Highmark Blue Cross Blue Shield
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, Pennsylvania, United States CEO: David Holmberg (21 May 2014–) Number of employees: 19,500 (2012) Founded: 22 June 1977 Subsidiaries: United Concordia, Visionworks of America, Parent organization: Highmark Health
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1,191 Highmark Blue Cross Blue Shield employees in database. Find out everything there's to know about Highmark Blue Cross Blue Shield employees. We offer you a great deal of unbiased information from the internal database, personal records, and many other details that might be of interest to you.
Highmark Blue Cross Blue Shield Employees
Highmark Blue Cross Blue Shield March 2015 - Present
Rising Medical Solutions June 2014 - February 2015
First Rehabilitation Resources, Inc. December 2011 - June 2014
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Hospitals
Education
Western Governors University 2015 — 2018
Master’s Degree, RN to MSN - Nursing Education
Delaware Technical and Community College-Terry 2002 — 2006
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse
Highmark Blue Cross Blue Shield July 2005 - Present
Magellan Health Services February 2004 - July 2005
Allegheny East June 2003 - February 2004
Skills
Insurance, Health Insurance, Medicare, Medicaid, Managed Care, HIPAA, Liability, General Insurance, Risk Management, Commercial Insurance, Analysis, Negotiation
Education
University of Pittsburgh 2001 — 2003
Masters and LSW, Social Work and Home School Visitor Certification
Edinboro University of Pennsylvania 1996 — 2000
Bachelors of Liberal Arts and Sciences, Liberal Arts and Sciences/Liberal Studies
Highmark Blue Cross Blue Shield January 2014 - Present
Highmark Blue Cross Blue Shield May 2007 - January 2014
Massage Envy 2009 - 2012
Highmark Blue Cross Blue Shield January 2004 - May 2007
Highmark Blue Cross Blue Shield January 2002 - January 2004
Highmark Blue Cross Blue Shield August 1999 - January 2002
Center for Cognitive & Behavior Therapy January 1997 - August 1999
Skills
Health Insurance, Sales, Individual Health..., Medicare, Customer Retention, Employee Training, Training Facilitation, Quality Assurance, Customer Service, Office Management, Affordable Care Act, Medical Underwriting, Provider Networks, Supervisory Skills, Project Planning, HMO, Administration, Managed Care, Health Savings Accounts, Employee Benefits, Training, Insurance, Call Centers
Education
University of Delaware
Training & Development Certificate
American Society for Training & Development
Certificate - Facilitation
Delaware Technical and Community College-Stanton-Wilmington
East Hampton High School 1988 — 1991
Diploma, General Studies
Robert Morris University 2003 - Present
Duquesne University 2008 - 2012
Malcolm & Associates 1995 - 2003
Phar-Mor, Inc. 1992 - 1995
William M. Mercer, Inc. 1989 - 1991
Highmark Blue Cross Blue Shield 1981 - 1989
Education
Duquesne University
Ph.D., Rhetoric; Focus on Organizational/Leadership Communication
Duquesne University
M.S.Ed, Education
Indiana University of Pennsylvania
Master of Business Administration (MBA), Business
University of Pittsburgh
Bachelor of Arts (B.A.), Communications
Highmark Inc. August 2014 - Present
Highmark March 2012 - August 2014
Highmark September 2009 - March 2012
Highmark December 2006 - September 2009
Highmark Blue Cross Blue Shield January 2004 - December 2006
Skills
Program Management, Process Improvement, Visio, Business Analysis, Health Insurance, SDLC, Project Management, Vendor Management, SharePoint, Customer Service, Business Process..., Resource Management, Team Building, Leadership, SQL, Integration Consulting, Software Documentation, Mainframe, Training, RUP, Healthcare, Microsoft Office, Communication, Organization, Production Support, Problem Resolution, Mentoring, Rational Unified Process, Applications..., Staffing Models, Risk Management, Web Applications, Release Management, Data Conversion, Technical Analysis, Presentations, Agile, Multi-tasking
Education
Robert Morris University 2005 — 2008
Masters of Science, IT Project Management
Duquesne University 1992 — 1996
Bachelor of Business Administration (B.B.A.), Management Information Systems, General
Highmark Blue Cross Blue Shield October 2011 - Present
Skills
Customer Service..., Health Plan Operations, Claims Resolution, Medical Terminology, Medical Billing, Health Insurance, Healthcare, Microsoft Office, Office Equipment, Multi-line Phone, Health Savings Accounts
Education
Edinboro University of Pennsylvania 2005 — 2010
Bachelor's Degree, Specialized Studies
Kforce Inc July 2015 - Present
Kforce January 2014 - Present
FCI L.C. June 2013 - November 2013
Highmark Blue Cross Blue Shield January 2013 - June 2013
Classroom Antics May 2008 - March 2012
Erie BayHawks 2012 - 2012
Logistics Plus August 2011 - October 2011
Skills
Flexible, Social, Business Knowledge, Goal Oriented, Time Management, Business, Analytical Skills, Adaptation, Integrity, Accountability, Team-oriented, Customer Service, Organizational Structure, Teaching, Open Minded, Software, Social Skills, Organization &..., Information Systems, Organizational..., Managed Hosting, PowerPoint, Analysis, Microsoft Excel, Teamwork, Management, Interviews, Event Planning, Training, Sales, Social Media, Leadership, Business Analysis, Social Networking
Education
Gannon University 2008 — 2012
B.S, International Business
Brunswick High School 2004 — 2008
Highmark Blue Cross Blue Shield March 2014 - Present
Highmark, Inc. September 2011 - March 2014
Giant Eagle July 2001 - September 2007
UPMC October 2005 - January 2006
Education
Duquesne University 1995 — 2001
Doctor of Pharmacy (Pharm.D.), Pharmacy
Geneva College 2003 - Present
Highmark Blue Cross Blue Shield January 2006 - September 2011
INROADS September 2003 - January 2006
Skills
Higher Education..., Adult Education, Student Retention, Curriculum Development, Performance Management, Employee Relations, Conflict Resolution, Coaching, Employment Law, Workforce Development, Strategic Planning, Building Relationships, Organizational..., Training Delivery, Succession Planning, Training Facilitation, Classroom Management, Recruiting, Problem Solving, Qualitative &..., Project Management
Education
Robert Morris University 2012 — 2015
Ph.D., INSTRUCTIONAL MANAGEMENT & LEADERSHIP in the School of Education and Social Sciences
Geneva College
MS, ORGANIZATIONAL LEADERSHIP
Geneva College
BS, HUMAN RESOURCES
Medtronic July 2005 - Present
Highmark Blue Cross Blue Shield January 2004 - June 2004
Skills
Operating Room, Medical Devices, Hospitals, Orthopedic, Surgery, Surgeons, Capital Equipment, Healthcare, Product Marketing, Neurosurgery, Disposables, ENT, Surgical Technology, Spine
Education
Duquesne University 2000 — 2005
Masters Health Management Systems, Health/Health Care Administration/Management
Halfaker and Associates, LLC October 2012 - Present
U.S. Department of Justice June 2009 - October 2012
Accenture October 2006 - June 2009
Highmark Blue Cross Blue Shield May 2002 - June 2004
Skills
Program Management, Requirements Analysis, Project Management, SDLC, Software Project..., Government Contracting, Business Process..., MS Project, Requirements Gathering, Business Analysis, Project Planning, Government, Change Management, Contract Management
Education
Duquesne University 1997 — 2002
Bachelor of Science (BS), Health Management Systems
Highmark Inc. September 2014 - Present
Highmark September 2013 - September 2014
Highmark Blue Shield February 2012 - September 2013
Highmark Blue Cross Blue Shield May 2007 - January 2012
Highmark Blue Shield November 2005 - May 2007
UPMC July 2000 - November 2005
Skills
Managed Care, Healthcare, Hospitals, Health Insurance, Contract Negotiation, Vendor Relations, Vendor Management, Medicare Part D, Pharmacy Benefit..., Medicare, Clinical Pharmacy, Utilization Management, Pharmacy, Health Policy, Management, Pharmaceutical Industry
Education
Duquesne University 1994 — 2000
PharmD, Pharmacy
Crozer-Keystone Health System October 2014 - Present
Highmark Blue Cross Blue Shield 2013 - 2014
Global Resources, LLC 2012 - 2013
Safe Persons Network, LLC 2011 - 2013
Early Learning Coalition of Brevard County 2009 - 2011
Skills
Business Analysis, Business Process, Management, Quality Assurance, Consulting, Healthcare Information..., Healthcare, Performance Improvement, Process Improvement
Education
Florida Institute of Technology 2007 — 2009
Master of Science (M.S.), Organizational Behavior Management
Temple University 2003 — 2007
Bachelor of Arts (B.A.), Psychology
Bizerba November 2014 - Present
UPMC January 2014 - November 2014
UPMC August 2010 - January 2014
Highmark Blue Cross Blue Shield February 2006 - August 2010
All Floor Supplies February 2005 - February 2006
United States Marine Corps September 1999 - September 2004
Skills
Computer Navigation, Electrical..., Problem Solving, Conflict Resolution, Thought Leadership, Computers, Bible Study, Customer Service, Management, Microsoft Excel, Troubleshooting, Analysis, Aviation, Microsoft Office, Sales, Maintenance & Repair, Time Management, Military, Leadership, Outlook, Public Speaking, Insurance, Healthcare, Windows, Aircraft
Education
Geneva College 2009 — 2014
Bachelor's of Science in Community Ministry, Religion/Religious Studies
Avionics School in Pensacola Florida 1999 — 2001
Bachelors level obtained, Avionics
Exclusive Foods International, L.P. November 2008 - Present
Allegheny Health Network January 2014 - Present
Highmark Blue Cross Blue Shield May 2012 - Present
UPMC November 2009 - November 2011
Skills
Enterprise Software, Business Analysis, Data Analysis, Databases, Business Intelligence, Healthcare Information..., Access, Data Warehousing, Microsoft SQL Server, Business Process
Education
Duquesne University 2000 — 2009
BA, MA ABT, Psychology, SPP
The Lifetime Healthcare Companies May 2013 - Present
Yale New Haven Health System August 2012 - April 2013
University of New Haven September 2011 - March 2013
Emergency Resource Management May 2012 - July 2012
