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
Highmark Blue Cross Blue Shield List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Highmark Blue Cross Blue Shield. You can filter them based on skills, years of employment, job, education, department, and prior employment.
Highmark Blue Cross Blue Shield Salaries. You can even request information on how much does Highmark Blue Cross Blue Shield pay if you want to. Learn about salaries, pros and cons of working for Highmark Blue Cross Blue Shield directly from the past employees.
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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
Marietta Memorial Hospital September 2013 - Present
Marietta Memorial Hospital January 2013 - September 2013
Highmark Blue Cross Blue Shield June 2008 - November 2010
Skills
Human Resources, HRIS, Benefits Administration, Recruiting, Onboarding, New Hire Orientations, Deferred Compensation, FMLA, Employee Relations, Employee Benefits, Personnel Management, Training, HR Policies, Workforce Planning, Employee Engagement, Applicant Tracking..., Succession Planning, Labor Relations, Talent Acquisition, College Recruiting, CME
Education
West Virginia University 2015 — 2017
M.A. in Corporate and Organizational Communication
Marietta College
Bachelor of Arts (B.A.), Human Resources Management
Highmark Inc. September 2014 - Present
Highmark Blue Cross Blue Shield September 2012 - August 2014
Highmark July 2007 - September 2012
Skills
Health Insurance, Employee Benefits, Insurance, Medicare, Claim, Healthcare, Access, Claims Management, Process Improvement, Outlook, Training, Customer Service, Leadership, General Insurance, Managed Care, Coaching, Data Entry
Education
Ohio University 1997 — 2004
Bachelor of Science, Athletic Training/Trainer
Highmark Blue Cross Blue Shield February 2013 - Present
Philadelphia Eagles August 2008 - Present
Anesthesia Services, P.A. February 2009 - February 2013
La Salle University June 2007 - January 2009
Skills
Communication, Planning & Execution of..., Marketing Communications, Writing, Organizational Support, Strategic Public..., Social Media..., Editing, Media Relations, Sponsorship, Newsletters, Strategic Planning, Management, Strategic Communications, Public Relations, Marketing, Facebook, Corporate Communications, Community Outreach, Team Building, Press Releases, Research, Social Media Marketing
Education
La Salle University 2007 — 2010
Master of Business Administration (M.B.A.), Business Administration and Management, General
La Salle University 2003 — 2007
Bachelor of Arts, Public Relations, Advertising, and Applied Communication
Healthways December 2013 - Present
Healthways April 2012 - December 2013
Highmark Blue Cross Blue Shield July 2007 - May 2012
Highmark Blue Cross Blue Shield March 2004 - July 2007
Lifestyle Advantage 2002 - 2004
Highmark Blue Cross Blue Shield 2000 - 2002
Skills
Wellness, Leadership, Data Analysis, Training, Program Management, Management, Employee Wellness, Coaching, Program Development, CRM, Analysis, Clinical Research, Fitness, Nutrition, Project Management, Customer Engagement, Budgets, Marketing, Creative Problem Solving, Team Leadership, Social Media Marketing, Hospitals, Social Media, Account Management, Health Education, Health Promotion, Member engagement
Education
Oakland University 1995 — 1997
MS, Exercise Physiology
Michigan State University 1987 — 1991
BA, Advertising and Political Science
BlackRock March 2014 - Present
Carnegie Mellon University August 2013 - Present
Carnegie Mellon University August 2013 - Present
Highmark Blue Cross Blue Shield June 2013 - August 2013
Advancina LLC October 2011 - November 2011
Skills
Java, Databases, SQL, C++, Oracle, Requirements Analysis, PHP, Ruby on Rails, phpMyAdmin, HTML, MySQL, XML, XML Schema, JSP, JavaScript, JSON, jQuery, CSS, Eclipse, Axure, Linux, Microsoft Office, Chinese, Internet Technologies, Distributed Systems, Systems Analysis, System Design, Servlets, NetBeans, Visual C++, MVC, RMI, Web Services, Web Development, Struts, Algorithms
Education
Carnegie Mellon University 2012 — 2013
Master of Information Systems Management, Management Information Systems, General
Nanjing University 2008 — 2012
Bachelor of Management, Information System and Information Management, 88/100
The University of Hong Kong 2010 — 2010
Exchange Student, BBA(IS)
Lumos Networks July 2012 - Present
Highmark Blue Cross Blue Shield June 2007 - July 2012
CoManage 2001 - 2006
Adelphia Business Solutions 2000 - 2001
AT&T June 1981 - February 2000
Skills
Project Management, Process Improvement, Vendor Management, Telecommunications, Visio, Product Management, SDLC, Program Management, Integration, Cross-functional Team..., Software Development, MS Project, Requirements Gathering, Project Portfolio..., Project Planning, Leadership, Management, PMP, PMO, Product Development, Professional Services, Software Project..., Requirements Analysis, Business Process, Testing, Business Analysis, IT Management, Business Process...
Education
Monmouth University 1984 — 1989
B.S., Electrical Engineering
Penn State University 1979 — 1981
A.S., Electrical Engineering
First Choice VIP Care PLUS or AmeriHealth Caritas March 2015 - Present
National Leaders in Clinical Operations, Home Health & Managed Care Services January 2014 - Present
Integrist Medical-Legal Consulting 2001 - Present
Blue Cross of Northeastern Pennsylvania November 2011 - March 2015
Absolute Total Care March 2010 - October 2011
McKesson Corporation May 2008 - March 2010
Integrist Healthcare Consulting, LLC January 2001 - February 2005
Highmark Blue Cross July 1995 - June 2000
HIghmark Blue Cross Blue Shield 1995 - 2000
VA Hospital 1983 - 1989
Skills
Managed Care, Medicare, Healthcare, Medicaid, Utilization Management, Disease Management, Healthcare Management, HIPAA, Quality Improvement, Nursing, Healthcare Information..., Leadership, Case Managment, Utilization Review, Case Management, Hospitals, Physicians, Healthcare Consulting, Clinical Research, Team Building, Management, Insurance, Training, Long-term Care, Patient Advocacy, Health Insurance, Clinical Operations, Medicine, Home Care, Medical Records, NCQA, Workers Compensation, Credentialing, HEDIS, JCAHO, Policy, Clinical Services, Legal Nurse Consulting, Medicaid Managed Care, Performance Improvement, Medical Management, Quality and Compliance, Home Health Agencies, Care Management..., Elder Care, Staff Development
Education
Penn State University 1971 — 1975
BSN, Nursing, Degree
Altoona Area HIgh School 1968 — 1971
Diploma, Academic, 12
American University August 2014 - Present
The Pennsylvania State University June 2010 - December 2013
Pennsylvania State University June 2012 - August 2013
Highmark Blue Cross Blue Shield August 2012 - July 2013
Pennsylvania State University August 2011 - December 2011
Pennsylvania State University August 2009 - June 2010
Pennsylvania State University September 2008 - December 2008
Skills
Nutrition, Nutrition Education, Dietetics, Public Health, Medical Nutrition..., Nutritional Counseling, Clinical Nutrition, Statistics, Health Promotion, Research, Clinical Research, Food Science, Data Analysis, Teaching, Health Education, SAS, Public Speaking, Microsoft Office, Healthcare, Epidemiology
Education
Penn State University 2010 — 2013
Doctor of Philosophy (Ph.D.), Nutritional Sciences
Penn State University 2009 — 2010
Dietetic Internship, Dietetics
Penn State University 2005 — 2009
Bachelor of Science, Nutrition Sciences
Boyertown Senior High School
Highmark Blue Cross Blue Shield June 2012 - Present
TMS Health / Shire Pharmaceutical Co. February 2011 - April 2012
McClure Comfort Care, Inc (MCC) February 2008 - February 2011
Merck October 1999 - February 2008
Skills
LPN, Urology, Infection, Respiration, Antifungal, GI, Managed Care, Leadership, Medicine, Pharmaceutical Sales, Oncology, Healthcare, Cardiology, Pharmaceutical Industry, Biotechnology, Hospitals, Sales Operations, Sales Management, Sales, Training, Product Launch, Medical Devices, Management, Orthopedic, Pain Management, Diabetes, Capital Equipment, Hospital Sales, Informatics, Medicare, Surgery, Clinical Research, Gastroenterology, Physician Relations, Pharmacy Benefit..., Selling Skills, Medicaid, Internal Medicine, Clinical Trials, Physicians, Selling, Endocrinology, Pharmaceutics, Pharmacy
Education
Marywood University 2000 — 2002
MHA, Managed Care
Kings College 1996 — 1999
BA, Psychology
Lenape School of Practical Nursing 1995 — 1996
LPN, Nursing
Right at Home Inc. September 2015 - Present
CIGNA April 2013 - Present
Technology Commercialization Center - TeCC September 2010 - April 2013
Pennsylvania Technical Assistance Program (PennTAP) June 2005 - September 2010
Coventry Healthcare October 2000 - June 2005
HealthAmerica October 2000 - June 2005
Keystone Health Plan Central November 1998 - October 2000
Highmark Blue Cross Blue Shield June 1996 - October 1998
Skills
Process Improvement, Healthcare Information..., Strategic Planning, Healthcare, Project Management, Data Analysis, HIPAA, Management Consulting, EHR, Change Management, Business Analysis, Project Planning, Program Management, Health Policy, Cross-functional Team..., Team Building, Business Process..., Marketing Strategy, Vendor Management, Marketing, Leadership, Team Leadership, Leadership Development, Analysis, Strategy, Customer Service, Training, EMR, Medical Records, Visio, IT Strategy, Start-ups, MS Project, Product Management, Consulting, Management, Resource Management, Budgets, CRM, Software Documentation, Business Process, IT Management, Access, Healthcare Industry, Research, Policy, Disaster Recovery, Project Portfolio..., PMO, Proposal Writing
