Keystone Mercy Health Plan
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Keystone Mercy Health Plan Employees
Cliff's Guitars January 2011 - Present
American Water September 2013 - October 2014
American Water Enterprises April 2012 - 2013
Keystone Mercy Health Plan September 2009 - December 2010
Comcast Cable February 2008 - April 2009
QVC August 2007 - February 2008
Keystone Mercy Health Plan April 2006 - July 2007
JPMorgan Chase January 2005 - February 2006
Merck February 2004 - August 2004
New Era Tickets June 2003 - February 2004
Skills
Quality Center, Software Quality..., Software Documentation, Integration, Automation, Music, SDLC, SOA, Requirements Analysis, PMO, Visio, Enterprise Software, Microsoft SQL Server, Business Analysis, Agile Methodologies, Agile Project Management, Data Warehousing, SharePoint, Business Intelligence, Business Stupidity, Audio System Design, Software Project..., System Testing, American Vintage Guitars, Looking into Things &..., Rural Alchemy, Telecasters, User Acceptance Testing, HP Quality Center
Education
North Carolina State University 1988 — 1991
Computer Science
North Carolina State University 1973 — 1977
Sociology & Religion
CommVault July 2014 - Present
SAP March 2014 - June 2014
SAP May 2011 - April 2014
SAP April 2008 - May 2011
SAP September 2006 - March 2008
SAP April 2003 - August 2006
SAP January 2000 - March 2003
Keystone Mercy Health Plan 1995 - 1999
Skills
Digital Marketing, Marketing Strategy, Enterprise Software, Marketing, Strategic Planning, Leadership, Demand Generation, Multi-channel Marketing, B2B Marketing, SAP, Sales Operations, Lead Generation, Strategy, SaaS, Market Planning, Business Alliances, Go-to-market Strategy, Sales Management, Product Management, Team Leadership, Sales Enablement, Marketing Communications, Marketing Management
Education
Leadership Philadelphia 2000 — 2000
Core Program
Penn State University 1986 — 1991
Bachelor of Science, Economics
Archbishop John Carroll High School 1982 — 1986
Independent Contractor 2001 - Present
Sadie Nash Leadership Project 2013 - Present
Columbia University in the City of New York November 2014 - Present
The Ignant Intellectual: The Bridge Between the Hood and the Ivory Tower January 2011 - Present
Girls for Gender Equity 2013 - 2015
The Morris Home December 2011 - April 2014
United Nations January 2012 - March 2012
Keystone Mercy Health Plan 2010 - 2011
Matria Healthcare 2007 - 2008
Emory Healthcare 2003 - 2008
Skills
Predictive Modeling, ETL Testing Processes, Management of Large..., Medicaid Managed Care, SAS, SQL, Pharmacy, Membership &..., Presenting Highly..., Databases, Quality Assurance, Statistics, Analytics, Creative Writing, Resume Writing, Writing, Composing Press Releases, Copy Editing, Grant Writing, Quantitative Research, Research, Thought Leadership, Critical Thinking, Data Analysis, Clinical Research, Data Management, SAS programming, Testing, Training, Blogging, Editing, Epidemiology, Public Speaking, Management
Education
Tulane University School of Public Health and Tropical Medicine 2002 — 2003
Master of Public Health (MPH), Epidemiology & Biostatistics
Spelman College 1998 — 2001
Bachelor of Science (B.S.), Psychology Pre-Medicine
Applye Physical Therapy, LLC August 2015 - Present
BAYADA Home Health Care October 2014 - June 2015
BAYADA Home Health Care June 2013 - October 2014
Keystone Mercy Health Plan March 2013 - May 2013
Keystone Mercy Health Plan January 2013 - March 2013
Virginia Department of Health October 2012 - December 2012
James Madison University Testscoring Center August 2011 - December 2012
James Madison University August 2008 - December 2012
Illiano's Restaurant June 2004 - August 2012
American College of Healthcare Executives March 2012 - March 2012
Skills
Microsoft Word, Microsoft Excel, Pivot Tables, Power Pivot, Microsoft PowerPoint, PowerPoint, Microsoft Access, SharePoint, Microsoft CRM, Microsoft SQL Server, Microsoft Office, Tableau, Managerial Policy..., Procedure Development, Public Speaking, Community Outreach, Customer Service, Proposal Writing, Program Development, Leadership Development, Management, JIVA, Market Planner Plus, Administration, Multi Tasking, Workforce Management, Databases
Education
James Madison University 2008 — 2012
Bachelor of Science, Health Services Administration, Business
Hammonton High School 2004 — 2008
Keystone Mercy Health Plan January 2012 - Present
Gym Crew January 2010 - Present
Skills
HIPAA, Vendor Management, Healthcare Information...
Education
Rosemont College 2010 — 2011
MBA, Business
Temple University - Fox School of Business and Management 2007 — 2009
BA, IBA/Marketing
MGM Resorts International April 2013 - Present
CA Technologies November 2014 - November 2014
IGT June 2011 - March 2013
MGM Resorts International October 2006 - April 2011
CIBER March 2006 - October 2006
GMAC Mortgage January 2005 - March 2006
Philadelphia Housing Authority (PHA) March 2004 - January 2005
Keystone Mercy Health Plan September 1999 - December 2003
Keystone Mercy Health Plan January 1995 - September 1999
Prudential Insurance October 1990 - January 1995
Skills
Clarity, Open Workbench, PMO, PPM, Strategy Work, Accountability, Schedules, Documentation, Compliance, Risk, Governance, Risk Management, Budgeting, Change Management, Process Improvement, Vendor Management, Strategic Planning, Project Portfolio..., Business Process..., Process Engineering, Project Planning, MS Project, Team Building, PMP, Program Management, Business Analysis, Portfolio Management, Customer Relations, SDLC, Quality Assurance, Team Leadership, Planning, Negotiation, Problem Solving, Contract Management, Business Strategy, Requirements Analysis, Analysis, Visio, IT Management, Contract Negotiation, Product Development, Vendor Relations, Budgets, Software Documentation, Customer Service, Strategy, Project Management, Leadership, Enterprise Software
Education
Regis University 2009 — 2010
MBA, Strategic Management
Franklin Covey 2008 — 2008
Certificate, 7 Habits Signature Program
Villanova University 2002 — 2002
Certificate, PMP Prep Program
Peirce College 1998 — 2001
Bachelors, Business Administration
Temple University - Fox School of Business and Management 1991 — 1994
Aetna June 2015 - Present
Aetna February 2015 - June 2015
Delaware Physicians Care, Inc. June 2004 - January 2015
AmeriChoice August 1999 - January 2002
Chartered Health Plan August 1997 - July 1999
Keystone Mercy Health Plan 1993 - 1997
Skills
Medicaid, Healthcare, Medicine, Medicare, Health Policy, Managed Care, HIPAA, Healthcare Consulting, Physicians, Disease Management, Health Insurance, Leadership, Medicaid Managed Care, Strategic Planning
Education
Stanford University Graduate School of Business 2002 — 2003
MS Management, Business
Saint Louis University School of Medicine 1978 — 1982
MD, Medicine
Keystone Mercy Health Plan January 2000 - Present
Skills
Process Improvement, Access, Software Documentation, HIPAA, Microsoft Excel, Analysis, PowerPoint, Microsoft Word, Healthcare, Program Management
Education
Peirce College 1991 — 1992
Associate's degree, Accounting
Geis Realty Group, Inc. February 2012 - Present
CSG Partners, LLC August 2009 - May 2011
CB Richard Ellis April 2008 - August 2009
Fidelity Commercial January 2007 - April 2008
Keystone Mercy Health Plan 2006 - 2006
Skills
Real Estate, Marketing, Commercial Real Estate, Sales, Account Management, Recruiting, Brokerage
Education
Penn State University 2001 — 2005
BA, Psychology
Villa Maria Academy 1997 — 2001
WellPoint March 2014 - Present
Agile Health Technologies March 2011 - Present
United Health Group September 2010 - January 2014
Blue Cross & Blue Shield of Rhode Island July 2008 - September 2010
Universal American 2010 - 2010
Blue Cross Blue Shield of Louisiana September 2005 - June 2008
First Consulting Group September 2005 - June 2008
Keystone Mercy Health Plan May 2002 - September 2005
First Consulting Group September 1999 - May 2002
SEMCOR May 1998 - September 1999
Skills
FACETS, Solution Architecture, SOA, Web Services, EDI, Requirements Analysis, Business Analysis, Oracle, Sybase, Requirements Gathering, Business Process, Microsoft SQL Server, ASP.NET, C#, Integration, Databases, Testing, SDLC, Data Warehousing, Software Documentation, Migration Projects
Education
Saint Joseph's University 1997 — 1999
Master's Degree, Computer Science
Siemens July 2014 - Present
Siemens May 2012 - July 2014
Amerigroup Corporation January 2012 - May 2012
Cephalon August 2010 - October 2011
CIGNA June 2009 - August 2010
Wyeth Pharmaceuticals April 2004 - June 2009
Keystone Mercy Health Plan 2002 - 2004
Keystone Mercy Health Plan 1999 - 2001
Skills
Risk Analysis, Policy Drafting and..., Investigations, Risk Assessment, Compliance Monitoring, Health Care Compliance, Compliance Training, Compliance Audits, Compliance, Healthcare, Regulations, Regulatory Affairs, Private Investigations, Quality Auditing, HIPAA, Medical Compliance, Software Documentation, Training, Management, Study Skills, Corporate Law, Auditing, Process Improvement, Financial Risk, Policy, Fraud, Program Management, Governance, Risk Management, Recruiting, Government, Pharmaceutical Industry, Time Management, Managed Care, Quality Assurance, Cross-functional Team..., Privacy Law, Legal Compliance, FCPA, Regulatory Requirements, Sop, Corporate Governance, Project Planning, Sarbanes-Oxley Act, FDA, Compliance...