Personnel Board of Jefferson County 2012 - 2012
Iadeluca Chiropractic Center July 2010 - August 2011
Presque Isle Rehab Technologies January 2005 - December 2007
Highmark Blue Cross Blue Shield July 2001 - February 2005
Skills
Customer Service, Outlook, Organizational..., Leadership Development, Microsoft Office, PowerPoint, Organizational..., Insurance, Onboarding, Microsoft Excel, Microsoft Word, Social Networking, SPSS, Employee Training, Healthcare, Teamwork, Time Management, Coaching, Customer Satisfaction, Career Development, Recruiting, Software Documentation, Employee Relations, Leadership, Training, Human Resources, Health Insurance, Performance Management, Interviews, Data Analysis, Employee Benefits, Public Speaking
Education
University of New Haven 2011 — 2013
Master of Arts, Industrial/Organizational Psychology
Edinboro University of Pennsylvania 2009 — 2011
Bachelor of Arts, Psychology
Highmark Blue Cross Blue Shield January 2011 - Present
UPMC Health Plan May 1999 - December 2010
Skills
Underwriting, Managed Care, Insurance, Health Insurance, Medicare
Education
Indiana University of Pennsylvania 1986 — 1990
BS, Business/Finance
Duquesne University
MBA, Business
SAS April 2015 - Present
SAS Institute November 2010 - April 2015
UPMC Health Plan April 2007 - November 2010
Highmark Blue Cross Blue Shield September 2005 - April 2007
Highmark Blue Cross Blue Shield 2000 - 2004
Skills
Analytics, Business Intelligence, SAS, Data Analysis, Cross-functional Team..., Analysis, Program Management, Financial Analysis, Project Management, Management, Project Portfolio..., Predictive Analytics, Business Analytics, Medicare Advantage, Risk Analytics, Risk Adjustment, Health Insurance, Managed Care, Product Management, Business Analysis, SAS programming, Healthcare, Data Mining, Data Management
Education
University of Notre Dame - Mendoza College of Business 2012 — 2013
Executive Certificate, Leaderships and Management
Duquesne University 2000 — 2003
Health Management Systems--Masters, Healthcare Management
Duquesne University 1995 — 2000
Health Management Systems, Healthcare Management
Allstate Benefits April 2015 - Present
Transamerica August 2013 - April 2015
SMC Insurance Agency January 2013 - August 2013
PrimePay May 2012 - October 2012
PrimeFlex June 2008 - May 2012
Highmark Blue Cross Blue Shield March 1997 - June 2008
Beaconsfield Financial Services October 1994 - December 2006
Skills
Health Insurance, Insurance, Disability Insurance, Employee Benefits, Health Savings Accounts, Life Insurance, Brokers, Underwriting, Sales, Term Life Insurance, Management, Account Management
Education
Drexel University
Kiski School
Creehan & Company July 2015 - Present
Creehan & Company July 2015 - Present
Pyramid Consulting Group, LLC January 2015 - Present
Highmark Blue Cross Blue Shield January 1998 - February 2014
CIBER, Inc. February 1996 - January 1998
Jefferson Community College February 1991 - September 1995
Skills
Technical Analysis, Business Analysis, Oracle SQL, Rational Unified..., RUP, Software Documentation, Testing, SQL, Requirements Gathering, Agile Methodologies, Data Analysis, Oracle, Requirements Analysis, Access, Analysis, SDLC, Troubleshooting, Management, Visio
Education
Eastern Gateway Community College 1987 — 1989
Associate's degree, Data Processing
Highmark Health-Community Affairs August 2012 - Present
Highmark Blue Cross Blue Shield January 2008 - August 2012
Highmark Blue Cross Blue Shield November 2009 - September 2011
Highmark Blue Cross Blue Shield February 2006 - January 2008
Highmark Blue Cross Blue Shield January 2005 - February 2006
AmeriChoice April 2003 - July 2004
Skills
Hospitals, Health Promotion, Wellness Initiatives, Childhood obesity, Health and wellness..., Community Outreach, Health Writing, Nursing Administration, Trainer, Health Education, Nonprofits, Training, Leadership, Nursing, Strategic Planning, Childhood Obesity, Healthcare Management, Leadership Development, Public Speaking, Prevention, Program Management, Healthcare, Nutrition, Managed Care, Health Policy, Teaching, Clinical Research, Disease Management, Mental Health, Employee Wellness, Medicine, Utilization Management, Fitness, Program Development, Community Health, Public Health, Weight Management, Customer Service, Public Relations, Management, Case Management, Diabetes, Stress Management, Wellness
Education
Waynesburg College 2009 — 2012
Master's, Nursing Administration and Education
W.I.N. Leadership 2010 — 2011
Leadership Certificate, Women In Leadership
Eastern University 2001 — 2003
Bachelors, nursing
Point Park University
Doctor of Philosophy (PhD), Community Engagement
Highmark Blue Cross Blue Shield March 2015 - Present
Duquesne University May 2011 - May 2013
Conemaugh Health System May 2012 - August 2012
Windber Research Institute May 2010 - August 2010
Skills
Microsoft Excel, Microsoft Office, Microsoft Word, PowerPoint, Public Speaking, Data Analysis, Access
Education
The Commonwealth Medical College 2013 — 2014
Master's, Biomedical Sciences, General
Duquesne University 2009 — 2013
Bachelor of Science (BS), Biochemistry
Duquesne University 2009 — 2013
Bachelor's Degree, Mathematics
AIM Software and Services March 2006 - Present
Highmark Blue Cross Blue Shield September 1994 - March 2006
Skills
Business Process..., Process Improvement, Business Analysis, Business Process, Cross-functional Team..., Vendor Management, Program Management, SDLC, Software Project...
Education
Edinboro University of Pennsylvania 1990 — 1994
Bachelor of Science (BS), Business Administration and Management, General
Pharmacy Quality Solutions, Inc. March 2013 - Present
Duquesne University January 2014 - Present
PQA, Inc. February 2012 - March 2013
Highmark Blue Cross Blue Shield August 2011 - February 2012
Highmark Blue Cross Blue Shield August 2006 - August 2011
CVS Caremark May 2004 - August 2006
Skills
Managed Care, Performance Improvement, Innovation, Clinical, Health, Analysis, Quality Management, Policy, Clinical Research, Medicare Part D, Pharmacy Benefit..., Health Policy, Leadership, Healthcare, Pharmacists, Healthcare Management, Informatics, Diabetes, Medicare, Utilization Management, Pharmacy, Medication Therapy..., Clinical Pharmacy, Pharmacoeconomics, Quality Improvement, Patient Safety, Pharmacueticals, Clinical Pharmacology, Healthcare Information..., Healthcare Consulting, Ambulatory Care, Medicaid, Healthcare Industry, Community Pharmacy, Health Insurance, Health Economics, Evidence-based Medicine, Medical Education, Outcomes Research, HIPAA, Pharmaceutical Industry
Education
Duquesne University 1998 — 2008
PharmD, MS, Pharmacy, Pharmacy Administration
USI Insurance Services October 2014 - Present
USI Insurance Services December 2010 - October 2014
Rutherfoord Benefit Services April 2005 - December 2010
Highmark Blue Cross Blue Shield April 2001 - April 2005
National Rural Electric Cooperative Association November 1989 - April 2001
Skills
Financial Analysis, Underwriting, Health Insurance, Employee Benefits, Benefits Negotiation, Strategic Planning, Vendor Management, Management Consulting, Account Management, Presentations, Coaching, Information Technology, Marketing, Brokers, Insurance, Disability Insurance, Health Savings Accounts, Leadership, Commercial Insurance, Claims Management, Training, CRM, Employee Training, Management, Analysis, Human Resources, Program Management, Health Care Reform, Sales, Claim
Education
University of Maryland College Park 1985 — 1987
BA, Economics
Frostburg State University 1983 — 1984
Economics
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
Highmark Blue Cross Blue Shield June 2010 - Present
C4 Digital Media, Inc. April 2003 - Present
L&E Packaging September 1998 - March 2003
Highmark Blue Cross Blue Shield June 1997 - August 1998
USX / United States Steel Corp June 1993 - May 1997
Skills
SDLC, Product Management, Analysis, Software Project..., Systems Analysis, Business Analysis, Enterprise Architecture, Business Intelligence, Information Technology, Database Design, Microsoft SQL Server, Databases, Leadership, Management
Education
Duquesne University 1990 — 1994
BSBA, Management Information Systems
Abbott June 2012 - Present
TOP-C Consulting LLC September 2011 - Present
Boehringer Ingelheim 2011 - 2012
Highmark Blue Cross Blue Shield June 2010 - August 2011
Kennametal February 2008 - June 2010
Katzenbach Partners August 2006 - January 2008
MCDONALD’S CORPORATION March 2002 - October 2005
ARAMARK August 2000 - March 2002
ESEN July 1995 - July 2000
ADOC / DURAMAS July 1993 - July 1995
Skills
Talent Management, Organizational..., Organizational Change, Organizational Design, Succession Planning, Employee Engagement, Talent Acquisition, Leadership Development, Change Management, Business Transformation, Strategic Planning, Team Building, Organizational..., HR Strategy, Talent Development, Performance Management, Workforce Planning, Human Capital Management, 360 Feedback, Change Leadership, Culture Change, Performance Improvement, Mergers, HR Transformation, Business Process..., Business Strategy, Management Consulting, Project Implementation, Project management, Execution Management, Consulting, Executive Coaching, Executive Management, Human Resources, Leadership, Management, Management Development, Mergers & Acquisitions, Outsourcing, Personnel Management, Program Management, Start-ups, Strategy, Project Management
Education
The University of Chicago - Booth School of Business 2004 — 2006
MBA, Business
Fielding Graduate University 1998 — 2000
MA, Organizational Design and Effectiveness
Drexel University 1986 — 1991
BS, Mechanical Engineering
Escuela Alemana 1979 — 1986
High School, High School Degree
CVS Caremark January 2013 - Present
Universal American January 2011 - April 2011
MemberHealth June 2010 - January 2011
Highmark Blue Cross Blue Shield 2009 - 2010
Giant Eagle 2005 - 2010
Skills