Education
Penn State University 2010 — 2011
Project Management Certificate, Project Managment
Penn State University 1992 — 1998
MBA, Business Administration and Management, General
Penn State University 1992 — 1996
BS, Health Policy and Administration
LLV 2006 — 2007
Leadership and Community Service Certificate, Organizational Leadership
Highmark Blue Cross Blue Shield July 2014 - Present
EMC August 2012 - July 2014
EMC June 2010 - August 2012
Keystone Trails Association January 2012 - April 2012
Skills
Motivated, Communication Skills, Leadership, Creativity, Event Planning, Social Media, Social Media Marketing, Research, Marketing, Marketing Communications, Marketing Strategy, Salesforce.com, Reporting & Analysis, Data Analysis, Microsoft Excel, Sales, Management, Forecasting, Communication, Social Networking, Customer Service, Facebook, Analysis
Education
Penn State University 2008 — 2012
Bachelor of Science (B.S.), Marketing, 3.7
Werner Enterprises August 2014 - Present
Nushuz and MJ Enterprises January 2004 - Present
Dollar Bank August 2012 - August 2014
Connextions July 2005 - February 2010
Highmark Blue Cross Blue Shield January 2003 - May 2004
Skills
Customer Service, Training, Team Building, Microsoft Excel, Financial Services, Leadership, Process Improvement, Vendor Management, Call Centers, Healthcare, Management, Operations Management, Sales
Education
WCCC 2013 — 2015
Bachelor's degree, Finance, General
Norfolk State University 1995 — 1997
N/A, Business Management
WV Bureau for Public Health April 2012 - Present
Highmark Blue Cross Blue Shield August 2010 - April 2012
Dual-Air Refrigeration May 2009 - October 2011
Mountain State Blue Cross Blue Shield June 2004 - August 2010
Lifequest August 2003 - August 2004
Duke University Medical Center May 2003 - August 2003
Skills
Healthcare, Health Education, Health Promotion, Public Health, Hospitals, Quality Improvement, Healthcare Management, Wellness, Public Speaking, Healthcare Information..., Program Development
Education
West Virginia University 2010 — 2012
Master of Business Administration (MBA), Business Administration and Management, General
Marshall University 2003 — 2005
Master of Science (MS), Health/Health Care Administration/Management
Marshall University 2001 — 2003
Master of Science (M.S.), Exercise Science
Highmark Blue Cross Blue Shield January 2014 - Present
Highmark Blue Cross Blue Shield October 2013 - January 2014
Highmark Blue Cross Blue Shield January 2012 - October 2013
Highmark Blue Cross Blue Shield November 2009 - January 2012
Highmark Blue Cross Blue Shield October 2002 - April 2011
Precision Response Corporation October 2001 - October 2002
Penn State University June 1997 - May 2001
Skills
Business Requirements, SQL, Requirements Gathering, Business Analysis, SDLC, Access, Requirements Analysis, Software Project..., Systems Analysis, Business Process..., Visio, Analysis, IT Strategy, Vendor Management, Business Process, Agile Methodologies, Business Intelligence, Process Improvement, User Acceptance Testing, PMP
Education
Penn State University 1997 — 2001
Bachelors, Computational Mathematics
Delta Health Technologies March 1997 - Present
Highmark Blue Cross Blue Shield May 1989 - March 1997
Skills
Microsoft SQL Server, Database Design, T-SQL, Troubleshooting, SQL, Software Development, Disaster Recovery, System Administration, IT Management, Windows, Windows Server, Servers, Active Directory, Microsoft Technologies, Integration
Education
Penn State University 1985 — 1989
BS, Computer Science
Highmark Blue Cross Blue Shield June 2008 - Present
Highmark Inc. February 2007 - June 2008
Brown and Brown Insurance March 2005 - February 2007
Skills
Sales, Employee Benefits, Insurance, Customer Service, Health Insurance, Account Management, Brokers, Underwriting, Claim, Health Savings Accounts, Medicare
Education
Marshall University 1999 — 2001
West Virginia University at Parkersburg 1997 — 1999
Parkersburg South High School 1995 — 1997
IBM July 2013 - Present
IBM July 2009 - June 2013
IBM January 2007 - July 2009
IBM January 2003 - December 2006
IBM December 1999 - December 2002
trboSoft January 1992 - December 1999
Highmark Blue Cross Blue Shield July 1989 - November 1999
Mellon Bank June 1985 - July 1989
Financial Accounting Services 1982 - 1985
Skills
Cloud Computing, Virtualization, Sales Management, Enterprise Architecture, WebSphere Application..., Architecture, IT Strategy, Mobile Technology, Java Enterprise Edition, Application Servers, Web Services, Application Architecture, Pre-sales, Websphere, SOA, Middleware, Management, Solution Architecture, Technical Leadership, Enterprise Software, ESB, Mobile Applications, Software Development, Data Center, IT Management, Architectures, EAI, WebSphere, Business Intelligence, Business Process
Education
Penn State University
AS, Computer Science
Robert Morris University
BA, Business Information Systems
Blue Cross Blue Shield of Michigan September 2012 - Present
Wellness & Prevention, Inc. a Johnson & Johnson Company May 2012 - August 2012
Blue Cross Blue Shield of Michigan April 2008 - May 2012
Interstate Batteries Services of America January 2008 - March 2008
Highmark Blue Cross Blue Shield August 2006 - December 2007
John Hancock Financial Services August 2005 - July 2006
Bank One August 2004 - July 2005
Skills
Project Management, Business Intelligence, Data Warehousing, Informatica, Pentaho, SSIS, Datastage, Cognos, Business Objects, XML, Databases, Data Analysis, HIPAA, Oracle, Microsoft SQL Server, Teradata, EDI ANSI X12, 4010 Layout, 5010 Layout, UNIX, Linux, Hadoop, MapReduce, MongoDB, Mondrian, Unix, PMP, Software Documentation, Dashboard, SDLC, Data Modeling, Requirements Gathering
Education
Northwestern University
Master of Science, CS
Osmania University
Bachelor of Engineering, CSE
Highmark Blue Cross Blue Shield May 2015 - Present
Highmark June 2013 - Present
Mama Riso's Italian Restaurant January 2006 - April 2010
Huntsman January 2000 - October 2005
CGI August 1996 - December 1999
CB Richard Ellis August 1993 - August 1996
Classic Sail May 1993 - August 1993
Crowne Plaza Hotel September 1992 - May 1993
Ramada Inn & Suites April 1992 - September 1992
Holiday Inn Woodland HIlls July 1990 - September 1992
Skills
Management, Training, Lotus Notes, Recruiting, Public Speaking, Lotus Domino, Project Management, Technical Writing, Business Analysis, Microsoft Office, Customer Service, Process Improvement, Customer Satisfaction, Microsoft Excel, Team Leadership
Education
University of Houston 1987 — 1989
BBS, Hotel and Restaurant Management
Paul Smith's College 1984 — 1986
AAS, Hotel and Restaurant Management
United Concordia March 2012 - Present
United Concordia February 2000 - February 2012
Highmark Blue Cross Blue Shield February 1995 - January 2000
Highmark Blue Cross Blue Shield (previously known as Blue Cross of Western Pennsylvania) September 1992 - January 1995
Skills
Sales, Underwriting, Insurance, Managed Care, Management, Health Insurance, CRM, Account Management, Medicare, Employee Benefits, Brokers, Health Savings Accounts, Disability Insurance, Long-term Care, Life Insurance, Business Development
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 1997 — 2000
MBA
Penn State University 1988 — 1992
BS, Finance
Brookfield Central High School/Brookfield, WI 1984 — 1988
Highmark Blue Cross Blue Shield December 1988 - Present
Education
Mansfield University of Pennsylvania 1979 — 1981
n/a, Business Admin
Belpre City Schools January 2010 - Present
Highmark Blue Cross Blue Shield January 2012 - January 2013
Belpre City Schools January 2010 - January 2013
Alliance Industries, Inc. January 2011 - August 2012
IJIS Institute January 2009 - 2010
Business Consulting Capstone Course January 2009 - 2010
Skills
Social Networking, Social Media Marketing, Sales, Customer Service, Marketing, Event Management, Marketing Communications, Advertising, Public Relations, Microsoft Office, Social Media
Education
Marietta College 2006 — 2010
B.A, Marketing, Sports Management
OhioHealth February 2014 - Present
Nationwide Insurance October 2011 - February 2014
Nationwide Insurance January 2009 - October 2011
Highmark Blue Cross Blue Shield 2006 - 2007
Skills
Employee Relations, Human Resources, Performance Management, HR Policies, Organizational..., FMLA, HRIS, PeopleSoft, Health Insurance, HR Consulting, Customer Service, Performance Improvement, Consulting, Data Analysis, Employee Benefits, Employment Law, Coaching, Change Management, Insurance
Education
La Roche College 2002 — 2005
Bachelor of Science, Communications, Media and Technology and Sociology
Point Park University 2001 — 2002
Journalism and Psychology
Louisiana State University Academic Center for Student Athletes August 2015 - Present
Highmark Blue Cross Blue Shield July 2014 - August 2015
Sports International Inc. May 2014 - July 2014
Physiotherapy Associates May 2013 - July 2014
Maryland Adventures Program January 2012 - May 2014
Nyumburu Cultural Center August 2010 - May 2014
Maryland Sports Medicine August 2012 - May 2013
YMCA of Delaware June 2011 - August 2012
School of Public Health August 2011 - December 2011
Education
Louisiana State University 2015 — 2017
Master’s Degree, Kinesiology and Exercise Science - Concentration: Sport Management
University of Maryland College Park 2010 — 2014
Bachelor's Degree, Kinesiology
Sanford School 2006 — 2010
Comerica Bank June 2015 - Present
WISLogix Consulting January 2009 - Present
