MCMC LLC
Industry: Company
DescriptionFounded: 1992 Subsidiaries: CareSys, Inc., Injury Management Resources, Inc., Parent organization: York Risk Services Group, Inc.
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MCMC LLC Employees
MCMC LLC December 2013 - Present
tsaADVET July 1999 - December 2013
Skills
Software Development, Software Design, VB.NET, Microsoft SQL Server, T-SQL, XML, Visual Studio, ASP.NET, Visual Basic, SQL, Databases, Visual Basic 5.0/6.0, Notepad++, InstallShield..., C++ Language, Oracle, JavaScript, Java, Programming, C++, Healthcare, Windows
Education
Penn State University 1993 — 1998
Bachelors of Science, Astronomy and Astrophysics
MCMC LLC March 2014 - Present
Beth Israel Deaconess Medical Center September 2013 - Present
New England Baptist Hospital and Beth Israel Deaconess Medical Center March 2005 - Present
Skills
Healthcare, Hospitals, Healthcare Management, Medical Devices, EMR, Patient Safety, Healthcare Information..., Quality Improvement, Clinical Research, Peer Reviews, Medicine, Acute Care, Leadership
Education
State University of New York Downstate Medical Center College of Medicine 1991 — 1995
Doctor of Medicine (M.D.)
James Madison University 1984 — 1988
Bachelor of Science (B.Sc.), Public Health
Executive Health Resources November 2011 - Present
Northeastern University 2010 - 2011
Faulkner Hospital 2002 - 2006
Dedham Medical Associates 2002 - 2006
MCMC LLC 2004 - 2005
Beth Israel Deaconess Medical Center 1999 - 2002
Beth Israel Deaconess Medical Center 1994 - 1999
Skills
Board Certified, Medical Education, Hospitals, Healthcare Management, Healthcare, EMR, Laparoscopic Surgery, General Surgery, Medicare/Medicaid..., Managed Care, Public Health
Education
Tufts University School of Medicine 1990 — 1994
Doctor of Medicine (MD)
Tufts University 1986 — 1990
Bachelor of Science (BS), Biopsychology
MCMC LLC May 2014 - Present
Speranza Consulting February 2011 - March 2015
National Risk Assessment June 2007 - June 2011
Progressive Corporation March 1999 - May 2007
United Healthcare September 1997 - February 1999
Skills
Insurance, Account Management, Health Insurance, Claim, Claims Management, Smarty, New Business Development, Personal Injury, Professional Liability, Property, Sales Management, Property & Casualty..., Marketing, Management, Customer Service, Sales, Team Building, Strategic Planning
Education
Hudson Valley Community College 1986 — 1988
Burnt Hills Ballston Lake 1982 — 1986
MCMC LLC August 2013 - February 2015
National Risk Assessment April 2012 - April 2013
National Risk Assessment April 2008 - April 2012
GEICO February 1999 - April 2008
General Manager/Assistant Manager in various chains and privately owned restaurants August 1981 - November 1999
US Army - Military Police and Virginia State Regional Correctional Officer - Prince William County 1983 - 1995
Skills
Microsoft Excel, Microsoft Word, Training, Coaching, Outlook, Microsoft Office, PowerPoint, Mac OS, Management, Leadership, Quality Assurance, Healthcare, Program Management, Strategic Planning, Team Building, Team Leadership, Insurance, Customer Service, Public Speaking
Education
Old Dominion University 1989 — 1992
Bachelor of Science (BS), Criminal Justice - Minor in Law
Presbyterian Healthcare Services December 2014 - Present
Altura Home Healthcare and Rehabilitation September 2013 - Present
MCMC, LLC June 2010 - Present
Heritage Home Healthcare & Hospice November 2012 - September 2013
Shorman Solutions January 1999 - June 2010
Health Midwest in Kansas City, MO June 1994 - December 1997
Professional Rehabilitation Services 1994 - 1996
Intracorp 1987 - 1992
The Rehabilitation Institute of Kansas City November 1976 - January 1987
Skills
Medical Case Management, Occupational Therapy, Ergonomics, Clinical Supervision, Supervising, Independent Thinking, independent contractor, Job Analysis, health and wellness, Humorist, avid reader, Certified Case Manager, Marketing, Customer Service, Case Managment, Insurance, Case Management, Disability Management, Hospitals, Orthopedic, Healthcare, Training, Nursing, Workers Compensation, Clinical Research
Education
University of Central Arkansas 1974 — 1976
Bachelor Of Science, Occupational Therapy/Therapist
University of Central Arkansas 1974 — 1976
Bachelor of Science in Occupational Therapy, Medical Clinical Sciences/Graduate Medical Studies
Mt. Saint Mary's Academy 1968 — 1971
High Scool Diploma, Fine/Studio Arts, General
MINORS COLFAX MEDICAL CENTER May 2014 - Present
MCMC LLC May 2013 - May 2014
MCMC LLC June 2007 - August 2010
Skills
Healthcare, Hospitals, Healthcare Management, Nursing, Patient Safety, Medical Terminology, BLS, EMR, Clinical Research, HIPAA, Healthcare Information..., Home Care
Education
Trinidad State Junior College
NURSING, Registered Nursing/Registered Nurse
University of Phoenix
Associate of Arts (AA), Health/Health Care Administration/Management
Capital Medical Center September 2014 - Present
Vista Oncology October 2013 - September 2014
MCMC llc July 2013 - September 2013
MCMC February 2012 - January 2013
MCMC October 2011 - February 2012
Home Health VNA May 2010 - September 2011
Brigham and Women's Hospital January 2011 - May 2011
Skills
Home Care, Peer Reviews, Quality Patient Care, Manage Client..., Team Leadership, Spanish, ACLS, Oncology Nursing, Chemotherapy..., ONS...
