Keystone First
Description
Address: 200 Stevens Dr, Philadelphia, PA 19113 Hours: Open 24 hours SaturdayOpen 24 hoursSundayOpen 24 hoursMondayOpen 24 hoursTuesdayOpen 24 hoursWednesdayOpen 24 hoursThursdayOpen 24 hoursFridayOpen 24 hoursSuggest an edit Unable to add this file. Please check that it is a valid photo. Phone: (215) 937-8000Website: : Category: : : : : : Place name: Website: https://www.keystonefirstpa.com/contact/ Category: Health consultant Suggest an editUnable to add this file. Please check that it is a valid photo. Unable to add this file. Please check that it is a valid photo. · Own this business? Questions & answers Ask a question Q: I am looking for contacts to a cardiologists, nephrologist, and urologist in the langhorne, PA area that takes Keystone First insurance. Can anybody give me some references? (No answers)See all questions (61) Popular times Saturdays MondaysTuesdaysWednesdaysThursdaysFridaysSaturdaysSundaysBased on visits to this place.Not enough data yet for Saturdays : 12a3a6a9a12p3p6p9p12a3a6aPlan your visitNot enough data yet for SundaysNot enough data yet for SaturdaysHistogram showing popular times on MondaysHistogram showing popular times on TuesdaysHistogram showing popular times on WednesdaysHistogram showing popular times on ThursdaysHistogram showing popular times on FridaysPeople typically spend 15 min to 3 hr here Add a photoThanks for sharing!Your photo will be posted publicly on Google.Contribute MoreDoneUpload public photos of Keystone First Posting publicly on the Web Write a review Reviews"I do recommend them above the rest of the medicaid plans." "Have mercy on us for picking up the bill in a timely manner." "Customer service is good as well" View all Google reviews
Keystone First List of Employees There's an exhaustive list of past and present employees! Get comprehensive information on the number of employees at Keystone First. You can filter them based on skills, years of employment, job, education, department, and prior employment.
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Keystone First Employees
Employee
Years
Job
Industry
Amber Fulton Amber Fulton's Keystone First Experience CashierMcDonald's CorporationAugust 2013 - September 2013
Job Student at Consolidated School of BusinessLancaster
Industry Medical Practice
Experience
Keystone First CashierMcDonald's CorporationAugust 2013 - September 2013
Lancaster Regional Hospital August 2008 - August 2008
Skills
Medical Terminology, Human Anatomy, Physiology, Microsoft Excel, Microsoft Word, Customer Service
Education
Consolidated School of Business-Lancaster 2013 — 2014
Diploma, Medical Office Assistant/Specialist
Keystone First CashierMcDonald's CorporationAugust 2013 - September 2013
Lancaster Regional Hospital August 2008 - August 2008
Skills
Medical Terminology, Human Anatomy, Physiology, Microsoft Excel, Microsoft Word, Customer Service
Education
Consolidated School of Business-Lancaster 2013 — 2014
Diploma, Medical Office Assistant/Specialist
Carl L Chapman Sr. Carl L Chapman Sr.'s Keystone First Experience January 2002 - July 2013
Job Director, Provider Network Management at The AmeriHealth Mercy Family of Companies
Industry Hospital & Health Care
Experience
AmeriHealth Caritas 2002 - Present
Keystone First January 2002 - July 2013
Keystone Mercy Health Plan May 2001 - July 2004
Keystone Mercy Health Plan November 1996 - May 2001
Skills
Network Administration, Process Improvement, HIPAA, Medicaid, Managed Care, Healthcare Information..., Project Management, Change Management, Program Management, Provider Relations, Visio, Strategic Planning, Medicare, Healthcare, Cross-functional Team...
Education
Eastern University
Organizational Leadership
Spring Garden College
Associate of Science (A.S.), Construction Engineering Technology/Technician
AmeriHealth Caritas 2002 - Present
Keystone First January 2002 - July 2013
Keystone Mercy Health Plan May 2001 - July 2004
Keystone Mercy Health Plan November 1996 - May 2001
Skills
Network Administration, Process Improvement, HIPAA, Medicaid, Managed Care, Healthcare Information..., Project Management, Change Management, Program Management, Provider Relations, Visio, Strategic Planning, Medicare, Healthcare, Cross-functional Team...
