital December 2006 - April 2007
RehabCare Group, Inc. October 1999 - December 2006
McAlester Regional Health Center January 1998 - October 1999
We Care Home Health Care Agency, Inc. November 1994 - January 1998
McAlester Regional Health Center June 1994 - November 1994
Skills
Healthcare, Nursing, Management, Federal & State..., Quality Improvement, Process Improvement, Performance Improvement, Nursing Documentation, Regulatory Documentation, Clinical Documentation, Long-term Care, Public Health, Rehabilitation Nursing, Hospitals, Medicare, Medicaid, Home Health Agencies, Adult Intensive Care, Adult Cardiac Care, Policy
Education
Oklahoma Wesleyan University 1999 — 2003
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Eastern Oklahoma State College 1992 — 1994
Associate of Applied Science, Registered Nursing/Registered Nurse
Healthcare Management Solutions, LLC February 2015 - Present
Healthcare Management Solutions, LLC September 2013 - February 2015
Wolters Kluwer July 2013 - September 2013
MedStar Health 2011 - 2013
UPMC Health Plan September 2010 - July 2011
Highmark Medicare Services Inc August 2008 - September 2010
Highmark Inc June 2003 - August 2008
American Eagle Outfitters July 2000 - April 2002
First Investors Corporation 1998 - 1998
Skills
Internal Audit, Internal Controls, Analysis, Accounting, Management, Auditing, Revenue Cycle, Leadership, Training, IT Audit, Quality Auditing, Finance, Policy, Change Management, Operational Risk, Data Analysis, Regulatory Requirements, Project Coordination, PowerPoint, Insurance, Strategy, Strategic Planning, Compliance Audits, Strategic Consulting, Operational Excellence, Project Planning, Affordable Care Act, TeamMate, Process Improvement, Healthcare, Risk Management, Business Process..., Medicare
Education
University of Phoenix 2002 — 2004
Master, Business Administration
University of Pittsburgh 1993 — 1997
Bachelor of Arts- Dual, Business Administration and Communication
North Catholic High School 1989 — 1993
Diploma, General Studies
FDA June 2015 - Present
Mercy Medical Center, Baltimore, MD June 2012 - May 2015
UMCP Dept Resident Life January 2011 - May 2012
BAE Systems May 2011 - August 2011
Healthcare Management Solutions, LLC June 2010 - August 2010
UMCP Electrical and Computer Engineering Dept September 2008 - May 2010
Healthcare Management Solutions June 2009 - August 2009
Skills
Healthcare Analytics, Microsoft Excel, PowerPoint, Microsoft Word, SAS, MapInfo Professional, Tableau, Matlab, JavaScript, HTML, CSS, Outlook, Meditech, Hospital Revenue Cycle, Snapshot, Analysis, Data Analysis
Education
University of Maryland College Park 2014 — 2017
Master of Public Health (MPH), Biostatistics
University of Maryland College Park 2008 — 2012
Bachelor of Science Degree, Mathematics, Statistical sub-discipline
Healthcare Management Solutions, LLC 2013 - 2015
Howard County Economic Development Authority August 2004 - May 2012
Howard County Economic Development Authority August 2004 - May 2012
Howard County Economic Development Authority August 2004 - May 2012
Opivotal [Office Supply Company October 2001 - January 2004
American Bank May 2000 - September 2001
BB&T June 1996 - May 2000
Skills
Microsoft Office 2007, Event Planning, Customer Service, Commercial Leasing, Product Marketing, Marketing Event Planning, Coordinating Programs, Operations Management, Communication, Office Administration, Supervisory Experience, Typing, Access, Marketing Strategy, Advertising, Management, Marketing, Entrepreneurship
Education
Bowie State University
Accounting, Business Major
Howard Community College
University of Maryland
Accounting, Business Major
Hannah's Haven (Teen Challenge Center) July 2014 - Present
AlignHR February 2014 - Present
Living Water Church & Ministry Training Center September 2013 - July 2014
Healthcare Management Solutions, LLC September 2009 - August 2013
Performance Results Corporation October 2007 - August 2009
NEW-BOLD Enterprises, Inc. February 1998 - October 2007
Skills
HR Policies, Exit Interviews, Employee Benefits, Employment Law, Employee Handbooks, Recruiting, Security, E-Verify, Payroll, SCA, Employee Relations, Performance Management, Legal Compliance, Hiring Practices, EEOC, Onboarding, Human Resources, Applicant Tracking..., Interviews, Personnel Management, Change Management, Labor Relations, New Hire Orientations, HRIS, College Recruiting, Succession Planning, Organizational..., Employee Engagement, Management
Education
Fairmont State College 1999 — 2003
BA, Regents - Emphasis in HR/Accounting
Living Water Church Ministry Training Center 2008 — 2012
Certificate, Religious Studies
Healthcare Management Solutions, LLC July 2007 - Present
Davis Health System August 1998 - July 2007
Davis Memorial Hospital June 1990 - August 1998
Elkins City Police Department August 1975 - August 1991
Skills
Healthcare, Process Improvement, Project Management, Microsoft Office, Hospitals, Healthcare Management, Team Building, Change Management, Microsoft Excel, Program Management, Customer Service, Microsoft Word, Software Documentation, Data Analysis, Recruiting, Clinical Research, HIPAA, Healthcare Information...