Education
University of Massachusetts, Amherst 2007 — 2011
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
MCMC LLC June 2015 - Present
Sedgwick November 2014 - Present
CNA Insurance August 2010 - November 2014
Liberty Mutual Insurance September 1994 - August 2010
Skills
Call Centers, Claim, Insurance, Leadership, Liability, Property & Casualty..., Training, Underwriting, Risk Management, Legal Liability, Health Insurance, General Insurance, Employee Benefits, Commercial Insurance, Claims Management, Casualty, Workers Compensation, Casualty Insurance
Education
DeVry University 2000 — 2004
Bachelor of Applied Science (B.A.Sc.), Technical Management
Mount Auburn Hospital September 2012 - Present
Atrius Healthcare August 2012 - Present
MCMC llc May 2010 - Present
Granite Medical Group December 2011 - August 2012
Children's Hospital Boston August 2008 - May 2010
MetroWest Medical Center September 2004 - January 2009
Skills
Pediatrics, Quality Assurance, Emergency Room, Healthcare, Nursing, Patient Safety, Quality Improvement, Hospitals, Healthcare Management, ACLS, Emergency Medicine, Critical Care, Acute Care, EMR, Post Anesthesia Care, Meditech, EHR, HIPAA, IV, Medical Terminology, Medication..., Epic Systems, Emergency Nursing, EKG, PALS, Cpr Certified, BLS, Clinical Research, Medical/Surgical, Healthcare Consulting, Healthcare Information..., ICU, Patient Advocacy, Nursing Education, Medicine, Utilization Management, Telemetry, Inpatient, CPR Certified, Managed Care, Medical-Surgical
Education
Loyola University Chicago School of Law 2009 — 2011
Master's Jurisprudence, Health Law
Curry College 2007 — 2009
BSN, Nursing
Excelsior College 2002 — 2004
Associates, nursing
Massachusetts Bay Community College 1992 — 1993
certificate, LPN
Lexington Christian Academy 1982 — 1986
Diploma, College prepatory
Keevily Spero Whitelaw, Inc. August 2013 - Present
Mary Kay Inc. November 2011 - Present
MCMC, LLC December 2008 - April 2013
UnitedHealthcare September 2005 - December 2008
Anthem Blue Cross and Blue Shield June 2004 - September 2005
Turner Construction Company June 2000 - September 2002
Skills
Nursing, Healthcare, Inpatient, Healthcare Management, Acute Care, Hospitals, ACLS, Managed Care, Telemetry, Patient Safety, EMR, Medicare
Education
Berkeley College
Associate, Business Administration
Albertus Magnus
Bachelor's, Business Management
CompPartners, Inc. 2013 - Present
College of Engineering & Computer Science, Florida Atlantic 2013 - Present
2nd.MD 2013 - Present
MCMC LLC 2012 - Present
University of Miami, Miller School of Medicine July 2008 - Present
Skills
Clinical Research, Medicine, Neurology, Sleep Medicine, Medical Education, Board Certified, Sleep Disorders, Healthcare, Internal Medicine, Surgery, Hospitals, Critical Care Medicine, Neuroscience, Sleep Apnea, Pediatrics, Critical Care, Insomnia, Sleep Deprivation, Treatment, ICU, Pain Management, Anesthesiology, Family Medicine, Physicians, Neurological Disorders, Medico-legal, Patient Education, Cosmetic Dentistry, TMJ dysfunction, Oral Surgery, Obstructive Sleep Apnea, Narcolpesy, Public Health, EEG, Health Education, Prevention, BLS, Clinical Trials, Medical Research, Epidemiology, Evidence-based Medicine, Research, Healthcare Consulting, Intraoperative..., Science, Inpatient, Teaching, EHR, Community Health, EMR
Education
University of Miami Leonard M. Miller School of Medicine 2009 — 2012
Master's degree, Epidemiology and Public Health
UCC school of Medicine 1999 — 2003
Doctor of Medicine (MD), Medicine, Cum Laude
Universidad Central del Caribe 1999 — 2003
Doctor of Medicine (M.D.), Medicine
Universidad Central del Caribe School of Medicine 1999 — 2003
Doctor of Medicine (MD), Medicine
University of Puerto Rico-Rio Piedras 1993 — 1999
Bachelor's degree, Natural Sciences
Healthcare Solutions January 2014 - Present
ProCare Transportation and Language Services January 2013 - January 2014
Express Scripts June 2008 - January 2013
Medical Services Company (MSC) January 2008 - June 2008
MCMC, LLC October 2006 - December 2007
Merit Medical Review Services January 2005 - October 2006
Concentra 2001 - 2003
Skills
Workers Compensation, Medicare, PBM, Cost Containment, Health Insurance, Sales Management, Healthcare Management, Team Building, Contract Negotiation, Process Improvement, Utilization Management, Healthcare Industry, Cold Calling, Customer Service, Sales Operations, Cost Accounting, Marketing, Pharmacy Benefit..., Forecasting, Managed Care, Insurance, Negotiation, Liability, Risk Management, Direct Sales, Leadership, Medical Devices, Medical Billing, CRM, Business Development, Salesforce.com, Provider Relations, Selling, PPO, Sales, Relationship Building
Education
University of Florida 1984 — 1989
BS, Exercise Physiology
MCMC LLC April 2014 - Present
Alpha Staffing July 2013 - April 2014
Brigham and Women's Hospital May 2002 - July 2013
Brigham and Women's Hospital April 2000 - May 2002
Boston VA Medical Center 1996 - April 2000
United States Army Reserve 1992 - 2000
John Scott Nursing and Rehabilitation Center 1995 - 1996
Skills
Hospitals, Critical Care, Healthcare Management, Healthcare Information..., Healthcare improvement, Nursing Management, Critical Thinking, Clinical Research, Nursing, Healthcare, Treatment, ICU, Healthcare Consulting, Medicine, Surgery, IV, Medical/Surgical, Medication..., Medicare, Neurology, Emergency Room, Acute Care, EMR, HIPAA, Medical-Surgical, Nursing Care, Registered Nurses
Education
Quincy College
Associate's degree, Science, Nursing
University of Massachusetts Boston
Nursing
New York Allergy and Sinus Centers April 2013 - Present
Meda Respiratory Products Advisory Board August 2015 - Present
Imedecs June 2015 - Present
MES Solutions February 2014 - Present
MCMC LLC July 2013 - Present
Lincoln Medical and Mental Health April 2013 - July 2015
Volunteer Physician July 2011 - December 2012
Allergy Care of Manahattan January 2011 - July 2011
Long Island College Hospital July 2010 - July 2011
ENT Faculty Practice July 2010 - July 2011
Skills
Pediatrics, Internal Medicine, Medical Education, Healthcare, Public Health, Healthcare Management, Hospitals, Emergency Medicine, Medicine, Clinical Research, Critical Care, Board Certified, Global Health, Surgery, ICU, Family Medicine, EMR, Health Education, ACLS, Treatment, Patient Safety, PALS, Inpatient, Epidemiology, Nursing, Healthcare Information...
Education
State University of New York Downstate Medical Center College of Medicine 2009 — 2010
Fellowship in Allergy and Immunology
Long Island College Hospital 2008 — 2009
Rush Medical College of Rush University Medical Center 2004 — 2008
Residency, Internal Medicine & Pediatrics
Michigan State University College of Human Medicine 2000 — 2004
MD, Medicine
University of Michigan 1996 — 2000
BS, Biopsychology and Religion
MCMC LLC April 2014 - Present
TechHealth September 2012 - November 2013
Flemings 2002 - 2005
Skills
Salesforce.com, Cold Calling, Account Management, Sales Presentations, Sales, Direct Sales, Sales Operations, Selling, Building Relationships, Customer Retention, CRM, Applicant Tracking..., Marketing, Healthcare, Sales Management, Customer Satisfaction, Strategic Partnerships, New Business Development, Customer Service, Business Development, Leadership, Team Building, Networking, Contract Negotiation, Recruiting
Education
University of South Florida 2002 — 2008
Bachelor of Science (BS), Creative Writing
Land O'Lakes High 1998 — 2002
Diploma, N/A
Syrinx Consulting Corporation September 2013 - Present
Supporting Strategies May 2012 - September 2013
MCMC LLC January 2004 - April 2012
Beantown Sports October 1999 - January 2004
Skills
Microsoft Excel, Microsoft Word, QuickBooks, Great Plains Software, FRx, ADP Payroll, PowerPoint, Accounts Payable, Accounts Receivable, Payroll, Financial Reporting, Bank Reconciliation, Budgets, Forecasting, Financial Audits, Collections, Client Billing, Month End Close, 1099 Preparation, Credit Card Transaction..., Balance Sheet Review, P&L Analysis, Fixed Asset Management, Depreciation, Accruals, Account Reconciliation, Revenue Analysis, Revenue Recognition, Supervisory Experience, Expense Allocation, Expense Reports, Pivot Tables