Education
Eastern University
Organizational Leadership
Spring Garden College
Associate of Science (A.S.), Construction Engineering Technology/Technician
Susan Marcello ☑ Susan Marcello ☑'s Keystone First Experience January 2008 - April 2012
Job Eagerness to share communication, event organizing & management skills in education, healthcare or nonprofit
Industry Hospital & Health Care
Experience
Crozer-Keystone Health System September 2012 - Present
Global Spectrum 2010 - Present
Delaware County Chamber of Commerce 2014 - 2014
Keystone First January 2008 - April 2012
Wawa, Inc. 2004 - 2007
Skills
Event Planning, Customer Service, Management, Medical Terminology, Customer Interaction, Cpr Certified, Medical Records, Desktop Publishing, Problem Sensitivity, Problem Solution, PC and Mac literacy, Dale Carnegie Training, CPR Certification, Social Networking, Strategic Planning, Non-profit Volunteering, Patient Advocacy, Time Management, Organization Skills, Volunteer Recruitment &..., Able to work..., Math Aptitude, PowerPoint, Microsoft Excel, Leadership, Microsoft Word, Team Building
Education
Delaware County Community College 2010 — 2013
3.2
Millersville University of Pennsylvania
Bachelor's degree, Communications / PR / Business
Cardinal O'Hara High School Springfield PA
High School/Secondary Diploma
Crozer-Keystone Health System September 2012 - Present
Global Spectrum 2010 - Present
Delaware County Chamber of Commerce 2014 - 2014
Keystone First January 2008 - April 2012
Wawa, Inc. 2004 - 2007
Skills
Event Planning, Customer Service, Management, Medical Terminology, Customer Interaction, Cpr Certified, Medical Records, Desktop Publishing, Problem Sensitivity, Problem Solution, PC and Mac literacy, Dale Carnegie Training, CPR Certification, Social Networking, Strategic Planning, Non-profit Volunteering, Patient Advocacy, Time Management, Organization Skills, Volunteer Recruitment &..., Able to work..., Math Aptitude, PowerPoint, Microsoft Excel, Leadership, Microsoft Word, Team Building
Education
Delaware County Community College 2010 — 2013
3.2
Millersville University of Pennsylvania
Bachelor's degree, Communications / PR / Business
Cardinal O'Hara High School Springfield PA
High School/Secondary Diploma
Deborah Gilchrist Deborah Gilchrist's Keystone First Experience March 2013 - Present
Job Managed Care Nurse
Industry Hospital & Health Care
Experience
Keystone First March 2013 - Present
Central Bucks School District November 2008 - March 2013
St. Christopher’s Hospital For Children June 1990 - June 2006
St. Christopher's Hospital For Children March 1989 - June 1990
Skills
Nursing, Pediatrics, Health, Hospitals, Oncology, School Nursing, Infusions, Communication, Microsoft Office, Microsoft Word, Chemotherapy, Blood Transfusion, Conscious Sedation, Education, Health Counseling, Mental Health Counseling, Healthcare Management, Registered Nurses, Patient Advocacy, Pediatric Nursing, Healthcare, Leadership, Orthopedic
Education
Holy Family University 1984 — 1990
Bachelor of Science, Nursing
Keystone First March 2013 - Present
Central Bucks School District November 2008 - March 2013
St. Christopher’s Hospital For Children June 1990 - June 2006
St. Christopher's Hospital For Children March 1989 - June 1990
Skills
Nursing, Pediatrics, Health, Hospitals, Oncology, School Nursing, Infusions, Communication, Microsoft Office, Microsoft Word, Chemotherapy, Blood Transfusion, Conscious Sedation, Education, Health Counseling, Mental Health Counseling, Healthcare Management, Registered Nurses, Patient Advocacy, Pediatric Nursing, Healthcare, Leadership, Orthopedic
Education
Holy Family University 1984 — 1990
Bachelor of Science, Nursing
Joseph Bamberski Joseph Bamberski's Keystone First Experience August 2015 - Present
Job Registered Nurse at The Children's Hospital of Philadelphia
Industry Hospital & Health Care
Experience
Keystone First August 2015 - Present
The Children's Hospital of Philadelphia September 2008 - August 2015
Nazareth Hospital May 2007 - September 2008
Skills
Pediatric Nursing, Perioperative Nursing, Neurosurgery, Orthopedic, Employee Orientations, Committees, Committed to..., Organization, Informatics, Critical Care, Patient Safety, Orthopedics, ACLS, Inpatient, Nursing Care
Education
Gwynedd-Mercy College 2003 — 2008
Bachelor's degree, Registered Nursing/Registered Nurse
Keystone First August 2015 - Present
The Children's Hospital of Philadelphia September 2008 - August 2015
Nazareth Hospital May 2007 - September 2008
Skills
Pediatric Nursing, Perioperative Nursing, Neurosurgery, Orthopedic, Employee Orientations, Committees, Committed to..., Organization, Informatics, Critical Care, Patient Safety, Orthopedics, ACLS, Inpatient, Nursing Care
Education
Gwynedd-Mercy College 2003 — 2008
Bachelor's degree, Registered Nursing/Registered Nurse
Catherine Flatley Catherine Flatley's Keystone First Experience February 2014 - October 2014
Job Administrative Assistant II, Corporate Dental Director at AmeriHealth Caritas
Industry Executive Office
Experience
AmeriHealth Caritas October 2014 - Present
Keystone First February 2014 - October 2014
Randstad May 2013 - February 2014
Bankers Life and Casualty January 2013 - April 2013
Staffing Plus October 2007 - October 2012
GCA Services Group August 2005 - October 2007