Education
Shippensburg University of Pennsylvania 1997 — 1999
Master's, Public Administration
Shippensburg University of Pennsylvania 1993 — 1997
Bachelor, Public Administration
Seton Hall University School of Law
Healthcare Compliance Certification Program
Sabreliner Corportaion October 2007 - Present
A.G. Edwards & Sons, Inc. September 2006 - October 2007
Keystone Mercy Health Plan December 2005 - September 2006
Skills
Microsoft Office, Process Improvement, Aerospace, Continuous Improvement, Contract Negotiation, Project Planning, Employee Benefits, Manufacturing, Lean Manufacturing, Software Documentation, Program Management, Quality Assurance, Operations Management, Contract Management, Six Sigma, Quality Management, Aircraft
Education
Maryville University of Saint Louis 2002 — 2005
Bachelor of Science, Business Administration
EMR Independent Contractor June 2014 - Present
Keystone Mercy Health Plan July 2006 - May 2014
Skills
Disease Management, Utilization Management, Healthcare Information..., Healthcare, Nursing, EMR, HIPAA, EHR, Medical Terminology
Education
Hahnemann University 1994 — 1995
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Temple University 1985 — 1990
Bachelor of Business Administration (B.B.A.), Economics
USAA 2009 - Present
Morgan Stanley 2008 - 2009
Citi 2006 - 2008
Keystone Mercy Health Plan 2003 - 2006
GMAC Bank 2000 - 2003
Education
Fairleigh Dickinson University-Metropolitan Campus
Master's Degree, Business Administration, Management and Operations
Montclair State University
Bachelor's Degree
Your Company Site ManagerStoreroom SolutionsJune 2014 - August 2014
PSEG - contract position through Beeline, Industrial Staffing October 2012 - December 2013
VWR International April 2010 - April 2012
Pepco Holdings, Inc. June 2006 - December 2008
Yoh Services LLC December 2005 - February 2006
Keystone Mercy Health Plan June 2004 - November 2005
Hercules Incorporated Research Center April 1993 - June 2004
Skills
PeopleSoft, SAP, ERP, Ariba, Department of..., Process Improvement, Strategic Sourcing, Inventory Management, Vendor Management, Purchasing, Contract Management, Change Management, Negotiation, Procurement, Supply Management, Supply Chain Management, Budgets, Strategic Planning, Contract Negotiation, Team Building, Forecasting, Leadership, Management, Program Management
Education
Widener University 2010 — 2012
Master of Business Administration (M.B.A.), Business Process Innovation, BPI, 3.323
Institute for Supply Management - ISM 2005 — 2006
Certification, Supply Chain Management - Lifetime Certified Purchasing Manager
Widener University 1999 — 2003
Bachelor's Degree, Accounting, 3.51
Gloucester County College 1989 — 1991
Associates Degree, Business Administration
Realty Mark Associates December 2013 - Present
Remax Home Experts December 2007 - Present
Keystone Mercy Health Plan May 1999 - September 2004
Skills
First Time Home Buyers, Investment Properties, Investments, Mortgage Lending, Move Up Buyers, New Home Sales, Property Management, REO, Real Estate, Refinance, Relocation, Sales, Sellers, Short Sales, Single Family Homes, Townhomes, Real Estate Transactions, Buyer Representation, Listings, Buyers, Foreclosures
Education
Peirce College
Associate, Business
PerformRx July 2012 - Present
PerformRx July 2011 - June 2012
PerformRx August 2008 - July 2011
Keystone Mercy Health Plan July 2007 - July 2008
Keystone Mercy Health Plan May 2006 - May 2007
Skills
Marketing, Strategy, Pharmacy Benefit..., Management, Strategic Planning, Managed Care, Healthcare, Project Management, Process Improvement, Medicaid, Medicare, Medicare Part D, Healthcare Information..., Leadership, Vendor Management, Cross-functional Team..., Data Analysis, Social Media, Program Management, Analysis, Root Cause Analysis, Crisis Management, System Testing, Healthcare Management, Proposal Writing, Proposal Management, Business Writing, Grant Writing, Account Management, Customer Service
Education
Saint Joseph's University - Erivan K. Haub School of Business 2006 — 2007
MS, International Marketing
Saint Joseph's University 2002 — 2006
B.S., Chemistry
The Children's Hospital of Philadelphia June 2008 - Present
The Children's Hospital of Philadelphia November 2005 - June 2008
Keystone Mercy Health Plan July 2002 - November 2005
Skills
Technical Support, Project Management, Learning Management..., Vendor Management, Process Improvement, Problem Management, Microsoft Office, Instructor-led Training, Service Desk, Help Desk Support, Software Quality..., IT Audit, Training Delivery, Training development, Capital Budgeting, Department Budgeting, Customer Service, Leadership, Workshop Facilitation, E-Learning, Employee Training, Instructional Design, Blended Learning, Management, Human Resources, Training, Healthcare Information..., Program Management, Software Documentation, HIPAA, Healthcare, Coaching, EHR
Education
St. Joseph's University
BS, Information Systems
Temple University
Safeway 2004 - Present
Keystone Mercy Health Plan June 2008 - February 2009
Skills
•Proficient in..., •Experienced in data..., •Experienced with SAP..., •Experienced with..., •Experienced with..., •Data mining and data..., Internet, Email
Education
Rider University 2010 — 2012
Master of Business Administration (MBA), Management Information Systems, General
Rider University 2006 — 2010
Bachelor of Science (BS), Marketing
Colonial Penn Life Insurance November 2014 - Present
CVS Caremark Corporation April 2014 - Present
NeighborWorks America June 2011 - January 2013
Keystone Mercy Health Plan August 2009 - January 2011
Temple University January 2008 - January 2009
Comcast-Spectacor January 2008 - May 2008
Point Breeze Civic Association June 2007 - August 2007
Temple University August 2006 - May 2007
Skills
Proficient in Microsoft..., Administrative..., Marketing Communications, Microsoft Excel, Event Planning, Fundraising, Microsoft Word, Microsoft Office, Social Media, Marketing, Community Outreach, Management, Marketing Strategy, Program Management
Education
Temple University 2005 — 2009
BBA, Marketing
Temple University - Fox School of Business and Management 2005 — 2009
BBA, Marketing
Main Line Health September 2013 - Present
University of the Sciences in Philadelphia March 2006 - Present
Rowan School of Osteopathic Medicine June 2013 - Present
Temple University August 2011 - Present
Gannett Healthcare Group March 2011 - Present
Wilkes University August 2010 - Present
Thomas Jefferson University September 2009 - Present
Kennedy Health System November 2007 - September 2013
CVS Caremark Corporation June 2006 - April 2011
Keystone Mercy Health Plan March 2006 - June 2007
Skills
Pharmacy Benefit..., Critical Care, Nephrology, Pharmacists, Medication Therapy..., advanced life support, Higher Education, Peer Reviews, geriatrics, Medicaid, Clinical Research, Pharmacy Automation, CPOE, Medicare, Healthcare Management, Hospitals, Patient Safety, Inpatient, Healthcare, Pharmaceutical Industry, Informatics, Managed Care, Pharmacy, Healthcare Information..., Nursing, Medicine, Ambulatory Care, Community Pharmacy, Pediatrics, Pharmacy Practice, Infectious Diseases, Home Care, Clinical Pharmacy, Acute Care, Clinical Pharmacology, Patient Education, Diabetes, Disease Management, Pharmacology, Medical Education, Patient Counseling, Oncology, Medical Affairs
Education
Shenandoah University 2003 — 2006
PharmD, Pharmacy
University of the Sciences in Philadelphia 1990 — 1994
BS Pharmacy, Pharmacy
Select Greater Philadelphia September 2014 - Present
Shire Pharmaceuticals July 2004 - December 2013
PNC January 2000 - June 2004
Keystone Mercy Health Plan January 1998 - January 2000
American Red Cross October 1990 - December 1997
CBS Radio June 1989 - December 1993
Skills
Crisis Communications, Media Relations, Public Speaking, Community Partnerships, Reputation Management, Video Production, Corporate Image, Sponsorship Strategy, Internal Communications, Sponsorship, Corporate Communications, Speech Writing, Marketing Communications, Brand Management, Public Relations, Marketing, Press Releases, Strategic Communications, Integrated Marketing, Crisis Management, Message Development, Newsletters, Communications Planning, Copywriting, Investor Relations, Copy Editing, Communication Training, Corporate Branding, Strategy, Community Development, Spokesperson, Event Management, Content Development, Corporate Social..., Messaging, Publications, Social Media Marketing, Journalism
Education
Penn State University
Bachelor of Arts, Journalism
KAF Consultants 1994 - Present
Senate of Pennsyvania 1994 - 2006
Keystone Mercy Health Plan June 1996 - May 2003
Skills
Public Speaking, Research, Customer Service, Strategic Planning, Team Building, Relationships,, Grassroots Campaigning, Fundraising, Public Relations, Community Development, Program Management
Education
Temple University 1996 — 2003
Business Administration, Management and Operations
John Bartram High 1972 — 1975
District of Columbia Government Human Resources 2012 - January 2015
School District of Philadelphia 2010 - 2012
School District of Philadelphia 2008 - 2010
School District of Philadelphia 2006 - 2008
Keystone Mercy Health Plan 2002 - 2006
CIGNA Group Insurance 1998 - 2002
GlaxoSmithKline 1994 - 1998
Skills
Budget Development, Business Process..., Strategic Planning, writing poetry, Theatre, Talent Management, Project Management, Process Improvement, Leadership, Management, Training, Public Speaking, Program Management, Human Resources, Change Management, Business Process, Budgets, Policy
Education
Penn State University
MS, Information Management & Finance
University of Pittsburgh
BA, Dual Degree Economics and Business
Health Partners September 2008 - Present
EDS Group November 2007 - July 2008
Keystone Mercy Health Plan June 1999 - November 2007
Brokerage Concepts, IncKing of Prussia, PA January 1992 - January 1999
U.S. Army January 1985 - January 1987
Skills
Oracle SQL, SQL Server 2000-2008, SSIS, SDLC, SQL, Oracle
Education
Rowan College at Gloucester County 1982 — 1983
New Horizons
Reliance Standard January 2013 - Present
Keystone Mercy Health Plan March 2012 - December 2012
Sun Life Financial August 2006 - February 2012
Riverside Community Care August 2004 - February 2006
Horace Mann Educational Associates June 2003 - August 2004
Skills
Psychology, Case Managment, Workshop Facilitation, Coaching, Training, Program Development, Leadership Development, Human Resources, Health Insurance, Public Speaking, Employee Relations, Non-profits, Performance Management, Research, Recruiting, Leadership, Employee Benefits, Organizational..., Case Management, Interviews, Mental Health, Event Planning, Nonprofits, Editing, Staff Development, Social Networking, Community Outreach, Event Management, Policy, Insurance, Healthcare, Team Building, Onboarding, Analysis, Customer Service
Education
Suffolk University 1990 — 1993
BS, Clinical Psychology
Rowan University December 2012 - Present
UMDNJ May 2005 - December 2012
Beacon Partners December 1997 - April 2005
Virtua Health (Subsidiary Southern New Jersey Medical Services) December 1995 - December 1997
Keystone Mercy Health Plan 1988 - 1995
Skills
Process Improvement, Team Building, Clinical Operations, Academic Development, Program Management, Business Analysis, Healthcare, Vendor Management, HIPAA, Project Portfolio..., Enterprise Software, Healthcare Information...
Education
Jones International University 2005 — 2007
MBA, Business Administration specialzing in Project Mgmt.