Education
Boston University 1997 — 2001
BA, Urban Studies
Mount Saint Joseph Academy 1993 — 1997
Highschool Diploma
Surgical Specialties Corp. July 2015 - Present
Boston Mutual Life Insurance March 2015 - July 2015
Clean Harbors September 2010 - March 2015
Home November 2008 - September 2010
MCMC LLC March 2008 - November 2008
Littelfuse/ Cole Hersee Co. January 2005 - March 2008
MOL Romania October 2003 - November 2004
Eurosignal Romania September 2000 - September 2003
Skills
Accounting, Accounts Payable, Accounts Receivable, Account Reconciliation, Microsoft Excel, Outlook, Financial Analysis, Microsoft Office, Microsoft Word, Invoicing, PowerPoint, Office Administration, Bank Reconciliation, Bookkeeping, PeopleSoft, Microsoft Dynamics GP, AS400 Administration, General Ledger
Education
Babeș-Bolyai University 1996 — 2000
Bachelor of Business Administration (BBA), Business Administration and Management
MCMC LLC October 2013 - Present
Grand Circle Corporation January 2011 - August 2012
Grand Circle Travel January 2010 - January 2011
Evergreen Investments September 2007 - November 2009
Evergreen Investments September 2007 - November 2009
Outback Steakhouse February 2003 - March 2009
PIlgrim Area Collaborative September 2004 - September 2007
Skills
Purchasing, Analysis, Management, Customer Service, Event Planning, Leadership, Microsoft Excel, Microsoft Office, Microsoft Word, Outlook, PowerPoint, Time Management, Customer Satisfaction, Event Management, Public Speaking
Education
Quincy college 2012 — 2013
Health care admin, Health/Health Care Administration/Management
Massasoit Community College 2000 — 2003
Associate's degree, Liberal Arts and Sciences, General Studies and Humanities
Silver Lake Regional High School
High School Diploma
Borough Of Leonia January 2015 - Present
American Board of Podiatric Medicine August 2014 - Present
NJ Office of the Attorney General, Division of Consumer Affairs,State Board of Medical Examiners December 2013 - Present
New York College of Podiatric Medicine November 2013 - Present
American Podiatric Medical Association (APMA) 1997 - Present
American Podiatric Medical Writers Association January 1992 - Present
American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP) January 1987 - Present
Podiatry Management Magazine September 1997 - Present
American Board of Podiatric Medicine August 2012 - July 2013
MCMC llc February 2005 - April 2013
Skills
Podiatric Medicine, Wound Care, Sports Medicine, Diabetic Foot Care, Podiatry, Foot Surgery, Ankle, Heel Pain, Surgery, Sports Injuries, Medicine, Medical Education, CME, Pediatrics, Healthcare, Diabetes, Orthopedic, Hospitals, Healthcare Management, Clinical Research, Treatment, Pain Management, Health Education, Prevention, Rehabilitation, EMR, Biomechanics, Board Certified, Medical Devices, Clinics, Healthcare Information..., Physicians, Public Health, Patient Education, Emergency Medicine, Patient Safety, Medical Terminology, Inpatient, Policy, Medical Research, EHR, Cpr Certified, Health Policy, HIPAA, Managed Care, Neurology, Leadership, Physical Therapy, Hardware Diagnostics, Home Care
Education
New York College of Podiatric Medicine 1968 — 1972
DPM ,Cum laude, Podiatric Medicine/Podiatry
St John Fisher College 1964 — 1968
Bachelor's degree, Biology/Biological Sciences
MCMC LLC October 2013 - Present
Integrated Care Management March 2012 - September 2013
Coventry WC Services August 2009 - March 2012
Occupational Health Systems June 2006 - August 2009
Skills
Field Case Management, Vocational..., Liability Nurse Reviews, Account Management, Sales, Personal Training, Peer Reviews, Independent Medical..., Evaluations, Insurance, Claims Management, Case Managment, Workers Compensation, Claim, Health Insurance, Healthcare, HIPAA, Training, Managed Care, Cold Calling, Case Management, Team Building, Sales Operations
Education
Jackson State University 2000 — 2002
Associate of Science (A.S.), Computer Engineering
Houston Community College 1999 — 2000
MCMC LLC 2013 - 2015
Filterfresh Coffee Service Inc. 2000 - 2012
The Flatley Company 1996 - 2000
Quincy Savings Bank 1988 - 1995
Education
Suffolk University 1984 — 1988
BSBA, Accounting
TheraCom February 2011 - Present
MCMC llc October 2008 - October 2010
CareFirst BlueCross BlueShield October 2007 - October 2008
Education
Montgomery College 2004 — 2006
General, Health Services Administration
Paint Branch HS 2000 — 2004
High School Diploma, General
MCMC LLC July 2014 - Present
Align Networks November 2012 - July 2014
Universal SmartComp March 2012 - November 2012
Universal SmartComp April 2010 - March 2012
Universal SmartComp March 2009 - April 2010
Skills
Workers Compensation, Account Management, Insurance, Customer Service, Microsoft Excel, Microsoft Office, PowerPoint, Process Improvement, Claim, Claims Management, Healthcare, Managed Care, Property, Strategic Planning
Education
California University of Pennsylvania 2008 — 2009
Masters, Business Administration
MCMC LLC May 2008 - Present
UnitedHealthcare February 2006 - September 2009
Oxford Health Plans January 2005 - February 2006
Oxford Health Plans August 2003 - January 2005
Oxford Health Plans November 2000 - August 2003
Skills
Healthcare, Insurance, Medical Terminology, Medical Coding, Medicare, Software Documentation
Education
Ashford University 2009 — 2012
BA, Psychology
Bridgeport Hospital School of Nursing 2008 — 2008
Administration, Medicine
Housatonic Community College 2004 — 2007
A.S, General Studies/ Psychology
Butler Business School 1999 — 2000
M.A, Medical / Secretarial Office Assistant
Bullard-Havens Technical High School
Harding High School
Commonwealth of Massachusetts November 2013 - Present
NVNA and Hospice January 2011 - November 2013
Gentiva Health Services March 2009 - January 2011
New England Nurses & NEHHS July 2007 - May 2009
Gentiva Health Services February 2008 - March 2009
Spaulding Rehabilitation Hospital January 2007 - February 2008
MCMC LLC June 2005 - February 2008
Skills
Multitasker, Community Outreach, Home Care, Wound Care, Wound Healing, Elder Care, Team Leadership, Teamwork, Motivational..., Team Motivator, Health Education, Attention To Detail, Compliance, Compassion, Case Management, Case Managment, Nursing, Healthcare, Hospitals, Pediatrics, Clinical Research, Medicare, Acute Care, Disease Management, Utilization Management, Healthcare Management, Medical Records, Medical/Surgical, Critical Care, Nursing Education, IV, Patient Advocacy, Cpr Certified, Medicaid, BLS, Registered Nurses, Patient Education, ACLS, Managed Care, Home Health Agencies, Inpatient, Patient Safety, Medication..., Telemetry, Home Infusion, Medicine, Quality Improvement, Physician Relations, Palliative Care, Geriatric Nursing
Education
UMass Boston 2015 — 2017
Master’s Degree, Public Administration
UMass Boston 2003 — 2006
Bachelor’s Degree, Registered Nursing/Registered Nurse
MCMC May 2012 - Present
MCMC LLC July 2011 - May 2012
MCMC LLC July 2009 - July 2011
Leerink Swann July 2008 - June 2009
Boston University June 2007 - May 2009
Boston University November 2006 - May 2009
Northeast Quadrant Consulting March 2008 - May 2008
Boston University May 2007 - December 2007
Skills
Word, Excel, Microsoft Office, PowerPoint, Writing, Microsoft Excel, Healthcare, Leadership, Microsoft Word, Data Analysis, Human Resources, Process Improvement, Recruiting, Performance Management, Insurance, Interviews, Payroll, Employee Benefits, Management, Training
Education
Boston University 2013 — 2016
Master of Business Administration (MBA), Leadership and Organizational Transformation
Boston University 2005 — 2009
BA, Psychology, Pre-Law
The Park School of Buffalo 2001 — 2005
High School Diploma
MCMC LLC June 2015 - Present
Kindred Healthcare May 2005 - June 2015
Skills