SQL Server, SAS, Teradata, Managed Care, Medicare Part D, Predictive Analytics, Business Analytics, Risk Analytics, Data Modeling, Microsoft Office, Pharmacoeconomics, Microeconomics, Macroeconomics, Data Science, Medicare, Medicare Prescription..., Pharmacy Benefit..., Informatics, Analytics, Pharmacology, Certified Immunizer, Health Insurance, Disease Management, Pharmacists, Healthcare, Data Analysis, Clinical Research
Education
Stetson University 2012 — 2014
Masters of Business Administration (MBA), Business
Duquesne University 2005 — 2009
PharmD, Pharmacy
Gannon University 2003 — 2005
JTA Associates September 1990 - Present
BCD Health Partners January 2012 - March 2014
Spring Hills April 2009 - October 2009
HeartScan of Chicago February 2008 - October 2008
Lincoln Park Hospital January 2006 - November 2007
Johnson Controls July 2001 - April 2004
St. Barnabas Health System 1997 - 1998
Highmark Blue Cross Blue Shield 1991 - 1997
Med-Chek (Quest Laboratories) 1986 - 1990
Titusville Hospital 1975 - 1986
Skills
Process Improvement, Operations Management, Start-ups, Strategic Planning, Healthcare, Mergers & Acquisitions, Business Development, Analysis, Management, Business Strategy, Project Management, Project Planning, Cross-functional Team..., Management Consulting, Healthcare Industry, Risk Management, Executive Management, Change Management, Contract Management, Budgets, Due Diligence, Integration, Finance, Negotiation, Strategy, Leadership, Performance Improvement, General Administration, Physician Relations, Metrics Analysis, Healthcare Management, P&L, Product Development, Budgeting, New Business Development, Program Management, Informatics, EHR, EMR, Healthcare Information..., Healthcare Consulting, Managed Care
Education
Gannon University
MBA concentration in Health Services, Business & Health Services Administration
Penn State University
BS, Medical Technology/Engineering Science
IMS Health June 2009 - Present
Highmark Inc April 2000 - June 2009
Highmark Blue Cross Blue Shield 2000 - June 2009
Highmark Inc June 1998 - April 2000
Skills
Privacy Law, Data Privacy, Corporate Governance, Public Relations, Information Security, Executive Management, Health Law, Leadership, Software Licensing, Governance, Compliance, Policy, Intellectual Property, Risk Management, Health Policy, Healthcare, Litigation, HIPAA, Corporate Law, Strategic Planning, Mergers & Acquisitions, Privacy Compliance, Medicaid, Managed Care, Privacy Policies, Licensing, Contract Negotiation, Legal Compliance, Change Management, Legal Writing, Insurance, Legal Research, Commercial Litigation, Employment Law
Education
Dickinson Law 1990 — 1994
J.D., Law
Shippensburg University of Pennsylvania 1986 — 1989
Highmark Blue Cross Blue Shield April 2014 - Present
Automatic Data Processing Insurance Agency, Inc. November 2013 - April 2014
UPMC Health Plan May 2011 - July 2013
MassMutual Financial Group May 2009 - May 2010
Punxsutawney Area Hospital November 2009 - January 2010
Skills
Communication Skills, Marketing, Account Management, Strategy, Employee Benefits, Insurance, Competitive Analysis, Customer Service, Advertising, Selling, Business Planning, Customer Retention, Small Business, Sales, Sales Presentations, Customer Satisfaction, Training, Time Management, Sales Process, Marketing Communications, Health Insurance
Education
Duquesne University 2006 — 2010
Bachelor of Science (B.S.), Business Administration and Management, General
Highmark Blue Cross Blue Shield October 2010 - Present
Skills
Health Insurance, Insurance, Managed Care, Health Savings Accounts, Employee Benefits, Medicare, Claim, Brokers, Underwriting, Benefits Administration, Disability Insurance, COBRA, Health Care Reform, Term Life Insurance, HMO, Account Management, Leadership, Healthcare
Education
Geneva College 2012 — 2015
Master of Science, Organizational Leadership
Waynesburg College
Bachelor of Science (B.S.), Business Administration Finance
Highmark, Inc. July 2014 - Present
Central Penn College July 2015 - September 2015
Highmark Blue Cross Blue Shield June 2010 - July 2014
MetLife 2008 - 2010
Northwestern Mutual 2006 - 2008
Pennsylvania Securities Commission 2005 - 2006
Pennsylvania Workers' Compensation Appeals Board 2004 - 2005
Skills
Insurance, Training, Regulatory Affairs, Policy Analysis, Securities Regulation, Healthcare Reform, Compliance, Teaching, Employee Training, Legislative Policy, legislative drafting, Writing, Microsoft Office
Education
Pennsylvania State University, The Dickinson School of Law 2000 — 2003
Doctor of Law (JD), Law
University of Pittsburgh 1996 — 1999
BA, English Literature, Creative Writing
The American College 2008 — 2010
LUTCF
Bangor High School
Highmark Blue Cross Blue Shield May 2007 - Present
Highmark Blue Cross Blue Shield April 2002 - May 2007
Alliance Health Network January 1998 - March 2002
Skills
Sales, Product Marketing, Marketing Strategy, Client Presentation, Health Insurance, Health Savings Accounts, Management, Healthcare, Insurance, Leadership, Account Management, Employee Benefits, Managed Care, Brokers, Health Care Reform
Education
Gannon University 1995 — 1997
Master of Business Administration (M.B.A.), Marketing/Marketing Management, General
Gannon University 1989 — 1993
Bachelor of Science (B.S.), Marketing
Lillis, McKibben, Bongiovanni, & Co. June 2015 - Present
Vicary Insurance Agency July 2008 - July 2014
Highmark Blue Cross Blue Shield 1999 - 2007
Skills
Employee Benefits, Insurance, Commercial Insurance, Health Insurance, Property & Casualty..., Underwriting, Health Savings Accounts, Disability Insurance, Liability, Brokers, Claims Management, Medicare, Term Life Insurance, General Insurance, Claim
Education
Gannon University 1994 — 1998
Bachelor of Science (B.S.), Psychology
Gannon University
Bachelor's degree, Psychology
Oracle June 2012 - Present
Pyramid Consulting Group February 2012 - May 2012
Highmark Blue Cross Blue Shield February 2011 - February 2012
Highmark July 2002 - January 2011
NACHA Council Member for Electronic Presentment and Payment January 2008 - December 2010
TRW, Inc. / SteelPartner.com July 1999 - July 2002
Ernst & Young July 1997 - July 1999
Information Builders 1994 - 1997
UPMC 1988 - 1994
ADVentureWare, Inc May 1984 - July 1988
Skills
Process Improvement, Requirements Analysis, Program Management, SDLC, Visio, Healthcare Information..., B2B2C, EBPP, Payment Card Processing, ACH, People Development, Team Leadership, Situational Leadership, Marketing Strategy, Billing Systems, Bill Payment, Billing Solutions, Medical Billing, IT Management, Web Applications, Applications, Blues, Health Insurance, Health Care Reform, Project Management, Enterprise Architecture, Business Analysis, Management, Start-ups, E-commerce, Strategy, Vendor Management
Education
Duquesne University
Bachelor's degree, Biology
University of Pittsburgh
Master's degree, Information Science
Highmark Blue Cross Blue Shield Case ManagerHealthSouthNovember 1988 - January 1998
Skills
Case Managment, Utilization Management, Managed Care
Education
Edinboro University of Pennsylvania 1984 — 1988
BSSW, Social Work
Suntiva December 2014 - Present
Highmark Blue Cross Blue Shield July 2014 - December 2014
Highmark Blue Cross Blue Shield September 2013 - June 2014
Booz Allen Hamilton July 2013 - August 2013
Booz Allen Hamilton August 2011 - June 2013
NorthCare Network October 2009 - May 2010
Western Michigan University September 2009 - May 2010
Western Michigan University September 2009 - May 2010
Devereux May 2009 - August 2009
NorthCare Network January 2009 - May 2009
Skills
Performance Improvement, Psychology, Program Evaluation, Data Analysis, Analysis, Leadership Development, Management, Training, Teaching, Instructional Design, Business Process..., Program Management, Leadership, Process Improvement, Recruiting, Organizational...
Education
Western Michigan University 2007 — 2012
Ph.D., Behavior Analysis
Florida Institute of Technology 2005 — 2007
M.S., Applied Behavior Analysis
Western Michigan University 2001 — 2005
B.S., Psychology
Anexinet March 2015 - Present
Accolade, Inc. August 2013 - February 2015
Berkadia Commercial Mortgage LLC August 2011 - August 2013
Comcast April 2009 - August 2011
Comcast April 2004 - March 2009
Highmark Blue Cross Blue Shield September 2003 - March 2004
Skills
Office 365, Microsoft Exchange, Lync, Powershell, Messaging, Active Directory, Windows Server, Infrastructure, Microsoft DNS, Technical Support, Troubleshooting, NetApp, Disaster Recovery, Blackberry Enterprise..., Blackberry, Networking, Servers, Network Load Balancing
Education
Drexel University 2002 — 2007
Bachelor of Science, Information Sciences and Technology
Dignity Health September 2014 - Present
Dignity Health June 2013 - September 2014
Dignity Health February 2012 - June 2013
Sunoco April 2011 - February 2012
mSE Solutions North America September 2009 - April 2011
Sunoco March 2008 - March 2009
Siemens Medical Solutions 2005 - 2008
Siemens February 2006 - July 2006
Highmark Blue Cross Blue Shield January 2004 - June 2004
Skills
Project Management, SharePoint..., Systems Analysis, Business Analysis, Business Process..., Team Building, Team Management, Cross-functional Team..., Cross-platform..., System Design, Virtualization, Cloud, ITIL, Agile, Operational Systems, Document Management, Technical Documentation, Requirements Analysis, Requirements Gathering, Requirements Management, Business Requirements, Technical Requirements, Requirements..., Full SDLC, Collaboration Tools, Project Coordination, Corporate Culture, Cultural Awareness, Cultural Diversity, Cultural Sensitivity, Relational Databases, Database Design, Database Administration, Query Optimization, SharePoint, Databases, Requirement..., Agile Methodologies, PL/SQL, Microsoft SQL Server, C#, Quality Assurance, Software Development, Business Intelligence, Analysis, UML, SDLC, Troubleshooting, Process Improvement, Strategy
Education
Drexel University 2004 — 2009
Bachelor of Science, Information Systems, Business Administration, German
Technische Universität München 2006 — 2007
Wirtschaftsinformatik
Technische Universität München / Technical University of Munich 2005 — 2005
Culture
Highmark Blue Cross Blue Shield April 2012 - Present
Skills
EDI, Information Technology, ITIL v3 Foundations...
