Keystone Mercy Health Plan

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Keystone Mercy Health Plan Employees

Employee
Years
Job
Industry
Ronald L. Wright Jr. Ronald L. Wright Jr. Greater Philadelphia Area Details
Ronald L. Wright Jr.'s Keystone Mercy Health Plan Experience May 2007 - August 2008
Job Box Office Manager at People's Light
Industry Research
Experience
People's Light  December 2014 - Present
People's Light & Theatre   June 2013 - Present
People's Light & Theatre   November 2011 - Present
Yeadon Education & Athletic Association   August 2011 - Present
Yeadon Education and Athletic Association   2003 - Present
The Franklin Institute  May 2012 - October 2012
The Australia National University   June 2010 - November 2010
Macy's Inc  November 2009 - February 2010
Internal Revenue Service  October 2009 - February 2010
Keystone Mercy Health Plan   May 2007 - August 2008

Skills
Adobe Creative Suite, PeopleSoft, Microsoft Office, Research, Customer Service, Social Media, PowerPoint, Microsoft Word, Microsoft Excel, Public Speaking, Non-profits, Tessitura, Visual Culture, Nonprofits, Volunteer Management, Leadership, Facebook, Social Networking, Editing, Creative Writing

Education
The Australia National University   2010 — 2011
Masters of Liberal Arts, Pennsylvania

Emory University   2005 — 2009
Bachelors, Religion and Anthropology

The Hebrew University   2008 — 2008
N/A, Religion

Janée M. James Janée M. James Greater Philadelphia Area Details
Janée M. James's Keystone Mercy Health Plan Experience June 1998 - January 1999
Job TEAM LEADMEDICAL BILLING & PATIENT BILLING ACCOUNT SPECIALIST
Industry Hospital & Health Care
Experience
Amtrak  October 2011 - June 2012
NHPN   June 2008 - September 2011
Sterling Medical, Moorestown, NJ   January 2004 - June 2004
Towers Perrin Benefits Administrator   January 2000 - January 2003
Our Lady Of Lords Medical Center   September 2000 - July 2001
Mercy Home Care Equipment- DME   January 1999 - October 1999
Keystone Mercy Health Plan   June 1998 - January 1999
Health Mannagement Alternatives   December 1997 - May 1998
American Medical Response  March 1996 - December 1997

Skills
HIPAA, Medicare, Managed Care, Healthcare, Outlook, Healthcare Information..., ICD-9, Insurance, Medical Billing, Revenue Cycle, Process Improvement, CPT, Medical Coding, Medicaid, HCPCS, Medical Terminology, Microsoft Office, Financial Analysis, Medical Records, Meditech, Strategic Planning, EHR, EMR, Medicare/Medicaid..., Denials, Charge Entry, Cross-functional Team..., Hospitals, ICD-9-CM, Provider Relations, Accounts Payable, EOB, Spreadsheets, Healthcare Reimbursement, Invoicing, Accounts Receivable, Access, Health Insurance, Software Documentation, Healthcare Industry, Medical Transcription, Physicians, Epic Systems, Revenue Cycle Management, IDX, Health Information..., Credentialing, Telephone Skills, Healthcare Management

Education
Camden County College   2015 — 2017
Associate of Applied Science Degree AAS.(Pending), Health Information Technology

AHIMA   2015 — 2016
AHIMA- Student Membership ID#2429848, Health Information Technology

Rutgers, The State University of New Jersey-Camden   2007 — 2009
Nursing Major- Pathophysiology

Camden County College   2003 — 2007
Associate of Science Degree (A.S.)-Graduated, Pre-Nursing Studies

Camden County College   2000 — 2000
Certificate-,Graduated, MicroSoft Office User Specialists, Type 75-85wpm

Star Institue Of Technology   1995 — 1996
Certificate - Graduated, Health Claims Examining/Medical Billing

Omega Institute, Cinnaminson, NJ   1993 — 1993
Certificate - Graduated, Medical Secretary

Pemberton High School   1984 — 1986
Diploma - Graduated, Business Administration and Management, General, 10-12 grade

John K. Ossi Vo-Tech   1983 — 1984
Cosmetology, Styling, 9th

Sarakate Hammer Sarakate Hammer Milford, Delaware Details
Sarakate Hammer's Keystone Mercy Health Plan Experience June 1999 - June 2001
Job University Instructor at Wilmington University
Industry Writing and Editing
Experience
Wilmington University  September 2015 - Present
Delaware Technical & Community College  August 2012 - Present
Hammer Household, Inc.   May 2001 - Present
Dowtown Milford, Inc.   2012 - 2013
SandBox Press   December 2009 - July 2011
Keystone Mercy Health Plan   June 1999 - June 2001

Skills
Microsoft Office, QuickBooks, Social Media, College Teaching, Community Organizing, Customer Service, Teaching, Public Speaking, Grant Writing, Organization Growth, Fundraising, Community Outreach, Strategic Planning, Advertising, Community Development, Public Relations, Editing, Conflict Resolution, Microsoft Word, Marketing, Social Networking, Newsletters, Press Releases, Volunteer Management, Research, PowerPoint, Social Media Marketing, Coaching, Event Planning, Leadership Development, Organizational..., Program Development, Event Management, Data Analysis, Media Relations, Facebook, Creative Writing, Nonprofits, Training, Leadership, Copywriting, Government, Blogging, Marketing Communications, Team Building, Photography, Speech Writing, Writing

Education
The University of North Dakota   2011 — 2015
MPA-Concentration in Health Care Administration, MPA

University of North Carolina at Charlotte
Elementary Education

East Carolina University   1992 — 1998
BA, Psychology, Minor English/History

Derrick Keith Derrick Keith Greater Philadelphia Area Details
Derrick Keith's Keystone Mercy Health Plan Experience September 2007 - April 2009
Job Corporate Services, University Of Pennsylvania Health System
Industry Hospital & Health Care
Experience
Varsity Tutors  October 2014 - Present
Penn Medicine (University of Pennsylvania Health System)   July 2014 - Present
Personal Tutoring Services   September 2011 - Present
University of Pennsylvania Health System  September 2011 - July 2014
UCSEP   September 2009 - June 2011
Keystone Mercy Health Plan   September 2007 - April 2009

Skills
Healthcare, Healthcare Management, Hospitals, EMR, Epic Systems, Public Health, Data Analysis, Medical Terminology, Managed Care, Microsoft Office, Teaching, Medical Records, Medical Billing, Medical Coding, Revenue Cycle, Cpr Certified, Microsoft Excel, PowerPoint, Microsoft Word, Community Outreach, Event Planning, Customer Service, Healthcare Information...

Education
Drexel University   2015 — 2017
Bachelor of Science (B.Sc.), Health/Health Care Administration/Management

American Public University System   2012 — 2015
Bachelor of Science (BS), Public Health

Kutztown University of Pennsylvania   2002 — 2008
Bachelor of Business Administration (B.B.A.), Finance, General

Marty Howe, PMP, CSM Marty Howe, PMP, CSM Greater Philadelphia Area Details
Marty Howe, PMP, CSM's Keystone Mercy Health Plan Experience July 2009 - March 2011
Job Project Manager at American Water
Industry Information Technology and Services
Experience
American Water  July 2014 - Present
Anexinet  February 2013 - July 2014
GMAC ResCap  March 2011 - February 2013
Keystone Mercy Health Plan   July 2009 - March 2011
Anexinet  August 2007 - June 2009
Keystone Mercy Health Plan   August 2006 - August 2007
GMAC ResCap  February 2004 - June 2006
Navisys  2003 - 2004
Delaware Valley Financial Services  1999 - 2003

Skills
Project Management, Agile Methodologies, PMP, Program Management, Business Process..., SDLC, Project Portfolio..., Business Requirements, Agile Project Management, Scrum, Integration, Cross-functional Team..., Vendor Management, Project Delivery, IT Strategy, Governance, Software Project..., Leadership, Business Analysis, MS Project, Management, Enterprise Software, Requirements Analysis

Education
Penn State University   2003 — 2005
PM Certificate, Project Management

Eastern University   1997 — 1998
MBA, Business Administration

Saint Joseph's University
B.S., Public Administration

Bedina Houston-Williams Bedina Houston-Williams Greater Philadelphia Area Details
Bedina Houston-Williams's Keystone Mercy Health Plan Experience May 1995 - October 2012
Job Account Executive at Stewart Business Systems, A Xerox Company
Industry Hospital & Health Care
Experience
Stewart Business Systems, A Xerox Company  May 2015 - Present
Health Partners Plans  February 2014 - October 2014
Keystone Mercy Health Plan   May 1995 - October 2012
Keystone Mercy Health Plan   1995 - 2012
The Children's Hospital of Philadelphia  December 1992 - May 1995
Thomas Jefferson University Hospitals  July 1991 - December 1992

Skills
Managed Care, Healthcare Management, Microsoft Office, Revenue Cycle, Troubleshooting, Cisco Technologies, Network Administration, Project Management, Strategic Planning, Healthcare, Insurance, Hospitals, HIPAA, Software Documentation, Analysis, Leadership, Contract Negotiation, Recruiting, Policy

Education
Saint Joseph's University   2013 — 2016
Master of Business Administration (M.B.A.), Pharmaceutical & Healthcare Marketing

Penn State University   1984 — 1989
Bachelor of Science (BS), Health Policy and Administration

Cornell University   1983 — 1983
Certificate of Completion, Architecture

Tiese Johnson Tiese Johnson Philadelphia, Pennsylvania Details
Tiese Johnson's Keystone Mercy Health Plan Experience December 2007 - September 2008
Job Currently seeking employment
Industry Hospital & Health Care
Experience
Self employed  July 2014 - Present
Cosi  August 2013 - February 2014
PRWT Services, Inc.   2010 - 2012
Keystone Mercy Health Plan   December 2007 - September 2008
Keystone Mercy Health Plan   2005 - 2007
Keystone Mercy Health Plan   2003 - 2005
Keystone Mercy Health Plan   1998 - 2003

Skills
Customer Service, Claims Handling, Claims Resolution, Mail Sorting, Filing, Labels, Scanners, Data Entry, Microsoft Excel, Microsoft Word, Outlook, Insurance, FACETS, Invoicing, Spreadsheets, HIPAA, Team Building, Leadership, Process Improvement, Public Speaking, Training, Healthcare

Education
Harris School of Business-Upper Darby Campus   2009 — 2010
Diploma, Surgical Technician

Thompson Institute   1997 — 1998
Diploma, Medical/Clinical Assistant

Upper Darby High School   1987 — 1988
Diploma, Business, 12

Heidi Chan Heidi Chan Greater Detroit Area Details
Heidi Chan's Keystone Mercy Health Plan Experience October 2010 - February 2014
Job Market President, Blue Cross Complete
Industry Hospital & Health Care
Experience
Blue Cross Complete of Michigan   Director, TPAAmeriHealth CaritasFebruary 2014 - January 2015
Keystone Mercy Health Plan   October 2010 - February 2014
Keystone Mercy Health Plan   February 2006 - October 2010
PA House of Representatives  August 1996 - February 2006

Skills
Medicaid, Medicaid Managed Care, Managed Care, Healthcare, Healthcare Management, HIPAA, Health Insurance, Healthcare Consulting, Healthcare Industry, Provider Relations, Pharmacy Benefit..., Hospitals, Medicare, Legislative Relations, Healthcare Information..., Health Policy, Disease Management, Policy, Process Improvement, Strategic Planning

Education
Capital College, Pennsylvania State University
Bachelor of Science (BS), Public Policy

Regis University
Master of Business Administration (MBA), Health/Health Care Administration/Management

The George Washington University
Master's degree, Political Management

Alicia Patrick, RHIA Alicia Patrick, RHIA Colorado Springs, Colorado Details
Alicia Patrick, RHIA's Keystone Mercy Health Plan Experience June 2012 - August 2012
Job Healthcare IT Professional
Industry Hospital & Health Care
Experience
Allscripts  August 2013 - May 2015
Temple University  October 2011 - July 2013
University of Pennsylvania Health System  April 2013 - May 2013
Temple University  May 2011 - May 2013
University of Pennsylvania Health System  September 2012 - November 2012
Keystone Mercy Health Plan   June 2012 - August 2012
Howard Gittis Student Center  August 2010 - May 2011

Skills
Medical Terminology, Medical Coding, CPT, ICD-9, ICD-9-CM, HIPAA, Medical Records, EHR, EMR, Healthcare, Medical Billing, Hospitals, Epic Systems

Education
Boston University   2015 — 2017
Computer Information Systems/ Health Informatics

Temple University   2009 — 2013
Bachelor of Science (BS), Health Information/Medical Records Administration/Administrator

Asia Henry Asia Henry Greater Philadelphia Area Details
Asia Henry's Keystone Mercy Health Plan Experience March 2012 - October 2012
Job Owner/Affiliate Marketer at AKH Management, LLC
Industry Real Estate
Experience
AKH Management, LLC   January 2012 - Present
Keystone Mercy Health Plan   March 2012 - October 2012
Keystone Mercy Health Plan   March 2012 - October 2012
Aetna  November 2007 - April 2010
Aetna, Inc  November 2007 - April 2010
PA Liquor Control Board  September 2007 - November 2007
PA Liquor Control Board  September 2007 - November 2007
COMHAR  October 2003 - July 2007
COMHAR, Inc  October 2003 - July 2007

Skills
Flexible to Change, Organized Multi-tasker, Always Punctual, Exceptional Listener, Resourceful..., Proactive self-starter, Computer-literate..., Open to New Ideas, Intellectually Curious, Quick Study, Big-picture Thinker, Customer Service..., Service Center..., Medicare Advantage, Medicare Prescription..., Individual Health..., Employee Benefits Design, Benefits Design, Healthcare Reimbursement, Payer Relations, Provider Enrollment, CMS-1500, HCPCS, EOB

Education
Community College of Philadelphia   2001 — 2003
Culinary Arts/Hospitality Management

Philadelphia Community College   2001 — 2003
none, Culinary Arts

Rita Bocassini Rita Bocassini Philadelphia, Pennsylvania Details
Rita Bocassini's Keystone Mercy Health Plan Experience July 2006 - February 2008
Job Assistant Director at The Door to Help
Industry Nonprofit Organization Management
Experience
The Door to Help   July 2006 - Present
Tarbiyatul Ilm Academy   2008 - 2012
Keystone Mercy Health Plan   July 2006 - February 2008

Skills
Microsoft Office, Internet Research, Social Media Marketing, Public Relations, Fundraising, Advertising, Managed Accounts, Report Writing, Database Management, Human Resourcing, Office Administration, Lesson Planning, Curriculum Development, People-oriented, Multitasker, Fast Learner, Adaptive

Education
American Public University System   2011 — 2014
Bachelor's Degree, Sociology

Community College of Philadelphia   2000 — 2001
Certification, Child Development

Computer Learning Center   1996 — 1998
Associate's degree, Business Administration, Management and Operations

Stasia (Stacey) Andrucci Stasia (Stacey) Andrucci Temecula, California Details
Stasia (Stacey) Andrucci's Keystone Mercy Health Plan Experience February 2003 - May 2005
Job Technical Author at Thermo Fisher Scientific
Industry Research
Experience
Thermo Fisher Scientific  May 2008 - May 2013
Independence Blue Cross  May 2005 - May 2008
Keystone Mercy Health Plan   February 2003 - May 2005
Intermedia Interactive Solutions   February 2002 - November 2003

Skills
Product Management, Microsoft Office, Author IT, Adobe Illustrator, Adobe Technical..., SharePoint, Scrum, Dreamweaver, HTML, ADDIE, Technical Writing, Instructional Design, Web Design, Producing Web Content, Virtual Machines, Blogging, Adobe Connect, Online Content, SDLC, Content Management..., Project Management, Technical Communication, Technical Documentation, Captivate, Editing

Education
Drexel University   1994 — 1997
Master of Science (MS), Technical and Scientific Communication

Point Park University   1988 — 1992
Bachelor of Fine Arts (BFA), Film and Video Production

Cassandra M. Whiting Cassandra M. Whiting Philadelphia, Pennsylvania Details
Cassandra M. Whiting's Keystone Mercy Health Plan Experience January 1995 - March 2010
Job Customer Services Representative
Industry Hospital & Health Care
Experience
Health Advocate  August 2013 - November 2013
The Carney Group  January 2012 - December 2012
Keystone Mercy Health Plan   January 1995 - March 2010

Skills
Experianced in Windows..., Volunteed at Hospitals...

