Keystone Mercy Health Plan

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Keystone Mercy Health Plan Employees

Employee
Years
Job
Industry
Patricia Guerra-Garcia, MD, FACP Patricia Guerra-Garcia, MD, FACP Philadelphia, Pennsylvania Details
Patricia Guerra-Garcia, MD, FACP's Keystone Mercy Health Plan Experience 2000 - 2004
Job Chief Medical Officer at Aetna Better Health Pennsylvania
Industry Insurance
Experience
Aetna Better Health Pennsylvania   May 2014 - Present
Molina Healthcare  October 2013 - May 2014
Independence Blue Cross  2011 - October 2013
Independence Blue Cross  2004 - 2011
Providence Medical Group  2002 - 2004
Keystone Mercy Health Plan   2000 - 2004
Southeastern Pennsylvania Veterans Center   2001 - 2003

Skills
Medicare, Medicare Part D, Utilization Management, Case Management, Disease Management, Star Ratings, Quality Management, Medical Cost Containment, Medicaid Managed Care, Managed Care, Case Managment, Provider Relations, Health Policy, Medicaid, Medicine, HMO, Healthcare Consulting, Health Insurance, PPO, HIPAA, Pharmacy Benefit..., HEDIS

Education
Henry Ford Hospital   1989 — 1993
Residency Internal Medicine, Fellowship General Internal Medicine

Universidad Peruana Cayetano Heredia   1979 — 1987
Doctor of Medicine (MD)

William Lincke William Lincke Ridley Park, Pennsylvania Details
William Lincke's Keystone Mercy Health Plan Experience June 2012 - August 2012
Job Student at Temple University Fox School of Business and Management
Industry Higher Education
Experience
Keystone Mercy Health Plan   June 2012 - August 2012
Temple University  January 2010 - May 2012
Ridley Park Swim Club   June 2006 - August 2009

Education
Temple University - Fox School of Business and Management   2009 — 2013
BBA, Accounting, Economics

Natashia Sanders Natashia Sanders Greater Philadelphia Area Details
Natashia Sanders's Keystone Mercy Health Plan Experience July 2007 - June 2012
Job Director, Relationship Management Internal Channel and Implementations at PerformRx, LLC
Industry Pharmaceuticals
Experience
PerformRx  June 2014 - Present
PerformRx, LLC   June 2012 - June 2014
PerformRx, LLC   July 2007 - June 2012
Keystone Mercy Health Plan   July 2007 - June 2012
The AmeriHealth Mercy Family of Companies  July 2007 - June 2012
MedPointe Pharmaceuticals  December 2005 - July 2007
Eli Lilly  2003 - 2005
AstraZeneca Pharmaceuticals  2002 - 2003
Bristol-Myers Squibb  2001 - 2002
DuPont Pharmaceuticals  1999 - 2001

Skills
Managed Care, Medicaid, Medicare Part D, Project Management, Pharmacy Benefit..., Process Improvement, Strategic Planning, Critical Thinking, Strategy Implementation, Relationship Management, Customer Service, HIPAA, Healthcare, Software Documentation, Management, Healthcare Information..., Health Insurance, Account Management, CRM, Medicare, Analysis, Sales Operations, Pharmacy, Leadership

Education
Wilmington University   2010 — 2014
DBA, Candidate: Doctor of Business Administration

Wilmington University   2001 — 2002
Master of Business Administration, Health Care Administration

Wilmington University   2000 — 2001
Master of Business Administration

University of Delaware   1994 — 1998
Bachelor of Arts, Biology, Spanish minor

Carol Muldoon Carol Muldoon Louisville, Kentucky Details
Carol Muldoon's Keystone Mercy Health Plan Experience 1998 - 2006
Job President at The Muldoon Group
Industry Insurance
Experience
The Muldoon Group   August 2012 - Present
Coventry Health Care  2011 - 2012
MCNA Dental: Managed Care of North America  2009 - 2011
Commonwealth of Kentucky  2007 - 2009
Keystone Mercy Health Plan   1998 - 2006
WellPoint  April 1994 - August 1998
Humana  1979 - 1992

Skills
HIPAA, Managed Care, Medicaid, Healthcare Management, Healthcare, Medicare, Healthcare Consulting, Provider Relations, Network Development, Quality Improvement, Pharmacy Benefit..., Strategic Planning, Medicaid Managed Care, Program Development, Contract Negotiation, Leadership Development, Budgets, Policy, Healthcare Industry, Health Insurance, Leadership, Accreditation, Health Policy, Healthcare Information..., Revenue Cycle, Disease Management, Physicians, Utilization Management, Physician Relations, Hospitals, HMO, Credentialing, EHR, Medicare Part D

Education
University of Kentucky

Jason Bowser Jason Bowser Dover, Delaware Details
Jason Bowser's Keystone Mercy Health Plan Experience March 2007 - April 2007
Job Inventory Manager at WIS International
Industry Hospital & Health Care
Experience
WIS International  January 2013 - Present
Christian Healthcare System   April 2012 - December 2012
Bayhealth Medical Center  March 2010 - September 2011
Millcroft   April 2009 - July 2009
Aetna Healthcare  September 2007 - October 2008
Catholic Health Initiatives  April 2007 - September 2007
Keystone Mercy Health Plan   March 2007 - April 2007
Great West Healthcare  December 2005 - December 2006
Keystone Mercy Health Plan   April 2004 - December 2005
EDS/DELAWARE MEDICAL ASSISTANCE PROGRAM   February 2001 - April 2004

