Highmark Medicare Services

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56 Highmark Medicare Services employees in database. Find out everything there's to know about Highmark Medicare Services 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 Medicare Services Employees

Employee
Years
Job
Industry
Maria Ettore Maria Ettore Greater Pittsburgh Area Details
Maria Ettore's Highmark Medicare Services Experience January 2006 - November 2007
Job Certified Physician Assistant
Industry Hospital & Health Care
Experience
University of Pittsburgh Physicians  April 2015 - Present
UPMC Mercy Hospital  January 2011 - December 2012
Protiviti  November 2007 - June 2010
Highmark Medicare Services   January 2006 - November 2007
Highmark Medicare Services   May 2000 - December 2005

Skills
Healthcare, Medicare, Hospitals, Auditing, Healthcare Management, Process Improvement, Team Building, Business Process..., Revenue Cycle

Education
University of Pittsburgh   2013 — 2014
Master of Science, Physician Assistant

University of Pittsburgh   1997 — 2000
B.S. Health Information Management

Brent Urmey Brent Urmey Lancaster, Pennsylvania Area Details
Brent Urmey's Highmark Medicare Services Experience February 2010 - July 2011
Job Video Editor / Copywriter / Social Media Specialist at New Covenant Software
Industry Motion Pictures and Film
Experience
Fine Living Lancaster  July 2011 - Present
Complete Music and Video  October 2009 - Present
New Covenant Software   January 2013 - November 2014
Tapy   January 2013 - November 2014
Shire Interactive   June 2011 - December 2012
Highmark Medicare Services   February 2010 - July 2011
The Huntington Learning Center  August 2009 - June 2010
Drexel University  October 2005 - June 2009

Skills
Photoshop, Creative Writing, Editing, Final Cut Pro, Video Production, Screenwriting, Film, Video Editing, Social Networking, Research, Microsoft Office, Social Media, Blogging, Social Media Marketing, Web Design, Videography, Film Production, Event Management, Video

Education
Drexel University   2005 — 2009
BS, Screenwriting

Gloucester County Institute of Technology   2001 — 2005
Diploma, Finance

Valerie Assad Valerie Assad Saint Petersburg, Florida Details
Valerie Assad's Highmark Medicare Services Experience April 2011 - October 2011
Job Candidate for Juris Doctor at Stetson University College of Law, Class of 2016
Industry Law Practice
Experience
Stetson University College of Law  July 2013 - Present
St. Petersburg Courthouse   June 2014 - August 2014
Clark & Krevsky, LLC   October 2011 - May 2013
Highmark Medicare Services   April 2011 - October 2011
Technisource  August 2010 - April 2011
Vista Maria  January 2010 - April 2010
East Lansing Police Department  October 2008 - June 2009

Skills
Legal Research, Legal Writing, Customer Service, Office Administration, Westlaw, Lexis, Amicus, Microsoft Office, PACER, Law Enforcement..., Emergency Medical..., Computer Aided Dispatch, Youth Counseling, Mental Health Counseling, Computer Proficiency, Sales, Secretarial Skills, Interpersonal..., College Recruiting

Education
Stetson University College of Law   2013 — 2016
Doctor of Law (J.D.), Law

Michigan State University   2005 — 2009
Bachelor of Arts (B.A.), Criminal Justice

Jim Noss Jim Noss Harrisburg, Pennsylvania Area Details
Jim Noss's Highmark Medicare Services Experience 2001 - 2006
Job Decision Support Lead at Novitas Solutions, Inc.
Industry Hospital & Health Care
Experience
Novitas Solutions, Inc.   2006 - Present
Highmark Medicare Services   2001 - 2006
KePro  1996 - 2001

Skills
SAS, SAS programming

Education
Bloomsburg University of Pennsylvania
Bachelor of Science, Mathematics

Kathryn Berger Kathryn Berger Duncannon, Pennsylvania Details
Kathryn Berger's Highmark Medicare Services Experience September 2008 - November 2011
Job Accountant II at Highmark
Industry Insurance
Experience
Highmark  November 2011 - Present
Highmark Medicare Services   September 2008 - November 2011

Skills
Cash Reporting, Banking, Accounting, General Ledger, Account Reconciliation, Internal Controls, Financial Reporting, Payroll, Finance

Education
Penn State University-Penn State Harrisburg   2007 — 2009
Bachelor of Science, Accounting

Harrisburg Area Community College   2005 — 2007
Associate in Arts, Business Administration

Tawanna Jackson Tawanna Jackson Harrisburg, Pennsylvania Area Details
Tawanna Jackson's Highmark Medicare Services Experience August 1989 - October 2000
Job Technical Assistance Analyst at Highmark
Industry Insurance
Experience
Highmark Health Solutions  August 2000 - May 2015
Highmark Medicare Services   August 1989 - October 2000

Skills
Information Technology, Customer Service, Incident Management, Medicare, Training, Research, Enterprise Software, Software Documentation, Process Improvement, Infrastructure, Management, SharePoint, Microsoft Office

Education
Lancaster Bible College   2010 — 2013
Master's Degree, Pastoral Leadership

Central State University   1984 — 1988
Bachelor's degree, Business Administration/Computer Information Systems

