MVP Health Care
Industry: Company
DescriptionFounded: 1982 Chief actuary: Kathleen Fish Subsidiaries: MVP Health Plan, Inc., Hudson Health Plan, Inc., Mvphp Holding Company, Inc. VPs: Patricia Deferio, Judith Feld (MPH, MMM, Behavioral Health),
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MVP Health Care Employees
Pearson Education May 2009 - Present
Sanctuary Software and Consulting March 2006 - Present
MVP Health Care August 1998 - December 2006
Ebeling Associates August 1997 - July 1998
Skills
ColdFusion, Jquery, JavaScript, HTML, PICK Basic, CSS, SQL, MySQL, SQL Server, PHP, Java
Education
Northeastern University - Graduate School of Business Administration 2011 — 2013
Master, MBA
Mid America Baptist Theological Seminary 2003 — 2006
Master of Divinity, General
University at Albany, SUNY 1995 — 1997
BS, Double Major: Computer Science and Math
Mercy College 1993 — 1995
Bachelor, Double major: math and computer science
Pui Ching Middle School 1988 — 1993
Diploma
Culley Marks January 2013 - Present
MVP Health Care February 2008 - May 2011
Skills
Organization, Meeting Deadlines, Computer Saavy, American Sign Language, Spanish-speaking, Goal Oriented, Always Punctual, Persistant
Education
Finger Lakes Community College 2011 — 2013
Associate of Arts and Sciences (AAS), Paralegal
Creative Vision Enterprises, Inc. June 2006 - Present
Adecco Engineering & Technical May 2007 - August 2011
Bryant & Stratton College June 2006 - December 2009
Plug Power, Inc. October 2005 - May 2006
St. Peter's Healthcare Services / The Community Hospice May 2004 - May 2005
Bishop House Consulting, Inc. November 2002 - August 2003
YOH Managed Staffing / Protech, Inc. (GPTS) December 1996 - March 2002
Contract Employee Services / CES / GPTS June 1993 - December 1995
MVP Health Care March 1991 - May 1993
Occupational Health Resources, Capital Healthcare Associates, Corporate Health Dimensions November 1987 - December 1990
Skills
Coaching, Team Building, Strategic Planning, Public Speaking, Leadership Development, New Business Development, Management Consulting, Entrepreneurship, Project Management, Training, Change Management, Business Development, Human Resources, Workshop Facilitation, Leadership, Compensation & Benefit, Recruiting, Employee Relations, Employee Orientations, Policy Research, Performance Improvement, Interviews, Performance Management, Resume Writing, Organizational..., Personnel Management, Staff Development, Career Counseling
Education
The University at Albany 1977 — 1985
Masters Degree, Educational Administration, Graduated Summa Cum Laude GPA 4.0
The University at Albany 1975 — 1977
Bachelors Degree, Business Education, Graduated Cum Laude
Erie Community College 1973 — 1975
Associates in Applied Science Degree, Legal Secretarial, Graduated Cum Laude
ConnectWise April 2015 - Present
UBECI Volunteer Organization September 2014 - November 2014
MVP Health Care August 2012 - September 2013
Guilderland, NY August 2010 - July 2013
Foundation For Defense of Democracies January 2012 - June 2012
Skills
Microsoft Office, Research, Politics, Public Relations, Communication, Organization, Networking, Government, Teamwork, Community Outreach, Political Science, Public Policy, Public Speaking
Education
State University of New York at Albany 2010 — 2013
Bachelor's degree, Political Science and Government, graduating with Honors
Hudson Valley Community College 2009 — 2010
Business Administration and Management, 3.5 GPA
MVP Health Care January 2015 - Present
Usherwood Office Technology/The College of Saint Rose May 2014 - December 2014
New York Farm Bureau 2004 - May 2014
Shaker Computer August 1998 - May 2004
Shaker Computer January 1986 - May 2003
Skills
Direct Mail Pieces, Event Planning, Public Speaking, Nonprofits, Public Relations, Social Media, Media Relations, Direct Mail, Management, Public Policy, Marketing Communications, Research, Microsoft Office, Direct Marketing, Newsletters, Community Outreach, Budgets, Marketing, Community Development, Trade Shows, Policy
Education
Hudson Valley Community College 1998 — 1998
Drafting & Design
Constellation Brands October 2008 - Present
MVP Health Care October 2004 - October 2008
KPMG US August 2002 - October 2004
Skills
Financial Analysis, Internal Controls, Accounting, Financial Reporting, US GAAP, GAAP, Auditing, Sarbanes-Oxley Act, Forecasting, Variance Analysis, Analysis
Education
Hartwick College 1998 — 2002
Bachelor of Science (BS), Accounting
Adventures by Disney June 2013 - Present
Samba Tours April 2010 - Present
Samba Graphics March 1995 - Present
OnBoard Tours June 2011 - June 2014
MVP Health Care June 2009 - April 2010
Hudson River Sloop Clearwater August 2009 - August 2009
Dutchess County Historical Society June 2009 - June 2009
CitySightsNY May 2005 - November 2008
Friends of the Hudson River September 2005 - September 2005
Skills
Public Speaking, Blogging, Tourism, Event Planning, Social Media Marketing, Event Management, Email Marketing, Advertising, Marketing Communications, Copywriting, Microsoft Office, Teaching, Customer Service, Social Networking, Small Business, Tour Planning, Tour Development, Walking Tours, Cultural Tours, Heritage Tourism
Education
Parsons School of Design 1984 — 1986
Communication Arts
Howard University 1980 — 1982
Liberal arts, Liberal Arts
Capital One December 2010 - Present
Cascadia Software June 1998 - December 2010
Terrance O'Donnell Consulting June 1997 - December 2010
MVP Health Care June 2009 - September 2009
OSPI 2005 - 2006
Shiplogix May 2004 - May 2005
Keane Inc. August 1999 - August 2000
AT&T Wireless September 1997 - May 1998
Continental Mills May 1995 - September 1997
PCS Health Systems October 1993 - July 1995
Skills
Databases, Unix, Microsoft SQL Server, Software Development, Sybase, ETL, Data Modeling, Oracle, SQL, T-SQL, Performance Tuning, Database Administration, SDLC, Java, Perl, SQL Tuning, Linux, Programming, PL/SQL, Stored Procedures, Data Warehousing, Sybase ASE, Sybase IQ, SQL*Plus, DB2/SQL, Unix Shell Scripting, C++, SSIS, SSRS, PowerDesigner, JDBC, Sybase Replication..., UNIX Databases, Visual Studio, Shell Scripting, Relational Databases, Data Migration, AIX, HP-UX, Oracle PL/SQL..., Python, Electronics, Amateur Radio Operator
Education
DeVry University 1988 — 1990
B.S., Computer Information Systems
Grand Canyon University 1987 — 1988
University of Rochester Medical Center October 2013 - Present
MVP Health Care April 2008 - January 2013
MVP Health Care April 2003 - April 2008
Preferred Care August 1998 - April 2003
US Army August 1985 - August 1989
Skills
Requirements Gathering, Business Requirements, SDLC, Systems Analysis, Requirements Analysis, COBOL, Business Process, Testing, SQL, PL/SQL, Software Documentation, Program Management, Visio, Integration, Security, Business Analysis, Solution Architecture
Education
DeVry University-Ohio 1995 — 1998
Bachelor's degree, Computer Information Systems
Self Employed November 2012 - Present
BlueShield of NENY April 2003 - November 2012
MVP Health Care September 1998 - October 2000
Skills
Medicare Part D, Health Insurance, Insurance, Managed Care, HIPAA, Provider Relations, Provider Network..., Provider Networks, Service Provider..., Provider Education, Customer Service, Customer Satisfaction, Customer Retention, Customer Experience, Customer Oriented, Customer Support, Customer Engagement, Phone Etiquette, Multi-line Phone, Phone Manner, Healthcare Management, Healthcare, Office Administration, Office Management, Office Equipment, Credentialing, JCAHO, Medicare, Medicare Advantage, Medicare Prescription..., Medicaid Managed Care, Medicaid, Membership, Membership Development, Membership Relations, Membership Growth, Microsoft Office, Microsoft Excel, Microsoft Word, Forklift Operator, Construction, Warehousing, Distribution Center..., Data Entry, Management, Employee Training, Hardwood Flooring, Ceramic Tile, Kitchen Cabinets, Decks
Education
Schenectady County Community College 1995 — 1996
Criminal Justice and Corrections
Hudson Valley Community College 1993 — 1994
Criminal Justice and Corrections
Burnt Hills-Ballston Lake 1984 — 1992
High School Diploma, Business/Math
MVP Health Care October 2012 - Present
Bassett Healthcare Network September 2010 - September 2012
Skills
McKesson Clinical..., Microsoft Office, Customer-focused Service
Education
Ithaca College 2004 — 2008
Bachelor's degree, Psychology
JPVAMC Small World September 2014 - Present
Wheelock College October 2013 - Present
OB2L Center May 2014 - August 2014
Lincoln Extended Day September 2013 - December 2013
MVP Health Care June 2013 - August 2013
Veeder Elementary School January 2013 - April 2013
Lynnwood Elementary School January 2012 - April 2012
Skills
Data Entry, Time Management, Telephone Skills, Phone Etiquette, Team-oriented, Critical Thinking, Communication
Education
Wheelock College 2013 — 2015
Bachelor's degree, Developmental Psychology
Hudson Valley Community College 2011 — 2013
Associate of Applied Science, Early Childhood Education
MVP Health Care 2012 - Present
MVP Health Care 2006 - 2012
Preferred Care 2002 - 2006
Preferred Care 1991 - 2002
Ford Research Services, Inc. 1986 - 1991
Skills