BLS, Nursing, Pulmonary Rehabilitation, Mechanical Ventilation, Laboratory Skills, Direct Patient Care, ICU, Medical Terminology, Clinical Research, ACLS, Patient Education, Wound Care, Patient Advocacy, EKG, IV, Telemetry, Nursing Care, Treatment, Medicine, Customer Service, Leadership, Strategic Planning
Education
University of Missouri-Kansas City 2009 — 2013
Bachelor of Science (BS), Pre-Medicine/Pre-Medical Studies
Longview Community College 2006 — 2008
Associate's degree, Biological and Biomedical Sciences
Sanford-Brown College 2000 — 2001
Nurse, Licensed Practical/Vocational Nurse Training
Superior Medical Consultants LLC May 2012 - Present
Crowe Paradis Services Corporation June 2011 - May 2012
MCMC, LLC May 2010 - June 2011
Premier Prizm Solutions 2007 - March 2010
Skills
Direct Sales, Compliance, Claims, Medicare, Account Management, Workers Compensation, Customer Relations, Insurance, Customer Service, General Liability, New Business Development, Claim, Liability, Property & Casualty..., Sales, Legal Liability, Commercial Insurance, Employee Benefits, Claims Management, Health Insurance, Professional Liability, Managed Care, Casualty, Disability Insurance, Accident, Brokers, Marketing, Workers' Compensation..., Team Building
Education
Denison University 1989 — 1991
Liberal Arts
Royal Bank of Scotland 2014 - Present
MCMC LLC September 2009 - October 2014
Skills
Active Directory, Servers, Windows Server, Windows 7, Microsoft Office, Project Management, Customer Service, Windows, Team Building, Team Leadership
Education
Norwalk Community College 1996 — 1999
Associate of Science (A.S.), Computer and Information Sciences and Support Services
MCMC LLC February 2014 - Present
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Leadership
Education
Southern New Hampshire University 2014 — 2016
Master's degree, Human Resources Management and Services
Framingham State University 2008 — 2012
Bachelor's degree, Modern Languages
MetroWest Medical Center July 2015 - Present
MCMC LLC April 2014 - Present
Masspro May 2013 - April 2014
HMS April 2011 - May 2013
MCMC May 2006 - April 2011
Unicare April 2002 - April 2006
Inova Health System November 2000 - March 2002
CareFirst BlueCross BlueShield June 1998 - October 2000
Georgetown University Hospital October 1996 - May 1998
Massachusetts General Hospital July 1990 - August 1996
Skills
Utilization Management, HIPAA, Health Insurance, ICD-9, CPT, Healthcare Industry, Medicaid, Medicare, Quality Improvement, Utilization Review, Healthcare, Managed Care, Nursing, Customer Service, Hospitals, Inpatient, Acute Care
Education
Saint Anselm College 1986 — 1990
Bachelor of Science (B.S.), Registered Nursing/Registered Nurse
MCMC LLC July 1999 - Present
Skills
Business Analysis, Healthcare, Data Analysis, Microsoft Excel, Process Improvement, Leadership, Customer Service, HIPAA
Education
Robert Morris University
Bachelor of Science (BS), Management Information Systems, General
MedSource National April 2013 - Present
MCMC LLC November 2003 - April 2012
Country-Wide Independent Medical Exams April 2000 - November 2003
Baseline Medical, Inc. September 1996 - April 2000
Skills
Executive Management, Workers Compensation, Insurance, Entrepreneurship, Strategic Planning, Managed Care, Claims Management, Leadership, Mergers & Acquisitions, Claim, Property & Casualty..., Liability, Medicare, Healthcare, Risk Management, Utilization Management, Legal Liability, Commercial Insurance, Pharmacy Benefit..., Health Insurance, CRM, Sales, Marketing, Employee Benefits, Claim Investigation, Medicaid, Case Managment, Case Management, Claims, Leading People, Management, Casualty Insurance, Customer Service
Education
Hofstra University 1994 — 1998
Bachelor's degree
St. Francis Prep 1990 — 1994
High School
MedSource National November 2014 - Present
MedSource National March 2012 - Present
MCMC LLC 2009 - 2012
Skills
Process Improvement, Operations Management, Team Building, Customer Service, Vendor Management, Peer Reviews, Liability, Claims Investigations, Independent Medical..., Case Management, Workers Compensation, Insurance, Strategic Thinking, Strategic Leadership, Business Strategy, Information Technology, Office Management, System Deployment
Education
OHS
OHS
State University of New York at Albany
MCMC LLC January 2013 - Present
MCMC LLC August 2010 - Present
MCMC llc 2010 - 2012
GENEX Services, Inc. 2005 - 2010
Skills
Healthcare, Microsoft Office, Customer Service, Medicare, Home Care, Case Management, Medicine, Registered Nurses, Management, Hospitals, Nursing Care, Cpr Certified, Insurance, Managed Care, Medicaid, Nursing, Patient Advocacy, Utilization Management, Disease Management, Software Documentation, Acute Care, Healthcare Management, Inpatient, Case Managment
Education
Case Western Reserve University
Bachelor of Arts (B.A.), Spanish Language and Literature
Case Western Reserve University - Frances P. Bolton School of Nursing
Bachelor of Science (B.S.N.), Registered Nursing/Registered Nurse
Case Western Reserve University - Weatherhead School of Management
MBA/MHA, Health Systems Management
MCMC LLC May 2015 - Present
Environmental Health & Safety Department January 2015 - May 2015
University of Massachusetts Amherst September 2012 - April 2015
State Street November 2014 - January 2015
UMass Dining Services January 2013 - November 2014
State Street June 2014 - August 2014
Dunkin Donuts October 2009 - August 2014
The University Corporation September 2013 - December 2013
Skills
Time Management, Organizational Behavior, Cultural Awareness, Team Building, Team Leadership, Customer Service, Food & Beverage, Social Media, Microsoft Excel, Social Networking, Microsoft Word, PowerPoint, Teamwork, Microsoft Office, Leadership
Education
University of Massachusetts, Amherst 2011 — 2015
Bachelor's Degree, Public Health, Senior
California State University-Northridge 2013 — 2013
Health/Health Care Administration/Management
St. Elizabeth's Medical Center May 2015 - Present
MCMC LLC November 2014 - Present
MCMC LLC September 2012 - Present
Baskent Unversity Hospital February 2012 - May 2012
Tufts Medical Center February 2010 - October 2010
New England Baptist Hospital January 2010 - May 2010
Geiger-Gibson Comunity Health Center September 2009 - December 2009
Cushing House September 2009 - December 2009
Elderly Community Center at Old Colony Progets September 2009 - December 2009
Caritas St. Elizabeth's Medical Center January 2009 - May 2009
Skills
Nursing, Medical-Surgical, Healthcare, Clinical Research, Vital Signs, Pediatrics, Medical/Surgical, Health Education, IV, Medicine, EKG, Direct Patient Care, Orthopedic, Quality Patient Care, Health Promotion, Software Documentation, Elder Care, Internal Medicine, Leadership, Policy, BLS, Hospitals, Patient Safety, Case Management
Education
University of Massachusetts Boston 2006 — 2010
BSN, Nursing
Watertown High School 2001 — 2006
High School Diploma
Dane Street February 2015 - Present
Dane Street November 2014 - February 2015
Dane Street May 2014 - November 2014
MCMC LLC April 2013 - May 2014
MCMC LLC November 2012 - April 2013
Skills
Disability Insurance, Insurance, Management, Recruiting, Health Insurance, Property & Casualty..., Customer Service, Account Management, Liability, Managed Care
Education
Massasoit Community College 2006 — 2008
Business Administration and Management, General
Framingham State University 2005 — 2006
Business Administration and Management, General
Thomson Reuters December 2014 - Present
Thomson Reuters December 2013 - Present
Thomson Reuters July 2012 - December 2013
Forrester Research April 2011 - July 2012
Fresenius Medical Care October 2008 - April 2011
Firstgiving, Inc January 2006 - December 2007
MCMC LLC September 2003 - January 2005
Skills
HRIS, PeopleSoft, Human Resources, Workday, Performance Management, Onboarding, Training, Deferred Compensation, Recruiting, Talent Management, Payroll, Microsoft Office, Change Management, Analysis, Business Process, CRM, Management, Process Improvement
Education
Northeastern University 2000 — 2005
Bachelor of Science (B.S.)