Education
DeVry University 2013 — 2015
Bachelor's degree, Computer Information Systems/Business Management
University of Phoenix 2009 — 2012
Associate of Arts (AA), Information Technology Support
Highmark Blue Cross Blue Shield July 2012 - Present
Highmark Blue Cross Blue Shield April 2010 - July 2012
Highmark Blue Cross Blue Shield October 2003 - April 2010
Premier Medical Associates January 1991 - October 2003
Skills
Health Insurance, Insurance, Medicare
Education
Duquesne University 2001 — 2003
BS, Computer Systems Technology
Westmoreland County Community College 1988 — 1991
Associates Degree, Applied Science
UPMC Health Plan December 2013 - Present
UPMC Health Plan April 2010 - December 2013
UPMC Health Plan October 2006 - April 2010
UPMC Health Plan May 2004 - October 2006
Hart McConahy & Martz Insurance May 2002 - May 2004
Highmark Blue Cross Blue Shield July 2000 - May 2002
Skills
Insurance, Health Insurance, Employee Benefits, Provider Relations, Commercial Insurance, HMO, PPO, Brokers, Medicare, HIPAA, Medicaid, Account Management, SharePoint, Managed Care, Claim, Healthcare Reimbursement, Quality Improvement, Physician Relations
Education
Edinboro University of Pennsylvania 1998 — 2000
Bachelor of Arts (B.A.), Speech Communication and Rhetoric
Iroquois Junior Senior High School 1991 — 1995
High School Diploma, General Studies
Alutiiq January 2005 - Present
USAA 1998 - 2004
Highmark Blue Cross Blue Shield March 1995 - October 1997
Skills
PeopleSoft, Insurance, Employee Benefits, Benefits Administration, Employee Relations, New Hire Processes, Employee Orientations, ADP Payroll, Onboarding, Human Resources, New Hire Orientations, HR Policies
Education
Essex County College
Tidewater Community College
Liberal Arts
Mylan 2014 - 2014
BNYMellon 2012 - 2014
Highmark Blue Cross Blue Shield 2011 - 2012
Emerson Process Controls 2010 - 2011
Education Management Corporation (EDMC) 2009 - 2010
Del Monte Foods 2004 - 2008
HJHeinz North America 2000 - 2004
Various Clients 2000 - 2000
Skills
Business Analysis, Budgeting, Inventory Management, Process Improvement, Contract Management, Financial Analysis &..., Forecasting, Project Management
Education
Duquesne University
BS, Business Admnistration, major - Accounting
Growing Kings, Inc. August 2009 - Present
MD Carson Enterprises, LLC December 2007 - Present
Belk September 2008 - July 2009
Procter & Gamble May 2007 - August 2007
Highmark Blue Cross Blue Shield May 2006 - August 2006
Education
Florida Agricultural and Mechanical University 2003 — 2008
MBA, Finance, Management
Event Photography Group July 2015 - Present
Event Photography Group (EPG) January 2015 - July 2015
Playbook Entertainment Consulting March 2014 - December 2014
HGTV & DIY Network June 2011 - March 2014
Outdoor Channel October 2004 - June 2011
Traction Enterprises, LLC 2001 - 2004
US Steel - Straightline 2001 - 2003
Hatch Beddows 1997 - 2001
Highmark Blue Cross Blue Shield 1996 - 1997
Skills
Digital Marketing, Marketing, Marketing Strategy, Digital Media, Strategic Partnerships, New Media, Advertising, Social Media Marketing, Broadcast, Strategy, Sponsorship, Entertainment, Leadership, Market Research, Direct Marketing, Management, Public Relations, Business Development, Television, Creative Strategy
Education
Duquesne University 1993 — 1995
M.A., Social & Public Policy, 3.9
West Virginia University 1989 — 1993
B.A., Political Science
Trumbull Industries February 2014 - Present
Lawrence Park Fishing Club 2009 - Present
C.A. Curtze Co. August 2013 - January 2014
C.A. Curtze Co. August 2011 - August 2013
C.A. Curtze Co. July 2009 - August 2011
Highmark Blue Cross Blue Shield May 2005 - April 2009
Kmart Corporation April 1999 - August 2008
Skills
Purchasing, Procurement, Sales, Inventory Management, Food Service, Sourcing, Food, Food Safety, Food Industry, Food & Beverage, Negotiation, Global Sourcing, Customer Service, Key Account Development, Inventory Control, Wholesale, Customer Satisfaction, Private Label, Supplier Negotiation, Pricing, Industrial Safety, Industrial Distribution, Precision Tooling, Machining, Expediting, Customer Retention, Customer Support
Education
Gannon University 2001 — 2005
Bachelor's degree, Management Information Systems, General
Harborcreek High School 1995 — 2001
Diploma, General Education
Highmark Blue Cross Blue Shield June 2015 - Present
The Commonwealth Medical College (TCMC) 2009 - Present
Scranton Primary Health Care Ctr 1993 - Present
Blue Cross of NEPA 2012 - June 2015
Moses Taylor Hospital 1984 - 2011
Radiological Consultants Inc. 1976 - 2011
Skills
HIPAA, Healthcare Information...
Education
Temple University Hospital 1971 — 1976
Diagnostic Radiology
University of Pennsylvania School of Medicine 1966 — 1970
Doctor of Medicine (MD)
Franklin & Marshall College
Highmark Blue Cross Blue Shield September 2008 - June 2011
Highmark Blue Cross Blue Shield March 2002 - December 2008
US Dept. of Health and Human Services June 1999 - March 2002
Skills
Employee Benefits, Onboarding, Mergers, Performance Management, Strategic Planning, Employee Engagement, Employee Management, Employee Training, Employee Relations, Succession Planning, Workforce Planning, Organizational..., Mergers & Acquisitions, Deferred Compensation, HRIS, Talent Management, Benefits Administration, Labor Relations, Personnel Management, FMLA
Education
Duquesne University 1994 — 1999
Bachelor’s Degree, Industrial and Organizational Psychology
Saint Vincent College
Master of Business Administration (M.B.A.), Human Resources Management/Personnel Administration, General
UPMC Health Plan January 2008 - Present
Jim Villella Polling 1998 - 2015
Highmark Blue Cross Blue Shield September 2000 - December 2007
General Management Technologies June 1996 - September 2000
BrabenderCox June 1988 - June 1996
Skills
Market Research, Competitive Analysis, Strategic Planning, Managed Care, Health Insurance, Analytics
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1992 — 1995
MBA, Marketing
Gannon University 1982 — 1985
Beacon Light Behavioral Health Systems April 2015 - Present
Beacon Light Behavioral Heath Systems June 2013 - Present
Beacon Light Behavioral Heath Systems September 2009 - May 2013
Warren General Hospital, Warren, PA November 2007 - February 2010
Highmark Blue Cross Blue Shield June 1994 - February 1998
Skills
Project Management, Clinical Research, EMR, Nursing Process, Informatics, Patient Advocacy, Medication..., Nursing Education, Case Management Services, Nursing, Registered Nurses, Inpatient, Patient Safety, Healthcare Information..., CPR Certified
Education
Pennsylvania State University-Erie Campus 2013 — 2014
RN-BSN, Registered Nursing, Nursing Administration, Nursing Research and Clinical Nursing, A
Erie Community College 1989 — 1992
ASN, Nursing
Buffalo State College
Graphic Design
Municipality of Anchorage January 2010 - Present
Alaska Employee Benefit Specialists December 2006 - Present
AEBS 2006 - 2014
AEBS 2006 - 2014
The Alaska Service Disabled Veteran Owned Business Alliance December 2009 - January 2013
US Army June 1984 - November 2006
Premera Blue Cross 1999 - 2006
Highmark Blue Cross Blue Shield 1989 - 1999
Skills
Employee Benefits, Insurance, Employee Relations, Compliance, Leadership Development, Leadership, Training, Team Building, Process Improvement, Policy, Strategic Planning, Program Management, Budgets, Nonprofits, Human Resources, Organizational..., Team Leadership, Government Contracting, Analysis, Government, Strategy, Coaching, Risk Management, Performance Management, Start-ups, Contract Negotiation, Management, Change Management
Education
University of Pittsburgh Graduate School of Public and International Affairs 1989 — 1994
MPIA, International Affairs & Public Policy
Fairmont State University 1982 — 1986
B.A, Political Sci./History
Coventry Health Care June 2013 - Present
EDMC OHE July 2010 - June 2013
Gentech January 2010 - April 2010
Highmark Blue Cross Blue Shield January 1990 - October 2009
Highmark May 1989 - October 2009
COUNCILWOMAN MICHELLE MADOFF January 1989 - January 1993
Skills
Business Process..., Business Process, Business Analysis, Requirements Analysis, Process Improvement, Project Management, Team Leadership, Requirements Gathering, Business Process Design, Vendor Management, Software Documentation, Staff Development, SharePoint, Visio, Software Project..., SDLC, User Acceptance Testing, Project Planning, Analysis, Business Intelligence, Leadership, Strategy, Management, Training
Education
Duquesne University 1984 — 1988
Bachelor's degree, Business Administration and Management, General
Duquesne University 1984 — 1988
BS, Business Administration
St. Joseph High School 1980 — 1984
High School Diploma, College/University Preparatory and Advanced High School/Secondary Diploma Program
Canon Business Process Services August 2015 - Present
Mountain High Acquistions May 2015 - August 2015
CURE Pharmaceutical Corp. August 2014 - April 2015
Highmark Blue Cross Blue Shield January 2011 - August 2014
McKesson Provider Technologies 2003 - 2006
Deloitte Consulting 1995 - 2000
Ernst and Young LLP 1994 - 1995
Bergdorf Goodman 1990 - 1994
Skills
Process Improvement, Visio, Health Insurance, Strategy, Microsoft Office, Management, Change Management, Business Process..., Strategic Planning, SharePoint, Microsoft Excel, Healthcare, Team Building, Business Analysis
Education
Fordham Gabelli School of Business 1991 — 1994
MBA, Management
State University of New York College at Oswego 1986 — 1990
BS, Business Administration
Managed Care Consulting Services with focus on pay for performance, PCMH & ASO development 2012 - Present
Devon Health Services, Inc 2004 - 2012
Harmony Hospice, LLC 2003 - 2004
Excellus Blue Cross Blue Shield 2002 - 2003
Highmark Blue Cross Blue Shield 1998 - 2002
VALE-U-HEALTH 1995 - 1998
St. John Medical Center (Now Trinity Health) 1993 - 1995
UPMC Shadyside 1986 - 1993
Skills
Managed Care, Medicare, Healthcare, Hospitals, Physicians, Healthcare Consulting, Leadership, Healthcare Management, Medicaid, Physician Relations, EHR, HIPAA, Healthcare Information..., Credentialing, Practice Management, Clinical Research, Medicine, Healthcare Industry, Nursing, Provider Relations, Health Insurance, Insurance, Access, Health Policy, Health Information..., Medical Terminology, Network Development, Quality Improvement, Revenue Cycle, Process Improvement, Revenue Cycle Management, Informatics, EMR, Ambulatory, Health Information..., Epic Systems, Patient Safety, Performance Improvement, Medical Billing, JCAHO, PPO, Patient Centered..., Provider Pay for..., Accountable Care...