Education
Community College of Philadelphia   1991 — 1993

William Penn High School for Girls   1971 — 1974
High School Diploma

Ravishankar Balagopal Ravishankar Balagopal Greater Denver Area Details
Ravishankar Balagopal's Keystone Mercy Health Plan Experience 2006 - 2007
Job Sr Facets Consultant/Architect @ TriZetto Corp.
Industry Information Technology and Services
Experience
The TriZetto Group  February 2012 - Present
CVS Caremark Corporation  February 2012 - Present
IBM Global Business Services  April 2011 - February 2012
WellPoint  2007 - April 2011
Cognizant Technology Solutions  2005 - 2011
Keystone Mercy Health Plan   2006 - 2007
WellPoint  2005 - 2006
Xylon Technologies   2004 - 2005

Skills
Facets, PMP, Healthcare, Custom Development, SQL Server, Solution Design, Sybase, Microsoft SQL Server, Solution Architecture, IT Strategy, Requirements Analysis, Unix, SDLC, Business Analysis, SQL, SOA, Agile Methodologies, .NET, Databases, Business Requirements, Custom Software, Testing, Crystal Reports, ERP, Requirements Gathering

Education
Cochin University of Science and Technology   2002 — 2005
Masters in Computer Applications, Computer Applications

Union Christian College, Kerala   1999 — 2002
B.Sc, Physics

Nicholas Mingle Nicholas Mingle Greater New York City Area Details
Nicholas Mingle's Keystone Mercy Health Plan Experience January 2007 - September 2007
Job Project Lead at Defense Logistics Agency
Industry Information Technology and Services
Experience
Defense Logistics Agency  November 2013 - Present
DeVry University  May 2014 - Present
University of Phoenix  June 2010 - Present
US Army  July 2010 - November 2013
The Children's Hospital of Philadelphia  December 2008 - April 2013
R4 Incorporated  February 2009 - June 2010
Harris Corporation  September 2007 - December 2008
Keystone Mercy Health Plan   January 2007 - September 2007
Accenture  June 2006 - January 2007
Gaming Laboratories International  December 2003 - June 2006

Skills
Microsoft SQL Server, Software Development, SQL, Project Management, Software Project..., Agile Project Management, Information Management, Business Process..., Information Systems, Systems Analysis, Business Analysis, Software Engineering, Agile Methodologies, Information Assurance, Information Technology, Healthcare Information..., Application Architecture, Computer Science, Software Documentation, Software Installation, Software Design, Scrum, Web Applications, Managing Database, Database Design, Database Administration, Oracle PL/SQL..., VB.NET, VBScript, .NET Compact Framework, ASP.NET, FileMaker, Microsoft Office, Microsoft Word, MS Project, Microsoft Excel, Visio, HTML, Visual Studio, EDI, UML, DDL, ETL, Test Management Tool

Education
Drexel University   2008 — 2010
Master of Science (M.S.), Information Technology

Temple University   2001 — 2003
Bachelor of Science (BS), Information Technology

Drexel University   1998 — 2001
Information Technology

Carl L Chapman Sr. Carl L Chapman Sr. Philadelphia, Pennsylvania Details
Carl L Chapman Sr.'s Keystone Mercy Health Plan Experience May 2001 - July 2004
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

Jonathon Fitzgerald Jonathon Fitzgerald Baltimore, Maryland Details
Jonathon Fitzgerald's Keystone Mercy Health Plan Experience June 2004 - December 2004
Job Senior Equity Portfolio Analyst at T. Rowe Price
Industry Investment Management
Experience
T. Rowe Price  February 2015 - Present
T. Rowe Price  November 2013 - January 2015
T. Rowe Price  January 2013 - October 2013
T. Rowe Price International Ltd.   October 2010 - December 2012
T. Rowe Price Global Investment Services   November 2006 - September 2010
T. Rowe Price  December 2004 - October 2006
Keystone Mercy Health Plan   June 2004 - December 2004
Commerce Capital Markets  June 2003 - August 2003

Skills
Equities, Fixed Income, Asset Managment, Investments, Bonds, Mutual Funds, Investment Banking, Bloomberg, Securities, Financial Services, Investment Strategies, Portfolio Management, Analysis, Morningstar Direct, Haver, Performance Attribution, Lipper, Building Relationships, Asset Management, Financial Analysis, Management

Education
CFA Level 3 Candidate, June 2015

Loyola University Maryland   2007 — 2009
MBA, Finance

Goucher College   2000 — 2004
BA, Business Management

University of Westminster   2003 — 2003

Alexa Mauro Alexa Mauro San Francisco, California Details
Alexa Mauro's Keystone Mercy Health Plan Experience May 2010 - August 2010
Job Associate Producer at Bonfire Labs
Industry Marketing and Advertising
Experience
Bonfire Labs  January 2015 - Present
Bonfire Labs  October 2013 - January 2015
Wildfire, a division of Google  June 2012 - October 2013
Flipkey  September 2011 - May 2012
Feld Career Center   August 2011 - May 2012
Keystone Mercy Health Plan   May 2010 - August 2010

Skills
Social Media Marketing, Social Media, Marketing, Facebook, Strategy, Microsoft Excel, Customer Service, Social Networking, Research, SEO, Event Planning, PowerPoint, Microsoft Office, Microsoft Word, Outlook, Video Production, Post Production, Digital Experiences, Storytelling

Education
Boston University Questrom School of Business   2008 — 2012
BS, Marketing and Entrepreneurship

University of Belgrano & Menéndez Pelayo International University Summer 2011   2011 — 2011

Portia Cyrus Portia Cyrus Philadelphia, Pennsylvania Details
Portia Cyrus's Keystone Mercy Health Plan Experience 2010 - 2011
Job Big Brothers Big Sisters SEPA
Industry Nonprofit Organization Management
Experience
Big Brothers Big Sisters SEPA   August 2013 - Present
AstaTech, Inc.   June 2012 - January 2013
EducationWorks  April 2012 - June 2012
MedRisk, Inc.   2011 - 2012
Keystone Mercy Health Plan   2010 - 2011
AstaTech, Inc.   November 2009 - May 2010
Communities in Schools of Philadelphia  August 2006 - August 2009

Skills
Youth Development, Volunteer Management, Service Learning, Community Outreach, Non-profits, Grant Writing, Program Development, Fundraising, Grants, Social Services, Event Planning, Public Speaking, Customer Service, Youth Mentoring, Nonprofits, Staff Development, Leadership, Management, Microsoft Office, Microsoft Word, PowerPoint, Training

Education
Chestnut Hill College   2010 — 2012
Bachelor of Applied Science (B.A.Sc.), Business/Corporate Communications

Chestnut Hill College   2010 — 2012
Bachelor of Applied Science (B.A.Sc.), Business/Corporate Communications

Community College of Philadelphia   2001 — 2007
Associate's degree, Liberal Arts and Sciences/Liberal Studies

Anthony Sampson, Jr Anthony Sampson, Jr Greater Philadelphia Area Details
Anthony Sampson, Jr's Keystone Mercy Health Plan Experience November 2007 - September 2009
Job Test Automation Architect at Capital One 360
Industry Computer Software
Experience
Capital One  May 2012 - Present
Comcast Cable  September 2009 - May 2012
Keystone Mercy Health Plan   November 2007 - September 2009
PHH Mortgage  July 2007 - November 2007
UnitedHealth Group  November 2006 - July 2007
Liquent, Inc. - A Thomson Business   July 2004 - November 2006
FCG  October 2003 - May 2004

Skills
QTP, System Testing, Testing, Test Planning, Quality Center, WinRunner, Manual Testing, Process Development, Selenium, LoadRunner, Performance Testing, Test Automation, Software Quality..., Integration Testing, User Acceptance Testing, QC, Defect Tracking, Test Director, Waterfall, Regression Testing, Test Management, Load Testing, Test Cases, Test Strategy, Performance Center, Quality Assurance, VBScript, Visual Basic, XML, Databases, Automation, Operating Systems, JIRA, SoapUI, SDLC, QA Automation, Regression, JUnit, SQL Server, Visio, Test Tools, Scripting, Test Execution, Web Services, Microsoft SQL Server, Software Documentation, Web Applications, SQL, Process Simulation, Quality Control

Education
Drexel University   1999 — 2004
BA, Computer Engineering

Anna Fievitz Anna Fievitz Greater Philadelphia Area Details
Anna Fievitz's Keystone Mercy Health Plan Experience January 2002 - February 2005
Job Sr Director, Enterprie Architecture at SHS
Industry Information Technology and Services
Experience
Symphony Health Solutions  February 2013 - Present
Health Partners of Philadelphia  July 2012 - December 2012
IMS Health  February 2008 - September 2012
TNS North America  February 2005 - February 2008
Keystone Mercy Health Plan   January 2002 - February 2005
Competitive Media Reporting  June 1998 - January 2002
Success Results Consulting   January 2001 - November 2001
Contemporary Technology Inc   November 1996 - June 1998

Skills
Data Architecture, Data Warehousing, Data Modeling, Data Integration, Database Design, Master Data Management, Business Intelligence, Data Analysis, ETL, Oracle, SQL Server, Sybase ASE, Sybase IQ, Unix, ERwin, PowerDesigner

Education
University of Maryland College Park
BS, Mathematics & Statistics

Bauman Moscow State Technical University
Engineering and Applied Mathematics

Jaclyn Gailey Jaclyn Gailey Brattleboro, Vermont Details
Jaclyn Gailey's Keystone Mercy Health Plan Experience May 2005 - June 2011
Job Delegation Oversight
Industry Hospital & Health Care
Experience
Evolent Health  August 2014 - Present
AmeriHealth Caritas  June 2011 - January 2014
Keystone Mercy Health Plan   May 2005 - June 2011
Horizon Blue Cross Blue Shield of New Jersey  March 1999 - January 2005

Skills
Managed Care, Visio, Dreamweaver, Medical Terminology, Adobe Acrobat, Project Management, Microsoft Office, PowerPoint, Spreadsheets, Medicaid, Administrative..., HIPAA, Healthcare, Medicare, Healthcare Management, Microsoft Word, Microsoft Excel, Policy, Vendor Management

Education
Delaware County Community College   2009 — 2013
Nursing

Erica Danielle Monroe, CPhT, MBA/HCM Erica Danielle Monroe, CPhT, MBA/HCM Greater Philadelphia Area Details
Erica Danielle Monroe, CPhT, MBA/HCM's Keystone Mercy Health Plan Experience June 2002 - November 2003
Job Experienced Certified Pharmacy Technician, Managed Care Setting, Health Insurance, Medicare/Medcaid, CMS compliance
Industry Pharmaceuticals
Experience
AmeriHealth Caritas/ PerformRx   June 2014 - Present
Horizon NJ Health  May 2012 - January 2014
Horizon Blue Cross Blue Shield of New Jersey  March 2011 - May 2012
PerformRx  January 2010 - March 2011
PerformRx  December 2006 - January 2010
PerformRx  October 2006 - December 2006
AmeriHealth Administrators  November 2003 - October 2006
Keystone Mercy Health Plan   June 2002 - November 2003
RITE AID  August 1989 - June 2002

Skills
Microsoft Office, Management, Microsoft Word, Microsoft Excel, Research, PowerPoint, Training, Leadership, English, Process Improvement, Windows, Outlook, HTML, Recruiting, SQL, Java, Interviews

Education
University of Phoenix   2008 — 2010
Master of Business Administration (MBA), Health Care Management

University of Phoenix   2005 — 2008
Bachelor of Science (B.S.), Business Management

Temple University College of Liberal Arts   2003 — 2005
Organizational Leadership

Temple University College of Liberal Arts   1992 — 1994
Pre-Pharmacy Studies

Elaine Mercier Elaine Mercier Portland, Maine Area Details
Elaine Mercier's Keystone Mercy Health Plan Experience 2005 - 2007
Job Insurance, Health Plan & Nonprofit Operations Leader
Industry Insurance
Experience
Acadia Insurance  2012 - 2014
United Way of Delaware  2012 - November 2012
LEADERSHIP Philadelphia  2007 - 2009
Keystone Mercy Health Plan   2005 - 2007
Concentra Health Services  2003 - 2005
Phoenix Health Plan  1999 - 2001
Liberty Mutual Insurance Group  1995 - 1999

Skills
Leadership, Talent Management, Non-profits, Operations Management, Strategic Planning, CRM, Training, Leadership Development, Nonprofits, Community Outreach, Insurance, Project Management, Claims Management, Account Management, Risk Management, Litigation Management, Regional Management, Adjunct Faculty, Program Management, Management, Coaching, Organizational..., Process Improvement, Team Building, Performance Management, Employee Benefits, Marketing

Education
Babson College - Franklin W. Olin Graduate School of Business
MBA, Management/Marketing

Leadership Philadelphia
Core Program 2006

Regis College
BA, Magnacumlaude, French & Political Science

Simmons College - Simmons School of Management
Certificate, Executive Development

Jennifer Guglielmi Jennifer Guglielmi Greater Philadelphia Area Details
Jennifer Guglielmi's Keystone Mercy Health Plan Experience April 2011 - Present
Job Senior Complex Maternity Case Manager at Keystone Mercy Health Plan
Industry Medical Practice
Experience
Keystone Mercy Health Plan   April 2011 - Present
Saint Christophers Hospital for Children  January 2011 - April 2011
Saint Christopher's Hospital for Children in   January 2011 - April 2011
Blanchfield Army Community Hospital  October 2009 - December 2010
US Army  August 2008 - October 2009
Medical Surgical Floor   August 2008 - October 2009

Skills
Nursing, Patient Education, Medical/Surgical, Healthcare, Surgery, NICU, Triage, Leadership, PowerPoint, Microsoft Office, Microsoft Word, Cpr Certified, Critical Care, Pain Management, Healthcare Management, PALS

Education
Drexel University   2008 — 2014
Masters of Science, Nursing

University of Scranton   2002 — 2006
BSN, Nursing

Gwynedd Mercy Academy High School   1998 — 2002

Berni Sallac Berni Sallac Greater Philadelphia Area Details
Berni Sallac's Keystone Mercy Health Plan Experience 1990 - 1999
Job Branch Office Administrator at Edward Jones Investments
Industry Telecommunications
Experience
Edward Jones Investments  June 2010 - Present
EDS  July 2006 - February 2009
MBNA  2001 - 2006
Conectiv  2000 - 2000
Keystone Mercy Health Plan   1990 - 1999
Southco, manufacturer of industrial fasteners   1979 - 1990

Skills
Vendor Management, Program Management, CRM, Cross-functional Team..., Management, Process Improvement, Leadership, Telecommunications, Project Management, Training, Software Documentation, Security, Team Leadership, Project Planning, Start-ups

Education
Widener University   1980 — 1990
BS, Business Management - Evening/Weekend Classes

Goldey Beacom College   1976 — 1978

Charles Scammell Charles Scammell Greater New York City Area Details
Charles Scammell's Keystone Mercy Health Plan Experience January 2004 - December 2005
Job SVP Strategy and Learning Development at Precision For Medicine
Industry Pharmaceuticals
Experience
Precision For Medicine  December 2014 - Present
Milliman  May 2010 - November 2014
Brooks Group   January 2006 - May 2010
Keystone Mercy Health Plan   January 2004 - December 2005
Schering-Plough  April 1992 - 2003
Ernst & Young  November 1989 - December 1991
Price Waterhouse Coopers  December 1983 - November 1989

Skills
Managed Care, Healthcare, Strategy, Strategic Planning, Pharmacy Benefit..., Pharmaceutical Industry, Health Policy, Disease Management, Management Consulting, Healthcare Consulting, Market Research, Account Management, Healthcare Industry, Medicare, Medicare Part D, Training, Medicaid, Contract Negotiation, Leadership Technique, Workshop Facilitation

Education
Columbia University Mailman School of Public Health   1979 — 1982
MPH, Health Administration

Columbia University - Columbia Business School   1978 — 1981
Master of Business Administration (MBA), Health Administration; Business; Sales; Marketing

St. Lawrence University
BS, Biology, German, Education

Marian W. Marian W. Greater Philadelphia Area Details
Marian W.'s Keystone Mercy Health Plan Experience 2000 - 2006
Job Sr. Database Report Analyst at Weill Cornell Medical College
Industry Hospital & Health Care
Experience
Weill Cornell Medical College  February 2014 - Present
NYU Langone Medical Center  July 2011 - November 2013
The Children's Hospital of Philadelphia  April 2006 - July 2011
Keystone Mercy Health Plan   2000 - 2006