Northeastern University
Northeastern University
Ncontracts August 2015 - Present
Ncontracts April 2015 - Present
HCA Physician Services February 2015 - April 2015
MCMC LLC February 2013 - January 2015
Belk August 2010 - January 2013
Warner Music Group August 2012 - October 2012
Skills
Public Relations, Marketing, Psychology, Sales, Merchandising, Management, Music Publicity, Critical Thinking, Inventory Management, Telephone Skills, Organization Skills, Detail Oriented, Recruiting, Administration
Education
Middle Tennessee State University 2010 — 2012
Bachelor's degree, Public Relations
East Mississippi Community College 2005 — 2007
Associate's degree, General Studies
WordStream August 2015 - Present
Dane Street LLC February 2014 - August 2015
MCMC LLC April 2011 - February 2014
Skills
Management, Workers Compensation, Health Insurance, Account Management, Customer Service, Strategic Planning, Leadership, Managed Care, Insurance
Education
University of New Hampshire 2006 — 2010
Bachelor's Degree
MCMC LLC December 2013 - Present
Talecris Plasma Resources July 2013 - December 2013
The Health Bridge June 2009 - July 2013
West Georgia Health System December 2008 - June 2009
Skills
Nurse Case Management, Registered Nursing, Workers Compensation, Healthcare, Home Care, Medicine, Vital Signs, ACLS, BLS, Nursing, Acute Care, Case Management, Inpatient
Education
Columbus Technical College 2008 — 2010
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Columbia State Community College 2007 — 2008
Business Administration and Management, General
Cigna March 2014 - Present
madcam designs October 2013 - Present
Cenveo January 2014 - April 2014
MCMC LLC 2012 - 2013
MCMC LLC January 2006 - March 2012
MCMC LLC January 2004 - March 2012
MCMC llc (Caresys/Continuum Healthcare) January 2000 - December 2003
MCMC llc (Caresys/Continuum Healthcare) February 1996 - December 1999
Skills
Web Applications, Software Project..., User-centered Design, User Experience Design, Flex, User Interface Design, User Experience, UIX, Web Design, UI/UX, HTML 5, CSS3, Bootstrap, jQuery UI, Flex Developer, Adobe Fireworks, jQuery, CSS, Apache, Scrum
Education
Southern Connecticut State University 1990 — 1994
Computer Science
First Niagara Risk Management March 2015 - Present
CP Consulting July 2014 - March 2015
MCMC LLC November 2013 - July 2014
CP Consulting March 2012 - October 2013
Coventry Health Care October 2009 - February 2012
UH&W 2006 - 2007
MedNY 2004 - 2006
Crawford & Company 1983 - 2004
Skills
Leadership, Executive Management, Sales, Business Development, Marketing, Managed Care, Health & Wellness, Workers Compensation, Disability Insurance, Insurance, Property & Casualty..., Claims Resolution, Microsoft Excel, PowerPoint, Development Of..., Website Development, Coaching, P & L Ownership, Strategic Financial..., Entrepreneurship, Physician Network..., Vocational Case..., Team Building, Professional Liability, Process Improvement, Strategic Planning, New Business Development, Claim, Medicare, Employee Benefits, LWEC, Sales Operations, Operations Management, Health Insurance, Provider Relations, Human Resources, Claims Management, Budgets, Case Managment, Disease Management, Start-ups, Utilization Management, Healthcare Management, Medicaid, Selling, Vendor Management, HIPAA, Healthcare Industry, Long-term Care, Pharmacy Benefit...
Education
State University of New York at Buffalo
Master of Education (M.Ed.), Counseling
Batesville June 2010 - Present
Allegient Systems June 2008 - February 2010
MCMC, llc July 1999 - June 2008
Images of America October 1986 - July 1999
The Wall Street Journal August 1984 - June 1986
Skills
Salesforce.com, Microsoft Excel, Data Analysis, Hyperion Enterprise, Insurance, New Business Development, Strategic Planning, Customer Service, Report Development, Team Building, Account Management, Sales Management, Process Improvement, Marketing Strategy, Sales, Public Speaking, Marketing, Healthcare, Direct Sales, Management, Strategy, Coaching, Training, Customer Retention, Inventory Management, Negotiation, Human Resources, Selling, Forecasting, Sales Operations, Leadership, P&L Management, Team Leadership, Budgets, Sales Presentations, Cold Calling, Merchandising, Business Development, Business Intelligence, CRM, Cross-functional Team..., Business Planning
Education
New York University 1983 — 1984
M.A., Film Production
Saint Mary's College 1979 — 1983
BA, Communications
Fairfax High School 1975 — 1983
MCMC LLC September 2009 - Present
Conco Systems Inc September 2005 - November 2008
Associates in Rehabilitation November 2004 - August 2005
Skills
Active Directory, VMware, Microsoft Exchange, Microsoft Servers, Windows Server, Windows 7, Windows XP Pro, Splunk, Symantec Endpoint..., Symantec Backup, Symantec Antivirus, vSphere, Windows XP, Servers, VMware vSphere
Education
University of Pittsburgh 2005 — 2009
Bachelor of Science (BS), Psychology
Innovative claims Strategies April 2007 - Present
MCMC, LLC 2009 - 2010
Consolidated Services Group March 2002 - April 2007
Skills
Bill Review, Managed Care, Insurance, Healthcare, Claim, Workers Compensation, Claims Management, Health Insurance, Risk Management, Management, Liability, Operations Management, Training, Commercial Insurance, Legal Liability, Account Management, Hospitals, Process Improvement, Employee Benefits, HIPAA, Customer Service, Provider Relations
Education
Mercer County Community College 2003 — 2012
CoPayGo.com March 2015 - Present
MCMC LLC March 2015 - Present
Newton-Wellesley Hospital July 2013 - Present
Jacob L. Freedman MD July 2013 - Present
Jacob L. Freedman MD July 2009 - Present
Nexus Medical Consulting April 2014 - March 2015
NAMI March 2012 - June 2014
Walden Behavioral Care November 2011 - June 2013
Skills
Psychiatry, Medical Writing, Healthcare Consulting, Risk Management, Creative Writing, Psychotherapy
Education
Harvard Medical School 2009 — 2013
Resident in Psychiatry at The Harvard Longwood Psychiatry Residency Training Program
University of Massachusetts Medical School 2005 — 2009
Doctor of Medicine (M.D.)