Jason Richwine Jason Richwine Harrisburg, Pennsylvania Area Details
Jason Richwine's Highmark Medicare Services Experience October 2008 - July 2011
Job
Industry Insurance
Experience
Novitas Solutions, Inc. (formerly Highmark Medicare Services)   July 2011 - Present
Paxton Ministries  October 2008 - October 2013
Highmark Medicare Services   October 2008 - July 2011
ProSanos Corporation  August 2006 - October 2008
Highmark Medicare Services   November 1999 - August 2006
KePRO  October 1996 - November 1999
University of South Carolina  August 1994 - May 1996

Skills
Data Mining, Analysis, Analytics, Data Management, Statistics, Healthcare, Data Analysis, Hospitals, SAS, Informatics, Predictive Analytics

Education
University of South Carolina-Columbia   1994 — 1996
MS

Messiah College   1990 — 1994
BA

Andrew Bloschichak Andrew Bloschichak Camp Hill, Pennsylvania Details
Andrew Bloschichak's Highmark Medicare Services Experience 1998 - 2012
Job Chief Medical Officer at Vibra Health Plan
Industry Hospital & Health Care
Experience
Vibra Health Plan   2015 - Present
Highmark  2012 - 2015
Highmark Medicare Services   1998 - 2012

Skills
Healthcare, Utilization Management, Hospitals, Informatics, EMR, Health Economics, Medical Home, HMO, Medicare, Medical Coding, Medical Policy, Provider Networks, Provider Relations, Medicare/Medicaid..., Physician Network..., Primary Care Physicians, Healthcare Analytics, Medical Practice..., Medical Billing, Policy, Managed Care, Physicians, EHR

Education
Hahnemann Medical College   1978 — 1982
MD, Medicine

Wilkes University   1976 — 1978
Bachelor of Science (BS), Biology / Pre-Med

Mount St. Mary's College
MBA, Finance / Marketing

Edwin Sanchez Edwin Sanchez Columbia, South Carolina Details
Edwin Sanchez's Highmark Medicare Services Experience 2000 - 2008
Job Healthcare Executive
Industry Government Administration
Experience
Palmetto GBA  2012 - Present
RiverTrust Solutions Inc.   2008 - 2012
Highmark Medicare Services   2000 - 2008
Philadelphia Gas Works  1988 - 1999
Prudential Insurance  1984 - 1987

Skills
Medicare, Healthcare, Legal, Data Analysis, Information Technology, Operations Management, Contract Management, Change Management, Project Management, Compliance, Auditing, Financial Analysis, Management, Leadership, Process Improvement, Analysis, Business Analysis, Finance, Program Management, Healthcare Information..., Strategic Planning, Software Documentation, Policy, Healthcare Consulting, Medicaid, Access, Insurance, Government, Healthcare Management, Team Building, Strategy, Business Process..., Risk Management, Management Consulting, HIPAA, Budgets, Training

Education
Drexel University - College of Business and Administration   1996 — 1999
M.B.A., Executive Management

Temple University - James E. Beasley School of Law   1992 — 1996
J.D., Law

Haverford College   1978 — 1982
B.A., Economics

Christopher Antonucci, MBA Christopher Antonucci, MBA Camp Hill, Pennsylvania Details
Christopher Antonucci, MBA's Highmark Medicare Services Experience 1997 - 2000
Job Lead Decision Support Analyst at Highmark Blue Shield
Industry Insurance
Experience
Highmark Blue Shield  February 2014 - Present
Highmark Blue Shield  November 2012 - January 2014
Highmark Blue Shield  November 2011 - November 2012
Highmark Blue Shield  2000 - November 2011
Highmark Medicare Services   1997 - 2000
Morrison Knudsen Corporation  1997 - 1997
Pennsylvania Higher Education Assistance Agency  1994 - 1997

Skills
Unix, DB2, Excel, MS Project, Teradata, Healthcare, SAS, Analysis, SQL, Data Analysis, Databases, Mentoring, Management

Education
Eastern University   2009 — 2011
MBA, Management

Eastern University   2007 — 2008
BA, Organizational Leadership

HACC, Central Pennsylvania's Community College
AS, Technology Studies

Charles Stokes Charles Stokes Harrisburg, Pennsylvania Area Details
Charles Stokes's Highmark Medicare Services Experience October 2006 - December 2011
Job Director Business Relationship Management at Diversified Service Options
Industry Government Administration
Experience
Diversified Service Options  April 2015 - Present
Diversified Service Options  January 2012 - March 2015
Highmark Medicare Services   October 2006 - December 2011
Highmark Medicare Services   November 1998 - October 2006
Highmark Medicare Services   February 1991 - November 1998
Highmark Medicare Services   November 1987 - February 1991
Retail Management  June 1983 - November 1987

Skills
Medicare, Business Analysis, Project Management, Business Process..., Process Improvement, Change Management, Vendor Management, Healthcare, Management, Insurance, Software Documentation, Customer Service, Microsoft Office, Microsoft Excel, Leadership, Training

Education
Penn State University   1978 — 1983
BS, Business Management

The George Washington University
Masters Certificate Project Management, Project Management