Education
Duquesne University
BSN, Nursing, GPA 3.85
University of Pittsburgh
Masters Degree, Nursing Administration, GPA 3.85
Helping Up Mission August 2006 - Present
Hunt Valley Church August 2003 - August 2006
Rosborough Communications 2001 - 2003
Highmark Blue Cross Blue Shield 2001 - 2001
Geneva College 1999 - 2001
Skills
Non-profits, Nonprofits, Event Planning, Writing, Office Administration, Microsoft Office, Fundraising, Administrative..., Public Relations, Event Management, Marketing Communications, Community Outreach, Project Management, Customer Service, Volunteer Management, Creative Writing, Social Media, Marketing, Blogging
Education
Geneva College 1997 — 2001
BA, Communications, Public Relations
Grace Christian School 1992 — 1997
Gateway Health Plan April 2010 - Present
Merck Pharmaceuticals July 1997 - June 2010
Merck 1997 - 2009
Highmark Blue Cross Blue Shield January 1989 - July 1997
Skills
Healthcare, Leadership, Managed Care, Healthcare Management, Nursing, Hospitals, Pharmaceutical Sales, Public Health, Medicaid, Pharmaceutical Industry, Medicare, Health Education, Training, Diabetes, Neurology, Disease Management, Medical Devices, Clinical Research, Cardiology, Infectious Diseases, Endocrinology, Urology, Osteoporosis, Gastroenterology, Allergy, Orthopedic, Rheumatology, Internal Medicine, Sales Effectiveness
Education
Duquesne University 1993 — 1995
Master of Science in Nursing
La Roche College 1984 — 1987
Bachelor of Science in Nursing
Accenture December 2005 - Present
Highmark Blue Cross Blue Shield July 2001 - August 2005
Deloitte Consulting July 1999 - June 2001
GlaxoSmithKline 1998 - 1999
Skills
Management Consulting, Business Process..., Business Process, Management, Program Management, Strategic Planning, Consulting
Education
Leadership Pittsburgh 2003 — 2004
Duquesne University 1997 — 1999
MBA and MS, Product Management and Information Systems
Program to Aid Citizen Enterprise - PACE October 2012 - Present
Program to Aid Citizen Enterprise 2012 - 2015
Program to Aid Citizen Enterprise 2012 - 2015
Garner Communications, Inc. January 2009 - October 2012
Center for Minority Health - CMH September 2003 - January 2009
Highmark Blue Cross Blue Shield September 1997 - September 2003
Highmark Blue Cross Blue Shield February 1995 - September 1997
HEALTH PROMOTION SERVICES November 1993 - February 1995
TIME WARNER CABLE, INC. (formerly known as Manhattan Cable Television, Inc March 1984 - June 1991
TIME WARNER CABLE, INC. April 1987 - February 1989
Skills
Event Planning, Media Relations, Public Health, Public Relations, Community Outreach, Public Speaking, Non-profits, Newsletters, Strategic Planning, Leadership, Management, Policy, Marketing, Television Producing, Writing
Education
University of Pittsburgh Graduate School of Public Health 2008 — 2009
N/A, Public Health
Duquesne University 1992 — 1993
Certificate, Paralegal Studies
Institute of New Cinema Artists 1981 — 1982
Certificates, Video Technology and Recording Science Technology
Spelman College 1974 — 1978
Bachelor of Arts (BA), English Language and Literature, General
Highmark May 2009 - Present
Highmark Blue Cross Blue Shield 1994 - May 2009
Skills
Healthcare Information..., Health Insurance, Managed Care, Insurance, Leadership, Healthcare, HIPAA, Process Improvement, Health Policy, Disease Management, Employee Benefits, Healthcare Management, Healthcare Industry, Medicare, Business Analysis
Education
Duquesne University 1994 — 1998
Master of Business Administration (MBA)
Penn State 1986 — 1990
Bachelor of Science (BS), Accounting
United Concordia Dental May 2014 - Present
United Concordia April 2011 - Present
United Concordia May 2013 - May 2014
Highmark January 2007 - April 2011
Highmark Blue Shield March 2005 - January 2007
Highmark Blue Cross Blue Shield May 2003 - March 2005
United Concordia February 2002 - May 2003
Skills
Data Analysis, Business Analysis, Project Coordination, ITIL, Access, MS Project, SQL, Health Insurance, Web Application Design, Cognos, Unica, Tealeaf, Partner Relationship..., Dental Insurance, Web Project Management, EDI, Customer Service, Project Management, Microsoft Excel, Report Writing, Requirements Analysis, Visio, HIPAA, E-commerce, Leadership
Education
Penn State University 2012 — 2014
Master of Business Administration (M.B.A.)
Elizabethtown College 2008 — 2011
Bachelor of Science, Business Administration, Accounting
Elizabethtown College 2008 — 2010
Associates, Business Administration
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
Highmark Blue Cross Blue Shield April 2003 - Present
Skills
CICS, COBOL, DB2, Mainframe, Application Development, JCL, TSO, SOA, SQL, Visio, Databases, Software Development
Education
Duquesne University 1983 — 1988
Highmark Blue Cross Blue Shield March 2012 - Present
Highmark Blue Cross Blue Shield January 2008 - March 2012
ConsultUSA December 2006 - December 2007
Management Science Associates, Inc. August 2000 - December 2006
Kopp Glass, Inc December 1994 - August 2000
Education
Duquesne University 1993 — 1995
MBA, Business
Rutgers, The State University of New Jersey-New Brunswick 1988 — 1993
Bachelor's degree, Mathematics
Highmark Blue Cross Blue Shield April 2007 - November 2007
Steven Rudner, DMD, PA November 1981 - December 2004
Education
U. of Pa. Dental School 1977 — 1981
Duke University 1974 — 1977
biochemistry
Highmark Blue Cross Blue Shield 2007 - Present
CIGNA Group Insurance March 2003 - March 2007
Education
Edinboro University of Pennsylvania 1992 — 1996
Horovitz, Rudoy & Roteman LLC January 2012 - Present
Alpern Rosenthal 2010 - 2012
Ernst & Young 2009 - 2010
Highmark Blue Cross Blue Shield 2006 - 2009
Home Properties 2001 - 2004
Skills
CPA, Corporate Tax, Tax Accounting, Tax Preparation, GAAP, Tax Research, Tax, Income Tax, Partnership Taxation, Tax Returns, Bookkeeping
Education
Duquesne University 2002 — 2003
Master of Business Administration (MBA), Tax
Duquesne University 2002 — 2003
Master of Science (MS), Taxation
Duquesne University 1997 — 2001
B.S. - Business, Accounting
Perry Traditional Academy 1993 — 1997
EDMC February 2008 - Present
Highmark Blue Cross Blue Shield October 2005 - February 2008
Education
Duquesne University
Aetna November 2013 - Present
Coventry Health Care, an Aetna Company April 2004 - November 2013
Highmark Blue Cross Blue Shield February 2002 - March 2004
Danet Inc. May 2000 - November 2001
Skills
Business Analysis, Requirements Gathering, Visio, Process Improvement, Coaching, SDLC, SharePoint, Team Leadership, Business Development, Organizational..., Data Analysis, Youth Mentoring, Sports Management, Sports Coaching, Systems Analysis, System Deployment, Unit Testing, System Integration..., Mentoring, Youth Development, Training Delivery, Applications, Healthcare Information..., Website Development, Organizational..., Master Scheduling, Oracle SQL, Cognos, Impromptu Web Reports, Team-oriented, Communication Skills, Scrum, Agile Methodologies
Education
Scrum Alliance
Certified ScrumMaster
Duquesne University 1998 — 2000
MBA, Information Systems Management
Robert Morris University 1994 — 1998
BSBA, Management
Highmark November 2012 - Present
Highmark June 2011 - November 2012
Highmark Blue Cross Blue Shield May 2009 - June 2011
Highmark Blue Cross Blue Shield November 2005 - May 2009
Highmark Blue Cross Blue Shield January 2004 - October 2005
Highmark Blue Cross Blue Shield February 1999 - December 2003
Skills
SDLC, PMO, Application Development, Business Analysis, Business Process, Project Management, Healthcare, Requirements Analysis, Program Management, Team Leadership, Business Requirements, Requirements Gathering, Software Project..., Software Development, Leadership, Data Warehousing, Cross-functional Team..., Platform Architecture, IT Strategy, Business Intelligence, Project Planning, IT Management, CRM, Strategy, Analysis, Management, Risk Management, Project Portfolio...