Thomas Edison State College
BSBA, Management Information Systems
IMS Government Solutions May 2009 - Present
Accenture 2010 - 2011
Deutsche Bank June 2008 - February 2009
DekaTron Corp 2009 - 2009
PHH Arval January 2008 - May 2008
ViPS October 2006 - December 2007
Keystone Mercy Health Plan July 2006 - September 2006
SCANA June 1995 - June 2006
Skills
Data Warehousing, SQL, SQL Tuning, Databases, Microsoft SQL Server, Oracle, Performance Tuning, Integration, SDLC, Requirements Analysis, Business Analysis, Software Project..., Enterprise Architecture, Business Intelligence, Unix, ETL, Requirements Gathering, Database Administration
Education
National Institute of Technology Tiruchirappalli 1987 — 1990
MCA, Computer Schience
Government College, Kota 1985 — 1987
M. Sc., Physics (Microwave Electronics)
BB&T December 2013 - Present
BCBSNC October 2012 - November 2013
BlueCross BlueShield of North Carolina July 2008 - September 2012
BlueCross BlueShield of North Carolina April 2005 - July 2008
Keystone Mercy Health Plan February 2004 - March 2005
Keystone Mercy Health Plan November 2002 - January 2004
Siemens Medical Solutions Health Services April 2002 - October 2002
Siemens Medical Solutions Health Services April 2001 - March 2002
Siemens Medical Solutions Health Services June 2000 - March 2001
United States Army Reserves 1995 - 2000
Skills
SOA, Enterprise Architecture, Solution Architecture, Integration, Healthcare, Project Management, Management, Presenter, Master Data Management, Application Architecture, Staff Development, Vendor Management, Architecture, HIPAA, Software Development, SDLC, Business Analysis, Disaster Recovery
Education
King's College 1995 — 2000
Bachelor's of Science, Computers and Information Systems
Keller Williams American Premier Realty May 2010 - Present
RE/MAX 1st Advantage Realty, Inc. 2008 - Present
Remax 1st Advantage September 2006 - Present
Johns Hopkins University January 2005 - April 2008
The Johns Hopkins Health System 2005 - 2008
Keystone Mercy Health Plan March 2000 - February 2004
Skills
Real Estate, Investors, Residential Homes, Team Leadership, Accounts Payable, REO, Strategic Planning, Sellers, Foreclosures, Investment Properties, Payroll, Buyers, Relocation, Financial Analysis, First Time Home Buyers, New Home Sales, Process Improvement, Customer Service, Microsoft Office, PeopleSoft, Referrals, Property, Single Family Homes, Real Estate Transactions, Team Building, Listings, HUD, Selling, Townhomes, Short Sales, Budgets, Buyer Representation, Condos
Education
Morgan State University 1986 — 1989
Accounting
XLHealth August 2009 - Present
Keystone Mercy Health Plan March 2007 - August 2009
Quest Diagnostics November 1999 - March 2007
Education
Morgan State University 1994 — 1998
Smart IT Staffing February 2013 - Present
HealthAll Consulting November 2012 - January 2013
Professional Data Dimensions July 2012 - September 2012
Upp Technology, Inc. May 2011 - March 2012
Oleen Pinnacle Healthcare May 2000 - April 2011
MVP Health Care September 2010 - December 2010
Keystone Mercy Health Plan March 2010 - September 2010
Amerigroup Corporation 2004 - February 2009
Keystone Mercy Health Plan 2001 - 2004
Maricopa Integrated Health System November 2003 - November 2003
Skills
Medicare, Medicaid, Healthcare, Claims, Requirements Analysis, Healthcare IT, Business Analysis, Health Policy, HIPAA, Healthcare Information..., Claim, Training, Managed Care, SharePoint, Employee Benefits, Software Documentation, Healthcare Consulting, SDLC, Access, Analysis, Process Improvement, Visio, Databases, Business Requirements, Requirements Gathering, Business Intelligence, Vendor Management, Testing, Integration, EDI, Data Warehousing
Education
University of Phoenix 2006 — 2007
Business
Lamar University 1986 — 1989
Miami University 1970 — 1971
Business
Career Academy of Broadcasting 1970 — 1970
Broadcasting, Broadcasting
Garfield High School 1969 — 1970
Covance May 2015 - Present
Covance July 2013 - May 2015
Covance March 2012 - July 2013
Kindred Healthcare December 2009 - March 2012
Thomas Jefferson University Hospitals January 2007 - March 2012
University of Pennsylvania June 2005 - January 2009
Keystone Mercy Health Plan July 2004 - August 2004
Skills
Strong in navigating..., Excellent in computer..., Knowledgeable with lab..., PubMed, Patient Education, Drug Development, Microscopes, Software Documentation, Pharmacueticals, Databases, Autoclave, PowerPoint, Microsoft Excel, Cryostat, Treatment, Laboratory Equipment, Clinical Trials, Clinical Development, Pharmacovigilance, CRO, Pharmaceutical Industry, Biotechnology, Clinical Research, Regulatory Affairs, SOP, GCP, Neurology, Pharmaceutics
Education
Temple University 2012 — 2015
Masters, Quality and Regulatory Affairs
University of the Sciences
Bachelor, Pharmaceutics and Healthcare Studies
Aetna Better Health February 2010 - Present
Magellan Health Services July 2001 - December 2009
Keystone Mercy Health Plan 1992 - July 2001
Keystone Mercy Health plan 1992 - 2001
Skills
Medicaid, Provider Relations, Hospitals, HMO, Provider Contracting, Network Development, Health Insurance, Healthcare, Credentialing, Health Plans, Contract Negotiation, Contract Management, Negotiation, Behavioral Health, Problem Solving, Claims, Managed Care, Service Provider..., Healthcare Information..., Physicians, Revenue Cycle, PPO, EHR, Healthcare Industry, Medical Billing, Utilization Management, Medicaid Managed Care, Healthcare Consulting, Disease Management, HIPAA, Physician Relations, Medicare Part D, Healthcare Management, Medical Compliance, Pharmacy Benefit..., Quality Improvement, Medicine, Practice Management, Provider Network..., Claims Management, Medical Terminology, Health Policy, Claim, Home Care, Training & Development, Strategic Communications, Revenue & Profit Growth, Strategic Planning
Education
Gwynedd Mercy University 1990 — 1991
St. Francis University 1986 — 1987
Justmefome Party Planning March 2014 - Present
Homeline Entertainment Group January 2000 - Present
Keystone Mercy Health Plan March 2012 - June 2012
Planned parenthood of southeastern PA April 2010 - March 2012
CGFNS November 2000 - August 2008
CGFNS November 2000 - August 2008
Skills
Customer Service, Supervisory Skills, Clerical Skills, Nonprofits, Call Centers, Healthcare, Management, Data Entry, Leadership, Insurance, Office Management, Process Improvement
Education
Morgan State University 1988 — 1989
Enrichment Certificate, Business Administration and Management, General
Mercy Vocational High School 1985 — 1989
diploma, Business Administration and Management, General
Keystone Mercy Health Plan January 2012 - Present
Keystone Mercy Health Plan January 2007 - January 2012
The AmeriHealth Mercy Family of Companies 1995 - 2011
Skills
Managed Care, Medicare, Healthcare, HIPAA, Healthcare Management, Health Insurance, Process Improvement, Utilization Management, Healthcare Consulting, Health Policy, Medicaid, Healthcare Industry, Disease Management, Hospitals, Public Health
Education
Neumann College 2002 — 2005
Bachelor's degree, Liberal Arts and Sciences/Liberal Studies
National Industries for the Blind January 2014 - Present
DC Government August 2012 - November 2013
City of Philadelphia January 2010 - October 2012
Cox Enterprises - Manheim Auctions Division January 2006 - April 2008
Cox Enterprises - Manheim Auctions Division March 2004 - January 2006
AmeriHealth - Keystone Mercy Health Plan Division February 2002 - July 2003
AmeriHealth - Keystone Mercy Health Plan Division January 2000 - February 2002
AmeriHealth - Keystone Mercy Health Plan Division March 1998 - January 2000
Keystone Mercy Health Plan February 1996 - March 1998
Skills
Performance Management, Compensation, Change Management, Organizational..., Strategic Planning, Organizational..., Talent Management, Employee Engagement, Succession Planning, Workforce Planning, Talent Acquisition, Leadership Development, Process Improvement, Onboarding, Employee Relations, Coaching, Executive Coaching, Negotiation, Team Building, HR Strategy, HR Consulting, Administration, Career Development, Customer Relations, Deferred Compensation
Education
Temple University 1992 — 1994
MBA, Human Resources
Temple University
BBA, Human Resources
Comcast November 2014 - Present
hibu (formerly YELLOWBOOK) October 2004 - April 2014
General Fiber Communications 2003 - 2004
Keystone Mercy Health Plan 2000 - 2003
Joseph J. Hopkins, SR., MBA, ACA 1998 - 2000
America's Best Contacts & Eyeglasses 1997 - 1997
Beverage Distribution Center Incorporated 1993 - 1997
Skills
Financial Analysis, Accounting, Budgets, Corporate Finance, Finance, Forecasting, Financial Reporting, Sales, Employee Training, Managerial Finance, Management, Training, Internal Audit, New Business Development, Program Management, Analysis, General Ledger, Process Improvement, Strategic Planning, Sales Management, Microsoft Excel, Financial Modeling, Strategy, Leadership, Analytics, Project Management, Project Planning, Online Advertising, Marketing Strategy, B2B, Marketing, Advertising, Online Marketing, Account Management, Direct Marketing, Lead Generation, Cold Calling
Education
La Salle University 1989 — 1993
BA, Accounting
Keystone Mercy Health Plan June 2012 - Present
Philadelphia Mental Health Center September 2009 - March 2011
American Red Cross October 2007 - March 2008
Careers USA Staffing August 2007 - September 2007
Office Team Staffing December 2006 - May 2007
Juneteenth Coalition September 2003 - October 2004
Olsten Staffing Agency September 1998 - October 2001
Skills
Customer Service, Medical Billing, Insurance Billing, Medical Terminology, Administrative..., Accounts Receivable, Accounts Payable, Microsoft Office, Fax, Data Entry, Appointment Scheduling, Medical Transcription, Medical Records, Filing, Office Management, 10 Key, File Management, Spreadsheets, Provider Appeals, Clinical Research
Education
Professional Healthcare Institute 2011 — 2011
Diploma, Pharmacy Tech
Professional Healthcare Institute 2011 — 2011
Diploma, Pharmacy Tech
Temple University 2009 — 2009
Diploma, Medical Office and Accounts
CITE Business School 1997 — 1998
Diploma, Word Processing and Secretarial Science
Keystone Mercy Health Plan October 2012 - Present
Keystone Mercy Health Plan June 2012 - October 2012
The Home Depot March 2008 - August 2009
Skills