AchieveGlobal March 1997 - August 2005
Holiday Inn 1992 - 1994
Frupac/Chiquita 1987 - 1991
Merrill Lynch 1983 - 1987
Skills
Calendars, Outlook, Event Planning, Schedules, Expenses, PowerPoint, Confidentiality, Coordination, Administration, Conferences, Excel, Customer Service, Editing, Event Management, Microsoft Office, Word, Supervisory Skills, Hotels, Administrative..., Microsoft Word, Microsoft Excel, Onboarding, Organizational..., System Administration, Leadership Development, Training, Customer Satisfaction, New Hire Orientations, Budgets, Human Resources, Management, Leadership, Team Building, Employee Relations
Education
McKendree College 1979 — 1982
Bachelor of Arts, Public Administration
Washington School for Secretaries 1974 — 1975
Executive Assistant, Administrative Assistant and Secretarial Science, General
Crossland Senior High School 1973 — 1974
General academic
AmeriHealth Caritas October 2014 - Present
Keystone First February 2014 - October 2014
Randstad May 2013 - February 2014
Bankers Life and Casualty January 2013 - April 2013
Staffing Plus October 2007 - October 2012
GCA Services Group August 2005 - October 2007
AchieveGlobal March 1997 - August 2005
Holiday Inn 1992 - 1994
Frupac/Chiquita 1987 - 1991
Merrill Lynch 1983 - 1987
Skills
Calendars, Outlook, Event Planning, Schedules, Expenses, PowerPoint, Confidentiality, Coordination, Administration, Conferences, Excel, Customer Service, Editing, Event Management, Microsoft Office, Word, Supervisory Skills, Hotels, Administrative..., Microsoft Word, Microsoft Excel, Onboarding, Organizational..., System Administration, Leadership Development, Training, Customer Satisfaction, New Hire Orientations, Budgets, Human Resources, Management, Leadership, Team Building, Employee Relations
Education
McKendree College 1979 — 1982
Bachelor of Arts, Public Administration
Washington School for Secretaries 1974 — 1975
Executive Assistant, Administrative Assistant and Secretarial Science, General
Crossland Senior High School 1973 — 1974
General academic
Jo Anna Starling Rivera, MHSA, M.Ed Jo Anna Starling Rivera, MHSA, M.Ed's Keystone First Experience April 2013 - Present
Job Provider Network Account Executive II at Keystone First
Industry Insurance
Experience
Keystone First April 2013 - Present
Independence Blue Cross April 2008 - April 2013
Fox Chase Cancer Center 2006 - 2008
Skills
Managed Care, Health Insurance, Medicare, Medicaid, Healthcare Management, Medical Coding, Provider Relations, Credentialing, Network Development, PPO, Claim, Physician Relations, Claims Resolution, Claims Management, Analysis, HIPAA, Healthcare, Insurance, Process Improvement
Education
Strayer University-Pennsylvania 2012 — 2015
Master of Education (MEd), Educational Leadership and Administration, General
Strayer University-Pennsylvania 2009 — 2011
Master of Health Services Administration(MHSA), HealthCare, 3.8
Strayer University-Pennsylvania 2004 — 2009
Bachelor of Business Administration (BBA), Business Administration, Management and Operations, 3.5
Keystone First April 2013 - Present
Independence Blue Cross April 2008 - April 2013
Fox Chase Cancer Center 2006 - 2008
Skills
Managed Care, Health Insurance, Medicare, Medicaid, Healthcare Management, Medical Coding, Provider Relations, Credentialing, Network Development, PPO, Claim, Physician Relations, Claims Resolution, Claims Management, Analysis, HIPAA, Healthcare, Insurance, Process Improvement
Education
Strayer University-Pennsylvania 2012 — 2015
Master of Education (MEd), Educational Leadership and Administration, General
Strayer University-Pennsylvania 2009 — 2011
Master of Health Services Administration(MHSA), HealthCare, 3.8
Strayer University-Pennsylvania 2004 — 2009
Bachelor of Business Administration (BBA), Business Administration, Management and Operations, 3.5
Wanda Mitchell's Keystone First Experience 2007 - 2012
Job Director of Medical Support at Patient First
Industry Hospital & Health Care
Experience
Patient First 2014 - Present
Patient First 2013 - 2014
Aetna 2012 - 2013
ResCare 2008 - 2012
Keystone First 2007 - 2012
Chestnut Hill Women's Care 2004 - 2007
The Children's Hospital of Philadelphia 2001 - 2004
Skills
Healthcare, Nursing, Healthcare Management, BLS, ACLS, Patient Safety, Hospitals, Medicine, Inpatient
Education
Drexel University 2014 — 2017
Master of Science (M.S.), Nursing Education
Drexel University 2008 — 2012
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Abington Memorial Hospital Dixon School of Nursing 1999 — 2001
Diploma, Registered Nursing/Registered Nurse
Patient First 2014 - Present
Patient First 2013 - 2014
Aetna 2012 - 2013
ResCare 2008 - 2012
Keystone First 2007 - 2012
Chestnut Hill Women's Care 2004 - 2007
The Children's Hospital of Philadelphia 2001 - 2004
Skills
Healthcare, Nursing, Healthcare Management, BLS, ACLS, Patient Safety, Hospitals, Medicine, Inpatient
Education
Drexel University 2014 — 2017
Master of Science (M.S.), Nursing Education
Drexel University 2008 — 2012
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
Abington Memorial Hospital Dixon School of Nursing 1999 — 2001
Diploma, Registered Nursing/Registered Nurse
Lily Higgins, MD, MS MBA Lily Higgins, MD, MS MBA's Keystone First Experience January 2008 - December 2013
Job Network Medical Director at Keystone First