Flagstar Bank October 2014 - June 2015
National Association of Professional Women - Southeastern Michigan Chapter November 2013 - November 2014
Flagstar Bank 2014 - 2014
Meridian Health Plan August 2013 - December 2013
Blue Cross Blue Shield of Michigan August 2012 - August 2013
BCBSM May 2011 - August 2012
Highmark Blue Cross Blue Shield 2009 - 2011
Highmark Blue Cross Blue Shield June 2008 - August 2009
Skills
Requirements Gathering, Business Analysis, Requirements Analysis, SDLC, Process Improvement, Health Insurance, Visio, Business Process..., Business Requirements, Risk Management, Program Management, Software Project..., Project Portfolio..., Project Management, IT Strategy, Project Planning, Cross-functional Team..., PMO, PMP, Vendor Management, Business Process, MS Project, SharePoint, Resource Management, Integration, Business Intelligence, Enterprise Architecture, Software Documentation, Agile Methodologies, Analysis, Data Warehousing, Software Development, Systems Analysis, User Acceptance Testing, Testing, Business Process Design, Quality Assurance, Agile Project Management, SOA, Solution Architecture, Waterfall, Change Management, SQL, Business Process..., IT Management, Governance, Strategy, Data Analysis, CRM, Process Engineering
Education
Osmania University 1994 — 1998
Bachelor of Engineering (B.E.), Mechanical Engineering
Highmark Blue Cross Blue Shield 2015 - Present
Blue Cross of Northeastern Pennsylvania/AllOne Health Management Solutions September 2010 - Present
AllOne Health 2010 - Present
Timber Ridge Nursing and Rehab Center October 2006 - September 2010
Skills
Healthcare, Wellness, Nutritional Counseling, Public Speaking, Microsoft Word, Strategic Planning, Microsoft Office, Team Building, Program Development, Coaching, Account Management, Nutrition, Health Education, Health Promotion, Prevention, Nutrition Education, Public Health, Medical Nutrition..., Dietetics, Clinical Nutrition, Weight Management, Employee Wellness, Wellness Coaching, Weight, Lifestyle, Healthcare Management, Customer Service
Education
Marywood University 2004 — 2006
MS, Nutrition and Dietetics
Penn State University 2001 — 2004
BS, Nutritional Sciences
Dunmore High School 1998 — 2001
ProcessProxy Corporation January 2014 - Present
Rohit Agrawal, DO, MBA, FACEP January 2012 - Present
Pennsylvania State Board of Osteopathic Medicine July 2006 - Present
Highmark Blue Cross Blue Shield April 2011 - January 2014
UPMC St Margaret July 2003 - June 2012
Wexford Health Sources, Inc. October 2009 - April 2011
UPMC Health Plan March 2007 - September 2009
University of Pittsburgh School of Medicine July 2003 - June 2008
Skills
Healthcare, Healthcare Management, Hospitals, Medical Education, Medicine, Healthcare Consulting, EHR, Clinical Research, Patient Safety, Managed Care, Healthcare Information..., Physicians, Medicare, Informatics, Emergency Medicine, Family Medicine, Healthcare Industry, Disease Management, Inpatient, Surgery, Treatment, Utilization Management, Strategy, Management, Medicaid, Quality Improvement, Board Certified, Program Management, Leadership, Medical Legal Consulting, Health Insurance, Data Mining, Data Analysis, Emergency Services, Medical Malpractice, Employee Benefits
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2008 — 2009
MBA, Business
Lake Erie College of Osteopathic Medicine 1994 — 1998
D.O., Medicine
Northwestern University 1990 — 1994
B.S., Human Communication Sciences
Shady Side Academy 1986 — 1990
Sewickley Academy
Capital BlueCross August 2015 - Present
Capital Blue Cross September 2012 - August 2015
TreCom Systems Group, Inc April 2011 - September 2012
Highmark Blue Cross Blue Shield November 1990 - January 2011
Skills
Needs Analysis, Microsoft Office, Project Management, Instructional Design, SDLC, Business Analysis, Microsoft Word, Captivate, Teaching, Teaching Adults, Technical Writing, Medical Coding, Curriculum Design, Health Insurance, Social Networking, Consultants, ADDIE, E-Learning, Instructor-led Training, Leadership, Leadership Development, Program Management, Training, Training Delivery
Education
Messiah College 1984 — 1988
BA, History Secondary Education
Standard Register October 2010 - Present
The Allied Group November 2004 - October 2009
Standard Register February 1999 - November 2004
Highmark Blue Cross Blue Shield May 1998 - August 1998
Skills
Sales, Marketing, Business Development, Direct Mail, Healthcare, Salesforce.com, Public Relations, Contract Negotiation, Project Management, B2B, Lead Generation, Direct Marketing, Account Management, New Business Development, Management
Education
Penn State University 1994 — 1998
B.A., Communication and Media Studies
University of Massachusetts Lowell
Graduate Coursework in Marketing Management
PNC October 2010 - Present
MedExpress Urgent Care September 2008 - November 2010
Highmark Blue Cross Blue Shield February 1994 - September 2008
Bob Evans December 1988 - April 1993
Skills
Leadership, Process Improvement, Healthcare, Recruiting, Management, Insurance, Health Insurance, Healthcare Information..., Managed Care, HIPAA, Medicare, Healthcare Management, Provider Relations, Physicians, Time Management, Healthcare Consulting, Strategic Planning, Negotiation, Healthcare Industry, Hospitals, Team Building, Public Speaking, Claim, New Business Development, Talent Acquisition, Employee Benefits, EMR, Change Management, Project Management, Data Analysis, Cross-functional Team..., Customer Service, Business Analysis, Coaching, EHR, Risk Management, Operations Management, P&L Management, EDI ANSI X12, Vendor Management, Business Process..., Analysis, Integration, SDLC, Visio, Software Documentation, Requirements Analysis
Education
Ohio University 1977 — 1981
BSEd, Biology, Athletic Training
Siemens PLM Software July 2012 - Present
Compuware March 2011 - June 2012
Chrysler July 2005 - March 2011
Highmark Blue Cross Blue Shield September 2000 - June 2005
Management Strategies September 1999 - September 2000
Teleflex Automotive April 1996 - April 1998
General Motors March 1993 - March 1996
Skills
Data Analysis, Database Design, Application Development, Requirements Gathering, Prototyping, Screen Design, Java, Unix, Testing, Enterprise Architecture, Program Management, Software Development, SQL, Databases, Business Process, Software Project..., Cross-functional Team..., Requirements Analysis, Agile Methodologies, Analysis, SDLC, SOA
Education
University of Michigan 1997 — 1999
MSIOE, Software Engineering
Michigan State University - The Eli Broad College of Business 1987 — 1990
MBA, Competitive Strategy
University of Michigan 1982 — 1987
BSE, Engineering
Highmark Blue Cross Blue Shield September 2015 - Present
AllOne Health August 2014 - August 2015
Executive Health Resources March 2012 - December 2013
Home Health Care Professionals and Hospice, Inc. February 2010 - March 2012
Mercy Home Health August 1994 - November 2009
Mercy Hospital June 1992 - June 1994
Skills
Home Care, Utilization Review, Utilization Management, Medical/Surgical, Inpatient, Supervisory Experience, Nursing, Case Management, Case Managment, BLS, Health coaching, EMR
Education
Marywood University 1987 — 1992
Bachelor of Science, Nursing
Highmark Blue Cross Blue Shield January 2012 - Present
Education
Penn State Erie, The Behrend College 1991 — 1996
Bachelor of Science (B.S.), Management Information Systems, General
OptumRx (Catamaran, Catalyst Rx) March 2013 - September 2013
OptumRx (Catamaran, Catalyst Rx) September 2012 - March 2013
OptumRx (Catamaran, Catalyst Rx) April 2010 - September 2012
UPMC Health Plan October 2006 - April 2010
Highmark Blue Cross Blue Shield February 2005 - October 2006
Highmark Blue Cross Blue Shield May 2002 - February 2005
Highmark Blue Cross Blue Shield October 2000 - May 2002
Highmark Blue Cross Blue Shield June 1998 - October 2000
Highmark Blue Cross Blue Shield June 1995 - June 1998
Skills
Managed Care, Medicare Part D, Health Insurance, Pharmacy Benefit..., Account Management, Pricing, Product Management, Forecasting, Pharmacy, Process Improvement, Cross-functional Team..., Medicaid, Healthcare, Medicare, HIPAA, Healthcare Industry, Strategic Planning
Education
Penn State University 2015 — 2016
Graduate Certificate - expected completion May 2016, Applied Statistics
Robert Morris University 1996 — 1999
MBA, Finance Concentration
University of Pittsburgh 1988 — 1992
BS, Business Administration
Henry Ford Health System October 2014 - Present
Community Options Inc. February 2014 - November 2014
Highmark Blue Cross Blue Shield September 2013 - September 2014
CCH, a part of Wolters Kluwer August 1998 - January 2014
Veterans Affairs Hospital of Pittsburgh August 2011 - April 2012
Skills
Copy Editing, Editing, Newsletters, Research, Publishing, Editorial, Project Management, Team Building, Content Management, Proofreading, Technical Writing, Content Development, Publications, Web Content
Education
University of Pittsburgh 2009 — 2012
Master of Science (MS), Clinical Nutrition and Dietetics
North Central College
Bachelor of Arts (BA), English Writing
Minding My Own Business October 2010 - Present
Highmark Blue Cross Blue Shield July 1976 - January 2012
Highmark July 1976 - October 2010
Travelers July 1971 - July 1976
Skills
SDLC, IT Strategy, Data Warehousing, Requirements Analysis, Vendor Management, PMP, Project Portfolio..., Business Analysis, IT Management, Integration, Waterfall, Enterprise Architecture, Business Process..., Systems Analysis, Business Requirements, Visio, SharePoint, Requirements Gathering, Project Management, PMO, Business Process, Software Project...