Skills
Customer Service, Medical Billing, Medical Coding, Financial Services, Call Center, Collections

Education
University of Delaware   1995 — 1999
Associate's degree, Healthcare Administration

of Woodstown High School   1992 — 1995
Diploma

R. Deja Belle Johnson, MBA, CSM R. Deja Belle Johnson, MBA, CSM Dover, Delaware Area Details
R. Deja Belle Johnson, MBA, CSM's Keystone Mercy Health Plan Experience April 2002 - 2008
Job PMO Lead / Scrum Master / Technical Project Manager at Bank of America
Industry Management Consulting
Experience
Bank of America  October 2013 - Present
Damn it, Let's Talk! Radio Show   January 2009 - Present
Providence Group Consulting, LLC   February 2008 - Present
GANNETT FLEMING - GeoDecisions, Christiana, DE   April 2012 - June 2013
STATE OF DELAWARE (Department of Technology and Information)   August 2011 - January 2012
Barclays  August 2010 - February 2011
AAA MID-ATLANTIC  2011 - 2011
AstraZeneca  2008 - 2008
Keystone Mercy Health Plan   April 2002 - 2008

Skills
Vendor Management, Leadership, SDLC, Management, Process Improvement, Training, Strategy, Project Management, Visio, Analysis, Consulting, Program Management, Human Resources, Recruiting, Interviews, Management Consulting, Strategic Planning, Policy, Business Process, Applicant Tracking..., Data Analysis, Agile Project Management, Scrum, Lean Six Sigma

Education
ScrumStudy / PMI   2015 — 2015
Scrum Master Certification, Agile Scrum

Villanova University   2005 — 2011
Project Management / Six Sigma Green Belt

University of Phoenix   2007 — 2009
MBA

Neumann University   2002 — 2004
Bachelors of Arts

Chester High School

Sherri (Wayne) Holloway, MHA Sherri (Wayne) Holloway, MHA Philadelphia, Pennsylvania Details
Sherri (Wayne) Holloway, MHA's Keystone Mercy Health Plan Experience January 2000 - January 2002
Job Product Manager at American Board of Internal Medicine
Industry Nonprofit Organization Management
Experience
American Board of Internal Medicine  June 2013 - Present
2 Divas Travel   August 2012 - Present
American Board of Internal Medicine  July 2010 - July 2013
American Board of Internal Medicine  2007 - 2009
American Board of Internal Medicine  2006 - 2007
American Board of Internal Medicine  2002 - 2006
Keystone Mercy Health Plan   January 2000 - January 2002

Skills
Speech Synthesis Markup..., Project Insight, Lifetime Platform, Online Travel, Travel Planning, Leisure Travel, Business Travel, Platforms, Adobe Acrobat, Account Management, Administrative..., Event Management, Management

Education
Strayer University (DC)   2009 — 2013
MHA, Health Services Administration

Temple University - Fox School of Business and Management   2004 — 2008
BBA, Human Resource Management

Marcia McKenna Marcia McKenna Greater Philadelphia Area Details
Marcia McKenna's Keystone Mercy Health Plan Experience February 2008 - Present
Job Writer
Industry Entertainment
Experience
Keystone Mercy Health Plan   February 2008 - Present
Brandywine Realty Trust  2006 - 2008
American Water  2006 - 2006
Sony BMG  August 1999 - August 2005
Eddie Murphy Productions   June 1998 - June 1999
Sony Pictures Entertainment  June 1993 - June 1998
Paramount Pictures  1988 - 1992
The Gordy Company   1990 - 1991

Skills
Screenwriting, Story Editing, Entertainment, Film, Television, Event Planning, Editing, New Media, Production Managment, Music, Film Production, Video Production, Voice Over, Creative Writing, Directing, Copywriting

Education
Palisades High

University of California, Los Angeles

Donna Doyle Perkins Donna Doyle Perkins Philadelphia, Pennsylvania Details
Donna Doyle Perkins's Keystone Mercy Health Plan Experience 1987 - 2000
Job Senior Director, Patient Access Center
Industry Hospital & Health Care
Experience
Cooper University Health Care  July 2015 - Present
Donna Doyle Perkins Consulting   March 2013 - June 2015
Comcast  June 2000 - April 2012
Comcast  January 2007 - March 2008
Keystone Mercy Health Plan   1987 - 2000

Skills
Customer Service, Leadership, Program Management, Strategic Planning, Employee Engagement, Communication Processes, Call Center, Project Management, Telecommunications, Healthcare, Process Improvement, Call center start-up, Vendor Management, Cross-functional Team..., Broadband, Cross Functional Team..., Customer Experience, Call Centers, Strategy, Quality Assurance, CRM, Management, Customer Retention, Team Leadership, Training, Sales, Customer Satisfaction, Coaching, Marketing, Operations Management, Strategic Partnerships, Account Management, Team Building, Product Management, Performance Management, Business Development, Business Process, Start-ups, Outsourcing, Consulting

Education
Temple University - Fox School of Business and Management   1987 — 2001
Bachelor's degree, Marketing

WICT Betsy Magness Leadership Institute   2011 — 2012
Fellow, Leadership, Class XXV

Manoj R. Patel Manoj R. Patel Greater Philadelphia Area Details
Manoj R. Patel's Keystone Mercy Health Plan Experience May 2000 - February 2001
Job HR Operations at Merck Sharp & Dohme
Industry Pharmaceuticals
Experience
Merck  January 2012 - Present
Merck Sharp & Dohme  July 2010 - January 2012
Merck & Co., Inc.   June 2009 - July 2010
Merck & Co., Inc.   August 2007 - May 2009
Merck & Co., Inc.   February 2001 - August 2007
Keystone Mercy Health Plan   May 2000 - February 2001
Keystone Mercy Health Plan   June 1999 - May 2000
PricewaterhouseCoopers Consulting  1998 - 1999