Industry Hospital & Health Care
Experience
AmeriHealth Caritas January 2013 - Present
Keystone First January 2008 - December 2013
Nemours 1996 - 2007
Skills
Microsoft Office, Management, Microsoft Word, Microsoft Excel, Healthcare Management, Population Health, Special Needs..., Pediatrics, Medicaid Managed Care, Disease Management, Business, Credentialing, HEDIS, Quality Improvement, Data Analysis, Clinical Research, Medicaid
Education
The Johns Hopkins University 2003 — 2009
Master of Business Administration (MBA), Medical management
Nemours Children's Health System 1990 — 1993
Doctor of Medicine (MD), Pediatrics Residency Program
Drexel University College of Medicine 1986 — 1990
Doctor of Medicine (MD)
Columbia University in the City of New York 1985 — 1986
Master of Science (MS), Nutrition Sciences
Cornell University 1981 — 1985
Bachelor of Science (BS), Biology/Biological Sciences, General
AmeriHealth Caritas January 2013 - Present
Keystone First January 2008 - December 2013
Nemours 1996 - 2007
Skills
Microsoft Office, Management, Microsoft Word, Microsoft Excel, Healthcare Management, Population Health, Special Needs..., Pediatrics, Medicaid Managed Care, Disease Management, Business, Credentialing, HEDIS, Quality Improvement, Data Analysis, Clinical Research, Medicaid
Education
The Johns Hopkins University 2003 — 2009
Master of Business Administration (MBA), Medical management
Nemours Children's Health System 1990 — 1993
Doctor of Medicine (MD), Pediatrics Residency Program
Drexel University College of Medicine 1986 — 1990
Doctor of Medicine (MD)
Columbia University in the City of New York 1985 — 1986
Master of Science (MS), Nutrition Sciences
Cornell University 1981 — 1985
Bachelor of Science (BS), Biology/Biological Sciences, General
Valerie Faustine Valerie Faustine's Keystone First Experience July 2014 - Present
Job Marketing Specialist at Keystone First
Industry Public Relations and Communications
Experience
Keystone First July 2014 - Present
Keystone First July 2013 - July 2014
Simon Public Relations Group June 2011 - July 2013
Penn State University, College of Communications August 2010 - May 2011
Lawrence G. Foster Chapter of the Public Relations Student Society of America December 2010 - March 2011
Simon Public Relations Group May 2010 - August 2010
Victoria's Secret June 2008 - June 2009
Skills
Social Media, Media Relations, Writing, People Skills, Internal Communications, Event Planning, Research, Public Speaking, Editing, Copy Editing, Community Outreach, Event Management
Education
Penn State University 2007 — 2011
BA, Public Relations, Psychology
Keystone First July 2014 - Present
Keystone First July 2013 - July 2014
Simon Public Relations Group June 2011 - July 2013
Penn State University, College of Communications August 2010 - May 2011
Lawrence G. Foster Chapter of the Public Relations Student Society of America December 2010 - March 2011
Simon Public Relations Group May 2010 - August 2010
Victoria's Secret June 2008 - June 2009
Skills
Social Media, Media Relations, Writing, People Skills, Internal Communications, Event Planning, Research, Public Speaking, Editing, Copy Editing, Community Outreach, Event Management
Education
Penn State University 2007 — 2011
BA, Public Relations, Psychology
Molly Kearney Molly Kearney's Keystone First Experience April 2015 - Present
Job Provider Communications Specialist at Keystone First
Industry Public Relations and Communications
Experience
Keystone First April 2015 - Present
Synchrony Healthcare Group May 2012 - April 2015
Siemens Healthcare March 2011 - March 2012
The Oasis Family Fun Center November 2004 - March 2011
American Reading Company July 2010 - November 2010
Brownstein Group January 2010 - May 2010
Perfect Weddings September 2009 - December 2009
Winterthur Museum May 2009 - August 2009
Skills
Public Relations, Writing, Editing, Microsoft Office, AP Style, Journalism, Time Management, Copywriting, Outlook, Online Marketing, Research, InDesign, Social Media Marketing, Event Planning, Ap Style, Social Networking, Marketing, Facebook, Social Media, Marketing Communications, Press Releases, Management, Media Relations, Content Development, Proofreading, Publications, Blogging, Adobe Creative Suite, Newsletters, Internal Communications, Strategic Communications, Copy Editing, Corporate Communications, Email Marketing, Direct Mail, Advertising, Web Content, Editorial
Education
Cabrini College 2006 — 2010
Bachelor of Arts, Communication
Garnet Valley High School 2002 — 2006
Keystone First April 2015 - Present
Synchrony Healthcare Group May 2012 - April 2015
Siemens Healthcare March 2011 - March 2012
The Oasis Family Fun Center November 2004 - March 2011
American Reading Company July 2010 - November 2010
Brownstein Group January 2010 - May 2010
Perfect Weddings September 2009 - December 2009
Winterthur Museum May 2009 - August 2009
Skills
Public Relations, Writing, Editing, Microsoft Office, AP Style, Journalism, Time Management, Copywriting, Outlook, Online Marketing, Research, InDesign, Social Media Marketing, Event Planning, Ap Style, Social Networking, Marketing, Facebook, Social Media, Marketing Communications, Press Releases, Management, Media Relations, Content Development, Proofreading, Publications, Blogging, Adobe Creative Suite, Newsletters, Internal Communications, Strategic Communications, Copy Editing, Corporate Communications, Email Marketing, Direct Mail, Advertising, Web Content, Editorial