Education
Lebanon Valley College 1998 — 2003
MBA, Business Administration, Management and Operations
Lock Haven University of Pennsylvania 1969 — 1971
BS, Mathematical Computer Science
United States Air Force Academy 1967 — 1969
Civil Engineering
Highmark Blue Cross Blue Shield January 2011 - Present
O.C. Tanner October 2008 - December 2010
Mahindra Satyam January 2005 - December 2010
Education
Osmania University
RE/MAX Realty Associates, Inc. May 1993 - Present
Highmark Blue Cross Blue Shield February 1987 - November 2002
Skills
Real Estate Transactions, FHA, Real Estate, Single Family Homes, New Homes, Move Up Buyers, First Time Home Buyers, REO, Buyer Representation, Negotiation, Listings, Relocation, Home Staging, Relocation Buyers, New Home Sales, Investment Properties, Luxury, Townhomes, Seniors, Sellers, Selling, Referrals, Property, Short Sales, Condos, Real Property, Vacation Homes, ABR, SFR, Rentals, Strategic Planning, Foreclosures, Seller Representation, Residential Homes, Sales, Resellers, Buyers, Investors, Customer Service
Education
Penn State University 1981 — 1985
BS, Accounting
Highmark Blue Cross Blue Shield November 2013 - Present
Deloitte & Touche LLP October 2005 - November 2013
Dick's Sporting Goods July 2004 - October 2005
Deloitte & Touche LLP December 1998 - July 2004
PwC Consulting June 1997 - December 1998
Skills
Enterprise Risk..., IT Audit, Sarbanes-Oxley Act, Management Consulting, Business Process..., IT Strategy, Internal Controls, Business Transformation, Governance, CISA, GRC, Business Process, Business Process..., Finance Transformation, Internal Audit, Auditing, SAS70, ERP, Business Analysis, Sarbanes-Oxley
Education
Marietta College 1992 — 1997
Bachelor's degree
Accelerated Claims April 2015 - Present
Banfield Pet Hospital July 2014 - Present
Highmark April 2013 - July 2014
Highmark Blue Cross Blue Shield January 2009 - April 2013
Highmark Blue Cross Blue Shield 2009 - April 2013
Highmark Blue Cross Blue Shield August 2008 - January 2009
Ameribank October 2007 - August 2008
Mancan at Ameribank October 2007 - August 2008
Mancan at Highmark Blue Cross Blue Shield February 2007 - July 2007
The Ohio State University Athletic Ticket Office January 2005 - December 2006
Skills
Microsoft Office, Data Entry, Office Equipment, Ticketing, Multi-line Phone, Loan Servicing, Paciolan, Liasoning, Grassroots Development, Training, Customer Service, Appointment Scheduling, Microsoft Excel, Insurance, Medicare, Teamwork, Claim, Health Insurance, Outlook, HIPAA, Medical Records, Telephone Skills, Healthcare, Provider Relations, Phone Etiquette, Managed Care, Microsoft Word, Communication
Education
The Ohio State University 2002 — 2006
Bachelor of Arts (B.A.), Zoology
Bridgeport High School 1998 — 2002
High School Diploma
Mountain State University
Master of Science, Strategic Leadership
General Dynamics Information Technology August 2015 - Present
Capital Blue Cross September 2012 - March 2015
Commonwealth of Pennsylvania April 2011 - September 2012
Pennsylvania Department of Health April 2004 - February 2011
Highmark Blue Cross Blue Shield May 1985 - April 2004
Skills
Healthcare, Non-profits, Public Speaking, Healthcare Information..., Strategic Planning, Public Health, Research, Healthcare Management, Program Management, Public Relations, Medicare, Managed Care, Medicaid, Community Outreach, Policy, Leadership, Health Information..., Nonprofits, Hospitals, Case Managment, Quality Improvement, Fundraising, Government, Management, Program Development, Health Policy, Healthcare Consulting, Healthcare Industry, Informatics, HIPAA, Disease Management
Education
Widener University School of Law (PA) 1989 — 1993
JD, Law
Pace University 1974 — 1977
BBA, Business Admin and Accounting
Highmark Blue Cross Blue Shield September 2013 - Present
Highmark Blue Cross Blue Shield January 2012 - September 2013
Highmark Blue Cross Blue Shield January 2009 - January 2012
Skills
Technical Writing, Technical Documentation, Communication Skills, Microsoft Word, Microsoft Excel, SharePoint, Customer Service, Teleconferencing, Editing, Peer Mentoring, Organizational..., Documentation, Insurance, HIPAA, Writing
Education
Keller Graduate School of Management of DeVry University 2012 — 2016
Master of Business Administration (M.B.A.), Business Administration- Health Services
Penn State University 2006 — 2011
Bachelor's degree, Organizational Leadership
Parallon August 2014 - Present
Advent Global Solutions (RBS Citizens Bank) July 2014 - August 2014
Highmark Blue Cross Blue Shield January 2013 - April 2014
Marietta College August 2008 - August 2010
Skills
Information Technology, Programming, Analysis, C, Oracle Database..., Customer Service, Training, Microsoft Office, Public Speaking, Teamwork, Management, Leadership, PowerPoint, Social Media, Photoshop, Microsoft Excel, Microsoft Word, Mainframe, PL/SQL, English, Outlook, Budgets, Employee Training, Windows, Claims Handling, Health Insurance, Office Administration, Healthcare, FACS, SSI, Workers Compensation, Medicare, Motor Vehicle
Education
University of Massachusetts Lowell 2015 — 2016
Bachelor of Science (BS), Information Technology
Marietta College 2007 — 2010
Bachelor of Arts (BA), Marketing
Highmark Blue Cross Blue Shield February 2015 - Present
Highmark Blue Shield July 2011 - February 2015
Celerity November 2010 - July 2011
Dataquest April 2009 - October 2010
Integrated Staffing Solutions January 2009 - April 2009
PS Synergy LLC January 2009 - February 2009
PHEAA May 2004 - June 2008
PHEAA May 2002 - May 2004
KnowledgePlanet April 1998 - April 2002
CIBER 1996 - 1998
Skills
Process Improvement, Agile Methodologies, Analysis, Business Analysis, Change Management, Disaster Recovery, Leadership, MS Project, Management, PMO, PMP, Product Management, Project Management, Quality Assurance, Recruiting, Requirements Analysis, Requirements Gathering, Requirements Management, SDLC, Software Development, Software Quality..., Strategic Planning, Strategy, Team Building, Team Leadership, Testing, Training
Education
Penn State University 1983 — 1986
BA, Labor Relations
Highmark Blue Cross Blue Shield October 2008 - March 2015
Highmark February 2008 - February 2015
Skills
Requirements Gathering, Insurance, SDLC, Health Insurance, Project Management, Budget Monitoring, Project Estimation, Crisis Management, Strategic Thinking, Staff Management, Operations Management, Vendor Management, Visio, Project Coordination, PMP, Requirements Analysis, SharePoint, Business Analysis, Program Management, Process Improvement, Integration, Business Process..., Leadership, Business Intelligence, Software Project..., Business Process, Strategic Planning, Management, IT Strategy, Analysis, Business Requirements, PMO
Education
Mansfield University of Pennsylvania 1984 — 1988
Bachelor's Degree, Business, 16
Mansfield University of Pennsylvania 1984 — 1988
Bachelor's degree, Business Administration and Management, General
Highmark Blue Cross Blue Shield 2012 - Present
WorkWell Physical Medicine, Inc. November 2010 - August 2012
The Sign Sale October 2005 - December 2010
Skills
Physician Relations, Healthcare, Insurance, Customer Service, PowerPoint, Policy, Word, Microsoft Office, Excel, Customer Relations, Market Research, Outlook, Physician Practice..., Healthcare Management, Access, Data Analysis, Microsoft Excel, Microsoft Word, Management
Education
Penn State University 2005 — 2010
B.S., Health Policy and Administration
BNY Mellon April 2014 - Present
Highmark Blue Cross Blue Shield January 2010 - Present
Highmark BCBS/Employee Benefits Data Services Inc (Subsidiary of Highmark) March 2008 - January 2010
Carnegie Learning Inc January 2007 - February 2008
Pennsylvania Highlands Community College 2003 - 2007
UPMC LEE-REGIONAL HOSPITAL September 1998 - May 2002
US National Bank 1997 - 1999
Skills
Unix, Cognos, .NET, Six Sigma, Java, SAP, Websphere, Informatica, webMethods, Disaster Recovery, ITIL, Cisco Technologies, Enterprise Architecture, Vendor Management, Integration, IT Management, SharePoint, SDLC, Security, alternate sourcing, Agile Methodologies, IT Strategy, IT Service Management, IT Outsourcing, IT Solutions, Strategic Planning, Strategic Partnerships, Strategic Leadership, Situational Leadership, Offshore Outsourcing, Insourcing, BPO, SaaS, Capital Budgeting, IT Infrastructure..., Vendor Relationships, Agile & Waterfall..., Lean Software..., Oracle, Business Process, Program Management, Servers, Software Development, Microsoft SQL Server, Databases, Enterprise Software, SOA, Information Technology, Process Improvement, Testing
Education
TUI University 2006 — 2008
Masters, IT Management
Mount Aloysius College 2003 — 2005
Bachelors, Math and Computer Science
Computer Learning Network 1999 — 1999
MCSE, MCP + I , MCP
RiverHead Training Center 1998 — 1998
Novell
Cambria County Area Community College 1995 — 1997
Associates, Computer Information Communications Technology
Pennsylvania Highlands Community College 1995 — 1997
Associates, Computer Information Communications Technology
Croaker's, LLC September 2012 - Present
JPMorgan Chase January 2011 - June 2011
JPMorgan Chase July 2006 - January 2011
Merck 2006 - 2006
RCG IT 2005 - 2005
JPMorgan Chase 2003 - 2004
Management Science 2001 - 2004
Highmark Blue Cross Blue Shield 2001 - 2001
marchFirst 2000 - 2001
Bank of America 1997 - 2000
Skills
SDLC, Business Analysis, Risk Management, Quality Assurance, Project Management, PMP, Testing, Project Planning, PMO, Budgets, Vendor Management, Forecasting
Education
Montreat College 1995 — 1997
Bachelor of Science (BS), Management Science
Ariba, an SAP Company 2006 - 2014
Ariba, an SAP Company 2005 - 2006
PNC 1999 - 2005
PNC 1998 - 1999
Highmark Blue Cross Blue Shield 1996 - 1998
UPMC 1994 - 1996
Skills
Employee Benefits, Human Resources, Employee Relations, Benefits Administration, Management, Onboarding, U.S. Immigration, 401k, Shared Services, COBRA, Training
Education
La Roche College 1995 — 1999
Master's Degree, Human Resources
Ohio University 1988 — 1992
Journalism, Public Relations
Artisan Solutions, LLC January 2014 - Present
Summa Technologies August 2009 - December 2013
FedEx Ground December 2007 - July 2009
Highmark Blue Cross Blue Shield July 2005 - December 2007
Fiserv, Inc August 1999 - July 2005
FedEx Ground August 1998 - August 1999
Intel June 1990 - August 1998
Skills
Web Services, Java Enterprise Edition, XML, Websphere, Web Application Design, Oracle, .NET, Integration, REST, SOA, Manufacturing, Spring, Health Insurance, Ruby on Rails, Web Development, Software Development, Enterprise Architecture, Java, Struts, Design Patterns, System Architecture, Agile Methodologies, Web Applications, JavaScript, Architectures, Mobile Applications, Linux, SQL, Hibernate, HTML 5, CSS3, MVC Architecture, ASP.NET MVC, AJAX, IceFaces, ActiveRecord, Heroku, Scrum, CSS, Spring Framework, Architecture, WebSphere
Education
Portland State University 1987 — 1990
BS, Computer Science
Northwestern University 1974 — 1976
Communications, Theater
Morgantown High School 1970 — 1974
Highmark Blue Cross Blue Shield September 2014 - Present
Humana July 2012 - September 2014
CareSource Management Group August 2011 - September 2012
WellPoint May 2007 - August 2011
Anthem Prescription Management May 2003 - May 2007
