Highmark BCBS
Industry: Healthcare company
DescriptionHighmark is a non-profit healthcare company based in Pittsburgh, Pennsylvania, United States. It is a large individual not-for-profit health insurer in the United States, which operates several for-profit subsidiaries. Headquarters: Pittsburgh, PA CEO: David Holmberg (May 21, 2014–) Number of employees: 19,500 (2012) Founded: June 22, 1977 Subsidiaries: United Concordia, Visionworks of America, Parent organization: Highmark Health
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Highmark BCBS Employees
WellCare Health Plans June 2015 - Present
UnitedHealth Group February 2013 - March 2015
Centene Corporation January 2005 - November 2012
Centene Corporation June 2005 - November 2011
Compliance and Government Affairs, Cenpatico Behavioral Health January 2005 - January 2007
UM Compliance, Sierra Health Services January 2003 - January 2005
PacifiCare January 2002 - January 2003
CIGNA Behavioral Health March 2001 - May 2002
Magellan Behavioral Health Services January 1999 - January 2001
Highmark BCBS March 1998 - March 1999
Skills
Provider Relations, Disease Management, Health Policy, Healthcare Information..., Network Development, Case Managment, Hospitals, Health Insurance, Clinical Research, Process Improvement, Managed Care, Home Care, Physicians, Healthcare Consulting, Quality Improvement, Nursing, Software Documentation, Policy, HMO, Case Management, Healthcare Industry, Medicare, HIPAA, Medicaid, Healthcare, Healthcare Management, Utilization Management, Leadership
Education
The George Washington University 2009 — 2010
Post Graduate Certificate, Health Care Compliance
Duquesne University 1998 — 2000
MSN, Nursing Administration
Alderson-Broaddus College 1970 — 1974
BSN, Nursing
Highmark Health August 2011 - Present
Highmark BCBS January 2008 - August 2011
Highmark BCBS April 2007 - January 2008
Highmark BCBS January 2001 - April 2007
Highmark BCBS December 1999 - January 2001
Highmark BCBS August 1998 - December 1999
Pennsylvania Blue Shield May 1995 - August 1998
Pennsylvania Blue Shield May 1992 - January 1995
Skills
Requirements Gathering, Business Requirements, Visio, Business Analysis, PeopleSoft, Crystal Reports, Excel, Word, PowerPoint, SAS, SQL, PeopleTools, PS Query, HRIS, HR Project Management, Analytics, Report Writing, Supervisory Skills, Pivot Tables, PHR, Performance Management, Microsoft Excel, Microsoft Word, Employee Relations, Change Management
Education
St. Francis University 1996 — 2001
Master of Arts (MA), Human Resources Management/Personnel Administration, General
California University of Pennsylvania 1991 — 1995
Bachelor of Science (BS), Management Information Systems, General
Highmark BCBS
Skills
Fundraising, Social Networking, Public Speaking, Nonprofits, Event Management, Volunteer Management, Strategic Planning
Education
Robert Morris University 1982 — 1986
Bachelor of Applied Science (B.A.Sc.), Marketing
PointPark University August 2012 - May 2014
Highmark, Inc June 2007 - August 2011
Highmark BCBS August 2003 - June 2007
Skills
Customer Service, Research, PowerPoint, Outlook, Photoshop, Teamwork, Analysis, Collections, Account Management, Microsoft Excel, Microsoft Office, Microsoft Word, Windows, Teaching, Adobe Design Programs, Dreamweaver, WordPress, Marketing, Social Networking, Social Media Marketing, Leadership, Social Media, Public Relations, Marketing Communications, Event Planning
Education
Point Park University 2012 — 2014
Bachelor of Science (B.S.), Integrated Marketing Communications
Duff's Business Institute 1991 — 1992
Associate Degree, Accounting
Mercer June 2013 - Present
Highmark Blue Cross Blue Shield July 2010 - April 2013
Highmark BCBS 2001 - July 2010
Highmark Blue Cross Blue Shield 1993 - 2001
Benefit Resource Management Group 1990 - 1993
Aon Consulting May 1982 - August 1990
Skills