Education
Cabrini College 2006 — 2010
Bachelor of Arts, Communication
Garnet Valley High School 2002 — 2006
Russell Gianforcaro Russell Gianforcaro's Keystone First Experience August 2011 - December 2014
Job Regional President at AmeriHealth Caritas
Industry Hospital & Health Care
Experience
AmeriHealth Caritas December 2014 - Present
Keystone First August 2011 - December 2014
The AmeriHealth Mercy Family of Companies September 2008 - August 2011
Keystone Mercy Health Plan 2006 - 2011
Health Partners 1995 - 2006
Graduate Health System (currently TENET Health System) 1992 - 1995
Deloitte 1988 - 1994
Skills
Accounting, Financial Reporting, Accounts Payable, General Ledger, Business Analysis, Finance, Leadership, Strategic Planning, Auditing, Healthcare Management, Medicare, Medicaid, Managed Care, Management
Education
Villanova University
Bachelor's degree, Accounting
University of Pennsylvania - The Wharton School
Executive Program
AmeriHealth Caritas December 2014 - Present
Keystone First August 2011 - December 2014
The AmeriHealth Mercy Family of Companies September 2008 - August 2011
Keystone Mercy Health Plan 2006 - 2011
Health Partners 1995 - 2006
Graduate Health System (currently TENET Health System) 1992 - 1995
Deloitte 1988 - 1994
Skills
Accounting, Financial Reporting, Accounts Payable, General Ledger, Business Analysis, Finance, Leadership, Strategic Planning, Auditing, Healthcare Management, Medicare, Medicaid, Managed Care, Management
Education
Villanova University
Bachelor's degree, Accounting
University of Pennsylvania - The Wharton School
Executive Program
Michelle Duncombe Michelle Duncombe's Keystone First Experience March 2007 - August 2009
Job Business Intelligence at UnitedHealth Group
Industry Hospital & Health Care
Experience
UnitedHealth Group August 2011 - Present
XLHealth September 2009 - August 2011
Keystone First March 2007 - August 2009
Quest Diagnostics November 1999 - March 2007
Skills
Data Analysis, Business Intelligence, Access, Data Modeling, ETL, SDLC, Microsoft SQL Server, Business Process, Business Objects, SharePoint, Crystal Reports, Analysis, PL/SQL, Process Improvement, SSIS, SSRS, Java, JavaScript, OLAP, HTML, Salesforce.com, User Acceptance Testing, Microstrategy, Dashboard, Business Intelligence..., PHP, CSS, C, Databases, Green Belt, Agile Methodologies
Education
Morgan State University
Business Administration and Management, General
Villanova University
Management Information Systems, General
UnitedHealth Group August 2011 - Present
XLHealth September 2009 - August 2011
Keystone First March 2007 - August 2009
Quest Diagnostics November 1999 - March 2007
Skills
Data Analysis, Business Intelligence, Access, Data Modeling, ETL, SDLC, Microsoft SQL Server, Business Process, Business Objects, SharePoint, Crystal Reports, Analysis, PL/SQL, Process Improvement, SSIS, SSRS, Java, JavaScript, OLAP, HTML, Salesforce.com, User Acceptance Testing, Microstrategy, Dashboard, Business Intelligence..., PHP, CSS, C, Databases, Green Belt, Agile Methodologies
Education
Morgan State University
Business Administration and Management, General
Villanova University
Management Information Systems, General
Christine Breeding Jacobs's Keystone First Experience April 2015 - Present
Job
Industry Hospital & Health Care
Experience
Keystone First April 2015 - Present
Delaware County Community College October 2014 - Present
Keystone First September 2013 - April 2015
The AmeriHealth Mercy Family of Companies February 2012 - September 2013
West Chester University January 2008 - February 2012
Keystone Mercy Health Plan February 2001 - January 2008
Philadelphia Health Management Corporation 1999 - 2001
Skills
Data Analysis, SPSS, Program Evaluation, Research, Public Health, Healthcare, Statistics, SAS, Access, Healthcare Information..., Medicaid, Analysis, Healthcare Management, Managed Care, Data Collection, Health Policy, HIPAA, Quality Improvement, Disease Management, Statistical Modeling, Research Design, Data Mining, Management, Process Improvement, Program Management, Business Analysis
Education
West Chester University of Pennsylvania 2003 — 2006
Graduate Certificate, Applied Statistics
Temple University 1996 — 1999
MA, Sociology
Delaware State University 1994 — 1996
BA, Sociology
Keystone First April 2015 - Present
Delaware County Community College October 2014 - Present
Keystone First September 2013 - April 2015
The AmeriHealth Mercy Family of Companies February 2012 - September 2013
West Chester University January 2008 - February 2012
Keystone Mercy Health Plan February 2001 - January 2008
Philadelphia Health Management Corporation 1999 - 2001
Skills
Data Analysis, SPSS, Program Evaluation, Research, Public Health, Healthcare, Statistics, SAS, Access, Healthcare Information..., Medicaid, Analysis, Healthcare Management, Managed Care, Data Collection, Health Policy, HIPAA, Quality Improvement, Disease Management, Statistical Modeling, Research Design, Data Mining, Management, Process Improvement, Program Management, Business Analysis
Education
West Chester University of Pennsylvania 2003 — 2006
Graduate Certificate, Applied Statistics