Anthem Prescription Management 2002 - 2005
Costco Wholesale January 2000 - May 2002
Drug Emporium January 1996 - January 2000
Skills
Pharmacy Benefit..., Managed Care, Medicaid, Healthcare, Pharmacy, Utilization Management, Clinical Research, Medicare, HIPAA, Process Improvement, Pharmacists, Cardiology, Data Analysis, Diabetes, Pharmacy Automation, Leadership, Cross-functional Team..., Program Management, Medicare Part D, Management, Health Policy, Provider Relations, Patient Education, Healthcare Consulting, Clinical Pharmacy, Pharmacoeconomics, Healthcare Industry, Disease Management, Quality Improvement, Medicaid Managed Care, Healthcare Information..., Health Insurance, HMO, Informatics, Healthcare Management, EHR, EMR, Hospitals, Health Economics, Patient Safety, Clinical Trials, Long-term Care, Physicians, Medication Therapy..., Medicine, Oncology, Endocrinology, Home Infusion, Pharmaceutical Industry, Healthcare Reimbursement
Education
Ohio Northern University 1991 — 1996
BS Pharm, Pharmacy
Miami University 2009 — 2011
MBA, Business Administration - Finance
University of Arizona Pharmacoeconomics and Health Outcomes Training Program, 2006Miami University 2006 — 2006
Masters, Business Administration
HM Health Solutions March 2014 - Present
Highmark Blue Cross Blue Shield March 2012 - March 2014
Highmark January 2008 - March 2012
The Pittsburgh Cultural Trust 2001 - January 2008
Equitable Resources 2000 - 2001
AIR FORCE PENTAGON COMMUNICATIONS AGENCY 1999 - 2000
AIR FORCE PENTAGON COMMUNICATIONS AGENCY 1998 - 1999
AIR FORCE PENTAGON COMMUNICATIONS AGENCY 1997 - 1998
22d Support Group 1996 - 1997
22d Communications Squadron 1994 - 1996
Skills
Process Improvement, Strategic Planning, Vendor Management, Integration, Management, Cross-functional Team..., Leadership, Corporations, Project Management, Strategy, IT Management, IT Strategy, PMO, Security, Training, Program Management
Education
Webster University 1994 — 1996
MA
Miami University 1990 — 1994
BA
Central Catholic High School 1986 — 1990
Optimal Strategies October 2010 - Present
Booz Allen Hamilton February 2010 - September 2010
Optimal Strategies April 2009 - February 2010
BNY Mellon September 2008 - April 2009
Optimal Strategies October 2007 - August 2008
Highmark Blue Cross Blue Shield January 2005 - August 2007
Optimal Strategies May 2001 - December 2004
SCT April 1999 - April 2001
Raytheon Automated System October 1998 - March 1999
ASE Limited January 1996 - October 1997
Skills
Predictive Modeling, Data Mining, Statistical Analysis, Supply Chain..., Yield Management, Linear Programming, Data Analysis, Project Management, Business Process..., Business development..., Operations Research, SAS, Enterprise Software, Analytics, Decision Support, Modeling, Business Intelligence, Predictive Analytics, Process Improvement, Business Analysis, Optimization, Management Consulting, Forecasting, Statistical Modeling
Education
University of Tennessee 1990 — 1992
MS, Management Science with Minor in Statistics
Maulana Azad National Institute of Technology 1973 — 1978
BE, Electrical Engineering
Primerica September 2007 - Present
Old Republic Insurance Company June 2008 - June 2010
e-Staff Consulting December 2007 - June 2008
ITS Infinity Technology Services July 2006 - August 2007
cvs caremark 2006 - 2007
A.C. Coy November 2004 - July 2005
Stanford Hospital and Clinics January 1999 - August 2002
Highmark Blue Cross Blue Shield March 1997 - March 1998
Thrift Drug, Inc. May 1990 - February 1997
Thrift Drug, Inc. March 1986 - May 1990
Education
CCAC - North Campus 1991 — 1995
Associate, computer science
Penn State University 1971 — 1973
none, Mining Engineering
Highmark Blue Cross Blue Shield March 2014 - Present
University of Pittsburgh Katz Graduate School of Business August 2012 - March 2014
PNC Financial Services November 2010 - August 2012
University of Pittsburgh, Office of Institutional Advancement July 2007 - November 2010
2010 Pop Up Pittsburgh! Event September 2009 - June 2010
University of Pittsburgh, School of Medicine Graduate Studies Office May 2006 - July 2007
Skills
Marketing Research, Data Analysis, Research, Competitive Intelligence, Marketing, Consumer Behaviour, Experimental Design, Marketing Strategy, SAS, SPSS, R, Quantitative Research, Survey Design, Presentations, Report Writing, Survey Research, Qualitative Research
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business
MBA
Mount Holyoke College 2001 — 2005
BA
Alcoa 2004 - 2008
Highmark Blue Cross Blue Shield 1997 - 2005
Pennsylvania Blue Shield 1992 - 1997
Education
Penn State University
BA, Communications/Public Relations
Roche Diagnostics July 2013 - Present
Ventana Medical Systems May 2012 - July 2013
Ventana Medical Systems November 2011 - May 2012
Intuit January 2010 - November 2011
GlaxoSmithKline July 1999 - August 2009
Highmark Blue Cross Blue Shield September 1995 - June 1999
Legent November 1993 - September 1995
Triad Systems Corporation June 1987 - June 1993
Skills
Six Sigma, PMP, Strategy, Process Improvement, Analysis, ITIL, Leadership, Operations Management, SDLC, Process Engineering, Project Portfolio..., Change Management, Quality Assurance, Cross-functional Team..., Team Leadership, Business Process, Business Intelligence, IT Strategy, Outsourcing, Program Management, Operational Excellence, Quality Management, PMO, Team Building, Customer Experience, Project Management, Vendor Management, Business Analysis, Business Process..., Continuous Improvement, Visio, Strategic Planning, Integration, Project Planning, Management, IT Service Management, Technical Support, Software Documentation, IT Management, Product Management, MS Project, ERP, Requirements Analysis, SharePoint, Software Project..., Risk Management
Education
Penn State University 2004 — 2006
Master, Business Administration
Northwood University 1983 — 1987
Cooper University Health Care June 2015 - Present
Towers Watson 2014 - Present
Aon Hewitt April 2013 - February 2014
Highmark Blue Cross Blue Shield May 2011 - April 2013
Mercer May 2004 - May 2011
Aon Hewitt May 1999 - May 2004
Skills
Process Improvement, Employee Benefits, Business Analysis, Vendor Management, Business Process..., Change Management, Project Management, Benefits Administration, Human Resources, Management, Performance Management, Leadership, Program Management, Talent Management, Outsourcing, Training, HRIS, Analysis
Education
La Salle University - School of Business Administration
Accounting
Allegheny Health Network January 2014 - Present
Highmark Blue Cross Blue Shield May 2012 - Present
Highmark July 2010 - May 2012
Aetna April 2005 - July 2010
UPMC Health Plan 2003 - 2005
Education
Penn State University
BS, Health Policy and Administration
Highmark January 2014 - Present
Allegheny General Hospital September 1988 - Present
Highmark Blue Cross Blue Shield January 2004 - January 2009
Skills
Disease Management, Health Insurance, Managed Care, Case Managment, Healthcare, Motivational..., Certified Case Manager, Healthcare Management, Case Management, Health Promotion, Nursing, Clinical Research, Patient Safety, Health Education
Education
La Roche College 1990 — 1995
Master's degree, Human Resources Management/Personnel Administration, General
University of Pittsburgh 1980 — 1984
BSN, Registered Nursing/Registered Nurse
Capital BlueCross September 2015 - Present
Capital BlueCross January 2014 - September 2015
Highmark Blue Cross Blue Shield February 2011 - January 2014
Highmark 1997 - February 2011
Skills
Performance Management, PeopleSoft, Talent Management, HRIS, Organizational..., Workforce Planning, Organizational Design, Personnel Management, Talent Acquisition, Compensation Structure..., Employee Engagement, Succession Planning, Employee Benefits, Onboarding, HR Policies, Executive Pay, Compensation Structures, Deferred Compensation, Compensation & Benefit, Human Resources, Performance Improvement
Education
Lock Haven University of Pennsylvania 1987 — 1990
UPMC Mercy October 2012 - Present
Independent Consultant 1997 - Present
UPMC Health Plan October 2007 - October 2012
UPMC Healthplan June 2006 - October 2007
UPMC Healthplan September 2005 - June 2006
Deloitte Consulting January 2005 - October 2005
Highmark Blue Cross Blue Shield October 1997 - January 2005
Highmark 1996 - 2005
Highmark Blue Cross Blue Shield October 1997 - September 2000
UPMC Healthcare System June 1996 - October 1997
Skills
Business Development, Managed Care, Healthcare Consulting, Healthcare, Medicare, Medicaid, Healthcare Information..., Healthcare Management, HIPAA, Health Insurance, Process Improvement, EHR, Strategic Planning, Insurance, Hospitals, Program Management, Project Management, Leadership, Change Management, Team Building, Clinical Research, Home Care, Case Management, Training, Disease Management
Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business 2003 — 2007
MBA, Business
La Roche College 1987 — 1991
MSN, Nursing Administration
La Roche College 1983 — 1986
BSN, Nursing
HighRoads July 2011 - Present
ADP September 2008 - July 2011
EDS 2005 - 2008
Towers Perrin 2000 - 2005
Norfolk Southern Railroad 1998 - 2000
Highmark Blue Cross Blue Shield 1992 - 1996
Skills
Business Process..., Recruiting, Technical Writing, Benefits Administration, Employee Benefits, Outsourcing, Vendor Management, Process Improvement, Project Management, Business Analysis, Performance Management, Human Resources, HRIS, Call Center, Change Management, Team Leadership, Visio, MS Project, Team Building, Account Management, Analysis, Deferred Compensation, Management, Program Management
Education
Project Management Institute 2011 — 2011
PMP, Project Management
Old Dominion University - College of Business and Public Administration 1996 — 1998
MBA, Human Resources Management
Penn State University 1986 — 1991
BA, Labor Studies
Highmark, Inc. Senior Disaster Recovery CoordinatorHighmark Blue Cross Blue ShieldJanuary 2005 - Present
Highmark Blue Cross Blue Shield 2001 - 2004
Highmark, Inc. 1988 - 1993
Education
Penn State University 1962 — 1973
BS, Business
Government of Nova Scotia May 2015 - Present
Government of Nova Scotia 2012 - May 2015
Deloitte 2010 - 2011
IBM 2008 - 2010
Cognos 2007 - 2008
CGI 2003 - 2006
Highmark Blue Cross Blue Shield 2000 - 2003
Ciber 1998 - 2000
Accenture 1997 - 1998
Skills
Cloud Computing, Pre-sales, Enterprise Software, Solution Selling, SaaS, Storage, Virtualization, Solution Architecture, Sales Enablement, Professional Services, Software Industry, Storage Virtualization, IT Service Management, Data Center, Partner Management, Enterprise Architecture, Business Intelligence, Information Management, Architecture, IT Strategy, ITIL, Business Process, Integration, IT Management, Requirements Analysis, Governance, SOA, Software Project..., Data Warehousing, Architectures, SDLC, Business Analysis, Project Portfolio..., SharePoint, Business Process Design, Consulting, Systems Analysis, Business Process..., Master Data Management, PMP, Databases, Program Management, Software Development, Enterprise Content..., Technical Architecture, ERP, Application Architecture, ETL, Project Delivery, Project Management
Education
College of the North Atlantic 1996 — 1997
Applied Business Information Technology
Memorial University of Newfoundland 1990 — 1995