Skills
Crystal Reports, Visio, Business Objects, Sybase, SDLC, PL/SQL, Access, Unix, SQL, Data Analysis, ASP, Healthcare, MS Project, Business Intelligence, Healthcare IT, Programming, HTML, JavaScript, .NET, Analysis, Troubleshooting, Visual Basic, VBScript, Data Warehousing, Application Development, ETL, Requirements Gathering, Testing, Quality Assurance, Documentation, SQL Server, MUMPS, Adobe Muse, Adobe Premier, Adobe PhotoShop, Healthcare Information..., Ambulatory Care, EMR, EHR, Epic Systems, HL7, Ambulatory, Inpatient

Education
Drexel University

Steve Amster Steve Amster Greater Philadelphia Area Details
Steve Amster's Keystone Mercy Health Plan Experience August 1999 - September 2001
Job Lead Business Analyst at AmeriHealth Caritas
Industry Computer Software
Experience
AmeriHealth Caritas  July 2015 - Present
AmeriHealth Caritas  March 2013 - Present
InfoMC, Inc. Health Information Systems   August 2010 - February 2013
AmeriHealth Mercy Family of Companies  January 2006 - August 2010
AmeriHealth Mercy Family of Companies  August 1999 - January 2006
AmeriHealth Mercy Family of Companies  September 2001 - May 2003
Keystone Mercy Health Plan   August 1999 - September 2001
SmithKline Beecham Clinical Laboratories  April 1990 - August 1999

Skills
Microsoft Office 2007, SQL, Crystal Reports, Access, Business Analysis, Product Management, Medical Informatics, Informatics, Consulation, Sales&Marketing, Blueprint, Elicitation, Medicare, Analysis, HIPAA, Business Process..., Leadership, Healthcare, Managed Care, Quality Assurance, Training, SDLC, Healthcare Information..., Software Documentation, Data Warehousing, Medicaid, Data Analysis

Education
Peirce College   2013 — 2015
Master's degree, Organizational Leadership and Management, Currently 4.0

Bellevue University   2010 — 2011
BS HealthCare Management, Healthcare Management, 3.93

Peirce College, Philadelphia PA   2009 — 2010
AS Technology Management, Computor Science

Montgomery County Community College

Marianne Burger Marianne Burger Belcamp, Maryland Details
Marianne Burger's Keystone Mercy Health Plan Experience October 1993 - December 1996
Job Office Manager at Nisbets Inc
Industry Retail
Experience
Nisbets Inc   January 2013 - January 2015
I DO" Videos, Inc   January 2000 - November 2012
EASTMAN KODAK CO  August 2000 - September 2006
Genesis HealthCare  May 1999 - August 2000
Genesis HealthCare  December 1996 - August 1999
Keystone Mercy Health Plan   October 1993 - December 1996
Keystone Mercy Health Plan   October 1992 - October 1993
Delaware County Community College - Municipal Police Academy   April 1985 - October 1992

Skills
Customer Service, Editing, Management, Marketing, Community Outreach, Budgets, Sales, Advertising, Human Resources, New Business Development, Microsoft Office, Data Entry, Market Research, Administrative..., Payroll, Outlook, PowerPoint, Microsoft Excel, Event Planning, Accounting, Team Building, Sales Operations, Social Networking, Leadership

Education
Delaware County Community College   1985 — 1995
Associate Bachelor of Science, Business Management

Delaware County Community College   1985 — 1995
Associate Degree, Business Management; Applied Science/Business Management

WEST CHESTER UNIVERSITY
Marketing

Barnard DeVera Barnard DeVera Greater Philadelphia Area Details
Barnard DeVera's Keystone Mercy Health Plan Experience July 2011 - September 2011
Job Network Services Technician at Virtua Health
Industry Computer Hardware
Experience
Virtua Health  October 2012 - Present
Virtua Health  September 2011 - September 2012
Keystone Mercy Health Plan   July 2011 - September 2011
Virtua/Logix   February 2011 - July 2011
PHH Mortgage/Contemporary Staffing   October 2010 - February 2011
PHH Mortgage/Contemporary Staffing   October 2010 - October 2010
PHH Mortgage  January 2006 - July 2010
PHH  June 2003 - January 2006
PHH  April 2001 - June 2003
PHH  December 1999 - April 2001

Skills
Servers, Data Center, Troubleshooting

Education
Drexel University
Bachelor of Science, Computing Technology

Hahnemann University
Associates Degree, Medical Laboratory Technology

Angela M. Dunlap Angela M. Dunlap New Castle, Delaware Details
Angela M. Dunlap's Keystone Mercy Health Plan Experience March 1994 - March 1999
Job Short/Long Term Care & Hospice
Industry Hospital & Health Care
Experience
Dept of Correction  2013 - Present
The Martin Luther King Alumni Association of Philadelphia,   January 2011 - August 2014
2005 - 2010 UNITED STATES POSTAL SERVICE   July 2009 - January 2010
United States Postal Service  March 2005 - January 2010
United States Postal Service  March 2005 - July 2009
Amtrak  March 1999 - April 2003
Keystone Mercy Health Plan   March 1994 - March 1999

Skills
Customer Service, Time Management, Management, Payroll, Budgets, Operations Management, Human Resources, Healthcare Management, Medicare, Accounts Receivable, Coaching Staff, Supervisory Skills, Strategic Planning, Medicaid, Revenue Cycle, Human Resouces, Quality Management, Policy, Strategy, Coaching, Leadership, Team Building

Education
Ashford University   2014 — 2016
Master of Health Care Administration (M.H.A.), Health/Health Care Administration/Management

Ashford University   2012 — 2014
Bachelor's degree (B.A.), HEALTH CARE ADMINISTRATION

Kaplan University   2004 — 2009
Associate of Arts and Sciences (A.A.S.), BUSINESS ADMINISTRATION

Martin luther king high   1979 — 1983
Diploma, General Studies

Doug Gelling Doug Gelling Greater Philadelphia Area Details
Doug Gelling's Keystone Mercy Health Plan Experience June 1994 - February 2011
Job
Industry Marketing and Advertising
Experience
Energy Plus Company  March 2012 - Present
Innovative Development  May 2011 - March 2012
AmeriHealth Mercy Family of Companies  2007 - February 2011
AmeriHealth Mercy  June 2006 - February 2011
Keystone Mercy Health Plan   June 1994 - February 2011

Skills
SDLC, Visio, Microsoft SQL Server, Sybase, Enterprise Architecture, T-SQL, Requirements Analysis, SQL, Database Design, Oracle, Business Analysis, ETL, .NET, Vendor Management, Software Development, Databases, Enterprise Software, Agile Methodologies, Data Warehousing, Data Modeling, Architectures, Architecture, Testing, Integration, Requirements Gathering

Education
Temple University   1999 — 2002
MBA Certificate Program, Business and Organizational Dynamics

State University of New York at Binghamton   1983 — 1987
BS, Mathematics / Computer Science

Jack L. Ayala Jack L. Ayala Miami/Fort Lauderdale Area Details
Jack L. Ayala's Keystone Mercy Health Plan Experience December 2002 - February 2005
Job Seasoned Healthcare Exec of Acute Care, Insurers, Physicians JV, M&A, GME & UME Prog, Maximizing opportunities under ACA
Industry Hospital & Health Care
Experience
Genesis Medicus, LLC   February 2009 - Present
Palm Spring General Hospital and PSH / GM, LLC   February 2005 - February 2009
CHE / Mercy Health System   December 2002 - February 2005
Keystone Mercy Health Plan   December 2002 - February 2005
AmeriChoice / United   February 1997 - November 2002
St Johns Health System  1992 - 1997
PHC at Bellflower Hospital   1989 - 1991

Skills
Managed Care, Healthcare Management, Healthcare, Medicare, Medicaid, Hospitals, EMR, Healthcare Information..., Physicians, Informatics, Healthcare Industry, Process Improvement, Medicine, Physician Relations, Leadership, Contract Negotiation, Revenue Cycle Management, Performance Improvement, Public Health, Revenue Cycle, Practice Management, Healthcare Consulting, Clinical Research, EHR, Quality Improvement, Program Management, Accreditation, Disease Management, Health Policy, Medical Billing, HIPAA, Medical Education, Utilization Management, Radiology, Surgery, Internal Medicine, Nursing, Home Care, Orthopedic, Health Insurance, Cardiology, Pediatrics, Epic Systems, Emergency Medicine, Health Information..., Oncology, Provider Relations, JCAHO, Credentialing, Cerner

Education
Fordham University   1971 — 1976
BA

Wharton

M. Carolyn Daniels, M.Ed.,D.H.Sc. M. Carolyn Daniels, M.Ed.,D.H.Sc. Trenton, New Jersey Details
M. Carolyn Daniels, M.Ed.,D.H.Sc.'s Keystone Mercy Health Plan Experience 1990 - 1992
Job Executive Director Office of Minority & Multicultural Health
Industry Hospital & Health Care
Experience
NJ Department of Health  April 2011 - Present
The Crider Group   February 2010 - February 2011
AmeriChoice a Unitedhealth Group Company  2007 - 2009
UnitedHealth Group  January 2006 - February 2008
UnitedHealth Group  January 2004 - January 2006
United Behavioral   2005 - 2006
UnitedHealth Group  1998 - 2004
Americhoice Behavioral Healthcar   1996 - 1998
UnitedHealth Group  1990 - 1994
Keystone Mercy Health Plan   1990 - 1992

Skills
Healthcare, New Business Development, Microsoft Office, Start-ups, Health, Medicaid, Non-profits, Behavioral Health, Employee Benefits, Management, Team Building, Strategic Planning, Cross-functional Team..., Public Speaking, Program Development, Healthcare Information..., Business Development, Team Leadership, Change Management, Process Improvement, Vendor Management, Project Management, Organizational..., Data Analysis, Program Management, Leadership, Leadership Development, Clinical Research, Health Policy, Healthcare Management, Managed Care, Medicare, Nonprofits, Policy

Education
Central State University
BS, Psychology

Kutztown University of Pennsylvania
MEd, Counselor Education

Nova Southeastern University
D.H.Sc., Doctor of Health Sciences

Judith Stavisky, MPH, M.ED Judith Stavisky, MPH, M.ED Greater Philadelphia Area Details
Judith Stavisky, MPH, M.ED's Keystone Mercy Health Plan Experience 1990 - 1998
Job Senior Investigator
Industry Philanthropy
Experience
Catholic Social Services, North Penn Community Health Fnd, Open Link, St. Francis de Sales School   2012 - Present
Friends of the Children  2007 - 2012
Robert Wood Johnson Foundation  1999 - 2007
Keystone Mercy Health Plan   1990 - 1998

Skills
Philanthropy, Program Evaluation, Program Development, Grants, Public Health, Strategic Communications, Community Development, Policy, Program Management, Public Policy, Leadership, Nonprofits, Strategic Planning, Capacity Building, Community Outreach, Community Health, Grant Writing, Non-profit..., Public Relations, Volunteer Management, Mental Health, Non-profits, Fundraising, Community Organizing, Youth Development, Board Development, Policy Analysis, Workshop Facilitation, Proposal Writing, Organizational..., Social Services, Leadership Development, Public Speaking, Qualitative Research, International..., Stewardship, Research, Event Planning

Education
Yale School of Epidemilogy and Public Health
Master of Public Health (MPH)

Chestnut Hill College
Master of Education (M.Ed.)

University of California, Santa Barbara
Bachelor of Arts (B.A.), Sociology

Jennifer Lewis Jennifer Lewis Greater Philadelphia Area Details
Jennifer Lewis's Keystone Mercy Health Plan Experience July 2000 - November 2002
Job Director, Information Systems Revenue Cycle Applications at Temple University Health System
Industry Hospital & Health Care
Experience
Temple University Hospital  November 2012 - Present
Cooper University Hospital  September 2010 - October 2012
Cooper University Hospital  November 2002 - November 2010
Keystone Mercy Health Plan   July 2000 - November 2002
HUP  August 1992 - June 2000

Skills
Healthcare Information..., Data Analysis, Access, Project Management, Strategic Planning, Leadership, Change Management, Team Building, HIPAA, Business Analysis, Business Intelligence, Integration, Hospitals, Disaster Recovery, EHR, Revenue Cycle, Epic Systems, Strategy, Process Improvement, CRM, Management, Software Documentation, Vendor Management

Education
Drexel University - LeBow College of Business   1997 — 2003
MBA, Management Info Systems

West Chester University of Pennsylvania   1998 — 2002
B.A., Political Science

Philadelphia High School for Girls   1984 — 1988
Academic

University of Pennsylvania - The Wharton School
Certificate Business Management 2006

Tiffanie Gorham MBA Tiffanie Gorham MBA Greater Philadelphia Area Details
Tiffanie Gorham MBA's Keystone Mercy Health Plan Experience April 2012 - January 2013
Job System Analyst II at The Children's Hospital of Philadelphia
Industry Information Technology and Services
Experience
The Children's Hospital of Philadelphia  February 2013 - Present
Keystone Mercy Health Plan   April 2012 - January 2013
Prudential Insurance Company  February 2012 - March 2012
Children’s Hospital of Philadelphia  October 2011 - March 2012
The Childrens Hospital of Philadelphia  January 2008 - October 2011
Children’s Hospital of Philadelphia  November 2006 - January 2008
Children’s Hospital of Philadelphia  April 2006 - November 2006
Caring People Alliance  January 2004 - April 2006
University of Pennsylvania - Wharton School  March 2003 - September 2003

Skills
Groupwise, Customer Service, Data Entry, Training, Troubleshooting, Coaching, Epic Systems, Call Centers, Policy, Leadership, Analysis, Access, Software Documentation, HIPAA, Interviews, Human Resources, Hospitals, Customer Satisfaction, Management, EMR, Data Analysis, Change Management, Outlook, Kronos, IDX, Microsoft Office, Epic, groupwise, Cardio IMS, Epic Certified in..., EHR, Team Building, Documentation, Process Improvement, Healthcare

Education
Rosemont College   2008 — 2011
MBA, Business

Drexel University - LeBow College of Business   2002 — 2007
Bacholers Degree, Computer Information Systems

Denise Vincent Denise Vincent Greater Philadelphia Area Details
Denise Vincent's Keystone Mercy Health Plan Experience May 2005 - May 2008
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Keystone Mercy Health Plan   May 2005 - May 2008

Skills
Interqual, ICD9/CPT Coding, Microsoft Outlook

Education
Chester Upland Practical Nursing Program   1992 — 1994
LPN, Nursing

Delaware County Community College

SHARAE GORDON SHARAE GORDON Greenville, North Carolina Area Details
SHARAE GORDON's Keystone Mercy Health Plan Experience November 2006 - April 2008
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Cooper University Hospital  January 2010 - September 2010
Keystone Mercy Health Plan   November 2006 - April 2008
Express Scripts  August 2001 - March 2006

Skills
Customer Service, Medical Terminology, Medical Billing, ICD-9, CPT, Inbound, Outbound, Payment Processing, IDX, Epic, Fax, Scanners, Scheduling, Medical Records

Education
Western Carolina University   2010 — 2013
BS, Health Information Administration

Delaware County Community College   2008 — 2009
AAS, Health Information Studies

Ralph Taglialatela Ralph Taglialatela Greater Philadelphia Area Details
Ralph Taglialatela's Keystone Mercy Health Plan Experience October 2011 - March 2012
Job Learning and Development Consultant at Merck
Industry Professional Training & Coaching
Experience
The Fountain Group  August 2015 - Present
Taglialatela Associates, Inc.   November 2004 - Present
McNeil Consumer Healthcare  October 2012 - September 2014
Keystone Mercy Health Plan   October 2011 - March 2012
St. Luke’s University Health Network   June 2011 - October 2011
GP Strategies Corporation  June 2010 - November 2010
Merck  October 2009 - December 2009
Capital One Bank  June 2009 - October 2009
Bristol-Myers Squibb  April 2007 - July 2008
Janssen, Pharmaceutical Companies of Johnson and Johnson  March 2006 - December 2006