Certified Employee..., Health Insurance, Employee Benefits, Insurance, Health Savings Accounts, Self Funding, Health Care Reform, ERISA, Healthcare, Self-funded, Managed Care, Disability Insurance, Brokers, Benefits Administration, Underwriting, Claim, Workers Compensation, Medicare, Long-term Care, Term Life Insurance, Life Insurance, COBRA, Health Policy, Management, Leadership
Education
Duquesne University School of Law 1994 — 1997
JD, Law
University of Pittsburgh 1978 — 1982
BA, Business and Communications
Wide World of Hockey August 2005 - Present
4TalonsDesign April 2012 - Present
The WellFit Center September 2012 - Present
Allina Hospital Sys October 2004 - May 2005
Anthem Blue Cross Blue Shield June 2004 - August 2004
UPMC April 1997 - December 2002
Highmark BCBS October 1995 - April 1997
CDI Professional Services April 1995 - October 1995
Ciber September 1994 - December 1994
Ellsworth Associates April 1994 - September 1994
Skills
SEO, Website Development, Web Marketing, Google Adwords, Marketing, Web Analytics, Entrepreneurship, Online Marketing, Advertising, E-commerce, Web Development, Google Analytics, Sports, Affiliate Marketing, SEM, Hockey, Social Media Marketing, Mobile Marketing, Social Media, Keyword Research, Email Marketing, WordPress, FrontPage, Facebook, Link Building, Google Webmaster Tools, Conversion Optimization, Web Design, Lead Generation, Digital Strategy, Landing Page..., SMO, Social Media Measurement, Drop Ship, Social Networking, Marketing Communications, Blogging, Web 2.0, Online Reputation..., Online Advertising, Digital Marketing, SEO copywriting, Brand Development, Content Strategy, Laser Engraving, Ice Hockey, Facebook Marketing, Sign Emgraving, Mirror Engraving, Dropshipping
Education
University of Pittsburgh 1997 — 2001
Computer and Information Sciences and Support Services
University of Maryland College Park 1973 — 1978
BS, Mathematics
Loyola College in Maryland 1990 — 1992
Intelligent Systems
Overlea High School 1971 — 1974
Diploma, Math / Science
Next Move Coaching January 2007 - Present
Highmark BC/BS November 2007 - January 2011
Goodwill Industries of Pittsburgh April 2001 - November 2007
Duquesne Family Center 2000 - 2001
South Hills Health System-Jefferson Regional Medical Center 1986 - 1999
Skills
Coaching, Leadership Development, Organizational..., Mentoring, Counseling, Marketing Communications, Career Counseling, Talent Management, Career Development, Instructional Design, Emotional Intelligence, Training, Adult Education, Organizational..., Career Management, Teaching, Training Delivery, Conflict Resolution, Succession Planning, Employee Training, Performance Improvement, Staff Development, Personal Development, Strategy, Interviews, Program Development, Management, Program Management, Workshop Facilitation, Leadership, Executive Coaching, Resume Writing, Organizational Design, Needs Analysis, Performance Management, Public Speaking
Education
Geneva College 2011 — 2013
Master's degree, Organizational Leadership
Geneva College 1999 — 2000
B.S., Christian Ministry Leadership
Reformed Presbyterian Theological Seminary 1980 — 1987
M.Div., Pastoral Leadership
Covenant College 1976 — 1980
AA, Biblical Studies
Clairton High 1972 — 1976
Patt Panzer Associates, LLC 2015 - Present
Highmark BCBS 2012 - 2015
Blue Cross Blue Shield of Delaware 2007 - 2012
Blue Cross Blue Shield of Delaware 2002 - 2007
Crozer Keystone Family Medicine Residency Program 1995 - 2001
Family Preventive Medicine Associates 1985 - 1995
Skills
Consumer Health..., Medical policy, Health Insurance, Medical Education, Medical Writing, Quality Improvement, Preventive Medicine, Public Policy, Public Health, Board Certified, Family Medicine, Bariatrics, Accountable Care, Clinical Decision..., Clinical Research, EHR, EMR, Evidence-based Medicine, Health Economics, Health Education, Health Policy, Healthcare, Healthcare Consulting, Healthcare Industry, Leadership, Managed Care, Medicine, Physicians, Policy, Primary Care, Strategic Planning, Healthcare Management, Healthcare Information..., Utilization Management, Nonprofits
Education
Oregon Health and Science University 2010 — 2012
Graduate course work, Biomedical Informatics
Drexel University School of Public Health 1999 — 2002