Education
Duquesne University 2009 — 2010
Certification, Women's Executive Leadership Program
Robert Morris University 2002 — 2008
Master of Science, Communications and Information Systems, 4.0
Slippery Rock University of Pennsylvania 1983 — 1988
BA, German, Minor in Business, 3.92
Knoch High School
Knoch High School
Vision IT October 2014 - May 2015
WIPRO Technologies October 2013 - May 2014
Roger's Consulting Services January 2013 - September 2013
Highmark Blue Cross Blue Shield May 2011 - December 2012
Roger's Consulting Services, Inc. January 2011 - May 2011
TEKsystems Global Services November 2010 - January 2011
Highmark Blue Cross Blue Shield July 2010 - October 2010
Roger's Consulting Services, Inc. May 2008 - September 2010
Roger's Consulting Services November 1993 - April 2009
Pittsburgh Blood Bank 1995 - 1995
Skills
COBOL, Oracle, Private Pilot, HP3000, VMS, HP9000, OpenVMS, Cognos PowerHouse 4GL..., Systems Analysis, Business Analysis, SDLC, ERP, Data Warehousing, Visio, Software Project..., Requirements Analysis, Databases, Consulting, Software Development
Education
Eastern Florida State College
AS, Computer Information Systems
Florida State University
MA, International Affairs
IBM Training Center, Denver, Colorado
COBOL, PL/1
Latrobe High School
College Prep
St. Vincent Preparatory
College Prep
Syracuse University
Intensive Russian
University of Arizona
BA, Government & International Relations
University of Central Florida
Information Systems Technology
University of Maryland College Park
Undergraduate work
X - Armed Forces Air Intelligence Training Center
File Generation & Maintenance, Data Retrieval & Output Processing
Jefferson Regional Foundation March 2014 - Present
Baptist Homes Society August 2011 - February 2014
Seton-La Salle High School August 2006 - April 2011
Kohl's Department Stores October 2002 - March 2007
United Way of Allegheny County 2004 - 2005
United Way of Allegheny County 2000 - 2004
Kline, Keppel & Koryak, PC January 1998 - March 2000
Highmark Blue Cross Blue Shield 1997 - December 1997
Highmark Blue Cross Blue Shield 1996 - 1997
Skills
Alumni Relations, Event Planning, Event Logistics, Customer Service, Customer Relations, Program Coordination, Volunteer Management, Fundraising, Office Administration, Social Media, Committee Liaison, Golf Outings, Microsoft Office, Non-profits, Raiser's Edge, Proofreading, Donor Relations, Donor Recognition, Medical Terminology, Medical Billing, Event Management, Nonprofits, Management, Fundraisers, Stewardship, Marketing, Administrative..., Prospect Research, Community Outreach, Non-profit..., Sponsorship, Facebook, Social Networking, Marketing Communications, Program Evaluation, Annual Giving, Grants, Newsletters, Philanthropy, Editing
Education
Duquesne University 1990 — 1994
BS, Health Information Management
Seton-La Salle 1986 — 1990
HS Diploma, College Prep
Dexcom August 2015 - Present
Zogenix April 2014 - May 2015
Highmark Blue Cross Blue Shield October 2003 - February 2014
CVS/Caremark January 1998 - October 2003
Skills
Managed Care, Pharmacy Benefit..., Health Insurance, Healthcare, Disease Management, Employee Benefits, Medicaid, Health Policy, Pharmacy, HIPAA, Healthcare Industry, Utilization Management, Healthcare Consulting, Diabetes, Pharmacoeconomics, Insurance, Process Improvement, Pharmacy Automation, Hospitals, Health Care Reform, Healthcare Information..., Informatics, Healthcare Management, Health Economics, Health Savings Accounts, Managed Markets, Pharmaceutical Industry, Medicare Part D, Oncology, Pharmaceutical Sales, Medicare, Product Launch, Leadership, Management, Sales, Account Management
Education
Duquesne University
Bachelor of Science (BS), Pharmacy
Highmark Blue Cross Blue Shield October 2011 - Present
Highmark Blue Cross Blue Shield of West Virginia May 1996 - Present
Skills
Accounts Receivable, Process Improvement, Financial Reporting, Strategic Planning, Internal Controls, Insurance, Auditing, Accounting, Analysis, Microsoft Excel, Strategic Financial..., Management, Health Insurance
Education
Franklin University 2005 — 2007
MBA, Finance
Ohio Valley University 1998 — 2001
Bachelor, Management
HM Insurance Group March 2012 - Present
Highmark Blue Cross Blue Shield January 2003 - March 2012
Education
Edinboro University of Pennsylvania 1996 — 2000
Bachelors, Communications
Highmark Blue Cross Blue Shield April 2010 - Present
UPMC September 2001 - September 2009
Development Dimensions International August 1995 - June 2001
Legg Mason August 1993 - June 1995
Arthur Andersen & Co. September 1984 - September 1991
Skills
Project Management, Leadership, Market Research, Data Analysis, Integrated Marketing, Management, Strategy, Cross-functional Team..., Marketing Communications, Analytics, Competitive Analysis, Program Management, Digital Marketing, Strategic Planning, Marketing Strategy, Segmentation, CRM, Business Development, Marketing, Business Planning
Education
Harvard Business School 1991 — 1993
MBA
Emory University 1980 — 1984
BA, Economics
C2C Solutions November 2014 - Present
Gateway Hospice January 2014 - Present
THE TRAVEL DOCTORx & THE TELE DOCTORx June 2013 - Present
Mon Valley Primary Care October 2010 - August 2015
C2C Solutions April 2014 - November 2014
Highmark Blue Cross Blue Shield January 2013 - November 2014
The Washington Hospital July 2001 - March 2014
Med Express Urgent Care December 2007 - January 2014
Journal Research Publications June 2004 - June 2010
Cook Consulting July 2001 - May 2010
Skills
Medicine, Emergency Medicine, Family Medicine, Public Health, Healthcare, Occupational Health, Health Insurance, Healthcare Management, Health Education, Management, Medical Directors, Clinical Directors, Direct Patient Care, Quality Of Care, Quality Patient Care, Urgent Care, Addiction Medicine, Medical Education, Health Service..., Health Services..., Leadership, Medical Research, Customer Service, Customer Satisfaction, Committed to Customer..., Critical Care, EKG, Radiology, Prescription Drugs, Drug Interactions, Community Health Centers, Community Health, Geriatrics, Pediatrics, Dermatology, Outpatient Orthopedics, Suturing, Publications, Public Speaking, ACLS, Disaster Medicine, Hospitals, Prevention
Education
Drexel University College of Medicine 1994 — 1998
MD & Medical Humanities Certificate in Medicine & Religion, Medicine
University of Pittsburgh 1991 — 1993
MPH, Public Health
Denison University 1984 — 1988
BA, Biology
Capital BlueCross March 2014 - Present
United Concordia October 2010 - March 2014
Highmark Blue Cross Blue Shield December 2008 - October 2010
Skills
Performance Management, Talent Management, Leadership Development, Succession Planning, Diversity & Inclusion, Human Resources, Team Building, Business Analysis, Targeted Selection..., Project Management, Program Management, Organizational..., Recruiting, Health Insurance, Strategic Planning, Training, Customer Service, Process Improvement, Risk Management, Change Management, Negotiation, Business Coaching, Diversity Training, Organizational...
Education
Shippensburg University
Master of Science (M.S.), Organizational Development and Leadership
Eastern University
Bachelor of Arts (B.A.), Business Administration, Management and Operations
Erie Insurance Group January 2008 - Present
Highmark Blue Cross Blue Shield January 1990 - December 2007
Rocky Mountain Health Care 1986 - 1989
Skills
Insurance, Property & Casualty..., Risk Management, Financial Analysis, Health Insurance, Enterprise Risk..., Casualty, Financial Modeling, Financial Reporting, Analysis, Executive Management, Sarbanes-Oxley Act, Process Improvement, Accounting, Underwriting, Portfolio Management, Fixed Income Strategies, Investment Management, Investment Compliance, Financial Statement..., Financial Risk
Education
Duquesne University 1977 — 1981
B.S., Accounting
Ritter Insurance Marketing January 2014 - Present
Highmark Blue Cross Blue Shield September 2013 - December 2013
School District of Philadelphia January 2011 - July 2011
School District of Philadelphia October 2006 - January 2011
School District of Philadelphia June 2003 - October 2006
School District of Philadelphia June 2002 - June 2003
School District of Philadelphia June 2001 - June 2002
School District of Philadelphia May 2000 - June 2001
School District of Philadelphia February 1990 - May 2000
Skills
Contract Management, Management, Supplier Diversity, Purchasing, Marketing, Accredited Buyer, Event Management, Event Planning, Data Reconciliation, Research, Higher Education, Photography, Project Management, Buyer Representation, Nonprofits, Community Outreach, Team Building, Data Analysis, Public Relations, Program Development, Coaching, Teaching, Microsoft Office, PowerPoint, Editing, Leadership Development, Volunteer Management, Customer Service, System Administration, Government, Grants, Grant Writing, Fundraising, Microsoft Excel, Analysis, Microsoft Word, RFP Generation, Vendor Relationships, Volunteer Recruiting, Volunteering, Website Development, Strategic Supplier..., Purchasing Negotiation, Cross Functional..., Cross Functional..., Data Research, Data Representation, Vendor Contracts, Vendors, Non-profits
Education
Drexel University - College of Business and Administration
Temple University
Bachelor of Arts (B.A.), Interdisciplinary Studies
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
UnitedHealthcare 2009 - Present
Accenture July 2007 - November 2010
Banner Health System November 2006 - June 2007
Highmark Blue Cross Blue Shield July 1998 - November 2006
Clinical Experience September 1981 - July 1998
Education
Duquesne University 2001 — 2005
MBA, MS-ISM, Change Management
bobnoel.net 2010 - Present
Highmark Blue Cross Blue Shield 2005 - 2010
EDS 1992 - 2000
Skills
Health Insurance, Business Analysis, SDLC, Change Management, Process Improvement, Requirements Analysis, RUP, Strategic Planning, Business Process..., Project Management, Program Management, Business Intelligence, Insurance, Medicare, Healthcare, Managed Care, Employee Benefits, Coaching, Health Policy, Requirements Gathering
Education
Duquesne University 1987 — 1991