Skills
PowerPoint, MS Project, Word, Writing, Group Presentations, Learning Management..., E-learning Development, Microsoft Publisher, Myers-Briggs Type..., Total Quality Management, SharePoint, Captivate, Plateau, Technical Writing, Visio, Microsoft Office 2007, Large Group Facilitation, Strategy Facilitation, TQM, Training Project..., Organizational..., Organizational Change, Organizational..., Organizational Design, Expression Web, WebEx, Articulate Presenter, Live Meeting, Webcasting, ILT, Training Delivery, Instructional Design, Needs Analysis, Learning Management, Performance Consulting, Leadership Development, Blended Learning, Performance Management, Onboarding, Talent Management, Human Capital Management, Change Management, Performance Improvement, Talent Development, Career Development, Technical Training, Online Training, Management Development, Mentoring, Employee Engagement

Education
Immaculata University   2000 — 2001

St. Joseph's University   1999 — 1999

Chestnut Hill College   1994 — 1996

John L. Kinsey School   1960 — 1966

Kristine Grimmett, PMP Kristine Grimmett, PMP Greater Philadelphia Area Details
Kristine Grimmett, PMP's Keystone Mercy Health Plan Experience February 2006 - May 2008
Job Director Supply Chain Management at AmeriHealth Caritas
Industry Insurance
Experience
AmeriHealth Caritas  July 2013 - Present
AmeriHealth Mercy Family of Companies  May 2008 - July 2013
Keystone Mercy Health Plan   February 2006 - May 2008
Maritz McGettigan  September 2001 - February 2006
McGettigan   November 1993 - September 2001
Macy's Merchandising Group  1991 - 1992

Skills
Vendor Management, Process Improvement, New Business Development, HIPAA, Business Analysis, Budgets, Healthcare, Program Management, Business Process..., Cross-functional Team..., Leadership, Team Building, Visio, Change Management, Management, Supply Chain Management

Education
Drexel University   1988 — 1992
Bachelor of Science

Rashidah Johnson Rashidah Johnson Greater Philadelphia Area Details
Rashidah Johnson's Keystone Mercy Health Plan Experience April 2009 - March 2010
Job Administrative Assistant Human Resource
Industry Nonprofit Organization Management
Experience
Independence Blue Cross  November 2012 - May 2013
First Judicial District of Pennsylvania  November 2011 - November 2012
Philadelphia Youth Network  April 2011 - August 2011
Keystone Mercy Health Plan   April 2009 - March 2010
Contemporary Staffing Solutions  March 2005 - October 2008
McCallion Staffing Specialists  June 2005 - June 2008
AmeriHealth Administrators  October 2005 - June 2006
Careers USA  June 2001 - March 2005
Aetna  August 2003 - July 2004
Commerce Bank  June 1999 - January 2001

Skills
Sales, Interviews, Management, Time Management, Applicant Tracking..., Recruiting, Onboarding, Program Management, Talent Acquisition

Education
Temple University   2013 — 2013
Certificate, Health Information/Medical Records Administration/Administrator

Chestnut Hill College   2001 — 2003
Bachelor of Science, Business Communication

Community College of Philadelphia
Associate in Applied Science, Retail Management, Marketing, Management

Jane Costello Jane Costello Hartford, Connecticut Area Details
Jane Costello's Keystone Mercy Health Plan Experience October 1994 - September 1995
Job Owner/Educator at Blueprint Parenting
Industry Individual & Family Services
Experience
Blueprint Parenting   May 2009 - June 2014
The Firefly Center   2011 - 2012
San Francisco Health Plan  November 1995 - May 1998
Keystone Mercy Health Plan   October 1994 - September 1995
MedBridge  December 1993 - October 1994
Qual-Med Plans for Health   October 1991 - December 1993
Island Care (Queen's Development Corp)   September 1990 - August 1991
Farmington Ob-Gyn / Women's Healthcare   April 1986 - July 1990

Skills
Nonprofits, Public Speaking, Strategic Planning, Management, Marketing, Curriculum Design, Family Services, Child Development, Strategy, Fundraising, Business Development, Non-profits, Early Childhood..., Program Management, Business Development..., Strong Organizational..., Marketing Expertise, Student Leadership, Youth Empowerment, Diversity & Inclusion, Program Development

Education
Simmons College   1986 — 1990
Bachelor of Arts (B.A.), Economics

American University   1989 — 1989
Economics Policy Exchange Student

Simsbury High School   1982 — 1986

Connie Gilday Connie Gilday Greater Philadelphia Area Details
Connie Gilday's Keystone Mercy Health Plan Experience June 1994 - June 1997
Job Sr. Consultant Software Paradigms International
Industry Computer Software
Experience
SPI - Software Paradigms International (formerly ITR Software)   July 1997 - Present
Keystone Mercy Health Plan   June 1994 - June 1997
The Apris Corporation   September 1990 - May 1994
Concept Systems, Inc  1982 - 1990
Health Care Computer Systems   1979 - 1981

Skills
Programming, Business Analysis, Databases, Software Development, SDLC, Project Management, Software Project..., Requirements Analysis, Business Intelligence, SQL, Integration, SharePoint, ERP, IT Strategy, Microsoft SQL Server, Vendor Management, Management, Process Improvement, Strategic Planning, Leadership, Data Integration, Cross-functional Team..., Strategy, OLAP

Education
Widener University   1983 — 1988
MBA Program

Drexel University - College of Business and Administration   1973 — 1979
Bachelor of Science (BSc), Business

Penncrest

Andrea Blassingame Andrea Blassingame Greater Philadelphia Area Details
Andrea Blassingame's Keystone Mercy Health Plan Experience May 2010 - June 2011
Job Parent Enrichment Facilitator at Project Forward Leap
Industry E-Learning
Experience
Project Forward Leap  2015 - Present
Excellence Endeavors   December 2011 - Present
Public Health Management Corporation  December 2014 - March 2015
EducationWorks  October 2013 - May 2014
EducationWorks  June 2013 - August 2013
EducationWorks  October 2012 - June 2013
Keystone Mercy Health Plan   May 2010 - June 2011
The Wentworth Group   October 2007 - April 2008
Gray Consulting Inc   January 2007 - May 2007
Philly Temps, Inc   June 2006 - January 2007

Skills
Filing, Greeting, Administrative..., Customer Service, PowerPoint, Microsoft Excel, Research, Microsoft Word, Microsoft Office, Outlook, Event Planning, Marketing, Access, Budgets, Non-profits, Team Building, Nonprofits, Public Speaking, Social Networking, Management, Time Management, Fundraising, Program Management, Administrative...

Education
Keller Graduate of Management   2008 — 2011
M.B.A, Project Management

Albright College   2001 — 2005
B.A., English/ Political Science

Omar Henry Omar Henry Houston, Texas Area Details
Omar Henry's Keystone Mercy Health Plan Experience March 2002 - December 2005
Job MBA Candidate, UNC KenanFlagler School of Business
Industry Financial Services
Experience
University of North Carolina at Chapel Hill  June 2015 - Present
Kaplan  April 2014 - July 2015
Capital One Finance  January 2013 - September 2013
BB&T  August 2012 - January 2013
BB&T  August 2010 - August 2012
USDA - ERS  May 2010 - August 2010
University of Illinois  August 2007 - May 2009
AMERICAN ECONOMICS ASSOCIATION   May 2007 - August 2007
New Media Tech/CCP   January 2006 - May 2007
Keystone Mercy Health Plan   March 2002 - December 2005

Skills
Statistics, Economics, Econometrics, Financial Modeling, Financial Analysis, Corporate Finance, Microsoft Excel, Economic Research, Equity Valuation, Data Analysis, Time Series Analysis, SAS, Quantitative Analytics, VBA, Statistical Modeling, Credit Analysis, Data Mining, Risk Management, Credit Risk, SQL, Research, Financial Statement..., Econometric Modeling, Financial Risk, Finance, Analysis, Portfolio Management, Analytics, Derivatives, R, SAS programming

Education
University of North Carolina at Chapel Hill - Kenan-Flagler Business School   2015 — 2017
Master of Business Administration (M.B.A.)

Duke University   2009 — 2011
Master of Arts

Temple University - Fox School of Business and Management   1999 — 2002
Bachelor of Business Administration

University of North Carolina at Chapel Hill - Kenan-Flagler Business School

University of North Carolina at Chapel Hill - Kenan-Flagler Business School

Harish (Robert) Chhugani Harish (Robert) Chhugani Greater Philadelphia Area Details
Harish (Robert) Chhugani's Keystone Mercy Health Plan Experience 2011 - 2012
Job IT Executive Converting Vision to Reality
Industry Information Technology and Services
Experience
Self Employed  May 2015 - Present
HTMS, an Emdeon Company  May 2013 - Present
Training - Agile Processes in Software Engineering Certification   May 2015 - May 2015
LiquidHub  April 2015 - April 2015
Self Employed  August 2012 - April 2013
Keystone Mercy Health Plan   2011 - 2012
UNITEDHEALTH GROUP-AMERICHOICE   2008 - 2011
ACCENTURE, LTD  1997 - 2008

Skills
SDLC, Project Management, Vendor Management, Program Management, IT Strategy, Testing, Management, Healthcare Information..., Process Improvement, Healthcare, Leadership, PMO, Business Analysis, Business Process..., Strategy, Business Development, Project Portfolio..., Performance Testing, Business Intelligence, Integration, Consulting, Enterprise Architecture, Information Technology, Environment Management, Cross-functional Team..., Software Project..., Business Process, Strategic Planning, Executive Management, Quality Assurance, Management Consulting, HIPAA, Population Health, Medical Management, IT Audit, Agile Methodologies, Account Management, Technical Advisory, Systems Integration, Client Relations, Software Development

Education
Bridgewater State College
Aviation Science

Western New England University
Bachelor of Science (B.S.), Mechanical Engineering

Theone Fee RN, MSN, MBA, HCM Theone Fee RN, MSN, MBA, HCM Greater Philadelphia Area Details
Theone Fee RN, MSN, MBA, HCM's Keystone Mercy Health Plan Experience March 2006 - July 2009
Job Healthcare Informatics Manager, Clinical Transformation and Process Redesign
Industry Information Technology and Services
Experience
Trinity Health (HQ Michigan)   May 2011 - Present
MEDecision  July 2009 - May 2011
Keystone Mercy Health Plan   March 2006 - July 2009
Temple University Health System  March 1993 - March 2003

Skills
Informatics, EHR, Healthcare, EMR, Managed Care, Nursing, Healthcare Management, Hospitals, HIPAA, CPOE, Clinical Research, Process Improvement, Healthcare Consulting, Software Documentation, Medicare, Medicaid, Revenue Cycle, Meditech, Cerner, Healthcare Information..., Case Managment, HL7, Epic Systems, Critical Care

Education
Drexel University
Health Care Informatics

La Salle University
Doctorate Nursing Practice (c)

University of Delaware
MSN, MBA, HCM, Healthcare Management, Business, Nursing

Dominick Sparandeo, MBA,RN Dominick Sparandeo, MBA,RN Miami/Fort Lauderdale Area Details
Dominick Sparandeo, MBA,RN's Keystone Mercy Health Plan Experience November 2004 - June 2011
Job VP, UMO at Evolent Health, Recruiting Remote grievance coordinator & UM Positions
Industry Hospital & Health Care
Experience
Evolent Health  July 2015 - Present
Evolent Health  February 2015 - July 2015
Evolent Health  May 2014 - February 2015
AIDS Healthcare Foundation  May 2011 - May 2014
Keystone Mercy Health Plan   November 2004 - June 2011
Wm. B. Kessler Memorial Hospital   September 2007 - March 2009
Horizon Blue Cross Blue Shield  August 2000 - November 2004
Horizon Blue Cross Blue Shield  January 1997 - August 2000
Monmouth Medical Center  January 1996 - January 1997
Float  January 1992 - January 1996

Skills
Managed Care, Healthcare Information..., Process Improvement, Utilization Management, Medicaid, Healthcare, Nursing, Policy, Case Managment, Case Management, Community Outreach, Clinical Research, Program Management, Inpatient, Leadership, Medicine, Disease Management, Physicians, Healthcare Management, Hospitals, Medicare, Cerner, Quality Improvement, HIPAA, Healthcare Consulting, Training, EHR, Healthcare Industry, Management, Strategic Planning

Education
American Intercontinental University   2003 — 2005
Master, Business Administration, Healthcare Management

Excelsior College

Wanda Denise Randall Wanda Denise Randall Philadelphia, Pennsylvania Details
Wanda Denise Randall's Keystone Mercy Health Plan Experience June 2002 - June 2004
Job US Army (Retired) Logististics Mangement Operations, Training
Industry Military
Experience
Keystone Mercy Health Plan   June 2002 - June 2004

Skills
Process Improvement, Security Clearance, Software Documentation, Supervisory Skills, Military, Analysis, DoD, Military Operations, Military Experience, Government, Policy, Operational Planning, Customer Service

Education
Community College of Philadelphia   2013 — 2014
Proficiency Certificate, Patient Service Representative

Ashford University   2009 — 2011

Marla Morgan Marla Morgan Philadelphia, Pennsylvania Details
Marla Morgan's Keystone Mercy Health Plan Experience February 1999 - February 2000
Job Unemployed at home
Industry Facilities Services
Experience
home  March 2011 - Present
ACS Services   August 2010 - February 2011
ACS Inc.  2010 - 2011
Philadelphia Insurance Co.   April 2004 - June 2008
Health Care Business Resources   2001 - 2004
Keystone Mercy Health Plan   February 1999 - February 2000

Skills
Call Center, Data Entry, Insurance Verification,..., Numeric Filing, Call Centers, Medical Records, Microsoft Excel, 10 Key, Microsoft Word, Typing, Data Warehousing, Filing, Accounts Receivable, PeopleSoft, Outlook, Payroll, Telephone Skills, Accounts Payable

Education
Colorado Technical University   2009 — 2010
none, Medical Coding

Cardinal Dougherty Catholic High School   1985 — 1988
DeVry University, Medical Office Assistant/Specialist

Michael DeVito Michael DeVito Greater Philadelphia Area Details
Michael DeVito's Keystone Mercy Health Plan Experience April 2013 - September 2013
Job Customer Service Manager at Medical Guardian
Industry Telecommunications
Experience
Medical Guardian  January 2015 - Present
excelleRx  August 2013 - January 2015
Keystone Mercy Health Plan   April 2013 - September 2013
AmeriHealth Family of Companies   October 2011 - April 2013
Vonage  October 2009 - September 2011

Skills
Workforce Management, Telecommunications, Process Improvement, Outsourcing, Management, Customer Satisfaction, Business Analysis, Data Analysis, Visio, Coaching, Microsoft Office, Customer Experience, Customer Service, Cross-functional Team..., Leadership, Avaya, Operations Management, Training, Vendor Management, Performance Management, Technical Support, Team Leadership, Contact Centers, Team Management, Analysis, Call Centers, Software Documentation, Project Planning, Networking, Forecasting, Troubleshooting, Resource Management, IVR, Access, CRM, Business Process..., Sla, Program Management, Customer Retention, Service Delivery, Quality Assurance, Disaster Recovery, BPO, VoIP, Six Sigma, Capacity Planning, Change Management, Project Management

Education
Brookdale Community College
Associates Degree, Business Administration

Lois Hawk Lois Hawk Mount Laurel, New Jersey Details
Lois Hawk's Keystone Mercy Health Plan Experience July 2012 - August 2012
Job Administrative Assistant at Association Headquarters, Inc.
Industry Executive Office
Experience
Association Headquarters, Inc.   February 2014 - Present
T. A. Additional Administrative Services   February 2013 - September 2013
American Freeze Dry Operations, Inc.   March 2013 - August 2013
Juice Plus  September 2010 - March 2013
Keystone Mercy Health Plan   July 2012 - August 2012
SimplexGrinnell  November 2010 - January 2012
American Water  September 2008 - July 2010
Volt Services  2007 - 2008
D. Wells Straub Agency, LLC   August 2006 - May 2007
EP MedSystems, Inc.   October 2004 - December 2005

Skills
Software Documentation, Access, Training, Customer Service, Management, Lotus Notes, Microsoft Office, PowerPoint, Human Resources, Project Planning, Invoicing, Leadership, Program Management, Teamwork, Microsoft Excel, Team Building, Process Improvement, Administration, Budgets, Event Planning, System Administration, Troubleshooting, Outlook, Recruiting, Time Management, Research, Team Leadership, Customer Satisfaction, Social Networking, Process Scheduler, Security, Inventory Management, Google Docs, SmartSheets

Education
Camden County College   2009 — 2009
Computer Graphics

Cynthia Sparks Cynthia Sparks Greater Philadelphia Area Details
Cynthia Sparks's Keystone Mercy Health Plan Experience February 2007 - July 2010
Job Registered Nurse at Main Line Health
Industry Medical Practice
Experience
Main Line Health  August 2005 - Present
Keystone Mercy Health Plan   February 2007 - July 2010

Skills
Certified Maternal..., Certified Labor Support..., Certified Breastfeeding..., Certified Childbirth..., Postpartum Doula /...

