HMS Holdings
Description
HMS Holdings Corp. was founded in 1974 and is based in Irving, Texas. Headquarters: New York City, NY Number of employees: 2,425 (Sep 30, 2013) Founded: 1974 Key people: William C. Lucia FLMI; (Chief Executive Officer, President, and Director) Subsidiaries: HMS Business Services Inc,
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HMS Holdings Employees
Employee
Years
Job
Industry
Andrea Jackson, MBA Andrea Jackson, MBA's HMS Holdings Experience June 2010 - April 2012
Job Account Executive at Provista
Industry Hospital & Health Care
Experience
Provista August 2014 - Present
Cardinal Health December 2013 - July 2014
Cardinal Health April 2012 - December 2013
HMS Holdings June 2010 - April 2012
Comerica Bank February 2006 - June 2010
Skills
Healthcare, Healthcare Information..., Managed Care, HIPAA, Medicare, Hospitals, Process Improvement, Healthcare Management, Customer Service, Health Insurance, Medicaid, Data Analysis, Microsoft Excel, Project Management, Microsoft Office, Strategic Planning, Team Building, Leadership, Account Management, Business Analysis, Healthcare Consulting, Operations Management, Call Centers, Accounts Receivable, Medical Billing, Outlook, Customer Experience, Healthcare Industry, Invoicing, Insurance, Lotus Notes, Analysis
Education
Dallas Baptist University 2012 — 2014
Advanced Certification in Project Management, Project Management
Dallas Baptist University 2009 — 2011
Master of Business Administration (MBA), Health/Health Care Administration/Management
The University of Texas at Arlington 2005 — 2009
Bachelor of Arts (B.A.), Sociology
Provista August 2014 - Present
Cardinal Health December 2013 - July 2014
Cardinal Health April 2012 - December 2013
HMS Holdings June 2010 - April 2012
Comerica Bank February 2006 - June 2010
Skills
Healthcare, Healthcare Information..., Managed Care, HIPAA, Medicare, Hospitals, Process Improvement, Healthcare Management, Customer Service, Health Insurance, Medicaid, Data Analysis, Microsoft Excel, Project Management, Microsoft Office, Strategic Planning, Team Building, Leadership, Account Management, Business Analysis, Healthcare Consulting, Operations Management, Call Centers, Accounts Receivable, Medical Billing, Outlook, Customer Experience, Healthcare Industry, Invoicing, Insurance, Lotus Notes, Analysis
Education
Dallas Baptist University 2012 — 2014
Advanced Certification in Project Management, Project Management
Dallas Baptist University 2009 — 2011
Master of Business Administration (MBA), Health/Health Care Administration/Management
The University of Texas at Arlington 2005 — 2009
Bachelor of Arts (B.A.), Sociology
Richard Blumenauer, BS, MPH's HMS Holdings Experience 2011 - 2012
Job Healthcare | Program and Account Management | Business Development | Medical and Financial Analysis
Industry Hospital & Health Care
Experience
INLAND NORTHWEST BLOOD CENTER May 2013 - November 2014
HMS HOLDINGS 2011 - 2012
SAMARITAN HEALTH SERVICES 2008 - 2011
United States Postal Service 2005 - 2007
Education
Oregon State University 2007 — 2010
Master’s Degree, Health Care Administration / Management
Western Oregon University 2004 — 2005
Bachelor’s Degree, Business & Health Management
INLAND NORTHWEST BLOOD CENTER May 2013 - November 2014
HMS HOLDINGS 2011 - 2012
SAMARITAN HEALTH SERVICES 2008 - 2011
United States Postal Service 2005 - 2007
Education
Oregon State University 2007 — 2010
Master’s Degree, Health Care Administration / Management
Western Oregon University 2004 — 2005
Bachelor’s Degree, Business & Health Management
Mark Moss, MBA's HMS Holdings Experience July 2012 - May 2013
Job at
Industry Hospital & Health Care
Experience