Health Insurance, Healthcare, Process Improvement, Strategic Planning, Vendor Management, Employee Benefits, Public Speaking, Product Development, Product Management, Product Marketing, Building Relationships, Marketing Communications, Customer Oriented, Self-starter, Product Innovation, Program Management, Program Development, Employee Wellness..., Well-organized, Team Leadership, Cross-functional Team..., Result Oriented
Education
Empire State College 1993 — 1996
Bachelor of Science (BS), Business, Management, Marketing, and Related Support Services
Flagler College 1982 — 1985
Bachelor of Arts, Deaf Education
MVP Health Care January 2008 - August 2011
Travelport June 2003 - June 2007
Neat Group July 2000 - May 2003
Continental Airlines - Technology April 1997 - July 2000
System One/Amadeus 1986 - 1997
Skills
E-commerce, Product Management, Strategy, Program Management, Team Building, Strategic Planning, E-business, Project Management, Business Process..., Business Strategy, SDLC, User Experience, Scrum, Software Project..., Agile Methodologies, Cross-functional Team..., Enterprise Software, Account Management, Software Development, Customer Experience, Leadership, Entrepreneurship, Analysis, B2B eCommerce, Agile Project Management, Online User Experience, Vendor Relations, Voice of the Customer, Web Project Management, Google Analytics, Google Adwords, Social Media, Problem Solving, Management, Web Analytics, Product Development, Start-ups, SaaS, Business Analysis, Project Planning
Education
Florida International University - College of Business Administration
MBA
Florida International University - College of Business Administration
Bachelor of Business Administration (BBA)
MVP Health Care 2010 - Present
Riverbend Medical Group July 2006 - October 2009
Skills
HIPAA, Organizing, Multitasker, Microsoft Office, Epic, facets, macess, amisys, maxMC, Detail, Attention To Detail, Teamwork, Confidentiality
Education
Emmanuel College
Bachelor's degree, American Studies
Saint Josephs College
NYS Department of Health November 2000 - Present
Ambit Energy 2010 - 2014
UnitedHealthcare February 1997 - November 2000
MVP Health Care March 1995 - February 1996
Skills
Microsoft Office, Microsoft Excel, Microsoft Word, Customer Service, PowerPoint, English, Windows, Research, Outlook, Teaching, Photoshop, Public Speaking
Education
Excelsior College 2002 — 2006
Bachelor's degree, Psychology
Maria College of Albany 1984 — 1987
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse
UnitedHealth Group 2014 - Present
Universal American 2009 - 2014
Excellus BCBS 2002 - 2009
MVP Health Care 1997 - 2002
CDPHP 1990 - 1997
Education
Union College 1992 — 1995
Master of Business Administration (MBA), Health/Health Care Administration/Management
Drew University 1983 — 1987
Bachelor of Arts (BA), Mathematics and Computer Science
MVP Health Care March 2015 - Present
MVP Health Care August 2013 - March 2015
HCR Home Care September 2011 - July 2013
MVP Health Care February 2007 - August 2011
Skills
Case Managment, Nursing Management, Registered Nurses, Medicaid, Social Services, Utilization Management, Medicare, Disease Management, Utilization Review, HIPAA, Managed Care, Healthcare, Long-term Care, Healthcare Management, Nursing, Home Care, Healthcare Information..., Medical Case Management, Quality Improvement, Health Promotion, Medical Terminology, Health Education, Case Management
Education
University of Rochester 2012 — 2014
Bachelor's degree, Registered Nursing/Registered Nurse
Excelsior College 1993 — 1996
Associate of Science (A.S.), Registered Nursing/Registered Nurse
United Healthcare June 2015 - Present
Marshall & Sterling June 2013 - April 2015
MVP Health Care June 2006 - June 2013
Skills
Employee Benefits, Health Insurance, Insurance, Brokers, Medicare, Account Management, Managed Care, Claim, Sales, Salesforce.com, Customer Service, Life Insurance, Health Savings Accounts, HMO, Claims Management
Education
Hudson Valley Community College
Associate of Arts and Sciences (AAS), Chemical Technology/Technician
MVP Health Care September 2013 - Present
MVP Health Care August 2012 - August 2013
Central Marking Equipment Corp. November 2010 - January 2012
Fairmount Animal Hospital August 2009 - November 2010
Skills
Insurance, Customer Service, Leadership, Health Insurance, HIPAA, Medicare Part D, Managed Care, Provider Relations, Claim, HMO, Healthcare, Life Insurance, Medicare, Long-term Care, Medicare Compliance, Term Life Insurance, Training, Team Building, Microsoft Excel, Medical Billing, Call Centers, Employee Benefits, Benefits Administration, Health Savings Accounts, Healthcare Industry, Microsoft Office, Medical Terminology, Access, Healthcare Management, Health Policy, Account Management, Outlook, Medical Coding, Facets, Microsoft SQL Server, Management, Problem Solving, Policy, Analysis, Data Analysis, Spreadsheets, Sourcing, Microsoft Word, Databases
Education
Corning Community College
Elmira Free Academy
CDPHP August 2015 - Present
New York State Department of Health January 2015 - August 2015
MVP Health Care June 2012 - December 2014
MVP Health Care March 2009 - June 2012
MVP Health Care June 2008 - March 2009
MVP Health Care May 2007 - June 2008
MVP Health Care May 2004 - May 2007
Skills
Integration, Management, Project Management, Vendor Management, Analysis, Contract Management, Business Analysis, Healthcare, Program Management, Provider Relations, Software Documentation, Health Insurance, Process Improvement, Visio, HIPAA, Recruiting, Requirements Gathering, Medicaid, Insurance, Managed Care, Medicare, Business Process..., Employee Benefits, PMO, Business Requirements, Cross-functional Team...
Education
State University of New York at Albany 1993 — 1995
Bachelor of Arts
Hudson Valley Community College 1990 — 1992
AAS
WellPoint September 2014 - Present
Amerigroup Corporation April 2007 - Present
MVP Health Care July 2006 - March 2007
HealthNow New York Inc. October 1998 - June 2006
Skills
FACETS, NetworX Pricer, Access, Healthcare, Medicaid, Medicare, Health Insurance, Outlook, Visio, Healthcare Information..., HIPAA, Microsoft Excel, Software Documentation, Process Improvement, Requirements Gathering, EDI
Education
Hudson Valley Community College 1996 — 1998
Associates of Business, Business Administration
CSC March 2013 - Present
MVP Health Care October 2006 - May 2012
Junior Chamber International 2003 - 2010
MVP Health Care 2004 - 2006
Computer Sciences Corporation 2000 - 2004
Skills
ANSI, Healthcare IT, HIPAA, EDI, X12, Healthcare Information..., Facets, SDLC, Requirements Gathering, Systems Analysis, Integration, Software Documentation, Business Requirements, Requirements Analysis
Education
SUNY Polytechnic Institute 1996 — 1997
BS, Computer Science
Hudson Valley Community College 1993 — 1995
AAS, Computer Information Systems
Instron January 2014 - Present
Instron March 2011 - January 2014
MVP Health Care February 2010 - March 2011
Instron Corporation 2005 - 2010
Skills
Marketing Strategy, Social Media, Social Media Marketing, B2B, Blogging, Technical Writing, Email Marketing, SEO, Copy Editing, Web Analytics, Product Marketing, Marketing Communications, Product Development, Project Management, Brand Management, Product Management, Competitive Analysis, Digital Marketing, International Marketing, Product Launch, Newsletters
Education
East Carolina University 1997 — 2000
BA, English with a concentration in writing
SUNY Oswego 1996 — 1997
Ira Motor Group May 2015 - Present
Ira Toyota October 2014 - May 2015
Albany Medical Center February 2012 - March 2014
MVP Health Care June 2011 - February 2012
NYS Office of Mental Health June 2010 - June 2011
Skills
Sales, Customer Service, Management, Marketing, Process Improvement, Strategic Planning, Sales Management, PowerPoint, Customer Satisfaction, Budgets, Negotiation, Business Strategy, Business Planning, New Business Development, Forecasting, Team Building, Microsoft Word, Account Management, Finance, Analysis, Access, Research, Customer Retention, Retail, Inventory Management, Marketing Strategy, Leadership, Sales Operations, Strategy, Project Management, Training, Insurance, Data Entry, Microsoft Excel, Business Development, Pricing, Sales Process, Accounting, Healthcare, Advertising, Contract Negotiation, Public Speaking, Social Media Marketing, Social Networking, Automotive, Data Analysis, Communication, Time Management, Event Planning, Profit
Education
State University of New York at Albany 2011 — 2014
Bachelor's degree, Business Administration and Management, General
Hudson Valley Community College 2009 — 2011
Associate's degree, Business Administration and Management, General
MVP Health Care September 2014 - Present
Waldman Health Care Consulting September 2013 - Present
CDPHP 2005 - 2013
Humility of Mary Health Partners 2002 - 2005
HealthAmerica 2000 - 2003
Anthem Blue Cross Blue Shield 1997 - 1999
Anthem Blue Cross Blue Shield 1997 - 1999
Skills
Hospitals, Healthcare, Managed Care, Provider Relations, Healthcare Management, Health Policy, Medicine, Utilization Management, Medicaid, Medicare, Physicians, Public Speaking, HMO, Healthcare Consulting, Disease Management, Health Insurance, HIPAA, Medicare Part D, Healthcare Industry, PPO, Network Development
Education
The University of Connecticut School of Medicine 1974 — 1978
Doctor of Medicine (M.D.)