Bachelor of Arts (B.A.), Psychology
Butler Area High School
Walgreens June 2013 - Present
Gateway Health Plan July 2010 - June 2013
Accredo Health Group June 2009 - July 2010
Medmark, A Walgreens Specialty Pharmacy September 2007 - May 2009
Highmark Blue Cross Blue Shield May 2008 - August 2008
Skills
Pharmacy, Pharmacy Benefit..., Pharmacists, Medicare Part D, Managed Care, Disease Management, Pharmaceutical Industry, Healthcare, Pharmacoeconomics, Clinical Pharmacy
Education
Duquesne University 2008 — 2012
MBA, Finance
Duquesne University 2003 — 2009
PharmD, Pharmacy
Health America/Coventry Health Care August 2007 - Present
Highmark Blue Cross Blue Shield June 2005 - August 2007
WellPoint (Anthem Blue Cross & Blue Shield) February 2000 - May 2005
Community Health Plan March 1998 - February 2000
General American Life Insurance Company November 1994 - February 1998
Blue Cross and Blue Shield of Missouri (RightChoice) July 1990 - November 1994
MetLife February 1988 - July 1990
Education
Fontbonne University 1993 — 1997
MST, Taxation
Saint Louis University 1988 — 1992
MBA, Accounting
University of Missouri-Saint Louis 1983 — 1988
BSBA, Finance/Economics
Axiall Corporation June 2014 - Present
Highmark Blue Cross Blue Shield October 2009 - May 2014
Employee Benefit Data Services July 2008 - November 2009
Tube City IMS 2004 - 2008
Schroeder Industries LLC 2001 - 2004
International Academy of Design and Technology 2000 - 2001
Skills
Team Leadership, IP Networking, Server Administration, Cisco, Firewalls, Wireless Networking, VoIP, VMware, Disaster Recovery, Cisco Technologies, Remote Access Solutions, Cisco AnyConnect Secure..., Cisco 5500 Series ASA..., Troubleshooting, Data Center, Networking, ITIL, Security, VPN, IP, Remote Access, Servers, Technical Support, Management, Hardware
Education
Duquesne University 2010 — 2012
Masters in Leadership, Information Technology
University of Phoenix 2005 — 2007
B.S., Information Technology
International Academy of Design and Technology 1999 — 2001
Associate's, Computer Information Management
University of Pittsburgh 1989 — 1991
Engineering/Computer Science
Highmark Health Services August 2010 - Present
Highmark Blue Cross Blue Shield October 2008 - August 2010
Highmark Medicare Services October 2005 - October 2008
Highmark August 2001 - December 2004
Highmark September 1995 - October 2001
Education
St. Francis Medical Center School of Nursing 1991 — 1993
Registered Nurse, Registered Nursing/Registered Nurse
Gannon University 1986 — 1990
Bachelor of Science (BS), Biology, General
Highmark Blue Cross Blue Shield Director Product Management & DevelopmentHighmark Blue Cross Blue ShieldJune 1996 - Present
Skills
Managed Care, Healthcare, Process Improvement, Insurance, Employee Benefits, Health Insurance, Requirements Gathering, Medicare, Strategic Planning, Business Requirements, Leadership, Business Analysis, SDLC, Project Management, Product Development
Education
Duquesne University 1997 — 2000
MBA, Marketing
Highmark Inc. September 2014 - Present
Highmark Blue Cross Blue Shield June 2012 - September 2014
Conemaugh Health System August 2011 - June 2012
Schering-Plough Pharmaceuticals February 2004 - March 2010
Ortho-McNeil Pharmaceutical 2003 - 2004
Janssen Pharmaceutica 2001 - 2002
Education
Duquesne University 1996 — 2000
Bachelor, Biology and biochemistry
Highmark Health August 2014 - Present
Highmark Health Services January 2007 - August 2014
Highmark Blue Cross Blue Shield January 2005 - December 2006
Skills
Health Insurance, Benefits, Customer Relations, Insurance, Account Management, Employee Benefits, Claim, Leadership, Customer Service, Underwriting, Brokers, Process Improvement, Managed Care, Health Care Reform, Health Savings Accounts, Self-funded, Reinsurance, COBRA, Medicare, HMO, Benefits Administration, Life Insurance, Medicare Part D, Workers Compensation, Long-term Care, Provider Relations, Flexible Spending..., HIPAA, Health Policy
Education
Geneva College
BS, Human Resources Management and Services
St. Joseph's University
NorthStar Solutions Group LLC April 2013 - Present
Comcast Cable 2010 - 2012
The Recycle Bank December 2009 - April 2010
Highmark Blue Cross Blue Shield 2009 - 2009
Education
American Solutions 2007 — 2007
Drexel University 2000 — 2003
Management Information systems
Deptford high school 1992 — 1996
Diploma
Highmark April 2013 - Present
Highmark September 2010 - March 2013
Highmark Blue Cross Blue Shield May 2008 - August 2010
KDKA-TV August 2008 - December 2008
Skills
Public Relations, Press Releases, Marketing Communications, Internal Communications, Media Relations, Editing, Social Media, Newsletters, Event Planning, Copywriting, Advertising, Radio, Public Speaking, Event Management, Microsoft Office, Project Management
Education
Duquesne University 2006 — 2010
Corporate Communications/Public Relations/Advertising, Communications
Highmark Blue Cross Blue Shield October 2012 - Present
Gap Inc. July 2012 - October 2012
Bethel High School August 2010 - August 2011
Woodland Hills School District January 2008 - August 2011
Highmark Blue Cross Blue Shield 2005 - 2007
Skills
Customer Experience, Customer Satisfaction, Call Centers, Telephone Skills, Customer Retention, Data Entry, Customer Service, Time Management, Outlook, Customer Engagement, Inventory Management, Retail, Sales, Employee Training
Education
Duquesne University 2005 — 2007
Master of Education (M.Ed.), Secondary Spanish Education
Indiana University of Pennsylvania 2002 — 2004
Bachelor of Arts (B.A.), Spanish Language and Literature
Westmoreland County Community College 2000 — 2001
Transfer student, Journalism
Stubblefield Consulting January 2010 - Present
Jeffrey W Stubblefield Accounting Services January 1979 - Present
Delta Dental 2007 - 2009
Electronic Data Systems 2005 - 2007
Highmark Blue Cross Blue Shield 1987 - 2005
Rite Aid 1985 - 1987
Education
Elizabethtown College 1973 — 1977
BS, Accounting
Highmark Blue Cross Blue Shield January 2008 - Present
Highmark Inc January 2008 - Present
Verizon Wireless February 2005 - January 2008
Verizon Wireless February 2005 - January 2008
Allegheny General Hospital January 2000 - January 2004
Education
Keller Graduate School of Management 2009 — 2011
Business Administration
DeVry University 2007 — 2009
DeVry University
Bachelor of Science, Technical Management
Community College of Allegheny
Associate of Applied Science, Radiation Therapy
Keller Graduate School of Management
for Master, Business Administration
Highmark Blue Cross Blue Shield October 2007 - Present
Chatham University January 2010 - Present
Highmark 2007 - 2012
Chatham University 2008 - 2009
Excela Health System April 2005 - October 2007
Westmoreland Health System April 2002 - April 2005
Skills
Quality Improvement, Patient Safety, Leadership, Part-time nursing..., Hospitals, Teaching, Mentoring, Healthcare, Strategic Planning, Healthcare Information..., Healthcare Industry, ACLS, Acute Care, Critical Care, Nursing, EMR, Team Building, Clinical Research, Healthcare Management, Nursing Education, Informatics, EHR, Healthcare Consulting, Managed Care
Education
Chatham University 2007 — 2009
DNP, Nursing
Duquesne University 1993 — 1998
MSN, Nursing Administration
Carlow University 1978 — 1981
BSN, Nursing
Highmark Blue Cross Blue Shield Home Care CoordinatorAmerichoice of Pennsylvania2003 - 2004
Education
Eastern University
BSN, Nursing
Koppers Inc. January 2015 - Present
Koppers Inc. March 2013 - Present
Koppers Inc. August 2011 - March 2013
Highmark 2011 - August 2011
Highmark Blue Cross Blue Shield October 2009 - February 2011
Highmark September 2007 - September 2009
Highmark November 2005 - September 2007
The Bradley Center 1996 - 2005
Skills
Talent Management, Succession Planning, Performance Management, Employee Engagement, Employee Relations, Leadership Development, Organizational..., Onboarding, Coaching, Change Management, Training, Organizational Design, Process Improvement, Project Management, Organizational..., Human Resources, Leadership, Career Development, HR Policies, Recruiting, Employee Benefits, Talent Acquisition, Benefits Administration, HRIS, Labor Relations, Training Delivery, Performance Improvement, Deferred Compensation
Education
Geneva College
M.S. Organizational Leadership
Independence Blue Cross February 2014 - Present
UPMC Health Plan November 2004 - January 2014
Highmark Blue Cross Blue Shield July 1995 - May 2004
First Health November 1987 - July 1995
Skills
Health Insurance, Medicare, Business Analysis, Product Development, Medicare Part D, HMO, Group Health, Managed Care, Health Plans, PPO, Insurance, Group Benefits, Health
Education
Geneva College
Human Resources
HBO July 2011 - Present
CSC July 2011 - March 2013
360i April 2010 - June 2011
Casio USA October 2008 - March 2010
Highmark Blue Cross Blue Shield December 2007 - September 2008
Skills
JIRA, Quality Center, Quality Assurance, QTP, Mobile Applications, Software Project..., Manual Testing, Regression Testing, Web Applications, Web Analytics, SQL, SharePoint, ALM, Agile Methodologies, SDLC, Scrum, Software Quality..., User Acceptance Testing
Education
Eastern Illinois University
Master's degree
Jawaharlal Nehru Technological University
Bachelor's degree
R Ortiz & Associates July 2014 - Present
M.T.P. Records LLC December 2010 - Present
Highmark Blue Cross Blue Shield February 2012 - April 2014
HIGHMARK, INC March 2008 - February 2012
Highmark Blue Cross Blue Shield March 2006 - March 2008
Appraisal Department June 2005 - March 2006
Skills
Insurance, Public Speaking, Marketing, Employee Benefits, Event Management, Event Planning, Leadership, Management, Public Relations, Sales, Social Media, Social Media Marketing, Social Networking, Strategic Planning, Team Building
Education
Duquesne University 2009 — 2013
Bachelors of ScienceAreas of, Strategic Public and Corporate CommunicationComputer Technology
Langley
Highmark Blue Cross Blue Shield March 1990 - September 2010
Skills
Requirements Analysis, Visio, COBOL, SDLC, PL/SQL, Oracle
Education
Penn State 2005 — 2007
M. Proj Mgmt, Project Management
Duquesne University 2004 — 2006