Microsoft Office, Communication, Data Entry, Listener, Nursing, Customer Service, Leadership, Healthcare, Pediatrics, Training, Teamwork, Sales, Time Management, Recruiting, Customer Satisfaction, Outlook, Medical Terminology, HIPAA, Administrative..., Access, Microsoft Word, PowerPoint, Software Documentation, Microsoft Excel, Healthcare Management
Education
Howard University 2008 — 2012
Bachelor of Science (BS), Health/Health Care Administration/Management
Haddon Heights High School 2004 — 2008
Exelon September 2014 - Present
CIGNA Healthcare September 2011 - October 2014
Keystone Mercy Health Plan August 2010 - September 2011
Independence Blue Cross October 2006 - February 2010
Independence Blue Cross June 2003 - October 2006
Independence Blue Cross September 2000 - June 2003
Independence Blue Cross September 1996 - September 2000
General Accident April 1991 - September 1996
Education
Stockton University
BS, Marketing / IT
Keystone Mercy Health Plan February 2013 - Present
Executive Health Resources June 2010 - February 2013
Tufts Medical Center 2005 - 2010
Private Practice 1996 - 2003
Skills
Medicare/Medicaid..., Pediatric Pulmonology, Basic Medical Science, Hospitals, Pulmonology, Medical Affairs, Medical Education, Pediatrics, Clinical Research, Compliance, Utilization Management, Healthcare, Medicare, EHR, Healthcare Management, Medicine, Clinical Trials, Medicaid, Board Certified
Education
Harvard Medical School 2004 — 2006
Pediatric Pulmonology
New York Medical College 1983 — 1991
Ph.D., M.D., Cell and Developmental Biology, Medicine
Hayes, Inc. October 2006 - Present
Hayes, Inc. October 2000 - October 2006
Keystone Mercy Health Plan 2000 - 2000
Henry Schein (formerly Delta Scientific, Inc.) 1998 - 2000
NMS Labs 1998 - 1999
Doylestown Hospital 1996 - 1998
Skills
Healthcare, Healthcare Industry, Contract Negotiation, Client Retention..., HTA, Healthcare Information..., Clinical Research, Managed Care, Healthcare Management, Medicaid, Medicare, Health Policy, Hospitals, Healthcare Consulting, Utilization Management, Genetic Testing, Physician Relations, Product Launch
Education
The George Washington University School of Medicine and Health Sciences 2010 — 2013
MS, Clinical Management and Leadership
Central Bucks East High School
Gwynedd Mercy University
Bachelor’s Degree, Medical Laboratory Technology and Health Science Management, summa cum laude
Audacious Inquiry, LLC December 2013 - Present
Audacious Inquiry, LLC 2011 - December 2013
eHealth Initiative June 2010 - August 2011
Keystone Mercy Health Plan November 2006 - May 2010
Skills
Healthcare Information..., Healthcare, Project Management, Health Information..., EMR, Program Management, Research, Policy, Strategy, Public Policy, Management, Medicare, Health Policy, Informatics, Medicaid, Software Documentation, Government, Healthcare Consulting, Public Speaking, Hospitals, Data Analysis, HIPAA
Education
Temple University 2007 — 2010
M.A., Political Science
Northland International University 2000 — 2004
Bachelor of Science (BS), History
Amerihealth caritas August 2013 - Present
Keystone Mercy Health Plan June 2012 - September 2013
Keystone Mercy Health Plan September 2006 - June 2012
Keystone Mercy Health Plan September 2002 - September 2006
Jordan Reses / Teamworks May 1998 - June 2002
Durant Medical, Inc June 1994 - May 1998
Skills
Data Analysis, Healthcare, Healthcare Information..., Healthcare Management, Visio, Microsoft Excel, Microsoft Word, Software Documentation, PowerPoint, Data Entry, Program Management
Education
Katherine Gibbs School 1991 — 1992
certificate, Information Processing for Executive Secretary
Keystone Mercy Health Plan August 2012 - Present
Skills
SQL, VBA, Data Analysis, SSRS, Visio, Access, HIPAA, SSIS, Data Warehousing, Microsoft SQL Server, Business Analysis, Medicare, C#, Healthcare, Analysis, Software Documentation, Microsoft Excel, Business Process..., Project Management, Database Design, Project Planning, Troubleshooting, Managed Care, SharePoint, Requirements Gathering, Microsoft Office, Outlook, Medicaid, Policy, Healthcare Information..., Crystal Reports
Education
Indiana University-Southeast 2010 — 2015
Computer Science, 4.0
Purdue University 1992 — 1995
Electrical Engineering
LiquidHub 2013 - Present
AmeriHealth Administrators February 2007 - July 2011
Keystone Mercy Health Plan 2007 - 2011
Skills
HRIS, Employee Relations, Microsoft Excel, Human Resources, Interviews, Talent Acquisition, Applicant Tracking..., Training, Benefits Administration, Microsoft Office, PeopleSoft
Education
S.U.N.Y. Oneonta New York
BS
State University of New York College at Oneonta
Christiana Care Health System March 1996 - Present
Keystone Mercy Health Plan September 1994 - March 1996
Keystone Mercy Health Plan September 1991 - September 1994
US Army March 1988 - July 1991
Skills
Informatics, HIPAA, Healthcare Information..., Cerner, EHR, Human Resources, EMR, HL7, Hospitals, Healthcare, Healthcare Management, Clinical Research, CPOE, Revenue Cycle, Software Documentation, Nursing, Health Information..., Managed Care, SDLC, Healthcare Industry, Medicare, Vendor Management, IT Strategy, IT Management, SharePoint, Leadership, Program Management, Disaster Recovery
Education
Syracuse University 1983 — 1987
Bachelor of Science (BS), Computer Science
Kelly Services June 2014 - Present
Shire Pharmaceuticals October 2010 - April 2013
Shire September 2007 - September 2010
AstraZeneca 2003 - 2007
Kelly Scientific at Merck 2002 - 2003
University of Pennsylvania 2001 - 2002
Independence Blue Cross 1996 - 2000
Keystone Mercy Health Plan 1996 - 2000
Skills
Protocol, Clinical Research, Pharmaceutical Industry, CRO, Oncology, Neuroscience, CTMS, Clinical Trials, Clinical Study Design, GCP, Management, Clinical Development, Leadership, Medicine, Drug Development, EDC, Data Management
Education
Saint Joseph's University 1996 — 2001
MS
St. Gabriel's
Truveris July 2013 - Present
OptumInsight February 2010 - July 2013
Keystone Mercy Health Plan November 2006 - January 2009
Healthcare Data Management November 2005 - September 2006
Caremark September 2000 - October 2005
MAMSI January 2000 - September 2000
HomeCall MailRx (Owned by MAMSI) June 1997 - January 2000
Skills
Managed Care, Process Improvement, Pharmacy, Software Documentation, Pharmacy Benefit..., Insurance, Requirements Gathering, Data Analysis, Finance, Program Management, Medicare Part D, Data Warehousing, Analysis, Employee Benefits, Databases, Financial Reporting, Business Analysis, Internal Audit, Auditing, Claim, Analytics, Business Process..., Medicare, Access
Education
State University of New York College at Cortland 1989 — 1993
Political Science, History
Sayville High School 1986 — 1989
Keystone Mercy Health Plan April 2005 - Present
MATERNAL AND CHILD HEALTH CONSORTIUM OF CHESTER COUNTY, INC. February 2015 - June 2015
Contemporary Staffing Solutions January 2002 - December 2002
Americorps*NCCC January 2001 - November 2001
Skills
Microsoft Office, Visual Cactus, Staff Training, Internal Audit, Customer Service, Healthcare, Hospitals, SPSS, Grant Writing, Online Research, Qualitative Research, Quantitative Research, Public Speaking, Nonprofits, Research, Event Planning, PowerPoint, Community Outreach, Fundraising, Program Development
Education
West Chester University of Pennsylvania 2012 — 2014
Master's Degree, Public Administration, 4.0
Saint Joseph's University 1995 — 1999
BA, History
PRGX September 2012 - Present
Connolly Healthcare February 2007 - August 2012
Keystone Mercy Health Plan January 2002 - February 2007
Skills
Financial Analysis, Internal Audit, Financial Reporting, Financial Modeling, Process Improvement, Access, Financial Planning, Analysis, Insurance, Business Analysis, Microsoft Excel, Data Analysis, Quality Auditing, Medicare, Invoicing, Health Insurance, Budgets, Microsoft Office, Auditing
Education
Kutztown University of Pennsylvania
Sayre Health Center October 2013 - Present
Keystone Mercy Health Plan May 2010 - January 2012
ARAMARK June 2008 - May 2009
Holtzman Tax Services December 2007 - April 2008
Skills
Budgets, Payroll, General Ledger, Financial Analysis, Accounting, Public Speaking, Customer Service, PowerPoint, Outlook, Analysis, Data Entry, Finance, Community Outreach, Software Documentation, Insurance, Microsoft Office
Education
Saint Joseph's University 2013 — 2015
Master's degree, Health Administration & Education
La Salle University 2004 — 2008
Bachelor of Science, Accounting
Keystone Mercy Health Plan Enterprise Technical LeadThe AmeriHealth Mercy Family of Companies2004 - 2011
Skills
Sybase ASE, DBArtisan, Sybase SQL Anywhere
Education
Temple University 1990 — 1994
Comcast SportsNet Philadelphia June 2012 - Present
The Sports Xchange April 2013 - Present
NBC Sports February 2014 - February 2014
Courier News/Home News Tribune August 2012 - September 2012
The Courier News/The Home News Tribune January 2012 - May 2012
The Rider News January 2009 - May 2012
CBS Sports Network September 2011 - December 2011
Trentonian January 2011 - May 2011
Comcast SportsNet Philadelphia September 2010 - December 2010
Keystone Mercy Health Plan June 2010 - August 2010
Education
Rider University 2008 — 2012
Bachelor of Arts (B.A.), Journalism
PHH Mortgage 2012 - Present
JPMorgan Chase July 2011 - Present
Amtrak February 2011 - July 2011
Burlington Coat Factory October 2010 - July 2011
Keystone Mercy Health Plan March 2008 - October 2010
ARAMARK July 2006 - March 2008
SunGard April 2005 - July 2006
CIGNA June 2001 - April 2005
AstraZeneca October 2000 - June 2001
Skills
Microsoft Office, VPN, Software Documentation, Troubleshooting, Visio, Help Desk Support, Windows, Lotus Notes, Microsoft Exchange, Outlook, Windows 7, VMware, Hardware, TCP/IP, Networking, Customer Service, Citrix
Education
Computer Learning Center 2000 — 2000
MCSE, Network Engineering, Summa Cum Laude
St. Joseph's University 1976 — 1980
Bachelor of Science (BS), Marketing/Marketing Management, General, Graduated
Community Behavioral Health March 2014 - Present
Thomas Jefferson University Hospitals October 2013 - March 2014
Thomas Jefferson University Hospitals May 2013 - October 2013
Peirce College October 2012 - May 2013
Health Partners February 2009 - March 2012
Keystone Mercy Health Plan May 2006 - October 2008
Skills