Douglas Dyer, Jr. - MBA, CPC Douglas Dyer, Jr. - MBA, CPC York, Pennsylvania Area Details
Douglas Dyer, Jr. - MBA, CPC's Highmark Medicare Services Experience August 2009 - July 2012
Job Manager, Operations Support at Novitas Solutions, Inc.
Industry Hospital & Health Care
Experience
Novitas Solutions, Inc.   February 2015 - Present
Novitas Solutions, Inc.   July 2012 - February 2015
Highmark Medicare Services   August 2009 - July 2012
Novitas Solutions, Inc.   January 2008 - August 2009

Skills
Medicare, Healthcare, Hospitals, Clinical Research, Microsoft Excel, PowerPoint, Microsoft Office, Outlook, Data Analysis, Project Management, Process Improvement, Managed Care, Training, Microsoft Word, Customer Service, Medical Coding, EMR, Community Outreach, Healthcare Management, Strategic Planning

Education
Capital College, Pennsylvania State University   2008 — 2013
Master of Business Administration (M.B.A.), Business Administration and Management, General

Penn State University - Smeal College of Business   2003 — 2007
BS, Business Management

Veng (Wen) Huynh Veng (Wen) Huynh Washington D.C. Metro Area Details
Veng (Wen) Huynh's Highmark Medicare Services Experience May 2009 - August 2009
Job BPM Senior Consultant at Appian
Industry Information Technology and Services
Experience
Appian Corporation  September 2014 - Present
Accenture  June 2011 - September 2014
Penn State Residential Computing   February 2008 - May 2011
PNC Financial Services Group  May 2010 - August 2010
Highmark Medicare Services   May 2009 - August 2009

Skills
Technical Architecture, Database Administration, WebSphere Application..., Release Management, Configuration Management, Manage Client..., Oracle 11g Databases, Version Control, Toad, Unix, Defect Tracking, SQL, Java, Oracle Admin, Test Director, Test Planning, C++, System Testing, Application Monitoring, WebSphere MQ, Oracle PL/SQL..., Tortoise SVN, Storage Management, HP Quality Center, Active Directory, Application Support, Data Analysis, Oracle, Databases, Requirements Analysis, Project Management, Testing, Management, Infrastructure, Windows Server

Education
The Pennsylvania State University   2007 — 2011
B.S, Information Sciences and Technology

Penn State University

Devin Marino Devin Marino Harrisburg, Pennsylvania Area Details
Devin Marino's Highmark Medicare Services Experience November 2008 - February 2011
Job Student at Harrisburg Area Community College
Industry Hospital & Health Care
Experience
Harrisburg Area Community College  August 2006 - Present
Highmark Medicare Services   November 2008 - February 2011
First Health Services  November 2004 - October 2008

Skills
Microsoft Word, Microsoft Excel, 10 Key, Data Entry, Medical Terminology, Customer Service, Problem Solving, Data Analysis, Social Media, Teamwork, Team Leadership, Healthcare Management, PowerPoint, Time Management, Healthcare, Outlook, HIPAA, Healthcare Information..., Hospitals

Education
Harrisburg Area Community College   2006 — 2015
Business Administration and Management, General

Millersville University of Pennsylvania   1996 — 1998
Business Administration and Management, General

Ian Mattis Ian Mattis Harrisburg, Pennsylvania Area Details
Ian Mattis's Highmark Medicare Services Experience November 2001 - November 2011
Job Supervisor, Multimedia & Provider Publications at Novitas Solutions, Inc.
Industry Hospital & Health Care
Experience
Novitas Solutions, Inc.   December 2014 - Present
Novitas Solutions, Inc.   November 2011 - December 2014
Highmark Medicare Services   November 2001 - November 2011
Prime Image Communications   July 2000 - August 2001
Holy Spirit Hospital  July 1997 - July 2000

Skills
PowerPoint, Budgets, Public Speaking, Research, Community Outreach, Training, E-Learning, Healthcare, Medicare, Outlook, Microsoft Excel, Project Management, Microsoft Office, Clinical Research, Hospitals, Microsoft Word, EHR, Medical Coding, Medical Billing, CPT, Medicaid, HIPAA, Management, Software Documentation, EMR, Healthcare Information..., ICD-9, Managed Care, Policy, Revenue Cycle

Education
Penn State University   1987 — 1991
Bachelor of Arts, Broadcasting

Beth Dum Beth Dum Harrisburg, Pennsylvania Area Details
Beth Dum's Highmark Medicare Services Experience April 2005 - December 2011
Job Diversified Service Options (parent company of Novitas Solutions/Medicare Contractor)
Industry Hospital & Health Care
Experience
Diversified Service Options (parent company of Novitas Solutions)   January 2012 - Present
Highmark Medicare Services   April 2005 - December 2011
Highmark, Inc.   June 1987 - April 2005
Tri-County Head Start (Perry County)   1985 - 1987

Skills
Excel, Strategic Planning, Healthcare, PowerPoint, Microsoft Office, Problem Solving, Outlook, Lotus Notes, Change Management, Program Management, Writing, New Business Development, Business Process..., Microsoft Excel, Vendor Management, Health Insurance, Organizational..., Leadership, Process Improvement, Training, Medicare, Business Analysis, Contract Management

Education
Shippensburg University of Pennsylvania   1980 — 1984
Bachelors, Elementary Education