Temple University 1996 — 1999
MA, Sociology
Delaware State University 1994 — 1996
BA, Sociology
Mark Metropole's Keystone First Experience 2014 - Present
Job at
Industry Hospital & Health Care
Experience
Keystone First 2014 - Present
Skills
Healthcare, Healthcare Management
Education
Thomas Jefferson University 1993 — 1995
University of Massachusetts, Amherst 1986 — 1990
BA, Economics
Keystone First 2014 - Present
Skills
Healthcare, Healthcare Management
Education
Thomas Jefferson University 1993 — 1995
University of Massachusetts, Amherst 1986 — 1990
BA, Economics
Loretta Hill's Keystone First Experience September 2013 - Present
Job Supervisor in Complex Case Management at Keystone First
Industry Pharmaceuticals
Experience
Keystone First September 2013 - Present
Taylor Hospital 2001 - 2011
Wyeth Pharmaceuticals 2001 - 2007
Skills
Leadership, Healthcare, Hospitals, Pharmaceutical Industry, GMP, FDA, Quality Assurance, Microsoft Office, Microsoft Excel, Process Improvement, Cross-functional Team..., Customer Service, PowerPoint, Managed Care
Education
University of Phoenix 2006 — 2008
RN, BSN, MBA, Nursing and Business
West Chester University of Pennsylvania 1990 — 1994
Bachelor of Science in Nursing
Keystone First September 2013 - Present
Taylor Hospital 2001 - 2011
Wyeth Pharmaceuticals 2001 - 2007
Skills
Leadership, Healthcare, Hospitals, Pharmaceutical Industry, GMP, FDA, Quality Assurance, Microsoft Office, Microsoft Excel, Process Improvement, Cross-functional Team..., Customer Service, PowerPoint, Managed Care
Education
University of Phoenix 2006 — 2008
RN, BSN, MBA, Nursing and Business
West Chester University of Pennsylvania 1990 — 1994
Bachelor of Science in Nursing
Irina Potakh's Keystone First Experience November 1998 - February 2013
Job Database Programmer/Analyst at ProMetrics
Industry Pharmaceuticals
Experience
ProMetrics October 2014 - Present
I Global Billing January 2013 - October 2014
Keystone First November 1998 - February 2013
Skills
Data Warehousing, Oracle, Visio, Business Analysis, Microsoft SQL Server, SDLC, Databases, Process Improvement, Requirements Analysis, SQL
Education
Temple University 1999 — 2001
Certificate in Graduate Business Program, Organization and Productivity Management.
The National Technical University, Kharkiv, Ukraine 1986 — 1992
Bachelor of Science, Electrical Engineering
ProMetrics October 2014 - Present
I Global Billing January 2013 - October 2014
Keystone First November 1998 - February 2013
Skills
Data Warehousing, Oracle, Visio, Business Analysis, Microsoft SQL Server, SDLC, Databases, Process Improvement, Requirements Analysis, SQL
Education
Temple University 1999 — 2001
Certificate in Graduate Business Program, Organization and Productivity Management.
The National Technical University, Kharkiv, Ukraine 1986 — 1992
Bachelor of Science, Electrical Engineering
Dionne Reeder's Keystone First Experience 2013 - 2015
Job Clinical Care Manager at AmeriHealth Caritas Family of Companies
Industry Hospital & Health Care
Experience
AmeriHealth Caritas December 2013 - Present
Keystone First 2013 - 2015
Keystone First 2013 - 2015
Alfred I. DuPont Hospital for Children December 2009 - March 2010
The Children's Hospital of Philadelphia March 2006 - April 2009
Skills
PALS, Pediatric Nursing, Medical/Surgical, Inpatient, Acute Care, Hospitals, Nursing Education, EMR, Healthcare, Medication..., Nursing, BLS, Patient Safety, Patient Education, Epic Systems, Jiva Healthcare Systems, Health Insurance, Case Management, Pediatrics, Registered Nurses, Healthcare Management, Medicine, Treatment, CPR Certified, Medical Terminology, Patient Advocacy, ACLS, HIPAA
Education
Hampton University 2001 — 2006
Bachelor's of Science, Nursing
Williamstown High School 1997 — 2001
High School
AmeriHealth Caritas December 2013 - Present
Keystone First 2013 - 2015
Keystone First 2013 - 2015
Alfred I. DuPont Hospital for Children December 2009 - March 2010
The Children's Hospital of Philadelphia March 2006 - April 2009
Skills
PALS, Pediatric Nursing, Medical/Surgical, Inpatient, Acute Care, Hospitals, Nursing Education, EMR, Healthcare, Medication..., Nursing, BLS, Patient Safety, Patient Education, Epic Systems, Jiva Healthcare Systems, Health Insurance, Case Management, Pediatrics, Registered Nurses, Healthcare Management, Medicine, Treatment, CPR Certified, Medical Terminology, Patient Advocacy, ACLS, HIPAA
Education
Hampton University 2001 — 2006
Bachelor's of Science, Nursing
Williamstown High School 1997 — 2001
High School
Michele McCullough-Gantt's Keystone First Experience May 2003 - Present
Job Public Affairs Specialist at Keystone Mercy Health Plan
Industry Hospital & Health Care
Experience
Keystone First May 2003 - Present
State Senator Vincent Hughes April 1998 - September 2002
Skills
Marketing Communications, Analysis, Media Relations, Social Media Marketing, Microsoft Office, Research, Event Management, Leadership, Project Management, Program Management
Education
St.Joseph University
Certification, Marketing
Strayer University, (PA)
Business/Marketing
Temple University
Keystone First May 2003 - Present
State Senator Vincent Hughes April 1998 - September 2002
Skills
Marketing Communications, Analysis, Media Relations, Social Media Marketing, Microsoft Office, Research, Event Management, Leadership, Project Management, Program Management