Management, Entrepreneurship, Managed Care, Medicare, Customer Service, Process Improvement, Public Speaking, Leadership, Strategic Planning, Healthcare, Research, Insurance, Coaching, Microsoft Office, HIPAA, Data Entry, Health Insurance, Resume Writing, Career Counseling, Employee Benefits, Training, Leadership Development, Community Outreach
Education
Walden University 2014 — 2015
Master's Degree, Early Childhood Studies: Administration, Management, and Leadership, 3.3
Peirce College 2011 — 2013
B.S., Business Administration w/ Small Business Management and Entrepreneurship concentration, 3.5
Peirce College 2009 — 2011
A.S., Business Administration w/ Human Resource Management concentration, 3.36
Blue Eagle Consulting, Inc August 2015 - Present
Blue Eagle Consulting, Inc. June 2014 - June 2015
CVS Caremark Corporation October 2013 - June 2014
UnitedHealth Group October 2012 - October 2013
Keystone Mercy Health Plan February 2012 - July 2012
H/P Technologies, Inc. November 2010 - July 2012
UnitedHealthcare November 2010 - January 2012
The Regence Group December 2009 - November 2010
Samaritan Health Services August 2004 - December 2009
Skills
HIPAA, EDI, Healthcare Information..., Crystal Reports, Business Analysis, Business Requirements, Visio, Requirements Gathering, Software Documentation, Analysis, SharePoint, Access, Requirements Analysis, Process Improvement, Healthcare
Education
Oregon State University 1994 — 2000
BS, Psychology, Business
Oregon State University
Bachelor's degree, Psychology
Creative License, LLC March 2009 - Present
Comcast May 2007 - March 2009
SAP January 1999 - July 2006
SAP America 1998 - 2006
Keystone Mercy Health Plan January 1995 - January 1998
Skills
Internal Communications, Strategic Communications, Speech Writing, Messaging, Marketing Communications, Proofreading, Editing, Public Relations, Media Relations, Event Planning, Thought Leadership, Project Management, Press Releases, Executive Writing, Strategy
Education
Penn State University 1981 — 1985
BA, Journalism
Comcast Cable August 2011 - Present
Keystone Mercy Health Plan August 2009 - August 2011
Comcast Cable February 2009 - August 2009
Comcast Cable January 2003 - February 2009
Keystone Mercy Health Plan April 1995 - December 2002
Skills
Call Center, Vendor Management, Process Improvement, Cross-functional Team..., Quality Assurance, Telecommunications, Performance Management, Operations Management, Team Building, Leadership, Process Engineering, Change Management, Program Management, Customer Service, Team Leadership, Strategy, Troubleshooting, Call Centers, Customer Satisfaction, Customer Experience, Management, Business Process..., Software Documentation
Education
Penn State University 1990 — 1994
Bachelors, Health Policy and Administration
Crayola August 2005 - Present
LITTLE STAR MUSIC STUDIO June 2004 - August 2005
SYSTEMS AND COMPUTER TECHNOLOGY, INC December 1997 - October 2000
Keystone Mercy Health Plan August 1996 - November 1997
GLENTEC BUSINESS COMPUTERS October 1992 - July 1996
Skills
Teaching Experience, Technical Writing, Instructional Design, Usability Design, Creative Development, Art, Usability Engineering, Creative Direction, Product Development, Software Documentation, Program Management
Education
Pennsylvania State University-Great Valley Graduate Center 1997 — 2003
Masters of Education, Training Development and Design
Lock Haven University 1987 — 1991
Bachelor of Science, Secondary Education; Social Studies
Own Enterprise July 2012 - Present
United Healthcare, Medicare & Retirement, Insurance Solutions January 2012 - July 2012
Keystone Mercy Health Plan March 2011 - January 2012
Penn State Great Valley 2011 - 2012
Penn State Great Valley 2011 - 2012
Keystone Mercy Health Plan March 2007 - December 2011
Independence Blue Cross 2003 - 2004
US Army 1969 - 1997
Skills
Project Management, PMP, Leadership, Program Management, Vendor Management, Project Portfolio..., Process Improvement, SDLC, EMT, PMO, Visio, Management, Project Delivery, Project Planning, Resource Management, MS Project, Competitive Analysis, Software Project..., Amateur Radio, General, CPR & First AId..., Project Risk Management
Education
Keller Graduate School of Management of DeVry University 2009 — 2011
Master's, Project Management
U.S. Army Command and General Staff College
Diploma, Military Science
Penn State University
Graduate Certificate, Project Risk Management, A
Ripon College
BA, Biology
Culver Military Academy
HS Diploma
Penn State University
Certificate, Project Management
Main Line Health February 2012 - May 2015
Aetna August 2010 - February 2012
Siemens Medical Solutions USA September 2006 - September 2008
Keystone Mercy Health Plan May 1999 - January 2006
Skills
Quality Assurance, Utilization Management, Managed Care, Healthcare Industry, Healthcare Management, Testing, SDLC, Case Managment, Business Analysis, HIPAA, EHR, Informatics, EMR
Education
Pittston School of Nursing 1980 — 1983
Diploma, Nursing
King's College 1980 — 1981
Pennsylvania Real Estate Salesperson
Licensed Real Estate Salesperson, Residential Real Estate
Comcast October 2009 - Present
Comcast Cable October 2004 - February 2010
Keystone Mercy Health Plan May 1995 - September 2004
Skills
Leadership, Vendor Management, Team Building, Process Improvement, Telecommunications, Recruiting, Performance Management, Change Management, Program Management, Call Center, VoIP, Cross-functional Team..., Training Delivery, Computer Network...
Education
Neumann University
Bachelor of Arts
Saint Joseph's University September 2013 - Present
Saint Joseph's University September 2010 - 2014
Saint Joseph's University December 2005 - 2010
Keystone Mercy Health Plan 2003 - 2005
Archdiocese of Philadelphia 2001 - 2003
Keystone Mercy Health Plan June 1998 - June 2001
Skills
Adobe Creative Suite, Marketing Strategy, Marketing Communications, Social Media Marketing, Public Relations, Strategic Public..., Crisis Communications, Crisis Management, Writing, Editing, Research, Microsoft Word, Strategic Communications, Copy Editing, Nonprofits, Community Outreach, Newsletters, Media Relations, Press Releases, Event Planning, Customer Service, Proofreading, Social Media, Blogging, Microsoft Excel, Higher Education, Marketing
Education
Saint Joseph's University 2007 — 2010
MA, Writing Studies
Shippensburg University of Pennsylvania 1997 — 2001
B.A. in Comm/Journalism
Walter.Blake@comcast.net January 2006 - Present
Renaissance Medical Management Co October 2004 - December 2005
AmeriPath January 2002 - June 2004
Keystone Mercy Health Plan January 1993 - May 2001
John Hancock Health Plan July 1985 - December 1992
Mercy Health System October 1979 - June 1985
Metropolitan Hospital 1978 - 1979
Skills
Managed Care, Healthcare, Healthcare Consulting, Medicare, Program Management, EMR, Project Planning, Medicaid, Business Development, Practice Management, Hospitals, Contract Negotiation, Strategic Planning, Management, Negotiation, Health Insurance, Insurance, Turn Around Management, Program Development, Health Policy, Healthcare Industry, Strategy, Physicians, Healthcare Management, Leadership, Medicine, Utilization Management, Informatics, Provider Relations, Revenue Cycle, EHR, Healthcare Information..., Physician Relations, Disease Management, Process Improvement, HIPAA, Performance Improvement, Quality Improvement, Credentialing
Education
Saint Joseph's University 1980 — 1985
MBA
Pennsylvania State University 1973 — 1976
BS
Keystone Mercy Health Plan 1997 - 2002
Independence Blue Cross 1986 - 1997
Education
Lincoln University 1959 — 1961
American Red Cross November 2014 - Present
ProSearch Strategies, Inc 2013 - Present
ProSearch Strategies, Inc August 2012 - 2013
Encore Discovery Solutions March 2010 - July 2012
Independence Blue Cross January 2007 - December 2009
GlaxoSmithKline January 2007 - December 2009
Keller Williams Realty 2008 - 2009
DTY Enterprises 2006 - 2009
Keystone Mercy Health Plan June 2006 - January 2007
Independence Blue Cross January 2006 - June 2006
Skills
VBA, VB.NET, Relativity, Microsoft Access, Client Access AS/400..., Monarch Reporting..., Microsoft Visual Basic..., Microsoft SQL Server..., Oracle Discoverer, Crystal Reports, BUNDL Mainframe..., TSOD, Visual C#, Web Services, Web Servers, Databases, Data Warehousing, Data Recovery, Data Center, Web Development, Programming, Logic Programming, Programming Languages, Program Development, IT Management, IT Service Management, IT Solutions, IT Operations, Configurations, Software Configuration..., System Configuration, Server Configuration, Application..., Document Management, Litigation Support, Microsoft SQL Server, File, Access, Quality Assurance, Visio, Technical Support, EDRMS, Database Administration, Document Review, Security, Software Documentation, Servers, System Administration, Records Management, Analysis
Education
Phoenix College
Associate of Science (A.S.), Computer Science
UCLA (Extension)
Applications Programming Certificate with Concentration in C# .NET, Computer Programming
West Chester University of Pennsylvania
Pet360 July 2013 - January 2014
Avantext, Inc. April 2012 - March 2013
Keystone Mercy Health Plan October 2009 - March 2012
Sycamore Networks April 2005 - November 2009
Eastern Research Inc April 2005 - May 2005
TruePosition April 1998 - April 2003
BAE 1983 - 1998
AEL Industries April 1983 - May 1983
Skills
QTP, SDLC, Ethernet, Telecommunications, LAN/WAN, Coax, Testing, System Testing, Test Cases, Test Director, Test Automation, Quality Center, Quality Assurance, Software Quality..., Scripting, Test Planning, SNMP, Visio, TCP/IP, Visual Basic, SQL, Requirements Analysis, Perl, SQL Server, Regression Testing, User Acceptance Testing, VSS, VBScript, Shell Scripting, Automation, Debugging, Manual Testing, Integration Testing, Test Strategy, Databases, Test Tools, TCL, Test Management, Documentation, Waterfall, Regression, Test Methodologies, Defect Tracking, Project Planning, LoadRunner, Software Documentation
Education
Rutgers University-New Brunswick 1979 — 1983
Electronics, Physics, Computers
Keystone Mercy Health Plan May 2003 - Present
Keystone Mercy Health Plan July 2001 - May 2003
Keystone Mercy Health Plan June 1999 - August 2001
Keystone Mercy Health Plan May 1998 - June 1999
Skills