Skills
Business Analysis, Analysis, Business Intelligence, Business Process, Business Process..., Business Strategy, Change Management, Cross-functional Team..., Data Privacy, HR Policies, HR Transformation, HRIS, Human Resources, Leadership, Mergers, Negotiation, PeopleSoft, Performance Management, Management, Process Improvement, Project Management, Requirements Gathering, SAP, SAP HR, SDLC, Sarbanes-Oxley Act, Six Sigma, Strategic Planning, Strategy, Talent Management, Testing, Vendor Management, Training

Education
SAP Training for T&E and HR Master Data Configuration for PA   2009 — 2009

University of Pennsylvania - The Wharton School   1995 — 1999
BBA, Accounting

Villanova University
Certification, Society for Human Resource Mgmt (SHRM)

Pamela D Lee Pamela D Lee Greater Philadelphia Area Details
Pamela D Lee's Keystone Mercy Health Plan Experience December 1999 - May 2006
Job Contact Center Manager at PerformRx
Industry Hospital & Health Care
Experience
PerformRx  March 2013 - Present
PerformRx  June 2006 - Present
Keystone Mercy Health Plan   December 1999 - May 2006
PNC  March 1980 - July 1997

Skills
Customer Service, Leadership, Healthcare, Medicaid, Pharmacy, New Business Development, Medicare Part D, Healthcare Information..., Managed Care, HIPAA, Health Insurance, Medicare, Pharmacy Benefit...

Education
University of Phoenix   2009 — 2012

Diane Stanton, PMP Diane Stanton, PMP Greater Philadelphia Area Details
Diane Stanton, PMP's Keystone Mercy Health Plan Experience January 1999 - July 2005
Job Director, Project Management Office, Cooper University Health Care
Industry Hospital & Health Care
Experience
Cooper University Hospital  July 2011 - Present
Century 21 Alliance  June 2011 - Present
The Children's Hospital  January 2005 - July 2011
Keystone Mercy Health Plan   January 1999 - July 2005
Keystone Mercy Health Plan   June 1998 - January 1999
The Children's Hospital of Philadelphia  June 1996 - June 1998

Skills
Healthcare Information..., HIPAA, Process Improvement, EHR, EMR, Project Portfolio..., SDLC, Healthcare, Business Analysis, Software Documentation, Training, ERP, Vendor Management, Integration, Management, Program Management, Leadership, Healthcare Management, Epic Systems, Cross-functional Team..., Project Management, Requirements Gathering, Governance, Strategic Planning, CRM, Strategy, Contract Management, SharePoint, PMO, Contract Negotiation, Budgets, Visio, Information Technology, Project Planning, Enterprise Software, Data Warehousing, System Administration, Resource Management, Software Development, Analysis, Consulting, Human Resources, Business Process..., IT Strategy

Education
DREXEL UNIIVERSITY
Master, Decision Sciences

THE CHUBB INSTITUTE   1996 — 1996
Computer Networks and Data Communications

Temple University - Fox School of Business and Management   1988 — 1992
BA, Management Information Systems

Karen Schick Moul, CFM Karen Schick Moul, CFM Greater Philadelphia Area Details
Karen Schick Moul, CFM's Keystone Mercy Health Plan Experience January 1991 - April 1996
Job CBRE Project Manager
Industry Real Estate
Experience
CBRE  September 2014 - Present
Healthcare Trust of America, Inc.   December 2012 - December 2013
Jones Lang LaSalle  March 2009 - December 2012
Vanguard  October 1996 - January 2009
Keystone Mercy Health Plan   January 1991 - April 1996

Skills
Facilities Management, Management, Construction, Purchasing, Contract Negotiation, Contract Management, Property Management, Vendor Management, Budgets, Operations Management, Team Building, Process Improvement, Project Management, Strategic Planning, Customer Service, Asset Management, Negotiation, Change Management, Real Estate, Procurement, Construction Management, Project Planning, Start-ups, Leadership, Program Management, Facilities Operations, Business Development, Team Leadership, MS Project, Risk Management, Process Scheduler, Corporate Real Estate, Training, New Business Development, Business Planning, Forecasting, Microsoft Project

Education
University of Phoenix   2003 — 2005
BSBM, Business Management

Kareema Jordan Kareema Jordan Philadelphia, Pennsylvania Details
Kareema Jordan's Keystone Mercy Health Plan Experience 2012 - 2012
Job Healthcare
Industry Hospital & Health Care
Experience
Amerihealth Mercy caritas   October 2012 - Present
Wills Eye Hospital  August 2013 - November 2013
Keystone Mercy Health Plan   2012 - 2012
Temple University Hospital  December 2009 - November 2010
Temple University Hospital  October 2007 - October 2008
Devon Health Services  January 2006 - August 2007

Skills
Medical Transcription, Secretarial Skills, Credentialing, Registration, Clerical Skills, HIPAA, Medical Terminology, Medical Records, Data Entry, Fax, Meditech, IDX, EHR, Administrative..., Healthcare, Medicare, Access, Appointment Scheduling, Customer Service, Confidentiality, Spreadsheets, Patient Safety, Hospitals, EMR, Microsoft Excel, Microsoft Word, Medicine, Outlook, Microsoft Office, Medicaid, Filing, Office Equipment, 10 Key, Process Scheduler, Phone Etiquette, Office Administration, Quality Patient Care, Public Health, Healthcare Management, CPT, ICD-9, Healthcare Information..., Medisoft, Provider Relations, Health Insurance, Receptionist Duties, Microsoft Office 2007, Medical Office, Dictaphone, Ordering Office Supplies