Education
St.Joseph University
Certification, Marketing
Strayer University, (PA)
Business/Marketing
Temple University
Kathy Donohue's Keystone First Experience October 2012 - January 2015
Job Director, Cassatt Patient Safety Organization
Industry Hospital & Health Care
Experience
Cassatt RRG Holding Company February 2015 - Present
Keystone First October 2012 - January 2015
Delaware County Community College April 2011 - September 2014
Taylor Hospital May 2010 - October 2012
Independence Blue Cross April 2005 - May 2010
Independence Blue Cross April 2003 - April 2005
Independence Blue Cross April 2000 - April 2003
Bryn Mawr Hospital May 1983 - April 2000
Skills
Nursing, Healthcare Management, Policy, Healthcare, Case Management, Regulatory Requirements, Performance Improvement, Administration, Lean for Healthcare, MITSS, Healthcare Consulting, Hospitals, Managed Care, Healthcare Information..., Acute Care, Case Managment, Clinical Research, Critical Care, Patient Safety, Quality Improvement, Process Improvement, Disease Management, HIPAA, EMR, Medicaid, Medicare, Public Health, Utilization Management, Quality Management
Education
Eastern University 2002 — 2004
MBA, Health Care Administration
Eastern University 2000 — 2002
BSN, Nursing
Chestnut Hill College 1979 — 1982
RN, Nursing
Cassatt RRG Holding Company February 2015 - Present
Keystone First October 2012 - January 2015
Delaware County Community College April 2011 - September 2014
Taylor Hospital May 2010 - October 2012
Independence Blue Cross April 2005 - May 2010
Independence Blue Cross April 2003 - April 2005
Independence Blue Cross April 2000 - April 2003
Bryn Mawr Hospital May 1983 - April 2000
Skills
Nursing, Healthcare Management, Policy, Healthcare, Case Management, Regulatory Requirements, Performance Improvement, Administration, Lean for Healthcare, MITSS, Healthcare Consulting, Hospitals, Managed Care, Healthcare Information..., Acute Care, Case Managment, Clinical Research, Critical Care, Patient Safety, Quality Improvement, Process Improvement, Disease Management, HIPAA, EMR, Medicaid, Medicare, Public Health, Utilization Management, Quality Management
Education
Eastern University 2002 — 2004
MBA, Health Care Administration
Eastern University 2000 — 2002
BSN, Nursing
Chestnut Hill College 1979 — 1982
RN, Nursing
John C. Hung's Keystone First Experience September 2012 - Present
Job Utilization Management Medical Director at AmeriHealth Caritas Health Plans
Industry Hospital & Health Care
Experience
Keystone First September 2012 - Present
Executive Health Resources March 2009 - August 2012
Charles Emergency Physicians July 1999 - February 2009
Skills
Healthcare Management, Utilization Management, Healthcare, Emergency Medicine, Healthcare Consulting, Medicine, Board Certified, Medicaid, Healthcare Information..., Health Policy, EMR, Public Health, Hospitals, Medical Education, Clinical Research
Education
University of California, Los Angeles 1996 — 1999
Residency, Emergency Medicine
University of California, Los Angeles 1993 — 1996
Residency, Pediatrics
University of Maryland Baltimore 1988 — 1993
M.D., Medicine
Duke University 1984 — 1988
A.B., Public Policy
McDonogh School
Keystone First September 2012 - Present
Executive Health Resources March 2009 - August 2012
Charles Emergency Physicians July 1999 - February 2009
Skills
Healthcare Management, Utilization Management, Healthcare, Emergency Medicine, Healthcare Consulting, Medicine, Board Certified, Medicaid, Healthcare Information..., Health Policy, EMR, Public Health, Hospitals, Medical Education, Clinical Research
Education
University of California, Los Angeles 1996 — 1999
Residency, Emergency Medicine
University of California, Los Angeles 1993 — 1996
Residency, Pediatrics
University of Maryland Baltimore 1988 — 1993
M.D., Medicine
Duke University 1984 — 1988
A.B., Public Policy
McDonogh School
Jessica Beard's Keystone First Experience August 2009 - May 2011
Job Senior Market Intelligence Analyst at AmeriHealth Caritas
Industry Insurance
Experience
AmeriHealth Caritas April 2015 - Present
AmeriHealth Caritas October 2013 - March 2015
AmeriHealth Caritas May 2011 - October 2013
Keystone First August 2009 - May 2011
Focus Pointe Global September 2008 - July 2009
Skills
French, Microsoft Office, Microsoft Excel, Microsoft Word, Health Insurance, Claim, Customer Service, Insurance, Analysis, PowerPoint, Access, Inventory Management, Healthcare
Education
Saint Joseph's University 2005 — 2009
Bachelor of Science, International Business
AmeriHealth Caritas April 2015 - Present
AmeriHealth Caritas October 2013 - March 2015
AmeriHealth Caritas May 2011 - October 2013
Keystone First August 2009 - May 2011
Focus Pointe Global September 2008 - July 2009
Skills
French, Microsoft Office, Microsoft Excel, Microsoft Word, Health Insurance, Claim, Customer Service, Insurance, Analysis, PowerPoint, Access, Inventory Management, Healthcare
Education
Saint Joseph's University 2005 — 2009
Bachelor of Science, International Business
Alice Yemey Bedell's Keystone First Experience April 2011 - Present
Job Public Health/Public Relations Manager at Association Feminine la Lumiere
Industry Health, Wellness and Fitness
Experience