Business Analysis, SDLC, Process Improvement, Requirements Analysis, Vendor Management, Visio, HIPAA, Healthcare Information..., Requirements Gathering, Document Management, Software Project..., IT Strategy, Systems Analysis, Integration, Enterprise Architecture, Program Management, Software Documentation
Education
Monmouth University 1993 — 1996
Ocean County College 1991 — 1993
Self Employed May 2014 - Present
JGWPT April 2013 - May 2013
Health Advocate October 2012 - December 2012
Sandra Harris April 2012 - July 2012
Nutrisystem March 2012 - May 2012
Unique Industries January 2012 - February 2012
Keystone Mercy Health Plan December 2011 - December 2011
Catalyst 360 October 2011 - November 2011
Skills
Microsoft Office, PowerPoint, Microsoft Excel, Microsoft Word, Customer Service, Research, Healthcare, Teamwork, Medical Terminology, 10 Key, Data Entry, Customer Satisfaction, Call Centers, Time Management, Software Documentation, Telephone Skills, Outlook
Education
Grand Canyon University 2013 — 2015
Master's degree, Health Informatics, 3.7
Grand Canyon University 2009 — 2012
Bachelor of Applied Science (B.A.Sc.), Health Professions and Related Programs, 3.34
Authentic Bartending School 2008 — 2008
Certification, Mixologist, A
Ashworth University 2006 — 2007
Career Diploma, Pharmacy Technician/Assistant, 4.0
Keystone Mercy Health Plan January 2005 - January 2007
Wachovia May 2000 - April 2004
Watson Wyatt, State Street, First Data, PNC Bank January 1996 - May 2000
United States Air Force April 1980 - October 1991
Education
Mississippi State University 1983 — 1986
Genesis HealthCare May 2004 - Present
Vanho Consulting, Inc December 2001 - Present
Keystone Mercy Health Plan April 2003 - May 2004
ICG Commerce February 2000 - November 2001
KPMG Consulting September 1997 - February 2000
Management Support Technolgy February 1996 - September 1997
PMA Insurance Group April 1994 - February 1996
SmithKline Beecham Clinical Labs February 1992 - April 1994
Towers Perrin January 1989 - February 1992
Education
La Salle University 1986 — 1991
AmeriHealth Caritas 2001 - Present
AmeriHealth Mercy Health Plan 2001 - Present
Keystone Mercy Health Plan 2000 - Present
Skills
ITIL, Troubleshooting, Process Improvement, Disaster Recovery, Networking, WAN, Network Administration, Data Center, Vendor Management
Education
Immaculata University
Incyte Corporation May 2005 - August 2015
Incyte Corporation May 2004 - May 2005
Juniper Bank December 2000 - May 2004
Keystone Mercy Health Plan May 1999 - December 2000
Resource Support Associates May 1997 - December 1998
The New York Times Company November 1996 - May 1997
Virginia Beach City Public Schools August 1994 - October 1996
Skills
PeopleTools, PeopleSoft, Pentaho, Data Warehousing, System Administration, Testing, ERP, Integration, Pharmaceuticals, IT Audit, Report Writing, Pharmaceutical Industry, Disaster Recovery, Business Intelligence, Change Management, SDLC, Data Center, Vendor Management, Enterprise Software, Governance, Management, IT Management, Information Technology
Education
James Madison University 1990 — 1994
Bachelor of Arts (B.A.), History
The Children's Hospital of Philadelphia October 2009 - Present
AIM Healthcare Services, Inc. May 2005 - September 2010
Keystone Mercy Health Plan August 2004 - May 2005
Florida Hospital Orlando December 2001 - May 2003
Florida Hospital Orlando September 2001 - December 2001
Skills
Healthcare, Analysis, Healthcare Information..., Hospitals, Revenue Cycle, http://www.sixsigmaonlin...
Education
Penn State University 1997 — 2002
Bachelor of Science, Health Policy and Administration
AmeriHealth Caritas April 2012 - Present
Keystone Mercy Health Plan November 2006 - April 2012
Keystone Mercy Health Plan May 2004 - November 2006
Education
Philadelphia University 2001 — 2004
Organizational Leadership
lincoln high
The AmeriHealth Caritas Family of Companies January 2014 - Present
Keystone Mercy Health Plan July 2005 - January 2014
AmeriHealth Mercy 1997 - 2005
Skills
Call Centers, Process Improvement, HIPAA, Vendor Management, Managed Care, Medicaid, Business Analysis, Project Management, Healthcare Information..., Call Center
Education
Widener University 2000 — 2005
Master Public Administration, Public Administration
Kutztown University of Pennsylvania 1978 — 1982
BS, Business Administration
Keystone Mercy Health Plan July 2007 - Present
AmeriHealth Mercy Family of Companies 2007 - Present
AmeriHealth Mercy Family of Companies 2000 - Present
Skills
Privacy Compliance, Compliance, Privacy Law, Management, Data Security, Operations Management, Data Analysis, Interviews, Employee Training, Accounting, Access, Microsoft Excel, Policy Analysis, Healthcare Management, Healthcare Industry, Process Improvement, Staff Supervision, Coordination
Education
Rosemont College
Post Graduate Certificate, Health/Health Care Administration/Management
Rosemont College
MBA, Business Administration
HCCA
CHPC, Privacy & Compliance
HIPAA Academy 2008 — 2008
CHP, Certified HIPAA Professional
Temple University - Fox School of Business and Management 2004 — 2007
BBA, Law and Management
Keystone Mercy Health Plan Director of OperationsKeystone Mercy Health Plan1994 - 2008
Procter & Gamble 1992 - 1993
Dupont 1990 - 1992
Education
Swarthmore College 1979 — 1983
Keystone Mercy Health Plan March 2010 - February 2013
Wells Fargo Auto Finance June 2008 - August 2009
Verizon Wireless October 2000 - October 2006
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Sales, Team Building, Outlook, Social Media, Recruiting, Account Management
Education
Peirce College 1983 — 1986
Associate of Science (A.S.), Business Administration and Management, General
Interboro Senior High School
High School Degree, Business
Holy Redeemer Health System April 2015 - Present
Abington Health March 2009 - April 2015
AmeriHealth Mercy Health Plan May 1995 - March 2009
AmeriHealth Mercy Health Plan February 2007 - December 2007
Keystone Mercy Health Plan September 2004 - February 2007
Skills
Analysis, Networking, Medicaid, Healthcare Information..., HIPAA, Program Management, Software Documentation, Management, Strategic Planning, Access, Data Analysis, Requirements Analysis, Microsoft Office, Vendor Management, Security, Microsoft Excel, Customer Service, Process Improvement, Managed Care, Healthcare, Troubleshooting, Databases, Integration, Project Management, MS Project, Business Analysis, Microsoft SQL Server, SQL
Education
La Salle University 1989 — 1993
BA, Information & Operations Management
McKesson Health Solutions January 2013 - Present
Aon Hewitt Consulting April 2007 - December 2012
Keystone Mercy Health Plan January 2006 - April 2007
Keystone Mercy Health Plan May 2004 - January 2006
Keystone Mercy Health Plan July 2002 - May 2004
Skills
Healthcare, Data Analysis, Insurance, Business Analysis, Process Improvement, Health Insurance, Project Management, Analysis, Employee Benefits, Microsoft Excel, Strategic Planning, Visio, Customer Service, HIPAA, Management, Healthcare Information..., Management Consulting, Managed Care, PowerPoint, Program Management, Leadership, Medicaid, Access
Education
Penn State University 1997 — 2001
Bachelor of Science, Management Science and Information Systems (MS&IS)
Malvern Preparatory School 1993 — 1997
Diploma, General Education
GlaxoSmithKline 2001 - Present
Keystone Mercy Health Plan 1999 - 2001
Skills
Talent Management, Talent Acquisition, Employee Relations, Succession Planning, Performance Management, Workforce Planning, Employee Engagement, Onboarding, HR Policies, Organizational..., Recruiting, HR Consulting, Human Resources, Organizational Design, Organizational..., Change Management
Education
University of Pennslyvania 1998 — 2002
Masters, Organizational Dynamics
Moravian College 1983 — 1987
BA, I/O psychology
Keystone Mercy Health Plan October 2012 - Present
Global Link Communications September 2001 - Present
Skills
Call Center, Telecommunications, Unified Communications, IT Management, VoIP, Vendor Management, Data Center, Contact Centers, Call Centers, Telephony, Outsourcing, MPLS, Avaya, Managed Services, Integration, Disaster Recovery, Computer Hardware, IVR, Wireless, Troubleshooting, Technical Support, VMware, WAN, LAN-WAN, Servers, IP, Security, ITIL, Active Directory, Cloud Computing, Visio, Windows Server, Enterprise Software, IT Strategy, Cisco Technologies, Enterprise Architecture, SharePoint, Software Documentation, Business Continuity
Education
School of Visual Arts 1980 — 1984
bfa
Brocade Communications June 2000 - Present
Independent Consultant August 1999 - June 2000
Keystone Mercy Health Plan August 1998 - August 1999
SunGard January 1998 - August 1998
Federal Reserve Bank of New York 1990 - 1997
Skills
Storage Area Networks, Data Center, Storage, Brocade, Disaster Recovery, Fibre Channel, NAS, Professional Services, Ethernet, Business Continuity, SAN, High Availability, Storage Management, Switches, PMP, IP, WAN, Unix, Project Management, Program Management, HP, SNMP, LAN-WAN, Salesforce.com, Cloud Computing, Networking, Storage Virtualization, Enterprise Storage, Enterprise Software, Pre-sales, VMware, NetApp, Security
Education
The George Washington University 2010 — 2012
Master Certificate, IT Project Management
The George Washington University 2008 — 2010
Associate Certificate, IT Project Management
University of Phoenix 2002 — 2006
MSCIS, Computer Information Systems
Rosemont College 2000 — 2002
Bachelors, Management
Iona College 1992 — 1994
Associates, Information Systems
CAREFIRST August 2011 - Present
Bravo Health December 2007 - July 2009
Keystone Mercy Health Plan May 1999 - July 2004
Education
Temple University 1990 — 1993
Marketing
Aetna October 2012 - Present
Aetna September 2005 - October 2012
Comcast April 2005 - September 2005
Odyssey Services June 2001 - February 2005
Keystone Mercy Health Plan December 1999 - May 2001
Keystone Mercy Health Plan May 1994 - August 1996
Skills
Leadership, Management, Sales, Project Planning, Marketing, Employee Benefits, Marketing Strategy, Public Relations, Public Speaking, Access, Training, Health Insurance, Coaching, Account Management, Market Research, Customer Service, Healthcare, Customer Retention, Negotiation, Marketing Communications, Strategic Planning, Insurance, Program Management, Team Building, Strategy, Advertising, Direct Marketing, Leadership Development, Team Leadership, Event Management, Integrated Marketing, Competitive Analysis, Call Centers, Change Management, Marketing Management, Business Planning, Selling, New Business Development, Email Marketing, Event Planning, Interviews, CRM, Salesforce.com, Community Development, Real Estate, Building Relationships, Cross-functional Team..., Business Development, Analysis, Vendor Management