Bachelor of Science (B.Sc.), Behavioural Neuroscience
Retired and enjoying time to pursue personal interests and family February 2015 - March 2015
Highmark Blue Cross Blue Shield November 2010 - February 2015
Highmark Blue Cross Blue Shield November 2010 - February 2015
Highmark Blue Cross Blue Shield November 1997 - October 2010
Skills
SharePoint, Strategic Planning, Program Management, Microsoft Office, Business Analysis, Health Insurance, Medicare, Business Process..., Analysis, Business Requirements, Requirements Gathering, RUP, Change Management, Process Engineering, Data Analysis, Business Process, Compliance, Requirements Analysis, Customer Relations, Lotus Notes, Documentation, Problem Solving, MS Project, Excel, Budgeting, Employee Benefits, Mentoring, Project Planning, Software Documentation, Access, Organizational..., Insurance, Customer Service, Vendor Management, Budgets
Education
Penn State University
MBA, Accounting
Highmark Blue Cross Blue Shield March 2013 - Present
Blue Cross of Northeastern Pennsylvania March 2006 - March 2013
Skills
Health Insurance, Insurance, Employee Benefits, Actuarial Science, Underwriting, Medicare, Disability Insurance, Financial Modeling, Health Care Reform, Life Insurance, Managed Care, Property, Reinsurance, Workers Compensation
Education
Wilkes University 2006 — 2008
MBA, Health Care Management
Penn State University 2002 — 2006
BA, Actuarial Science
AbbVie February 2013 - Present
Abbott Laboratories March 2010 - December 2013
Abbott March 2008 - March 2010
Boehringer Ingelheim October 2003 - March 2008
Highmark Blue Cross Blue Shield December 2000 - March 2004
RX HEALTH GROUP December 1998 - December 2000
CHARTWELL PENNSYLVANIA April 1996 - December 1998
Skills
Pharmaceutical Sales, Pharmaceutical Industry, Market Access, Managed Care, Sales Effectiveness, Cardiology, Pharmacy, Healthcare, Strategy, Product Launch, Marketing Strategy, Cross-functional Team..., Account Management, Biotechnology, Oncology, Business Development, Project Management, Managed Markets..., Business & Marketing..., Patient Access, Reimbursement, Biosimilars /..., Specialty Pharmacy..., Corporate / Strategic...
Education
Northwestern University - Kellogg School of Management
CHIE
University of Pittsburgh
Bachelor's Degree, Pharmacy
OhioHealth January 2015 - Present
America's Health Insurance Plans April 2012 - December 2014
Highmark January 2012 - March 2012
Highmark Blue Cross Blue Shield May 2011 - December 2011
McKown & McKown Co. L.P.A. November 2009 - August 2010
McKown & McKown Co. L.P.A. May 2007 - November 2009
Skills
Healthcare, Research, Analysis, Healthcare Management, Insurance, Policy Analysis, Healthcare Information..., Data Analysis, Policy, Strategic Planning, Legal Research, Microsoft Office, Microsoft Excel, PowerPoint, Legal Writing, Microsoft Word, Health Policy
Education
University of Pittsburgh 2010 — 2011
MPH, Health Policy and Management
Ohio Northern University—Claude W. Pettit College of Law 2006 — 2009
Juris Doctorate, Law
Ohio Northern University 2002 — 2006
B.S. with Honors, Biology
Highmark of Delaware April 2014 - Present
Highmark Blue Cross Blue Shield April 2013 - April 2014
NPM Consultants 2000 - April 2013
The Chester County Hospital 2010 - 2012
The Bryn Mawr Rehabilitation Hospital 2005 - 2006
Great Valley Health (now Main Line Health Care) 1996 - 2000
University of Pennsylvania Health System 1988 - 1991
Brandywine Hospital 1987 - 1988
Chestnut Hill Hospital 1979 - 1986
Skills
Medical Legal Consulting, Stroke Management, Data Management, Quality Improvement, Nursing Management
Education
Villanova University
MSN, Nursing Administration
La Salle University 1981 — 1986
BSN, Nursing
Montgomery County Community College 1977 — 1979
Associate's degree, Nursing Science
Highmark Blue Cross Blue Shield June 2011 - Present
JRL Enterprises April 2006 - June 2011
Highmark Blue Cross Blue Shield October 2002 - May 2005
Telution January 2000 - October 2002
Deloitte July 1997 - October 2000
126th Air Refueling Wing July 1994 - January 1997
183rd Tactical Fighter Group January 1990 - April 1994
Education
Northern Illinois University 1994 — 1997
BA, Information Systems
Highmark June 2010 - March 2014
Highmark Blue Cross Blue Shield June 2010 - December 2012
Highmark June 2007 - June 2010
Skills
Insurance, Leadership, Team Building, Process Improvement, Business Analysis, Requirements Gathering, Risk Management, Data Analysis, Health Insurance
Education
Robert Morris University 2008 — 2010
MBA, Business Administration
Penn State University 2000 — 2004
BS, Human Development and Family Studies
Highmark Blue Cross Blue Shield April 2006 - Present
Penn State University January 2003 - Present
Luzerne County Community College January 2003 - Present
Geisinger Wyoming Valley Medical Center September 1980 - March 2006
Skills
Clinical Research, Nutrition Education, Nutrition, Healthcare, Health Education
Education
Marywood University 1973 — 1979
BS/MS, Food and Nutrition
Caesars Entertainment Corporation April 2014 - Present
Pralytics Consulting September 2013 - Present
FICO February 2013 - September 2013
Highmark Blue Cross Blue Shield April 2012 - October 2012
Market Force Information November 2006 - March 2012
Beldevs, LLC 2004 - 2006
Reliant Energy 2001 - 2004
Continental Airlines 1999 - 2001
Exxon Mobil 1997 - 1999
Towers Perrin 1997 - 1997
Skills
Predictive Analytics, Segmentation, Analytics, Customer Insight, SAS, Data Analysis, Statistics, Statistical Modeling, Predictive Modeling, Market Research, Quantitative Research, Data Mining, Marketing Research, Customer Analysis, SPSS, Strategy, Analysis, CRM, Customer Experience, Business Analytics, Competitive Analysis, Database Marketing, Quantitative Analytics, Cross-functional Team..., Qualitative Research, Business Development, Logistic Regression, Consumer Behaviour, Decision Trees, Business Intelligence, Financial Modeling, Forecasting, Process Improvement, Market Analysis, Leadership, Management
Education
Lancaster University 1990 — 1994
Ph.d, Operations Research, Management Science
Lancaster University 1989 — 1990
M.Sc., Operations Research
University of Bradford 1986 — 1989
B.Sc., Mathematics and Statistics
Lycee Buea 1980 — 1986
Ecole Bilingue 1972 — 1978
Highmark Blue Cross Blue Shield November 1989 - Present
Education
Penn State University 1984 — 1988
BS, Health Policy, Planning and Adm
DaVita Kidney Care March 2015 - Present
Highmark Blue Cross Blue Shield December 2011 - March 2015
Booz & Company June 2008 - December 2011
Roche Pharmaceuticals April 2003 - August 2007
Roche Pharmaceuticals May 1999 - April 2003
W.L. Gore & Associates January 1998 - August 1998
Education
Northwestern University - Kellogg School of Management 2007 — 2009
MBA, Analytical Consulting, Marketing
Northwestern University - McCormick School of Engineering 2007 — 2009
MEM, Operations
University of South Carolina-Columbia 1995 — 2000
BSc, Chemical Engineering
South Carolina Governor's School for Science and Math 1993 — 1995
Iconsoft Inc June 2014 - Present
Highmark Blue Cross Blue Shield August 2006 - May 2014
Cognizant Technology Solutions October 2002 - August 2006
Seranova 2000 - 2002
Intelligroup 1999 - 2000
Skills
SDLC, Application Architecture, Business Process..., Object Oriented Design, Enterprise Architecture, Project Management, Application Lifecycle..., Flex, Websphere, SOA, Java Enterprise Edition, Software Project..., Integration, Requirements Analysis, Weblogic, Struts, WebLogic, WebSphere
Education
Osmania University 1994 — 1997
MCA
Sri Venkateswara University 1991 — 1994
Bachelor of science
Thermo Fisher Scientific November 2014 - Present
The Bible Chapel July 2014 - Present
Bayer September 2008 - November 2014
The Bible Chapel November 2008 - July 2014
Bayer October 2005 - August 2008
Highmark Blue Cross Blue Shield January 2001 - October 2005
Skills
Computer Hardware, Software Installation, Software Implementation, System Administration, Microsoft Office, Event Management, SharePoint, IT Solutions, Team Leadership, Lighting Design, Project Management, Training, Corporate Events, Databases, Automotive, Concert Production, Event Producing, Process Flow..., Process Improvement, Process Implementation, Process Assessment, Data Center, Database Auditing, Data Center Audits, Data Mining, Requirements Gathering, Data Analysis, Microsoft Access, Stage Design, Team Building, Volunteer Training, Employee Training, Adobe Captivate, Visio, Software Documentation, Leadership, Management, Cross-functional Team..., Troubleshooting, Disaster Recovery, Windows 7, Captivate
Education
Pittsburgh Technical Institute 1998 — 2000
Computer Systems Specialist, Computer Systems and Programming
Liberty University 1997 — 1998
Highmark May 2011 - Present
United Concordia Companies Inc. June 2001 - October 2011
Highmark Blue Cross Blue Shield July 1996 - June 2001
Skills
Financial Reporting, Budgets
Education
Lebanon Valley College 1988 — 1992
BS, Accounting & Management
School name:
CHS 2012 - Present
McKesson Health Solutions 2009 - December 2011
Highmark Blue Cross Blue Shield 1989 - 2007
Skills
Managed Care, Healthcare, Healthcare Management, Hospitals, EMR, Nursing, Healthcare Information..., Strategic Planning, Inpatient, Medicare, Certified Case Manager, CPR Certified, Utilization manager
Education
Mercyhurst University
Bachelor's Degree, Business/Nursing
The University of North Carolina at Chapel Hill July 2015 - Present
Belhaven University January 2014 - June 2015
Hinds Community College 2008 - 2014
Central MS Medical Center 2008 - 2008
Highmark Blue Cross Blue Shield 2006 - 2008
The University of MS Medical Center 2005 - 2006
Hinds Community College 2003 - 2005
St. Dominic Hospital 2002 - 2003
US Nursing- Fastaff 2001 - 2002
Skills
Nursing, BLS, Nursing Education, Higher Education, Adult Education, Health Education, Teaching, Staff Development, Public Speaking, Public Health, Healthcare, College Teaching, PowerPoint, Patient Safety, Microsoft Word, Hospitals, E-Learning, Case Management, Curriculum Development, Curriculum Design, Utilization Review, Case Mangement, Clinical Research, ACLS, Medicine, Registered Nurses, Surgery, Critical Care
Education
Mississippi College
BSN, Nursing
University of Mississippi
MSN, Nursing
Highmark Blue Cross Blue Shield 2000 - Present
Highmark August 2007 - September 2007
Highmark Blue Cross Blue Shield September 2000 - September 2007
Skills
Health Savings Accounts, Insurance, Health Insurance, Medicare, Brokers, Managed Care, Employee Benefits, Disability Insurance, Medicare Part D, Health Policy, Benefits Administration, HMO, Medicaid, Underwriting, Claim, HIPAA, Health Care Reform, Healthcare, Life Insurance, PPO, Provider Relations, Sales, Customer Service, Account Management
Education
Old Dominion University 1987 — 1990
Psycology, Medicinal and Pharmaceutical Chemistry
Highmark January 2013 - Present
Highmark November 2010 - January 2013
Highmark Blue Cross Blue Shield June 2008 - November 2010
Skills
Health Insurance, Business Process, Access, Change Management, Business Intelligence, Agile Methodologies, SDLC, Business Objects, IT Strategy, Quality Assurance, Call Center, Business Analysis, Process Improvement, Requirements Gathering, Business Requirements, Program Management, Business Process...