The College of William & Mary in Virginia 2000 — 2004
Bachelor's degree, Biology, Magna Cum Laude
MCMC, LLC November 2005 - Present
Universal SmartComp January 2004 - October 2005
Litigation Solution, Inc. June 2000 - December 2003
NHR June 1998 - May 2000
Options November 1996 - May 1998
Pittsburgh Opera 1995 - 1996
Skills
Workers Compensation, Insurance, Healthcare, Managed Care, Health Insurance, Claim, Medicare, Claims Management, Property & Casualty..., Legal Liability, Risk Management, Medical Billing, Employee Benefits
Education
Duquesne University 2005 — 2006
MM, Music Theory and Composition
Penn State University 1990 — 1994
B.Mus., Music Composition
Santander Bank, N.A. May 2014 - Present
Santander Bank, N.A. February 2013 - May 2014
Sovereign / Santander October 2011 - February 2013
MES Solutions October 2010 - November 2011
CompPartners Inc April 2005 - August 2010
MCMC LLC February 1996 - April 2005
Skills
Leadership, Management, Training, Business Development, Account Management, Analysis, Sales, Employee Benefits, Sales Management, Budgets, Customer Service, Sales Process, Policy, Business Strategy, Leadership Development, Insurance, Coaching, Executive Management, Banking, Team Leadership
Education
Bryant University 2008 — 2008
Certificate, Project Management
Roger Williams University 2002 — 2006
Bachelor of Science Degree, Double; Social and Health Services
MCMC LLC June 2015 - Present
Veterans Evaluation Services February 2014 - June 2015
self employed 2011 - February 2014
EliteER June 2013 - August 2013
UNIMED DIRECT LLC September 2004 - July 2011
Health Essentials,Inc. 2003 - 2004
MES Solutions 1995 - 2002
Health Tech February 1994 - November 1995
Laura Devenport Consulting 1992 - 1994
RehabCare 1988 - 1992
Skills
Hospitals, Healthcare, Managed Care, Nursing, Medicare, Succession Planning, Strategic Planning, Leadership, Claims Management, Medicaid, Policy, Physicians, Workers Compensation, Insurance, HIPAA, Training, Home Care, Provider Relations, Network Development, Utilization Review, PPO, Claim, Utilization Management, Medical Records, Acute Care, Physician Relations, Disease Management, Medicine, Health Insurance, Healthcare Industry, Medical Billing, Case Managment, Healthcare Management, Healthcare Consulting, Healthcare Information..., Medical Terminology, Medical Case Management, Medical Coding, Revenue Cycle, Workers' Compensation..., Family Medicine, Credentialing, Pharmacy Benefit..., EMR, Claim Investigation, Disability Management, Orthopedic, Long-term Care, Claims Resolution, Rehabilitation
Education
Texas A&M University
BS, Sociology
Texas A&M University
elizabeth kempski
MCMC LLC staff accountantGrant Thornton LLP1989 - 1993
Education
Stonehill College 1985 — 1989
BS, Accounting, Information Systems
MCMC llc 2004 - Present
Continuum Healthcare 1998 - 2004
CareSys 1989 - 1998
HCX 1984 - 1987
George Washington University Medical Center 1981 - 1982
Skills
Managed Care, Workers Compensation, Medicare, Business Analysis, Account Management, Team Building, Insurance, Utilization Management, Claim, Medicaid, Claims Management, Disease Management, Strategy, Health Insurance, Healthcare, Healthcare Industry, Management
Education
The George Washington University 1982 — 1987
Master's Degree, Health Services Administration
Penn State University 1976 — 1980
Bachelor's Degree, Health, Planning and Administration
Highmark May 2015 - Present
MCMC LLC May 2014 - February 2015
Align Networks - Formerly Universal SmartComp February 2008 - March 2014
Universal SmartComp February 2007 - February 2008
Sedgwick CMS November 2004 - February 2007
Skills
Workers Compensation, Claims Management, Managed Care, Claim, Insurance, Customer Service, Account Management, Health Insurance, Healthcare, Leadership, Medicare, Process Improvement, Strategic Planning, Team Building, Property & Casualty..., Management
Education
Edinboro University of Pennsylvania
Bachelor of Science (B.S.), Business Admininstration
Edinboro University of Pennsylvania
Associate of Applied Science, Dental Laboratory Technology/Technician
MCMC, LLC 2011 - Present
Innerscope Research December 2009 - December 2011
Unitrans Worldwide, Inc December 2008 - August 2011
The May Institute May 2007 - December 2008
Aspect Medical Systems (Covidien) February 1999 - May 2007
Physiometrix (Massimo) May 1996 - February 1999
Brigham and Women's Hospital and Harvard Medical School May 1988 - May 1996
Skills
Advertising, Lead Generation, Marketing, Public Relations, Research, Social Media Marketing, Project Management, Clinical Research
Education
Babson College 1994 — 1996
MBA, Marketing
Tufts University School of Medicine 1988 — 1995
Perfusionist, Cardiovascular & Respiratory
University of Evansville 1976 — 1987
BSN, Nursing
Anthem August 2014 - Present
MCMC LLC September 2006 - Present
Catalyst Rx December 2009 - November 2011
UMass Medical School February 2008 - January 2010
Education
University of California, San Francisco 1999 — 2003
PharmD
University of California, Santa Barbara 1994 — 1998
BS, Pharmacology
Rona L Platt, PLLC May 2014 - Present
Hofstra University School of Law 2002 - Present
The Wright Insurance Group, LLC/Wright Risk Management Company, LLC January 2009 - May 2014
Congdon Flaherty O'Callaghan April 2002 - December 2008
MCMC, LLC 2002 - 2006
Chadbourne & Parke LLP September 1997 - February 1999
Congdon, Flaherty, O'Callaghan, Reid, Donlon, Travis & Fishlinger August 1994 - September 1997
Mount Sinai School of Medicine June 1987 - August 1991
Skills
Insurance, Insurance Law, Legal Issues, Litigation Management, Appeals, Civil Litigation, Litigation, Legal Assistance, Legal Writing, Legal Advice, Arbitration, Mediation, Commercial Litigation, Workers Compensation, Legal Research, Due Diligence, Trials, Licensing, Professional Liability, Employment Law, Property & Casualty..., Regulatory Submissions, Mergers & Acquisitions, Management Of Outside..., Outside General Counsel, Errors & Omissions
Education
Maurice A. Deane School of Law at Hofstra University 1991 — 1994
Juris Doctor (J.D.)