Education
Thompson Institute   2002 — 2003
Certificate, Medical Office Management/Administration

John Bartram High School   1991 — 1995
Diploma, Academics

Joanne Geddes McFall Joanne Geddes McFall Greater Philadelphia Area Details
Joanne Geddes McFall's Keystone Mercy Health Plan Experience June 2000 - November 2009
Job VP, Chief of Staff at AmeriHealth Mercy Family of Companies
Industry Insurance
Experience
AmeriHealth Mercy Family of Companies  November 2009 - Present
Keystone Mercy Health Plan   June 2000 - November 2009
NovaCare, Inc.   1997 - 1999
Presbyterian Medical Center  1991 - 1997

Education
Widener University   1993 — 1998
MBA, Health & Medical Services Administration

University of Delaware   1987 — 1991
BA, Communication

Ridley High School   1984 — 1987
HS Diploma

Gretchen Mills, MBA Gretchen Mills, MBA Greater Denver Area Details
Gretchen Mills, MBA's Keystone Mercy Health Plan Experience February 2002 - October 2005
Job Manager, Business Development and Strategy at 3M Health Information Systems Division
Industry Insurance
Experience
3M Health Information Systems Division   August 2015 - Present
Treo Solutions  September 2014 - August 2015
Delta Dental of Colorado  July 2013 - June 2014
Health Partners  April 2013 - May 2013
Aetna  April 2010 - January 2013
Aetna  November 2005 - March 2010
Keystone Mercy Health Plan   February 2002 - October 2005
Keystone Mercy Health Plan   January 1994 - January 2002
Greater Atlantic Health Service   January 1992 - January 1994

Skills
Medicaid, Medicare, Managed Care, Health Insurance, Insurance, Regulations, Health Policy, Employee Benefits, HIPAA, Start-ups, Leadership, Healthcare Industry, Policy, Healthcare Consulting, Healthcare, Network Development, Provider Relations, Physicians, Program Management, HMO, Disease Management, Claim, Strategy, Training, Hospitals, Health care exchanges, Project Management, Medicare Part D

Education
University of Pennsylvania - The Wharton School   1984 — 1986
Masters, Business Administration, Health/Health Care Administration/Management

Juran Institute
Black Belt, Six Sigma Process Improvement

University of Pennsylvania
B.A

University of Pennsylvania - The Wharton School
MBA, Health Care & Finance

Ronald Hickey, PMP Ronald Hickey, PMP Greater Detroit Area Details
Ronald Hickey, PMP's Keystone Mercy Health Plan Experience October 2009 - January 2010
Job Program Manager at Kaiser Permanente
Industry Information Technology and Services
Experience
North Star Consulting Services, LLC   November 2003 - Present
Kaiser Permanente  November 2014 - Present
Jawood  December 2012 - October 2014
The TriZetto Group  March 2012 - December 2012
APS Healthcare  October 2011 - April 2012
Lovelace Health Plan  June 2011 - December 2011
HealthNow New York Inc.  March 2010 - May 2011
Keystone Mercy Health Plan   October 2009 - January 2010
CDPHP  March 2008 - June 2009
Blue Care Network  July 2007 - January 2008

Skills
Test Automation, Managed Care, Test Director, Rational Rose, Robot, Quality Assurance, PVCS, ReqPro, Process Improvement, Business Analysis, Project Management, Testing, Quality Center, Healthcare Information..., HIPAA, Rational XDE, PDM, Requirements Analysis, Business Process, SDLC, Test Cases, Vendor Management, Visio, RUP, Change Management, Resource Management, EDI, Agile Methodologies, User Acceptance Testing, IT Strategy, PMO, Visual Basic, Business Process..., MS Project, Regression Testing, SQL, Program Management, Software Project..., Business Requirements, Requirements Gathering, PMP, Software Documentation, Defect Tracking, Software Development, Business Intelligence, Security, Integration, Release Management, Management Consulting, Data Warehousing

Education
University of Michigan   1983 — 1988
B.S., Computer Science

Elaine Manieri Elaine Manieri Portland, Oregon Details
Elaine Manieri's Keystone Mercy Health Plan Experience January 1995 - March 1996
Job Vice President/General Manager at OptumRx
Industry Health, Wellness and Fitness
Experience
OptumRx  June 2015 - Present
BlueCross BlueShield of Tennessee  March 2011 - May 2015
CVS Caremark Corporation  2008 - 2010
CVS Caremark  2004 - 2008
CVS Caremark  1999 - 2004
SEVON ASSOCIATES   March 1996 - July 1999
Keystone Mercy Health Plan   January 1995 - March 1996
FIRST HEALTH SERVICES  January 1992 - January 1995
CVS  January 1988 - January 1992
WAL-MART PHARMACY  January 1986 - January 1988