B.S., Leadership and Communication
DNB First, National Association September 2001 - Present
Highmark Blue Cross Blue Shield / Standard Property Corp. 1993 - 1997
Highmark Blue Cross Blue Shield 1990 - 1993
Equibank 1988 - 1990
Skills
Banking, Commercial Lending, Cash Management, Financial Analysis, Credit, Budgets, Accounting, Consumer Lending, Management, Construction Loan..., Appraisal..., Report Writing database..., Management Accounting, Budgeting, Cost Analysis, Profitability Analysis, Small Business Lending, Finance, Commercial Banking, Project Management, Customer Retention, Construction Loans, Construction..., Research, Organization Skills
Education
Duquesne University 1985 — 1986
MBA, Finance, Management
University of South Carolina - The Moore School of Business 1983 — 1984
Master in International Business
Duquesne University 1980 — 1982
BSBA, International Business
Commonwealth of PA, Emergency Management Agency March 2014 - Present
Rose of Sharon Baptist Church February 2014 - Present
Rose of Sharon Baptist Church August 2013 - Present
Rose of Sharon Baptist Church February 2013 - Present
Members 1st FCU May 2013 - March 2014
Highmark Blue Cross Blue Shield April 2003 - August 2012
Rose of Sharon Baptist Church February 2009 - February 2012
Skills
Process Improvement, Vendor Management, Leadership, Team Building, Microsoft Excel, Customer Service, Negotiation, Microsoft Office, Strategic Planning, Project Management, Training, Contract Negotiation, Strategic Sourcing, Budgets, Management, Program Management, Access, Coaching, Analysis, Change Management, Procurement, Public Speaking, Event Planning, Purchasing, Cross-functional Team..., Community Outreach
Education
Elizabethtown College
Logistics, Materials, and Supply Chain Management
Highmark Blue Cross Blue Shield February 2014 - Present
BlueCross BlueShield of Tennessee May 2012 - August 2013
UPMC January 2002 - June 2007
Skills
Healthcare, Population Health, Medicare, Healthcare Management, Managed Care, Nursing, HIPAA, Medicaid, Healthcare Information..., Utilization Management, Disease Management, Hospitals
Education
Duquesne University 1991 — 1995
Bachelor's of science, Nursing Science
BNY Mellon March 2015 - Present
BNY Mellon September 2010 - Present
BNY Mellon August 2013 - March 2015
Highmark Blue Cross Blue Shield January 1991 - September 2010
Highmark 1991 - 1996
Self-employed 1986 - 1991
Mellon Financial 1984 - 1986
Mellon Financial 1983 - 1984
Mellon Financial 1982 - 1983
Mellon Financial 1981 - 1982
Skills
Strategic Planning, Training, Succession Planning, Organizational..., Financial Services, Management, Employee Engagement, Performance Management, Leadership Development, Needs Analysis, Instructional Design, Change Management, Employee Relations, Insurance, Onboarding, Leadership, Organizational..., Instructor-led Training, Talent Management, Coaching, Program Management, Employee Benefits
Education
Duquesne University
MS, Education
Geneva College
BS
Highmark Blue Cross Blue Shield October 2014 - Present
Duquesne University August 2013 - August 2014
Duquesne University January 2014 - May 2014
Duquesne University August 2013 - December 2013
NCO Financial Systems September 2010 - August 2013
Mercy Behavioral Health August 2009 - September 2010
Skills
Team Building, Public Speaking, Research, Business Strategy, Data Analysis, Survey Design, Survey Research, Qualtrics, Microsoft Excel, PowerPoint, Strategic Planning, Budgets, Insurance
Education
Duquesne University 2013 — 2014
Master of Business Administration (M.B.A.), Sustainability Studies
Duquesne University 2007 — 2009
Bachelor of Science (BS), Psychology
Highmark Blue Cross Blue Shield April 2013 - Present
DuPont September 2009 - Present
Noramco, Inc. October 2010 - March 2012
Whelan Security January 2008 - February 2009
Skills
Customer Service, Employee Relations, Team Leadership, Microsoft Office, Team Building, Operations Management, Teamwork, Sales Management, Call Centers, Supervisory Skills, Supervisory Experience, Staff Supervision, Leadership Development, Training, Security, Leadership, Public Speaking, Analysis, Customer Satisfaction, Process Improvement, Microsoft Excel, Coaching, Troubleshooting, Budgets, Strategic Planning, Microsoft Word
Education
Delaware Technical and Community College-Stanton-Wilmington 2008 — 2015
Criminal Justice and Corrections
Concord High School 1990 — 1994
Diploma, Honors
Christiana High 1992 — 1993
PNC September 2015 - Present
W. L. Gore & Associates January 2014 - August 2015
Highmark Blue Cross Blue Shield January 2013 - January 2014
Highmark Blue Cross Blue Shield August 2012 - January 2013
City of Philadelphia, Department of Parks and Recreation, Ranger Division 2001 - 2011
Skills
Visio, Access, Strategic Planning, Team Building, SAP, Microsoft Excel, PeopleSoft, PowerPoint, SQL, Conflict Management, Data Analysis, Process Improvement, Project Management, Program Management, Analysis, Microsoft Office, Change Management, Research, Leadership, Data Management, SDLC, Business Process, Management, Recruiting, Training
Education
Drexel University 2011 — 2012
Master of Science, Information Systems & Technology
Peirce College 2008 — 2010
Bachelor of Science, Business Administration/Management
Temple University 1987 — 1994
Computer and Information Sciences, General
Highmark Blue Cross Blue Shield February 2012 - Present
Highmark Blue Cross Blue Shield October 2009 - February 2012
Skills
Healthcare Information..., Program Management, Strategy, Health Insurance, Leadership, Managed Care, Process Improvement
Education
Duquesne University 1998 — 2003
MBA, Business
Highmark Blue Cross Blue Shield Systems ProgrammerWestinghouse Electric Company1986 - 1996
Education
Duquesne University
TEKsystems April 2013 - September 2014
ikaSystems March 2012 - April 2013
Commonwealth of PA PA Liquor Control Board July 2011 - March 2012
Commonwealth of Pennsylvania Department of Public Welfare March 2008 - July 2011
Commonwealth of PA Department of Public Welfare June 2007 - March 2008
Harrisburg School District March 2005 - June 2007
Highmark Blue Cross Blue Shield April 1996 - May 2004
Skills
Requirements Gathering, Business Analysis, SharePoint, Requirements Analysis, Process Improvement, Software Project..., Visio, Business Process, Analysis, Financial Analysis, Business Process..., Access, Budgets, Software Documentation
Education
Elizabethtown College 2005 — 2009
Bachelor's of Science Degree, Business Adminstration
Harrisburg Area Community College 1996 — 2005
Associate of Arts (A.A.), Business Adminstration
Highmark Blue Cross Blue Shield October 2012 - Present
Highmark Blue Cross Blue Shield October 2010 - October 2012
Gap Inc May 2010 - September 2010
Duquesne University January 2008 - May 2010
Education
Duquesne University 2006 — 2010
Bachelor of Arts (B.A.), Sociology, 3.5 (Cum Laude)
Marietta College September 2010 - Present
Highmark Blue Cross Blue Shield August 2003 - Present
First Presbyterian Church, Marietta, OH October 1996 - Present
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop
Education
Eastern Kentucky University 1985 — 1986
Master of Music, Choral Conducting
Ohio Wesleyan University 1980 — 1984
Bachelor of Music Education, Music Teacher Education
Highmark Blue Cross Blue Shield
Skills
Health Insurance, Insurance, Business Analysis, Requirements Gathering, Medicare, Process Improvement, Employee Benefits, Business Process..., Requirements Analysis
Education
Drexel University 1986 — 1988
Master of Business Administration (MBA), Finance and Financial Management Services
The George Washington University 1977 — 1981
Bachelor's degree, English Language and Literature/Letters
Highmark Blue Cross Blue Shield January 1998 - Present
Skills
SAS, Data Analysis, Requirements Gathering, Managed Care, Business Analysis, Health Insurance, Analysis
Education
Geneva College
Bachelor of Science, Human Resources, Human Resources Development
Highmark Blue Cross Blue Shield August 1988 - Present
Highmark August 1988 - Present
Highmark Health August 1988 - Present
Education
Duquesne University 1995 — 2001
Bachelor of Science in Professional Studies, Computer Technology and Organizational Behavior
Highmark Blue Cross Blue Shield January 2008 - Present
Skills
Vendor Management, Health Insurance, Insurance, Process Improvement, Business Analysis, Claim, Employee Benefits, Medicare, Managed Care, Leadership
Education
East Stroudsburg University of Pennsylvania 1994 — 1999
Highmark Blue Cross Blue Shield May 2007 - Present
KPMG March 2005 - May 2007
Skills
Health Insurance, Insurance, Medicare, Employee Benefits, Process Improvement, Business Analysis, Financial Analysis, Analysis, Auditing, Risk Management, Sarbanes-Oxley Act, Claim, Microsoft Excel
Education
Edinboro University of Pennsylvania 1999 — 2002
Bachelor of Science (B.S.), Accounting and Business/Management
Mercyhurst University 1998 — 1999
WellCare Health Plans January 2015 - March 2015
CSC - Computer Sciences Corporation August 2013 - May 2014
Conservation Services Group August 2011 - August 2013
GTECH S.p.A. November 2009 - March 2011
Highmark Blue Cross Blue Shield September 2006 - July 2009
Empire Blue Cross October 2003 - March 2006
Anthem Health April 2003 - June 2003
Arch Wireless October 2001 - March 2003
The Saratogian October 1998 - February 2000
National Finance Corporation January 1997 - November 1999
Skills
Senior level CSR..., Intermediate MS Office,..., HIPAA Certified (HMO /..., Call Centers, Customer Service
Education
Excelsior College 1991 — 1992
Associate of Science (A.S.), Liberal Arts and Sciences, General Studies and Humanities
Brooklyn Tech
Engineering Tech Diploma, Mechanical Engineering/Mechanical Technology/Technician
Highmark Blue Cross Blue Shield Senior Application AnalystDominion ResourcesApril 1990 - March 2001
BNY Mellon November 1980 - April 1990
Skills
Oracle SQL Developer, PeopleSoft, SQR, sql, COBOL, Mainframe, JCL, Project Planning, mentor, Analysis
Education
St. Francis College, Fort Wayne IN. 1975 — 1977
Master’s Degree, Clinical Psychology
Duquesne University
Bachelor’s Degree, Psychology