NorthStar Anesthesia, P.A. May 2013 - Present
HMS Holdings July 2012 - May 2013
Healthcare Management Systems October 2010 - July 2012
Skills
Microsoft Office, Hyperion Enterprise, PeopleSoft Financial, Emdeon, Foxpro 2.6, Lotus, Access Database, OAS, Oracle, SQL, Toad 9.0, Financial Services, Financial Mgmt, Strategic Planning, Financial Analysis, Financial Variance..., Asset Managment, Microsoft Excel, Project Management, Claims Handling, Claim Investigation, Coaching, Process Implementation, Process Improvement, Medicaid
Education
Texas Woman's University 2012 — 2013
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Fort Hays State University 2005 — 2009
Bachelor of Business Administration (B.B.A.), Economics and Finance
NorthStar Anesthesia, P.A. May 2013 - Present
HMS Holdings July 2012 - May 2013
Healthcare Management Systems October 2010 - July 2012
Skills
Microsoft Office, Hyperion Enterprise, PeopleSoft Financial, Emdeon, Foxpro 2.6, Lotus, Access Database, OAS, Oracle, SQL, Toad 9.0, Financial Services, Financial Mgmt, Strategic Planning, Financial Analysis, Financial Variance..., Asset Managment, Microsoft Excel, Project Management, Claims Handling, Claim Investigation, Coaching, Process Implementation, Process Improvement, Medicaid
Education
Texas Woman's University 2012 — 2013
Master of Business Administration (M.B.A.), Health/Health Care Administration/Management
Fort Hays State University 2005 — 2009
Bachelor of Business Administration (B.B.A.), Economics and Finance
Lin Osborn, MA, CFE, CPC, CCS,CEMC,CPMA,AHFI's HMS Holdings Experience November 2007 - November 2009
Job SIU Director at MetroPlus Health Plan
Industry Insurance
Experience
MetroPlus Health Plan September 2015 - Present
Wellpoint January 2013 - Present
WellPoint 2013 - Present
Affinity Health Plan November 2011 - January 2013
UnitedHealthcare August 2011 - November 2011
MetroPlus Health Plan March 2009 - August 2011
HMS Holdings November 2007 - November 2009
TransContinental Credit and Collections July 2005 - November 2007
Health Plan Navigator 1999 - 2006
Skills
Identifying Medical..., Data Mining, Medical Coding and..., Provider Documentation..., Medical Office..., DRG Validation, Fraud, Business Analysis, Claim, Software Documentation, Medical Coding, Provider Relations, HIPAA, Claim Investigation, Program Development, Auditing, Data Analysis, Medicaid, HMO, Policy, Medicare, Health Insurance, Analysis, Health Policy
Education
Roxbury Institute of Medical Coding 2011 — 2012
Sarah Lawrence College 1996 — 1999
MA, Health Advocacy
Michigan State University 1967 — 1972
BA, Communications
MetroPlus Health Plan September 2015 - Present
Wellpoint January 2013 - Present
WellPoint 2013 - Present
Affinity Health Plan November 2011 - January 2013
UnitedHealthcare August 2011 - November 2011
MetroPlus Health Plan March 2009 - August 2011
HMS Holdings November 2007 - November 2009
TransContinental Credit and Collections July 2005 - November 2007
Health Plan Navigator 1999 - 2006
Skills
Identifying Medical..., Data Mining, Medical Coding and..., Provider Documentation..., Medical Office..., DRG Validation, Fraud, Business Analysis, Claim, Software Documentation, Medical Coding, Provider Relations, HIPAA, Claim Investigation, Program Development, Auditing, Data Analysis, Medicaid, HMO, Policy, Medicare, Health Insurance, Analysis, Health Policy
Education
Roxbury Institute of Medical Coding 2011 — 2012
Sarah Lawrence College 1996 — 1999
MA, Health Advocacy
Michigan State University 1967 — 1972
BA, Communications
Pat Maye Pat Maye's HMS Holdings Experience January 2000 - October 2012
Job Accountng Assistant at Hereford Insurance Company
Industry Hospital & Health Care
