MetLife HealthCare
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MetLife HealthCare Employees
Division of Payment Reconciliation April 2015 - Present
Centers for Medicare & Medicaid Services April 2013 - April 2015
FCE Benefit Administrators December 1997 - March 2013
Managed Care of America June 1997 - December 1997
MetLife HealthCare 1987 - 1992
Skills
Strategic Partnerships, Health Policy, Managed Care, PPO, Pharmacy Benefit..., Employee Benefits, Health Insurance, Benefits Administration, Medicare, Insurance, Management, Process Improvement, Provider Relations, Policy, HMO
Education
University of Pittsburgh 1976 — 1980
Bachelor of Science (BS), Psychology and Political Science
AD Gross & Co June 2000 - Present
Visiting Nurse Service of New York February 2014 - May 2014
Disability Practice Institute September 2010 - January 2014
Commonwealth Care Alliance June 2008 - May 2011
WebMD 2007 - 2007
Institute for Medicare Practice, Mount Sinai School of Medicine 1998 - 2001
American Geriatrics Society 1996 - 1998
United Healthcare 1994 - 1996
MetLife HealthCare 1991 - 1996
Burns McLellan 1990 - 1991
Skills
Healthcare, Media Relations, Public Speaking, Editing, Non-profits, Publications, Community Outreach, Fundraising, Nonprofits, Program Management, Proposal Writing, Leadership, Strategic Planning, Newsletters, Internal Communications, Teaching, Strategy, Program Development, Research, Marketing, Proofreading, Grant Writing, Public Health, Speech Writing, Policy, Management, Copy Editing, Event Planning, Community Development, Social Media, Public Relations, Analysis, Health Policy, Policy Analysis, Program Evaluation, Strategic Communications, Training, Hospitals, Marketing Communications, Leadership Development, Event Management, Grants, Organizational..., Volunteer Management, Editorial, Healthcare Management, Data Analysis, Press Releases, Public Policy, Social Services
Education
University of Southern California 1998 — 2001
M.A.
Columbia University in the City of New York 1996 — 1998
Certificate Program
Cornell University 1973 — 1975
AB
Vassar College 1971 — 1973
Bachelor of Arts (B.A.)
Newton North High School 1968 — 1971
HS
Kaiser Foundation Health Plan 2000 - Present
Arthur Andersen, LLP 1998 - 2000
Deloitte & Touche 1995 - 1998
MetLife HealthCare 1990 - 1995
United States Navy 1985 - 1990
Skills
Health Insurance, Program Management, Strategy, Managed Care, Healthcare, Health Policy, Sales, Management, Hospitals, Competitive Analysis, HMO, Healthcare Consulting, Management Consulting, Account Management, Employee Benefits, Health Care Reform, HIPAA, Healthcare Industry, Project Management, Project Planning, Medicare
Education
University of Oregon
BS, Business Administration
University of San Francisco
MBA, Finance
Amerigroup July 2013 - Present
Amerigroup March 2006 - June 2013
Kelsey-Seybold Medical Group September 2000 - September 2005
AmeriHealth of Texas July 1997 - September 2000
Prudential HealthCare October 1994 - July 1997
MetLife HealthCare October 1988 - October 1994
Skills
Managed Care, Provider Relations, Credentialing, Medicaid, Revenue Cycle, HMO, Healthcare Industry, Medicare, Healthcare Information..., Healthcare, Healthcare Management, HIPAA, Network Development, Physician Relations, PPO, Health Insurance, Hospitals, Healthcare Consulting
Education
Sam Houston State University 1985 — 1988
BBA, Marketing
Blue Cross and Blue Shield Florida November 1997 - Present
Denticare / Protective Life Dental February 1991 - November 1997
Metlife Healthcare January 1987 - January 1991
HMO Florida / U S Healthcare 1986 - 1987
Skills
Health Insurance, Insurance, Strategic Planning, Managed Care, Healthcare, Employee Benefits, Team Building, Disability Insurance, Sales, Leadership, Process Improvement, PPO, HMO, Executive Management, Provider Relations, New Business Development, Sales Management, Medicare, Contract Negotiation, Account Management, Benefits Administration, Health Savings Accounts, Sales Operations
Education
University of North Florida 1979 — 1981
BA, Business Administration / Marketing
Aviation Publications Service January 2014 - Present
World Airways, Inc. February 2011 - December 2013
World Airways 2001 - February 2011
Children's Healthcare of Atlanta May 1993 - March 2001
Metropolitan Life Insurance Company April 1985 - May 1993
MetLife Healthcare 1989 - 1993
Skills
Process Improvement, Compliance, Team Building, Excel, Airlines, Microsoft Excel, Aviation, Aircraft, Aerospace, Commercial Aviation, Technical Writing, Airworthiness, Team Leadership, Flights, Program Management, Management, Civil Aviation, Project Management, Leadership, Flight Safety, Charter, Piloting, Aircraft Maintenance, Human Factors, Avionics, Airports
Education
University of Cincinnati
Yale New Haven Hospital December 2012 - Present
PPI Benefit Solutions 2008 - 2011
Principal Financial Group 2002 - 2007
RA Information Systems 2000 - 2001
CBS Complete Business Solutions 1999 - 2000
Keane 1997 - 1998
Blue Cross Blue Shield 1995 - 1996
Metlife Healthcare 1993 - 1994
Skills
Tableau, Epic Certified -..., Epic Certified -..., Databases, Project Management, Business Analysis, IT Management, Employee Benefits, Management
Education
Providence College 1988 — 1991
BS, Systems Science
Health Net February 1999 - March 2011
St. Vincent's Medical Center January 1996 - February 1998
MetLife Healthcare June 1994 - June 1995
Skills
Excel, PowerPoint, Word, Access, Written Communication, Marketing Communications, Copy Editing, Proofreading, Accurate Data Entry, Internal Audit, Newsletters, Customer Service..., Coordination of Benefits, Fulfillment Services, Software Documentation, Customer Service, Microsoft Word, Medical Billing, Healthcare, Data Entry, Microsoft Excel, Press Releases, Process Improvement, Insurance, Training, Managed Care, Health Insurance, Leadership, Call Centers
Education
Sacred Heart University 1995 — 2003
M.B.A., Marketing
Albertus Magnus College 1990 — 1992
B.A., Communications
Housatonic Community College 1987 — 1990
A.A., Journalism
St. Joseph High School
SSM Home Care April 2007 - Present
MetLife Healthcare 1987 - 1995
Skills
Customer Service, Marketing Communications, Marketing Strategy, Microsoft Office, Microsoft Excel, Microsoft Word, PowerPoint, Photoshop, Research, Public Speaking, Outlook
Education
University of Missouri-Columbia 1981 — 1985
BS, Health Services Management
CVS Caremark Corporation September 2000 - Present
HealthDialog.com September 1999 - September 2000
Harvard Pilgrim Health Care October 1997 - September 1999
Private Healthcare Systems March 1995 - October 1997
MetLife HealthCare September 1992 - March 1995
Skills
Forecasting, Process Improvement, Budgets, Financial Analysis, Financial Modeling, Pharmacy Benefit..., Financial Reporting, Strategic Planning, PowerPoint, Analytics, Healthcare, Team Building, Microsoft Word, Accounting, Data Analysis, Leadership, Management, Analysis, Finance, Business Planning, Cross-functional Team..., Program Management
Education
Clark University 1996 — 1999
MBA, Finance
University of New Hampshire 1986 — 1991
BS, Health Management and Policy