AmeriHealth Caritas April 2013 - Present
Keystone First April 2011 - Present
Association Feminine la Lumiere August 2009 - Present
Remed Recovery Care Centers January 2011 - January 2014
City of Philadelphia – Department of Public Health July 2011 - February 2012
Keystone First October 2010 - March 2011
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop, English
Education
Capella University 2012 — 2014
MPH, Health Policy and Management, 4.0
Capella University 2012 — 2014
Master's Degree, General Public Health/Health Policy & Management, 4.0
Temple University - College of Public Health 2008 — 2011
Bachelor of Science Degree, Public Health, 3.80
Delaware County Community College
Associate of Science (AS), Science for Health Professions, 3.73
AmeriHealth Caritas April 2013 - Present
Keystone First April 2011 - Present
Association Feminine la Lumiere August 2009 - Present
Remed Recovery Care Centers January 2011 - January 2014
City of Philadelphia – Department of Public Health July 2011 - February 2012
Keystone First October 2010 - March 2011
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop, English
Education
Capella University 2012 — 2014
MPH, Health Policy and Management, 4.0
Capella University 2012 — 2014
Master's Degree, General Public Health/Health Policy & Management, 4.0
Temple University - College of Public Health 2008 — 2011
Bachelor of Science Degree, Public Health, 3.80
Delaware County Community College
Associate of Science (AS), Science for Health Professions, 3.73
Claude M. Donaldson's Keystone First Experience February 2011 - Present
Job
Industry Hospital & Health Care
Experience
Keystone First February 2011 - Present
Keystone First August 2004 - February 2011
Keystone First August 2002 - July 2004
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets
Education
Saint Joseph's University 2012 — 2015
Community College of Philadelphia 1992 — 1995
Associates Degree, Liberal Arts and Sciences/Liberal Studies
Keystone First February 2011 - Present
Keystone First August 2004 - February 2011
Keystone First August 2002 - July 2004
Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets
Education
Saint Joseph's University 2012 — 2015
Community College of Philadelphia 1992 — 1995
Associates Degree, Liberal Arts and Sciences/Liberal Studies
Denise Ameye's Keystone First Experience July 2013 - Present
Job Director, Provider Network Management at Keystone First
Industry Insurance
Experience
Keystone First July 2013 - Present
Coventry Health Care September 2010 - July 2013
Independence Blue Cross September 2008 - September 2010
Bravo Health January 2006 - September 2008
Skills
Insurance, Network Development, Medicare, Healthcare Information..., HMO, Managed Care, Healthcare, Medicaid, Health Insurance, Healthcare Management, PPO, Provider Relations, HIPAA, Credentialing, Health Policy, Healthcare Industry, Claim, Healthcare Consulting
Education
St. Joseph's University 1994 — 1999
MS, Health Education
Philadelphia University 1989 — 1993
BS, Business Management
Keystone First July 2013 - Present
Coventry Health Care September 2010 - July 2013
Independence Blue Cross September 2008 - September 2010
Bravo Health January 2006 - September 2008
Skills
Insurance, Network Development, Medicare, Healthcare Information..., HMO, Managed Care, Healthcare, Medicaid, Health Insurance, Healthcare Management, PPO, Provider Relations, HIPAA, Credentialing, Health Policy, Healthcare Industry, Claim, Healthcare Consulting
Education
St. Joseph's University 1994 — 1999
MS, Health Education
Philadelphia University 1989 — 1993
BS, Business Management
James Hargrove's Keystone First Experience December 2006 - March 2011
Job Clinical Content/Claims Management
Industry Insurance
Experience
McKesson July 2012 - Present
State of New Jersey April 2011 - July 2012
Keystone First December 2006 - March 2011
Independence Blue Cross 1999 - 2003
Independence Blue Cross 1999 - 2003
Independence Blue Cross 1999 - 2003
Skills
BABOK, Project Management, Claims Management, Medicaid Managed Care, Certified Professional..., Managed Care, Health Care Fraud, Quality Auditing, Access, Medicare, Medicaid, Healthcare Information..., HIPAA, Policy, Process Improvement, Software Documentation, Health Insurance, Analysis, Business Analysis, Healthcare Management, Management, Operations Management, Healthcare
Education
Kaplan University 2013 — 2015
Master’s Degree, Health Informatics, 3.9
Eastern University 1999 — 2002
Bachelor of Arts (B.A.), Management Information Systems, General, 3.61
McKesson July 2012 - Present
State of New Jersey April 2011 - July 2012
Keystone First December 2006 - March 2011
Independence Blue Cross 1999 - 2003
Independence Blue Cross 1999 - 2003
Independence Blue Cross 1999 - 2003
Skills
BABOK, Project Management, Claims Management, Medicaid Managed Care, Certified Professional..., Managed Care, Health Care Fraud, Quality Auditing, Access, Medicare, Medicaid, Healthcare Information..., HIPAA, Policy, Process Improvement, Software Documentation, Health Insurance, Analysis, Business Analysis, Healthcare Management, Management, Operations Management, Healthcare
Education
Kaplan University 2013 — 2015
Master’s Degree, Health Informatics, 3.9
Eastern University 1999 — 2002
Bachelor of Arts (B.A.), Management Information Systems, General, 3.61