MPH, Public Health, Healthcare Management & Policy
Medical College of Pennsylvania 1978 — 1982
MD, Medicine
University of Pennsylvania 1974 — 1978
BA, Biochemistry
UPMC September 2014 - Present
Physician Services Division at UPMC March 2014 - September 2014
Carnegie Mellon University December 2011 - October 2013
Transitioning to a New Opportunity July 2010 - December 2011
Jefferson Regional Medical Center April 2011 - September 2011
DynaVox Systems LLC 2008 - 2010
Wheeling Hospital 2007 - 2008
Highmark BCBS 2001 - 2007
Aker Kvaerner 1999 - 2000
Skills
Project Management, Mergers, Benefits Strategy, Deferred Compensation, Compliance, Plan Administration, Defined Benefit, Contract Review, Compensation, Benefits Communication, Employee Benefits, Executive Pay, Benefits Administration, FMLA, Mergers & Acquisitions, Vendor Management, Open Enrollment, HRIS, Health Insurance, Human Resources, Employee Relations, Training, International Benefits, Retirement Education, Process Improvement, Benefits Design, Retiree Medical, Disability Insurance, Program Management, Succession Planning, College Recruiting, Workers Compensation, PeopleSoft, Talent Management, Personnel Management, Recruiting, New Hire Orientations, Applicant Tracking..., COBRA, Compensation & Benefit, Employee Engagement, Taleo, Talent Acquisition, Workforce Planning, HR Policies, Interviews, Employment Law, Payroll, Organizational..., Administration
Education
La Roche College
Master of Science, Human Resources Management
Duquesne University
Certificate in Paralegal Studies, Benefits
Cleveland State University
Bachelor of Arts (BA), Communications and Political Science
PNC January 2015 - Present
Development Dimensions International September 2010 - January 2015
PLS Logistics January 2010 - August 2010
Highmark May 2009 - December 2009
Highmark BCBS June 2007 - April 2009
CEI America November 2006 - June 2007
ACS – Affiliated Computer Services – User Experience Group July 2005 - July 2006
Citistreet Retirement Services Division 1997 - 2005
Skills
User Experience, User Interface Design, JavaScript, jQuery, User Interface, Accessibility, Information Architecture, Project Management, HTML, CSS, Photoshop, Web Design, Dreamweaver, XML, HTML 5, User-centered Design, Flash, Agile Methodologies, Interaction Design, SEO, Adobe Creative Suite, Web Analytics
Education
University of Dayton 1991 — 1995
BS, Marketing
McKesson Patient Care Solutions/formerly NR January 2011 - Present
National Rehab June 2008 - January 2011
National Rehab-Wound Care Division January 2007 - June 2008
National Rehab-Wound Care Division April 2001 - January 2007
Highmark BCBS November 1999 - March 2001
Highmark BCBS December 1997 - November 1999
St. Francis Medical Center July 1983 - December 1997
Private Duty Home Health 1993 - 1993
Skills
Hospitals, Wound Care, Healthcare, Medical Sales, Insurance, Home Care, Nursing, Sales Operations, Sales, Training, Urology, Capital Equipment, Clinical Research, Medical Devices, Managed Care, Product Launch, Cardiology, Healthcare Management, Orthopedics, Surgery, Strategic Planning, Operating Room, Market Development, Orthopedic
Education
La Roche College 1997 — 2000
BSN, RN to BSN-Nursing
Richland HS 1978 — 1981
Mercer February 2013 - December 2014
Mercer May 2010 - January 2013
CORESTAFF Services April 2009 - May 2010
Highmark BCBS July 2000 - June 2007
Skills
Call Center, Health Insurance, Customer Service, Microsoft Office, Microsoft Word, PowerPoint, Lotus Notes, PPO, Outlook, HIPAA, Data Entry, General Insurance, Call Centers, Microsoft Excel, Team Building, Training
Education
HACC, Central Pennsylvania's Community College
Associate's degree, General Studies
Evolent Health August 2014 - Present
Evolent Health February 2013 - July 2014
Highmark BCBS January 2011 - January 2013
Highmark Blue Cross Blue Shield March 2006 - January 2011
Skills