Education
Niagara University 1980 — 1984
Bachelor of Science (B.S.), Hotel, Motel, and Restaurant Management
Reams & Associates, Inc. August 2004 - Present
Highmark Blue Cross Blue Shield October 1993 - August 2004
Education
Penn State University 1983 — 1987
Bachelor, Business Administration
Cathedral Prep 1979 — 1983
Commonwealth of Pennsylvania July 2013 - Present
United Concordia 2007 - July 2013
United Concordia January 2003 - June 2007
United Concordia April 2001 - January 2003
Highmark Blue Cross Blue Shield September 1999 - April 2001
Highmark Blue Cross Blue Shield April 1995 - September 1999
Highmark Blue Cross Blue Shield September 1994 - April 1995
Skills
Health Insurance, Underwriting, Dental Insurance, Competitive Intelligence, Competitive Analysis, Marketing Research, Managed Care, Analysis, Employee Benefits, Data Analysis, Insurance, Healthcare, Program Management, Customer Service, Microsoft Office, Account Management, Process Improvement, Strategic Planning
Education
Penn State University 1989 — 1993
Bachelor of Science (B.S.), Secondary Education Mathematics, 3.45
Holistic Reflexology September 2011 - Present
Family Hospice & Palliiative Care 2008 - Present
Highmark Blue Cross Blue Shield 2006 - 2008
Health Dialog 2004 - 2006
CIGNA Healthcare 1994 - 2004
GlaxoSmithKline 1981 - 1989
Skills
Nursing, Healthcare Management, Reflexology, Aromatherapy, Pharmaceutical Sales, Holistic Health, Hospice, Pediatric Nursing, Neonatal Nursing, Trauma Nursing, Health Education, Pediatrics, Palliative Care, Nursing Education, Patient Safety, Inpatient
Education
Aromahead Instutute 2014 — 2015
Certification, Aromatherapist
300 hour Reflexology Certification Course/Brauer Method 2012 — 2013
American Association of Holistic Reflexology Approved Program, Holistic Reflexology, Guided Meditation
Penn State University 1991 — 1994
Nursing
Highmark Blue Cross Blue Shield DirectorHighmark Blue Cross Blue Shield1999 - 2011
Highmark Blue Cross Blue Shield 1999 - 2011
Education
Michigan State University 1975 — 1980
Bachelor's, Mechanical Engineering/ Business Administration
Highmark Blue Cross Blue Shield Medical DirectorHighmark, Inc1998 - Present
Skills
Utilization Management, HMO, Medicare, Health Insurance, Healthcare Management, Hospitals, Managed Care, Medicaid, Healthcare, Health Policy, Healthcare Consulting, Disease Management, HIPAA, Healthcare Information..., Informatics, Medical Coding, Healthcare Industry, Medicine, Quality Improvement, EHR, Clinical Research, Practice Management, EMR, Insurance, Process Improvement
Education
University of Pennsylvania 1966 — 1970
Master of Science (MS), Electrical Engineering
Muhlenberg College
BS
U of Pennsylvania
MD
Waynesberg University
MBA
Highmark Blue Shield October 2007 - Present
Highmark Blue Cross Blue Shield July 2001 - September 2007
Highmark Blue Cross Blue Shield December 1996 - September 2001
Capital Blue Cross November 1993 - December 1996
Skills
Data Analysis, SAS programming, Access, PowerPoint, Health Insurance, Team Building, Microsoft Office, Statistical Modeling, Teradata, SQL, Microsoft Excel, SAS, Data Warehousing, Microsoft Word, ETL
Education
Maryland University of Integrative Health 2013 — 2016
Master's Degree, Acupuncture
Penn State University 1986 — 1992
B.S., Mathematical Science - Operations Research
PayPal March 2014 - Present
PayPal May 2012 - March 2014
Mzinga November 2009 - May 2012
KnowledgePlanet 2001 - 2009
Highmark Blue Cross Blue Shield 1997 - 2000
Skills
Engineering Management, Process Improvement, SaaS, Agile, Server Architecture, Software Development, Web Services, Java, JavaScript, REST, Mobile, Quality Assurance, PaaS, Waterfall, Agile Methodologies, Groovy, Scrum, Mobile Devices, SQL, Enterprise Software, XML, Web Applications, Agile Project Management, Oracle, SOA, Software Engineering, Cloud Computing
Education
Messiah College 1993 — 1997
Bachelor of Science (BS), Computer Science
WellCare Health Plans May 2015 - Present
Carnival Cruise Line August 2013 - Present
American Express June 2012 - August 2013
JPMorgan Chase June 2011 - June 2012
Standard and poors 2010 - 2011
Highmark Blue Cross Blue Shield August 2009 - October 2010
Farmers Insurance October 2008 - May 2009
Master Card 2008 - 2008
Skills
Pega PRPC, SOA, Java, JavaScript, J2EE Application..., Integration, Database Design, Oracle SQL
Education
Osmania University
Master's degree, Computer Science
St Anns High School, BHEL,Hyderabad
United Concordia December 2012 - Present
United Concordia June 2011 - January 2012
Highmark Blue Cross Blue Shield June 2011 - November 2011
Skills
Six Sigma, Business Process..., Business Analysis, Project Management, Process Improvement, Analysis, Visio, Insurance, Data Analysis, Financial Analysis, Change Management, Team Building, Risk Management, Access
Education
PMP Certification 2012 — 2012
Project Management Professional
Six Sigma Black Belt 2008 — 2008
Six Sigma Black Belt
Lebanon Valley College 1994 — 1996
Master of Business Administration
Pennsylvania State University
Bachelor, Accounting and Finance
Highmark Blue Cross Blue Shield June 1998 - Present
BNY Mellon April 1984 - May 1998
Education
Penn State University
Highmark Blue Cross Blue Shield May 2005 - Present
Highmark Blue Shield May 2003 - June 2005
Highmark Blue Cross Blue Shield January 1998 - May 2003
Amisys Synertech May 1995 - June 1998
Education
Mansfield University of Pennsylvania 1984 — 1988
Bachelors, Business
UPMC Health Plan November 2011 - Present
Mercer August 2010 - November 2011
Highmark Blue Cross Blue Shield January 2001 - July 2010
Skills
Underwriting
Education
Penn State University 1989 — 1993
B.S., Economics
Ambridge Area High School 1986 — 1989
Capital Blue Cross January 2007 - Present
Capital Blue Cross January 2001 - January 2007
Lady Foot Locker May 1995 - September 2001
Highmark Blue Cross Blue Shield January 1996 - January 2001
Skills
Health Insurance, Insurance, Process Improvement, Managed Care, Customer Service, Team Building, Outlook, Business Analysis, Visio, Customer Satisfaction, Training, Microsoft Excel
Education
Lock Haven University of Pennsylvania 1991 — 1995
Bachelor's degree, Business Administration, Management and Operations
Jersey Shore High School 1989 — 1991
Highmark Blue Cross Blue Shield February 1991 - Present
Skills
Health Insurance, Requirements Gathering, Business Requirements, Business Analysis, Insurance, Software Documentation, Data Analysis, Vendor Management, Business Process..., Process Improvement, SDLC
Education
Penn State University 1987 — 1993
D.Ed., Adult Education
University of North Carolina at Chapel Hill 1984 — 1986
MSPH, Health Policy and Administration
Old Dominion University 1982 — 1983
B.S., Dental Hygiene
Temple University 1980 — 1982
A.S., Dental Hygiene
SoftWriters, INC March 2015 - Present
Highmark Blue Cross Blue Shield August 2013 - December 2014
Highmark Blue Cross Blue Shield August 2009 - August 2013
Highmark Blue Cross Blue Shield January 1998 - August 2009
Highmark Blue Cross Blue Shield January 1988 - December 1998
Skills
Microsoft Office, Customer Service, Microsoft Word, Microsoft Excel, Research, PowerPoint, Outlook, Windows, Sales, Business Analysis, Test Planning, Regression Testing, Test Cases, Business Requirements, Defect Identification, IBM Rational Tools, English
Education
Ohio Wesleyan University 1976 — 1980
Bachelor of Applied Science (BASc), Computer Science
Highmark Blue Cross Blue Shield March 2011 - Present
River Park Hospital July 2006 - March 2011
Tara F. Ray D.O. Psychiatric Services PLCC January 2009 - April 2010
Marshall University January 2007 - December 2008
Prestera Center for Mental Health May 2001 - August 2005
Education
Marshall University 2003 — 2005
Master of Arts, Counseling with Mental Health Emphasis
Marshall University 1998 — 2002
Bachelor of Arts, Psychology
Glatfelter Insurance Group December 2014 - Present
Glatfelter Insurance Group April 2012 - December 2014
Highmark Blue Cross Blue Shield April 2009 - April 2012
Highmark Blue Cross Blue Shield August 2007 - December 2009
Highmark Blue Cross Blue Shield December 2004 - August 2007
Highmark Blue Cross Blue Shield November 2002 - December 2004
Computer Aid, Inc. January 2000 - November 2002
TE Connectivity November 1997 - January 2000
AMP Incorporated May 1992 - November 1997
Skills
Enterprise Architecture, Requirements Analysis, Integration, Design Patterns, Java, Websphere, OOAD, SQL, Application Development, Struts, Application Architecture, Requirements Gathering, J2EE, JSP, JDBC, Architecture, SDLC, Oracle SQL, WebSphere Application..., Eclipse, XML, ODBC, OOP, Unix, UML, Team Management, Web Applications, Software Development
Education
Messiah College 1988 — 1992
BS, Mechanical Engineering
Highmark Health Solutions June 2005 - Present
Highmark Blue Cross Blue Shield July 1996 - June 2005
Pennsylvania Blue Shield January 1990 - July 1996
Skills
Business Analysis, PMP, SDLC, Software Project..., Requirements Gathering, Process Improvement, Project Portfolio..., SharePoint, Requirements Analysis, PMO, Management, Program Management, Project Management, Vendor Management, Visio, Business Process, Project Delivery, Business Process..., MS Project, Business Requirements, Mainframe MVS SAS, Database Migraion, Certified Lean Six...