Harvard College 1970 — 1974
Bachelor of Arts (B.A.), Biology, General
OneCare Vermont / University of Vermont Health Network February 2015 - Present
Fletcher Allen/ OneCare Vermont January 2013 - February 2015
Dept. Vermont Health Access December 2008 - January 2013
MVP Health Care 2001 - 2008
Blue Cross Blue Shield-TVHP 1998 - 2001
MVP Health Care 1997 - 1998
Hospital nursing 1994 - 1998
Skills
Certified Case Manager, Professional, Academy..., Certified Health Care..., Certified Managed Care..., Registered Nurses, Case Management, Quality Improvement, Medicaid, HIPAA, Managed Care, Medicare, Health Education, Healthcare Management, Utilization Management, Healthcare Information..., EHR, EMR, Healthcare Consulting, Hospitals, Healthcare, Health Policy
Education
Dartmouth College 2012 — 2014
Master's Degree, Master of Health Care Delivery Science, Graduated 1/2014
Rochester Institute of Technology 2000 — 2005
Bachelor's degree, Health/Health Care Administration/Management
Clinton Community 1991 — 1994
Associate of Science (AS), Registered Nursing/Registered Nurse
Welch Allyn, A Hill Rom Company January 2014 - Present
Welch Allyn October 2012 - December 2013
Welch Allyn December 2006 - September 2012
Welch Allyn March 2006 - November 2006
Welch Allyn May 2002 - March 2006
Arthur Andersen May 2000 - May 2002
MVP Health Care September 1995 - August 1998
Skills
Medical Devices, Cross-functional Team..., Global Marketing, Product Development, Product Management, Competitive Analysis, Marketing Strategy, Business Strategy, Market Research, Product Launch, Capital Equipment, Business Planning, Marketing Management, Business Development, Customer Insight, FDA, Sales Operations, Strategy, ISO 14971, Pharmaceutical Industry, Strategic Planning, ISO 13485, Healthcare
Education
Georgetown University - The McDonough School of Business 1998 — 2000
MBA
Ithaca College 1991 — 1995
B.S., Healthcare Management, Summa Cum Laude
ADT October 2012 - Present
Staples Advantage 2010 - 2012
Waste Management August 2005 - June 2010
MVP Health Care 2001 - 2005
Skills
Call Center Management, Call Center..., Customer Engagement, Customer Retention, Customer Satisfaction, Team Building, Coaching Staff, Great Motivator, Microsoft Office, Microsoft Excel, Microsoft Word, IDX, Quality Assurance, Call Monitoring, TQM, AS400 system, Collections, Medical Terminology, Medical Billing, Employee Training, Call Centers
Education
Finger Lakes Community College 1992 — 1994
Network Health WI July 2015 - Present
TMG Health June 2014 - June 2015
MVP Health Care September 2007 - May 2014
MVP Health Care May 1994 - September 2007
Foundation Health 1993 - 1994
United Healthcare of Ohio/PHP 1987 - 1993
Skills
Strategic Planning, System Configuration, Claims Management, Healthcare, Managed Care, Strategy, Project Management, Medicare, Healthcare Industry, Outsourcing, Healthcare Management, Business Analysis, Program Management, Medicaid, Health Insurance, Leadership, HMO, Business Development, Recruiting, Executive Management, Claim, Process Improvement, Analysis, Enterprise Software, Vendor Management, Team Leadership
Education
Northwestern University - Kellogg School of Management 2001 — 2001
Certificate, Managed Care
Franklin University 1981 — 1985
BSBA, Business Management
New York State Dental Foundation May 2013 - March 2014
MVP Health Care August 2011 - May 2013
MVP Health Care 2011 - 2013
New York State Dental Foundation January 2011 - August 2011
CDHS January 2008 - December 2009
Empire Blue Cross Blue Sheild December 1998 - November 2005
Skills
Medical Terminology, Quality Assurance, Report Writing, Medicaid, Access, Software Documentation, Healthcare, Office Management, Public Speaking, Online Research, Public Health, Project Management, Leadership, Fundraising, Program Management, Nonprofits
Education
Hudson Valley Community College 1995 — 1998
AAS, Early Childhood Development
Coxsackie-Athens Central High 1990 — 1995
MVP Health Care June 2014 - Present
MVP Health Care, Inc June 2007 - July 2014
IIA Albany Chapter 2006 - 2011
MVP Health Care 2007 - 2010
Capital Communications Federal Credit Union October 2004 - June 2007
Capital District Physicians Health Plan June 2003 - October 2004
Empire Medicare Services May 2002 - June 2003
Mohawk Community Bank June 1997 - May 2002
The Troy Savings Bank March 1995 - June 1997
Evergreen Bank September 1994 - March 1995
Skills
Model Audit Rule, Operational Audits, Financial Audits, Auditing, Internal Controls, Risk Assessment, Process Improvement, Payroll, Accounting, Finance, Budgets, Banking, Sarbanes-Oxley Act, Internal Audit, Sarbanes-Oxley, Business Process..., Risk Management, Microsoft Excel, Health Insurance, Lean Six Sigma Green..., Management, Access, IT Audit, HIPAA, Medicaid, Medicare, QuickBooks, Provider Relations, General Ledger
Education
University at Albany, State University of New York 1987 — 1989
B.A, Economics
State University of New York at Albany 1987 — 1989
BA, Economics
Fulton Montgomery Community College 1986 — 1987
A.A.S, Business Administration
Hudson Valley Community College 1982 — 1983
AAS, Business
CDPHP April 2014 - Present
MVP Health Care April 2008 - April 2014
WellPoint January 2004 - December 2007
WellPoint July 2000 - January 2004
Skills
Health Insurance, Insurance, Medicare, Claim, HIPAA, Provider Relations, Employee Benefits, Managed Care, Medicaid, Process Improvement, Call Centers, Customer Service, Underwriting, Claims Management, Commercial Insurance, Access, Healthcare, Workers Compensation, Medicare Part D
Education
Hudson Valley Community College
Early Childhood Education and Teaching
MVP Health Care April 2015 - Present
MVP Health Care May 2012 - Present
MVP Health Care March 2010 - May 2012
MVP Health Care February 2009 - March 2010
WellPoint March 2002 - December 2005
Skills
Insurance, Health Insurance, Claim, Medicare, Medicaid, HIPAA, Managed Care, Provider Relations, Claims Management, Employee Benefits, Benefits Administration, Strategic Planning
Education
State University of New York Empire State College 2013 — 2015
Bachelor of Business Administration (BBA), Human Resources Management and Services
Hudson Valley Community College 2011 — 2013
Associate of Science (AS), Business Administration and Management, General
Fidelis Care April 2015 - Present
MVP Health Care March 2015 - April 2015
MVP Health Care February 2004 - February 2015
St. Clare's Hospital December 2000 - March 2004
Skills
Data Analysis, Access, Business Analysis, Process Improvement, Project Management, SQL, Visio, SDLC, Requirements Analysis, Microsoft Office, Quality Improvement, Hedis Reporting, Healthcare, HIPAA, Troubleshooting, Databases, Business Intelligence, Requirements Gathering
Education
Hudson Valley Community College 1999 — 2002
Bachelor of Business Administration (B.B.A.), Business Administration and Management, General
Burnt Hills 1995 — 1999
The Gunlocke Company June 2012 - Present
Arc of Monroe County February 2007 - June 2012
Human Resources Consultant April 2000 - September 2007
MVP Health Care 2006 - 2007
Wegmans Food Markets April 1986 - April 2000
Education
State University of New York College at Fredonia
Bachelor of Applied Science (BS)
Corning Community College
Associate of Arts and Sciences (AAS)
NTT DATA Americas 2013 - Present
HealthNow New York Inc. December 2013 - February 2014
MVP Health Care 2012 - 2013
MVP Health Care 2009 - 2012
MVP Health Care 2005 - 2009
MVP Health Care 2002 - 2004
MVP Health Care 2001 - 2002
Advanced Management Research 1997 - 2001
MetLife 1990 - 1996
MetLife 1980 - 1990
Skills
Business Analysis, Requirements Gathering, Requirements Analysis, Testing, Software Project..., Cross-functional Team..., Business Requirements, Business Process..., PMP, Business Process, SDLC, User Acceptance Testing, Business Intelligence, Insurance, Visio, Vendor Management
Education
Hudson Valley Community College
Associate of Arts and Sciences (AAS), Computer Information Systems
Anthem, Inc. December 2014 - Present
WellPoint April 2013 - September 2014
Amerigroup Corporation January 2007 - April 2013
MVP Health Care July 2006 - January 2007
HealthNow New York Inc. September 1996 - June 2006
Prudential Insurance January 1991 - August 1996
Skills
Medicare, Medicaid, Healthcare Information..., Process Improvement, Access, Healthcare Management, NetworX, Health Insurance, Medical Technology, Healthcare, Management, Healthcare Technology, Healthcare Industry, Insurance, HIPAA, Managed Care, Business Analysis
Education
Hudson Valley Community College 1986 — 1989
A.S., Business Administration
MVP Health Care July 2013 - Present
Roberts Wesleyan College January 2013 - Present
MVP Health Care May 2012 - Present
MVP Health Care December 2007 - Present
MVP Health Care November 2004 - December 2007
Excellus Blue Cross & Blue Shield December 1995 - May 1997
Skills
Medicare, ICD-9, Healthcare, HIPAA, CPT, Healthcare Management, Medical Billing, Software Documentation, Health Insurance, Medicaid, Physicians, Training, Healthcare Industry, Strategic Planning, Medical Coding, Managed Care, Insurance, Benefits Administration, Process Improvement, Employee Benefits, Leadership Development, Leadership, Healthcare Information..., Healthcare Consulting, EHR, Health Policy, Claim, ICD-10, Customer Service
Education
Roberts Wesleyan College 2011 — 2012
Masters, Health Administration
Roberts Wesleyan College 2009 — 2011
Bachelors, Health Administration
Finger Lakes Community College 2001 — 2003
Associates, LIBERAL ARTS
MVP Health Care 2013 - 2013
Brownco July 1999 - December 2012
consilium1 (GE Global Resources) February 2011 - May 2011
Field Nation December 2009 - February 2011
W9 October 2009 - January 2011
Global Resources November 2010 - December 2010
Advantage Resourcing October 2009 - December 2010
Field Solutions January 2007 - June 2010
FieldSolutions January 2007 - May 2010
SAIT October 2008 - March 2009
Skills
Servers, SDLC, Troubleshooting, Computer Hardware, Laptops, Technical Support, Networking, Windows, Help Desk Support, XP, Printers, Hardware, Software Installation, Microsoft Word, Active Directory, Consumer Services...