Medicare Part D, Managed Care, Disease Management, Medicare, Utilization Management, Pharmacy, Health Policy, Provider Relations, Healthcare, Health Economics, Strategic Consulting, Healthcare Consulting, Clinical Pharmacy, HMO, Health Insurance, Healthcare Industry, Healthcare Information..., Informatics, Medicaid Managed Care, Pharmaceutical Industry, Pharmacy Automation
Education
Duquesne University
BS Pharmacy
Duquesne University
Doctor of Pharmacy
Duquesne University
Masters in Business Administration
Thermo Fisher Scientific July 1996 - Present
Mine Safety Appliances December 1991 - July 1996
Central Medical Hospital 1989 - 1991
Highmark BCBS 1986 - 1989
Allegheny General Hospital 1982 - 1986
Skills
Project Management, Management, Leadership, Onboarding, Talent Acquisition, Integration, Deferred Compensation, Talent Management, Performance Management, Employee Engagement, Succession Planning, Organizational..., Strategic Planning, Personnel Management, Training
Education
Duquesne University 1978 — 1982
Bachelor's of Nursing, Nursing
Highmark BCBS
Skills
Employee Benefits, Insurance, Health Insurance, Managed Care, Disability Insurance, Medicare, Brokers, Long-term Care, Health Savings Accounts, Underwriting, Benefits Administration, Workers Compensation, Life Insurance, Claim
Education
University of Pittsburgh 1985 — 1989
Bachelor of Science, Business/Psychology
Highmark BCBS Client ManagerHighmark2006 - Present
Skills
Health Insurance, Employee Benefits, Process Improvement, Requirements Gathering, Group Insurance, Customer Service, Life Insurance, Direct Sales, Disability Insurance, Managed Care
Education
Kent State University 1985 — 1989
Bachelor of Science in Education
UnitedHealthcare December 2014 - Present
Willis April 2013 - December 2014
Willis January 2010 - November 2014
Moody Insurance Agency February 2006 - January 2010
LR Webber 2003 - 2005
CBIZ 2001 - 2003
Zenith Administrators 2000 - 2001
Highmark BC/BS 1999 - 2000
Skills
Insurance, Benefits Administration, New Business Development, Brokers, Strategic Planning, Claim, Sales, General Insurance, Leadership, Reinsurance, Captives, Employment Practices..., Life Insurance, Umbrella Insurance, Liability, Analysis, Program Management, Customer Service, Commercial Lines, Healthcare, Medicare, D&O, Health Savings Accounts, Risk Management, Account Management, Health Care Reform, Term Life Insurance, Long-term Care, COBRA, Accident, Self-funded, Critical Illness, ERISA, Group Medical, Health Policy, Open Enrollment, Group Insurance, Employee Wellness, Flexible Spending..., Voluntary Employee..., Insurance Brokerage, Sales Presentations, HIPAA, Health Insurance, Employee Benefits, Disability Insurance, Marketing, Team Building, Consulting, Management
Education
University of Pennsylvania - The Wharton School 2012 — 2014
GBA, Employee Benefits
Penn State University 1994 — 1998
BA, English, Anthroplogy
Westmont Hilltop 1990 — 1994
Diploma
Highmark BCBS January 1999 - Present
University of Pittsburgh May 1991 - January 1999
University of Pittsburgh May 1987 - May 1991
Skills
SDLC, Data Warehousing, SharePoint, Visio, Requirements Gathering, Business Analysis, SQL, Requirements Analysis, Databases, Business Intelligence, Oracle, Database Design
Education
Indiana University of Pennsylvania 1975 — 1977
M.ED., Special Education
Penn State University 1969 — 1973
B.S., Speech Pathology and Audiology
Geisinger Health System September 2011 - Present
Highmark BCBS October 2009 - September 2011
EDS (HP) Corporation December 2005 - October 2009
IBM Corporation January 2003 - November 2005
Skills
SDLC, Requirements Analysis, DB2, COBOL, PMP, Unix, Software Project..., ITIL, Mainframe, Enterprise Architecture, Program Management, Business Analysis, Agile Methodologies, Data Warehousing, IT Strategy, Databases, Testing, SOA, Visio, Integration, Systems Analysis, Requirements Gathering, SharePoint
Education
University of Maryland College Park 2006 — 2008
Master of Engineering, Project Management
Anna University 2000 — 2001
Master of Engineering, Computer Science Engineering
Manonmaniam Sundaranar University 1994 — 1998
Bachelor of Engineering, Electrical and Electronics Engineering