Skills
Pharmacy, Pharmacy Benefit..., Sales, Medicare, New Business Development, Pharmacists, Managed Care, Leadership, Utilization Management, Pharmaceutical Industry, Clinical Research, Medicare Part D, Employee Benefits, Healthcare, Policy, Health Policy, Medicaid, Healthcare Industry, Process Improvement, Medicine, Analytics, HIPAA, Marketing Strategy, Training, Product Management, Pharmacueticals, Healthcare Management, Clinical Trials, Insurance, Program Management, Analysis, Physicians, Health Insurance, Disease Management, Negotiation, Proposal Writing, Management, Strategic Planning, Hospitals, Mergers & Acquisitions, Pharmacy Automation, CRM, Medicaid Managed Care, Diabetes, Cross-functional Team..., Outcomes Research

Education
University of Missouri-Kansas City   1979 — 1982
BS Pharmacy, Pharmacy

Mary Trainer, RN MSN CCM Mary Trainer, RN MSN CCM Greater Philadelphia Area Details
Mary Trainer, RN MSN CCM's Keystone Mercy Health Plan Experience September 2001 - March 2004
Job District Director of Case Management PA/NJ
Industry Hospital & Health Care
Experience
Kindred Healthcare  October 2014 - Present
AmeriHealth Caritas  October 2012 - October 2014
Wilmington University  December 2011 - March 2013
Christiana Care Health System  April 2006 - November 2012
Concentra  March 2004 - April 2006
Keystone Mercy Health Plan   September 2001 - March 2004
Temple University Hospital  2001 - 2001
Independence Blue Cross  2000 - 2001
The Children's Hospital of Philadelphia  1997 - 2000
Thomas Jefferson University Hospital  1993 - 1997

Skills
Nursing, Pharmaceutical billing, Oncology, Pediatric Triage, Pediatric Case..., Telephonic Case..., Catastrophic Personal..., Health Insurance, Cost benefit Analysis, Supervisory Experience, Job Analysis, Job Evaluation, Hematology, Hemophilia Coordinator, Pharmacy Technician, Reimbursement..., Case Managment, Healthcare Management, Workers Compensation, EMR, Disease Management, Patient Education, Health Education, Pediatrics, EHR, HIPAA, Healthcare, Healthcare Consulting, Healthcare Information..., Home Care, Hospitals, Physician Relations, Acute Care, Case Management

Education
University of Delaware   2007 — 2011
MSN, Nursing/Health Administration

Thomas Jefferson University   1991 — 1993
Bachelors of Science, Nursing

Rebecca D'Ulisse Rebecca D'Ulisse Greater Philadelphia Area Details
Rebecca D'Ulisse's Keystone Mercy Health Plan Experience June 1991 - June 1999
Job Night Shift RN/Charge Nurse at Healthsouth Rehabilitation Hospital
Industry Hospital & Health Care
Experience
Healthsouth Rehabilitation Hospital  December 2010 - Present
Magee Rehabilitation  May 2008 - December 2010
St. Agnes Continuing Care Center   2005 - 2008
Marlton Rehabilitation Hospital  1999 - 2004
Keystone Mercy Health Plan   June 1991 - June 1999

Skills
Nursing, Healthcare, Healthcare Management, Rehabilitation, Quality Assurance, Inpatient, Patient Safety, Hospitals, Pediatrics, BLS, Home Care, Acute Care, Utilization Management, Clinical Research, Patient Education

Education
Temple University   1997 — 1997
MBA Certificate, Business

Thomas Jefferson University   1989 — 1991
Master of Science, Nursing

University of Pennsylvania   1979 — 1983
Bachelor of Science, Nursing

Russell Gianforcaro Russell Gianforcaro Greater Philadelphia Area Details
Russell Gianforcaro's Keystone Mercy Health Plan Experience 2006 - 2011
Job Regional President at AmeriHealth Caritas
Industry Hospital & Health Care
Experience
AmeriHealth Caritas  December 2014 - Present
Keystone First  August 2011 - December 2014
The AmeriHealth Mercy Family of Companies  September 2008 - August 2011
Keystone Mercy Health Plan   2006 - 2011
Health Partners  1995 - 2006
Graduate Health System (currently TENET Health System)   1992 - 1995
Deloitte  1988 - 1994

Skills
Accounting, Financial Reporting, Accounts Payable, General Ledger, Business Analysis, Finance, Leadership, Strategic Planning, Auditing, Healthcare Management, Medicare, Medicaid, Managed Care, Management

Education
Villanova University
Bachelor's degree, Accounting

University of Pennsylvania - The Wharton School
Executive Program

chris suit chris suit York, Pennsylvania Area Details
chris suit's Keystone Mercy Health Plan Experience April 2005 - August 2005
Job Principal Consultant at HealthEdge
Industry Information Technology and Services
Experience
HealthEdge  March 2011 - Present
Blue Cross Blue Shield of Rhode Island  November 2008 - February 2011
HealthNow New York Inc.  August 2008 - November 2008
Capital Blue Cross  November 2006 - August 2008
Priority Health  March 2006 - October 2006
Blue Cross Blue Shield of Louisiana  January 2006 - March 2006
Oleen Pinnacle Healthcare Consulting  September 1995 - January 2006
Humana  October 2005 - December 2005
Premera Blue Cross  October 2005 - December 2005
Keystone Mercy Health Plan   April 2005 - August 2005

Skills
Healthcare Information..., Microsoft SQL Server, SQL, Databases, Testing, XML, Sybase, Visual Basic, SDLC, Analysis, HIPAA, Requirements Analysis, Business Analysis, Access, Visio, Data Warehousing

Education
University of Maryland University College   1993 — 1996
B.S., Computer and Information Science