Education
Hudson Valley Community College 2010 — 2010
Not Yet, CIS - Network Administration
Clovis Community College
Certification, Electronics Technology
Hudson Valley Community College
Associate, CIS, Network Administration
Albany VA Hospital FED Cu February 2015 - Present
Watervliet Arsenal January 2011 - Present
St. Peters Hospital February 2005 - January 2011
MVP Health Care November 2000 - February 2005
Skills
Software Documentation, Servers, Microsoft Office, Disaster Recovery, Technical Support, Program Management, Network Administration, Networking, Active Directory, Integration, Visio, Windows XP, XP, Troubleshooting, Security, Information Technology
Education
Hudson Valley Community College 1990 — 2010
A.A.S., Computer Information Systems
Schenectady County Community College 1980 — 1982
Associate's Degree, Culinary/Hotel
Cohoes High School 1976 — 1980
High School, Accounting
CommSoft November 2010 - Present
MVP Health Care March 2008 - November 2010
CommSoft March 1995 - March 2008
Skills
Telecommunications, Product Management, Requirements Analysis, Business Intelligence, Leadership, Databases, Business Analysis, Marketing, Integration, Agile Methodologies, Business Development, Vendor Management, Quality Assurance, Software Development, Change Management, Software Documentation, Software Project..., Enterprise Software, Management, Analysis, SDLC, SQL
Education
Ithaca College
State University of New York at New Paltz
Bachelor of Science, Communications / Production
College of Nanoscale Science & Engineering October 2008 - Present
Linium February 2008 - September 2008
MVP Health Care 2007 - 2008
Circuit City 2006 - 2008
Accudata Search Inc. October 2002 - May 2004
Fleet Boston October 2000 - December 2001
PSINet February 1999 - October 2000
INFOTEL April 1995 - May 1998
Skills
Process Improvement, Linux, VMware, Infrastructure, Help Desk Support, Troubleshooting, TCP/IP, Active Directory, SDLC, BMC Remedy, Windows, Security, Microsoft Exchange, Networking, Norton Ghost, Technical Support, XP, WAN, Project Planning, Windows Server, Project Management, Microsoft SQL Server, Microsoft Office, Network Administration, Windows XP
Education
Franciscan University of Steubenville 1986 — 1990
MVP Health Care October 2011 - Present
AP Professionals July 2011 - October 2011
Kodak 2006 - 2007
Ajilon Consulting 2000 - 2001
Veramark Technologies 1999 - 2000
Skills
Process Improvement, Microsoft Excel, Testing, Software Installation, Computer Hardware, Technical Support, Troubleshooting, Software Documentation, Quality Assurance, Printers
Education
Florida Community College at Jacksonville 1989 — 1991
Solano Community College 1986 — 1987
CzepigaDalyPope January 2014 - Present
Law Offices of Sharon L Pope, LLC October 2010 - Present
MVP Health Care 1998 - 2010
Physician Health Services 1992 - 1995
CIGNA Healthcare 1985 - 1991
Skills
Trust Services, Business Management, Marketing Strategy, Strategic Planning, Management, Medicaid, Medicare, Estate Planning, Insurance, Elder Law, Employee Benefits, Legal Research, Health Insurance, Benefits Administration, Mergers & Acquisitions
Education
Michigan State University - The Eli Broad College of Business 1975 — 1978
MBA, Finance
Indiana University Bloomington 1967 — 1970
BA, Liberal Arts
Delcath Systems, Inc April 2010 - August 2012
Navilyst Medical November 2009 - February 2010
Boston Scientific November 2003 - November 2009
MVP Health Care April 2003 - November 2003
AWESCO November 2001 - November 2003
GE May 2000 - January 2001
Skills
Virtualization, Enterprise Architecture, Wireless Networking, Management, Laptops, Strategic Planning, Automation, Disaster Recovery, iPhone, iPad, Microsoft Technologies, Linux, Leadership, Network Administration, Outsourcing, Problem Solving, Photoshop, Sourcing, Video Editing, Mac OS X, Blackberry, C++, HTML, System Administration, SOX Compliancy, OS X, Security, Servers, Troubleshooting, Active Directory, Windows Server, Hardware, Information Technology
Education
University of Phoenix 2006 — 2008
BS, Information Technology
Hudson Valley Community College 1996 — 1999
AS, Individual Studies
Waterford Halfmoon
MVP Health Care November 2014 - Present
D4 LLC August 2010 - November 2014
Skills
Active Directory, Windows Server, VMware, Servers, Troubleshooting, Windows 7, Operating Systems, Microsoft SQL Server, SQL, Linux, Technical Support, Computer Hardware, Hardware, System Deployment, Information Technology
Education
Nazareth College of Rochester 2012 — 2013
Bachelor's degree, Information Technology
Finger Lakes Community College 2009 — 2011
Associate of Science (AS), Computer Information Systems
Cone Health June 2015 - Present
Presence Health September 2014 - Present
St. John Health System June 2014 - September 2014
Catholic Family Center January 2012 - June 2014
Rochester General Health System June 2007 - January 2012
Paychex 2002 - 2007
MVP Health Care 1998 - 2001
Skills
HRIS, Human Resources, Benefits Administration, Onboarding, Employee Relations, Deferred Compensation, Recruiting, Organizational..., Employee Benefits, Applicant Tracking..., Performance Management, Talent Acquisition, Talent Management, Employee Engagement, Strategic leadership, Compensation management, Project Management, Training, Screening, Temporary Placement, New Hire Orientations, Personnel Management, HR Policies, Job Descriptions, Career Counseling, Employee Training, Sourcing, Leadership, Management, Employment Law, Interviews
Education
Edinboro University of Pennsylvania 1990 — 1994
Bachelor's
University of Rochester - School of Nursing January 2013 - Present
MVP Health Care October 2012 - December 2013
EquaTEK Interactive May 2005 - September 2012
Ajettix August 2004 - December 2004
Getinge USA, Inc February 2003 - July 2004
Croop-LaFrance 2001 - 2002
Questra Corporation 1997 - 2001
R. Shanly Associates, Inc. 1994 - 1998
Skills
.NET, Visual Studio, C#, SQL, Databases, Microsoft SQL Server, Architecture, HTML, MySQL, ASP.NET, CSS, Web Applications
Education
Hartwick College 1984 — 1988
Bachelor of Arts (BA), Information Science, Theatre Arts
Grenville Christian College 1979 — 1984
Diamond Resorts International® August 2015 - Present
MVP Health Care 2007 - June 2015
Preferred Care December 2004 - December 2007
Skills
Managed Care, Health Insurance, HIPAA, Medicare, Insurance, Employee Benefits, Team Leadership, Medicaid Managed Care, Medicaid, Medicare Part D, Trizetto, Microsoft Office, Call Centers, Customer Experience, Business Analysis, Customer Service, Claim, Process Improvement, Healthcare
Education
Finger Lakes Community College 1999 — 2000
MVP Health Care October 2012 - June 2013
Midcontinent Independent System Operator November 2004 - June 2012
Worldcom Corporation (Intermedia Communications) October 2000 - May 2002