Experience
Hereford Insurance Company June 2013 - Present
HMS May 1996 - Present
HMS Holdings January 2000 - October 2012
n/a - currently unemployed May 1996 - October 2012
HMS November 1994 - October 2012
Skills
HIPAA, Healthcare, Software Documentation, PeopleSoft, Managed Care, Invoicing, Revenue Cycle, Process Improvement, Access
Education
Stevens-Henager College 2013 — 2014
Associate of Arts and Sciences (AAS), Business Managment and Accounting
Jerimiah E. Burke HS, Boston, MA 1978 — 1979
Some college credits, Business Management
Hereford Insurance Company June 2013 - Present
HMS May 1996 - Present
HMS Holdings January 2000 - October 2012
n/a - currently unemployed May 1996 - October 2012
HMS November 1994 - October 2012
Skills
HIPAA, Healthcare, Software Documentation, PeopleSoft, Managed Care, Invoicing, Revenue Cycle, Process Improvement, Access
Education
Stevens-Henager College 2013 — 2014
Associate of Arts and Sciences (AAS), Business Managment and Accounting
Jerimiah E. Burke HS, Boston, MA 1978 — 1979
Some college credits, Business Management
Ken Dillon Ken Dillon's HMS Holdings Experience October 2013 - Present
Job Provider Service Analyst at HMS Holdings
Industry Entertainment
Experience
Self-employed May 2003 - Present
HMS Holdings October 2013 - Present
CTI 2013 - 2013
Glocap Search 2013 - 2013
AIM Healthcare May 2007 - July 2010
Skills
Acting, Voice Acting, Voice Over, Stage Management, Stage Combat, Dialects, Microsoft Office, Account Management, Copy Editing, Public Speaking, Typing, Data Entry, HIPAA, Drama, Theatre, Improvisation, Comedy, Shakespeare, Performing Arts, Playwriting, Teaching Acting, Sketch Comedy, Plays, Musical Theatre
Education
Birmingham School of Acting- UK 2010 — 2012
Master of Fine Arts (MFA), Acting
Ripon College 1998 — 2003
BA, Theatre, English
Self-employed May 2003 - Present
HMS Holdings October 2013 - Present
CTI 2013 - 2013
Glocap Search 2013 - 2013
AIM Healthcare May 2007 - July 2010
Skills
Acting, Voice Acting, Voice Over, Stage Management, Stage Combat, Dialects, Microsoft Office, Account Management, Copy Editing, Public Speaking, Typing, Data Entry, HIPAA, Drama, Theatre, Improvisation, Comedy, Shakespeare, Performing Arts, Playwriting, Teaching Acting, Sketch Comedy, Plays, Musical Theatre
Education
Birmingham School of Acting- UK 2010 — 2012
Master of Fine Arts (MFA), Acting
Ripon College 1998 — 2003
BA, Theatre, English
Santo Munafo Santo Munafo's HMS Holdings Experience September 2011 - Present
Job Medicaid RAC Senior Auditor at HMS Holdings
Industry Hospital & Health Care
Experience
HMS Holdings September 2011 - Present
US Government August 2008 - September 2011
Horizon Blue Cross Blue Shield of New Jersey June 1990 - July 2008
Skills
Process Improvement, Healthcare, Management, Team Building, Recruiting, Auditing, Credit Balance, Medicaid TPL Auditing
Education
Seton Hall University 1980 — 1984
BS, Political Science
HMS Holdings September 2011 - Present
US Government August 2008 - September 2011
Horizon Blue Cross Blue Shield of New Jersey June 1990 - July 2008
Skills
Process Improvement, Healthcare, Management, Team Building, Recruiting, Auditing, Credit Balance, Medicaid TPL Auditing
Education
Seton Hall University 1980 — 1984
BS, Political Science
denise nolasco denise nolasco's HMS Holdings Experience December 2012 - Present
Job Revenue Recovery Analyst at Conifer Health Solutions
Industry Insurance
Experience
Conifer Health Solutions November 2013 - Present
HMS Holdings December 2012 - Present
Health Net August 2000 - June 2011
Health Net, Inc March 2006 - June 2008
Health Net, Inc June 2004 - May 2006
Health Net, Inc November 2002 - March 2004