Highmark BCBS
Skills
Insurance, Customer Service, Managed Care, Strategic Planning, Health Insurance, Microsoft Excel, Microsoft Office, Management, Healthcare Information..., Medicare, Healthcare
Education
Geneva College 1998 — 2000
Master's Degree, Organizational Leadership, 4.0
University of Maryland 1973 — 1975
Bachelor's Degree, Registered Nurse
University of Pittsburgh 1971 — 1973
This was undergrad preparation for nursing program that was completed at the University of Maryland, Registered Nursing/Registered Nurse
Highmark Blue Cross Blue Shield July 2014 - Present
Highmark BC/BS January 1999 - Present
Highmark, Inc. 1987 - Present
Highmark Blue Cross Blue Shield 1987 - Present
Highmark Blue Shield 1987 - 2010
Skills
Sales, Health Insurance, Employee Benefits, Insurance, Strategy, Account Management, Disability Insurance, Managed Care, Healthcare, Medicare, Brokers, Benefits Administration, Underwriting, Life Insurance, Process Improvement
Education
Clarion University of Pennsylvania 1982 — 1986
BS in Marketing, Management
Highmark BCBS January 2001 - Present
Highmark 2001 - Present
Federated Investors 1997 - 2001
First Merit Bank October 1979 - January 1989
Skills
Marketing Research, Creative Report Writing, Market Research, Analysis, Data Analysis, Customer Insight, Focus Groups, Usability Testing, Online Research, Advertising Research, Strategy, Analytics, Marketing Strategy, Competitive Intelligence, Marketing, Survey Design, Qualitative Research, Project Coordination, Client Relations Skills, Ethnography, Consumer & Employer..., Brand Awareness, Online Survey Design
Education
Penn State University
BS, Business Administration - Marketing
STA Group June 2011 - Present
Highmark BCBS March 1998 - November 2011
Skills
Business Rules, TOGAF, Enterprise Architecture, Business Process Design, Process Modeling, Business Requirements, Business Process..., BPMN, Solution Architecture, Requirements Gathering, SDLC, Business Alignment, Application Architecture, Business Transformation, SOA, IT Strategy, Business Process..., Business Process, EAI, Requirements Analysis, Systems Analysis, Data Modeling, Process Improvement, Business Analysis
Education
Penn State University 1982 — 1987
Bachelor of Science (B.S.), Business Administration and Management, General
Highmark Blue Cross Blue Shield 2008 - Present
Highmark BCBS April 1985 - Present
Highmark 1985 - Present
Crawford Rehabilitation Services June 1981 - March 1985
Education
Duquesne University 2005 — 2007
Masters, Leadership in Management
Penn State University
BS, Rehabilitation Counseling, Dean's List
Philips Respironics September 2015 - Present
Highmark BC/BS April 2008 - Present
TRWIB August 2005 - April 2008
CO2 Advertising & Design 2004 - 2005
BNY Mellon November 1996 - November 2003
Reese Brothers 1991 - 1996
Skills
Segmentation, Customer Insight, Marketing Research, Marketing Communications, Analytics, Strategic Planning, Focus Groups, Marketing Strategy, Competitive Intelligence, Marketing, Data Analysis, Survey Design, Qualitative Research, Survey Research, Questionnaire Design, Nonprofits, Online Research, Advertising Research, Consumer Behaviour, Consumer Insight
Education
University of Connecticut 1973 — 1976
M.A., Communication Research
University of Pittsburgh
BA, Communication/PolitSci/French
Université de Rouen
French
Highmark Blue Cross Blue Shield August 2014 - Present
Highmark February 1995 - Present
Highmark BCBS 2009 - July 2014
Highmark Inc. January 1995 - January 1997
Allegheny General Hospital January 1991 - February 1995
Skills
Managed Care, Disease Management, Medicare, Strategic Planning, Account Management, Customer Service, Sales Management, Team Building, Process Improvement, Health Savings Accounts, Team Leadership, Coaching, Leadership, Employee Benefits, Healthcare Information..., Sales, Public Speaking, Health Insurance, Healthcare, Insurance
Education
Carnegie Mellon University 1997 — 1999
Master in Public Management, Health Care Policy
University of Pittsburgh
BS, Nursing