Education
Temple University 1999 — 2001
B.A, Marketing
Hampton University 1992 — 1995
Bachelor of Arts (B.A.), Marketing
Keystone Mercy Health Plan September 2007 - Present
Keystone Mercy 2006 - 2008
AmeirChoice 1997 - 2004
Education
Rosemont College 1972 — 1976
BA, Political Science
Keystone Mercy Health Plan February 1993 - March 2004
Education
Penn State University 1977 — 1981
BS, Health Planning and Administration
Vanguard 2010 - Present
Berkadia Commercial Mortgage LLC December 2009 - 2010
Capmark Financial Group Inc. August 2005 - December 2009
Keystone Mercy Health Plan May 2002 - August 2005
ICG Commerce 2000 - 2002
CherryRoad Technologies 1997 - 2000
Advanta 1994 - 1997
Skills
SDLC, Change Management, ERP, Forecasting, Sarbanes-Oxley, Disaster Recovery, Program Management, Management, Integration, PeopleSoft, Vendor Management, General Ledger, Training, Account Reconciliation, Enterprise Software, Internal Controls, Business Analysis, Leadership, Accounts Payable, Process Improvement, Business Intelligence, Business Process..., Information Technology, Financial Statements, Finance, Financial Analysis, Financial Reporting, Sarbanes-Oxley Act, Analysis
Education
La Salle University 1996 — 1999
MBA, Accounting
Philadelphia University 1989 — 1993
Bachelor of Science, Accounting
IBM 2012 - Present
Medecision March 2010 - November 2011
Keystone Mercy Health Plan October 2009 - March 2010
Independence Blue Cross May 2005 - October 2009
IMS Health 2003 - May 2005
IMS Health 1998 - 2003
Skills
Product Management, Cross-functional Team..., Analytics, Data Analysis, Analysis, Business Analysis, Business Intelligence, Requirements Analysis, Software Project..., Healthcare, Project Management, Healthcare Management, Healthcare Information..., Business Process, Agile Project Management, Agile, People Management, Reporting & Analysis, Release Management, Project Planning, Informatics, Metrics, Team Leadership, Team Management, Reports, Analytical Skills, Performance Dashboards, User Interface Design, Agile Methodologies, Talent Management, Talent Acquisition, Workforce Planning, Workforce Management, Process Improvement, Management, Integration, Strategy, SDLC, Consulting, Leadership, SaaS
Education
La Salle University
Bachelor of Science, Business Administration
Pharmacy Technician Group, Pierce Junior College Philadelphia
Certification of Achievement
Biogenesis January 1997 - Present
Keystone Mercy Health Plan August 2004 - June 2011
Ernst & Young July 2000 - August 2004
Skills
Product Development, Cross-functional Team..., Cosmetics, R&D, Quality Management, Skin Care, Contract Negotiation, Consumer Products, Personal Care, Strategy, Product Innovation, Packaging, GMP, Ingredients, Product Launch, Product Marketing, Beauty Industry, Commercialization, Market Analysis, FDA, Supply Chain, Regulatory Affairs, Pharmaceutical Industry, Chemistry, Raw Materials, FMCG, P&L Management, Formulation, Fragrance, Brand Management, Quality Assurance, Market Development, Competitive Analysis, Sop, Validation, Manufacturing, Polymers, Biotechnology, International Business, Technology Transfer, Spa, Customer Insight, International Marketing, Market Planning, Analytical Chemistry, Start-ups, Brand Development, Marketing Management, International Sales
Education
Rutgers University School of Law - Newark 1996 — 1998
JD, Law
William Paterson University of New Jersey 1989 — 1992
Bachelor of Science (BS)
Lankenau Hospital Independent ConsultantPampered ChefOctober 2006 - Present
At Your Service West Chester 2009 - 2009
Keystone Mercy Health Plan May 1997 - May 2007
Education
Saint Joseph's University 1982 — 2006
BS, Health Management
Connolly, Inc September 2005 - Present
Health Partners January 2005 - September 2005
Keystone Mercy Health Plan September 1994 - December 2004
Skills
HIPAA, SQL, Healthcare Information..., Managed Care, Auditing, Vendor Management, Medicare, Healthcare, Data Analysis, Process Improvement, Business Analysis, Access, Visio, Medicaid, Health Insurance
Education
Peirce College
Keystone Mercy Health Plan Director, Network OperationsKeystone Mercy Health Plan1994 - 2009
Aetna Health Plan 1989 - 1993
Skills
Medicaid, Informatics, HIPAA, Access, Managed Care, Medicare, Process Improvement
Education
Neumann University 1982 — 1986
BSN, Nursing
Upper Darby 1977 — 1981
Integral Quality Care July 2012 - Present
Aetna Better Health, TX March 2011 - August 2012
Cook CHildrens Health Plan May 2005 - February 2011
Keystone Mercy Health Plan September 2001 - April 2005
Blue Cross Blue Shield of Tennessee August 1995 - August 2001
Henry Ford Health System July 1985 - August 1995
Henry Ford Hospital July 1985 - August 1995
Skills
Utilization Management, Managed Care, Medicaid, Disease Management, Healthcare Management, Medicare, HEDIS, Healthcare, Network Development, Provider Relations, Healthcare Information..., Health Policy, Credentialing, Hospitals, Pharmacy Benefit..., Clinical Research, EMR, EHR, Medicine, Health Insurance, Healthcare Industry, Home Care, Case Managment, Patient Safety, Physician Relations, Quality Improvement, Meditech, JCAHO, Physicians, HIPAA, Informatics, Pediatrics, Healthcare Consulting, Acute Care, Critical Care, Inpatient, Revenue Cycle, Nursing
Education
University of Tennessee-Knoxville - College of Business Administration 1998 — 1999
MBA
Wayne State University School of Medicine 1974 — 1978
MD
Wayne State University 1971 — 1974
BS Honors, Biology
WellPoint November 2013 - Present
IBM April 2013 - November 2013
BCBCSC June 2012 - January 2013
Catalyst Solutions 2011 - 2011
Legacy Consulting Services 2008 - 2009
Keystone Mercy Health Plan 1994 - 2006
Skills
Analysis, SDLC, Visio, Business Analysis, Requirements Analysis, Healthcare Information..., HIPAA, Process Improvement, Software Documentation, Requirements Gathering, SharePoint, Business Intelligence, SQL, EDI, Data Warehousing, Microsoft SQL Server, Vendor Management, Integration, Employee Benefits, Access, Medicaid, Managed Care, Business Process..., Testing, Health Insurance, Healthcare
Education
Longwood University 1985 — 1989
BA, Sociology-Pre-Med Concentration
Community College
Overbrook High School 1981 — 1985
Diploma, Academics
Keystone Mercy Health Plan Senior Graphic DesignerKeystone Mercy Health Plan2000 - Present
Keystone Mercy Health Plan 1999 - 2010
IGI 1980 - 1993
Education
Moore College of Art and Design
BFA, Illustration, Computer Graphic Design
Asplundh Tree Expert Co. November 2014 - Present
CertainTeed October 2010 - November 2014
Broder Bros., Co. December 2009 - June 2010
Physiotherapy Associates May 2007 - September 2009
Houghton International 2005 - 2007
MG Industries January 2001 - January 2005
Keystone Mercy Health Plan 1999 - 2001
Skills
Accounts Payable, Management, Leadership, Finance, Mergers & Acquisitions, Financial Reporting, Analysis, Accounting, Financial Analysis, General Ledger, Payroll, Internal Controls, Vendor Relationship..., Disbursement, Budgets
Education
Immaculata University 2002 — 2004
Bachelor's Degree, Business, 4.0
Archbishop Prendergast
Centre for Time Study of Males in American Society 2009 - Present
Institute for American Male Research 2006 - Present
ACE Ltd Property & Casualty 2002 - 2006
Cigna Property & Casualty 1999 - 2001
Jones Motor Group 1997 - 1999
Keystone Mercy Health Plan 1996 - 1997
Peco (Exelon) 1989 - 1996
Officer, USAF 1984 - 1987
Skills
SQL
Education
Universitat Heidelberg - Heidelberg, Germany 2008 — 2014
PhD in Mathematics, Computer Science
Pennsylvania State University-Great Valley Graduate Center 2000 — 2002
Computer Science
Northwestern University 1987 — 1988
MS in IE, Computer Science
Purdue University 1982 — 1983
BS in Math, Mathematics
University of Chicago 1980 — 1982
BA in Political Science, Political Science
Central High School 1975 — 1979
BA, Liberal Arts
A Shore View Association 1999 - 2012
Southern Jersey Family Medical Center 2004 - 2008
Falls Risk Management Independant Consultant 1999 - 2004
The TriZetto Group 1999 - 2001
Keystone Mercy Health Plan 1997 - 1999
South Jersey Hospital System July 1994 - November 1996
Our Lady of Lourdes Hospital School Of Nursing June 1991 - July 1994
Cooper University Hospital June 1987 - July 1994
Education
Widener University 1992 — 1994
MBA, HMSA
Rutgers University – Camden 1983 — 1987
BSN, Nursing
Camp Construction Services 2014 - Present
Camp Construction Services March 2013 - September 2014
Birkshire Johnstone, LLC March 2008 - March 2013
Titan Specialty Construction July 1999 - January 2008
Orville Beckford Ford/Mercury June 1998 - July 1999
Keystone Mercy Health Plan September 1997 - March 1998
Skills
Invoicing, Customer Service, Project Management, Process Improvement, Contract Management, Quality Assurance, Contract Negotiation, Microsoft Office, Microsoft Excel, Project Estimation, Project Planning, Construction Safety, Change Orders, Subcontracting, Budgets, Renovation, Construction, Sales, Construction Management, Contractors, Negotiation, Team Building
Education
La Salle University 1992 — 1996
Bachelor of Arts, English; Professional Correspondence & Communication Arts
Penn Medicine, University Of Pa. October 2010 - Present
Keystone Mercy Health Plan December 2007 - August 2009
Lenox, CIGNA, Benneton 1994 - 2009
Harrahs Entertainment May 2006 - December 2007
Jones Apparel Group May 2002 - May 2006
Prince Sports, Inc. April 2000 - June 2001
Prince Sprots Group/Benneton 2000 - 2001
CIGNA October 1997 - April 2000
CIGNA International Employee Benefits 1997 - 2000
Lenox April 1994 - October 1997
Skills
Systems Analysis, FTP, E-commerce, DB2, Databases, Sunrise, Crystal Reports, Epic Systems, Software Documentation, RPG, IBM iSeries, Epic, ChartOne, Netsmat Avatar, GE Softmed, IBM AS/400, EDI
Education
Rowan University 1977 — 1979
BA, Communications
Rowan College at Burlington County 1981 — 1983
Certificate, Data Processing Technology
Rowan College at Burlington County 1973 — 1975
AA, Liberal Arts - Communications