Michael Duplessis, CFE Michael Duplessis, CFE Greater Philadelphia Area Details
Michael Duplessis, CFE's Keystone Mercy Health Plan Experience 2001 - Present
Job Director, Corporate Audit, AmeriHealth Caritas
Industry Insurance
Experience
AmeriHealth Caritas  January 2001 - Present
Keystone Mercy Health Plan   2001 - Present
Horizon NJ Health  2004 - 2005
Coventry Health Care  January 1999 - June 2000
Prudential AARP  August 1986 - January 1999
AARP HealthCare Options   1986 - 1999

Skills
Medicaid, Managed Care, Medicare, Process Improvement, Healthcare, HIPAA, Insurance, Health Insurance, Auditing, Training, Corporate Communications

Education
Wissahickon Sr. High   1982 — 1986

Temple University

Matthew Alemu Matthew Alemu Ann Arbor, Michigan Details
Matthew Alemu's Keystone Mercy Health Plan Experience January 2002 - January 2005
Job Sociology PhD Student, University of Michigan
Industry Research
Experience
Government Accountability Office  August 2009 - August 2012
National Poverty Center   January 2008 - August 2009
Government Accountability Office (GAO)   May 2008 - August 2008
Family and Community Life CenterXavier University   January 2006 - July 2007
Keystone Mercy Health Plan   January 2002 - January 2005

Skills
Policy Analysis, Public Policy, Program Evaluation, Data Analysis, Research, Stata, Qualitative Research, Statistics, Analysis, Policy, Public Speaking, Microsoft Office, Budgets, PowerPoint, Government

Education
University of Michigan   2012 — 2018
Doctor of Philosophy (PhD), Sociology and Public Policy

University of Michigan   2007 — 2009
Master, Public Policy

Xavier University of Louisiana   2002 — 2006
Bachelor of Science, Accounting

Teresa (Terri) Morgan Teresa (Terri) Morgan Greater Philadelphia Area Details
Teresa (Terri) Morgan's Keystone Mercy Health Plan Experience June 1994 - August 1994
Job Account Manager, L.M. Gordon, Inc.
Industry Marketing and Advertising
Experience
Shortterm Contractor Fiberlink   2012 - 2012
Merck  August 2010 - January 2011
Pfizer  October 2009 - December 2009
Wyeth  January 2007 - October 2009
Wyeth  July 1998 - January 2007
Wyeth  October 1995 - July 1998
Vector Marketing  December 1994 - January 1995
Keystone Mercy Health Plan   June 1994 - August 1994
NFM Welding Engineers  November 1986 - May 1989

Skills
Managed Care, Strategic Planning, Market Research, Market Analysis, Analytics, Leadership, Management, Marketing, Pharmaceutical Sales

Education
Temple University - Fox School of Business and Management   1991 — 1995
BBA, General/STrategic Management

Anil Thakur Anil Thakur Greater New York City Area Details
Anil Thakur's Keystone Mercy Health Plan Experience May 2009 - November 2009
Job Sybase Support Technical Lead at Fidessa
Industry Information Technology and Services
Experience
Fidessa  January 2010 - Present
Keystone Mercy Health Plan   May 2009 - November 2009
Capgemini Financial Services, Inc   September 2006 - April 2009
Bank of America  May 1997 - September 2006

Skills
C++, Software Development, Data Warehousing, Performance Tuning, Databases, Shell Scripting, Unix Shell Scripting, Enterprise Software, SDLC, Governance, Solaris, Sybase, Data Center

Education
University of Pune   1977 — 1980
Bachelor of Applied Science (BASc), Advanced Electronics

St. Vincents   1969 — 1975

Elaine Markezin Elaine Markezin Greater Philadelphia Area Details
Elaine Markezin's Keystone Mercy Health Plan Experience 2000 - 2005
Job Strategic planning, project management and execution, executive coaching in the health care and not for profit sector
Industry Management Consulting
Experience
Self -Employed  2015 - Present
Health Partners Plans  October 2009 - July 2015
Self-employed  January 2008 - September 2009
Family Planning Council  2005 - 2008
Keystone Mercy Health Plan   2000 - 2005
Keystone Mercy Health Plan   2000 - 2005

Education
University of Pennsylvania - The Wharton School

Wellesley College
Bachelor’s Degree

Johnny Sour Johnny Sour Greater Philadelphia Area Details
Johnny Sour's Keystone Mercy Health Plan Experience August 2003 - July 2005
Job Senior Accountant at ACE USA
Industry Insurance
Experience
ACE USA  July 2005 - Present
Keystone Mercy Health Plan   August 2003 - July 2005

Education
University of Phoenix   2007 — 2009
MBA, Master of Business Administration

Temple University - Fox School of Business and Management
BBA, Finance, and Risk Management & Insurance

Vic Tanna Vic Tanna Greater New York City Area Details
Vic Tanna's Keystone Mercy Health Plan Experience 2003 - 2003
Job Computer Software Consultant and Contractor
Industry Computer Software
Experience
IISL   2004 - 2008
Keystone Mercy Health Plan   2003 - 2003

Skills
Integration, Cloud Computing, Databases, System Administration, Management, Software Development, Leadership, SaaS, Enterprise Software, Solution Selling, Enterprise Architecture

Education
University of Missouri-Rolla   1965 — 1967

Patsy Koning Patsy Koning Greater Philadelphia Area Details
Patsy Koning's Keystone Mercy Health Plan Experience 1998 - 2004
Job Affiliate Coordinator at NAMI PA, Main Line
Industry Mental Health Care
Experience
NAMI PA, Main Line   July 2005 - Present
AmeriHealth/Keystone Mercy Health Plan   July 1995 - December 2005
Keystone Mercy Health Plan   1998 - 2004
Philadelphia Health Plan/John Hancock Health Plan/Greater Atlantic Health Plan   1985 - 1990