Education
Harcum College   2003 — 2005
Associate's degree, Registered Nursing/Registered Nurse

Delaware County Community College   2001 — 2003
no degree obtained, nursing pre requirements only

Aleksandr Rudi Aleksandr Rudi Greater Philadelphia Area Details
Aleksandr Rudi's Keystone Mercy Health Plan Experience January 2011 - September 2012
Job Informatics Senior Analyst
Industry Hospital & Health Care
Experience
Bravo Health at HealthSpring   September 2012 - Present
Keystone Mercy Health Plan   January 2011 - September 2012
Community Behavioral Health  April 2007 - December 2010
Cardone Industries  January 2000 - January 2007
Research and Scientific Institute of Steel Industry   January 1982 - January 1999

Skills
Quality Assurance, Microsoft Excel, Access, Analysis, Financial Analysis, Data Analysis, PowerPoint, Healthcare, SAS, Program Management, Finance, Statistics, Microsoft SQL Server, VBA

Education
Nacional'nij Tehnicnij Universytet 'Kharkivskij Polytehnicnij Institut'   1976 — 1982
M.S, Mechanical Engineering

James Turley James Turley Greater Philadelphia Area Details
James Turley's Keystone Mercy Health Plan Experience February 2001 - Present
Job Lead Systems Analyst at Amerihealth Caritas FC
Industry Information Services
Experience
Keystone Mercy Health Plan   February 2001 - Present
AmeriHealth Mercy Health Plan  February 2001 - Present
Reliance Insurance  June 1998 - February 2001
Wells Fargo Alarm Systems   August 1997 - June 1998
ADT Security Services  September 1992 - August 1997

Skills
Avaya, Avaya AES, Avaya Aura, Avaya Site..., Avaya Communication..., Avaya IP Telephony, Blackberry OS, Blackberry applications, Blackberry Enterprise..., RightFax, Databases, Mobile Enterprise, IVR, Call Center Architecture, IT Infrastructure Design, Windows Server, Basics of Unix, eCAS, Cisco Routers, Cisco Networking Devices, Avaya CMS, Fax Server, Telecommunications..., Telecom Network Design, Unix, Cisco Technologies, Call Center, Telephony

Education
Drexel University   2003 — 2010
BS, General Studies minor in business

Delaware County Community College   1991 — 2002
AS, Business Administration

West Chester University of Pennsylvania   1988 — 1989
Physics, Engineering, Business

Ellen Stang Ellen Stang Greater Philadelphia Area Details
Ellen Stang's Keystone Mercy Health Plan Experience 1999 - 2003
Job Founder, President and CEO at ProgenyHealth
Industry Hospital & Health Care
Experience
ProgenyHealth, Inc.   2003 - Present
Keystone Mercy Health Plan   1999 - 2003
University of Pennsylvania Health System  1996 - 1999
Allegheny University of the Health Sciences  1992 - 1996

Skills
Utilization Management, Managed Care, Pediatrics, Strategic Planning, Quality Improvement, Marketing, Medicaid Managed Care, Medicaid, Disease Management, Healthcare, Healthcare Industry, Healthcare Consulting, Health Policy, Healthcare Management

Education
Pennsylvania State University College of Medicine   1985 — 1989
Doctor of Medicine (M.D.)

Dickinson College   1981 — 1985
Bachelor of Science (B.S.), Biology

April L. Stanford, MBA April L. Stanford, MBA Philadelphia, Pennsylvania Details
April L. Stanford, MBA's Keystone Mercy Health Plan Experience January 1997 - January 2002
Job PricewaterhouseCoopers LLP HIA / Revenue Cycle Management and Certified Salesforce.com (Cloud) Admin and Developer
Industry Hospital & Health Care
Experience
PricewaterhouseCoopers USA  August 2012 - Present
Abril Consulting Inc.   November 2007 - Present
Vitalize Consulting   February 2009 - August 2012
Partners HealthCare  September 2008 - November 2009
Astra Pharmaceuticals  April 2007 - November 2008
Jefferson Wells  July 2005 - April 2008
Nemours  February 2006 - January 2007
Keystone Mercy Health Plan   January 1997 - January 2002

Skills
Salesforce.com..., SDLC, Analysis, Quality Assurance, Sarbanes-Oxley Act, Management, Testing, Insurance, Training, Team Leadership, Business Process, Internal Audit, Finance, Budgets, Healthcare, Revenue Cycle, HIPAA, Auditing, Internal Controls, Business Planning, Integration, Leadership, Project Management, Business Process..., IT Audit, Tax, Process Improvement, Data Analysis, Financial Audits, Information Technology, Epic Systems, Cloud Computing, Informatics, Healthcare Information..., Account Reconciliation, Policy, Change Management, Consulting, System Administration, Software Implementation, Salesforce.com, Hospitals, PeopleSoft, Risk Assessment, Business Strategy, IFRS, Software Documentation, Business Analysis, Financial Risk, Financial Accounting

Education
Drexel University - College of Business and Administration   2003 — 2005
MBA; Masters of Business Administration 2005., International classes

University of Oxford, England   2003 — 2005
MBA ( International Studies), Oxford University England 2005

Rosemont College   2000 — 2003
Bachelors of Science 2003, Accounting

Kristen Bruzek Kristen Bruzek Springfield, Pennsylvania Details
Kristen Bruzek's Keystone Mercy Health Plan Experience July 2006 - December 2006
Job QA Manager at Accolade, Inc.
Industry Information Technology and Services
Experience
Accolade, Inc.   February 2015 - Present
Free People  June 2014 - February 2015
Artisan Mobile, Inc.   January 2013 - May 2014
NAVTEQ/Nokia  December 2009 - January 2013
Barclays US   March 2009 - December 2009
JPMorgan Chase  October 2008 - March 2009
GMAC Corporation   December 2006 - October 2008
Keystone Mercy Health Plan   July 2006 - December 2006
AstraZeneca Pharmaceuticals  September 2005 - July 2006
FXpress Corporation  April 2004 - September 2005

Skills
Agile Methodologies, QA Engineering, Scrum, Test Automation, Software Quality..., Quality Assurance, Agile Project Management, Leadership, Testing, Integration, Manual Testing, JIRA, Software Development, Continuous Integration, SDLC, Analysis, Software Project..., Software Documentation, Waterfall

Education
Saint Joseph's University - Erivan K. Haub School of Business   2005 — 2008
MBA, Management

Drexel University   2001 — 2004
Business Administration, Finance

Keith A. Thomas Keith A. Thomas Fort Myers, Florida Area Details
Keith A. Thomas's Keystone Mercy Health Plan Experience August 1994 - July 2005
Job Senior Consultant at Thomas Consulting
Industry Information Technology and Services
Experience
Keith Thomas Consulting   July 2013 - Present
Health Partners of Philadelphia  December 2007 - February 2012
Health Partners Plans  October 2005 - December 2007
Keystone Mercy Health Plan   August 1994 - July 2005
Freedom Mortgage Corporation  May 1994 - August 1994
CRC Information Systems  1988 - 1994
Windsor Shirt Company   1985 - 1988
Wawa, Inc.   1976 - 1985

Skills
Medicaid, Program Management, Data Analysis, Healthcare Information..., HIPAA, Project Management, Medicare, Process Improvement, Managed Care, Management, Software Development, Healthcare, Software Documentation, Access, Business Analysis, Vendor Management, Integration, HEDIS, Policy, Informatics, SDLC, Team Leadership, Training, Visio, Healthcare Consulting, Requirements Analysis, SharePoint, Strategic Planning, Business Process..., Business Intelligence, Data Warehousing, EHR, Change Management, Problem Solving, Problem Analysis, Insurance, Requirements Gathering, Healthcare Management, Revenue Cycle, Health Policy, Application Development, Health, Workflow Applications, Medicaid Encounter..., Medicaid Membership..., Healthcare Claims..., Subcontractor Interface..., Mediciad Encounters...

Education
West Chester University of Pennsylvania   2000 — 2002
Masters, Master of Business Administration

Goldey-Beacom College   1978 — 1981
BS, Management, Accounting

Chester High School   1974 — 1976
Academic, Business/Accounting

Gail Gatto Gail Gatto Greater Philadelphia Area Details
Gail Gatto's Keystone Mercy Health Plan Experience April 2011 - December 2011
Job Director Service Management at AmeriHealth Caritas Family of Companies
Industry Information Services
Experience
AmeriHealth Mercy Famil of Companies   January 2012 - Present
The AmeriHealth Mercy Family of Companies  2012 - Present
KMHP   February 2004 - January 2012
Keystone Mercy Health Plan   April 2011 - December 2011
Keystone Mercy Health Plan   February 1989 - May 2007

Skills
SDLC, Vendor Management, Software Documentation, Healthcare Information..., Data Center, Process Improvement, Troubleshooting, IT Strategy, SharePoint, Change Management, Data Warehousing, Management, Disaster Recovery, HIPAA, Visio, Analysis, IT Management, PMP, Training, Databases, Business Analysis, Integration, Requirements Analysis, Program Management, Project Portfolio..., PMO, IT Service Management, Requirements Gathering, Business Intelligence, Service Management, Business Process..., ITIL, Software Project..., MS Project, Quality Assurance, Governance, Enterprise Architecture, Resource Management, IT Operations, Software Implementation, Business Process

Education
Drexel University   2001 — 2005
Health Care and Information Technologies

Penn state University
Organizational Leadership

John McDaid John McDaid Greater Philadelphia Area Details
John McDaid's Keystone Mercy Health Plan Experience January 2010 - December 2010
Job Strategy Director, Corporate Strategy Office at Independence Blue Cross
Industry Insurance
Experience
Independence Blue Cross  December 2010 - Present
Irish American Business Chamber & Network   1996 - 2013
Irish American Business Chamber & Network   1996 - 2013
Irish American Business Chamber & Network   1996 - 2013
Sacred Heart School, Manoa HASA   2010 - 2012
Keystone Mercy Health Plan   January 2010 - December 2010
The AmeriHealth Mercy Family of Companies  July 2008 - December 2009
PerformRx  April 2006 - June 2008
The AmeriHealth Mercy Family of Companies  July 2004 - May 2006
The AmeriHealth Mercy Family of Companies  January 2000 - June 2004

Skills
Process Improvement, Strategic Planning, Healthcare, Program Management, MS Project, Governance, Cross-functional Team..., Business Strategy, Strategy, Business Analysis, Business Development, Project Management, Managed Care, Product Management, Leadership, Vendor Management, PMO

Education
Saint Joseph's University - Erivan K. Haub School of Business   2001 — 2003
EMBA, International Marketing

Dublin Institute of Technology   1991 — 1995
BSc Mgmt, Finance

St. Eunan's College, Letterkenny, Ireland   1985 — 1991
Leaving Certificate

Alexandra Taggart Alexandra Taggart Greater Philadelphia Area Details
Alexandra Taggart's Keystone Mercy Health Plan Experience May 2007 - August 2008
Job Analyst at the Actuarial Practice of Oliver Wyman
Industry Insurance
Experience
Oliver Wyman  December 2012 - Present
Buck Consultants  June 2011 - December 2012
Keystone Mercy Health Plan   May 2007 - August 2008

Skills
Insurance, Actuarial Science, Data Analysis, Health Insurance, Risk Management, Statistics, Financial Modeling, Financial Analysis, PowerPoint, Valuation, Project Management, Analysis, Financial Risk, Finance, Access

Education
Temple University - Fox School of Business and Management   2010 — 2011
MS in Actuarial Science

Clemson University   2005 — 2009
Bachelor of Science, Mathematical Science

Tina McDevitt, PMP Tina McDevitt, PMP Greater Philadelphia Area Details
Tina McDevitt, PMP's Keystone Mercy Health Plan Experience May 2007 - December 2008
Job Sr. Manager, Business Management at Siemens Medical Solutions USA
Industry Hospital & Health Care
Experience
Siemens Medical Solutions USA  January 2012 - Present
AmeriHealth Mercy Family of Companies  2008 - January 2012
Keystone Mercy Health Plan   May 2007 - December 2008
Keystone Mercy Health Plan   June 2005 - April 2007
Keystone Mercy Health Plan   January 2003 - June 2005
Keystone Mercy Health Plan   November 2001 - January 2003

Skills
Process Improvement, Leadership, Management, PMP, Quality Assurance, PMO, Team Leadership, Risk Management, Operations Management, Team Building, Strategic Planning, Healthcare Information..., Vendor Management

Education
Cabrini College   2000 — 2004
Bachelor of Arts, Organizational Leadership

PJA   1995 — 1996
Paralegal Certificate, Paralegal Studies

Kimberly A. Burns Kimberly A. Burns Greater Philadelphia Area Details
Kimberly A. Burns's Keystone Mercy Health Plan Experience May 2007 - September 2007
Job Senior Consultant at FluidEdge Consulting
Industry Hospital & Health Care
Experience
Health Partners  November 2011 - January 2013
Independence Blue Cross  January 2008 - November 2011
DST Health Solutions  September 2007 - January 2008
Keystone Mercy Health Plan   May 2007 - September 2007
Independence Blue Cross  February 2007 - May 2007
Independence Blue Cross  August 2004 - February 2007
Vandeventer Place Research Foundation   August 2003 - May 2004
United States Department of Veterans Affairs  May 2003 - August 2003
USDA  October 2002 - May 2003
South Carolina State University  May 2001 - May 2002

Education
Saint Louis University   2002 — 2004
Master, Health Administration

South Carolina State University   2001 — 2002
Bachelor of Science, Biology

Community College of Philadelphia
Associate, General Studies

Community College of Philadelphia
Associate, Science

Phil Fishgold, CISM, CIPP Phil Fishgold, CISM, CIPP Wilmington, Delaware Details
Phil Fishgold, CISM, CIPP's Keystone Mercy Health Plan Experience 1999 - 2000
Job Consultant, Data Privacy Office at Citigroup
Industry Financial Services
Experience
barclaycard  May 2013 - August 2013
PJM Interconnection  November 2012 - February 2013
TD Bank  August 2012 - October 2012
Pfizer  October 2009 - July 2012
Wyeth (acquired by Pfizer)   December 2000 - October 2009
Keystone Mercy Health Plan   1999 - 2000
PriceWaterhouseCoopers, LLP  1995 - 1999
JP Morgan  1991 - 1995

Skills
Risk Management, Vendor Management, Process Improvement, Change Management, Security, Data Privacy, ERP, IT Audit, Business Intelligence, Business Process..., Data Center, Quality Management, 21 CFR Part 11, Business Continuity, Business Process, CRM, Cloud Computing, Compliance, Computer Security, Enterprise Architecture, Governance, IT Management

Education
City University of New York-Brooklyn College
Bachelor's, Health Sciences

Far Rockaway H.S.