Shippensburg University of Pennsylvania   1980 — 1984
Bachelor of Science (BS), Elementary Education and Teaching

Hannah Mackay Hannah Mackay Lancaster, Pennsylvania Details
Hannah Mackay's Highmark Medicare Services Experience May 2008 - January 2011
Job 7th Grade Communication Arts Teacher at Hershey Middle School
Industry Primary/Secondary Education
Experience
Hershey Middle School   June 2015 - Present
Central Dauphin School District  June 2015 - July 2015
Manheim Township School District  February 2015 - June 2015
Derry Township School District  August 2014 - December 2014
YWCA of Lancaster  May 2014 - August 2014
Preparatoria de la Universidad de Guanajuato   March 2014 - March 2014
Lower Dauphin High School   October 2013 - November 2013
Highmark Medicare Services   May 2008 - January 2011

Skills
Secondary Education, Teaching, Research, Lesson Planning, Common Core State..., Public Speaking, Leadership, Teaching Writing, Communication, Customer Service, Leading Meetings, Training, Mentoring, Agenda Development, Classroom, Curriculum Design, Curriculum Development, Teaching Reading

Education
Penn State University, Schreyer Honors College   2010 — 2014
BA with High Distinction and Honors in English Secondary Education, English Secondary Education, 3.98 GPA

Harrisburg Area Community College   2008 — 2010
General Studies

Melanie Saflin Melanie Saflin Greater Pittsburgh Area Details
Melanie Saflin's Highmark Medicare Services Experience October 2008 - Present
Job Independent Agent for Medicare and Health Insurance
Industry Insurance
Experience
Highmark Medicare Services   October 2008 - Present
United Healthcare  October 2008 - Present
Comprehensive Assurance   September 2008 - Present
UPMC  2006 - Present
Verizon Wireless  October 2003 - August 2007

Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business   2006 — 2006
Cetificate, MBA Essentials Certificate Program

Indiana University of Pennsylvania   1984 — 1988

Alison Longenecker Alison Longenecker Harrisburg, Pennsylvania Area Details
Alison Longenecker's Highmark Medicare Services Experience July 2008 - December 2011
Job Supervisor, Service Operations at Novitas Solutions, Inc.
Industry Hospital & Health Care
Experience
Novitas Solutions, Inc.   March 2015 - Present
Novitas Solutions, Inc.   March 2014 - March 2015
Novitas Solutions, Inc. (formerly Highmark Medicare Services)   December 2011 - March 2014
Highmark Medicare Services   July 2008 - December 2011

Skills
Microsoft Excel, Microsoft Word, HIGLAS, FISS, Multi-Carrier System..., Number Crunching, Trend Analysis, Flux Analysis, Commercial Banking, General Ledger, Healthcare, Medicare, Financial Reporting, Financial Analysis, Process Improvement, Analysis, Data Analysis, Customer Service, Accounting, Medical Coding, Accounts Receivable, Microsoft Office, Account Reconciliation, Critical Thinking, Financial Statements

Education
Penn State University   2011 — 2012
Master of Business Administration (M.B.A.), Business Administration and Management, General, 3.56

Susquehanna University   2003 — 2006
Bachelor of Arts (B.A.), Music, 3.39

Mark Snover Mark Snover Greater Pittsburgh Area Details
Mark Snover's Highmark Medicare Services Experience July 2008 - January 2011
Job Director, Reimbursement Innovations at Highmark Inc.
Industry Hospital & Health Care
Experience
Highmark Inc.  August 2014 - Present
Highmark Inc.  July 2013 - August 2014
Highmark Blue Shield  January 2011 - July 2013
Highmark Medicare Services   July 2008 - January 2011

Skills
Leadership, Business Analysis, Process Improvement, Management, Health Insurance, Strategic Planning, Insurance

Education
Penn State University   2009 — 2011
Master of Business Administration (MBA)

Saint Joseph's University   1998 — 2002
Bachelor of Science (BS), Finance

Brian Galbraith Brian Galbraith Dillsburg, Pennsylvania Details
Brian Galbraith's Highmark Medicare Services Experience 2002 - 2009
Job Senior Contracting Specialist at Highmark Blue Cross Blue Shield
Industry Insurance
Experience
Highmark Blue Cross Blue Shield  July 2009 - Present
Highmark Medicare Services   2002 - 2009
Beard Miller CPAs   1998 - 2002

Skills
Certified Public..., Financial Reporting, Internal Controls, Budgets, Accounts Payable, Invoicing, Payroll, Accounts Receivable, Financial Accounting, Account Reconciliation, Forecasting, Strategic Financial...