Albany Medical College 1985 — 1986
Medicine
Hofstra University 1982 — 1985
BS, Biology
Plainview JFK 1978 — 1982
Iron Mountain November 2012 - Present
Iron Mountain June 2010 - October 2012
EMD Serono July 2009 - May 2010
MCMC LLC November 2005 - February 2009
Burkhart Dental August 2004 - September 2005
Skills
Employee Benefits, Benefits Administration, Data Analysis, Project Management, Vendor Management, Vendor Implementation, Leadership, Human Resources, Recruiting, Training
Education
Boston University - School of Management 2013 — 2015
Certification in Project Management, Project Management
Suffolk University 2007 — 2009
Certification, Human Resources
Harvard Extension School 2008 — 2008
Conflict Resolution in an Organizational Setting
Salve Regina University 2000 — 2004
BS, Marketing
Tufts Health Plan June 2013 - Present
The Catered Affair October 2010 - Present
MCMC llc June 2004 - March 2013
Harvard Vanguard Medical Associates October 2002 - June 2004
Skills
Hospitals, Clinical Research, Healthcare, Medicine, Healthcare Management, Patient Advocacy, Acute Care, Medication..., IV, Inpatient, Cpr Certified, Medical Terminology
Education
University of Massachusetts Boston 1998 — 2001
BSN, Nursing
Boston University 1994 — 1998
Bachelor of Arts (B.A.), Biology, General
Boston Latin School 1989 — 1994
Basho Technologies, Inc 2012 - Present
Evergreen Industries LLC 2003 - Present
MCMC LLC 2002 - December 2014
IAB Solutions LLC July 2007 - December 2012
Berwind Financial Group 1999 - 2000
ING 1989 - 1993
ING 1989 - 1993
Skills
Venture Capital, Recapitalizations, Private Equity, Growth Capital, Buyouts, LBO
Education
University of Pennsylvania - The Wharton School 1981 — 1983
Master of Business Administration (MBA), Entrepreneurial Management / Finance
Bowdoin College 1975 — 1979
Bachelor's degree, Economics
Marshall Construction Company, Ltd. September 2013 - Present
MCMC LLC January 2012 - September 2013
MCMC LLC November 2010 - January 2012
Education
Loras College 1982 — 1986
B.A., Sociology
Loras College
B.A. Degree, Business Emphasis
Melanie D. Hunter, M.D., LTD; Integrative Healthcare Consultation January 1996 - Present
Cigna-HealthSpring October 2013 - Present
MCMC LLC July 2013 - Present
Amerigroup Corporation, Community Care April 2007 - March 2012
United Health Group May 2002 - October 2006
UnitedHealthGroup November 1999 - April 2002
La Familia Wellness Center January 1995 - November 1999
RUSH PRUDENTIAL HEALTH PLANS January 1997 - January 1998
MACNEAL FAMILY HEALTHCARE May 1992 - June 1995
Mercy Hospital and Medical Center 1990 - 1993
Skills
Computer Proficiency, Data Analysis, Database Design, Keyboard Skills, Microsoft Excel, Microsoft Word, Microsoft PowerPoint, Internet Explorer, Microsoft Office, Microsoft Outlook, Lotus Notes, Data Mining, Data Cubes, Control Logic, Access Database, Analytics, Healthcare, Healthcare Management, PowerPoint, Outlook, Managed Care, Medicine, Medicare, Clinical Research, Hospitals, Utilization Review, Disease Management, Health Policy, Physicians, Utilization Management, NCQA, Provider Relations, Healthcare Consulting, HEDIS, Informatics, Medicaid, EHR, Physician Relations, Medicaid Managed Care, Network Development, Quality Improvement, HMO, Healthcare Information..., EMR, HIPAA, Credentialing, Healthcare Industry, Process Improvement, Revenue Cycle, Public Health
Education
Boston University School of Medicine 1980 — 1984
M.D., Medicine
Northern Illinois University 2005 — 2007
MBA, Executive Business Management
University of Southern California 1974 — 1978
B.S., Engineering/Biological Science
Merge Investigations, Inc. January 2012 - Present
Restore Rehabilitation April 2011 - January 2012
MCMC, LLC October 2007 - April 2011
Facticon, Inc. March 1993 - September 2007
Skills
Training, Private Investigations, Insurance, Liability, Claims Management, Medicare, Workers Compensation, Strategic Planning, Healthcare, Risk Management, Managed Care, Property & Casualty..., Claim, Casualty Insurance, Case Management, Employee Benefits, Commercial Insurance, Executive Management, Public Speaking, Legal Liability, Health Insurance, Account Management, Pharmacy Benefit..., Case Managment, Litigation Management, New Business Development
Education
University of Pittsburgh 1991 — 1993
Bachelors, Administration of Justice
RAM Enterprises January 2015 - Present
MCMC LLC November 2002 - January 2015
State of RI, Department of Mental Health & Hospitals May 1997 - November 2002
Skills
Managed Care, Insurance, Workers Compensation, Medicaid, Medicare, Strategic Planning, Claim, Process Improvement, Health Law, Healthcare, Contract Negotiation, Privacy Law, New Business Development, Management, Litigation, Claims Management
Education
Quinnipiac University School of Law 1983 — 1986
Juris Doctor
Bryant University 1979 — 1983
Bachelor of Science, Business Administration, Major: Accounting
MCMC LLC January 2015 - July 2015
Five-Boro Scheduling March 2011 - November 2013
MCMC December 2001 - March 2011
Skills
Insurance, Workers Compensation, Claim, Liability, Account Management, Claims Management, Managed Care, Customer Service
Education
Hofstra University
Bachelor of Business Administration (BBA), International Relations and Affairs
State Farm Agent December 2013 - Present
MCMC, Llc October 2012 - December 2013
Farmers Insurance January 2012 - August 2012
State Farm Insurance July 1995 - January 2012
Skills
Investigation, Insurance Claims, Subrogation, Investigations, Claims, Arbitration, Claims litigation, Insurance, Health Insurance, Life Insurance, General Insurance, Claim Investigation, Disability Insurance, Casualty
Education
NYIT
BS, Advertising
MCMC, LLC September 2012 - Present
OHS Texas January 2012 - November 2012
Fair Pay Solutions March 2009 - December 2011
Education
Arkansas Tech University 1978 — 1983
B.S., Health and Information Management
Sedgwick December 2014 - Present
MCMC LLC March 2014 - December 2014
Travelers September 2007 - May 2013
Travelers June 2006 - September 2007
Travelers July 2003 - June 2006
Travelers April 2002 - June 2003
Travelers March 2000 - April 2002
Travelers December 1998 - March 2000
Nationwide Insurance January 1997 - December 1998
Skills
Vendor Management, Compliance, Contract Management, Records Management, Business Continuity..., Workers' Compensation..., Project Management, Strategic Sourcing, Commercial Insurance, Claims Management, Procurement, General Insurance, Claim, Casualty, Liability, Underwriting, Litigation Management, Workers Compensation, Insurance, Property & Casualty..., Insurance Law, Liability Analysis, Property Damage, Commercial Lines, Employment Practices..., Legal Liability, Claims Resolution, Claim Investigation, Subrogation, Casualty Insurance
Education
University of Florida 1984 — 1988
MCMC LLC December 2014 - Present
MCMC LLC October 2010 - Present
MCMC LLC May 2002 - October 2010
Education
University of Maryland - Robert H. Smith School of Business 2000 — 2002
MBA/MS, Business Administration and Health Care Management
Georgetown University 1991 — 1995
BSN/RN, Nursing and Psychology
The National Association of Independent Review Organizations (NAIRO) October 2008 - Present
Gib Smith Consulting Services, LLC September 2008 - Present
MCMC LLC March 2003 - September 2008
MAXIMUS April 1996 - March 2003
Candlelighters Childhood Cancer Foundation (CCCF) April 1993 - April 1996
Skills
Proposal Writing, Contract Management, Management, Legal Research, Corporate Law, Medicaid, Government, Medicare, Policy, Managed Care, Healthcare, Strategic Planning, Public Policy, Program Management, Policy Analysis, Training, Healthcare Industry, Business Development, Healthcare Management, Appeals, Leadership, HIPAA, Public Speaking, Utilization Management, Health Insurance, Recruiting, Insurance, Health Policy, Claim, Workers Compensation, Pharmacy Benefit..., Disease Management, Executive Management, Contract Negotiation, Case Management, Project Planning, Healthcare Consulting, Claims Management, Legislative Relations, Healthcare Information..., Process Improvement
Education
James Madison University
BA, History
George Mason University
JD, Law
MCMC LLC February 2013 - Present
M. Salerno & Associates, Inc. January 2012 - 2013
Uffelman Estates 2010 - 2011
Vanderbilt University Medical Center February 2009 - December 2010
Metropolitan Public Health Department 2003 - 2008
Trevecca Home Health 1982 - 1987
Skills
Healthcare, Hospitals, Medical/Surgical, Workers Compensation, Nursing, Healthcare Management, Public Speaking, HIPAA, Healthcare Information...