SBC DataComm (Ameritech) November 1993 - October 2000
Skills
PMP, Exceptional project..., SDLC, Strategic Planning, Information Technology, MS Project, Business Planning, Operational Planning, Project Management, Telecommunications, Project Delivery, Troubleshooting, Business Process..., Project Planning, Team Leadership, PMO, Change Management, Cross-functional Team..., SharePoint, Program Management, Vendor Management, Software Project..., IT Strategy, Disaster Recovery, Project Portfolio..., Security, Microsoft Project, IT Management, Leadership, Data Center, Enterprise Architecture
Education
University of Indianapolis 2006 — 2008
MBA, Technology Management
Indiana University-Purdue University at Indianapolis 1988 — 1993
B.S., Finance
MVP Health Care
Skills
Managed Care, Health Savings Accounts, Brokers, Medicare, Healthcare, Medicaid, Health Insurance, Employee Benefits, Disability Insurance, Underwriting, Insurance, Management, Benefits Administration, Strategic Planning, HMO, HIPAA, Leadership, Strategy, Team Building, Healthcare Industry, PPO, Claim, Account Management
Education
Hamilton College 1982 — 1986
MVP Health Care July 2005 - Present
Berkshire Farm Center 2003 - 2005
Airpage 2000 - 2003
Skills
Software Documentation, Visio, HIPAA, Process Improvement, XP, PMP, BMC Remedy, SDLC, Requirements Analysis, Databases, Requirements Gathering, Active Directory, Healthcare Information..., System Deployment, Unix, Troubleshooting, Citrix, Vendor Management, IT Service Management, Business Analysis, Integration, System Administration, Business Requirements, Access, Systems Analysis, ITIL, PMO, Disaster Recovery, Information Technology, IT Management, Microsoft SQL Server, VMware, Servers, Security, SharePoint, Windows Server, Technical Support, Data Center, SQL, MS Project, IT Operations, Data Warehousing, Telecommunications, Testing, IT Strategy, Quality Assurance, Business Intelligence
Education
Hudson Valley Community College 1998 — 2005
Crystal Run Health Plans July 2015 - Present
MVP Health Care January 2006 - Present
MVP Health Care January 2003 - December 2005
MVP Health Care January 2000 - December 2002
Skills
Sales, Marketing Strategy, Medicare, Strategic Planning, Healthcare, Team Building, Negotiation, Sales Management, Customer Service, Direct Sales, Management, Managed Care, Benefits Administration, Brokers, HIPAA, Health Insurance, Strategic Partnerships, Employee Benefits, Insurance, Healthcare Management, Vendor Management, Account Management, Change Management, Health Savings Accounts, Health Care Reform, Provider Relations, HMO, Healthcare Industry, Medicare Part D, Network Development, Medicaid, Long-term Care
Education
Fordham University - Graduate School of Business Administration 2014 — 2015
Master of Business Administration (MBA)
Mount Saint Mary College 2005 — 2006
Bachelor of Business Administration (BBA), Business Administraton
Marist College 1995 — 1999
Business Administration
CIBER Inc. December 2014 - Present
IIBA Rochester, NY Chapter June 2013 - May 2014
MVP Health Care July 2009 - February 2014
Skills
Business Analysis, Business Requirements, SDLC, Business Process, Program Management, Process Improvement, Project Management, Analysis, MS Project, Requirements Analysis, Requirements Gathering, Software Project..., Software Documentation, Business Process..., Microsoft Project, Visio, Software Development
Education
Heidelberg College
Rochester Institute of Technology
BS, Imaging Science
MVP Health Care March 2011 - Present
MVP Health Care December 2008 - February 2011
MVP Health Care September 2003 - November 2008
GHI August 1999 - September 2003
WellCare June 1996 - August 1999
Blue Shield of Northeast New York June 1990 - June 1996
Skills
Change Management, Release Management, Metrics, Analytics,..., Analytics, Business Process..., Business Analysis, Process Improvement, Visio, Requirements Analysis, Business Requirements, Access, Data Analysis, ITIL v3 Foundations..., ITIL, Project Management, KPI implementation, KPI Reports, Change Control Board, BMC Remedy, Business Intelligence, Software Documentation, Requirements Gathering, Business Objects, IT Service Management
Education
Hudson Valley Community College 1980 — 1981
AAS, Transportation Distribution Management
Hudson Valley Community College 1978 — 1980
AAS, Accounting
MVP Health Care March 2015 - Present
MVP Health Care December 2009 - March 2015
New York State Insurance Department June 2007 - December 2009
Professional Insurance Agents association January 2003 - June 2007
Skills
Insurance, Health Insurance, Compliance, Healthcare, Contract Negotiation, Regulatory Requirements, ERISA, Employee Benefits, Claim, Corporate Law, Medicare, Managed Care, HIPAA
Education
Pace University School of Law 1999 — 2002
JD
East Carolina University 1994 — 1998
BS, Criminal Justice
Flextech Inc. February 1996 - Present
MVP Health Care 1999 - 2010
Skills
Business Analysis, Requirements Analysis, Healthcare Information..., SDLC, HIPAA, Requirements Gathering, Visio, Integration, Business Process..., Process Improvement, Software Documentation, Business Intelligence, Business Requirements, SharePoint, IT Strategy, Software Project..., Software Implementation, Vendor Management
Education
State University of New York College at Buffalo 1983 — 1985
Computer Science
University at Buffalo 1983 — 1984
BS, Computer Science
Erie Community College 1981 — 1983
AAS, Computer Science
Linium March 2011 - Present
MVP Health Care April 2008 - March 2011
MVP Health Care January 2007 - December 2009
Library Systems, State University of New York at Albany December 2005 - July 2006
Skills
BMC Remedy, Integration, Unix, Windows Server, Active Directory, SDLC, IT Management, ITIL, Service Desk, Service Management, Technical Support, Visio, CMDB, Oracle, Requirements Analysis, Service Delivery, Servicenow, HP, Business Analysis
Education
State University of New York at Albany 2004 — 2006
Information Science
Hudson Valley Community College 2002 — 2004
Business Administration
Amerigroup June 2015 - Present
MVP Health Care March 2011 - June 2015
MVP Health Care July 2008 - March 2011
Aon May 2006 - July 2008
JLT Services Corporation August 2002 - May 2006
FairPoint Communications 1999 - 2002
Cohoes Savings Bank 1994 - 2000
Skills
Process Improvement, Insurance, Medicare, Auditing, Claim, Health Insurance, Visio
Education
Hudson Valley Community College
Associates, Accounting
AmeriHealth Caritas August 2014 - Present
Oleen Pinnacle Healthcare Consulting September 2008 - Present
CSC Formerly First Consulting Group May 2005 - September 2008
MVP Health Care August 2001 - May 2005
Skills
Testing, Requirements Analysis, Requirements Gathering, Business Analysis, Integration, Business Process..., Software Development, Healthcare Information...