Keystone Mercy Health Plan April 1998 - Present
Skills
SDLC, Visio, Process Improvement, Healthcare Information..., Microsoft SQL Server, Business Analysis, SQL, Software Documentation, HIPAA, Healthcare, Program Management, Vendor Management
Education
Kiev
Temple University
Keller Williams Realty January 2006 - Present
Keystone Mercy Health Plan May 2005 - Present
Skills
Seniors, Sellers, First Time Home Buyers, Relocation, Short Sales, Real Estate, REO, Buyer Representation, Listings, New Home Sales, Referrals, Residential Homes, Condos, Real Estate Transactions, Foreclosures, ABR, Contract Negotiation, Negotiation, Single Family Homes, Property Management, Investment Properties, Process Improvement, Insurance
Education
Temple University 1986 — 1990
Bachelor of Arts (BA)
AmeriHealth Caritas October 2013 - Present
Keystone Mercy Health Plan August 2012 - October 2013
Keystone Mercy Health Plan May 2011 - August 2012
BlueClaws (A, Philadelphia Phillies) January 2010 - September 2010
Philadelphia Phillies February 2008 - October 2009
Philadelphia 76ers June 2008 - February 2009
Comcast-Spectacor September 2007 - December 2007
Lansdowne Community YMCA June 2006 - August 2007
Skills
Ticket Sales, Event Management, Sales, Event Planning, Public Relations, Time Management, Public Speaking, Call Centers, Corporate Events, Microsoft Excel, Microsoft Office, Data Analysis, Inside Sales, Customer Service
Education
Temple University 2004 — 2009
Bachelors, Sport and Recreation Management
Washington, DC Metro Area August 2011 - Present
Chartered Health Plan February 2007 - August 2011
Chartered Health Plan June 2004 - February 2007
Garner Law Office May 1999 - July 2004
Delmarva Foundation July 2002 - November 2002
New Jersey, Department of Human Services June 2000 - July 2002
Medisys Quality Improvement August 1998 - June 2000
Keystone Mercy Health Plan May 1992 - November 1997
Skills
Healthcare Management, Microsoft Excel, Microsoft Office, Budgets, Research, Strategic Planning, PowerPoint, Contract Negotiation, Outlook, Microsoft Word, HIPAA, Customer Service, Public Speaking, Administration, Hospitals, Team Building, Healthcare, Process Improvement, Medical Compliance, Policy, Insurance, Access, Compliance Operations, Health Law, Risk Management, Training, Data Analysis, Compliance Program..., Medicaid, Medicare, Analysis, Program Management, Utilization Management
Education
Howard University College of Medicine 2006 — 2008
Master of Public Health (MPH), Environmental Health, Epidemiology, Biostatistics, Healthcare Administration, Data Mining, Research
Ottawa University-Kansas City 1995 — 1997
Bachelor of Arts (BA) - Health Services Management, Organizational Management
Nurses Training College,
Registered Nurse
Lankenau Hospital May 2007 - Present
Keystone Mercy Health Plan May 1997 - May 2007
Skills
Hospitals, Clinical Research, Healthcare Management, Public Speaking, Nursing, Healthcare, Nonprofits, Non-profits, Program Development, Research, Medicine, Critical Care, Patient Safety, EMR
Education
Saint Joseph's University 1980 — 2006
BS, Health Management
Keystone Mercy Health Plan August 2010 - Present
Keystone Mercy Health Plan January 2010 - August 2010
City of Philadelphia September 2009 - December 2009
CORE ECS October 2008 - September 2009
Virtua Health August 2008 - October 2008
Cordjia Tech April 2008 - July 2008
Gestalt, LLC July 2007 - April 2008
ESPN May 2006 - June 2007
Pay-O-Matic December 2002 - May 2006
Skills
Microsoft SQL Server, .NET, SSRS, Visual Studio, WCF, LINQ, Web Services, VB.NET, ADO.NET, IIS, Visual Basic, JavaScript
Education
National Institute of Information Technology
Software Technology & Systems Management
Osmania University
Bachelor of Science Degree in, Computer Science
AmeriHealth Caritas Family of Companies March 2012 - Present
Tampa Bay WorkForce Alliance February 2004 - January 2010
Florida Public Relations Association 2005 - 2006
University of Pennsylvania Health System October 2002 - January 2004
University of Pennsylvania Health System - Clinical Care Associates July 2001 - October 2002
Keystone Mercy Health Plan May 1995 - July 2000
Skills
Non-profits, Public Relations, Internal Communications, Marketing Communications, Media Relations, Copywriting, Nonprofits, Community Development
Education
Temple University 1978 — 1984
BA, Communications (Journalism)
St. Christopher's Hospital for Children March 2013 - Present
NextGen Healthcare March 2005 - March 2012
The Hospital of the University of Pennsylvania December 1998 - January 2005
Keystone Mercy Health Plan March 1991 - December 1998
Skills
HL7, EHR, Troubleshooting, Crystal Reports, EMR, Database Administration, PC Support, Networking, Help Desk Support, Helping Clients Succeed, Help Desk Implementation, Customer Support, Customer Retention, Audio Visual Support, Cable Management, Hardware Support, Software Support, Desktop Application..., EHR Support, Ghost Imaging, Imaging, Windows Remote Desktop, Remote User Support
Education
La Salle University 1993 — 1995
Computer Science
Penn State University 1984 — 1987
Completed 3 years, Electrical Engineering
Health Partners June 2008 - Present
AmeriHealth Insurance Co of NJ March 1994 - March 1999
Keystone Mercy Health Plan February 1990 - March 1994
Skills
General Ledger, Accounts Payable, Financial Reporting, Financial Analysis
Education
Penn State University 1995 — 1999
BS, Accounting
Keystone Mercy Health Plan January 2009 - Present
BDP International April 2007 - August 2008
VWR International February 2004 - March 2007
Skills
MS Office Suite, Process Automation, Data Analysis, Process Improvement, PeopleSoft, Microsoft Excel, Access, Inventory Management, Analysis, Software Documentation, Outlook, PeopleTools, Query Manager, Dashboard Builder, HTML, SnagIt, Citrix, Peer Mentoring, Database Design, Data Modeling, SOP development, SQL, VBA, English grammar, Flow Charts, Time Management, Self-driven, Teamwork, Critical Thinking, Creativity
Education
OnLine Consulting 2012 — 2012
Access 2007/2010 Programming using Visual Basic for Applications, MS Access Programming
Oracle University 2012 — 2012
NA, PeopleSoft People Tools I
ComputerTraining.com 2009 — 2009
MCP, MCSE
Mississippi University for Women
Bachelors of Science degree, Business; Management Information Systems
New Jersey-New York Area January 2011 - Present
TriZetto Group May 2008 - January 2011
Keystone Mercy Health Plan October 1998 - May 2008
Education
Delaware County Community College 1983 — 1984
Business Management
Shippensburg University of Pennsylvania 1981 — 1983
Business Management
AmeriHealth Caritas March 2012 - Present
PerformRx June 2011 - March 2012
PerformRx January 2006 - June 2011
Keystone Mercy Health Plan 2000 - 2006
Skills
Cross-functional Team..., Customer Satisfaction, Crisis Management, Determination to Succeed, HIPAA, Healthcare, Healthcare Information..., Leadership, Loyal, Managed Care, Management, Medicaid, Medicare, Organizational..., PMO, PMP, Patience, Process Improvement, Professional Services, Program Management
Education
Liberty University 2011 — 2014
Bachelor's Degree, Project Management
AmeriHealth Caritas November 2013 - Present
AmeriHealth Caritas August 2008 - Present
Keystone Mercy Health Plan May 2005 - August 2008
Main Line Health 1996 - 1998
Skills
Managed Care, Account Reconciliation, Accounts Receivable, HIPAA, Healthcare, Health Insurance, Healthcare Management, Medicaid, Access
Education
Widener University 1980 — 1984
MBA, Business
Penn State University 1973 — 1977
BA, Social Welfare
Almac Group October 2014 - Present
Almac Group October 2013 - October 2014
Almac Group January 2012 - October 2013
Temple University August 2010 - January 2012
Burlington Coat Factory June 2011 - August 2011
Keystone Mercy Health Plan June 2010 - August 2010
Education
Temple University 2008 — 2012
Bachelor of Science (BS), Computer and Information Sciences, General
Ba & Bundle Notary Service June 2011 - Present
Widener University 2010 - 2013
Keystone Mercy Health Plan March 1995 - July 2007
Mercy Fitzgerald Hospital February 1981 - July 1995
Children Rehabilitation a part of Jeffersn Hospital March 1992 - July 1994
Skills
Case Managment, Healthcare, HIPAA, Medical Terminology, Medicine, Program Management, Social Services, Medicare, Healthcare Management, Healthcare Information..., Health Insurance, Program Development, Hospitals, Medicaid, Managed Care, Psychotherapy, Public Health, Disease Management, Treatment, Behavioral Health, Case Management
Education
Widener University 2010 — 2013
Master's degree, Social Work
Gwynedd-Mercy College 2006 — 2010
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Connolly, Inc. August 2005 - Present
Keystone Mercy Health Plan July 1998 - August 2005
Skills
CPC certification, Access, Accounts Receivable, Financial Analysis, Insurance, Risk Management, Healthcare Information..., Medicaid
Education
Peirce College 1989 — 1991
Keystone Mercy Health Plan February 2007 - Present
Independence Blue Cross August 1991 - February 2007
Skills
Medicare, Medicaid, Managed Care, Financial Analysis, PeopleSoft, Financial Modeling, Healthcare Information..., Finance, Auditing, Budgets, Microsoft Excel, Health Insurance, Outlook, Hyperion Enterprise
Education
Widener University 1992 — 1996
MBA, Finance
Penn State University 1987 — 1991
Bachelor of Science, Economics
HighPoint Solutions June 2009 - March 2015
MEI March 2008 - February 2009
Keystone Mercy Health Plan May 2007 - December 2007
Commerce Bank March 2005 - May 2007
Pinnacle Electronic Systems Inc. October 2004 - March 2005
Skills
Information Technology, Windows 7, Windows Server, Microsoft Exchange, System Administration, Microsoft Office, Bomgar, Computer Hardware, Laptops, Microsoft Certified..., CompTIA Security+, CompTIA A+, Computer Repair, Integration, Requirements Analysis, IT Asset Management
Education
Quinnipiac University 1999 — 2003
Bachelor of Science (B.S.), Computer Information Systems
Malvern Preparatory School 1995 — 1999
HIgh School Diploma
Keystone Mercy Health Plan February 1993 - March 2004
US Healthcare November 1985 - February 1993
Skills
Microsoft Office, Management, Microsoft Excel, Microsoft Word, Research, PowerPoint, Sales, Leadership, Training, Photoshop
Education
Penn State University 1977 — 1981
Bachelor of Science (B.S.), Health planning and administration