Education
Trevecca Nazarene University 1988 — 1989
Masters in Education, Administration & Supervision
Dekalb Community College
A.S., Nursing
Trevecca Nazarene University
BS, Missiology
MCMC LLC February 2015 - Present
SalesStaff January 2012 - February 2015
MES Solutions January 1999 - December 2011
Education
Wayne State University 1989 — 1991
Master of Science
Central Michigan University 1985 — 1989
Ladywood
Operation Hope Shelter January 2009 - Present
MCMC June 2009 - April 2013
MCMC LLC January 2009 - April 2013
RBS Citizens, NA January 2005 - January 2009
Ann Taylor January 2001 - January 2005
Education
University of Bridgeport
Bachelor of Science, General Studies; Business
Briarwood College
Associates Degree, Fashion Marketing and Merchandising
MCMC LLC 2012 - Present
BPA International October 2010 - August 2011
MTI Residential Services July 2008 - October 2008
Department of Social Services June 2007 - February 2008
Roosevelt Union Free School District February 2004 - January 2005
Skills
Customer Service, Data Entry, Computer Literate, Telephone Skills, Customer Relations, NICE, Mental Health, Mental Illness, Children, Older Adults, Customer Experience
Education
Nassau Community College 2009 — 2011
n/a, Liberal Arts and Humanities
Roosevelt jr/sr High School 2002 — 2005
Regents diploma
GENEX Services, LLC August 2013 - Present
MCMC LLC July 2010 - August 2013
Coventry Health Care/Concentra Managed Care July 1998 - July 2010
Skills
Workers Compensation, Insurance, Health Insurance, Account Management, Managed Care, New Business Development, Sales, Claims Management, Team Building, Sales Presentations, Negotiation, Liability, Sales Management, Customer Service, Strategic Planning, Provider Relations, Process Improvement, Training, Network Development, Marketing, General Insurance, Medical Cost Containment
Education
Stephen F. Austin State University 1988 — 1992
BBA, Marketing/Business Mgmt
MCMC LLC September 2011 - Present
OccHealth Systems LLC April 2009 - January 2012
CompEval LLC July 2011 - September 2011
Mosiac September 2006 - July 2007
Skills
Change Management, Production Management, QC Laboratory Manager, Production...
Education
Susquehanna University 1964 — 1968
BA, Chemisty
Boyertown Area HS 1960 — 1964
Nexus Medical Consulting May 2015 - Present
Texas Department of Aging and Disability Services November 2012 - April 2015
MCMC LLC January 2010 - September 2013
Accretive Health December 2010 - July 2012
Trifectas Medical Corp May 2008 - December 2010
Cyberonics Inc October 2005 - April 2008
National Institute of Neurological Disorders and Stroke (NINDS) September 2001 - September 2005
Skills
Medical Devices, Surgery, Healthcare, Hospitals, Oncology, Medicine, Neuroscience, Managed Care, Strategic Planning, Clinical Trials, Start-ups, Clinical Research, Neurology, Commercialization, Biotechnology, Master Black Belt, Healthcare Management, Patents
Education
Albert Einstein College of Medicine of Yeshiva University
Rice University - Jesse H. Jones Graduate School of Management
Master of Business Administration (MBA), Accounting and Finance
University of Gothenburg
Doctor of Medicine (MD), PhD, medicine
University of Gothenburg
Doctor of Philosophy (PhD), Neurophysiology, CNS plasticity
MCMC LLC March 2011 - Present
Education
University of New Hampshire 2006 — 2010
BA, International Affairs, History
MCMC, LLC October 1999 - Present
Oxford Health Plans January 1996 - September 1999
Skills
Medical Case Management, FELA, Workers' Compensation..., Nursing, Healthcare, Disease Management, Health Insurance, Medicare
Education
Bridgeport Hospital School of Nursing
RN Diploma
University of Connecticut
Nursing
BPA Worldwide October 2011 - Present
MCMC LLC April 2008 - November 2009
Starbucks September 2006 - August 2008
Skills
Data Entry, Customer Service, Microsoft Office, Microsoft Word, Microsoft Excel, PowerPoint, Time Management, Leadership, Outlook, Data Analysis, Retail, Sales
Education
The University of Connecticut 2006 — 2007
MCMC LLC October 2013 - Present
American Cancer Society November 2011 - January 2013
Skills
Project Management, Program Evaluation
Education
Montana State University-Bozeman
Business
Dane Street July 2015 - Present
Medica Consulting LLC June 2015 - June 2015
MCMC LLC September 2013 - June 2015
Medica Consulting, LLC December 2012 - September 2013
Dane Street May 2011 - February 2013
Medica Consulting LLC June 2010 - May 2011
ExamWorks February 2010 - June 2010
BMEGateway January 2007 - December 2009
MES Solutions November 2001 - November 2006
Concentra November 1997 - November 2001
Skills
Sales/Marketing, Account Management,..., Workers Compensation, Claim, Managed Care, Insurance, Liability, Legal Liability, Pharmacy Benefit..., Project Management, Claims Management, Healthcare, Commercial Insurance, Property & Casualty..., Health Insurance, Disability Insurance, Casualty, Medicare, Employee Benefits, Reinsurance, General Insurance, Professional Liability, Underwriting, Risk Management, Claim Investigation, Executive Management, Workers' Compensation..., Litigation Management, Long-term Care, Commercial Lines, Financial Risk, Disease Management, Brokers, Account Management, Excess, Process Improvement, Utilization Management, D&O, Provider Relations, Casualty Insurance
Education
Salem State College 1982 — 1986
Political Science
Fiorello H. LaGuardia High School, New York, NY 1978 — 1981
CareFirst Blue Cross Blue Shield September 2011 - Present
CareFirst BlueCross BlueShield 2011 - Present
MCMC LLC June 2007 - August 2011
Worldwide Assistance Services August 2006 - May 2007
OVERLOAD April 2004 - July 2006
State Corporation Commission February 2003 - March 2004
Staffing Solutions August 1998 - September 2001
Skills
Medicare, HIPAA, Medical Billing, Insurance, Employee Benefits
Education
University of Phoenix
BS, Health Administration
University of Phoenix
2012 Bachelor of Science, Health Administration/Management
Independent ATM Business Owner January 2009 - Present
Johnstone Plumbing and Tile 2005 - Present
MCMC, LLC 2003 - 2005
National Healthcare Resources / Concentra 2000 - 2003
Highmark Blue Cross Blue Shield 1998 - 2000
Dowd Medical Supply 1996 - 1998
Skills
ICD-10, ICD-9-CM, CPT, HCPCS, Clinical Coding, Healthcare, Hospitals, Research, Microsoft Office
Education
Northern Virginia Community College 2011 — 2015
Clinical Coding
AAPC
ICD-10-CM Code Set Training, Proficient
MCMC LLC January 2015 - Present
EDMC January 2013 - November 2014
Pressley Ridge April 2011 - December 2011
Skills
Windows XP Pro, Windows 7, Windows 8, Mac OS, Microsoft Office 2007, Microsoft Office, Microsoft Exchange, Windows XP, Help Desk Support, Troubleshooting
Education
Penn State University 2014 — 2016
Information Sciences and Technology, Information Technology
Yale University 2015 - Present
St. James' Episcopal Church 2012 - 2015
MCMC LLC 2007 - 2008
KeyBank 2004 - 2007
Research Institute Of America 1999 - 2002
Skills
Community Outreach, Nonprofits, Management, Grant Writing, Volunteer Management, Event Planning, Editing, Teaching, Fundraising, Program Development
Education
Iona College 1996 — 1998
Master of Business Administration (MBA), Management
The Catholic University of America 1991 — 1996
Bachelor of Music, Musical Theatre