Health Net, Inc January 2000 - January 2002
Meridian Health Care January 1999 - January 2000
Lakeside Health January 1996 - January 1998
Skills
Claims, Compliance, Microsoft Office, Lotus Notes, Health Insurance, Medicare, Access, Insurance Claims, Insurance, Medicaid, Documentation, Healthcare, HMO, PPO, Process Improvement, Medical Terminology, Outlook, Provider Relations, Customer Service, Policy, Claims Management, HIPAA, Managed Care, Word, Accounts Receivable, Excel, Billing, Network Development, Call Center, Analysis, Business Analysis, Problem Solving, Reinsurance, PowerPoint, Data Entry, Workers Compensation, Administration, Fraud, Customer Relations, Lotus Notes, Health..., Claim
Education
University of Antelope Valley 1992 — 2004
Associate of Arts (A.A.), Business Administration and Management, General, 4
Concorde career inst. 1993 — 1994
certificate, medical assistant
Conifer Health Solutions November 2013 - Present
HMS Holdings December 2012 - Present
Health Net August 2000 - June 2011
Health Net, Inc March 2006 - June 2008
Health Net, Inc June 2004 - May 2006
Health Net, Inc November 2002 - March 2004
Health Net, Inc January 2000 - January 2002
Meridian Health Care January 1999 - January 2000
Lakeside Health January 1996 - January 1998
Skills
Claims, Compliance, Microsoft Office, Lotus Notes, Health Insurance, Medicare, Access, Insurance Claims, Insurance, Medicaid, Documentation, Healthcare, HMO, PPO, Process Improvement, Medical Terminology, Outlook, Provider Relations, Customer Service, Policy, Claims Management, HIPAA, Managed Care, Word, Accounts Receivable, Excel, Billing, Network Development, Call Center, Analysis, Business Analysis, Problem Solving, Reinsurance, PowerPoint, Data Entry, Workers Compensation, Administration, Fraud, Customer Relations, Lotus Notes, Health..., Claim
Education
University of Antelope Valley 1992 — 2004
Associate of Arts (A.A.), Business Administration and Management, General, 4
Concorde career inst. 1993 — 1994
certificate, medical assistant
Damian Woods Damian Woods's HMS Holdings Experience 2012 - 2013
Job Eligibility Specialist / COBRA Coordinator at Michigan Manufacturer
Industry Legal Services
Experience
Michigan Manufacturer 2013 - Present
HMS Holdings 2012 - 2013
Davenport University 2011 - August 2012
State of Michigan Department of Licensing and Regulatory Affairs, Office of General Counsel June 2011 - July 2012
Lansing School District September 2004 - August 2011
Skills
MS Word, MS Excel, MS Access, Lexus Nexis Case Map, MS Publisher, MS PowerPoint, Westlaw Certified, PowerPoint, Microsoft Excel, Westlaw, Microsoft Word, Microsoft Publisher, Customer Service, Outlook, Data Entry, Legal Research, Research, Policy, Microsoft Office, Public Speaking, Time Management, Community Outreach, Legal Writing
Education
Davenport University 2009 — 2012
B.S., Paralegal, 3.71
Michigan Manufacturer 2013 - Present
HMS Holdings 2012 - 2013
Davenport University 2011 - August 2012
State of Michigan Department of Licensing and Regulatory Affairs, Office of General Counsel June 2011 - July 2012
Lansing School District September 2004 - August 2011
Skills
MS Word, MS Excel, MS Access, Lexus Nexis Case Map, MS Publisher, MS PowerPoint, Westlaw Certified, PowerPoint, Microsoft Excel, Westlaw, Microsoft Word, Microsoft Publisher, Customer Service, Outlook, Data Entry, Legal Research, Research, Policy, Microsoft Office, Public Speaking, Time Management, Community Outreach, Legal Writing
Education
Davenport University 2009 — 2012
B.S., Paralegal, 3.71
Kelli Capps's HMS Holdings Experience April 2013 - Present
Job Clinical Director of Recovery Audit Contract (RAC) Programs at HMS Holdings