Education
Ithaca College 1998 — 2001
Bachelor of Business Administration (B.B.A.), Management and Finance
MVP Health Care 2015 - 2015
Computer Sciences Corporation August 2008 - December 2014
Lexis Nexis Publishing June 2000 - December 2007
Matthew Bender Company January 1984 - June 2000
Skills
Windows, Process Improvement, System Administration, Enterprise Software, IBM Mainframe, Document Management, Triage, Database Administration, Technical Documentation, Quality Assurance, Standards Compliance, Troubleshooting, Data Analysis, User Interface Design, Active Directory, Desktop Application..., Systems Engineering, Unix, Process, IT Service Management, IT Strategy, ITIL, Requirements Analysis
Education
Hudson Valley Community College 1981 — 1982
Business Administration and Management, General
MVP Health Care February 2013 - Present
MVP Health Care June 2009 - January 2013
CDPHP 2007 - June 2009
Keane, Inc 1999 - 2007
Ramco Systems 1996 - 1999
Skills
SDLC, PMP, Software Project..., Data Warehousing, Visio, Vendor Management, Strategy, PMO, Business Intelligence, IT Strategy, Integration, Program Management, Software Development, Project Management, Management, Databases, Consulting
Education
Indiana University - Kelley School of Business
Master of Business Administration (MBA)
PSG College of Technology
BE, Computer Science
MVP Health Care September 2003 - Present
Bassett Healthcare Network December 1998 - September 2003
Albany Medical Center May 1993 - December 1998
Education
University at Albany, SUNY 1992 — 1993
BS, Computer Science, Economics
Hudson Valley Community College 1991 — 1992
AS, Math and Science
Mohawk Valley Community College 1975 — 1982
AAS, Business Management
Gilroy, Kernan & Gilroy October 2014 - Present
MVP Health Care April 2006 - October 2014
The Preferred Group 2004 - 2006
Wildwood Programs 1999 - 2003
Skills
Account Management, Brokers, Sales Management, Strategy, Employee Benefits, Health Insurance, Sales, Managed Care, Insurance, Healthcare, Marketing, PPO, Benefits Administration, Healthcare Industry, Analysis, HMO, Health Care Reform, Medicare, HIPAA, Medicaid, Health Savings Accounts, Claim, Long-term Care, Health Policy, Medicare Part D
Education
Hudson Valley Community College 1998 — 2002
Exel, Inc. June 2003 - Present
Center for the Disabled April 2000 - June 2003
MVP Health Care February 1997 - March 2000
Education
Indiana University of Pennsylvania 1991 — 1993
MA, Industrial and Labor Relations
Indiana University of Pennsylvania 1987 — 1991
BA, Criminology
MVP Health Care March 2011 - Present
Albany Medical Center August 2010 - March 2011
Bank of America November 2009 - August 2010
IBM January 2005 - July 2009
IBM January 1998 - July 2009
LENOVO INTERNATIONAL April 2005 - April 2006
IBM January 2001 - January 2004
2004 - 2005 January 1997 - January 2004
IBM January 1999 - January 2001
IBM January 1997 - January 1999
Skills
Visio 2010, Sharepoint 2010, MS Project, Project Managment, HealthCare, Healthcare Information..., Business Analysis, Technical Writing and..., SharePoint, Visio, Project Management, Technical Writing, Software Documentation, MS Access, Requirements Gathering, Training, Editing, SDLC, Unix, Program Management, Process Improvement, Access, Testing, Requirements Analysis, Integration, Enterprise Architecture, Data Warehousing, ERP
Education
Marist College 1999 — 2002
Information Technology
Dutchess Community College
AAS, Electro-Mechanical Engineering
Dutchess Community College
Certification; BS, AUTOCAD Design; Information Technology
CareSource January 2014 - Present
TMG Health August 2013 - January 2014
Fidelis Care April 2012 - May 2013
Independent Health February 2010 - April 2012
MVP Health Care May 2009 - February 2010
Meritain Health April 2008 - January 2009
Electronic Management Services, Inc April 1996 - April 2008
Computer Task Group April 1994 - January 1996
Fisher-Price May 1992 - April 1994
Cardinal Health Systems November 1986 - February 1992
Education
Houghton College
B.S, Organizational Management
Erie Community College
A.A.S, Data Processing
Comptek Technical Training Center
Wellpoint Anthem June 2011 - December 2012
CSC May 2010 - November 2010
MVP Health Care November 2009 - May 2010
SXC/ Informed RX/ National Medical Health Card July 2006 - July 2009
Computer Science Corporation September 2005 - July 2006
Abacus Communications July 2002 - October 2003
Sun Life Of Canada, Sun Financial Services February 1999 - May 2000
Skills
Call Center, Phone Skills, Customer Service, Time Management, Outlook, Quicken, Sales, Inventory Management, Lotus Notes, Microsoft Publisher, Teamwork, Data Entry, Microsoft Office, Microsoft Excel, Access, Troubleshooting, Microsoft Word, PowerPoint, Software Documentation, BMC Remedy, Call Centers, Customer Satisfaction, Invoicing
Education
State University of New York Institute of Technology at Utica/Rome 1982 — 1984
BPS, Business/Public Management
Hudson Valley Community College 1980 — 1982
AAS, Marketing
MVP Health Care 2009 - Present
MVP Health Care 2004 - 2009
MVP Health Care 1999 - 2004
Kaiser Permanente 1998 - 1999
Kaiser Permanente 1994 - 1998
Skills
Project Management, HIPAA, System Testing, Business Analysis, Business Requirements, Cross-functional Team..., Data Analysis, Healthcare Information..., Integration, Medicaid, Metrics, Medicare, Process Improvement, SQL, Software Documentation, Visio, Troubleshooting, Testing, Team Building, SDLC, Requirements Gathering, Requirements Analysis, Healthcare, Access, Health Insurance
Education
Florida International University
Bachelor of Science (BS)
MVP Health Care 2006 - Present
Vassar College 1999 - 2006
SmithKline Beecham Clinical Labs 1993 - 1999
SmithKline Beecham Clinical Laboratories 1986 - 1992
Skills
Strategic Planning, Managed Care, Healthcare, HIPAA, Customer Service, Project Management, Healthcare Industry, Healthcare Information..., Medical Devices, Hospitals, Health Insurance, Process Improvement, Insurance, Data Analysis, Healthcare Management, Employee Benefits, Management, Medicare
Education
Indiana University Bloomington
Bachelor of Arts (B.A.), Radio and Television
Indiana University Bloomington
Master of Arts (MA), Communications
MVP Health Care 2011 - Present
East Coast Repair and Fabrication September 2012 - September 2014
MVP Healthcare November 2010 - September 2012
Harland Clarke October 2009 - October 2010
Harvard Pilgrim Health Care November 2008 - May 2009
Amerigroup April 2001 - August 2008
Wellpath Community Health Plans September 2000 - April 2001
Amisys Group June 1996 - August 2000
Computer Data Systems February 1995 - May 1996
National Wildlife Federation June 1994 - January 1995
Skills
ETL, SQL, Databases, Unix, Visual Basic, Oracle, Microsoft SQL Server, Software Documentation, COBOL, Testing
Education
Ferrum College 1981 — 1983
DynTek 2013 - Present
Sullivan and Cogliano April 2013 - October 2013
SABIC September 2012 - March 2013
Schweitzer-Mauduit International November 2010 - September 2012
CSC - Computer Sciences Corporation October 2007 - September 2010
CCSI - Contemporary Computer Services, Inc. March 2007 - October 2007
MVP Health Care March 1999 - February 2007
Skills
Technical Support, Computer Repair, Computer Hardware, Windows Server, Network Administration, Network Security, IT Management, Networking, Active Directory, ITIL, SharePoint, SQL, SDLC, Disaster Recovery, Integration, IT Service Management, IT Strategy, Requirements Analysis, Business Analysis, Technical Leadership, Technical Documentation, Technical Training, Troubleshooting
Education
State University of New York Empire State College 2015 — 2017
Computer and Information Sciences, General
Hudson Valley Community College 2014 — 2015
Tata Consultancy Services November 2014 - Present
Intellisource January 2011 - Present
CareSource Management Group February 2011 - August 2013
MVP Health Care May 2008 - February 2011
Computer Task Group March 2007 - February 2011
HP Technology September 2006 - March 2007
Skills
SDLC, HIPAA, Business Analysis, Requirements Analysis, Healthcare Information..., Medicaid, Managed Care, Visio, SQL, Health Insurance, Software Documentation, Business Requirements, Process Improvement, Requirements Gathering, Vendor Management, Data Warehousing, Testing
Education
University of Phoenix 2011 — 2014
Bachelor's degree, Information Technology
Harcum College 1982 — 1984
Associate's degree, Business, Management, Marketing, and Related Support Services
MVP Health Care July 2006 - Present
Higgins, Roberts, Beyerl and Coan November 2004 - July 2006
McGuireWoods July 2003 - October 2004
Ross and Hardies September 1995 - July 2003
Skills
Health Insurance, Healthcare, Medicare, Insurance, Claim, HIPAA, Managed Care, Medicaid, Corporate Law, Contract Negotiation, Health Law, Provider Relations, PPO, Mergers & Acquisitions, Employee Benefits, Health Policy, Health Care Reform, HMO, Network Development
Education
University of Illinois College of Law 1992 — 1995
JD
Hamilton College 1984 — 1988
BA, International Comparative Political Studies
Retired April 2012 - April 2014
MVP Health Care February 1993 - March 2012
Skills
Provider Relations, Health Insurance, Process Improvement, Medicare, Managed Care, Insurance, Customer Service, Healthcare Management, Employee Relations, Team Building, Change Management, Strategic Planning, Healthcare Information..., Project Management, Contract Negotiation, Benefits Administration, Vendor Management, Brokers, Business Analysis, Management, PPO, Program Management, Healthcare Consulting, Policy, Hospitals, Provider Network...