Education
University of Phoenix 2003 — 2005
MBA/HCM, Business Administration and Health Care Management
Davis & Elkins College 1989 — 1990
ADRN Nursing, Registered Nursing/Registered Nurse
Davis & Elkins College 1976 — 1979
Bachelor's degree, Psychology
Laurel Highlands High School 1973 — 1975
Healthcare Management Solutions, LLC June 2013 - Present
Confluent Concepts, Inc. February 2010 - December 2012
The Coca-Cola Company November 2006 - October 2012
Corporate Power, Inc. March 1994 - June 2010
John H. Harland October 2006 - October 2006
ResiliEnt Business Solutions, LLC April 2006 - August 2006
Visionary Tennis Leagues March 2006 - March 2006
Oglethorpe Power Corporation March 2005 - May 2005
Georgia System Operations Corporation April 2002 - February 2005
Oglethorpe Power Corporation June 2001 - April 2002
Skills
Solution Architecture, Business Intelligence, Data Warehousing, Data Warehouse..., Databases, Database Design, Data Analysis, ETL, Microsoft SQL Server, Oracle, Sybase, Erwin, Business Objects, SSIS, DTS, PL/SQL, T-SQL, Database Performance..., SharePoint, Enterprise Architecture, SQL Tuning, Integration, Enterprise Software, Data Migration, Software Engineering, OLAP, SDLC, IT Strategy, Business Intelligence..., Event Planning, Master Data Management, Data Integration, Consulting, Informatica, Data Modeling
Education
University of Massachusetts, Amherst 1987 — 1991
B.S., Mechanical Engineering
Healthcare Management Solutions, LLC August 2002 - Present
PTH Consulting September 2001 - December 2003
JacksonKelly March 1999 - August 2001
Nationwide Insurance June 1994 - March 1999
Monongalia General Hospital April 1991 - June 1994
Education
West Virginia University 1986 — 1990
MSIR, Industrial Relations
Fairmont State University 1983 — 1986
BS, Allied Health Administration
Fairmont State University 1973 — 1975
AD, Nursing
Healthcare Management Solutions, LLC July 2013 - Present
Allegheny Science & Technology Corporation April 2012 - July 2013
WVHTC Foundation October 2008 - March 2012
WVHTC Foundation July 2007 - October 2008
Education
West Virginia Wesleyan College 1998 — 2001
Master of Business Administration (MBA), Business Administration and Management, General
Fairmont State University 1993 — 1998
Bachelor of Business Administration (B.B.A.), Finance, General
Anthem, Inc. November 2013 - Present
Healthcare Management Solutions, LLC October 2012 - December 2013
OptumInsight September 2011 - September 2012
Health Dialog March 2005 - May 2011
Abt Associates, Inc 1997 - 2004
Skills
Analytics, Business Analysis, Data Analysis, Data Warehousing, Healthcare Information..., Market Research, Oracle, Process Improvement, SAS, SAS programming, SDLC, SQL, Visio
Education
Suffolk University 1989 — 1992
BS, Marketing
Healthcare Management Solutions, LLC January 2014 - Present
PricewaterhouseCoopers June 2004 - January 2014
Andrulis 2002 - 2004
Acadz 2000 - 2001
Skills
Government Contracting, Management Consulting, Government, Program Management, Business Process..., Organizational..., Risk Management, Internal Controls, Sarbanes-Oxley Act, Governance, Policy, Business Process, Risk Assessment, Analysis, Process Improvement, Mergers & Acquisitions, Proposal Writing, Management
Education
University of Phoenix 1997 — 1999
MBA
Arizona State University 1994 — 1996
BA, French
Healthcare Management Solutions, LLC June 2010 - Present
IKON Office Solutions 2002 - 2010
Bowne Business Solutions 1998 - 2001
Skills
Team Building, Training, Process Improvement, Document Imaging, Document Management, Customer Service, Managed Print Services, Management, Sales Process, Change Management, Business Process..., Solution Selling, Account Management, Salesforce.com, Direct Sales, Cold Calling, B2B, Sales Operations
Education
UMUC
Business Administration and Management, General
University of Maryland University College
DHS December 2000 - Present
Healthcare Management Solutions, LLC October 2010 - September 2011
DHS October 1976 - December 2008
Skills
Policy, Government, Team Building, Public Speaking, Healthcare, Training, Program Management, Change Management, Process Improvement, Program Development, Community Outreach, Nonprofits, Staff Development, Organizational..., Leadership Development, Strategic Planning, Program Evaluation, Social Services, Case Management, Fundraising, Leadership
Education
Governors State University
Master of Arts (M.A.), Communication Science
St. Xavier University
Bachelor of Arts (B.A.), Communication Sciences and Disorders, General Education/Special Education
Hendall Inc. October 2014 - Present
Healthcare Management Solutions, LLC September 2012 - October 2014
Wipro BPO February 2011 - May 2012
Wipro BPO December 2009 - February 2011
Wipro BPO August 2009 - December 2009
Wipro BPO May 2009 - August 2009