Julie Leung Julie Leung Princeton, New Jersey Details
Julie Leung's Keystone Mercy Health Plan Experience 1995 - 1997
Job Serialization Program Associate Director at BristolMyers Squibb
Industry Pharmaceuticals
Experience
Bristol-Myers Squibb  January 2012 - Present
The North Highland Company  September 2005 - July 2013
American Water  2002 - September 2005
Accenture (JPMorgan client)   1997 - 2002
Keystone Mercy Health Plan   1995 - 1997
Price Waterhouse  February 1993 - August 1995
Ciba-Geigy (Novartis)   June 1991 - February 1993

Skills
Program Management, Change Management, Project Management, Management Consulting, Process Improvement, Business Process..., Strategy, Business Transformation, Management, Business Analysis, Vendor Management, CRM, Quality Assurance, Operations Management, Pharmaceutical Industry, Information Technology, Utility Industry, Healthcare, Supply Chain, Healthcare Information..., State Government

Education
Lead New Jersey (LNJ) Fellow 2012   2012 — 2012

Rutgers University – Camden   1998 — 2002
MBA, eCommerce Technologies, Finance

Cornell University   1987 — 1991
BS, Operations Research / Industrial Engineering

Don Buehler Don Buehler Greater Philadelphia Area Details
Don Buehler's Keystone Mercy Health Plan Experience April 2007 - July 2007
Job Program / Project Manager at Cenlar FSB
Industry Information Technology and Services
Experience
Cenlar FSB  May 2013 - Present
Legion Insurance  November 2010 - March 2013
Legion Insurance  August 2009 - October 2010
Infuze LLC   January 2005 - October 2010
Independence Blue Cross  April 2008 - December 2008
American Water  July 2007 - April 2008
Keystone Mercy Health Plan   April 2007 - July 2007
Exelon/PECO Energy   December 2005 - December 2006
The Alliance Group  May 2005 - December 2005
Rohm and Haas  March 1996 - December 2004

Skills
PMO, IT Strategy, Strategic Planning, Governance, Business Process..., Program Management, Portfolio Management, Project Management, Project Planning, Business Analysis, SDLC, Six Sigma, Business Intelligence, Requirements Analysis, Consulting, Leadership, Management, ITIL, Business Process, Vendor Management, Business Development, Budgets, E-Learning, Call Center, Strategy, Management Consulting, Cross-functional Team..., Process Improvement, Enterprise Software, ERP, Change Management, SharePoint, Integration, Requirements Gathering, Data Warehousing, Team Leadership, Outsourcing, PMP, Project Portfolio..., Analysis, Call Centers, IT Management, Visio, Software Project..., Process Engineering, MS Project, Agile Project Management

Education
LeBow College of Business, Drexel University
MBA, Marketing

University of Wisconsin-Madison
BS, Chemistry

SAP
Business Warehouse (SAP-BW)

Value-Train
Certification, Six Sigma

Veris Associates
Certification, ITIL Foundation

Wharton School, University of Pennsylvania
Advanced Marketing Strategy

Christine Breeding Jacobs Christine Breeding Jacobs Greater Philadelphia Area Details
Christine Breeding Jacobs's Keystone Mercy Health Plan Experience February 2001 - January 2008
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

Steven Neumersky Steven Neumersky Greater Philadelphia Area Details
Steven Neumersky's Keystone Mercy Health Plan Experience August 2006 - May 2007
Job Business Intelligence, DWH Database, OLAP, Analytics, and MDM architect
Industry Information Technology and Services
Experience
Berkley Technology Services - a WR Berkley Company   June 2015 - Present
AmeriHealth Caritas Family Of Companies  December 2014 - June 2015
Executive Health Resources  September 2010 - 2014
Sogeti USA consulting for Affinity Health Plan   October 2007 - July 2010
Sogeti  July 2007 - September 2007
TekPartners  May 2007 - July 2007
Keystone Mercy Health Plan   August 2006 - May 2007
Keystone Mercy Health Plan   August 2005 - July 2006
Keystone Mercy Health Plan   June 2003 - July 2005
Keystone Mercy Health Plan   November 2001 - May 2003

Skills
Business Intelligence, Business Analysis, SQL database design, Star Schema, SSAS, SSIS, Metadata Standards, Data Mining, SSRS, Performance Tuning, DMX, MDX, SharePoint, Powerpivot, OBIEE, PL/SQL, ANSI SQL 1999, Managed Care, Data Warehouse..., Master Data Management, Data Quality, ANSI, Microsoft SQL Server, ETL, OLAP, HIPAA, Data Architecture, Medicare, Business Objects, Medicaid, Crystal Reports, Relational Databases, Database Design, Data Modeling, SQL, Data Warehousing, Software Documentation, Healthcare Information..., SDLC, Data Analysis, Analytics, Oracle, Enterprise Software, Business Requirements, Integration, Quality Assurance, Analysis Services, Requirements Gathering, Requirements Analysis, Databases

Education
Albright College
B.S., Pre-Med; Healthcare Admin Minor

Cherry Hill High School East

The Data Warehouse Institute
CBIP, Certified Business Intelligence Practitioner

Jenny Feng Jenny Feng Greater Philadelphia Area Details
Jenny Feng's Keystone Mercy Health Plan Experience 2009 - 2011
Job Sr. DBA
Industry Telecommunications
Experience
ARI  March 2011 - Present
Keystone Mercy Health Plan   2009 - 2011
Comcast  2001 - 2009
Bluestone  2000 - 2001
Subaru of America  1997 - 2000

Skills
SDLC, Enterprise Architecture, Disaster Recovery, Servers, Microsoft SQL Server, Databases, Vendor Management, Performance Tuning, Data Warehousing, SQL Tuning, Data Modeling, Unix, Oracle, PL/SQL, Solaris, Business Intelligence

Education
Drexel University   1994 — 1996
Master's of Science in Information Systems, Information Technology

West Virginia University

West Virginia University

Paul Bartholomew Paul Bartholomew Marcus Hook, Pennsylvania Details
Paul Bartholomew's Keystone Mercy Health Plan Experience January 2002 - December 2010
Job C# Application Developer, Consultant
Industry Computer Software
Experience
Arkieva  August 2011 - June 2013
Keystone Mercy Health Plan   January 2002 - December 2010
Software Consulting Group (SCG)   April 1999 - December 2001
Judge Imaging   January 1995 - April 1999

Skills
.NET, ASP.NET, ADO.NET, Access, Business Process..., Business Analysis, C#, Crystal Reports, EDI, Java, Microsoft SQL Server, Management, Oracle, PL/SQL, Process Improvement, Programming, Quality Assurance, Sybase, T-SQL, VBA, Visual Basic, Websphere, XML

Education
Delaware County Community College   1991 — 1994

Edward Figlar Edward Figlar Greater Philadelphia Area Details
Edward Figlar's Keystone Mercy Health Plan Experience February 2008 - November 2010
Job President at Figlar Consulting, Inc.
Industry Computer Software
Experience
Figlar Consuting, Inc.   April 2011 - Present
Figlar Consulting, Inc.   December 2010 - Present
Figlar Consulting, Inc.   February 1990 - Present
Keystone Mercy Health Plan   February 2008 - November 2010
Keystone Mercy Health Plan   2005 - 2010
Keystone Mercy Health Plan   2005 - 2008
PSEG Services Corporation  September 2001 - July 2005

Skills
Quality Assurance, SDLC, Software Documentation, Integration, Testing, Information Management, Program Management, Process Improvement, Agile Methodologies, PMO, ERP, Enterprise Software, Analysis, Management, Microsoft SQL Server, Oracle, Project Management, Business Analysis, CRM, Change Management, Vendor Management, Healthcare Information..., IT Strategy, PMP, Requirements Analysis, BMC Remedy, Outsourcing, Project Delivery, Visio, Business Process, Business Process..., Software Project..., Sr Management Consultant, PeopleSoft, Training, Specialties: Testing...

Education
Cornell University   1979 — 1983
BA, English, Mathematics, Physical Science

St Edward HS

Kelly Wachtman Kelly Wachtman Philadelphia, Pennsylvania Details
Kelly Wachtman's Keystone Mercy Health Plan Experience 2006 - 2011
Job Vice President, Strategic Management Office, AmeriHealth Caritas
Industry Insurance
Experience
AmeriHealth Caritas  2013 - Present
The AmeriHealth Mercy Family of Companies  2011 - 2012
Keystone Mercy Health Plan   2006 - 2011

Education
Franklin & Marshall College   1989 — 1993
B.A., Government

Lydia Amankwah Lydia Amankwah Greater Philadelphia Area Details
Lydia Amankwah's Keystone Mercy Health Plan Experience August 2007 - Present
Job Corporate & Financial Investigations Coordinator at Keystone Mercy Health Plan
Industry Health, Wellness and Fitness
Experience
Keystone Mercy Health Plan   August 2007 - Present

Education
University of Phoenix   2005 — 2006

Cabrini College   1999 — 2003
BA, Psychology

Sherwood High School   1996 — 1999

Karen Yvette Edwards Karen Yvette Edwards United States Details
Karen Yvette Edwards's Keystone Mercy Health Plan Experience December 2000 - August 2003
Job Senior Curriculum Developer at Citi
Industry E-Learning
Experience
Citi  November 2014 - Present
ClearEdge IT   August 2011 - March 2013
AstraZeneca  February 2010 - February 2011
AstraZeneca  September 2008 - July 2009
Kaiser Permanente  May 2008 - September 2008
AmerisourceBergen  January 2008 - March 2008
AstraZeneca  July 2006 - October 2007
Bally Total Fitness  June 2004 - April 2006
American Management Systems (AMS)   September 2003 - March 2004
Keystone Mercy Health Plan   December 2000 - August 2003

Skills
Curriculum Development, Instructional Design, Business Analysis, Training & Development, Training Skills, Technical Training, Technical Writing, Technical Documentation, Document Management, MS Project, MS Office Suite, PeopleSoft, Saba, Oracle UPK, SnagIt, Visio, SharePoint, ISO 9000, SOX, WBT, ILT, SDLC, Microsoft Office, E-Learning, Training, Human Resources, Learning Management..., Oracle, Training Delivery, Captivate, Sarbanes-Oxley Act, Iso 9000, Oracle HR, Instructor-led Training, Program Management, Employee Training, Learning Management, Business Process, Needs Analysis, Software Documentation, Consulting, Staff Development, Access, Blended Learning, ADDIE, Curriculum Design, Coaching

Education
Argosy University Washington, DC   2014 — 2018
Doctorial, Organizational Leadership

Langevin Learning Services   1999 — 2003
Diploma, Training and Development

Wilmington University   1995 — 1996
Masters, Human Resources Management

Eastern University   1992 — 1994
Bachelors, Organizational Development

Cecil Community College   1985 — 1988
Associates, Business Management & Data Processing

Beth Seymour Beth Seymour Greater Philadelphia Area Details
Beth Seymour's Keystone Mercy Health Plan Experience 1993 - 2001
Job Manager, Voice Communications Services
Industry Hospital & Health Care
Experience
AmeriHealth Caritas  January 2001 - Present
Keystone Mercy Health Plan   1993 - 2001
Cananwill, Inc   January 1990 - April 1993
Flagship, Inc  1987 - 1990

Skills
Avaya, VoIP, Contact Center Design, Call Center, Vendor Management, Telecommunications, IVR, Management, Telephony, IP, Switches, Call Centers, Leadership, Avaya Technologies, Project Management, Strategy, WAN, Process Improvement, Technical Support, ITIL, Network Design

Education
Avaya Education Centers

Delaware County Community College
Associate Degree, Applied Science - Computer Programming

Peirce College
Business Administration

Samuel Rajaseelan Samuel Rajaseelan Philadelphia, Pennsylvania Details
Samuel Rajaseelan's Keystone Mercy Health Plan Experience October 2011 - Present
Job Sr Product (FACETS) Specialist Technical
Industry Computer Software
Experience
Cognizant Technology Solutions  June 2005 - Present
Keystone Mercy Health Plan   October 2011 - Present
MVP Health Care  May 2011 - October 2011
Excellus BCBS  July 2010 - May 2011
Emdeon  September 2007 - June 2010
The Regence Group  May 2007 - August 2007
WellPoint  September 2005 - April 2007

Skills
Unix Shell Scripting, Microsoft SQL Server, Informatica, Sybase, SQL, EDI, Oracle, Datastage, Trizetto FACETS, Trizetto HpXr, EDI 835, EDI 837, EDI 834, EDI 997, EDI 277, Datastage 7.5, SDLC, Testing, Requirements Analysis, PL/SQL, Data Warehousing, Requirements Gathering, ETL, Shell Scripting

Education
BITS Pilani   2012 — 2014
Master of Science (M.S.)

Thiagarajar College of Engineering   2001 — 2005
BE

SBK Hr Sec School, Aruppukottai   1994 — 2001

Brenda Miller Milewski Brenda Miller Milewski Virginia Beach, Virginia Details
Brenda Miller Milewski's Keystone Mercy Health Plan Experience 2000 - 2005
Job Facets Consultants at Tata Consulting Svc
Industry Insurance
Experience
Tata Consulting Svc   September 2014 - Present
Royale Class Inc.   March 2014 - June 2014
Self Employed  June 2013 - December 2013
Self Employed  January 2012 - June 2013
Universal American  July 2009 - December 2011
Linx technology   July 2009 - December 2011
CTG Healthcare Solutions  February 2008 - June 2009
Amerigroup Corporation  2006 - 2007
Keystone Mercy   1988 - 2006
Keystone Mercy Health Plan   2000 - 2005

Skills
Healthcare Information..., HIPAA, Medicaid, Managed Care, Medicare, Healthcare, SDLC, Business Analysis, Process Improvement, Healthcare Industry, Requirements Analysis, Vendor Management, Leadership, PMO, Software Documentation, Provider Relations, Visio, Revenue Cycle, Business Process, Informatics, Insurance, Health Insurance, Team Building, Quality Assurance, Healthcare Consulting, Program Management, Business Process..., Business Intelligence, Business Requirements, Data Warehousing, Access, PMP, Healthcare Management, IT Strategy, ICD-10, Software Implementation, Health Policy, HMO, Integration, Requirements Gathering, Analysis, Data Analysis, Disease Management, EHR

Education
Drexel University
Computer and Information Sciences, General

Christopher Covington Christopher Covington Greater Philadelphia Area Details
Christopher Covington's Keystone Mercy Health Plan Experience 2006 - 2009
Job Global Call Center Manager, TRICARE Overseas Program, at Leidos Health
Industry Hospital & Health Care
Experience
Leidos Health, formerly SAIC   September 2013 - Present
SAIC  2010 - September 2013
Keystone Mercy Health Plan   2006 - 2009
Independence Blue Cross  2003 - 2005
Independence Blue Cross  2000 - 2003

Skills
Leadership, Management, Call Centers, Process Improvement, Program Management, Customer Service, Business Analysis, Change Management, Project Management, Health Insurance, Operations Management, Government, Quality Assurance, Software Documentation, Public Speaking, Training, Team Building

Education
Drexel University

Diane Driscoll Diane Driscoll Greater Philadelphia Area Details
Diane Driscoll's Keystone Mercy Health Plan Experience November 2005 - December 2009
Job Director of Case Management at Phoenixville Hosptial
Industry Hospital & Health Care
Experience
Phoenixville Hospital  August 2011 - Present
Mercy Health System of Southeastern Pennsylvania  December 2009 - August 2011
Keystone Mercy Health Plan   November 2005 - December 2009
Bayada Nurses  July 2002 - December 2005
St. Christopher's Hospital for Children   January 1999 - July 2002
Doylestown Pediatrics   September 1997 - December 1998

Skills
Healthcare Management, Clinical, Healthcare, Hospitals, Pediatrics, Managed Care, Nutrition, Fitness, Home Care, Medicaid, Clinical Research, Critical Care, Nursing, Patient Safety, Healthcare Information..., ICU, Case Managment, Case Management, Healthcare Consulting

Education
University of Pennsylvania   1996 — 1997
Masters of Science in Nursing, Nurse Practitioner

Barry University   1991 — 1993
BSN, Nursing

University of Tampa   1987 — 1991
BS, Exercise Physiology

Danielle DiMarco Danielle DiMarco Greater Philadelphia Area Details
Danielle DiMarco's Keystone Mercy Health Plan Experience 2001 - 2005
Job New Business/Renewal Business Analyst at Leon L. Levy & Associates
Industry Insurance
Experience
Leon L. Levy & Associates   October 2014 - Present
Leon L. Levy & Associates   2005 - Present
Leon L. Levy & Associates   March 2006 - October 2014
Keystone Mercy Health Plan   2001 - 2005

Skills
Customer Service, Health Insurance, Account Management, Salesforce.com, Direct Sales, Employee Benefits, Human Resources, Insurance, Marketing, New Business Development, Sales, Vendor Management, Brokers, Health Savings Accounts, Customer Retention, Disability Insurance, Management

Education
Cabrini College   1991 — 1995
Bachelor of Arts (B.A.), Mass Communication/Media Studies

Unionville-Chadds Ford High School

Michael McGarrigle RN BSN CCM Michael McGarrigle RN BSN CCM Greater Philadelphia Area Details
Michael McGarrigle RN BSN CCM's Keystone Mercy Health Plan Experience 1999 - 2001
Job Manager of Care Management
Industry Hospital & Health Care
Experience
Lankenau Hospital MLHS   April 2014 - Present
Progeny Health   March 2012 - April 2014
The Chester County Hospital  September 2009 - March 2012
Lauren's House   April 2006 - September 2009
Lauren's House   2001 - September 2009
Keystone Mercy Health Plan   1999 - 2001
Health Plans of Pennsylvania   1993 - 1999
Keystone Mercy Health Plan   1989 - 1993
Keystone Mercy Health Plan   1987 - 1989
Intra Corpoation   1986 - 1987