Education
Kutztown University of Pennsylvania   1999 — 2001
Master of Business Administration (MBA), Business Administration and Management, General

Lock Haven University of Pennsylvania   1992 — 1996
Accounting and Business/Management

Jim Chiado Jim Chiado Camp Hill, Pennsylvania Details
Jim Chiado's Highmark Medicare Services Experience March 2008 - December 2011
Job Director, Benefit Accounting, Debt Recovery & Medicare CFO at First Coast Service Options, Inc.
Industry Hospital & Health Care
Experience
First Coast Service Options, Inc.   January 2013 - Present
Novitas Solutions, Inc.   January 2012 - December 2012
Highmark Medicare Services   March 2008 - December 2011
Highmark Medicare Services   January 2000 - March 2008
Highmark Blue Cross Blue Shield  January 1998 - December 1999
Highmark Blue Shield  January 1993 - December 1997
Highmark Blue Shield  August 1989 - December 1992
KPMG US  April 1987 - July 1989
Highmark Blue Shield  February 1986 - July 1987
Blue Cross Blue Shield of Illinois, New Mexico, Oklahoma & Texas   July 1984 - January 1986

Education
Indiana University of Pennsylvania   1980 — 1984
Bachelor of Science (BS), Business Administration, Accounting

Tamara Bechtel, CPA Tamara Bechtel, CPA Harrisburg, Pennsylvania Area Details
Tamara Bechtel, CPA's Highmark Medicare Services Experience June 2009 - December 2010
Job CPA at Brown Schultz Sheridan & Fritz
Industry Accounting
Experience
Brown Schultz Sheridan & Fritz  December 2010 - Present
Highmark Medicare Services   June 2009 - December 2010
Highmark Medicare Services   May 2008 - January 2009

Skills
Financial Analysis, Internal Controls, Auditing, General Ledger, Financial Accounting, GAAP, Accounting, CPA, Financial Reporting, Account Reconciliation, Accounts Receivable, QuickBooks, Tax, Tax Returns, Tax Accounting, Tax Preparation, Corporate Tax, Cash Flow, US GAAP, Fixed Assets, External Audit

Education
Susquehanna University   2007 — 2009
Bachelor of Science (B.S.), Accounting

Cedar Cliff High School   2001 — 2005

Cynthia Gause Cynthia Gause Baltimore, Maryland Area Details
Cynthia Gause's Highmark Medicare Services Experience December 2005 - March 2007
Job PSC IV at Johns Hopkins Hospital
Industry Hospital & Health Care
Experience
Johns Hopkins Hospital  July 2014 - Present
Johns Hopkins Hospital  August 2011 - July 2014
Kennedy Krieger Institute  March 2007 - July 2011
Highmark Medicare Services   December 2005 - March 2007
Blur Hippo Funding   2004 - 2005
TrailBlazer Health Enterprise  2002 - 2003

Education
Colorado Technical University   2011 — 2017
Bachelors Degree, Information Technology- Network Management

University of Phoenix   2007 — 2011
Associates Degree, Human Services

Benjamin Wirth Benjamin Wirth Denver, Colorado Details
Benjamin Wirth's Highmark Medicare Services Experience May 2009 - August 2009
Job Senior Tax Accountant at EKS&H
Industry Accounting
Experience
EKS&H  August 2015 - Present
PricewaterhouseCoopers LLP  July 2012 - July 2015
Beer, Ream and Company   January 2011 - April 2011
Highmark Medicare Services   May 2009 - August 2009

Skills
Tax Preparation, Income Tax, Account Reconciliation, Fixed Assets, Tax, Financial Statements, Corporate Tax, Accounting, GAAP, Financial Accounting

Education
Villanova University   2011 — 2012
Master of Accountancy, Accounting

University of Pittsburgh   2007 — 2011
Bachelor of Arts, Accounting, Finance

Jessica Grindle Jessica Grindle Harrisburg, Pennsylvania Area Details
Jessica Grindle's Highmark Medicare Services Experience September 2008 - November 2011
Job SHOP Special Inquiries Rep at National Government Services
Industry Real Estate
Experience
SHOP  April 2015 - Present
National Government Services  March 2012 - April 2015
Highmark Medicare Services   September 2008 - November 2011
Jack Gaughen Realtor ERA  June 2004 - September 2008
At&t Wireless  September 2001 - May 2004
Book of the Month Club  May 1998 - September 2001

Skills
Time Management, Call Centers, Training, Troubleshooting, Sales, Invoicing, Customer Service, Investment Properties, Leadership, Medicare, Microsoft Excel, Microsoft Office, Team Building, Telephone Skills

Education
Harrisburg Area Community College   2005 — 2007
Associate of Arts, Marketing; Public Relations

Ray Lichauer Ray Lichauer Greater Pittsburgh Area Details
Ray Lichauer's Highmark Medicare Services Experience January 1997 - Present
Job RETIRED Analyst at Novitas Solutions
Industry Hospital & Health Care
Experience
Highmark Medicare Services   January 1997 - Present

Education
Clarion University of Pennsylvania

Kevin Keck Kevin Keck Baltimore, Maryland Area Details
Kevin Keck's Highmark Medicare Services Experience September 2008 - September 2013
Job CMS Office of Hearings
Industry Government Administration
Experience
Centers for Medicare & Medicaid Services  December 2014 - Present
Novitas Solutions, Inc.   September 2013 - Present
Highmark Medicare Services   September 2008 - September 2013
YellowBook USA  August 2006 - September 2008
PNC Bank  May 2005 - July 2006
PNC Bank  December 2003 - May 2005

Skills
Auditing

Education
York College of Pennsylvania   2012 — 2016
Master of Business Administration (MBA), Healthcare Management