Education
Lebanon Valley College 1990 — 1996
Master of Business Administration (MBA), Business Administration and Management, General
Rutgers, The State University of New Jersey-Newark
Bachelor's degree, Public Health Care Planning and Public Administration
Rite Aid May 2011 - Present
Highmark Blue Cross Blue Shield May 2008 - May 2011
Rie Aid Corporation 2011 - 2011
SynerTech Solutions Group LLC August 1997 - October 2003
Rite Aid April 1996 - October 1997
Skills
Microsoft Office, Data Analysis, Report Generation, Business Analysis
Education
Penn State University 1985 — 1989
Bachelor of Science, Quantitative Business Analysis
Highmark Blue Cross Blue Shield March 2012 - Present
Thomas Memorial Hospital July 2001 - March 2012
Skills
Teaching, Mental Health, Program Development, Case Managment, Psychotherapy, Social Services, Patient Safety, Psychology, Hospitals, Healthcare, Group Therapy, Family Therapy, Crisis Intervention, Counseling Psychology, Clinical Supervision, Case Management, Behavioral Health, Treatment
Education
Marshall University graduate college 1999 — 2001
Master's degree, Counseling
West Virginia State College 1995 — 1999
South charleston high school
Aetna March 2005 - Present
PwC March 1999 - March 2005
Highmark Blue Cross Blue Shield November 1982 - February 1999
Skills
Financial Reporting, Financial Analysis, Enterprise Risk..., Risk Management, Internal Audit, Financial Modeling, Insurance, Managerial Finance, Internal Controls, Sarbanes-Oxley, Management Consulting, Financial Risk, Due Diligence, Business Analysis, Process Improvement, Business Process..., Mergers & Acquisitions, Finance, Risk Assessment, Access
Education
Penn State University
Bachelor of Science (B.Sc.), Accounting
Integrated Corporate Health 2012 - Present
Exercise Physiologist and RN January 1992 - Present
ICH 2012 - 2013
Highmark Blue Cross Blue Shield January 1998 - October 2012
Mercy Hospital January 1993 - November 1999
Skills
Fitness, Wellness, Healthcare, Health Promotion, Customer Service, Health Insurance, Management, Program Development, Sales, Case Managment, Training, Team Building, Managed Care, Account Management, Coaching, Case Management, Employee Benefits, Health Education, Leadership, Process Improvement, Wellness Coaching
Education
Mercy School of Nursing 1990 — 1992
Nursing, Registered Nursing/Registered Nurse
Slippery Rock University of Pennsylvania 1980 — 1985
Bachelor of Science (BS), Exercise Physiology
Highmark Blue Cross Blue Shield May 2015 - Present
Skills
Process Improvement, Insurance, Health Insurance, Leadership, Access, Business Analysis
Education
National College 2004 — 2006
Associate’s Degree, Business Administration and Management, General
Hm Health Solutions August 2014 - Present
Highmark Blue Cross Blue Shield June 2001 - August 2014
Hanover Direct June 2000 - June 2001
Time Warner(BOMC) January 1989 - June 2001
Skills
20+ years IT..., WebSphere Application..., WebSphere MQ, Linux System..., IBM Mainframe, Web infrastructure
Education
Lock Haven University of Pennsylvania 1980 — 1984
Bachelor's degree, Computer Science
Highmark Blue Cross Blue Shield May 2013 - Present
United Concordia Dental 2009 - December 2012
United Concordia Dental 2008 - 2009
United Concordia Dental 2006 - 2008
Highmark Blue Cross Blue Shield 2000 - 2006
Highmark Blue Cross Blue Shield 1994 - 2000
Skills
Process Improvement, Health Insurance, Business Analysis, Insurance, Analysis, Leadership, Healthcare, Strategic Planning, Data Analysis, Microsoft Office
Education
Lebanon Valley College 1994 — 1997
Master of Business Administration (MBA), Business Administration and Management, General
Penn State University 1988 — 1991
BS Accounting, Accounting and Finance
Highmark Blue Cross Blue Shield March 2003 - Present
Highmark Blue Cross Blue Shield 2000 - 2003
Alcoa 1996 - 2000
Skills
Oracle PL/SQL..., Unix Shell Scripting, Oracle DBA, Performance Tuning
Education
Marietta College 1984 — 1988
Bachelor of Science/Bachelor of Arts, Computer Science/Music
Beacon Health Options/Value Behavioral Health of Pennsylvania August 2014 - Present
Gateway Health Plan September 2012 - June 2014
Highmark Blue Cross Blue Shield March 2011 - September 2012
Highmark Blue Cross Blue Shield February 1997 - March 2011
HealthAmerica / Coventry Corporation January 1988 - February 1997
David Munro, M.D. September 1986 - February 1988
Skills
Microsoft Office, Microsoft Excel, Customer Service, Research, English, Windows, Outlook, Photoshop, Public Speaking, Teaching, Strategic Planning, HTML, Budgets, Negotiation, Healthcare, Process Improvement, Leadership, Program Management, Managed Care, Health Insurance
Education
Lake Erie College 1980 — 1983
Bachelor's Degree, Physician Assistant Studies
Independent ATM Business Owner January 2009 - Present
Johnstone Plumbing and Tile 2005 - Present
MCMC, LLC 2003 - 2005
National Healthcare Resources / Concentra 2000 - 2003
Highmark Blue Cross Blue Shield 1998 - 2000
Dowd Medical Supply 1996 - 1998
Skills
ICD-10, ICD-9-CM, CPT, HCPCS, Clinical Coding, Healthcare, Hospitals, Research, Microsoft Office
Education
Northern Virginia Community College 2011 — 2015
Clinical Coding
AAPC
ICD-10-CM Code Set Training, Proficient
Highmark Blue Cross Blue Shield June 1985 - Present
Berlex Laboratories Inc July 1983 - June 1985
PSRO 1981 - June 1983
Skills
Vendor Management, Software Project..., Software Installation, Leadership, Process Improvement, SDLC, Insurance, Business Analysis, Project Management, Program Management, Requirements Analysis
Education
Lebanon Valley College 1989 — 1996
Master of Business Administration (MBA), Business Administration and Management, General, 3.0
Rutgers, The State University of New Jersey-Newark 1975 — 1980
Bachelor's degree, Public Health Care Management
Half Price Books January 2011 - Present
Atomic Services August 2008 - June 2009
Highmark Blue Cross Blue Shield September 1985 - October 1986
Skills
Customer Service, Administrative..., Selling
Education
Northeastern State University 1987 — 1991
Bachelor of Science (BS), Accounting
Highmark Blue Cross Blue Shield December 2008 - Present
Skills
Corporate Law, Commercial Litigation, Legal Research, Litigation Management, HIPAA
Education
Widener University School of Law 1993 — 1996
Doctor of Law (J.D.)
La Salle University 1986 — 1990
Bachelor's degree, Biology, General
Highmark Blue Cross Blue Shield January 2015 - Present
Olive Garden November 2014 - January 2015
Penn State Bilingualism and Language Development Lab September 2013 - May 2014
Scott Enterprises, Erie PA. May 2011 - August 2013
Penn State Psychology Department September 2012 - December 2012
Education
Penn State University 2010 — 2014
Bachelor of Science (BS), Psychology, Global & International Studies
Institute for American Universities 2013 — 2013
French Studies
NW PA Collegiate Academy 2006 — 2010
High School
Career Concepts Staffing Services February 2014 - Present
BANKERS LIFE & CASUALTY CO May 2005 - May 2015
Nautilus Child Care March 1998 - May 2004
Highmark Blue Cross Blue Shield February 1993 - March 1998
Education
Penn State University 1984 — 1988
Bachelor of Science (B.S.), Elementary Education and Teaching, K-6