Skills
Managed Care, Medicaid, Utilization Management, Healthcare, Medicare, Healthcare Management, Hospitals, Nursing, Acute Care, Case Managment, Health Insurance, HIPAA, Medicine, Disease Management, Inpatient, Case Management

Education
Eastern University   1998 — 2001
BSN, Nursing

Lankenau Hospital School of Nursing   1980 — 1983
Diploma, Nursing

CCM Certification September 2012

Chetan Reddy Chetan Reddy Washington D.C. Metro Area Details
Chetan Reddy's Keystone Mercy Health Plan Experience January 2006 - January 2006
Job ETL SME and InfoSphere Suite Administrator.
Industry Information Technology and Services
Experience
SRA International  April 2009 - Present
Freddie Mac  August 2008 - March 2009
Apex CoVantage  March 2008 - July 2008
Wells Fargo Home Mortgage  August 2007 - March 2008
Freddie Mac  February 2006 - July 2007
Keystone Mercy Health Plan   January 2006 - January 2006
BASF  December 2005 - January 2006
Phillip Mo   August 2005 - December 2005
Freddie Mac  May 2004 - July 2005
CSC  March 2004 - May 2004

Skills
ETL, DB2, Data Warehousing, Oracle, Datastage, Unix Shell Scripting, SQL, Data Marts, Business Analysis, Autosys, Data Analysis, Business Requirements, SAP BW, Data Modeling, Informatica, SDLC, Teradata, Requirements Analysis, Data Warehouse..., PL/SQL, Business Intelligence, Unix, Business Objects, Erwin

Education
Bangalore University   1991 — 1995
BE, Instrumentation Technology

Dan Emery Dan Emery Greater Philadelphia Area Details
Dan Emery's Keystone Mercy Health Plan Experience August 2006 - Present
Job Lead Financial Analyst at Keystone Mercy Health Plan
Industry Internet
Experience
Keystone Mercy Health Plan   August 2006 - Present
Siemens Medical Solutions  1991 - 2006
Siemens  1998 - 2002
Shared Medical Systems, Inc  1991 - 2000

Education
Drexel University   1999 — 2004
BS, Information Technology

Souderton High School

Jeff Sewesky Jeff Sewesky Kingston, Pennsylvania Details
Jeff Sewesky's Keystone Mercy Health Plan Experience June 2003 - October 2003
Job Senior Project Leader at Aetna Health Management
Industry Information Technology and Services
Experience
Aetna  August 2014 - Present
Aetna  July 2013 - August 2014
ValueOptions  February 2012 - November 2012
JMA Enterprise Group Inc   October 2006 - February 2012
TMG Health  January 2006 - September 2006
MMC 2020  June 2005 - December 2005
Geisinger Health System  October 2003 - June 2005
Keystone Mercy Health Plan   June 2003 - October 2003
TMG Health  May 2002 - June 2003
Blue Cross of Northeastern Pennsylvania  June 2001 - December 2001

Skills
Healthcare Information..., HIPAA, Healthcare, Managed Care, Process Improvement, System Analysis, Business Analysis, Revenue Cycle, 837I, 837P, Healthcare Consulting, Healthcare Management, Healthcare Analytics, Financial Analysis, Financial Reporting, Claim, Claims Management, Operations Management, Performance Improvement, EDI, Insurance, SDLC, Analysis, Systems Analysis, Requirements Gathering, Business Process, Software Documentation, Medicare, Data Analysis, Medicaid, Visio, Requirements Analysis, Software Implementation, Crystal Reports, Leadership, HL7

Education
Bloomsburg University of Pennsylvania   1982 — 1990
BS, Bus Admin/Management

King's College   1983 — 1984
AS, Marketing

Joan Langan Joan Langan Greater Philadelphia Area Details
Joan Langan's Keystone Mercy Health Plan Experience June 2002 - June 2004
Job Registered Nurse Case Manager
Industry Hospital & Health Care
Experience
Amalgamated Life Insurance  July 2006 - July 2007
Elder Health currently Bravo Health   April 2005 - September 2005
Keystone Mercy Health Plan   June 2002 - June 2004
Nickelodeon  1986 - 1989
Nickelodeon  1986 - 1989

Skills
Case Managment

Education
Community College of Philadelphia   1977 — 1979
AAS, Nursing

Cassandra Holloway Cassandra Holloway Greater Philadelphia Area Details
Cassandra Holloway's Keystone Mercy Health Plan Experience August 2010 - January 2014
Job Sr. Mgr. UM at Keystone Mercy Health Plan
Industry Hospital & Health Care
Experience
Keystone Mercy Health Plan   August 2010 - January 2014
United Healthcare  2001 - August 2010
UnitedHealth Group  2001 - 2010
AmeriChoice  2001 - 2007

Skills
Case Management, Health Insurance, Healthcare, Managed Care, Medicaid, Disease Management, Utilization Management, Clinical, Business Analysis, Healthcare IT, Medical Management, Metrics, Nursing, Medicare, Quality Management, HEDIS, Care Management, HIPAA, Process Improvement, Visio, SDLC, Requirements Gathering, Documentation, Health, Change Management, Claims, MS Project, Strategic Planning, Call Center, Requirements Analysis, Customer Relations

Education
Eastern University   1999 — 2001
MBA, HealthCare Management and Finance

Community College of Philadelphia   1983 — 1985
ADN, Nursing

University of Pittsburgh   1975 — 1979
BA, English/Psychology

William L. Terrell William L. Terrell Greater Philadelphia Area Details
William L. Terrell's Keystone Mercy Health Plan Experience May 2012 - October 2012
Job Realtor at Keller Williams Real Estate
Industry Real Estate
Experience
Keller Williams Real Estate  March 2014 - Present
Keystone Mercy Health Plan   May 2012 - October 2012

Education
Chestnut Hill College   2006 — 2008

The Real Estate Academy

Eleanor Toewe Eleanor Toewe Greater Philadelphia Area Details
Eleanor Toewe's Keystone Mercy Health Plan Experience 1999 - 2008
Job Hospital & Health Care Professional
Industry Hospital & Health Care
Experience
Keystone Mercy Health Plan   1999 - 2008
Penn Mutual  1982 - 1987

Education
Drexel University - LeBow College of Business   1974 — 1979
MBA, Accounting, Law

Drexel University - LeBow College of Business   1966 — 1970
BS, ACCOUNTING, RETAIL

Constance Crafts Constance Crafts Greater Philadelphia Area Details
Constance Crafts's Keystone Mercy Health Plan Experience March 2005 - Present
Job Research Analyst at Keystone Mercy Health Plan
Industry Insurance
Experience
Keystone Mercy Health Plan   March 2005 - Present
Reimbursement Technologies, Inc.   March 2004 - March 2005
Progressive Insurance  February 2004 - March 2005

Education
Villanova University   1998 — 2000
Certificate, Paralegal-Business Concentration

Clarion University of Pennsylvania   1993 — 1995
Masters, Library Science

Ellie Heavens Short Ellie Heavens Short Greater Philadelphia Area Details
Ellie Heavens Short's Keystone Mercy Health Plan Experience 1999 - 2003
Job Product Manager at AmeriHealth Caritas
Industry Information Technology and Services
Experience
AmeriHealth Caritas  February 2006 - Present
Heavens Short Indpendent Clinical Consultant   March 2003 - December 2005
Riddle Memorial Hospital  2003 - 2004
Keystone Mercy Health Plan   1999 - 2003
MEDecision  1998 - 1999
Crozer Chester Medical Center  1995 - 1998
Keystone Mercy Health Plan   October 1993 - 1998
Sacred Heart Medical Center  1986 - 1995

Education
St. Francis University   1999 — 2003
MS, Health Administration

Eastern University   1993 — 1997
BSN, Nursing

St AgnesMedical Center School of Nursing   1982 — 1985
RN Diploma, Nursing

Delaware County Community College   1980 — 1982
AA, Liberal Arts

Ashesh Desai Ashesh Desai Washington D.C. Metro Area Details
Ashesh Desai's Keystone Mercy Health Plan Experience 2002 - 2003
Job Senior DBA at NOAA: National Oceanic & Atmospheric Administration
Industry Information Technology and Services
Experience
Computer Sciences Corporation  2010 - 2012
Freddiemac  2009 - 2010
FannieMae  2007 - 2009
Faniemae   2006 - 2007
Freddie Mac  2005 - 2006
Liberty Mutual Insurance  2004 - 2005
Freddiemac  2003 - 2004
Keystone Mercy Health Plan   2002 - 2003
The Regence Group  2001 - 2002
Arsin Corporation  2000 - 2001

Skills
PL/SQL, Databases, Shell Scripting, Informatica, PostgreSQL, Data Modeling, Project Management, T-SQL Stored Procedures, Erwin, Teradata Data Warehouse, Sybase DBA, Oracle DBA, Sybase Replication, PGPOOL II, MS SQL Server, Project Co-ordination, PostgreSQL Replication, Trizetto Facets, SAP HANA

Education
open SAP   2014 — 2021
Next Steps in SAP HANA Cloud Platform

openSAP   2014 — 2014
Course on SAP HANA Cloud Platform, SAP HANA Cloud Platform

Bhavnagar University   1994 — 1997
MCA, Master of Computer Applications

M S University   1991 — 1994
Bachelor of Science (B.S.), Mathematics

Catherine FitzPatrick Catherine FitzPatrick Wayne, Pennsylvania Details
Catherine FitzPatrick's Keystone Mercy Health Plan Experience November 1994 - July 2011
Job Pediatric Special Needs RN Case Manager, United Health Care Community and State
Industry Hospital & Health Care
Experience
Independence Blue Cross  July 2011 - Present
Keystone Mercy Health Plan   November 1994 - July 2011

Skills
HIPAA, Healthcare Management, Managed Care, Microsoft Excel, Event Planning, Leadership, Healthcare, PowerPoint, Public Speaking, Medicaid, Process Improvement

Education
Gwynedd Mercy University   1979 — 1980
Post Certificate/Pediatric Nurse Practitioner, Bachelor of Science Nursing @ Duquesne University Pgh., PA

Duquesne University   1972 — 1976
Bachelor's Degree, Nursing Science

Alpha diawara Alpha diawara Greater Philadelphia Area Details
Alpha diawara's Keystone Mercy Health Plan Experience ceo/ownerdiawara fashionsApril 2009 - Present
Job ceo/owner at diawara fashions
Industry Information Technology and Services
Experience
Keystone Mercy Health Plan   ceo/ownerdiawara fashionsApril 2009 - Present
alima's fresh produce   August 2004 - May 2007

Education
Community College of Philadelphia   2003 — 2009
associate, computer networking

technical school   2003 — 2004
associate, computer networking

Carol Resor Carol Resor Greater Philadelphia Area Details
Carol Resor's Keystone Mercy Health Plan Experience August 2007 - March 2012
Job Director of Learning and Performance at Sobieski Enterprises
Industry Hospital & Health Care
Experience
Sobieski Enterprises   January 2015 - Present
Lernia Training Solutions  July 2012 - March 2014
Keystone Mercy Health Plan   August 2007 - March 2012
Keystone Mercy Health Plan   August 1999 - August 2007
Towers Perrin  October 1996 - August 1999
Hahnemann University Hospital  January 1993 - October 1996
Commodore Business Machines  April 1990 - August 1991
Shared Medical Systems  October 1985 - April 1990
Delta Data   December 1984 - October 1985

Skills
Performance Management, Strategy, Staff Development, Testing, Microsoft Excel, Microsoft Word, Microsoft Office, Customer Service, Healthcare, Instructional Design, Process Improvement, Medicaid, Training, Project Management, Software Documentation, Change Management, Cross-functional Team..., Program Management, Leadership

Education
Georgetown University   1983 — 1984
MA, English, Teaching Writing

Cabrini College   1979 — 1983
BA, Psychology, English, Communications

Bika Francis Bika Francis Greater Philadelphia Area Details
Bika Francis's Keystone Mercy Health Plan Experience November 2005 - Present
Job Specialty Drug Program Rep
Industry Pharmaceuticals
Experience
PerformRx  November 2005 - Present
Keystone Mercy Health Plan   November 2005 - Present
Chuck Bradley   November 2005 - Present
Option Care (Home Infusion pharmacy)   September 2004 - October 2005
Judy Findel   September 2004 - October 2005
Bev Levens   August 2003 - October 2004
Methodist Hospital  August 2003 - October 2004
Fairview University Medical Center, Pharmacy   May 2002 - January 2004
Kert Severson   May 2002 - January 2004
Fairview University Medical Center  January 2000 - June 2002

Education
Augsburg College   1996 — 2001
Bachelor of Arts, Chemistry and Religion

Eastern University
BA, chemistry

Chris Lockhart Chris Lockhart Greater Philadelphia Area Details
Chris Lockhart's Keystone Mercy Health Plan Experience June 2007 - Present
Job Enterprise Technical Architect at Keystone Mercy Health Plan
Industry Insurance
Experience
Keystone Mercy Health Plan   June 2007 - Present

Education
Drexel University   1986 — 1991
BA

Ford Corinth Ford Corinth Greater Philadelphia Area Details
Ford Corinth's Keystone Mercy Health Plan Experience January 2006 - Present
Job Senior Project Manager at Keystone Mercy Health Plan
Industry Hospital & Health Care
Experience
Keystone Mercy Health Plan   January 2006 - Present
Verizon  2003 - 2006
Information builders  August 1998 - November 2003
Keane  1988 - 1998
Chase Bank USa   February 1984 - May 1988

Skills
Healthcare Information..., PMP, Project Management, Consulting, SDLC

Education
Fordham University
BA, Communications and Media Studie

Rudy Martin Rudy Martin Greater Philadelphia Area Details
Rudy Martin's Keystone Mercy Health Plan Experience June 1999 - December 1999
Job CEO at OMART Training & Development, LLC
Industry Education Management
Experience
OMART Training & Development, LLC   June 2003 - Present
OMART Training & Development, LLC   December 2002 - Present
OMART Christian Childcare   December 2002 - December 2005
OMART Christian Child Care Education Center   July 2000 - June 2003
Aetna, Inc  May 2000 - June 2002
Keystone Mercy Health Plan   June 1999 - December 1999

Skills
Program Management, Operating Budgets, Small Business, Curriculum Design, Training, Organizational..., Performance Improvement, Grants, Non-profits, 501c3, Incorporation Services, Articles Of..., Accounting, Financial Systems, Early Childhood..., Child Advocacy, Child Development, Child Welfare, Human Resources, Facilitators, Program Facilitation, Microsoft Office

Education
Capella University   2011 — 2014
Doctorate of, Training and Performance Improvement

Capella University
Master of Science, Education; Early Childhood Education

Johnson & Wales University   1978 — 1982
BS, Data System Management

Johnson and Wales University   1978 — 1980
AS, Data Processing and Accounting

Alicia Pardo Alicia Pardo Greater Philadelphia Area Details
Alicia Pardo's Keystone Mercy Health Plan Experience 1999 - 2001
Job Clinical Nurse II, Department of Oncology, at The Childrens Hospital of Philadelphia
Industry Hospital & Health Care
Experience
The Childrens Hospital of Philadelphia  March 2009 - Present
Drexel University College of Medicine  February 2003 - August 2007
Keystone Mercy Health Plan   1999 - 2001

Education
Drexel University   2007 — 2008
BSN, Nursing

Rutgers, The State University of New Jersey-Camden   1987 — 1991
BSW, Social Work

Marge Byrne Marge Byrne Greater Philadelphia Area Details
Marge Byrne's Keystone Mercy Health Plan Experience April 2005 - March 2007
Job Manager, Pharmacy Pricing Administration at PerformRx
Industry Hospital & Health Care
Experience
CVS Health  February 2015 - Present
PerformRx  May 2008 - December 2014
AmeriHealth Caritas  2000 - 2014
PerformRx/Amerihealth Mercy Family of Companies   March 2007 - May 2008
Keystone Mercy Health Plan   April 2005 - March 2007
Keystone Mercy Health Plan   August 2000 - April 2005
Rios Pharmacy Nutritional and Medical Products   October 1992 - August 2000
Costa's Apothecary   January 1989 - October 1992

Skills
Pharmacists, Pharmacy, Healthcare, Medicaid, Medication Therapy..., Pharmacy Benefit..., Managed Care, Medicare Part D