Pennsylvania State University
Bachelor of Arts, Economics

Annette Maher Annette Maher York, Pennsylvania Area Details
Annette Maher's Highmark Medicare Services Experience July 1987 - October 1995
Job Project Manager at Wellspan Health
Industry Information Technology and Services
Experience
WellSpan Health  June 2015 - Present
WellSpan Health  July 2010 - June 2015
Breeches Bar and Grille at Allenberry Inn and Resort   June 2014 - January 2015
Holy Spirit Hospital  March 1997 - July 2010
Carlisle Hospital  October 1995 - March 1997
Carlisle Medical Office   January 1995 - January 1997
Highmark Medicare Services   July 1987 - October 1995
Highmark Blue Shield  January 1987 - January 1995

Skills
Troubleshooting, Program Management, Process Improvement, ITIL, Databases, Software Documentation, Management, Disaster Recovery, Training, Leadership, Project Management, Active Directory, Windows Server, Visio, Security, Facilitating process..., Managing multiple..., Bartending, Customer-focused Service

Education
Capitol Bartending School   2014 — 2014
Certification in Bartending, Mixology

Consulting-Portal   2010 — 2010
No specific degree, IT Infrastructure Library

Sixsigmalonline   2008 — 2009
Green Belt, Six Sigma

Computertraining.com   2007 — 2008
Microsoft Certified Professional, Networking

Harrisburg Area Community College   1981 — 1982
No degree, English

Harrisburg Area Community College   1981 — 1982
English

Corey Williams, Sr Corey Williams, Sr Greater Pittsburgh Area Details
Corey Williams, Sr's Highmark Medicare Services Experience March 2011 - May 2013
Job Supervisor II at BNY Mellon
Industry Hospital & Health Care
Experience
BNY Mellon  May 2013 - Present
Highmark Medicare Services   March 2011 - May 2013
Sanford Brown Institute  October 2010 - March 2011
THE PNC FINANCIAL SERVICE GROUP   December 2003 - November 2009

Skills
Customer Service, Team Building, Microsoft Excel, Auditing, Leadership, Strategic Planning, Accounting, Internal Audit, Process Improvement, Sarbanes-Oxley Act

Education
Point Park University   1996 — 1999
MBA, International Business

Thiel College   1989 — 1993
BA, Accounting and Business Administration

Kim Calloway Kim Calloway Greater Pittsburgh Area Details
Kim Calloway's Highmark Medicare Services Experience September 1997 - September 1999
Job Senior Accountant at Western PA School for the Deaf
Industry Primary/Secondary Education
Experience
Western PA School for the Deaf   July 2014 - Present
American Dental Partners  November 2000 - May 2014
Magee-Womens Hospital  September 1999 - November 2000
Highmark Medicare Services   September 1997 - September 1999
Terry & Stephenson, P.C., Certified Public Accountants   August 1995 - September 1997
Donnelly-Boland and Associates  February 1994 - August 1995
Mellon Bank  March 1991 - February 1993

Skills
Cash Management, Account Reconciliation, General Ledger, Variance Analysis, GAAP, Auditing, Financial Statements, Financial Reporting, Financial Analysis, Internal Controls, Sarbanes-Oxley, Fixed Assets, Accounting, Monthly Close, SEC filings, Sarbanes-Oxley Act, Financial Accounting, Revenue Recognition, Journal Entries, Bank Reconciliation, Accruals, Due Diligence, Year-end Close, Income Tax, Depreciation, Financial Statement..., Tax Preparation, Financial Audits, Financial Forecasting, US GAAP

Education
Point Park University   1988 — 1990
B.S., Accounting

Greg Conover Greg Conover York, Pennsylvania Area Details
Greg Conover's Highmark Medicare Services Experience May 2009 - Present
Job Security analyst at Highmark Medicare Services
Industry Insurance
Experience
Highmark Medicare Services   May 2009 - Present

Education
Penn State University   2006 — 2010

Laura Cermak Laura Cermak Harrisburg, Pennsylvania Area Details
Laura Cermak's Highmark Medicare Services Experience August 2008 - August 2010
Job Manager, Reimbursement & Decision Support at Penn State Milton S. Hershey Medical Center
Industry Insurance
Experience
Penn State Milton S. Hershey Medical Center  2013 - Present
Novitas Solutions, Inc.   2012 - 2013
WellSpan Health  July 2010 - June 2012
Highmark Medicare Services   August 2008 - August 2010
Rite Aid  May 2007 - August 2008

Skills
HIPAA, Process Improvement, Sarbanes-Oxley Act, Revenue Cycle, Managed Care, EHR, Healthcare, EMR, Healthcare Management, Hospitals, Healthcare Information..., Insurance, Customer Service, Microsoft Word

Education
Shippensburg University of Pennsylvania   2004 — 2007
BSBA, Accounting

Patricia Wike Patricia Wike Harrisburg, Pennsylvania Details
Patricia Wike's Highmark Medicare Services Experience March 1995 - April 2006
Job Subject Matter Expert at National Government Services
Industry Insurance
Experience
National Government Services  November 2012 - Present
Hewlett-Packard  April 2007 - November 2012
CCS / Data Systems   May 2006 - December 2006
Highmark Medicare Services   March 1995 - April 2006

Skills
Health Insurance, Healthcare, Health Care Fraud, Medicare, Medicare Part D, Medicare Part B, Medicare Prescription..., Claim Processing, Business Analysis, Business Process..., Process Improvement, Quality Assurance, Quality Control, Medical Procedures, Medical Policy, Program Integrity, Document Drafting, Documentations, Process Flow..., Process Flow Charts, CMS, CMS Program Manuals, Oral & Written..., Claim Investigation, Claims Resolution, Employee Training, New Hire Training, Small Business Health...