Education
Temple University

Rashed Burton Rashed Burton Greater Philadelphia Area Details
Rashed Burton's Keystone Mercy Health Plan Experience June 2009 - April 2011
Job Sr. Business Systems Analyst at AmeriHealth Caritas Partnership
Industry Financial Services
Experience
AmeriHealth Caritas Partnership  January 2013 - Present
PNC Wealth Management  April 2011 - January 2013
Keystone Mercy Health Plan   June 2009 - April 2011
PHH Mortgage  2004 - 2008

Skills
Visio, Business Analysis, Requirements Gathering, Business Requirements, Process Improvement, SDLC, Software Documentation

Education
The College of New Jersey   1998 — 2003
BS, Economics

Dea Belazi Dea Belazi Greater Philadelphia Area Details
Dea Belazi's Keystone Mercy Health Plan Experience July 2002 - October 2005
Job Founder at AscellaHealth LLC
Industry Pharmaceuticals
Experience
AscellaHealth LLC   January 2013 - Present
AlchemiPharma   January 2007 - Present
Crowdhealth   September 2007 - Present
Eli Lilly and Company  2002 - Present
Towers Watson  2008 - Present
Source Healthcare Analytics  July 2011 - February 2013
Wolters Kluwer Health  April 2008 - July 2011
GSK  2007 - 2008
Independence Blue Cross  October 2005 - November 2006
Keystone Mercy Health Plan   July 2002 - October 2005

Skills
Managed Care, Healthcare, Clinical, Pharmaceuticals, Strategic Planning, Clinical Research, Pharmaceutical Industry, Health Economics, Healthcare Information..., Pharmacy, Diabetes, Oncology, Biotechnology, Pharmaceutics, Healthcare Consulting, Pharmacy Benefit..., Pharmaceutical Sales, Medicaid, Strategy, Healthcare Industry, Market Access, Leadership, Informatics, Business Development, Market Research, Health Policy, Medical Devices, Outcomes Research, Clinical Trials, Disease Management, Cardiology, Infectious Diseases, Sales Effectiveness, Product Launch, Medical Writing, Pharmacoeconomics, Clinical Development, Competitive Intelligence, Lifesciences, Neurology, Biopharmaceuticals, Commercialization

Education
The Johns Hopkins University   2002 — 2004
MPH, Public Health

University of Rhode Island   1995 — 2001
PharmD, Pharmacy

SKHS   1991 — 1995
High School Diploma

Paul Staudenmeier Paul Staudenmeier Greater Philadelphia Area Details
Paul Staudenmeier's Keystone Mercy Health Plan Experience September 2008 - August 2014
Job Vice President, Contracting and Reimbursement at Independence Blue Cross
Industry Insurance
Experience
Independence Blue Cross  August 2014 - Present
Keystone Mercy Health Plan   September 2008 - August 2014
Bravo Health  2006 - 2008
Aetna International  1998 - 2000
Aetna US Healthcare  1996 - 1998
US Healthcare  1989 - 1996

Skills
Medicare, Managed Care, Medicaid, Healthcare, Network Development, Provider Relations, Health Insurance, Healthcare Information..., SDLC, Hospitals, Insurance, Revenue Cycle, Healthcare Management, EMR, Healthcare Industry, Employee Benefits, Disease Management, EHR, Pharmacy Benefit..., Healthcare Consulting, Physicians, Utilization Management, HIPAA, Health Policy, Informatics, HMO, Medicare Part D, Claim, Home Care, PPO, Quality Improvement, Practice Management, Epic Systems, Credentialing, Process Improvement, Performance Improvement, Revenue Cycle Management

Education
University of Pittsburgh - Joseph M. Katz Graduate School of Business   1986 — 1987
Master of Business Administration (M.B.A.), Finance and Health Administration

University of Pittsburgh   1982 — 1986
Bachelor of Science (BS), Health Information Management

Gloria Darby Gloria Darby Greater Philadelphia Area Details
Gloria Darby's Keystone Mercy Health Plan Experience October 2007 - May 2011
Job Senior Consultant at CSG Government Solutions
Industry Insurance
Experience
CSG Government Solutions  September 2012 - Present
Coventry Health Care  May 2011 - August 2012
Keystone Mercy Health Plan   October 2007 - May 2011
Health Partners  September 1997 - October 2007
Prudential Insurance Company  November 1989 - August 1997

Skills
Healthcare, Process Improvement, HIPAA, Project Management, Change Management, Software Documentation, Requirements Analysis, Medicare, Team Leadership, Strategic Planning, Access, Medicaid Managed Care, Health Insurance..., Analysis, Healthcare Information..., Medicaid, Management, Visio, Leadership, Healthcare Management, SDLC, Business Analysis, Managed Care, Healthcare Consulting, Data Analysis, Requirements Gathering, Quality Assurance

Education
University of Phoenix   2012 — 2014
Masters degree (pursuing), Health/Health Care Administration/Management

Peirce College   2005 — 2007
BS, Management

Nick Sweet Nick Sweet Greater Philadelphia Area Details
Nick Sweet's Keystone Mercy Health Plan Experience 1990 - 1999
Job Director of Technology at PCS Technologies Inc
Industry Computer Software
Experience
PCS Technologies Inc   July 2002 - Present
Keystone Mercy Health Plan   1990 - 1999