Education
Fairleigh Dickinson University 1975 — 1980
Master of Business Administration (MBA), Labor and Industrial Relations and Personnel Admin
Providence College 1964 — 1968
BS in Business
MVP Health Care Senior Investment AccountantMVP Healthcare2006 - 2011
Skills
Financial Reporting, Financial Analysis, Insurance, Financial Modeling, Auditing, Accounts Payable, Internal Controls, Accounting, Process Improvement, GAAP, Sarbanes-Oxley Act, Account Reconciliation, Business Process..., Health Insurance
Education
Hartwick College
School name:
MVP Health Care November 2011 - October 2014
WellPoint November 2009 - November 2011
St. Peter's Hospital September 2005 - November 2009
Albany Medical Center July 2000 - November 2005
Skills
Case Management, Utilization Management, Disease Management, Health Insurance, Utilization Review, Certified Case Manager, Healthcare, Medical Case Management, Insurance, Home Care, Claims Management, Nursing, Hospitals, Health Education, Acute Care, Health Promotion, Outlook, Motivational..., Microsoft Excel, Cpr Certified, Microsoft Word, Registered Nurses
Education
Hudson Valley Community College 1999 — 2001
Hudson Valley Community College 1998 — 2001
Associate of Science (A.S.), Registered Nursing/Registered Nurse
Community Health Plan of Washington April 2012 - Present
CSC, Dept. of Labor CBP Project January 2012 - Present
eXtreme DataServices, LLC April 2010 - Present
Cook Children's Health Care System 2013 - 2015
WellMed Medical Management April 2010 - December 2011
MVP Health Care October 2010 - January 2011
Preferred Care Partners June 2006 - March 2010
Sapient EM April 2005 - May 2006
Livedoor Co. Ltd U.S. division March 2001 - May 2005
Skills
HIPAA, SSIS, Microsoft SQL Server, Medicare, Medicaid, Healthcare, Healthcare Management, Visio, ETL, SDLC, Data Analysis, Database Design, Process Improvement, T-SQL, Integration, Databases, Healthcare Information..., Data Warehousing, Crystal Reports, SharePoint, Business Intelligence, Requirements Analysis, Business Analysis, Access, Software Documentation, SSRS, Business Objects, Requirements Gathering, Data Modeling, Business Process, Disaster Recovery, Software Project..., EHR, Healthcare Consulting
Education
Florida International University 1998 — 2001
Bachelor of Science (BS), MIS & Computer Science
MVP Health Care October 2012 - Present
Adecco Engineering November 2010 - October 2012
LCS&Z, LLP August 2008 - November 2009
KPMG, LLP January 2007 - August 2008
Skills
Accounting, Auditing, Internal Audit, Sarbanes-Oxley Act, Analytical Skills, Internal Controls, Budgeting, Statutory Accounting, Tax, US GAAP, QuickBooks, Healthcare, Government Programs, Process Improvement, Financial Analysis, Risk Assessment, Anti-bribery, Compliance Testing, Continuous Monitoring, FCPA, Fraud Detection, Microsoft Office, Outlook, GAAP, Financial Statements, Financial Reporting
Education
Siena College 2004 — 2006
Bachelors of Business Administration
Hudson Valley Community College 2002 — 2004
Associates
MVP Health Care September 2011 - Present
MVP Health Care December 2006 - September 2011
Skills
Health Insurance, Medicare, HIPAA, clinical auditing, DRG Validation
Education
Hudson Valley Community College 1988 — 1990
Associate of Arts and Sciences (A.A.S.), Registered Nursing/Registered Nurse
Premera Blue Cross March 2014 - Present
Premera Blue Cross May 2012 - March 2014
Premera Blue Cross 2011 - August 2012
Molina Healthcare 2009 - 2011
Overlake Hospital 2005 - 2009
MVP Health Care 2000 - 2004
Skills
Healthcare, Managed Care, Medicaid, Hospitals, Training, Case Management, Health Insurance, HIPAA, Case Managment, Medicare, Healthcare Management, Utilization Management, Disease Management, Health Policy, Provider Relations, HEDIS, NCQA, HMO, Medicaid Managed Care, Utilization Review, QNXT, Nursing, Delegation management, Discharge Planning, Behavioral Health, Behavioral Interviewing, Lean Management, Lean Operations
Education
Western Governors University
Master of Business Administration (MBA), Health/Health Care Administration/Management
Grantham University
Bachelor of Science in Nursing, Magna Cum Laude
Excelsior College
Associates in Applied Science, Registered Nursing/Registered Nurse, Dean's List
United Health Group - Optum March 2015 - Present
MVP Health Care September 2012 - January 2015
Renal Research Institute (Fresenius) May 2012 - August 2012
Austin & Co., Inc January 2012 - May 2012
Wellpoint, Inc. (E November 2010 - December 2011
American Red Cross March 2008 - November 2010
MVP Health Care 1996 - 2007
MVP Health Care 1993 - 2007
Skills
Employee Benefits, Healthcare, Administration, Medicare, Health Insurance, Claim, Insurance, Medicaid, Risk Management, Benefits Administration, Process Improvement, Customer Service, Strategic Planning, Outlook, Call Centers, Budgets, Software Documentation, Claims, Compliance, HIPAA, Supervisory Skills, Microsoft Office, Word, Problem Solving, Change Management, Non-profits, Accounting, Employee Relations, Policy, Financial Reporting, Technical Writing, PowerPoint, Budgeting, Editing, Mentoring, Conflict Resolution, Research, Documentation, Excel, Customer Relations, Access, Data Analysis, Proposal Writing, Contract Management, Account Reconciliation, Medicare/Medicaid..., RFP, RFQ, Healthcare Reimbursement, Sales and Service...
Education
Excelsior College 2009 — 2012
BHM/CHM, Healthcare Management
Schenectady County Community College 1987 — 1989
Associate of Arts and Sciences (A.A.S.), Criminal Justice and Corrections
Schenectady City School district January 2013 - June 2013
MVP Health Care July 2012 - August 2012
Schenectady Municpal Housing Authority October 2008 - September 2011
Education
Ithaca College 2005 — 2008
bachelors of science, community health education
The Sage Colleges - Russell Sage College 2004 — 2005
bs, athletic training
Bottini Fuel April 2011 - Present
Planned Parenthood (Adecco) December 2010 - April 2011
St. Lukes Cornwall Hospital October 2009 - December 2010
MVP Health Care July 2007 - July 2009
Skills
Healthcare, Medical Records, PowerPoint, Sales, Meditech, Office Equipment, Doisser Fleet..., Vechicle Registration, NYS DMV PAPERWORK, NYS Notary Public, Office Management
Education
Dutchess Community College 2002 — 2005
Associates, Business Management
MVP Health Care July 2012 - Present
Center For Disability Services December 2011 - July 2012
Journal Register Company The Record, Troy NY July 1978 - December 2010
Skills
Payroll, Human Resources, Accounts Payable, Accounts Receivable, Time Management, Accounting, Bookkeeping, Benefits Administration, Blogging, Nonprofits, Editing, Journalism, Social Media, Social Media Marketing, Advertising
Education
Hudson Valley Community College
Accounting
MVP Health Care April 2006 - Present
Skills
Health Insurance, Medicare, Insurance, HIPAA, Medicare Part D, HMO, Healthcare, Process Improvement, Commercial Insurance, Customer Service
Education
Genesee Community College
Associate of Arts and Sciences (AAS), Accounting
MVP Health Care February 2007 - Present
Skills
HIPAA, Customer Service, Microsoft Excel, Microsoft Word, Network Administration, Office Administration, PowerPoint, Quality Management, Quality Assurance, Quality Control, Technical Writing, Access, SPC, Spreadsheets, Process Engineering, FMEA, Process Control, Flow Charts, Analysis, Process Improvement, Healthcare, Training, Employee Benefits, Visio, Health Insurance, Insurance, Software Documentation, Documentation, Business Analysis
Education
State University of New York Empire State College 2004 — 2008
Bachelor of Science (BS), Business/Healthcare
Fulton-Montgomery Community College 1990 — 1996
Associate of Arts and Sciences (AAS), Medical and Business
TEKsystems November 2012 - Present
Computer Aid, Inc. April 2012 - November 2012
Amerigroup November 2010 - February 2011
MVP Health Care March 2008 - November 2010
MVP Health Care April 2007 - March 2008
Blue Shield of Northeastern New York October 2002 - December 2006
Blue Shield of Northeastern New York April 1998 - October 2002
Blue Shield of Northeastern New York September 1995 - March 1998
Blue Shield of Northeastern New York October 1993 - August 1995
Skills
Windows, Troubleshooting, NetworX Pricer..., Product/Benefit..., Microsoft Access Queries, Database Table Structure, Facets, Microsoft Excel, Microsoft Office, Analysis, Testing, Project Management, Software Installation, Security, Access, Process Improvement, Technical Recruiting, Requirements Gathering, Software Documentation, Vendor Management, Business Analysis, Visio, Requirements Analysis, SDLC, HIPAA
Education
Hudson Valley Community College 1987 — 1989
Associate's degree, Marketing
Excellus BCBS May 2012 - Present
MVP March 1988 - June 2012
MVP Health Care 1988 - 2011
Nazareth College August 1985 - December 1991
Skills
Clinical Nursing..., Individual and Group..., Mental Health Clinical..., Healthcare, Medicare, Healthcare Management, Managed Care, Health Insurance, Utilization Management, Clinical Research, Medical Terminology, Hospitals, Case Managment, Disease Management, Nursing, Team Building, Medicaid, Healthcare Information..., Cpr Certified, Behavioral Health, Case Management, Mental Health, Program Development
Education
University of Rochester 1980 — 1983
MS, Psychiatric Mental Health Nursing
Hartwick College 1975 — 1979
Bachelor of Science, Nursing
Schenectady City School District July 2009 - Present
Schenectady City School District July 2007 - June 2009