Education
Immaculata University   2007 — 2010
BA, Healthcare Management

Delaware County Community College   1999 — 2001
Associates, Healthcare Mgt

Maurice D. Darden Maurice D. Darden Fort Washington, Pennsylvania Details
Maurice D. Darden's Keystone Mercy Health Plan Experience March 2010 - February 2012
Job Sr. Claims Examiner at AmeriHealth Administrators
Industry Insurance
Experience
AmeriHealth Administrators  February 2012 - Present
Keystone Mercy Health Plan   March 2010 - February 2012
IKEA  May 2005 - January 2010

Skills
Health Insurance, Psychotherapy, Data Entry, Insurance, Customer Service, Access, Accounts Payable, Accounts Receivable, Administration, Administrative..., Benefits Administration, Analysis, Call Centers, Case Management, Case Managment, Christian Education, Christian Leadership, Christian Ministry, Claims Management, Coaching, Community Outreach, Data Analysis, Disability Insurance, Employee Benefits, Employee Relations, Evangelism, Fellowships, HIPAA, Healthcare, Hospitals, Human Resources, Invoicing, Leadership, Lotus Notes, Marketing, Managed Care, Medical Billing, Microsoft Excel, Nonprofits, Microsoft Office, Microsoft Word, Outlook, Policy, PowerPoint, Public Relations, Risk Management, Sales, Spiritual Leadership, Software Documentation, Spreadsheets

Education
Rosemont College   2014 — 2016
Master of Business Administration (MBA), Business Administration and Management, General

Chestnut Hill College   2008 — 2010
BS, Social Work

Katherine Mui Katherine Mui Greater Philadelphia Area Details
Katherine Mui's Keystone Mercy Health Plan Experience June 2010 - March 2011
Job Business Analyst Sr. at JPMorgan Chase
Industry Financial Services
Experience
JPMorgan Chase  January 2015 - Present
Harte Hanks, Inc.   February 2013 - December 2014
Nutrisystem  July 2012 - October 2012
Nutrisystem  December 2011 - June 2012
GMR Marketing  November 2011 - December 2011
Dr. Michelle Copeland Skin Care   May 2011 - October 2011
Keystone Mercy Health Plan   June 2010 - March 2011
PlaySay Inc.   January 2010 - November 2010
Jimmy John's  May 2008 - September 2008
Vector Marketing  July 2007 - September 2007

Skills
Social Media Marketing, Email Marketing, Social Media, Sales, Public Relations, Advertising, Microsoft Excel, PowerPoint, Microsoft Office, Direct Mail, Teamwork, Microsoft Word, Data Entry, Guerrilla Marketing, Dreamweaver, Responsys Interact, Radian6, Omniture, Constant Contact, Graphs, Pivot Tables, SQL Server Management..., Unica, Filezilla, Visual Studio, Netezza, Tableau, Marketing Strategy, Competitive Analysis, Entrepreneurship, Market Research

Education
Gwynedd Mercy University   2010 — 2012
Master of Science in Management, Business Management

Temple University - Fox School of Business and Management   2005 — 2010
Bachelor of Business Administration, Marketing and International Business

Beijing Language and Culture University   2009 — 2009
Mandarin

KCul Foundation Korean Academy
Korean

Mary Pat Peterson RN, CMCN, CPUR Mary Pat Peterson RN, CMCN, CPUR San Diego, California Details
Mary Pat Peterson RN, CMCN, CPUR's Keystone Mercy Health Plan Experience July 2003 - April 2004
Job RN Case Manager at Valley Health System
Industry Hospital & Health Care
Experience
Scripps Health  October 2013 - June 2014
UHS - Desert Springs Hospital Medical Center   June 2013 - October 2013
Temple University Health System - Jeanes Hospital   April 2010 - February 2013
Health Partners  June 2004 - December 2008
Keystone Mercy Health Plan   July 2003 - April 2004
Health Partners  July 1999 - July 2003
People Link Staffing   2003 - 2003
The Westmeade Center at Warwick   February 1995 - August 2001

Skills
Utilization Management, Case Management, Managed Care, Nursing, Medicare, Healthcare Management, Medicaid, Healthcare, Clinical, Hospitals, Quality Management, Nurses, Care Management, Insurance, Policy, Supervisory Skills, EMR, Acute Care, PowerPoint, Word, Excel, Treatment, Microsoft Office, Problem Solving, Discharge Planning, HIPAA, Teaching, Customer Service, Case Managment, Travel Nursing, Medicaid Managed Care, Patient Advocacy, Inpatient, Home Care, Patient Education, Patient Safety, Quality Improvement, Utilization Review, Nursing Education, Clinical Research

Education
Holy Family University   2012 — 2014
Bachelor's degree, Registered Nursing/Registered Nurse

Manor College   2008 — 2010
Certificate, Legal Nurse Consulting

Community College of Philadelphia   1992 — 1994
ASN, Nursing

Jennifer Wills Jennifer Wills Greater Philadelphia Area Details
Jennifer Wills's Keystone Mercy Health Plan Experience 2008 - Present
Job Project Manager at Keystone Mercy Health Plan
Industry Hospital & Health Care
Experience
Keystone Mercy Health Plan   2008 - Present
Keystone Mercy Health Plan   2007 - 2008
Keystone Mercy Health Plan   2000 - 2007
Keystone Mercy Health Plan   1999 - 2000
Keystone Mercy Health Plan   1996 - 1999
Keystone Mercy Health Plan   1994 - 1996

Education
Widener University   2009 — 2015
Organizational Development & Leadership

Drexel University   2000 — 2009

Widener University   1994 — 1999
Organizational Development & Leadership

Molinna Pensokha Molinna Pensokha Greater Philadelphia Area Details
Molinna Pensokha's Keystone Mercy Health Plan Experience June 2005 - August 2005
Job Executive Recruiting at Armstrong Franklin
Industry Staffing and Recruiting
Experience
Armstrong Franklin  April 2010 - Present
Defense Intelligence Agency  April 2009 - September 2009
School District of Philadelphia  March 2008 - September 2008
Keystone Mercy Health Plan   June 2005 - August 2005

Education
Drexel University   2006 — 2011
Bachelor of Science, International Area Studies

Rochean Cofield Rochean Cofield Des Moines, Iowa Area Details
Rochean Cofield's Keystone Mercy Health Plan Experience November 1999 - November 2004
Job TeleApp Counselor at Principal Financial Group
Industry Education Management
Experience
Principal Financial Group  March 2010 - Present
Keystone Mercy Health Plan   November 1999 - November 2004

Education
Grandview University   2011 — 2012
BA, Human Services

Des Moines Area Community College   2009 — 2010
AA, Liberal Arts

Indiana University of Pennsylvania

Michael Baxter-Lawrence Michael Baxter-Lawrence Philadelphia, Pennsylvania Details
Michael Baxter-Lawrence's Keystone Mercy Health Plan Experience January 1998 - March 2010
Job Homemaker
Industry Education Management
Experience
Living and Working@Home   December 2014 - Present
City of Philadelphia  April 2012 - October 2014
Warrior Writers  January 2012 - May 2012
Keystone Mercy Health Plan   January 1998 - March 2010
Keystone Mercy Health Plan   February 2009 - February 2010

Skills
MS Office, Technical Writing, Typing 75+ wpm, Public Speaking, Project Facilitation, Appointment Scheduling, Office Administration, Writing, Editing, PowerPoint, Healthcare, Administration, Research, Word, Public Relations, Customer Service, Excel, Supervisory Skills, Team Building, Problem Solving, Proposal Writing, Customer Relations, Access, Marketing Communications, Employee Relations, Organizational..., Event Planning, Blogging, Nonprofits, Higher Education, Software Documentation, Outlook, Strategic Planning, Grant Writing, System Administration, Microsoft Excel, Project Management, Volunteer Management, Process Improvement, Budgets, Leadership Development, Program Management, Social Media, Coaching, Data Entry, Staff Development, Program Development, Microsoft Office, Training, Sales

Education
Chestnut Hill College   2012 — 2014
Bachelor of Science (B.S.), Human Services, A-

Community College of Philadelphia   2011 — 2012
A.A., Liberal Arts - Social/Behavioral Sciences

University of Pennsylvania   2011 — 2012
Veterans Upward Bound

Community College of Philadelphia   1991 — 2012
Associate of Arts and Sciences (AAS), Liberal Arts

University of Pennsylvania   2011 — 2011

SRINIVAS PATURI SRINIVAS PATURI Greater Philadelphia Area Details
SRINIVAS PATURI's Keystone Mercy Health Plan Experience December 2006 - Present
Job Keystone Mercy Health Plan
Industry Information Technology and Services
Experience
Keystone Mercy Health Plan   December 2006 - Present
Cognizant Technology Solutions  April 2005 - December 2006

Skills
Requirements Analysis, Sybase, HIPAA, SDLC, Healthcare Information..., Microsoft SQL Server, SQL, Software Project..., Medicaid, Oracle, Visio, PL/SQL, Requirements Gathering

Education
Andhra University   2002 — 2004
MSc, Computer Sceince

William Morsell William Morsell Greater Philadelphia Area Details
William Morsell's Keystone Mercy Health Plan Experience September 2005 - Present
Job Chairman of the Board at Northern Children's Services
Industry Insurance
Experience
Northern Children's Services  2011 - Present
Keystone Mercy Health Plan   September 2005 - Present

Skills
Provider Relations, Managed Care, Hospitals, Contract Negotiation, Medicare, Healthcare Industry, Health Policy, Healthcare Consulting, HIPAA, Health Insurance, Revenue Cycle, Healthcare Information..., Insurance, Physicians, Process Improvement, Medicare Part D, Quality Improvement, EHR, Informatics, EMR, PPO, Physician Relations, Claim, Home Care

Education
LaSalle University Philadelphia, Pa.
Master of Business Administration (MBA), Health/Health Care Administration/Management

Saint Francis University Pa.
Bachelor of Science (BS), Economics

Michelle Buchanan Michelle Buchanan Greater Philadelphia Area Details
Michelle Buchanan's Keystone Mercy Health Plan Experience June 2011 - August 2011
Job Associate Product Manager at Tyco Fire Protection Products
Industry Marketing and Advertising
Experience
Tyco Fire Protection Products  September 2014 - Present
Dorman Products  June 2013 - September 2014
Dorman Products  June 2012 - June 2013
Dorman Products  November 2011 - May 2012
Avantext, Inc.   October 2011 - February 2012
Keystone Mercy Health Plan   June 2011 - August 2011

Skills
Email Marketing, Product Marketing, Marketing, Social Media, Brochure Production, Trade Shows, Public Relations, Facebook Marketing, Marketing Strategy, Google Analytics, Competitive Analysis, Marketing Management, Digital Marketing, Sales, Market Research, Project Management, PowerPoint, Cross-functional Team..., Microsoft Office

Education
La Salle University   2008 — 2012
Bachelor of Science in Business Administration, Marketing & International Business

DeSales University   2013 — 2017
Master of Business Administration (M.B.A.)

American University of Rome
Study Abroad Program

Betty Alexander Betty Alexander Greater Philadelphia Area Details
Betty Alexander's Keystone Mercy Health Plan Experience August 2006 - October 2009
Job Corporate Medical Policy Analyst
Industry Insurance
Experience
AmeriHealth Caritas  December 2013 - Present
HighPoint Solutions  February 2012 - Present
highpoint-solutions  February 2012 - Present
Bravo Health  October 2009 - February 2012
Keystone Mercy Health Plan   August 2006 - October 2009
Renaissance Medical Management Co   January 2003 - January 2006
Intracorp, Inc   January 1998 - January 2003
Western medical Services & Med Staff   January 1994 - January 1997
Delaware County Institute of Training   January 1993 - January 1997
Delaware State DHHS   January 1992 - January 1993

Skills
Managed Care, Case Managment, Healthcare Information..., Healthcare, Disease Management, Utilization Review, Medicaid, Healthcare Management, Nursing, Hospitals, Quality Improvement, EMR, Clinical Research, NCQA, Certified Case Manager, Health Insurance, Network Development, Medical Home, HEDIS, Provider Relations, Home Care, HIPAA, Healthcare Consulting, Case Management, Medical Records, Software Documentation, EHR, ICD-10, Health Policy, Policy, Medicaid Managed Care, CPT, HMO, Training, Medical Terminology, ICD-9, Health Information...

Education
Delaware County Community College
Associate Degree, Biology/Applied Sciences

Drexel University
Bachelor/Masters of Science, Health Administration

Lincoln University
Master’s Degree, Human Service

Ellen Hendrix Ellen Hendrix Aston, Pennsylvania Details
Ellen Hendrix's Keystone Mercy Health Plan Experience August 2007 - Present
Job Registered Nurse at Keystone Mercy Health Plan
Industry Hospital & Health Care
Experience
Keystone Mercy Health Plan   August 2007 - Present

Skills
Nursing, Critical Care, Hospitals, Acute Care, Medical/Surgical, Inpatient, BLS

Education
Tallahassee Community College   1989 — 1992
Associate Science, Nursing

Central Piedmont Community College   1982 — 1985
Associate Science, Business Data Processing

Michelle Krystopa Michelle Krystopa Drexel Hill, Pennsylvania Details
Michelle Krystopa's Keystone Mercy Health Plan Experience August 2004 - Present
Job Finance\claims auditor at Keystone Mercy Health Plan
Industry Hospital & Health Care
Experience
Keystone Mercy Health Plan   August 2004 - Present
Mercy Home Health  January 2000 - August 2004
Apria Healthcare  January 1998 - January 2000

Skills
Access, Excel, Reinsurance, Reconciliation, Capitation payments, Medicare, Medicaid

Education
University of Phoenix
Bachelor's degree in Management, Business, Management, Marketing, and Related Support Services

Delaware County Community College
Associates Degree, Business Administration

Patricia McLay Patricia McLay Greater New York City Area Details
Patricia McLay's Keystone Mercy Health Plan Experience May 2007 - February 2010
Job Medical Claims Adjuster at Benefits Services of PA
Industry Hospital & Health Care
Experience
Benefits Services of PA   August 2012 - Present
Keystone Mercy Health Plan   May 2007 - February 2010
Contemporary Staffing  September 2005 - May 2007
Contemporary Staffing  September 2005 - May 2007
Reliance Standard Life Insurance  January 2004 - May 2005
IBC  October 2000 - February 2003
BC/BS of SC  May 1995 - July 2000

Education
Florence-Darlington Technical College
Associate Degree, Secretarial Science

Florence-Darlington Technical College   1984 — 1987
Business Admimistration

Jimmenell Hairston Jimmenell Hairston Voorhees, New Jersey Details
Jimmenell Hairston's Keystone Mercy Health Plan Experience April 1995 - October 2007
Job Administrator at Personal Touch Home Health Services
Industry Hospital & Health Care
Experience
Personal Touch Home Health Services   April 2015 - Present
Ascendant Home Health Care   October 2013 - April 2015
BAYADA Home Health Care  November 2007 - September 2013
Keystone Mercy Health Plan   April 1995 - October 2007

Skills
Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking, HTML, Strategic Planning, Budgets

Education
Concord University   1984 — 1988
Bachelor of Business Administration (BBA), Elementary Education and Teaching

Janice Fleming Janice Fleming Glen Mills, Pennsylvania Details
Janice Fleming's Keystone Mercy Health Plan Experience September 2012 - Present
Job Case Manager, Special Care Unit at Keystone Mercy Health Plan
Industry Hospital & Health Care
Experience
Keystone Mercy Health Plan   September 2012 - Present
Childrens Hospital of Philadelphia  2009 - August 2012
The Chester County Hospital  October 2007 - October 2009
Kindred Healthcare  June 2007 - October 2007
matria health   March 2005 - September 2006
Keystone Mercy Health Plan   May 2004 - March 2005

Skills
Utilization Management, Discharge Planning, Interqual and Milliman, Disease Management, NICU, Pediatrics, ITIL Process...

Education
Delaware County Community College   1980 — 1983
AAS RN, Registered Nursing/Registered Nurse

Upper Darby High School

Altorie Richardson Altorie Richardson Newark, Delaware Details
Altorie Richardson's Keystone Mercy Health Plan Experience September 2010 - February 2013
Job Drug Utilization Analyst at HewlettPackard
Industry Hospital & Health Care
Experience
Hewlett-Packard  July 2013 - Present
Keystone Mercy Health Plan   September 2010 - February 2013

Skills
Certified Pharmacy..., Healthcare, Hospitals, HIPAA, Healthcare Management, Healthcare Information..., Medical Terminology, Nursing, Managed Care, Customer Service, Clinical Research

Education
Dawn Career Institute Inc   2006 — 2007
Pharmacy

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