HSBC June 2007 - January 2009
Bacou-Dalloz October 2003 - January 2007
Skills
Product Development, Product Costing, Customer Service, Project Management, Leadership, Management, Call Center, Six Sigma, Strategic Planning, Microsoft Excel, Process Improvement, Customer Satisfaction, Marketing, New Business Development, Training, Employee Benefits, Team Leadership, Operations Management, Analysis, Change Management, Vendor Management, Sales, Data Analysis, Performance Management
Education
SUNY at Buffalo 2006 — 2009
Master of Business Administration (M.B.A.), Business Administration and Management, General
SUNY at Buffalo
Bachelor's degree, Chemical Engineering
Healthcare Management Solutions LLC May 2000 - Present
HFMA 1999 - 2000
Saint Francis Hopsital, Poughkeepsie NY 1992 - 2000
Skills
Healthcare Consulting, Healthcare Management, Healthcare, Managed Care, Medicaid, HIPAA, Healthcare Information..., Meditech, Process Improvement, Physicians, Physician Relations, Performance Improvement, Informatics, Hospitals, Healthcare Industry, Medicare, Health Policy, Health Insurance, CPOE, Quality Improvement, Home Care, Executive Management, Nursing
Education
Mount Saint Mary College 1997 — 1999
MBA
Fordham University 1975 — 1979
BA, Economics, Math & Accounting
UPMC Health Plan September 2014 - Present
Healthcare Management Solutions, LLC October 2011 - Present
UPMC September 1988 - September 2013
UPMC Health Plan December 2006 - September 2009
UPMC Health Plan August 2005 - December 2006
UPMC Corporate March 1993 - August 2005
City of Pittsburgh June 1979 - August 1988
Skills
Hospitals, Medicare, Healthcare, Home Care, Healthcare Management, Community Outreach, Clinical Research, Treatment, Physicians
Education
Waynesburg University 2000 — 2002
MBA, Business
Carlow University 1995 — 1997
MS, Leadership in Healthcare
St. Francis School of Nursing 1986 — 1988
Diploma, Registered Nurse
Saint Bonaventure University 1973 — 1977
BA, Sociology
Healthcare Management Solutions, LLC October 2008 - Present
United South and Eastern Tribes, Inc. May 2002 - March 2011
Maryland Institute for Emergency Medical Services Systems August 2001 - December 2002
Skills
Data Analysis, Report Writing, SAS Programmer, Technical Training, Public Health, Qualitative Research, Quantitative Research, Health Research, Health Services Research
Education
Johns Hopkins School of Public Health 2000 — 2002
Masters of Health Science, General Epidemiology
Shepherd University 1997 — 2000
Bachelor of Science (B.S.), Biology, General
Conifer Health Solutions March 2015 - August 2015
Healthcare Management Solutions, LLC February 2013 - March 2015
Mountain State Medical Specialties September 2012 - February 2013
Total Dental April 2012 - August 2012
Medbrook Medical Associates (now known as MedExpress January 1995 - October 2010
Skills
Medical Terminology, ICD-9 Coding, CPT/HCPCS Coding, HIPPA Guidelines, Detail Oriented, Able To Multi-task, Highly Motivated &..., Dedicated Team Player, Good Communication..., General Computer..., Medical Coding
Education
Pierpont Community and Technical College 2011 — 2012
No degree / Just certificates, Medical Insurance Coding Specialist/Coder, 95.41 / 94.88
Healthcare Management Solutions, LLC March 2012 - Present
Strategic Managment Corporation January 2011 - September 2011
Performance Results Corporation August 2010 - January 2011
Performance Results Corporation January 2007 - January 2011
West Virginia University 2004 - 2007
Skills
Technical writing and..., Training., Human Resources, Higher Education, Proposal Writing
Education
Coastal Carolina University
Bachelor of Arts (B.A.), English
West Virginia University
Master of Science (M.S.), Industrial Relations
West Virginia University
Master of Arts (M.A.), English Language and Literature/Letters
CCAC July 2015 - Present
Healthcare Management Solutions, LLC February 2014 - July 2015
EDMC 2006 - 2013
Dollar Bank 2002 - 2006
Sky Bank 2001 - 2002
Family Dollar Stores 2001 - 2001
Shop n Save Corporate Supermarkets 1999 - 2001
Hills Department Stores 1987 - 1999
Skills
Risk Management, Insurance, Analysis, Budgets, Leadership, Financial Risk, Auditing, Property & Casualty..., Training, Liability, Management, Workers Compensation, Risk Analysis, Vendor Management, Program Management, Banking, Policy, Employee Training, Loss Control &..., Liability Analysis, Contractual Agreements, Claims Management, Crisis Management, Business Continuity..., Risk Assessment
Education
Indiana University of Pennsylvania 1983 — 1987
Healthcare Management Solutions, LLC January 2013 - Present
INC Research November 2004 - July 2012
Monongalia Health System August 1992 - November 2004
Education
Waynesburg College 1998 — 2001
Bachelor of Science (BS), Nursing
Fairmont State College 1992 — 1997