Schenectady City School District March 2005 - June 2007
Ayco Company/Goldman Sachs April 2004 - March 2005
Ayco Company/Goldman Sachs January 1999 - April 2004
MVP Health Care January 1992 - January 1999
MVP Health Care January 1989 - January 1992
Education
SUNY Albany 1982 — 1983
Sociology
Hudson Valley Community College 1980 — 1982
A.A.S., Human Services, General
Mildred Elley School-Albany Campus 1977 — 1979
Associate of Arts (A.A.), Fashion Merchandising
Tufts Health Freedom Plan September 2015 - Present
Cobalt Benefits Group DBA EBPA, CBA Blue Benefits (VT), Blue Benefit Administrators (MA) June 2014 - September 2015
MVP Health Care August 2011 - April 2014
Colonial Life December 2010 - August 2011
UltraBenefits July 2008 - July 2010
Anthem Blue Cross Blue Shield 2002 - 2008
Skills
Health Insurance, Employee Benefits, Health Savings Accounts, Benefits Administration, Insurance, Salesforce.com, Brokers, Long-term Care, Medicare, Managed Care, Claim, Health Care Reform, Underwriting, Provider Relations, Sales, Account Management, Disability Insurance, Customer Service, Life Insurance, Strategic Planning, Management, Leadership, Team Building
Education
Henry Ford Community College
My Hme February 2012 - Present
Emblem Health January 2006 - February 2012
MVP Health Care February 2005 - December 2005
CDPHP December 1999 - January 2005
Skills
Healthcare, Hospitals, Healthcare Management, Nursing, Clinical Research, Healthcare Information..., EMR, Home Care, Patient Safety, BLS, Managed Care, Medical Terminology, Inpatient, Medicaid, HIPAA, Medicare, Healthcare Consulting, Physicians, Healthcare Industry, Medical Billing, EHR, Medical Coding
Education
Hudson Valley Community College 1988 — 1994
Associate of Arts and Sciences (AAS), Computer Science
Grove City, PA YMCA October 2012 - Present
MVP Health Care February 2011 - March 2013
Skills
Health Insurance, Employee Wellness, Health Promotion, Healthcare, Health Education, HIPAA, Employee Wellness..., Health Policy, Wellness Coaching
Education
Florida Atlantic University
Exercise Science & Health Promotion
MVP Health Care March 1999 - Present
Skills
Provider Relations, Customer Service, Claims Resolution, Written Communication, Process Improvement, Training, Editing, Presentation Skills, Project Management, Health Insurance, HIPAA, HMO, Healthcare
Education
Southern New Hampshire University 1994 — 1996
BS, Business Administration
Dean College 1992 — 1994
AS, Business Administration
MVP Health Care January 2012 - Present
NYSPHSAA 2010 - 2011
Education
SUNY Cobleskill 2008 — 2010
BBA, Business Administration
State University of New York College of Agriculture and Technology at Cobleskill 2008 — 2010
BBA
Hudson Valley Community College 2005 — 2007
Associates
MVP Health Care January 1998 - Present
Mt. Loretto and Resurrection Nursing Home May 1993 - December 1997
Skills
Facilities Management, Vendor Management, Project Management, Cross-functional Team..., Strategic Planning, Budgets, Management, Operations Management, Process Improvement, Negotiation, Construction, Troubleshooting, Contract Negotiation, Contract Management, Customer Service, Leadership
Education
SUNY Institute of Technology 1987 — 1990
BS, Industrial Engineering
CUNY New York City College of Technology 1985 — 1987
Environmental Control Technology - HVAC, Heating, Ventilation, Air Conditioning and Refrigeration Design
MVP Health Care February 2001 - Present
Kaiser Permanente IT August 1978 - February 2001
Skills
Requirements Gathering, HIPAA, Business Requirements, SDLC, Visio, Business Analysis, Process Improvement, Requirements Analysis, Healthcare Information..., Software Documentation, Troubleshooting
Education
Hudson Valley Community College
CallidusCloud June 2013 - Present
MVP February 2007 - 2013
MVP Health Care November 2004 - February 2007
MVP Health Care January 2003 - November 2004
Ash Management April 2000 - December 2002
Cohoes Savings Bank May 1999 - April 2000
Appliance Giant July 1998 - May 1999
QuickLube Oil Centers, Ltd January 1986 - July 1998
Skills
Insurance, Health Insurance, Accounts Payable, Accounts Receivable, Customer Service, Payroll, Team Building, Management, Invoicing, Account Reconciliation
Education
Hudson Valley Community College
A.A.S, Early Childhood Education
Hudson Valley Community College
Financial Accounting
MVP Health Care 2008 - Present
Carestream Health 2007 - 2008
Eastman Kodak Company 1995 - 2007
ENTEX Information Services Inc. 1992 - 1995
Computer Task Group, Inc. 1988 - 1992
Federal Bureau of Investigation 1985 - 1988
Skills
Requirements Gathering, Business Requirements, Systems Analysis, Requirements Analysis, Visio, HIPAA, Business Analysis, Microsoft SQL Server, SQL, PL/SQL, EDI, COBOL, Oracle, Software Documentation, Testing, Integration
Education
State University of New York College of Technology at Utica / Rome 1982 — 1984
Bachelor of Science Degree, Computer Science
Erie Community College 1980 — 1982
Data Processing
Accredo Healthcare - a Medco Company 2010 - Present
McKesson Health Solutions 2004 - Present
Coram Healthcare 1997 - Present
Joint Active Systems Inc. 2004 - 2012
MVP Health Care 1999 - December 2004
Prison Health Services 1988 - 2001
Skills
Registered Nurses, Midline PICC Certified, Transplant Certified, IV Certified, Specialty Infusion Nurse, Contract Negotiation, Network Development, Vendor Contracts, Vendor Management, Insurance Negotiations, Medical Devices, Consulting, Correctional Nursing, Management, Medical Policies, Workers Compensation, Nursing, IV, Hospitals, Clinical Research, Home Care, Medicaid
Education
Hudson Valley Community College 1979 — 1982
Associate of Arts and Sciences (AAS), Registered Nursing/Registered Nurse
Rensselar Occupational Center,Troy NY 1977 — 1979
Licensed Practical Nurse
MVP Health Care February 2007 - Present
Education
Daemen College 2011 — 2014
Adult Nurse Practitioner
Claire Gunther June 2005 - Present
MVP Health Care March 2013 - June 2014
Unity Health System 2001 - 2003
Martino Flynn 2000 - 2001
Rochester General Health System (viaHealth) 1998 - 2000
Skills
Marketing Communications, Public Relations, Writing, Internal Communications, Press Releases, Media Relations, Crisis Communications, Editing, Marketing, Newsletters, Copywriting, Integrated Marketing
Education
Ithaca College 1993 — 1997
Bachelor of Science (BS), Communication and Media Studies
Mercy High School 1990 — 1993
MVP Health Care November 2004 - Present
Education
SUNY Institute of Technology 1997 — 1999
Bachelor's degree, Health/Health Care Administration/Management
Hudson Valley Community College 1995 — 1997
Associate of Arts and Sciences (A.A.S.), Business Administration and Management, General
MVP Health Care June 2001 - March 2012
Community Care Behavioral Health January 2000 - December 2000
Kaiser Permanente NE/Community Health Plan (CHP) 1994 - 1999
Matthew Bender & Co., Inc. 1982 - 1993
Matthew Bender & Co., Inc. 1974 - 1982
Skills
Microsoft Office, Microsoft Word, Microsoft Excel, Customer Service, PowerPoint
Education
Hudson Valley Community College 1977 — 1981
44 credit hrs. toward Assoc. degree in Mktg., Business and Marketing Courses
NY School of Interior Design, NYC 1973 — 1974
None, Interior Design
New School for Social Research, NYC 1970 — 1972
None, Sociology and Psychology
HealthTech Resources May 2013 - Present
CDPHP August 2010 - May 2013
MVP Health Care September 2006 - September 2010
ValueOptions July 2002 - October 2006
Skills
Visio, Systems Analysis, Business Requirements, SDLC, HIPAA, Business Analysis, Requirements Gathering, Software Documentation, Healthcare Information..., EDI, Health Insurance, Requirements Analysis, Medicaid, Data Warehousing, Managed Care, Claim, Process Improvement, Crystal Reports, Data Modeling, User Acceptance Testing, Medicare, Microsoft SQL Server, ETL, Access, Facets, NetworX, Contract Pricing, System Integration..., Rate Manager, Optum, Ingeniux, WebStrat
Education
Hudson Valley Community College
Associate of Arts and Sciences (AAS), Computer Science
SUNY Albany
Bachelor of Science (BS), Computer and Information Sciences and Support Services
BlueShield of Northeastern New York February 2014 - Present
Ellis Medicine July 2012 - September 2013
Conifer Park September 2004 - January 2012
New Dimensions in Health Care February 2003 - July 2004
Seton Health April 2001 - February 2003
Ellis Hospital June 2000 - April 2001
CDPHP/KaiserPermanente May 1998 - June 2000
MVP Health Care April 1995 - May 1998
Blue Shield of NENY/Aetna March 1992 - April 1995
Dr. M. Baghaei-Rad, Oral and Maxillo-Facial Surgeon May 1984 - March 1992
Skills
Medical Billing, Medical Coding, Provider Relations, Practice Management, Customer Service, Oral Surgery Assisting, Dental Office Management
Education
Hudson Valley Community College
Associate of Arts and Sciences (AAS), Medical Laboratory Technology
Spencer Business & Technical Institute
Certificate, EKG Technician
MVP Health Care 2003 - 2012
Education
University of New Haven 1975 — 1977
Master of Business Administration (M.B.A.), Finance and Financial Management Services
Fairfield University 1966 — 1970
Bachelor of Science (BS), Mathematics
Rochester General Health System February 2008 - Present
MVP Health Care January 1995 - February 2008
Skills
Healthcare, Hospitals, Healthcare Management
Education
Gannon University 1990 — 1993
Master's degree, Health/Health Care Administration/Management
Gannon University 1986 — 1990
Bachelor of Science (BS), Business Administration and Management, General