Industry Hospital & Health Care
Experience
HMS Holdings April 2013 - Present
APS Healthcare November 2010 - March 2013
High Pointe Healthcare, LLC 2004 - 2005
High Pointe Healthcare, LLC 2004 - 2005
Skills
Utilization Management, Nursing, Disease Management, Healthcare Management, Clinical Research, Managed Care, Medicaid, Healthcare Information..., Hospitals, Quality Improvement, Healthcare, EMR, Medicare, Patient Safety, Critical Care, Informatics, HIPAA, EHR, Case Management, Pediatrics, Healthcare Consulting, Public Health, Healthcare Industry, Process Improvement, Program Management, Health Policy, Health Insurance, Leadership
Education
Oklahoma City Community College 2000 — 2002
Associate's Degree, Registered Nursing/Registered Nurse, 3.7
University of California, San Diego 1990 — 1991
BA, Public Relations, Advertising, and Applied Communication
University of California, Santa Barbara 1987 — 1989
HMS Holdings April 2013 - Present
APS Healthcare November 2010 - March 2013
High Pointe Healthcare, LLC 2004 - 2005
High Pointe Healthcare, LLC 2004 - 2005
Skills
Utilization Management, Nursing, Disease Management, Healthcare Management, Clinical Research, Managed Care, Medicaid, Healthcare Information..., Hospitals, Quality Improvement, Healthcare, EMR, Medicare, Patient Safety, Critical Care, Informatics, HIPAA, EHR, Case Management, Pediatrics, Healthcare Consulting, Public Health, Healthcare Industry, Process Improvement, Program Management, Health Policy, Health Insurance, Leadership
Education
Oklahoma City Community College 2000 — 2002
Associate's Degree, Registered Nursing/Registered Nurse, 3.7
University of California, San Diego 1990 — 1991
BA, Public Relations, Advertising, and Applied Communication
University of California, Santa Barbara 1987 — 1989
Curtis Drake's HMS Holdings Experience March 2008 - Present
Job Quality Assurance Specialist at HMS Holdings
Industry Insurance
Experience
HMS Holdings March 2008 - Present
American Red Cross 2005 - 2007
Education
Delaware State University 1987 — 1991
bachelor, business
HMS Holdings March 2008 - Present
American Red Cross 2005 - 2007
Education
Delaware State University 1987 — 1991
bachelor, business
Nick Yioves's HMS Holdings Experience January 2008 - December 2012
Job Operations Analyst at HMS
Industry Information Technology and Services
Experience
HMS Holdings January 2008 - December 2012
Microsoft Corp AdCenter Project (Consultant) September 2006 - January 2008
New York State Department of Labor December 2000 - September 2006
Skills
SAS JCL, MS Excel, MS..., Data Analysis, SAS, SQL, Project Management, Access
Education
LIU Post
Bachelor of Arts, Economics
Arizona State University
HMS Holdings January 2008 - December 2012
Microsoft Corp AdCenter Project (Consultant) September 2006 - January 2008
New York State Department of Labor December 2000 - September 2006
Skills
SAS JCL, MS Excel, MS..., Data Analysis, SAS, SQL, Project Management, Access
Education
LIU Post
Bachelor of Arts, Economics
Arizona State University
Carlo Oliver's HMS Holdings Experience September 2014 - September 2015
Job Data Systems Business Analyst II at HMS
Industry Information Services
Experience
Towers Watson September 2015 - Present
HMS Holdings September 2014 - September 2015
Hewlett-Packard September 2013 - August 2014
Hewlett-Packard July 2011 - September 2013
ADP June 2009 - July 2011
EDS Group March 2008 - May 2009
EDS Group January 2006 - March 2008
Tenjin Internet Solutions September 2004 - December 2005
Skills
Unix, HTML, C, SQL, Oracle, PL/SQL, Databases, Web Services, Visio, Integration, Requirements Analysis, SDLC, Agile Methodologies, SharePoint, Solaris, Testing, Analysis, Software Development, Business Analysis, Quality Assurance, User Acceptance Testing, Microsoft SQL Server, Software Documentation