Highmark September 2008 - Present
Highmark BCBS July 2003 - September 2008
Highmark BCBS December 1999 - July 2003
Highmark BCBS November 1998 - December 1999
Highmark BCBS August 1997 - November 1998
Highmark BCBS October 1995 - August 1997
Highmark BCBS October 1994 - October 1995
Pennsylvania Blue Shield October 1993 - October 1994
Pennsylvania Blue Shield October 1992 - October 1993
Philip Pelusi June 1992 - October 1992
Skills
Adult Education, Needs Analysis, ADDIE, Instructional Design, Leadership, Program Management, Blended Learning, Analysis, Employee Training, Training, Insurance, Staff Development, Technical Training, Process Improvement, Curriculum Design, Captivate, Cross-functional Team..., Instructor-led Training, Human Resources, Leadership Development, Learning Management..., SharePoint, Technical Writing, Training Delivery
Education
California University of Pennsylvania 1987 — 1991
BS, Business Administration & Management
NY State OPWDD October 2014 - Present
Highmark BCBS February 2012 - June 2014
PennCorp Insurance January 2011 - January 2012
CSC July 2007 - October 2010
Covansys (a CSC company) September 2005 - July 2007
vLinx.Com Inc June 2002 - September 2004
WCB of BC March 1999 - May 2002
Hi Tech Consultants April 1994 - August 1998
Radar & Communication Project Office (RCPO) January 1990 - January 1994
Skills
Program Management, Project Management, PMO, SDLC, PMP, Software Project..., Requirements Analysis, Global Delivery, Vendor Management, Service Delivery, Business Analysis, CMMI, Software Development, Business Process..., Requirements Gathering, Project Delivery, Change Management, User Acceptance Testing, Agile Project Management, Cross-functional Team..., Offshoring, Certified Project..., Agile Methodologies, Quality Assurance, MS Project, Resource Management
Education
Indira Gandhi National Open University 1992 — 1994
PGDM, Business Admin
Institution of Engineers India (IEI) 1985 — 1989
Bachelor's Degree, Electronics and Communication Engineering, B
United States Steel Corporation January 2011 - Present
FIS October 2009 - January 2011
Highmark BCBS June 2008 - September 2009
Tech Mahindra November 2006 - April 2008
Lionbridge January 2005 - November 2006
Profound Info Tech March 2004 - January 2005
Skills
Software Development, Java, XML, WebSphere Portal, Web Services, Struts, SQL, SOA, SDLC, Requirements Analysis, PL/SQL, Oracle, Java Enterprise Edition, Agile Methodologies
Education
Periyar University
Master of Computer Applications (M.C.A.), Computer Science, First Grade
HighMark BCBS September 1969 - September 1988
Independent Professional Photographer January 1957 - September 1979
Skills
Military Operations, Logistics Management, Military (30 yrs-USAR), command leadership, Retired Rank- O6
Education
Penn State Univ - Monroeville 1975 — 1978
no degree -advanced study only, 20 credits in Adult Education
University of Pittsburgh 1951 — 1955
Bachelor of Arts, Business Administration
Highmark BCBS
Skills
Health Insurance
Education
St. Francis University 1979 — 1981
Master of Arts (M.A.), Labor Relations
Gannon University 1966 — 1970
Bachelor of Business Administration (B.B.A.), Management and Economics
Highmark BCBS January 2007 - Present
Highmark BCBS 2005 - 2007
Highmark BCBS 1995 - 2005
Skills
Oracle Forms/Reports, SQL, PL/SQL, Java, RAD 7.5, Websphere, Access, VI Editor, Linux scripting, SQL Navigator / Toad, Power Builder, Rational Tools..., Harvest, Dbase/Visual Dbase, COBOL/VSAM/CICS, Oracle Database 7 / 10g..., Microsoft SQL Server
Education
James Madison University
Bachelor or Business Administration, Management Information Systems, General
UPMC March 2002 - Present
Allegheny Valley School 1998 - 2002
Highmark BCBS 1997 - 1998
Skills
Verification of health,..., Data entry - up dating..., Strong communication..., Collection of monies..., Extensive knowledge of..., Issuing letters -..., Strong organizational..., Use of many different..., second and third party...
Education
Community College of Allegheny County 1990 — 2000
South Hills High School