Education
Temple University   1986 — 1990
BS, Computer Science

Helen Apostolico Helen Apostolico Greater Philadelphia Area Details
Helen Apostolico's Keystone Mercy Health Plan Experience 1995 - 1998
Job Principal and CFO
Industry Civil Engineering
Experience
Landmark Science & Engineering  July 2011 - Present
AJA Electrical Service Inc.   2006 - 2011
A.I. duPont Hospital for Children   1998 - 2006
Keystone Mercy Health Plan   1995 - 1998

Skills
Financial Analysis, Strategic Financial..., Financial Reporting, Process Improvement, Healthcare, Leadership, Auditing, Construction, Entrepreneurship, Accounting, Internal Controls, Business Development, Strategic Planning, Budgets, Financial Modeling, Residential Homes

Education
University of Delaware   1983 — 1987
BS, Consumer Economics

Widener University
MS, Accounting

Taryn Robinson Taryn Robinson Greater Philadelphia Area Details
Taryn Robinson's Keystone Mercy Health Plan Experience June 2011 - Present
Job Communications Coordinator at Keystone Mercy Health Plan
Industry Public Relations and Communications
Experience
Keystone Mercy Health Plan   June 2011 - Present
Keystone Mercy Health Plan   May 2009 - June 2011
Strategies for Well-Being   2008 - 2008
Edelman  2007 - 2007
Centers for Disease Control and Prevention  2005 - 2005
American Red Cross  2003 - 2003
University of Pittsburgh  2003 - 2003
University of Pittsburgh  2003 - 2003

Education
University of Pittsburgh   2000 — 2004
B.A., Communication

Mark Vinciguerra Mark Vinciguerra Greater Philadelphia Area Details
Mark Vinciguerra's Keystone Mercy Health Plan Experience 2003 - 2003
Job Assistant Pharmacy Manager, Nursing Facility Relations at Willits Pharmacy Services
Industry Pharmaceuticals
Experience
Willits Pharmacy Services   October 2003 - Present
Regal Pharmacy, Inc.   November 1998 - October 2003
Keystone Mercy Health Plan   2003 - 2003

Skills
Pharmacists, Pharmacy, Compounding, Pharmacy Automation, Medication Therapy..., Healthcare, Business Management, Quality Assurance, Staff Training, Client Relations, Pharmacy Benefit..., Pharmacy Practice, Third Party Billing, NICE Call Recording

Education
Temple University   1989 — 1995
BA, Criminal Justice

Temple University

Heather Ramos Heather Ramos Greater Philadelphia Area Details
Heather Ramos's Keystone Mercy Health Plan Experience February 2005 - Present
Job Compensation Director
Industry Hospital & Health Care
Experience
Keystone Mercy Health Plan   February 2005 - Present
CIGNA  2003 - 2005

Education
Temple University - Fox School of Business and Management   1994 — 1998
Bachelor's, Human Resources

Theresa Stermel Theresa Stermel Greater Philadelphia Area Details
Theresa Stermel's Keystone Mercy Health Plan Experience June 1998 - March 2001
Job Billing/Collecton Manager at Respiratory Therapy Associates
Industry Health, Wellness and Fitness
Experience
Respiratory Therapy Associates   December 2003 - Present
Keystone Mercy Health Plan   June 1998 - March 2001

Skills
Healthcare, Compliance, Documentation, Supervisory Skills, Team Building, Customer Service

Education
Temple University   1998 — 2001
Business Administration

Viswanath Chitra Viswanath Chitra Greater Chicago Area Details
Viswanath Chitra's Keystone Mercy Health Plan Experience May 2006 - February 2007
Job Consultant Trexin Consulting
Industry Information Technology and Services
Experience
HCSC via Trexin   December 2012 - Present
Northern Trust  August 2011 - December 2012
Walt Disney World  May 2010 - April 2012
Fincor/Promutual   March 2009 - February 2011
Gordon Food Service  March 2008 - March 2009
Metavante  January 2007 - March 2008
Keystone Mercy Health Plan   May 2006 - February 2007

Skills
ETL, Data Warehousing, Business Intelligence, SSIS, Oracle, Teradata, Datastage, Microsoft SQL Server, Business Objects, SQL, Performance Tuning, Unix, Netezza, Data Modeling, SDLC, PL/SQL, Requirements Analysis, SSRS, Master Data Management, Databases

Education
University of Madras
Bachelor of Engineering

Deborah Marino Deborah Marino Greater Philadelphia Area Details
Deborah Marino's Keystone Mercy Health Plan Experience October 2006 - October 2012
Job Regional Manager, Corporate Clinical Systems Trainers and Admins at AmeriHealth Caritas
Industry Hospital & Health Care
Experience
AmeriHealth Caritas  October 2012 - Present
Keystone Mercy Health Plan   October 2006 - October 2012
BlueCross BlueShield of Delaware   August 2002 - October 2006

Education
University of Phoenix   2004 — 2009
Bachelor of Health Care Services, Health/Health Care Administration/Management

Nursing School of Wilmington   1980 — 1982
Diploma, Registered Nursing/Registered Nurse

Trina Brookens Trina Brookens Greater Philadelphia Area Details
Trina Brookens's Keystone Mercy Health Plan Experience August 2005 - September 2008
Job Executive Assistant at Temple University
Industry Higher Education
Experience
Temple University  September 2008 - Present
Keystone Mercy Health Plan   August 2005 - September 2008
Loews Philadelphia Hotel  2000 - 2005

Education
Dobbins
Business Administration and Management, General

Temple University

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