Education
Harrisburg Area Community College

Ruth M. Rivera, MBA Ruth M. Rivera, MBA Windsor Mill, Maryland Details
Ruth M. Rivera, MBA's Highmark Medicare Services Experience January 2005 - July 2007
Job Training Coordinator/ Facilitator Center of Medicare and Medicaid Services CMS/HHS/SCG
Industry Public Relations and Communications
Experience
Customer Value Partners  July 2007 - 2013
Highmark Medicare Services   January 2005 - July 2007
Trailblazer Health  December 2001 - January 2005
A&J Healthcare   1998 - 2001

Skills
Healthcare, Excel, Change Management, Microsoft Office, Java, Certified Medical..., Quality Assurance, Analyst Relations, Resume Writing, Notary Public, Creative Writing, Provider Relations, Billing, Bilingual-Spanish, MBA, Customer Service, Business Management, Microsoft Excel, Program Management, Management, Call Centers, Business Analysis, Invoicing, Risk Management, Data Analysis, Business Process..., SDLC, Visio, Analysis, Software Documentation

Education
University of Phoenix   2005 — 2007
MBA, Business

University of Phoenix   2001 — 2005
Bachelor of Business Administration (BBA), Business Administration and Management, General

Adam Flade Adam Flade Greater Philadelphia Area Details
Adam Flade's Highmark Medicare Services Experience April 2000 - April 2008
Job Senior Manager Healthcare Services Group at Heffler, Radetich & Saitta LLP
Industry Hospital & Health Care
Experience
Heffler, Radetich & Saitta LLP   November 2011 - Present
Aria Health  April 2008 - November 2011
Highmark Medicare Services   April 2000 - April 2008
Wellmark  January 1999 - April 2000

Skills
Medicare, Medicaid, Hospitals, Auditing, Budgets, Home Care, Analysis, General Ledger, Revenue Cycle, Healthcare, Financial Statements, Healthcare Management, Variance Analysis, Long-term Care, Healthcare Information..., Process Improvement, Managed Care, HIPAA

Education
Temple University - Fox School of Business and Management   1992 — 1997
BBA, Accounting

Georgia Rackley Georgia Rackley Harrisburg, Pennsylvania Area Details
Georgia Rackley's Highmark Medicare Services Experience August 2004 - October 2006
Job Senior Consultant at SunStone Consulting, LLC
Industry Hospital & Health Care
Experience
SunStone Consulting, LLC  November 2006 - Present
Highmark Medicare Services   August 2004 - October 2006
Highmark Blue Shield  January 2002 - August 2004
Keystone Children and Family Services  September 1997 - August 2001

Skills
Healthcare, Medicare, Hospitals, Revenue Cycle, Healthcare Management, Clinical Research, Healthcare Consulting, HIPAA, EHR, EMR

Education
University of Pennsylvania   1982 — 1983
MSN, Nursing-Child/Adolescent Psychiatry

Georgetown University   1974 — 1978
BSN, Nursing

Anne Strout Anne Strout Greater Pittsburgh Area Details
Anne Strout's Highmark Medicare Services Experience October 2005 - October 2008
Job Senior Fraud Analyst at Highmark Health Services
Industry Insurance
Experience
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

Michele Daley-Ryan Michele Daley-Ryan Harrisburg, Pennsylvania Area Details
Michele Daley-Ryan's Highmark Medicare Services Experience January 2008 - Present
Job Manager, Core Services Operations Support
Industry Hospital & Health Care
Experience
Highmark Medicare Services   January 2008 - Present
INA, Inc   September 2002 - September 2007
Baxter BioScience  February 2001 - July 2001
Caterpillar Claas America LLC   December 1998 - May 2000
US Navy  May 1988 - November 1998

Skills
Customer Service, Healthcare, Leadership, Management, Process Improvement, Quality Assurance, Team Building, Training

Education
United States Naval Academy   1984 — 1988
B.S.

Florence Walker Florence Walker Greater Philadelphia Area Details
Florence Walker's Highmark Medicare Services Experience 1998 - 2000
Job Contracts Manager at GE Healthcare
Industry Pharmaceuticals
Experience
GE Healthcare  March 2014 - Present
Executive Health Resources, Inc.   June 2011 - February 2014
sanofi-aventis  March 2010 - June 2011
Sanofi  July 2007 - March 2010
Siemens IT Solutions and Services Pvt. Ltd.   February 2005 - July 2007
Bristol-Myers Squibb  2000 - 2005
Highmark Medicare Services   1998 - 2000

Skills
Pharmaceutical Industry, Managed Care, Contract Negotiation, Contract Management, Pricing Strategy, Pharmaceutical Rebates, Vendor Contracts, Pharmaceutical Data..., Management, Salesforce.com, Account Management, Healthcare, Cross-functional Team..., Strategy, Forecasting, Sales, Software Documentation, Training, Analysis, Leadership, Vendor Management