Education
The University of Texas at El Paso 2010 — 2014
MBA, Management, 3.5
The University of Texas at Dallas
B.S., Computer Science
Towers Watson September 2015 - Present
HMS Holdings September 2014 - September 2015
Hewlett-Packard September 2013 - August 2014
Hewlett-Packard July 2011 - September 2013
ADP June 2009 - July 2011
EDS Group March 2008 - May 2009
EDS Group January 2006 - March 2008
Tenjin Internet Solutions September 2004 - December 2005
Skills
Unix, HTML, C, SQL, Oracle, PL/SQL, Databases, Web Services, Visio, Integration, Requirements Analysis, SDLC, Agile Methodologies, SharePoint, Solaris, Testing, Analysis, Software Development, Business Analysis, Quality Assurance, User Acceptance Testing, Microsoft SQL Server, Software Documentation
Education
The University of Texas at El Paso 2010 — 2014
MBA, Management, 3.5
The University of Texas at Dallas
B.S., Computer Science
PAUL BALLERO's HMS Holdings Experience November 2005 - Present
Job Telecom Admin at HMS Holdings
Industry Health, Wellness and Fitness
Experience
HMS Holdings November 2005 - Present
EasyLink Services November 1999 - November 2005
Skills
Account Management, Technical Support, Telecommunications, Hubs, Telephony, Network Administration, Windows 95, Security, System Deployment, Mac OS X, Windows 7, IT Service Management
Education
Nassau Community College 1996 — 1998
HMS Holdings November 2005 - Present
EasyLink Services November 1999 - November 2005
Skills
Account Management, Technical Support, Telecommunications, Hubs, Telephony, Network Administration, Windows 95, Security, System Deployment, Mac OS X, Windows 7, IT Service Management
Education
Nassau Community College 1996 — 1998
Lew Levetown's HMS Holdings Experience 1988 - 2012
Job Human Resource Consultant
Industry Human Resources
Experience
Permideon October 2009 - Present
HMS Holdings 1988 - 2012
ADP September 1982 - December 1988
Skills
Change Management, Strategic Planning, Business Strategy, Mergers, Performance Management, Organizational..., Management Consulting, Talent Management, Negotiation, Mergers & Acquisitions, Deferred Compensation, Executive Search
Education
New York University
MA Equivalent, Labor and Industrial Relations
Pace University - Lubin School of Business
Bachelor of Business Administration (BBA), Accounting and Business/Management
Permideon October 2009 - Present
HMS Holdings 1988 - 2012
ADP September 1982 - December 1988
Skills
Change Management, Strategic Planning, Business Strategy, Mergers, Performance Management, Organizational..., Management Consulting, Talent Management, Negotiation, Mergers & Acquisitions, Deferred Compensation, Executive Search
Education
New York University
MA Equivalent, Labor and Industrial Relations
Pace University - Lubin School of Business
Bachelor of Business Administration (BBA), Accounting and Business/Management
Jayne Karis's HMS Holdings Experience March 2013 - Present
Job Operations Analyst at HMS Holdings
Industry Information Technology and Services
Experience
HMS Holdings March 2013 - Present
HMS Holdings March 2013 - Present
Skills
Microsoft Office, Process Improvement, Project Management, Vendor Management, Visio, Data Analysis, Microsoft Excel, Contract Negotiation
Education
Marietta College
Bachelor of Arts (BA), History
HMS Holdings March 2013 - Present
HMS Holdings March 2013 - Present
Skills
Microsoft Office, Process Improvement, Project Management, Vendor Management, Visio, Data Analysis, Microsoft Excel, Contract Negotiation
Education
Marietta College
Bachelor of Arts (BA), History