Education
Saint Joseph's University
Master's Degree, Health/Health Care Administration/Management, 3.5

Penn State University   1988 — 1992
BS, Accounting

Joseph DeDay Joseph DeDay Camp Hill, Pennsylvania Details
Joseph DeDay's Highmark Medicare Services Experience April 2008 - August 2009
Job Manager, Core Services Part B Systems at Novitas Solutions, Inc.
Industry Hospital & Health Care
Experience
Novitas Solutions, Inc.   August 2009 - Present
Highmark Medicare Services   April 2008 - August 2009

Education
Shippensburg University of Pennsylvania   2002 — 2004
Masters, Information Systems

Susquehanna University   1987 — 1991
Bachelors of Science, Business Administration/Human Resource Management

Kyle Bobb, CPA Kyle Bobb, CPA Harrisburg, Pennsylvania Area Details
Kyle Bobb, CPA's Highmark Medicare Services Experience February 2010 - July 2011
Job Audit Supervisor at Novitas Solutions, Inc.
Industry Hospital & Health Care
Experience
Novitas Solutions, Inc.   October 2012 - Present
Novitas Solutions, Inc.   July 2011 - October 2012
Highmark Medicare Services   February 2010 - July 2011
Hershey Entertainment & Resorts  June 2007 - August 2007

Education
Delaware Valley College   2004 — 2008
Accounting

Kay Ann Wetzel Kay Ann Wetzel Harrisburg, Pennsylvania Area Details
Kay Ann Wetzel's Highmark Medicare Services Experience March 2011 - June 2011
Job Fine Jewelry Sales Associate at Boscov's
Industry Retail
Experience
Boscov's  October 2007 - Present
Highmark Medicare Services   March 2011 - June 2011
City of Harrisburg - Mayor's Office   1978 - 2009

Skills
Access, Word, Excel

Education
Penn State University   1997 — 2005
Bachelor's in all 3 Areas, Accounting, Finance and Marketing

Bishop McDevitt
Business

Harrisburg Area Community College
Associates, Business

Michael Shovel, Jr. Michael Shovel, Jr. Greater Pittsburgh Area Details
Michael Shovel, Jr.'s Highmark Medicare Services Experience October 2011 - June 2015
Job Senior Financial Analyst at K&L Gates LLP.
Industry Legal Services
Experience
K&L Gates  October 2013 - Present
Highmark Medicare Services   October 2011 - June 2015
Highmark Medicare Services   July 2011 - October 2011
Highmark Medicare Services   May 2009 - July 2011

Skills
Oracle, PeopleSoft, Deltek, Costpoint, Cost Benefit Analysis, Payroll Administration, Hyperion, Budget Analysis, Financial Forecasting, Analysis, Budgets, Financial Reporting, Microsoft Excel, Accounting, Finance, General Ledger, Financial Statements, Financial Analysis

Education
University of Pittsburgh   2005 — 2009
Bachelor of Science of Business Administration, Finance, General

Janyth Righter Janyth Righter Saint Petersburg, Florida Details
Janyth Righter's Highmark Medicare Services Experience September 1990 - May 2010
Job Information Technology and Services Professional
Industry Information Technology and Services
Experience
Celerity  2011 - 2012
Health Care Support Staffing  November 2010 - December 2010
Highmark Medicare Services   September 1990 - May 2010

Skills
Business Analysis, Business Process, Management, Process Improvement

Education
American InterContinental University   2007 — 2007
Associate's Degree, Business Administration and Management, General

Lebanon Valley College   1987 — 1996
Junior Standing, International Business

Judith A. Chandler Judith A. Chandler Harrisburg, Pennsylvania Details
Judith A. Chandler's Highmark Medicare Services Experience 2008 - 2010
Job Coordinator Volunteers, Development, Special Events
Industry Nonprofit Organization Management
Experience
South Central PA Sickle Cell Council   October 2011 - Present
Highmark Medicare Services   2008 - 2010
Beneficial Mortgage, Inc.   2003 - 2005
Promotional Management Services   1997 - 2004

Skills
Event Management, Fundraising, Nonprofits, Event Planning, Volunteer Management, Community Outreach, Public Relations, Social Media, Public Speaking, Program Development, Media Relations, Negotiations, Marketing Communications, Verbal and Written..., Office Tenant...

Education
Harrisburg Area Community College   2005 — 2008
Pre-nursing; Registered Nursing Training

Harrisburg Area Community College   1997 — 2001
AA Degree, Business Studies

Michele Quirk Michele Quirk New Bloomfield, Pennsylvania Details
Michele Quirk's Highmark Medicare Services Experience January 2005 - November 2010
Job Healthcare Insurance Specialist
Industry Medical Practice
Experience
Methodist Sports Medicine/ The Orthopedic Specilist  September 2014 - Present
Family Health Council Central PA   January 2014 - August 2014
Pinnacle Health Group  November 2010 - January 2014
Highmark Medicare Services   January 2005 - November 2010

Education
Harrisburg Area Community College   1993 — 1995
Nursing

HACC, Central Pennsylvania's Community College
Nursing

HACC
Pre-Nursing Studies